A 66-year-old woman has chronic knee pain worse on stairs and at the end of the day. Examination shows crepitus, mild varus alignment and no

Question

A 66-year-old woman has chronic knee pain worse on stairs and at the end of the day. Examination shows crepitus, mild varus alignment and no effusion; X-ray shows medial compartment joint-space narrowing and osteophytes. BMI is 33 kg/m^2. What is the most appropriate management?

Accepted Answer

Structured exercise, weight loss support and topical NSAID if needed

Answer

Methotrexate for erosive disease

Answer

Long-term oral prednisolone

Answer

Serial urate measurements

Answer

Immediate arthroscopic lavage

Knee osteoarthritis — SCE Rheumatology MCQ

A 66-year-old woman has chronic knee pain worse on stairs and at the end of the day. Examination shows crepitus, mild varus alignment and no effusion; X-ray shows medial compartment joint-space narrowing and osteophytes. BMI is 33 kg/m^2. What is the most appropriate management?