Question

A 68-year-old woman with knee osteoarthritis reports chronic pain limiting walking. She is overweight (BMI 32 kg/m²) and currently only takes occasional Paracetamol. X-ray confirms degenerative changes. What is the most appropriate initial management strategy?

Accepted Answer

Advise weight loss and exercise, and optimise simple analgesia

Answer

Refer immediately for total knee replacement

Answer

Start long-term oral Morphine

Answer

Advise complete rest and use of a wheelchair

Answer

Arrange intra-articular steroid injections every month

Practice question

A 68-year-old woman with knee osteoarthritis reports chronic pain limiting walking. She is overweight (BMI 32 kg/m²) and currently only takes occasional Paracetamol. X-ray confirms degenerative changes. What is the most appropriate initial management strategy?