What is the first line treatment for osteoarthritis?

The first-line treatment for osteoarthritis focuses primarily on managing pain and improving function, which is effectively achieved through the use of NSAIDs (nonsteroidal anti-inflammatory drugs) or acetaminophen. These medications help alleviate pain, reduce inflammation, and enhance the quality of life for those suffering from this condition.

NSAIDs are beneficial due to their anti-inflammatory properties, making them a preferred choice for many patients. Acetaminophen, while not anti-inflammatory, is also commonly used for pain relief and tends to have a favorable side effect profile, especially in people who may have contraindications to NSAIDs.

In contrast to glucocorticoids, which may be used in more advanced cases or specific situations, they are not considered first-line due to potential long-term side effects when used chronically. Physical therapy is another important component of a comprehensive management plan but often follows initial pharmacological treatment for best results. Surgery is typically reserved for cases where more conservative measures fail to provide relief, indicating that it is not a first-line option.

Thus, the selection of NSAIDs or acetaminophen as the initial treatment approach aligns with current clinical guidelines aimed at improving symptom management in osteoarthritis.