A 55 year old man presents with progressively worsening joint pain in both knees, worse with activity and relieved by rest. X rays show joint space narrowing and osteophytes. What is the most appropriate initial management strategy?AStart long term opioidsBRecommend weight loss, exercise and simple analgesics such as acetaminophen or topical NSAIDsCRefer immediately for total knee replacementDPrescribe high dose systemic steroidsEAdvise strict bed restCheck my answer