Management usually includes a detailed history of the condition, details of the current symptoms and
disability, current and previous medications and past medical history.
Clinical examination is undertaken by Mr. Johnson and subsequently radiographs or MRI scans can be
arranged if necessary. An opinion is usually then available and discussed with the patient. Mr.
Johnson will outline options for further treatment, and patients will then be encouraged to participate
in the decisions about which treatment options are most appropriate.
Initial management for early degeneration may include physiotherapy, use of anti-inflammatory medication
(Ibruprofen, diclofenac, vioxx etc), and bandages and supports. Joint injections either with hyaluronic
acid (Synvisc) or methyprednisiolone may occasionally be considered. For early degeneration or in patients
in whom there has been a rapid deterioration or injury keyhole arthroscopic treatment may prove to be very
helpful. Alternately joint replacement may be appropriate because of advanced disease or where the other
treatments prove to be ineffective.
Also see the following article: Viscosupplementation