Intra-articular injections are sometimes used to relieve pain for people with osteoarthritis. These include injections with corticosteroids, hyaluronan and stem cells. Corticosteroid injections are undertaken to deliver this high dose anti-inflammatory agent within the joint to reduce inflammation of the...
Electrotherapy can be used to provide pain relief in a range of conditions including osteoarthritis. Although Transcutaneous Electrical Nerve Stimulation (TENS) was recommended as an intervention to consider in NICE Osteoarthritis guideline CG177 it is not thought to be widely used within the NHS. TENS i...
In the absence of red flag signs or symptoms, the diagnosis of osteoarthritis can be achieved through clinical assessment (history taking and examination). Imaging findings do not always correlate well with the patient’s symptoms, particularly in the early stages of osteoarthritis, and management is no...
People with osteoarthritis may have ongoing issues that are not completely managed by the interventions prescribed. While there are times where imaging is clearly indicated (e.g. with a history or worsening symptoms triggered by trauma) it is not apparent whether it provides any benefit using it more wid...
This guideline covers assessing and managing osteoarthritis in adults. It covers both pharmacological and non-pharmacological treatments. It promotes effective treatment options to control joint pain and improve function in people with osteoarthritis. In December 2020 we reviewed our guidance on opioids ...
Bannuru, R. R;
Osani, M. C;
Vaysbrot, E. E;
Bennell, K.;
Kraus, V. B;
Lohmander, L. S;
Abbott, J. H;
Bhandari, M;
Blanco, F. J;
Espinosa, R;
Haugen, I. K;
Lin, J;
Mandl, L. A;
Moilanen, E;
Nakamura, N;
Snyder-Mackler, L;
Trojian, T;
Underwood, M;
McAlindon, T. E.
To update and expand upon prior Osteoarthritis Research Society International (OARSI) guidelines by developing patient-focused treatment recommendations for individuals with Knee, Hip, and Polyarticular osteoarthritis (OA) that are derived from expert consensus and based on objective review of high-quali...
