Chronic pain
Initial management of pain due to osteoarthritis

Judith (52 years old)

Judith is a 52-year-old children book writer.

Her medical record contains the following information:

  • BMI: 31
  • Mild form of hay fever, sporadically managed with ebastine 10 mg
  • Occasional smoker
  • Mild knee OA:
    • Diagnosed 2 years ago
    • Likely triggered by bilateral varus deformity
    • Managed with occasional intake of paracetamol

She visits your clinic as she has been experiencing daily stiffness and pain for the past weeks, especially in her right knee or after a long day's work sitting at her desk.

You notice that Judith knows little about her condition and decide to take some time to inform and educate her, providing her with sensible lifestyle advice.

Which of the following options would you advise as a first step to reduce pain and improve physical functioning in this patient?