Question

A 70-year-old woman with osteoarthritis of the knee has persistent pain affecting function despite regular Paracetamol and topical NSAIDs. She has no significant comorbidities. What is the most appropriate next step?

Accepted Answer

Add an oral NSAID such as Ibuprofen with gastroprotection

Answer

Start long-term strong opioids

Answer

Offer intra-articular steroid injection as first-line therapy

Answer

Arrange immediate knee replacement

Answer

Advise bed rest and immobilisation

Practice question

A 70-year-old woman with osteoarthritis of the knee has persistent pain affecting function despite regular Paracetamol and topical NSAIDs. She has no significant comorbidities. What is the most appropriate next step?