Question

A 70-year-old man with longstanding osteoarthritis of the knees has pain limiting his mobility despite intermittent acetaminophen. According to Canadian osteoarthritis management guidelines, what is the most appropriate next step?

Accepted Answer

Start a trial of topical NSAIDs and structured exercise/physiotherapy

Answer

Initiate chronic high-dose oral opioids

Answer

Immediate total knee arthroplasty

Answer

Long-term oral corticosteroids

Answer

Bed rest to minimise joint use

Practice question

A 70-year-old man with longstanding osteoarthritis of the knees has pain limiting his mobility despite intermittent acetaminophen. According to Canadian osteoarthritis management guidelines, what is the most appropriate next step?