Question

A 62-year-old man with long-standing osteoarthritis of the knee complains of pain that limits walking but is still able to perform most daily activities. He is overweight with BMI 32 kg/m². What is the most appropriate first-line management strategy?

Accepted Answer

Weight loss, exercise and regular simple analgesia such as Paracetamol or topical NSAIDs

Answer

Immediate referral for total knee replacement

Answer

Long-term oral opioids as first-line

Answer

Intra-articular steroid injections every month

Answer

Prolonged bed rest to protect the joint

Practice question

A 62-year-old man with long-standing osteoarthritis of the knee complains of pain that limits walking but is still able to perform most daily activities. He is overweight with BMI 32 kg/m². What is the most appropriate first-line management strategy?