A 68-year-old woman with knee osteoarthritis has pain limiting walking but no night pain. BMI is 30 kg/m². She takes intermittent acetaminophen with p...

Question

A 68-year-old woman with knee osteoarthritis has pain limiting walking but no night pain. BMI is 30 kg/m². She takes intermittent acetaminophen with partial relief. According to Canadian OA guidance, what should be the next step in management?

Accepted Answer

Recommend exercise therapy, weight reduction and trial of topical and/or oral NSAIDs if no contraindication

Answer

Start long-term opioids

Answer

Refer immediately for total knee replacement

Answer

Order MRI of the knee

Answer

Start systemic corticosteroids

ca-mccqe1 MCQ (SBA): Knee osteoarthritis management

A 68-year-old woman with knee osteoarthritis has pain limiting walking but no night pain. BMI is 30 kg/m². She takes intermittent acetaminophen with partial relief. According to Canadian OA guidance, what should be the next step in management?