Inclusion criteria | |
Diagnosis | Knee osteoarthritis based on American College of Rheumatology clinical criteria26 and confirmed by radiographic findings |
Age | Over 50 years |
Pain duration | Knee pain for at least 6 months |
Severity | Average pain over past week rated as moderate or severe by the patient |
Medication | Willing to abstain from simple analgaesics, NSAIDs, weak opioids or medications that combine these, for 24 h prior to testing |
Consent | Willing and able to give full consent |
Exclusion criteria | |
Pathology | Lumbar or cervical radiculopathy, systematic inflammatory disease, positive screen for diabetic neuropathy, neuropathic pain |
Past medical history | Previous surgery or disease of the peripheral or central nervous system, sensory loss secondary to chemotherapy or radiotherapy, fibromyalgia, chronic fatigue syndrome |
Cognitive ability | Cognitive or psychiatric disorder interfering with ability to fully consent or cooperate with assessment |
Other treatment | Injection or physiotherapy treatment for knee joint within previous 3 months |
Medication | Taking antidepressant or anticonvulsant medication, strong opioids |
NSAID, Non-steroidal anti-inflammatory drugs.