|
Education and Self-management
|
| Self management programs and education |
|
|
| Individualized treatment |
|
Discussed and recommended as appropriate |
|
|
Exercise
|
nd |
|
| Range of motion/flexibility |
|
nd |
|
|
Joint support and assistive devices
|
| Assistive devices to improve ADLs |
|
nd |
| Splints for trapeziometacarpal OA |
|
1st CMC |
| Other hand joints |
|
|
Alternative and complementary modalities
|
| Acupuncture |
nd |
|
| Thermal modalities |
nd |
|
| Cognitive behavioral therapy (with or without exercise) |
nd |
|
|
|
|
|
PHARMACOLOGIC
|
| Acetaminophen/paracetamol (<4g/day) |
|
|
| Oral NSAID |
|
|
| Topical NSAID |
|
|
| Topical capsaicin |
Discussed but no recommendation |
|
| Glucosamine |
nd |
|
| Chondroitin |
|
|
| Tramadol |
Discussed but no recommendation |
|
| Opioids (refractory pain) |
nd |
|
| Duloxetine |
nd |
|
| Vitamin D |
nd |
|
| Intra-articular corticosteroids |
|
|
| Intra-articular hyaluronic acid |
nd |
1st CMC |
| DMARDs |
|
|
