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Guideline for the management of knee and hip osteoarthritis
Summary of recommendations
We are unable to recommend either for or against formal face-to-face self-management education programs for people with knee and/or hip OA However, clinicians should provide information to enhance understanding about OA, its prognosis and its optimal management
Conditional (neutral) recommendation
Very low
We are unable to recommend either for or against the use of varus unloading/realignment braces for people with lateral tibiofemoral compartment knee OA
Conditional (neutral) recommendation (varus unloading/ realignment braces)
Very low (varus unloading/ realignment – no RCT data)
We are unable to recommend either for or against the use of medial wedged insoles for people with lateral tibiofemoral OA and valgus deformity
Conditional (neutral) recommendation (medial wedged insoles)
Very low (medial wedged insoles) Very low (shockabsorbing insoles, arch support – no RCT data)
We are unable to recommend either for or against the use of shock-absorbing insoles or arch supports for knee and/or hip OA
Conditional (neutral) recommendation (shock-absorbing insoles, arch support)
Very low (all hip orthotics – no RCT data)
We are unable to recommend either for or against the use of patellar taping for people with knee OA
We are unable to recommend either for or against electromagnetic/shortwave therapy for people with knee and/or hip OA
Low (knee) Very low (hip)
We are unable to recommend either for or against the use of paracetamol for people with knee and/or hip OA However, it might be reasonable to trial paracetamol for a short period and then discontinue use if it is not effective. Clinicians also need to monitor and capture adverse events that may be associated with its use
We are unable to recommend either for or against the use of topical NSAIDs for people with knee and/or hip OA It might be reasonable to trial topical NSAIDs for a short period and then discontinue use if not effective. Clinicians also need to monitor and capture the adverse effects along with its use
Moderate
We are unable to recommend either for or against the use of topical capsaicin for people with hip OA
We are unable to recommend either for or against the use of PRP injection for people with knee and/or OA
We are unable to recommend for or against the use of ASU for people with knee and/or hip OA
We are unable to recommend for or against the use of Boswellia serrata for people with knee and/or hip OA
We are unable to recommend for or against the use of curcuma/curcuminoid for people with knee and/or hip OA
Low
We are unable to recommend either for or against the use of pine bark extract for people with knee and/or hip OA
We are unable to recommend either for or against the use of collagen for people with knee and/or hip OA
We are unable to recommend either for or against the use of MSM for people with knee and/or hip OA
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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)
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