Question

A 70-year-old man presents with mechanical knee pain worse with activity and minimal morning stiffness. X-ray shows osteophytes and joint space narrowing. According to osteoarthritis management principles, what is the most appropriate first-line management?

Accepted Answer

Weight loss, exercise therapy, and simple analgesia such as acetaminophen or topical NSAIDs

Answer

Long-term high-dose oral opioids

Answer

Intra-articular corticosteroid injections as routine first-line therapy

Answer

Immediate total knee replacement

Answer

Prolonged bed rest to protect the joint

Practice question

A 70-year-old man presents with mechanical knee pain worse with activity and minimal morning stiffness. X-ray shows osteophytes and joint space narrowing. According to osteoarthritis management principles, what is the most appropriate first-line management?