One of the worst effects of Arthritis is joint stiffness, which can lead to shortened muscles around the affected area which become painful over time. Osteopathy can help keep the supportive tissues stretched through treatment and exercises. Gentle movements can aid in easing inflammation in overworked muscles, that are compensating. If weight-bearing is difficult on one hip, the other will be overworked, causing secondary pain and restrictions. Osteopathy can reduce pain, ease swelling and improve mobility and range of joint movement. The treatment of the supportive tissues in arthritis can give good pain relief. In addition, advice regarding diet, lifestyle and correct exercises have been shown to help with long-term relief from associated symptoms. Research has shown that supervised, active physical therapy for knee and hip osteoarthritis is current best practice. Exercise therapy can provide as good pain relief as pharmacological pain medications.