26/05/2023
Knee Osteoarthritis Nonoperative treatment:
1-non-steroidal anti-inflammatory drugs:
first line treatment for all patients with symptomatic arthritis
AAOS guidelines: strong evidence for
2-tramadol:
treatment option for patients with symptomatic arthritis
Prior AAOS guidelines recommended its use, but newer guidelines do NOT recommend its routine use
3-rehabilitation, education and wellness activity:
first line treatment for all patients with symptomatic arthritis
self-management and education programs
combination of supervised exercises and home program have shown the best results
these benefits lost after 6 months if exercises are stopped
AAOS guidelines strong evidence for
4-weight loss programs:
patients with symptomatic arthritis and BMI > 25
diet and low-impact aerobic exercise
AAOS guidelines: moderate evidence for
5-bracing:
medial unloader for isolated medial compartment OA
AAOS guidelines: moderate evidence for controversial treatments
6-acupuncture:
AAOS guidelines: strong evidence against
7-viscoelastic joint injections:
AAOS guidelines: strong evidence against
8-glucosamine and chondroitin:
AAOS guidelines: strong evidence against
9-needle lavage:
AAOS guidelines: moderate evidence against
10-lateral wedge insoles:
AAOS guidelines: moderate evidence against
summary Knee osteoarthritis is degenerative disease of the knee joint that causes progressive loss of articular cartilage. Diagnosis can be made with plain radiographs of the knee. Treatment is observation, NSAIDs, tramadol and corticosteroids for minimally symptomatic patients. Knee arthroplasty is...