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ALL / Rheumatology
Osteoarthritis: management
Osteoarthritis: management
NICE updated its guidelines on the management of osteoarthritis (OA) in 2022- all patients should be offered advice about local muscle strengthening exercises and general aerobic fitness
- verweight/obese patients should be offered help to lose weighto
- NICE state that 'ny amount of weight loss is likely to be beneficial, but losing 10% of their body weight is likely to be better than 5%.'
- topical NSAIDs are first-line analgesics. Topical NSAIDs may be particularly beneficial for patients with OA of the knee or hand NICE
- second-line treatment is oral NSAIDs
- a proton pump inhibitor should be co-prescribed with NSAIDs
- these drugs should be avoided if the patient takes aspirin
- NICE recommend we do not offer paracetamol or weak opioids, unless: NICE
- they are only used infrequently for short-term pain relief and
- all other pharmacological treatments are contraindicated, not tolerated or ineffective
- glucosamine and strong opioids are not recommended
- non-pharmacological treatment options include walking aids for knee and hip OA
- intra-articular steroid injections may be tried if standard pharmacological treatment is ineffective
- patients should be aware that they only provide short-term relief (2-10 weeks)
- if conservative methods fail then refer for consideration of joint replacement
+PassMedicine Notes
NICE updated its guidelines on the management of osteoarthritis (OA) in 2022
- all patients should be offered advice about local muscle strengthening exercises and general aerobic fitness
- verweight/obese patients should be offered help to lose weighto
- NICE state that 'ny amount of weight loss is likely to be beneficial, but losing 10% of their body weight is likely to be better than 5%.'
- topical NSAIDs are first-line analgesics. Topical NSAIDs may be particularly beneficial for patients with OA of the knee or hand NICE
- second-line treatment is oral NSAIDs
- a proton pump inhibitor should be co-prescribed with NSAIDs
- these drugs should be avoided if the patient takes aspirin
- NICE recommend we do not offer paracetamol or weak opioids, unless: NICE
- they are only used infrequently for short-term pain relief and
- all other pharmacological treatments are contraindicated, not tolerated or ineffective
- glucosamine and strong opioids are not recommended
- non-pharmacological treatment options include walking aids for knee and hip OA
- intra-articular steroid injections may be tried if standard pharmacological treatment is ineffective
- patients should be aware that they only provide short-term relief (2-10 weeks)
- if conservative methods fail then refer for consideration of joint replacement
