A 68-year-old man with osteoarthritis of the right knee complains of persistent pain despite regular paracetamol and topical NSAIDs. He has a history ...

Question

A 68-year-old man with osteoarthritis of the right knee complains of persistent pain despite regular paracetamol and topical NSAIDs. He has a history of a previous peptic ulcer. What is the most appropriate next step in his pain management according to NICE guidelines?

Accepted Answer

Oral NSAID (e.g., ibuprofen) plus a proton pump inhibitor (PPI)

Answer

Intra-articular corticosteroid injection

Answer

Codeine phosphate 30mg QDS

Answer

Referral for knee replacement surgery

Answer

Amitriptyline 10mg at night

ukmla MCQ (SBA): Osteoarthritis

A 68-year-old man with osteoarthritis of the right knee complains of persistent pain despite regular paracetamol and topical NSAIDs. He has a history of a previous peptic ulcer. What is the most appropriate next step in his pain management according to NICE guidelines?