The initial management of osteoarthritis in primary care involves offering a tailored management plan based on the severity of symptoms, joints affected, physical function, and comorbidities NICE CKS.
Advise on self-care strategies for symptom relief, including therapeutic exercise, weight management, and appropriate footwear NICE CKS.
Recommend simple analgesia, such as paracetamol or topical NSAIDs like ibuprofen gel applied up to three times daily for knee OA, if there are no contraindications NICE CKS.
Consider oral NSAIDs if topical treatments are ineffective or unsuitable, using the lowest effective dose for the shortest duration, and with caution regarding potential adverse effects NICE CKS.
Provide information and support tailored to the individual, including sources like Versus Arthritis and NHS decision support tools, and explain that management should be guided by symptoms and physical function NICE CKS.
Avoid recommending chondroitin, glucosamine, topical rubefacients, acupuncture, or dry needling for symptom relief NICE CKS.