A 73-year-old woman with bilateral knee pain due to osteoarthritis has difficulty walking more than one block. Radiographs show moderate joint space n...

Question

A 73-year-old woman with bilateral knee pain due to osteoarthritis has difficulty walking more than one block. Radiographs show moderate joint space narrowing. She prefers to avoid surgery. What is the most appropriate initial management strategy?

Accepted Answer

Non-pharmacological therapy including exercise, weight loss and physiotherapy, plus intermittent simple analgesics

Answer

Long-term high-dose NSAIDs without non-pharmacological measures

Answer

Intra-articular corticosteroid injections as sole therapy

Answer

Immediate total knee arthroplasty

Answer

Long-term systemic opioids for pain control

ca-mccqe1 MCQ (SBA): Osteoarthritis of the knee

A 73-year-old woman with bilateral knee pain due to osteoarthritis has difficulty walking more than one block. Radiographs show moderate joint space narrowing. She prefers to avoid surgery. What is the most appropriate initial management strategy?