I have a touch of secondary osteoarthritis in one of my fingers, I broke it years ago and it reset in the wrong place causing inflamation and wear... Supposedly physio can help but to be honest, I've done enough physio for a lifetime, and the pain's manageable/ignorable most of the time. But, I'm trying glucosamine supplements at the moment on the recommendation of a friend, whether or not they've made any difference I really don't know but I've not had a bad day with it for a while so maybe it's helping. The medical evidence isn't exactly convincing though. Hey, if it's just the placebo effect that's still worth the price