Osteoarthritis: UK Treatment Guide & Online Doctor Support
Educational information — not medical advice.
This article was prepared by the OnlineDoctor24 editorial team and reviewed for factual accuracy against UK clinical guidance (NHS and NICE). It is not written by a doctor and does not replace personal medical advice. For symptoms specific to you, book an online doctor consultation.
Key points
- Osteoarthritis is the commonest joint disease in the UK.
- Exercise and weight management are the most effective treatments.
- Topical NSAIDs are preferred over oral where possible.
- Joint replacement is highly effective for severe disease.
Symptoms
- Pain, especially with use.
- Morning stiffness <30 min.
- Reduced range of movement.
- Crepitus (creaking).
- Bony swellings (knees, hands).
Treatment
- Exercise: strengthening, aerobic, range-of-motion. Most effective single intervention.
- Weight loss: even modest loss reduces knee/hip load.
- Topical NSAIDs: first-line for hand and knee.
- Oral NSAIDs: with stomach protection if needed.
- Paracetamol: modest effect; useful as adjunct.
- Steroid injections: short-term flare relief.
- Joint replacement: for severe symptoms not controlled medically.
What doesn't help much
- Glucosamine (weak evidence).
- Acupuncture (NICE no longer recommends for OA).
- Long-term opioids — harm outweighs benefit.
Frequently asked questions
Common questions UK patients ask about osteoarthritis.
How an online doctor can help
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This article is for general information only and does not replace personal medical advice from a qualified doctor. Content is reviewed against UK NHS and NICE guidance by the OnlineDoctor24 editorial team and is not authored by a medical doctor. If your symptoms worsen or you are unsure, please book a consultation with a GMC-registered GP.
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