Table 5

Level of evidence based on the literature search, and strength of recommendation based on both evidence and expert opinion

InterventionLevel of evidenceEffect size RangeStrength of recommendation
Acetaminophen/paracetamol1BA
Opioid analgesics1BB
NSAIDs
Conventional NSAID1A0.47–0.96A
Coxibs1B0.5A
Antidepressant1BB
Topical NSAID1A−0.05–1.03A
Topical capsaicin1A0.41–0.56A
Sex hormones2BC
SYSADOA
Glucosamine1A0.43–1.02A
Chondroitin1A1.23–1.50A
Diacerein1BB
ASU1B0.32–1.72B
Nutrients1B0.65B
Herbal remedies1B0.23–1.32B
Minerals/vitamins1BC
Education1A0.28–0.35A
Exercise1B0.57–1.0A
Telephone1B1.09B
Acupuncture1B0.25–1.74B
Laser1B0.87B
Pulsed EMF1BB
Spa therapy1B1.0C
TENS1B0.76B
Ultrasound1BC
Weight loss1BB
Insoles1BB
Orthotic device (knee brace/patella tape/elastic bandage1BB
IA Hyaluronic acid1B0.0–0.9B
IA Corticosteroid1B1.27A
Lavage/tidal irrigation1B0.84B
Arthroscopy±debridement1BC
Osteotomy3C
UCKR3C
TKR3C