Guideline for the management of knee and hip osteoarthritis
Summary of recommendations
Last revised: 01 Jul 2018
We suggest not offering local cold application (eg ice packs) for people with knee and/or hip OA
Conditional against recommendation
Very low
We suggest not offering valgus unloading/realignment braces for people with medial tibiofemoral compartment knee OA
Low
We suggest not offering realigning patellofemoral braces for patellofemoral OA
We suggest not offering lateral wedge insoles for people with medial tibiofemoral knee OA
We suggest not offering unloading shoes, minimalist footwear or rocker-sole shoes for people with symptomatic knee OA
However, clinicians may consider advising people with OA to wear footwear with shock-absorbing properties and avoid high-heeled shoes
Very low (unloading shoes, minimalist footwear) Low (rocker-sole shoes
We suggest not offering kinesio taping for people with knee and/or hip OA
We suggest not offering electrotherapy modalities of shockwave, interferential or laser for people with knee and/or hip OA
Low (laser) Very low (shockwave, interferential, laser-hip)
We suggest not offering therapeutic ultrasound for people with knee and/or hip OA
Moderate (knee) Low (hip)
We suggest not offering acupuncture (ie traditional, laser, electrical) for people with knee and/or hip OA
Low (knee) Very low (hip)
We suggest not offering topical capsaicin for people with knee OA
We suggest not offering bisphosphonates for people with knee and/or hip OA
We suggest not offering calcitonin for people with knee and/or hip OA
We suggest not offering NGF for people with knee and/or hip OA
Moderate
We suggest not offering colchicine for people with knee and/or hip OA
We suggest not offering methotrexate for people with knee and/or hip OA
We suggest not offering viscosupplementation injection for people with knee OA
We suggest not offering dextrose prolotherapy for people with knee and/or hip OA
We suggest not offering glucosamine for people with knee and/or hip OA
Very low (knee) Low (hip)
We suggest not offering chondroitin for people with knee and/or hip OA
We suggest not offering glucosamine and chondroitin in compound form for people with knee and/or hip OA
We suggest not offering vitamin D for people with knee and/or hip OA
We suggest not offering omega-3 fatty acids for people with knee and/or hip OA
We suggest not offering diacerein 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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