We would see very many cases of osteoarhritis in a week. Treatment options or really management options are multiple. In fact we advise a multifactorial approach which includes surgery were needed. A long term strategy is important to control the symptoms, and even then there still needs to be an occasional fire brigade treatment of flare ups. It is often forgotten how easy osteoarthritis develops after even quite minor injuries to joints or the structures that are intimately associated with them.