Low-Dose Radiotherapy (LDRT) for Osteoarthritis

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What is low-dose radiotherapy?

LDRT is a non-invasive treatment that uses tiny, carefully controlled doses of radiation to help reduce pain, improve joint function, and help slow down joint damage over time. Unlike therapies for cancer, LDRT uses a much lower dose with minimal side effects.

It may be an option for people who haven’t found relief with physiotherapy or medication, are not suitable for surgery, are seeking a non-surgical approach, or want an alternative to long-term pain medication. Backed by international clinical research, LDRT can work alongside standard treatments to help people move more comfortably and regain quality of life.

What is Osteoarthritis?

Osteoarthritis is a condition that affects the joints, causing them to become stiff and painful. It most commonly affects the hips, knees, and small joints in the hands, but may occur anywhere in the body. It’s the most common form of arthritis, affecting tens of millions of people worldwide, more women than men.

Common Symptoms of Osteoarthritis

People with Osteoarthritis may experience:

  • Continuous or worsening joint pain
  • Stiffness and difficulty moving the affected joint
  • Visible swelling or changes in joint shape

Symptoms often develop gradually and vary from person to person. Early on, pain may appear only during movement, but as the condition progresses, pain can remain even while resting.

What are the causes of Osteoarthritis?

While the exact causes of Osteoarthritis are unknown, there are several risk factors:

  • Genetics: 60% of people have a relative with the condition
  • Repetitive use: strain on the joints from work, sport, or strenuous exercise
  • Hormonal changes: menopause-related decline in the hormone oestrogen
  • Injury: previous fractures or damage to joints
  • Weight: excess weight increases stress on joints and can speed up the progression of the condition

For more information on Osteoarthritis, visit our conditions page.

Symptoms of Osteoarthritis
Symptoms of Osteoarthritis

What is LDRT?

LDRT is a non-invasive treatment that may help people with Osteoarthritis walk further, move more freely, and live with less pain. Unlike the higher doses of radiation used to treat cancer, LDRT uses a much lower, highly targeted dose. It is designed to complement, rather than replace, standard therapies, offering an additional treatment pathway for people who continue to have symptoms despite physiotherapy, medication, or other conservative measures.
International research and clinical experience show that LDRT may:

  • Reduce pain and inflammation
  • Improve joint function and mobility
  • Potentially slow the progression of Osteoarthritis

LDRT has been safely used overseas for more than a decade, with minimal side effects due to its tiny dose of radiation. It may be an option for people who:

  • Have not found relief with physiotherapy or medication
  • Are not suitable candidates for surgery
  • Prefer an alternative to long-term pain medication or surgery

“This non-invasive and well-tolerated treatment works for many patients. They are able to stand for longer and walk for extended periods of time with a significant reduction in their pain”. Dr Richard Shaffer, Clinical Oncologist.

By helping reduce pain and improve mobility, LDRT may support a more active, comfortable lifestyle and help people enjoy everyday activities again.

Who Might Benefit from LDRT?

LDRT may be considered in people aged 40+ with:

  • Mild to moderate Osteoarthritis, as confirmed by x-ray,
  • Moderate to severe pain despite medication, and/or physiotherapy

We’ll will meet with you, review your symptoms and scans, and help decide whether LDRT is the right option for you.

What to Expect

At Icon, we understand that starting a new treatment can feel overwhelming. We’ll guide you through each step, tailoring your treatment to your individual needs.

  • Consultation and assessment – Meet with a consultant to discuss your symptoms, review your medical history, and determine if LDRT is suitable for you.
  • Personalised treatment plan – Design a plan focused on reducing pain and improving mobility.
  • Treatment sessions – LDRT sessions are quick, painless, and typically have minimal side effects.
  • Ongoing support – We’ll monitor your progress and be available to answer questions at every stage of your treatment

Osteoarthritis is treated using LDRT via a research programme – please contact us for more information.

Why choose Icon?

At Icon, we’re committed to delivering the highest quality care, close to home.
Led by experienced Radiation Oncologist Dr Richard Shaffer, our team offers personalised care to help patients find relief and regain mobility—all in a supportive, outpatient environment. Icon Cancer Centre offers:

  • Minimal wait times and rapid access to treatment
  • Continuity of care to support you and your family every step of the way
  • Central location with free onsite parking

If you’d like to know whether LDRT might be right for you, our team is here to help. We can explain what to expect, answer your questions, and guide you on the next steps. Contact us to speak with one team.

Frequently asked questionsFrequently asked questions

What is Low-Dose Radiation Therapy (LDRT) and how does it help Osteoarthritis?

LDRT is a gentle, non-invasive treatment that uses very small amounts of radiation. It aims to ease joint pain, help you move more freely, and may even slow down further joint damage. It is designed to complement existing treatments such as physiotherapy and medication.

Is LDRT safe for treating Osteoarthritis pain?

Yes. LDRT uses a very small dose of radiation (about 3Gy total, compared to 60Gy for cancer treatment) which means the risk of side effects is minimal. It has been safely used internationally for more than a decade.

How is LDRT different from radiation therapies used for cancer?

While both use the same technology, LDRT uses a much lower dose of radiation. Cancer treatments aim to destroy cancer cells, whereas LDRT targets inflammation in the joints, helping reduce pain and stiffness. The ultra-low dose used in LDRT means the risk of side effects is very low.

Who might benefit from LDRT?

LDRT may be considered in people aged 40+ with:

  • Mild to moderate Osteoarthritis, as confirmed by x-ray,
  • Moderate to severe pain despite medication, and/or physiotherapy

A consultant will meet with you review your symptoms and scans and help decide whether LDRT is the right option for you.

What happens during LDRT treatment sessions?

LDRT is delivered as a quick, outpatient treatment. You’ll lie on a treatment bed while a machine delivers radiation precisely to the affected joint. The procedure is painless, does not require anaesthetic, and typically takes only a few minutes. Most people can return to their normal activities immediately after each session.

Are there side effects from LDRT?

Side effects are rare and minimal because of the very low radiation dose used. Some patients may notice mild skin changes or temporary fatigue, but these effects are uncommon and usually short-lived. Your consultant will discuss any potential risks with you during your consultation.

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