MRCP2-4651

MRCP2-4651

A 67-year-old woman presents to the rheumatology outpatient department with complaints of bilateral knee pain that worsens with movement. She has a medical history of hypertension and takes amlodipine. She has a smoking history of 20 years, smoking five cigarettes per day, and does not consume alcohol. She works as a cleaner.

During the examination, mild swelling is observed in both knees, and there is patellofemoral crepitus. No joint swelling or tenderness is noted elsewhere. Cardiorespiratory examinations are normal.

What is the most suitable course of action?