Knee OA Treatment Guidelines Updated

Knee OA treatment

Topical NSAIDs (not oral) are a better choice for knee OA treatment.

The American Academy of Orthopaedic Surgeons (AAOS) has recently updated it’s knee OA treatment guidelines, following results in recent research.

Mostly they are unchanged from the major recommendations which I reported on back in April 2012 for hand, hip and knee OA treatment but there are two important updates.

(Both of these tie in with things I have reported on many time in the past and you can use the site search to find out more).

This is how News Medical  explained the updates on knee OA treatment:

  • Acetaminophen: The recommended dosage was reduced from 4,000 mg to 3,000 mg a day. This is not a change made by AAOS specifically for OA patients, but an overall change made by the FDA since 2009 for individuals who use acetaminophen (paracetamol).
  • Intra-articular Hyaluronic Acid (HA): Intra-articular hyaluronic acid is no longer recommended as a method of treatment for patients with symptomatic osteoarthritis of the knee. The 2009 guidelines review was inconclusive regarding this treatment method.

 What Are The Current Knee OA Treatment Guidelines?

The 2012 knee OA treatment guidelines were

1. Strongly recommended nonpharmacologic modalities were aerobic, aquatic, and/or resistance exercises as well as weight loss for overweight patients.

2. Conditionally recommended nonpharmacologic modalities included medial wedge insoles for valgus knee OA, subtalar strapped lateral insoles for varus knee OA, medially directed patellar taping, manual therapy, walking aids, thermal agents, tai chi, self management programs, and psychosocial interventions.

3. Conditionally recommended pharmacologic modalities included acetaminophen, oral and topical NSAIDs, tramadol, and intraarticular corticosteroid injections; intraarticular hyaluronate injections, duloxetine, and opioids were conditionally recommended in patients who had an inadequate response to initial therapy.

Interestingly NO pharmaceutical treatments were strongly recommended and that is still the case.

New Update to my Book on Natural Knee OA Treatment

I have just completed my new book.It is designed to be the ultimate guide on How to Treat Osteoarthritis Naturally. I cover all these recommendations plus a whole lot more and it includes a physical therapy program.  You will learn how to self massage and have a full exercise program of stretching and strengthening. Most importantly it will also contain a short questionnaire so you know you are doing the correct amount of each type of exercise.

You can read about it here and it will will cover all the best knee OA treatment for you.

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3 Responses to Knee OA Treatment Guidelines Updated

  1. Sharon Reifers says:

    I am a 59 yr old WF with history of osteoarthritis (mainly hands). Never had knee problems in past, but started attending an Episcopal Church in Feb 2013 (after our church merged with another church due to low attendance), where kneeling (or standing if not able – but “thought” I was “able”) is done multiple times during the service (prayer, communion every Sunday, etc.), which is much more than I have ever done in past 40 years of church attendance. All of a sudden my left knee “went out” – literally could not bear weight on leg. MRI & X-rays showed “chips of bone/cartilage” floating in joint space. Initially got steroid knee injection that helped about one week. Pain returned and Orthopedic MD said “since I do not have bone-on-bone in knee, that he thought the Orthovisc injections would really help. Got last of (3) Orthovisc knee injections 8 days ago and still no relief from knee pain. Pain got MUCH worse after 1st injection and MD said take ibuprofen, so I did. I hesitantly got 2nd injection (I am a RN and question everything), then 3rd because MD said I really didn’t have any other choices. Now I am in CONSTANT pain – day, night, with or without ibuprofen which was the ONLY thing that helped initially. I am a school nurse and off till 10-5-13 and really wanted to get my knee problem under control before I go back to work. I have a couple of braces, which really do nothing, I ice almost daily, and am trying to lose weight (10 lbs so far) with ketogenic diet recommended by GYN who inserts my hormone pellets (estrogen/testosterone) every 4 months due to (7) foot stress fractures in past 3 years (with no other problems found like osteoporosis, low D, etc.). I am willing to try anything to get my “life” back. Other than constant knee pain I feel great most of the time and have lots of energy. But, pain gets so bad quickly with normal ADL’s – housework, grocery shopping, etc. Pain with walking causes severe nausea and causes me to stop whatever I am doing and go home to get off leg. Please help me. I was researching MD @ UAB Andrew’s Orthopedic Clinic in B’Ham, AL to make appt for 2nd opinion when I ran across your site. Local Orthopedic says I’m “in between general knee arthritis and needing a knee replacement” so that is why he ordered Orthovisc. (Obviously he DID NOT read the June 2013 post in orthopedic journal stating not to give!) I don’t kneel at church anymore, currently weigh 169 lbs (down from 179 a month ago) eating low carb (terrible!!), but I really need help. PLEASE SEND ME ANY SUGGESTIONS TO HELP – ESPECIALLY THINGS THAT HELP
    “QUICKLY”.

  2. Sharon Reifers says:

    Thanks so much!!!

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