Knee osteoarthritis is a common degenerative joint condition associated with chronic pain and functional limitation. While established first-line analgesic approaches apply to most patients, a subset experience contraindications, intolerance, or an inadequate response to standard therapy. This protocol addresses pain management specifically in that situation.
When standard options are not viable, the protocol includes an oral analgesic option considered appropriate for pain relief in the absence of alternatives.
DOI: 10.1016/j.rdc.2022.03.009.
Opioids, including tramadol, are generally not recommended, though guidelines did acknowledge that in some cases, such as in instances of contraindications, intolerance to, or inadequate response to NSAIDs, tramadol can be considered for pain relief in the absence of other viable options.
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