Treating Osteoarthritis Conservative vs. Surgical Treatment Algorithm
Activity modification
Stop running Limit impact activities Reduce repetitive forces
Increase activities such as biking,swimming and low impact sportsIncrease walking
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NSAIDS
OTC
Ibuprofen
Naproxen
Prescriptions
Celebrex
Meloxicam
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Therapy
Home Physician Directed Program
Formal Physical Therapy
“Fun” Therapy
Gym
Yoga
Pilates
Bike
Swim
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Braces
Unloader
Simple hinge
Patellar stabilizer
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Assistive Walking Devices
Cane
Walker
Wheelchair
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Injections
Corticosteroid injections:
anti-inflammatory
Viscosupplemenation: lubricant
Platelet Rich Plasma Orthobiologics
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Surgery
Joint preservation Arthroscopy
Arthroplasty
Patellofemoral joint replacement
Unicompartmental joint replacement (partial)
Total knee replacement
