How do you counsel patients on the benefits of diet and exercise in OA in a way that motivates them to comply?

Although this issue is critically important for the care of patients with knee OA, the question itself is a bit disingenuous, as long-term behavior modification is very difficult to achieve on a population level.

There is abundant evidence that exercise and strengthening of the periarticular musculature provides substantial pain relief in OA. In fact, the effect sizes of formal exercise regimens are comparable to those of oral NSAIDs. The most compelling systematic review of the topic concluded that the evidence has been so consistent over many years that any additional study, even if entirely negative, would not substantially alter the current effect estimate (Verhagen AP et al, Osteoarthritis and Cartilage 27 (2019) 1266e1269). The Cochra...