Article Text

Download PDFPDF
Non-operative treatment options for knee osteoarthritis: current concepts
  1. David A Parker,
  2. Corey Scholes,
  3. Thomas Neri
  1. Sydney Orthopaedic Research Institute, Sydney, New South Wales, Australia
  1. Correspondence to Dr Thomas Neri, Sydney Orthopaedic Research Institute, Sydney, NSW 2067, Australia; TNeri{at}


Knee osteoarthritis in younger patients can be a challenging condition to manage. The patient and clinician have a range of non-operative management options available, although the guidance to effectively apply these options is lacking. The following review summarises a range of non-operative treatment options as an accessible reference for primary care providers to establish a coordinated care plan in consultation with the patient as part of a shared decision making process. Options are summarised in non-pharmacological and pharmacological treatments. These options are based on the latest guidelines based on authoritative recommendations, as well as recent articles with a good level of evidence that have not yet been incorporated into these official contents. The coordination of treatment using a range of modalities remains poorly explained in the literature and the current review proposes a conceptual model for coordinated care to be provided. In this model, the patient is central to the interaction between the coordinator and specialist providers, and the treatment plan is tailored to provide the optimal pain relief and functional benefit specific to the patient.

  • osteoarthritis
  • osteotomy
  • knee

Statistics from


  • Contributors Both authors have contributed to writing, reviewing and finalising the document. DAP is responsible for the concept. TN is the corresponding author.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Not required.

  • Provenance and peer review Commissioned; externally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.