What works:
Strengthening Exercises with neuromuscular education*
NSAID (pills such as ibuprofen and naproxen)
Appropriate weight loss if BMI > 25
Total or partial Knee Replacement
Cannot Recommend for or against:
IA steroid injection
Acetaminophen
Manual therapy, electrotherapeutics
Knee arthroscopy for meniscus
Cannot Recommend:
IA Hyaluronic Acid (viscosupplementation)
Braces
Arthroscopy – clean out
Glucosamine and Chondroitin
Acupuncture
Insoles
*The Alexander Technique (AT) is a method of neuromuscular re-education which aims to teach individuals how to improve postural support, reduce potentially harmful patterns of muscle tension and improve control of response. AT lessons provide an individualised approach to developing skills that help people recognise, understand, and avoid poor habits adversely affecting postural tone and neuromuscular coordination.
