A 70-year-old woman with known osteoarthritis of the knees has chronic pain and functional limitation. She has tried maximal acetaminophen and topical...

Question

A 70-year-old woman with known osteoarthritis of the knees has chronic pain and functional limitation. She has tried maximal acetaminophen and topical NSAIDs with limited relief, and has significant cardiovascular disease. According to Canadian osteoarthritis guidelines, what is the next most appropriate step?

Accepted Answer

Recommend intra-articular corticosteroid injection or structured exercise and weight loss programme

Answer

Start long-term oral NSAIDs at high dose

Answer

Prescribe long-term opioids

Answer

Recommend arthroscopic debridement

Answer

No further options are available

ca-mccqe1 MCQ (SBA): Knee osteoarthritis management