Guideline for the management of knee and hip osteoarthritis

Recommendations

Intra-articular injections

Pharmacological interventions

Intra-articular injections


 

Intervention: Corticosteroid injection - Knee (OA) and/or hip

Recommendation

It may be appropriate to offer an intra-articular corticosteroid injection for some people with knee and/or hip osteoarthritis for short-term pain relief. Clinicians need to be cautious of the potential harms of repeated use.

Strength of recommendation

Conditional for recommendation

Quality of evidence

Very low

Intervention: Viscosupplementation injection - Knee/hip

Recommendation

We suggest not offering viscosupplementation injection for people with knee hip OA.

 

Strength of recommendation

Conditional against recommendation

Quality of evidence

Low

Recommendation

We do not recommend offering viscosupplementation injection for people with hip OA.

Strength of recommendation

Strong against recommendation

Quality of evidence

Low

Intervention: Platelet-rich plasma (PRP) injection – Knee and/or hip

Recommendation

We are unable to recommend either for or against the use of PRP injection for people with knee and/or hip OA.

Strength of recommendation

Conditional (neutral) recommendation

Quality of evidence

Very low

Intervention: Stem cell therapy – Knee and/or hip

Recommendation

We do not recommend offering stem cell therapy  for people with knee and/or hip OA.

Strength of recommendation

Strong against recommendation

Quality of evidence

Very low

Intervention: Dextrose prolotherapy – Knee and/or hip

Recommendation

We suggest not offering dextrose prolotherapy for people with knee and/or hip OA.

Strength of recommendation

Conditional against recommendation

Quality of evidence

Low

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