7, 8 In addition, the literature largely consists of studies comparing the effectiveness of one or two treatment options and lacks a study of patients' attitudes toward which conservative treatments are most effective.ĭespite AAOS recommendations, many patients undergo conservative treatment modalities that are either not endorsed or have inconclusive evidence. 13 - 15 Inconclusive evidence exists regarding the use of acetaminophen, opioids, and platelet-rich plasma (PRP) injections, and hyaluronic acid injections. 1, 9, 10, 11, 12 Physical therapy (PT), NSAIDs, and intraarticular corticosteroids are recommended for conservative treatment of hip osteoarthritis. 7, 8 Studies support the use of strengthening, low impact aerobic exercise, weight loss, nonsteroidal anti-inflammatory drugs (NSAIDs), and tramadol in the management of knee osteoarthritis. The American Academic of Orthopaedic Surgeons (AAOS) published the guidelines to assist in making evidence-based decisions in the conservative management of hip and knee osteoarthritis. There are many nonsurgical treatment options available to patients for the treatment of hip and knee osteoarthritis.
TAD GERLINGER REVIEWS TRIAL
1, 2 Total joint arthroplasty is an effective treatment option for end-stage osteoarthritis, 3, 4 but a trial of conservative management is prudent and should be tried before surgical intervention.
The pain associated with osteoarthritis can have a detrimental impact on a patient's function and quality of life.
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