Begrunnelse: Konservativ behandling med trening veiledet av fysioterapeut og vektreduksjon hos overvektige har vist god effekt ved artrose i hofte og kne. Alle pasienter bør gjennomføre konservativ behandling før man vurderer protesekirurgi.
Kilder:
• Osteoarthritis Management: Updated Guidelines from the American College of Rheumatology and Arthritis Foundation, Am Fam Physician. 2021;103(2):120-121
• Bannuru, R. R., Osani, M. C., Vaysbrot, E. E., Arden, N. K., Bennell, K., Bierma-Zeinstra, S. M. A., ... McAlindon, T. E. (2019). OARSI guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritis. Osteoarthritis and Cartilage, 27(11), 1578-1589.
• Weng, Q., Goh, S. L., Wu, J., Persson, M. S. M., Wei, J., Sarmanova, A., ... Zhang, W. (2023). Comparative efficacy of exercise therapy and oral non-steroidal anti-inflammatory drugs and paracetamol for knee or hip osteoarthritis: a network meta-analysis of randomised controlled trials. British Journal of Sports Medicine
• Gibbs AJ, Gray B, Wallis JA, Taylor NF, Kemp JL, Hunter DJ, Barton CJ. Recommendations for the management of hip and knee osteoarthritis: A systematic review of clinical practice guidelines. Osteoarthritis Cartilage. 2023 Jun 30:S1063-4584(23)00832-4. doi: 10.1016/j.joca.2023.05.015. Epub ahead of print. PMID: 37394226