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OA Exacerbation

History

  • Middle age
  • Pre existing early OA
  • Minimal injury
  • History of overuse eg DIY
  • Limp
  • Restricted work
  • Localised joint line pain
  • Possibly swelling
  • Stiffness after sitting/first thing in morning

Signs

  • Limp
  • Effusion
  • Joint line tenderness
  • Possible painful block to extension

Secondary care referral

  • No indication unless true, mechanical locking

​Primary care investigations

  • X-Ray – AP standing & lateral
  • to confirm presence of OA

Primary care treatment

  • Analgesia
  • PRICE (Protection, Rest, Ice, Compression, Elevation)
  • Physiotherapy
  • Weight loss as appropriate
  • Corticosteroid injection if swollen and no other contraindications to csi