Table of contents
Hand osteoarthritis
What's new
Added 2024 EULAR classification criteria for hand osteoarthritis.
Guidelines
Key sources
The following summarized guidelines for the management of hand osteoarthritis are prepared by our editorial team based on guidelines from the American College of Rheumatology (ACR 2020) and the European League Against Rheumatism (EULAR 2019).
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Medical management
General principles: as per EULAR 2019 guidelines, set controlling symptoms as the primary goal for the management of patients with hand OA, such as pain and stiffness, and to optimize hand function, in order to maximize activity, participation and QoL.
B
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Non-opioid analgesics
Opioids
Duloxetine
Chondroitin sulfate
Agents with no evidence for benefit
Nonpharmacologic interventions
Self-management programs: as per ACR 2020 guidelines, advise participating in self-efficacy and self-management programs in patients with hand OA.
A
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Physical therapy
Orthoses
CBT
Alternative and complementary therapies
Therapeutic procedures
Intra-articular corticosteroids
As per ACR 2020 guidelines:
Consider administering intra-articular corticosteroid injections in patients with hand OA.
C
Consider preferring intra-articular corticosteroids over other injections in patients with hand OA.
C
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Other intra-articular injections