| What challenges can arise from reduced knee range of motion? | making it difficult to stand from sitting position, get in and out of chair or car, stair climbing, or walk | ∙ Pain that increases with activity & relieves with rest ∙ Joint stiffness especially in the morning or after a period of rest for short duration ∙ Decrease in Range of Motion (ROM) of the knee, making it difficult to stand from sitting position, get in and out of chair or car, stair climbing, or walk ∙ Creaking, crackling sounds on movement of knee ∙ Swelling and feeling of warmth in the joint may be present ∙ Joint line tenderness ∙ Patello-femoral crepitus ∙ Decreased ROM ∙ Deformity (commonly flexion and varus) ∙ Joint effusion and synovial thickening may be present | 195 | summary | 0.970 | ∙ Pain that increases with activity & relieves with rest ∙ Joint stiffness especially in the morning or after a period of rest for short duration ∙ Decrease in Range of Motion (ROM) of the knee, making it difficult to stand from sitting position, get in and out of chair or car, stair climbing, or walk ∙ Creaking, crackling sounds on movement of knee ∙ Swelling and feeling of warmth in the joint may be present ∙ Joint line tenderness ∙ Patello-femoral crepitus ∙ Decreased ROM ∙ Deformity (commonly flexion and varus) ∙ Joint effusion and synovial thickening may be present | 1 | page=1,block=6 | 0.700 | valid |
| What difficulty arises due to a decrease in the range of motion of the knee? | making it difficult to stand from sitting position, get in and out of chair or car, stair climbing, or walk | ∙ Pain that increases with activity & relieves with rest ∙ Joint stiffness especially in the morning or after a period of rest for short duration ∙ Decrease in Range of Motion (ROM) of the knee, making it difficult to stand from sitting position, get in and out of chair or car, stair climbing, or walk ∙ Creaking, crackling sounds on movement of knee ∙ Swelling and feeling of warmth in the joint may be present ∙ Joint line tenderness ∙ Patello-femoral crepitus ∙ Decreased ROM ∙ Deformity (commonly flexion and varus) ∙ Joint effusion and synovial thickening may be present | 195 | summary | 0.970 | ∙ Pain that increases with activity & relieves with rest ∙ Joint stiffness especially in the morning or after a period of rest for short duration ∙ Decrease in Range of Motion (ROM) of the knee, making it difficult to stand from sitting position, get in and out of chair or car, stair climbing, or walk ∙ Creaking, crackling sounds on movement of knee ∙ Swelling and feeling of warmth in the joint may be present ∙ Joint line tenderness ∙ Patello-femoral crepitus ∙ Decreased ROM ∙ Deformity (commonly flexion and varus) ∙ Joint effusion and synovial thickening may be present |
| What is the purpose of the STW guidelines? | These broad guidelines are advisory, and are based on expert opinions and available scientific evidence. | PMID: 22046517; PMCID: PMC3200113. Grade 1 Doubtful OA Possible Osteophites Doubtful JSN No Osteophites No JSN Grade 0 No OA Grade 2 Mild OA Definite Osteophites Possible JSN Moderate Osteophites Definite JSN Grade 3 Moderate OA Large osteophites Great JSN Grade 4 Severe OA July/ 2024 This STW has been prepared by national experts of India with feasibility considerations for various levels of healthcare system in the country. These broad guidelines are advisory, and are based on expert opinions and available scientific evidence. There may be variations in the management of an individual patient based on his/her specific condition, as decided by the treating physician. There will be no indemnity for direct or indirect consequences. | 430 | summary | 0.970 | Grade 1 Doubtful OA Possible Osteophites Doubtful JSN No Osteophites No JSN Grade 0 No OA Grade 2 Mild OA Definite Osteophites Possible JSN Moderate Osteophites Definite JSN Grade 3 Moderate OA Large osteophites Great JSN Grade 4 Severe OA July/ 2024 This STW has been prepared by national experts of India with feasibility considerations for various levels of healthcare system in the country. These broad guidelines are advisory, and are based on expert opinions and available scientific evidence. There may be variations in the management of an individual patient based on his/her specific |
| What difficulty might a person with decreased range of motion in the knee face? | making it difficult to stand from sitting position, get in and out of chair or car, stair climbing, or walk | ∙ Pain that increases with activity & relieves with rest ∙ Joint stiffness especially in the morning or after a period of rest for short duration ∙ Decrease in Range of Motion (ROM) of the knee, making it difficult to stand from sitting position, get in and out of chair or car, stair climbing, or walk ∙ Creaking, crackling sounds on movement of knee ∙ Swelling and feeling of warmth in the joint may be present ∙ Joint line tenderness ∙ Patello-femoral crepitus ∙ Decreased ROM ∙ Deformity (commonly flexion and varus) ∙ Joint effusion and synovial thickening may be present | 195 | summary | 0.970 | ∙ Pain that increases with activity & relieves with rest ∙ Joint stiffness especially in the morning or after a period of rest for short duration ∙ Decrease in Range of Motion (ROM) of the knee, making it difficult to stand from sitting position, get in and out of chair or car, stair climbing, or walk ∙ Creaking, crackling sounds on movement of knee ∙ Swelling and feeling of warmth in the joint may be present ∙ Joint line tenderness ∙ Patello-femoral crepitus ∙ Decreased ROM ∙ Deformity (commonly flexion and varus) ∙ Joint effusion and synovial thickening may be present |
| What does the document state about variations in patient management? | There may be variations in the management of an individual patient based on his/her specific condition, as decided by the treating physician. | PMID: 22046517; PMCID: PMC3200113. Grade 1 Doubtful OA Possible Osteophites Doubtful JSN No Osteophites No JSN Grade 0 No OA Grade 2 Mild OA Definite Osteophites Possible JSN Moderate Osteophites Definite JSN Grade 3 Moderate OA Large osteophites Great JSN Grade 4 Severe OA July/ 2024 This STW has been prepared by national experts of India with feasibility considerations for various levels of healthcare system in the country. These broad guidelines are advisory, and are based on expert opinions and available scientific evidence. There may be variations in the management of an individual patient based on his/her specific condition, as decided by the treating physician. There will be no indemnity for direct or indirect consequences. | 535 | summary | 0.970 | These broad guidelines are advisory, and are based on expert opinions and available scientific evidence. There may be variations in the management of an individual patient based on his/her specific condition, as decided by the treating physician. There will be no indemnity for direct or indirect consequences. | 1 |
| What difficulty might decreased range of motion in the knee cause? | making it difficult to stand from sitting position, get in and out of chair or car, stair climbing, or walk | ∙ Pain that increases with activity & relieves with rest ∙ Joint stiffness especially in the morning or after a period of rest for short duration ∙ Decrease in Range of Motion (ROM) of the knee, making it difficult to stand from sitting position, get in and out of chair or car, stair climbing, or walk ∙ Creaking, crackling sounds on movement of knee ∙ Swelling and feeling of warmth in the joint may be present ∙ Joint line tenderness ∙ Patello-femoral crepitus ∙ Decreased ROM ∙ Deformity (commonly flexion and varus) ∙ Joint effusion and synovial thickening may be present | 195 | summary | 0.970 | ∙ Pain that increases with activity & relieves with rest ∙ Joint stiffness especially in the morning or after a period of rest for short duration ∙ Decrease in Range of Motion (ROM) of the knee, making it difficult to stand from sitting position, get in and out of chair or car, stair climbing, or walk ∙ Creaking, crackling sounds on movement of knee ∙ Swelling and feeling of warmth in the joint may be present ∙ Joint line tenderness ∙ Patello-femoral crepitus ∙ Decreased ROM ∙ Deformity (commonly flexion and varus) ∙ Joint effusion and synovial thickening may be present |
| What difficulty might occur due to a decrease in the range of motion of the knee? | making it difficult to stand from sitting position, get in and out of chair or car, stair climbing, or walk | ∙ Pain that increases with activity & relieves with rest ∙ Joint stiffness especially in the morning or after a period of rest for short duration ∙ Decrease in Range of Motion (ROM) of the knee, making it difficult to stand from sitting position, get in and out of chair or car, stair climbing, or walk ∙ Creaking, crackling sounds on movement of knee ∙ Swelling and feeling of warmth in the joint may be present ∙ Joint line tenderness ∙ Patello-femoral crepitus ∙ Decreased ROM ∙ Deformity (commonly flexion and varus) ∙ Joint effusion and synovial thickening may be present | 195 | summary | 0.970 | ∙ Pain that increases with activity & relieves with rest ∙ Joint stiffness especially in the morning or after a period of rest for short duration ∙ Decrease in Range of Motion (ROM) of the knee, making it difficult to stand from sitting position, get in and out of chair or car, stair climbing, or walk ∙ Creaking, crackling sounds on movement of knee ∙ Swelling and feeling of warmth in the joint may be present ∙ Joint line tenderness ∙ Patello-femoral crepitus ∙ Decreased ROM ∙ Deformity (commonly flexion and varus) ∙ Joint effusion and synovial thickening may be present |
| What is the full form of NSAIDs? | Non-steroidal Anti-inflammatory Drugs | • Topical NSAIDs • Oral Acetaminophen • Oral NSAIDs (If not contraindicated) as and when required Indications of surgery for total knee replacement AP: Antero-posterior OA: Osteoarthritis NSAIDs: Non-steroidal Anti-inflammatory Drugs 1. KELLGREN JH, LAWRENCE JS. Radiological assessment of osteo-arthrosis. Ann Rheum Dis. 1957 Dec;16(4):494-502. doi: 10.1136/ard.16.4.494. PMID: 13498604; PMCID: PMC1006995. 2. Paradowski PT. Osteoarthritis of the knee: assessing the disease. Health Care Curr Rev. 2014;2(2):e103 3. Management of Osteoarthritis of the Knee (Non-Arthroplasty). Evidence-Based Clinical Practice Guideline.The American Academy of Orthopaedic Surgeons Board of Directors.August 30, 2021 4. Rönn K, Reischl N, Gautier E, Jacobi M. Current surgical treatment of knee osteoarthritis. Arthritis. 2011;2011:454873. doi: 10.1155/2011/454873. Epub 2011 Apr 26. | 196 | definition | 0.900 | • Topical NSAIDs • Oral Acetaminophen • Oral NSAIDs (If not contraindicated) as and when required Indications of surgery for total knee replacement AP: Antero-posterior OA: Osteoarthritis NSAIDs: Non-steroidal Anti-inflammatory Drugs 1. | 1 | page=1,block=46 | 0.700 |
| What does NSAIDs stand for? | Non-steroidal Anti-inflammatory Drugs | • Topical NSAIDs • Oral Acetaminophen • Oral NSAIDs (If not contraindicated) as and when required Indications of surgery for total knee replacement AP: Antero-posterior OA: Osteoarthritis NSAIDs: Non-steroidal Anti-inflammatory Drugs 1. KELLGREN JH, LAWRENCE JS. Radiological assessment of osteo-arthrosis. Ann Rheum Dis. 1957 Dec;16(4):494-502. doi: 10.1136/ard.16.4.494. PMID: 13498604; PMCID: PMC1006995. 2. Paradowski PT. Osteoarthritis of the knee: assessing the disease. Health Care Curr Rev. 2014;2(2):e103 3. Management of Osteoarthritis of the Knee (Non-Arthroplasty). Evidence-Based Clinical Practice Guideline.The American Academy of Orthopaedic Surgeons Board of Directors.August 30, 2021 4. Rönn K, Reischl N, Gautier E, Jacobi M. Current surgical treatment of knee osteoarthritis. Arthritis. 2011;2011:454873. doi: 10.1155/2011/454873. Epub 2011 Apr 26. | 196 | definition | 0.900 | • Topical NSAIDs • Oral Acetaminophen • Oral NSAIDs (If not contraindicated) as and when required Indications of surgery for total knee replacement AP: Antero-posterior OA: Osteoarthritis NSAIDs: Non-steroidal Anti-inflammatory Drugs 1. | 1 | page=1,block=46 | 0.700 |
| What are two physical signs that might indicate an issue with the knee joint? | Swelling and feeling of warmth in the joint may be present | ∙ Pain that increases with activity & relieves with rest ∙ Joint stiffness especially in the morning or after a period of rest for short duration ∙ Decrease in Range of Motion (ROM) of the knee, making it difficult to stand from sitting position, get in and out of chair or car, stair climbing, or walk ∙ Creaking, crackling sounds on movement of knee ∙ Swelling and feeling of warmth in the joint may be present ∙ Joint line tenderness ∙ Patello-femoral crepitus ∙ Decreased ROM ∙ Deformity (commonly flexion and varus) ∙ Joint effusion and synovial thickening may be present | 354 | list | 0.820 | ∙ Pain that increases with activity & relieves with rest ∙ Joint stiffness especially in the morning or after a period of rest for short duration ∙ Decrease in Range of Motion (ROM) of the knee, making it difficult to stand from sitting position, get in and out of chair or car, stair climbing, or walk ∙ Creaking, crackling sounds on movement of knee ∙ Swelling and feeling of warmth in the joint may be present ∙ Joint line tenderness ∙ Patello-femoral crepitus ∙ Decreased ROM ∙ Deformity (commonly flexion and varus) ∙ Joint effusion and synovial thickening may be present |