Outpatient management of knee osteoarthritis

Singapore Med J. 2017 Oct;58(10):580-584. doi: 10.11622/smedj.2017097.

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.

MeSH terms

  • Acetaminophen / therapeutic use
  • Acupuncture Therapy
  • Analgesia
  • Chondroitin / therapeutic use
  • Chondroitin Sulfates / therapeutic use*
  • Dietary Supplements*
  • Exercise
  • Female
  • Gait
  • Glucosamine / therapeutic use*
  • Humans
  • Injections, Intra-Articular
  • Knee Joint
  • Osteoarthritis, Knee / therapy*
  • Outpatients*
  • Transcutaneous Electric Nerve Stimulation*
  • Weight Loss

Substances

  • Acetaminophen
  • Chondroitin
  • Chondroitin Sulfates
  • Glucosamine