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Hong Kong Med J. 2019 Apr;25(2):127-133. doi: 10.12809/hkmj187600. Epub 2019 Mar 28.

Non-surgical treatment of knee osteoarthritis.

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Department of Orthopaedics and Traumatology, The University of Hong Kong, Pokfulam, Hong Kong.
Department of Orthopaedics and Traumatology, Queen Mary Hospital, Pokfulam, Hong Kong.
Department of Physiotherapy, MacLehose Medical Rehabilitation Centre, Pokfulam, Hong Kong.
Department of Occupational Therapy, MacLehose Medical Rehabilitation Centre, Pokfulam, Hong Kong.
Department of Nursing, MacLehose Medical Rehabilitation Centre, Pokfulam, Hong Kong.


Knee osteoarthritis is one of the most common degenerative diseases causing disability in elderly patients. Osteoarthritis is an increasing problem for ageing populations, such as that in Hong Kong. It is important for guidelines to be kept up to date with the best evidence-based osteoarthritis management practices available. The aim of this study was to review the current literature and international guidelines on non-surgical treatments for knee osteoarthritis and compared these with the current guidelines in Hong Kong, which were proposed in 2005. Internationally, exercise programmes for non-surgical management of osteoarthritis have been proven effective, and a pilot programme in Hong Kong for comprehensive non-surgical knee osteoarthritis management has been successful. Long-term studies on the effectiveness of such exercise programmes are required, to inform future changes to guidelines on osteoarthritis management.


Exercise therapy; Knee; Osteoarthritis; Practice guidelines as topic

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No conflicts of interest are declared by the authors.

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