Expert profile
Prof. David Hunter
Rheumatologist and osteoarthritis researcher
Osteoarthritis • evidence-based OA management • low-value medical interventions • disease-modifying OA drugs
3Discussions
148 minAnalysed
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About the expert
Focus: Evidence-based osteoarthritis management and reform of low-value care
Professor of Rheumatology at the University of Sydney, internationally recognized for evidence-based osteoarthritis research and advocacy. Reframes OA as a complex whole-joint disease rather than simple wear-and-tear. Advocates for weight control, strength training, and patient education over low-value interventions like opioids, MRIs, and unnecessary arthroscopies. Active in clinical trials of disease-modifying OA drugs and OA care-pathway research.
Expert discussions with Prof. David Hunter
Hunter on osteoarthritis as a whole-joint disease, not wear-and-tear
Osteoarthritis (OA) is not simple wear-and-tear but a complex disease involving the whole joint. Clinical symptoms often diverge from imaging findings, which means an X-ray is rarely necessary for diagnosis. Weight control, strength training, and patient education work better than opioids or unnecessary surgeries for most people. Future treatments may include disease-modifying injections that actually repair joint tissue.
Hunter on preventing and managing osteoarthritis through lifestyle
Osteoarthritis (OA) is eminently preventable and manageable through behavior changes, especially by addressing sedentary lifestyle and excess body weight. Personalized exercise, education, and weight loss outperform MRIs and arthroscopies for most people. Disease-modifying drugs are in clinical trials but not yet widely available. Anti-inflammatory supplements may help some patients as part of a broader strategy.
Hunter cuts through osteoarthritis myths on Bob & Brad
Osteoarthritis (OA) is widely misunderstood as a mechanical wear-and-tear disease caused by overuse, when it is actually a whole-joint disease with metabolic, inflammatory, and mechanical components. The most powerful interventions are weight management, regular movement, and targeted strength training. Imaging is often overused because findings frequently do not change treatment. Joint replacement is appropriate for some patients but reserved for those who have exhausted conservative care.