Medical management of osteoarthritis of the knee and hip joints
- PMID: 14984344
- DOI: 10.5694/j.1326-5377.2004.tb05892.x
Medical management of osteoarthritis of the knee and hip joints
Erratum in
- Med J Aust. 2004 May 3;180(9):464
Abstract
Osteoarthritis is a common, chronic condition which requires an individualised management plan involving multiple kinds of treatment. Exercise programs and the Arthritis Self-Management Program reduce pain and disability associated with osteoarthritis. Paracetamol is the most appropriate first-line analgesic. Non-steroidal anti-inflammatory drugs may be used as second-line analgesia on an as-needed basis (including continuous use), but must be used with caution. Cyclo-oxygenase-2-specific inhibitors are used if there are risk factors for upper-gastrointestinal complications, but only after considering cardiovascular risk. Glucosamine sulfate is a safe and effective over-the-counter treatment. Intra-articular therapies are used when others have failed.
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