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BMJ 2006;332 (18 March), doi:10.1136/bmj.332.7542.0-d
In order to control pain, improve function, and alter the disease process, patients with osteoarthritis should be managed with a combination of methods, say Hunter and Felson on page 639. Non-pharmacological management such as weight loss, physical therapy, and knee braces should be tried before drug treatment, and surgery should be considered only when effective medical treatment has failed. The authors review diagnosis and investigation and summarise current knowledge about epidemiology and management of this common joint disease.
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