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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
(Adapted from: Dieppe et al, 2005)26
Management should start at the bottom of the pyramid and work upwards if required
This article is from the online course:
Physiotherapy Exercise and Physical Activity for Knee Osteoarthritis (PEAK)
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This article is from the free online
Physiotherapy Exercise and Physical Activity for Knee Osteoarthritis (PEAK)
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