Question

A 70-year-old woman with knee osteoarthritis has persistent pain limiting walking despite weight loss and regular Paracetamol. What is the most appropriate next pharmacological step?

Accepted Answer

Add topical NSAIDs such as Diclofenac gel

Answer

Start long-term oral opioids

Answer

Start high-dose systemic steroids

Answer

No further treatment is possible

Answer

Refer immediately for knee replacement without conservative optimisation

Practice question

A 70-year-old woman with knee osteoarthritis has persistent pain limiting walking despite weight loss and regular Paracetamol. What is the most appropriate next pharmacological step?