Under what circumstances would you consider low-dose radiation therapy for osteoarthritis in an older adult patient?

Here is a recent expert consensus by Joel Block on the use of low-dose radiation therapy in OA:

Some highlights:

"Placebo-controlled randomized clinical trials have now been reported using LDRT for OA of the knees and of the hands. Taken together, they do not show benefit beyond placebo... While a d...

Almost any and all circumstances.

I believe that older adult patients are often the ones who can benefit most from LDRT. These patients often have osteoarthritis in multiple joints and are the same patients suffering from comorbid conditions that limit the use of systemic analgesic medications, including NSAIDs and Acetaminophen. In...