Become a student member today for free and be part of the RACGP community
2022.1 CCE results release: Thursday 4 August 2022.
Live and practise medicine in Australia
RACGP offer courses and events to further develop the knowledge you need to develop your GP career
Discover a world of educational opportunities to support your lifelong learning
The RACGP is working hard on transitioning to college-led general practice training
Become a provider with the CPD Program and be recognised for the quality education and training you offer GPs
The Abuse and violence: working with our patients in general practice provides the best-available current evidence for GPs
Stay up-to-date with the latest information and resources on the COVID-19 vaccine rollout.
Download the Standards for general practice (5th edition) - a benchmark for quality care and risk management in Australian general practices
Coronavirus (COVID-19) resources for general practitioners
Advice and guidelines for GPs and practice teams to help protect general practice information systems
Video consultations can provide convenient and accessible healthcare delivery
Read all of the RACGP reports and submissions on various healthcare topics
Read all of the RACGP position statements on various healthcare topics
Join our RACGP Facebook groups
Guideline for the management of knee and hip osteoarthritis
It may be appropriate to offer CBT for some people with knee and/or hip osteoarthritis (OA). Clinicians should consider whether CBT is appropriate, taking into account psychological comorbidities and personal preference. They should be cognisant of issues related to cost and access. It is recommended that CBT is combined with exercise to improve outcomes. CBT may be offered face-to-face or via online programs.
Conditional for recommendation
Very low (hip)
CBT is a psychological intervention that aims to show people how their thinking affects their mood, to help them identify and challenge unhelpful thoughts, and to learn practical self-help strategies. It can be used to treat a range of problems that may be relevant for people with OA, including pain, depression, anxiety, insomnia and eating problems. The most commonly studied CBT for OA has been pain coping skills training, with or without partner support.
Low-quality evidence in people with knee OA shows that CBT programs can have small benefits for pain, and can also improve self-efficacy, pain coping, depression and anxiety77 (Appendix 5 of the Guideline for the management of knee and hip osteoarthritis: Technical document). CBT for knee OA is associated with a low risk of adverse events. Very low-quality evidence from a limited number of studies indicates that combining CBT with exercise is more effective than either alone (Appendix 5 of the Guideline for the management of knee and hip osteoarthritis: Technical document).
While there is no evidence of the effects of CBT, specifically in people with hip OA, the working group felt that benefits seen in people with knee OA and mixed samples of hip/knee OA are likely to be generalisable to those with hip OA. Clinicians should consider the appropriateness of CBT for people with knee and/or hip OA; in particular, those with psychosocial comorbidities. It may be that certain people respond better to CBT than others, with some evidence showing that responders to pain coping skills training were older and more educated, had moderate-to-high expectations for treatment outcomes, and greater OA disease severity.78 Successful programs have been delivered face-to-face individually or in group settings by a range of health professionals, including psychologists, physiotherapists and nurses, as well as via online. Evidence-based online CBT programs are an alternative option for people with limited accessibility to face-to-face treatment.77,79
Low likelihood of adverse effects.
Did you know you can now log your CPD with a click of a button?
Administrative-report.pdf (PDF 2.76 MB)
Algorithm-Holistic-assessment-diagnosis-and-management-of-knee-and-hip-osteoarthritis.pdf (PDF 0.05 MB)
Guideline-for-the-management-of-knee-and-hip-osteoarthritis-2nd-ed-Appendix-1.pdf (PDF 0.04 MB)
Guideline-for-the-management-of-knee-and-hip-osteoarthritis-2nd-ed-Appendix-2.pdf (PDF 0.05 MB)
Implementation-plan.pdf (PDF 1.79 MB)
Public-consultation-summary.pdf (PDF 0.29 MB)
Technical-document.pdf (PDF 5.79 MB)
Donate to the RACGP Foundation today and influence the future of general practice