Procedural Treatments for Knee Osteoarthritis: A Review of Current Injectable Therapies
Table 1
Pharmacological and procedural recommendations for treatment of knee osteoarthritis.
Society
Recommended
Inconclusive
Not recommended
Arthritis Alliance of Canada/College of Family Physicians of Canada
(i) Topical NSAIDs (ii) Acetaminophen (iii) Oral NSAIDs (in patients without contraindications) (iv) SNRI (i.e., duloxetine) (v) Opioids (tramadol is preferred as nontramadol opioids having a higher incident of side effects with small effects on pain) (vi) I-CS
(i) Herbal medications (ii) I-HA (iii) I-PRP (iv) Stem cells
(i) Capsaicin (ii) Chondritin (iii) Neuropathic pain modulators (iv) Glucosamine
American Academy of Orthopedic Surgeons
(i) Topical NSAIDs (ii) Oral NSAIDs (iii) Tramadol
(i) Acetaminophen (ii) Nontramadol opioids (iii) I-CS (iv) I-PRP
(i) Chondritin (ii) Glucosamine (iii) I-HA
Osteoarthritis Research Society International
(i) Topical NSAIDs (ii) Capsaicin (iii) Acetaminophen (in patients without comorbidities) (iv) Oral NSAIDs (in patients without comorbidities) (v) SNRI (i.e., duloxetine in patients without comorbidities) (vi) I-CS