*5.4.3 Conclusion*

Acupuncture may have some advantages in the management of knee OA, and it is more effective in pain alleviation when combined with a hyaluronic acid injection. However, due to the low quality of evidence, small sample size, and high risk of the studies, rigorously conducted randomized controlled trials with large sample numbers are required to confirm the findings. Thus, improved methodological quality is required.
