What is the first line treatment for osteoarthritis?

The first-line treatment for osteoarthritis is acetaminophen, which is often recommended as an initial approach to manage pain associated with this condition. Acetaminophen is preferred for several reasons. It is generally well-tolerated, with a favorable side effect profile compared to nonsteroidal anti-inflammatory drugs (NSAIDs), particularly for patients who may be at risk for gastrointestinal issues or cardiovascular problems.

Acetaminophen works by elevating the pain threshold and is effective for mild to moderate pain relief. It is particularly suitable for patients with osteoarthritis as it can alleviate discomfort without the potential complications associated with more potent anti-inflammatories. Additionally, acetaminophen can be safely used in conjunction with other non-pharmacologic treatments, making it a versatile option in the management of osteoarthritis.

Other treatments listed, while they may play a role in the broader management of osteoarthritis, are not prioritized as first-line options. For example, ibuprofen and other NSAIDs are effective for pain relief but carry risks of side effects. Corticosteroids may be utilized in more severe cases or when there are flares, but they are not considered first-line due to potential long-term adverse effects. Lastly, while physical therapy is an important component of a