Question

A 70-year-old woman has osteoarthritis in her knees causing significant pain and decreased mobility. She has tried weight reduction, physiotherapy, and regular paracetamol with limited relief. Which is recommended as the next step for pain control?

Accepted Answer

C. Topical NSAIDs (e.g., topical diclofenac) or an oral NSAID with PPI cover

Answer

A. Immediate referral for knee replacement

Answer

B. High-dose oral NSAIDs without gastroprotection

Answer

D. Oral steroids

Answer

E. Strong opioid analgesics

Practice question

A 70-year-old woman has osteoarthritis in her knees causing significant pain and decreased mobility. She has tried weight reduction, physiotherapy, and regular paracetamol with limited relief. Which is recommended as the next step for pain control?