FSEM Diploma In MSK Medicine Practice Questions - Faculty Of Sport And Exercise Medicine Diploma In Musculoskeletal Medicine Exam

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A 62-year-old man presents with progressive weight-bearing left knee pain and stiffness lasting 15–20 minutes each morning. On examination, there is crepitus, mild bony enlargement, and reduced terminal flexion. Plain radiograph shows asymmetric medial joint space narrowing, subchondral sclerosis, and osteophytes. According to NICE guidelines, what is the initial non-pharmacological cornerstone of treatment?

Therapeutic exercise including strengthening and aerobic activity plus education Immediate total knee arthroplasty referral Custom lateral wedge shoe insoles Strict bed rest until joint inflammation subsides

Correct Answer:

Therapeutic exercise including strengthening and aerobic activity plus education

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