Abstract：
:Knee osteoarthritis is a common disabling condition that affects more than one-third of persons older than 65 years. Exercise, weight loss, physical therapy, intra-articular corticosteroid injections, and the use of nonsteroidal anti-inflammatory drugs and braces or heel wedges decrease pain and improve function. Acetaminophen, glucosamine, ginger, S-adenosylmethionine (SAM-e), capsaicin cream, topical nonsteroidal anti-inflammatory drugs, acupuncture, and tai chi may offer some benefit. Tramadol has a poor trade-off between risks and benefits and is not routinely recommended. Opioids are being used more often in patients with moderate to severe pain or diminished quality of life, but patients receiving these drugs must be carefully selected and monitored because of the inherent adverse effects. Intra-articular corticosteroid injections are effective, but evidence for injection of hyaluronic acid is mixed. Arthroscopic surgery has been shown to have no benefit in knee osteoarthritis. Total joint arthroplasty of the knee should be considered when conservative symptomatic management is ineffective.
journal_name
Am Fam Physicianjournal_title
American family physicianauthors
Ringdahl E,Pandit Ssubject
Has Abstractpub_date
2011-06-01 00:00:00pages
1287-92issue
11eissn
0002-838Xissn
1532-0650pii
d8837journal_volume
83pub_type
杂志文章abstract：:Although falls are a common cause of injury in older persons, they are not just a normal part of the aging process. The American Geriatrics Society and British Geriatrics Society recommend that all adults older than 65 years be screened annually for a history of falls or balance impairment. An individualized risk asse...
journal_title：American family physician
pub_type： 杂志文章,评审
doi：
更新日期：2011-12-01 00:00:00
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journal_title：American family physician
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更新日期：2004-02-01 00:00:00
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journal_title：American family physician
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doi：
更新日期：2005-11-01 00:00:00
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journal_title：American family physician
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doi：
更新日期：1999-07-01 00:00:00
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journal_title：American family physician
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doi：
更新日期：1988-04-01 00:00:00
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journal_title：American family physician
pub_type： 杂志文章
doi：
更新日期：1983-01-01 00:00:00
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journal_title：American family physician
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doi：
更新日期：1996-11-01 00:00:00
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journal_title：American family physician
pub_type： 杂志文章,评审
doi：
更新日期：1993-11-01 00:00:00
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journal_title：American family physician
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doi：
更新日期：2004-08-01 00:00:00
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journal_title：American family physician
pub_type： 杂志文章,评审
doi：
更新日期：2011-02-01 00:00:00
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journal_title：American family physician
pub_type： 杂志文章,评审
doi：
更新日期：1995-07-01 00:00:00
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journal_title：American family physician
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doi：
更新日期：2000-07-15 00:00:00
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journal_title：American family physician
pub_type： 杂志文章,评审
doi：
更新日期：1995-02-01 00:00:00
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journal_title：American family physician
pub_type： 杂志文章
doi：
更新日期：2019-11-01 00:00:00
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journal_title：American family physician
pub_type： 杂志文章,评审
doi：
更新日期：1991-02-01 00:00:00
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journal_title：American family physician
pub_type： 杂志文章,评审
doi：
更新日期：1995-04-01 00:00:00
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journal_title：American family physician
pub_type： 杂志文章,评审
doi：
更新日期：2003-10-15 00:00:00
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journal_title：American family physician
pub_type： 杂志文章
doi：
更新日期：1987-06-01 00:00:00
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journal_title：American family physician
pub_type： 杂志文章,评审
doi：
更新日期：2011-05-01 00:00:00
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journal_title：American family physician
pub_type： 杂志文章,评审
doi：
更新日期：2007-10-15 00:00:00
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journal_title：American family physician
pub_type： 杂志文章
doi：
更新日期：1986-11-01 00:00:00
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journal_title：American family physician
pub_type： 杂志文章
doi：
更新日期：2014-04-01 00:00:00
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journal_title：American family physician
pub_type： 杂志文章
doi：
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journal_title：American family physician
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doi：
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journal_title：American family physician
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journal_title：American family physician
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更新日期：2002-02-15 00:00:00
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journal_title：American family physician
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doi：
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journal_title：American family physician
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doi：
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journal_title：American family physician
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doi：
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journal_title：American family physician
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doi：
更新日期：1977-05-01 00:00:00
