Name

Birth Date

Age

Gender

Male Female

Residency

--< Select >-- Cairo Giza Alexandria Port Said Suez Demiatt Dakahlia Sharkia Qalyoubia Kafr Shaikh Gharbia Menouffia Behaira Ismaillia Beni Suif Fayoum Minia Assuit Sohag Qena Asswan Luxor Al Bahr Al Ahmar Al Wadi Al Gaddid Matrouh N. Sinai S. Sinai Other Country

Occupation

Weight (kg)

Height (m)

BMI (Body Mass Index)

Smoking

Yes No

Informed Consent

Diabetes mellitus

Yes No

Knee pain in the absence of recent trauma or injury

Yes No

Chondrocalcinosis

Yes No

Arthroscopy

Yes No

Meniscectomy

Yes No

Joint trauma

Yes No

Does the patient show signs of osteoarthritis in other site than knee

Yes No

Bouchard's nodes

Yes No

Heberden's nodes

Yes No

Knee OA

Yes No

Hip OA

Yes No

Spine OA

Yes No

OA in other sites

Does the patient report pain when squatting

Yes No

Does the patient report knee pain increasing with overload

Yes No

Does the patient report walking limitations

Yes No

Does the patient report knee pain after sitting

Yes No

How long knee symptoms last (in months)

How many episodes of pain in the last 6 months

How long the episodes of pain in the last 6 months lasted

Did the pain episodes in the last 6 months spontaneously resolve

Yes No

VAS scale for pain

--< Select >-- 0 1 2 3 4 5 6 7 8 9 10

Right knee Kellgren Lawrence class (grade)

Grade 0 Grade I Grade II Grade III Grade IV

Left knee Kellgren Lawrence class (grade)

Grade 0 Grade I Grade II Grade III Grade IV

MRI knees

ESR (mm/hr)

CRP (mg/dl)

NSAIDs

Never Previously but not ongoing Ongoing

Selective COX-2 inhibitor

Never Previously but not ongoing Ongoing

Acetaminophen

Never Previously but not ongoing Ongoing

Opioids

Never Previously but not ongoing Ongoing

Acetaminophen + Opioids

Never Previously but not ongoing Ongoing

Other analgesics

Local steroid injection

Never Previously but not ongoing Ongoing

Hyaluronic acid injection

Never Previously but not ongoing Ongoing

Platelet Rich Plasma (PRP)

Never Previously but not ongoing Ongoing

Collagen

Never Previously but not ongoing Ongoing

MD collagen

Never Previously but not ongoing Ongoing

Other local knee injection therapy

Never Previously but not ongoing Ongoing

Glucosamine sulphate

Never Previously but not ongoing Ongoing

Condroitin sulphate

Never Previously but not ongoing Ongoing

Diacerin

Never Previously but not ongoing Ongoing

Avocado and Soya oil

Never Previously but not ongoing Ongoing

Anti IL1 (Low dose)

Never Previously but not ongoing Ongoing

IL10 (Low dose)

Never Previously but not ongoing Ongoing

Combinations of chondroprotectives