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Evidence-based clinical guidelines

Read about the clinical guidelines for osteoarthritis

There are many clinical practice guidelines for management of osteoarthritis:

  • National Institute for Health Care and Excellence (NICE)6 – OA 2014
  • American College of Rheumatology13 – hip, knee & hand OA 2019
  • European League against Rheumatism (EULAR)14 – hip & knee OA 2013
  • Osteoarthritis Research Society International (OARSI)15 – knee OA 2019
  • Royal Australian College of GP’s16 – hip & knee OA 2018

All guidelines are consistent in recommending:

  • Education, advice and information, exercise and weight loss (if appropriate) for ALL patients as the first-line treatment
  • Pharmacological strategies (such as analgesia and anti-inflammatories), passive clinician-delivered therapies, aids and devices for SOME patients
  • Surgical intervention for a FEW patients only if an appropriate course of other non-surgical strategies has been unsuccessful

Triangle(Adapted from: Dieppe et al, 2005)26

Management should start at the bottom of the pyramid and work upwards if required

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Physiotherapy Exercise and Physical Activity for Knee Osteoarthritis (PEAK)

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