Symptoms, not X-rays, best guide to arthritic knee progression

GPs can predict which patients with arthritic knees are likely to progress to more severe pain by using symptoms and examination rather than X-rays as a guide, Dutch researchers say.

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Several key baseline characteristics of patients with knee osteoarthritis (OA) can help differentiate between those who will need pro-active management and those for whom a wait and see approach is suitable, their study has shown.

Distinct pain trajectories for early knee OA were identified by the primary care researchers who found that factors such as obesity and activity limitation were a better guide to