An Orthopaedic Roadmap for Osteoarthritis o...(r body weight. Patients should b...),Health

"These two recommendations are very important because patients can self manage the progression of their OA, and take more control of what their issues are," said Dr. Richmond. "As far as losing weight, this has the highest potential to actually slow the progression of the disease."

After a thorough analysis of the current scientific literature, the work group recommends against using the following treatments:

• Glucosamine and/or chondroitin sulfate or hydrochloride
• Needle lavage (aspiration of the joint with injection of saline)
• Custom made foot orthotics

The work group does suggest that patients with symptomatic OA of the knee receive one of the following analgesics for pain unless there are contraindications to this treatment:

• Acetaminophen (not to exceed 4 grams per day)
• Non-steroidal anti inflammatory drugs (NSAIDs)
• Intra-articular corticosteroids (for short term pain relief)

In addition, the clinical practice guideline does not recommend for or against the use of:

• Bracing
• Acupuncture
• Intra-articular hyaluronic acid

Osteoarthritis of the knee is a leading cause of physical disability. Some 33 million Americans are affected by osteoarthritis, but it most commonly occurs in people who are 65 years of age or older. OA of the knee can have a major effect on a person's ability to engage in daily activities, like walking or climbing stairs.

"The Academy created this clinical practice guideline to improve patient care for those suffering from osteoarthritis of the knee,"
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