Level of evidence based on the literature search, and strength of recommendation based on both evidence and expert opinion
Intervention | Level of evidence | Effect size Range | Strength of recommendation |
---|---|---|---|
Acetaminophen/paracetamol | 1B | A | |
Opioid analgesics | 1B | B | |
NSAIDs | |||
Conventional NSAID | 1A | 0.47–0.96 | A |
Coxibs | 1B | 0.5 | A |
Antidepressant | 1B | B | |
Topical NSAID | 1A | −0.05–1.03 | A |
Topical capsaicin | 1A | 0.41–0.56 | A |
Sex hormones | 2B | C | |
SYSADOA | |||
Glucosamine | 1A | 0.43–1.02 | A |
Chondroitin | 1A | 1.23–1.50 | A |
Diacerein | 1B | B | |
ASU | 1B | 0.32–1.72 | B |
Nutrients | 1B | 0.65 | B |
Herbal remedies | 1B | 0.23–1.32 | B |
Minerals/vitamins | 1B | C | |
Education | 1A | 0.28–0.35 | A |
Exercise | 1B | 0.57–1.0 | A |
Telephone | 1B | 1.09 | B |
Acupuncture | 1B | 0.25–1.74 | B |
Laser | 1B | 0.87 | B |
Pulsed EMF | 1B | B | |
Spa therapy | 1B | 1.0 | C |
TENS | 1B | 0.76 | B |
Ultrasound | 1B | C | |
Weight loss | 1B | B | |
Insoles | 1B | B | |
Orthotic device (knee brace/patella tape/elastic bandage | 1B | B | |
IA Hyaluronic acid | 1B | 0.0–0.9 | B |
IA Corticosteroid | 1B | 1.27 | A |
Lavage/tidal irrigation | 1B | 0.84 | B |
Arthroscopy±debridement | 1B | C | |
Osteotomy | 3 | C | |
UCKR | 3 | C | |
TKR | 3 | C |