Question

A 70-year-old woman with long-standing osteoarthritis of the knees presents with worsening pain limiting her activities of daily living despite regular Paracetamol and intermittent NSAIDs. X-rays show severe tricompartmental osteoarthritis. What is the most appropriate next step in management?

Accepted Answer

Referral for consideration of total knee replacement

Answer

Intra-articular steroid injection only

Answer

Long-term high-dose opioids

Answer

Glucosamine and chondroitin supplements

Answer

Prolonged bed rest

Practice question

A 70-year-old woman with long-standing osteoarthritis of the knees presents with worsening pain limiting her activities of daily living despite regular Paracetamol and intermittent NSAIDs. X-rays show severe tricompartmental osteoarthritis. What is the most appropriate next step in management?