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Osteoarthritis · Parramatta Physiotherapy

OsteoarthritisExercise is medicine. We’ll show you how to use it.

Osteoarthritis affects over 2.1 million Australians — but most people are not doing the one thing that makes the biggest difference: the right exercise. At Thrive, we design personalised OA programs aligned with the best evidence, tailored to your joint, your age and your goals.

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Knee, hip & spinal OA Exercise-first approach Medicare CDM, NDIS, Aged Care
2.1M
Australians live with osteoarthritis — the most common form of arthritis
#1
most effective treatment for OA is exercise therapy — more effective than medication alone
30%
average pain reduction achievable with a 12-week targeted exercise program
Understanding Your Condition

What is Osteoarthritis?

Osteoarthritis (OA) is a joint condition characterised by cartilage breakdown, bone changes and inflammation. It’s not simply “wear and tear” — it’s a dynamic, living process that responds powerfully to exercise. Exercise therapy is the most evidence-based treatment available for OA, reducing pain, improving function and delaying — or avoiding — the need for joint replacement.

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Knee OA

The most common joint affected. Quadriceps and gluteal strengthening are the cornerstone of treatment — offloading the joint surface and improving shock absorption.

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Hip OA

Groin pain, stiffness and reduced internal rotation. Hip abductor and extensor strengthening, combined with gait retraining, produces significant functional improvement.

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Spinal OA

Facet joint and disc degeneration causing back and neck stiffness. Exercise, manual therapy and posture work address daily function and pain levels.

Healthy Ageing with OA

Exercise doesn’t just manage OA — it reduces falls risk, cardiovascular risk and mental health burden simultaneously. We build programs for the whole person.

Treatment

How physiotherapy treats osteoarthritis

Functional assessment of strength, balance and gait
Progressive resistance training — the most effective pain-reducing intervention for OA
GLA:D-aligned exercise principles for hip and knee OA
Manual therapy for joint stiffness and pain management
Falls risk assessment and balance training in older adults
Pain education — understanding OA, changing beliefs about movement
Activity modification advice to manage flare-ups without stopping exercise
Medicare CDM, NDIS, aged care packages and private health accepted
Common Misconception

"You should rest the joint and avoid exercise when you have arthritis."

This is the most damaging myth in OA management. Rest leads to muscle atrophy, which reduces joint support and accelerates cartilage breakdown. Exercise — done correctly — is the most powerful treatment available for OA. The GLA:D program (Good Life with osteoArthritis in Denmark), which Thrive follows, is based on decades of evidence showing that supervised exercise reduces pain by 30% or more.

Our Approach

What to expect at Thrive

01

OA assessment & education

We assess your joint function, strength and gait, and spend time explaining what OA actually is — changing the narrative from ‘wear and tear’ to ‘manageable condition’.

02

Progressive exercise program

A structured, evidence-based program building neuromuscular control, strength and load tolerance. You’ll be exercising more than you thought possible — safely and effectively.

03

Long-term management plan

OA is a long-term condition. We give you the tools, the home program and the confidence to manage it independently — with ongoing support available as needed.

FAQs

Frequently asked questions

I was told my cartilage is ‘gone’. Is there any point in physio?

Yes. Muscle strength, balance, proprioception and pain sensitivity all respond to exercise — regardless of the state of the cartilage. Many patients with severe radiological OA have minimal functional limitation after a structured program.

Will exercise make my OA worse?

No — when loaded appropriately. The key is starting at the right level and progressing gradually. Cartilage requires loading to stay healthy; unloading it (rest) is actually more harmful over time.

I’m on a waiting list for knee replacement. Should I see a physio first?

Absolutely. Pre-surgical physiotherapy (‘prehab’) improves post-operative outcomes significantly — faster return of quadriceps strength, shorter hospital stay, better walking speed.

Can I access physio for OA under Medicare?

Yes — if your GP creates a Chronic Disease Management (CDM) plan, you can access up to 5 subsidised sessions per calendar year. OA is a classic qualifying condition.

Related Conditions

We also treat

Ready to Get Better?

OA is manageable. Let’s prove it.

Book an assessment and we’ll design an exercise program that moves you forward — not backward.

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