In mild-moderate knee osteoarthritis, repeat hyaluronic acid or switch to steroid at six weeks? скачать в хорошем качестве

In mild-moderate knee osteoarthritis, repeat hyaluronic acid or switch to steroid at six weeks?

In adults with mild to moderate knee osteoarthritis who report no improvement six weeks after an initial hyaluronic acid injection, clinicians must decide whether to repeat hyaluronic acid for sustained benefit or switch to a corticosteroid for faster symptom relief. This decision is challenging because both options provide different timelines of effect: corticosteroids offer rapid but short-lived relief, whereas hyaluronic acid has slower onset with more durable improvement. The discussion outlines a default strategy of continuing hyaluronic acid in the absence of urgent functional limitation, with selective corticosteroid use for acute flares or short-term needs. It also clarifies exclusions, including severe osteoarthritis, inflammatory arthritis, and recent surgery. The core principle is aligning timing of benefit with patient goals while minimizing joint risk. #KneeOsteoarthritis #SportsMedicine #PrimaryCare #Orthopedics #Rheumatology