Abstract

A REVIEW ON THE MANAGEMENT OF KNEE OSTEOARTHRITIS

Anjana B. S.*, Athulyaraj S., Archana Vijay and Santhosh M. Mathews

ABSTRACT

Osteoarthritis is a common, chronic condition which requires an individualized 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 analgesic on 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. Non-pharmacological treatment includes education (patient and spouse or family), Social support (telephonic call), Physiotherapy (aerobic exercises, muscle strengthening, and patellar strapping), Occupational therapy (aids and appliances, joint protection), weight loss, acupuncture, Transcutaneous Electrical Nerve Stimulation (TENS) etc.

Keywords: Knee osteoarthritis, Management, NSAID, Corticosteroid, TENS.