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Osteoarthritis — SCE Rheumatology MCQ

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HardOsteoarthritisOsteoarthritisSCE Rheumatology

A person with knee osteoarthritis asks whether exercise should stop whenever activity causes some discomfort. What advice best reflects NICE core management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Continue graded therapeutic exercise despite manageable initial discomfort

The best answer is “Continue graded therapeutic exercise despite manageable initial discomfort”. Therapeutic exercise is a core osteoarthritis treatment; some early discomfort can occur, but regular adherence improves pain and function and should be supported. Prolonged rest, avoidance of strengthening, passive care and opioids do not provide the recommended core strategy.

Reference: NICE NG226 osteoarthritis recommendations: https://www.nice.org.uk/guidance/ng226/chapter/Recommendations