Osteoarthritis in people over 16: diagnosis and management—updated summary of NICE guidance

  1. George Wooden, technical analyst1,
  2. Julie Neilson, senior analysis fellow1,
  3. Elizabeth Cottrell, basic practitioner companion2,
  4. Stephen P Hoole, advisor interventional heart specialist3
  5. on behalf of the Guideline Committee
  1. 1Nationwide Institute for Well being and Care Excellence, Manchester, UK
  2. 2Wolstanton Medical Centre, Newcastle-under-Lyme, UK
  3. 3Royal Papworth Hospital NHS Basis Belief, Cambridge, UK
  1. Correspondence to G Wooden george.wooden{at}

What you might want to know

  • Osteoarthritis is a medical prognosis that may be made with out imaging in people who find themselves 45 or over, have exercise associated joint ache, and have both no morning joint associated stiffness or morning stiffness that lasts now not than half-hour

  • Therapeutic train is necessary for individuals with osteoarthritis to scale back ache and enhance bodily perform and high quality of life

  • Analgesia ought to solely be used for the shortest doable time, primarily to help therapeutic train

Osteoarthritis is a typical situation that causes joint ache and stiffness and infrequently has a unfavorable impression on an individual’s high quality of life. Greater than 8.5 million individuals have osteoarthritis within the UK.1 Multisite peripheral joint ache is widespread, with the knee, hip, hand, and foot joint websites being mostly affected.2 This text summarises the latest suggestions from the Nationwide Institute for Well being and Care Excellence (NICE) guideline for the prognosis and administration of osteoarthritis.3 The suggestions cowl all joint websites other than spinal osteoarthritis. The replace emphasises the significance of core therapies of therapeutic train and weight administration within the administration of osteoarthritis, alongside data and help and using pharmacological administration provided that wanted to help non-pharmacological therapies.


NICE suggestions are based mostly on systematic opinions of greatest out there proof and specific consideration of value effectiveness. When minimal proof is obtainable, suggestions are based mostly on the Guideline Committee’s (GC) expertise and opinion of what constitutes good apply. Proof ranges for the suggestions are given in italic in sq. brackets. Definitions of proof certainty are given in field 1.

Field 1

GRADE Working Group grades of proof

  • Excessive certainty—we’re very assured that the true impact lies near that of the estimate of the impact

  • Average certainty—we’re reasonably assured within the impact estimate: the true impact is more likely to be near the estimate …



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