AAOS Guidelines Flashcards
Topical NSAIDs for OA
YES, strong rec
Which oral meds for OA
NSAIDs and Acetaminophen are recommended
Tramadol and Opioids
Not recommended, increased adverse events and no improvement in pain or fucntion for treatment of OA
Home exercises okay for knee OA?
Yes, supervised, unsupervised, or aquatic exercise is recommended. Self-management programs.
Lateral wedge insoles for OA
STRONGLY NOT RECOMMENDED, THOUGHT TO drive the knee into valgus to offload the medial compartmentment, make you more knockkneeds
Canes rec strength
Modeate rec to help with pain and function in knee OA
Brace rec strength
moderate rec for pain, function, quality of lifeeu
neuromuscular training rec strenth
moderate only, balance, agility, coordination is neuromuscular
Sustained weight loss strength of rec
Moderate rec
HA injections rec
moderate. not recommended for routine use!!!!
steroids rec strength
moderate. can provide short term benefit
arthrosocpic with lavage strength
not recommended. Moderate
PMM rec strength
moderate for meniscsal tears with mild to moderate OA only who have failed physical therapy.
what does AAOS say about suplements
it is only a limited recommendation and thus not strongly recommended. Turmeric, ginger, glucosamine, chondrotin, Vitamin D
manual therapy, massage, acupuncture
WEAKser
Laser therapy.
WEAK STRENGTH
TENS, Perc and electromangetic filed therapy
WEAK
PRP
WEAK STRENGTHD
extracorporeal shockwave
WEAK STRENGTH
DENERVATION THERAPY
WEAK STRENGTH
HIGH TIBIAL OSTEOTOMY
WEAK STRENGTH, USE VERY SELECTIVELY
DRY NEEDLING
UNCLEAR, NOT RECOMMENDED
REE FLOATING UNI SPACERS
NOT RECOMMENDED
osteotomy age range
<45 in an occupation or activity level that makes arthroplsaty less appropriate. Need to have some joint space. age and occupation key for osteotomy vs. uka