lifestyle approaches to counter the effects and symptoms of OA are vital for patients who must learn to self-manage and clinicians who must balance caring for each individual patient. As the attitude of the clinician and patient will directly influence the reception and implementation of suggested lifestyle approaches, patients should be prompted toward embracing a multiplicity of self-care strategies.addressing patients with packaged care that utilizes baseline assessments and cognitive therapy ideologies may be a great way for patients to see their current state, the results of their management strategies over time, and be provided with simplistic means of finding support for their disease. the ideas presented should be viewed as a complement to any comprehensive treatment plan