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

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

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

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

5. 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

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

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

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

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

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

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

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

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

14. Topical capsaicin should not be used for hand and 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.