Introduction — This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.
The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.
Links to related guidelines are provided separately:
●(See "Society guideline links: Knee pain".)
●(See "Society guideline links: Total knee arthroplasty".)
●(See "Society guideline links: Hip and groin pain".)
●(See "Society guideline links: Total hip arthroplasty".)
International
●Osteoarthritis Research Society International (OARSI): Guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritis (2019)
●A new decision tree for diagnosis of osteoarthritis in primary care – International consensus of experts (2019)
●Ottawa Panel: Guidelines on programmes involving therapeutic exercise for the management of hand osteoarthritis (2018)
●Athletic Trainers' Osteoarthritis Consortium (ATOAC): A consensus statement on the role of athletic trainers in preventing and managing posttraumatic osteoarthritis in physically active populations (2017)
●Ottawa Panel: Clinical practice guidelines for the management of knee osteoarthritis – Part one: Introduction, and mind-body exercise programs (2017)
●Ottawa Panel: Clinical practice guidelines for the management of knee osteoarthritis – Part two: Strengthening exercise programs (2017)
●Ottawa Panel: Clinical practice guidelines for the management of knee osteoarthritis – Part three: Aerobic exercise programs (2017)
●Ottawa Panel: Evidence-based clinical practice guidelines for therapeutic exercise in the management of hip osteoarthritis (2015)
●Ottawa Panel: Evidence-based clinical practice guidelines for aerobic walking programs in the management of osteoarthritis (2012)
●Ottawa Panel: Evidence-based clinical practice guidelines for the management of osteoarthritis in adults who are obese or overweight (2011)
Canada
●Choosing Wisely Canada: Don't order a hip MRI when x-rays demonstrate osteoarthritis and symptoms are suggestive of osteoarthritis as the MRI rarely adds useful information to guide diagnosis or treatment (updated 2021)
●Choosing Wisely Canada: Don't order a knee MRI when weight-bearing x-rays demonstrate osteoarthritis and symptoms are suggestive of osteoarthritis as the MRI rarely adds useful information to guide diagnosis or treatment (updated 2021)
●Choosing Wisely Canada: Don't order an MRI for suspected degenerative meniscal tears or osteoarthritis (OA) (updated 2021)
●Choosing Wisely Canada: Don't prescribe opioids for management of osteoarthritis before optimizing the use of non-opioid approaches to pain management (updated 2021)
●Choosing Wisely Canada: Don't use arthroscopic debridement as a primary treatment in the management of osteoarthritis of the knee (updated 2021)
●Choosing Wisely Canada: Don't use glucosamine and chondroitin to treat patients with symptomatic osteoarthritis of the knee (updated 2021)
●Choosing Wisely Canada: Don't use lateral wedge insoles to treat patients with symptomatic medial compartment osteoarthritis of the knee (updated 2021)
●Choosing Wisely Canada: Don't use needle lavage to treat patients with symptomatic osteoarthritis of the knee for long-term relief (updated 2021)
●Arthroscopy Association of Canada (AAC): Position statement on intra-articular injections for knee osteoarthritis (updated 2020)
United States
●American Academy of Orthopaedic Surgeons (AAOS): Evidence-based clinical practice guideline for the management of osteoarthritis of the knee (non-arthroplasty) (2021)
●AAOS: Evidence-based clinical practice guideline for the management of glenohumeral joint osteoarthritis (2020)
●American College of Rheumatology (ACR)/Arthritis Foundation (AF): Guideline for the management of osteoarthritis of the hand, hip, and knee (2019, published 2020)
●Choosing Wisely: Avoid routine use of opioids for treatment of knee osteoarthritis, hip osteoarthritis, low back pain, or rotator cuff injury (2020)
●Choosing Wisely: Avoid routinely performing arthroscopy with lavage and/or debridement in patients with a primary diagnosis of symptomatic osteoarthritis of the knee (2020)
●Department of Veterans Affairs (VA)/Department of Defense (DoD): Clinical practice guideline for the non-surgical management of hip & knee osteoarthritis, version 2.0 (2020)
●American College of Radiology (ACR): ACR Appropriate Criteria chronic knee pain (revised 2018)
●American Physical Therapy Association (APTA): Knee pain and mobility impairments – Meniscal and articular cartilage lesions, revision (2018)
●AAOS: Appropriate use criteria for the management of osteoarthritis of the hip (2017)
●AAOS: Evidence-based clinical practice guideline for the management of osteoarthritis of the hip (2017)
●APTA: Hip pain and mobility deficits – Hip osteoarthritis, revision (2017)
●AAOS: Appropriate use criteria for the surgical management of osteoarthritis of the knee (2016)
●ACR: ACR Appropriate Criteria chronic hip pain (revised 2016)
●American Medical Society for Sports Medicine (AMSSM): Scientific statement concerning viscosupplementation injections for knee osteoarthritis – Importance for individual patient outcomes (2016)
●AAOS: Evidence-based clinical practice guideline for the surgical management of osteoarthritis of the knee (2015)
●AAOS: Appropriate use criteria for non-arthroplasty treatment of osteoarthritis of the knee (2013)
●Choosing Wisely: Don't use lateral wedge insoles to treat patients with symptomatic medial compartment osteoarthritis of the knee (2013)
●Choosing Wisely: Don't use needle lavage to treat patients with symptomatic osteoarthritis of the knee for long-term relief (2013)
●Agency for Healthcare Research and Quality (AHRQ): Choosing nonopioid analgesics for osteoarthritis – Clinician summary guide (2009)
Europe
●European League Against Rheumatism (EULAR): Recommendations for intra-articular therapies (2021)
●EULAR: 2018 update of the recommendations for the management of hand osteoarthritis (published 2019)
●European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO): An expert consensus on gut microbiota and osteoarthritis management (2019)
●EULAR: Recommendations for physical activity in people with inflammatory arthritis and osteoarthritis (2018)
●EULAR: Recommendations for the health professional's approach to pain management in inflammatory arthritis and osteoarthritis (2018)
●EULAR: Recommendations for the use of imaging in the clinical management of peripheral joint osteoarthritis (2017)
●ESCEO: An algorithm recommendation for the management of knee osteoarthritis in Europe and internationally (2014)
●EULAR: Recommendations for the non-pharmacological core management of hip and knee osteoarthritis (2013)
●EULAR: Evidence-based recommendations for the diagnosis of knee osteoarthritis (2010)
●EULAR: Evidence-based recommendations for the diagnosis of hand osteoarthritis – Report of a task force of ESCISIT (2009)
United Kingdom
●National Institute for Health and Care Excellence (NICE): Guideline on osteoarthritis in over 16s – Diagnosis and management (2022)
●NICE: Quality standard on osteoarthritis in over 16s (2015, updated 2022)
●NICE: Interventional procedures guidance on genicular artery embolisation for pain from knee osteoarthritis (2021)
●NICE: Interventional procedures guidance on midcarpal hemiarthroplasty for wrist arthritis (2019)
●NICE: Interventional procedures guidance on platelet-rich plasma injections for knee osteoarthritis (2019)
●Scottish Intercollegiate Guidelines Network (SIGN): Management of chronic pain – A national clinical guideline (2013, revised 2019)
●NICE: Interventional procedures guidance on implantation of a shock or load absorber for mild to moderate symptomatic medial knee osteoarthritis (2015)
●NICE: Interventional procedures guidance on joint distraction for knee osteoarthritis without alignment correction (2015)
Australia-New Zealand
●Choosing Wisely Australia: Do not perform arthroscopy with lavage and/or debridement or partial meniscectomy for patients with symptomatic osteoarthritis of the knee and/or degenerate meniscal tear (2018)
●Royal Australian College of General Practitioners (RACGP): Guideline for the management of knee and hip osteoarthritis, 2nd edition (2018)
●Australian Commission on Safety and Quality in Health Care (ACSQHC): Osteoarthritis of the knee – Clinical Care Standard (2017)
Japan
●[In Japanese] Choosing Wisely Japan: Treating osteoarthritis of the knee – Supplements do not work (2016, updated 2017)
●[In Japanese] Japanese Orthopaedic Association (JOA)/Japanese Hip Society: Oriental hip arthritis clinical practice guidelines, 2nd edition (2016)
