This document discusses updates in the management of osteoarthritis. It notes that current treatments aim to reduce pain and improve function without improving joint structure. Both pharmacological and non-pharmacological options are presented, including education, exercise, assistive devices, analgesics, disease-modifying drugs, and intra-articular therapies like corticosteroids, hyaluronic acid, platelet-rich plasma, mesenchymal stem cells, and adipose-derived stem cells. While guidelines show evidence for many newer modalities is still lacking, they are increasingly being used based on experience while more high-quality research is still needed.