Recommend exercise for patients with osteoarthritis of the knee and hip for muscle strengthening and aerobic fitness and consider referral to physical therapy.
Recommend weight loss in overweight patients with knee and hip osteoarthritis.
Treat patients with painful hip and knee osteoarthritis with acetaminophen as a first-line medication.
Treat patients with osteoarthritis pain who have inadequate response to acetaminophen with topical or oral NSAIDs.
Consider intra-articular glucocorticoids for short term relief of knee and hip osteoarthritis pain.
Use narcotic analgesics and tramadol to treat severe osteoarthritis pain which cannot be controlled with other agents.
Consider topical capsaicin in the treatment of osteoarthritis-related pain of the hand .
Consider intra-articular hyaluronic acid only in select patients with osteoarthritis of the knee who have no response to other therapies.
Refer patients with osteoarthritis pain that has not responded to standard therapy to a surgeon for evaluation for arthroplasty of the hip or knee.
Consider assistive technology, including canes, knee braces, and hand splints, for certain patients with osteoarthritis.