French Societies of Rheumatology and of Physical and Rehabilitation Medicine recommendations for the management of people living with hand osteoarthritis
Methodological detailssystematic literature review, expert consensus, EULAR standardised procedures, Systematic review of literature (systematic reviews, meta-analyses, RCTs) from inception until November 24, 2023, Multidisciplinary group of 25 healthcare professionals and patients formulated the recommendations, Each statement assigned level of evidence, grade of recommendation and level of agreement
- Systematic literature review
- Expert consensus
- EULAR standardised procedures
- Systematic review of literature (systematic reviews, meta-analyses, RCTs) from inception until November 24, 2023
- Multidisciplinary group of 25 healthcare professionals and patients formulated the recommendations
- Each statement assigned level of evidence, grade of recommendation and level of agreement
Recommendations
As issued by the authors
General principles: treatment objectives, individualised management, patient education, and a multimodal approach combining non-pharmacological and pharmacological therapies
Non-pharmacological strategies: exercise, ergonomic advice, assistive devices, orthoses and heat applications
Against electromagnetic waves, laser therapy, acupuncture or kinesiotaping
Topical and oral NSAIDs, acetaminophen, chondroitin sulfate for symptom relief
Low-dose oral corticosteroids for inflammatory flares
Intra-articular steroid injections for inflammatory painful interphalangeal osteoarthritis (OA)
Against conventional synthetic or biological disease-modifying anti-rheumatic drugs (DMARDs), given current data
Original publication
Composed by AI from the published abstract and checked against it. How Briefs are made →