Abstract
Purpose: The recommended first line treatment for patients with knee osteoarthritis (OA) includes patient education, exercise therapy, and weight reduction (if overweight). If pain relief and functional improvement are not satisfactory, pain-relieving drugs and referrals for imaging and orthopaedic surgical evaluation can be considered. Studies indicate that the first line treatments are often not applied even though they are evidence based. Concern for patient satisfaction with first line treatments could be a reason for general practitioners (GPs) to prefer second line treatments.
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