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Updated: Jun 22, 2026
Fu's Subcutaneous Needling for Knee Osteoarthritis Pain
Published on: March 24, 2023
The treatment and prevention of knee osteoarthritis: a tool for clinical decision-making
Henning Bliddal1, Robin Christensen
1Frederiksberg Hospital, The Parker Institute, DK-2000 Copenhagen F, Denmark. hb@frh.regionh.dk
Background:
Osteoarthritis (OA) is a major cause of disability, which will increase further with longer lifetime and higher average weight of the population.
Objective:
To review a hierarchy of interventions for OA in clinical practice, and compare it with the Strength of Recommendation (SOR) proposed by the Osteoarthritis Research Society International (OARSI).
Methods:
Search for relevant randomized controlled trials in databases, as well as published systematic reviews and meta-analyses.
Results/Conclusions:
Preventive measures are few and uncertain; however, basic therapy includes reduction in weight in the obese and exercises to keep in shape; this is in accordance with the OARSI guidelines (OARSI, 100% consensus) emphasizing the need for obese individuals with knee OA to lose weight (OARSI, SOR = 96%). There are indications of an effect of some nutraceuticals, though further studies are needed for validation (OARSI, SOR = 63%). Pharmacological treatment has paracetamol as primary prescription, which is a safe, albeit weak analgesic. Supplementary medications are prescribed according to level of pain and possible inflammation.
