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 na...

Question

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?

Accepted Answer

Recommend weight loss, exercise and simple analgesics such as acetaminophen or topical NSAIDs

Answer

Start long term opioids

Answer

Refer immediately for total knee replacement

Answer

Prescribe high dose systemic steroids

Answer

Advise strict bed rest

ca-mccqe1 MCQ (SBA): Knee osteoarthritis

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?