Interactive Quiz – New Osteoarthritis Guidelines

American College of Rheumatology New Osteoarthritis Guidelines

The ACR recently published new osteoarthritis guidelines for the management of hand, knee and/or hip OA.   There are some new recommendations that may be a surprise for some healthcare professionals.  Here is a quiz of 14 true and false questions.  I hope you like it.

1. Intraarticular glucocorticoid injections are strongly recommended for patients with knee and/or hip OA

2. Topical capsaicin should not be used for hand and hip OA

3. Topical NSAIDs are preferred to oral NSAIDs and acetaminophen for knee OA

4. Both Tai-chi and Yoga are recommended for both knee and hip OA.

5. Vitamin D and fish oil are not recommended for patients with hand/knee/hip OA

6. Exercise is strongly recommended for hand, knee and hip OA

7. Thermal interventions (locally applied heat or cold) can be considered  for patients with knee, hip, and/or hand OA

8. A loss of 5% or more of body weight has been shown to improve knee and/or hip OA clinical outcomes who have overweight or obesity

9. Acetaminophen is not generally effective for the management of hand/knee/hip OA

10. Canes are strongly recommended with patients with knee and/or hip OA

11. Glucosamine is recommended for hand/knee/hip OA

12. Duloxetine can be considered in patients with hand/knee/hip OA

13. Oral NSAIDs are recommended for hand/knee/hip OA and should be used at moderate to high doses

14. Opioids are recommended second-line in the management of hip OA.



Kolasinski, Sharon L., Tuhina Neogi, Marc C. Hochberg, Carol Oatis, Gordon Guyatt, Joel Block, Leigh Callahan, et al. “2019 American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee.” Arthritis Care & Research, January 6, 2020, acr.24131.

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.