An Evidence-Based Physiotherapy Approach with the GLA:D® Program

Hip and knee osteoarthritis (OA) is a common degenerative joint condition affecting thousands of Australians, particularly adults over the age of 45. If you’re experiencing joint pain, stiffness, reduced mobility, or struggling with daily activities, you’re not alone—and surgery is not your only option.

At our physiotherapy clinic in Richmond, South Yarra, Kew, Hawthorn, Toorak, and Prahran, we specialise in the non-operative management of hip and knee arthritis, offering patients an evidence-based alternative to surgery. A core part of our treatment approach is the GLA:D® program—an internationally recognised, research-based exercise and education program designed specifically for people with hip or knee osteoarthritis.

This article explores how physiotherapy, and particularly the GLA:D® program, offers effective, long-term relief for osteoarthritis symptoms without the need for surgery.

What is Osteoarthritis of the Hip and Knee?

Osteoarthritis is a progressive condition that causes the cartilage in your joints to break down. This leads to pain, swelling, stiffness, and reduced joint function—especially in load-bearing joints like the hips and knees.

Common symptoms include:

• Joint pain during or after activity

• Stiffness in the morning or after prolonged sitting

• Reduced range of motion

• Muscle weakness and joint instability

• Difficulty walking, bending, or climbing stairs

Historically, joint replacement surgery was often seen as the ultimate solution. However, modern research strongly supports early conservative management, especially physiotherapy, to manage symptoms and improve function—often delaying or avoiding surgery altogether.

The Role of Physiotherapy in Managing Arthritis Without Surgery

Physiotherapy is a first-line, evidence-based treatment for hip and knee OA. It focuses on:

• Reducing pain and inflammation

• Strengthening surrounding muscles

• Improving joint stability

• Enhancing functional mobility

• Empowering patients with education and self-management strategies

When delivered through a structured program such as GLA:D®, these benefits are even more pronounced.

Introducing the GLA:D® Program: Good Life with Arthritis: Denmark

GLA:D® (Good Life with Arthritis: Denmark) is an internationally recognised, research-backed program that helps people with hip and knee osteoarthritis reduce symptoms, improve function, and take control of their condition.

Originally developed in Denmark, GLA:D® has been implemented in clinics across Australia with outstanding results—and our clinic is proud to be an accredited provider.

Structure of the GLA:D® Program

The GLA:D® program is delivered over a 6 to 8-week period and consists of three key components:

1. Initial Physiotherapy Assessment

Your journey begins with a comprehensive individual assessment by a physiotherapist trained in the GLA:D® methodology. We take the time to:

• Assess your symptoms, function, and movement patterns

• Record baseline outcome measures (pain levels, walking ability, etc.)

• Discuss your goals and readiness to participate

This step helps tailor the program to your individual needs and track your progress over time.

2. Education Sessions (2 classes)

You’ll attend two group education sessions, where we cover:

• What osteoarthritis is and how it progresses

• Why exercise is the best medicine

• How to manage pain through movement and activity modification

• Strategies for long-term joint health and lifestyle changes

These sessions help dispel common myths about arthritis and empower you with the knowledge to make informed decisions about your health.

3. Supervised Group Exercise Classes (12 sessions)

You will attend 12 small-group neuromuscular exercise classes led by your physiotherapist. These classes:

• Focus on improving strength, control, and stability around the hip and knee

• Use evidence-based progressions tailored to your level and goals

• Include functional exercises like squats, steps, and balance training

• Are conducted in a safe, supportive, and motivating environment

By the end of the program, most participants report:

• Less pain

• Improved function

• More confidence in managing their condition

• A delay in, or avoidance of, joint replacement surgery

Who is GLA:D® For?

The GLA:D® program is ideal for people who:

• Have hip or knee osteoarthritis, diagnosed or suspected

• Experience symptoms such as pain, stiffness, or limited movement

• Want to avoid or delay surgery

• Are willing to participate in an active program and improve their self-management

It is suitable for all fitness levels and can be adapted to accommodate joint replacements or other chronic conditions.

Why Orthopaedic Specialists Refer to GLA:D®

GLA:D® is supported by international clinical guidelines as a first-line treatment for OA. For orthopaedic specialists, GPs, and surgeons, it offers a reliable, structured, and measurable non-operative pathway for suitable patients.

Benefits of Referring Patients:

• Proven reduction in OA symptoms and surgical interest

• Objective pre- and post-program reporting

• Improved surgical preparedness for patients who still require joint replacement

• Enhanced patient satisfaction with conservative management options

• Supports shared decision-making and evidence-based care

Our clinic provides referring clinicians with progress reports and outcome measures to support ongoing collaborative care.

Outcomes Backed by Research:

Studies on GLA:D® outcomes in Australia and internationally have shown:

• Up to 36% reduction in pain

• 49% improvement in joint-related quality of life

• High rates of program satisfaction and completion

• Fewer patients opting for surgery after completing the program

This positions the GLA:D® program as a gold standard in non-surgical arthritis care.

Book Your Initial GLA:D® Assessment Today

If you’re looking for non-operative solutions for hip or knee arthritis—or you're a specialist looking to refer—our clinic in Richmond, South Yarra, Kew, Hawthorn, Toorak, or Prahran is here to help.

We offer:

• Accredited GLA:D® providers

• Individualised treatment plans

• Modern facilities with group class options

• Close communication with GPs and surgeons