Starting at the centre and working outward, the treatments are arranged in the order in which they should be considered for people with osteoarthritis, given that individual needs, risk factors, and preferences will modulate this approach. In accordance with the recommendations in the guideline, there are three core treatments that should be considered for every person with osteoarthritis - these are given in the central circle. Interventions to achieve weight loss will be appropriate if the person is overweight or obese. Where further treatment is required, consideration should be given to the second ring, which contains relatively safe pharmaceutical options. Again, these should be considered in light of the person’s individual needs and preferences. A third outer circle gives adjunctive treatments. These treatments all meet at least one of the following criteria: less well proved efficacy, less symptom relief, or increased risk to the patient.
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