Orthopaedics  |  Osteo Knee & Hip Pathway - Conservative Management of Osteoarthritis Pain and Function




Orthopaedics

Osteo Knee & Hip Pathway - Conservative Management of Osteoarthritis Pain and Function

Patient education:

 

Pain management:

  • Pharmacological (given regularly):

    • Paracetamol (first line; maximum 4g a day)
    • Glucosamine (1500mg/day)
    • Omega 3 Fatty Acids
    • Topical treatment with capsaicin or topical NSAID
    • NSAIDS/COX2 (with caution). Add PPI in the over 65 age group
    • Tramadol
    • Codeine at regular doses

    • Strong opiates (e.g. morphine, fentanyl) if an adequate trial of the above therapies fails. Note:

  • TENS (for at least 4 weeks)

 

Exercise referral:

  • Green prescription for gym programme
  • Tai chi

 

Physiotherapy referral:

  • Multimodal physical therapy
  • Supervision of exercise programme
  • Walking aid (refer early on to reduce load on affected hip)
  • Shock absorbing soles
  • Falls prevention

 

Weight reduction:

  • If patient's BMI > 40 then the patient will require specific weight loss advice and support (send dietitians referral to- L.Chee@temanutoroa.org.nz or fax to- 07 571 2027).
  • Refer to a dietitian
  • Exercise prescription (Green prescription)

 

Occupational Therapy referral or Support Net referral:

  • Aids for activities of daily living.

 

Manage patient's medical condition:

Links to guidelines:



Last updated : Wednesday, January 31, 2018
Next review date : Thursday, January 31,2019


Disclaimer: This site is intended to be flexible and frequently updated. While every effort has been made to ensure accuracy, all information should be verified.