Outpatient management of knee osteoarthritis

Abstract

Osteoarthritis of the knee is a common disease that causes significant disability. Most patients can be managed conservatively in the outpatient setting. A small minority require surgery. The cornerstones of treatment are weight loss, exercise and analgesia. Walking aids, medial patellar taping, acupuncture and transcutaneous electrical nerve stimulation are useful management adjuncts. Current evidence does not support routine prescription of glucosamine and chondroitin supplements. Early consultation with an orthopaedic surgeon should be made when conservative measures fail.

Keywords: knee; osteoarthritis; treatment.

Copyright: © Singapore Medical Association.

Figures

Box 1

American College of Rheumatology criteria for clinical diagnosis of idiopathic OA of the knee.(5)

Box 2

Radiological hallmarks of OA:(6)

Fig. 1

Photograph shows the application of medial patellar taping on the right knee.

Box 3

Steps in customising a walking stick:(36)