Osteoarthritis Treatment
The purpose of osteoarthritis treatment is that blocking the vicious cycle, the lifting of symptoms, improve the scope of activities to enhance joint stability, and delay the process of lesion development. The treatment of osteoarthritis include drug therapy (medication) and surgical treatment.
Drug treatment (medication): non-steroidal drugs (NSAIDs) is the most commonly used clinically, including Fenbid, Rotary Terbutaline, Mobic, Li Rui-fen and so on. Their precise effect, but side effects are more obvious, such as the gastrointestinal adverse reactions, such as renal dysfunction. COX -2 specific inhibitors (Celebrex) in front of several drugs, compared with more security, but the elderly and patients with cardiovascular disease should be used with caution. In addition, it is commonly used acetaminophen (paracetamol), antipyretic and analgesic effects of only a few free anti-inflammatory effects and renal toxicity of lower gastrointestinal adverse reactions in small, acute and chronic pain is an important drug treatment. Opioid agents are still the most effective existing analgesics. Commonly used clinically are codeine, fentanyl, morphine and so on. Opioids in the treatment of the role of common adverse reactions, including analgesia, sedation, respiratory depression, dependence and so on. Although chronic pain can occur in patients with opioid tolerance (that is, gradually increasing analgesic effective dose), but rare phenomenon of opioid addiction. Nausea and vomiting in order to reduce adverse reactions, drug dosage can be started from a young age, and gradually increase. The purpose of hormone as the analgesic drug application, must be appropriate. There are indications hormone cancer pain, especially in metastatic bone pain and some bone and joint, muscle, ligament, myofascial pain caused by inflammatory response, such as. In the use of the process, it is necessary to avoid duplication of medication, otherwise, it would just increase the amount of drugs could not improve the efficacy, but adverse reactions increase.
Surgical therapy: if a very serious symptoms of osteoarthritis, ineffective drug therapy, and impact the daily lives of patients, should use surgical treatment. Osteoarthritis of the knee, it is first recommended arthroscopic joint dissection, this type of surgery for some patients have a certain effect of the near future. For the majority of joint replacement surgery for osteoarthritis, the femoral head necrosis, rheumatoid arthritis patients in pain relief and restore joint function has a significant effect, but as a result of joint replacement surgery there are some short-term and long-term complications, such as parts loosening and wear, osteolysis, these complications is still not fully resolved. Therefore, strict indications for joint replacement surgery has become really important. Strictly speaking, surgical indications include: 1. the relevant section of the radiology evidence of damage; 2. existence to the continued severe pain or disability had been caused; 3. a variety of non-surgical treatment of patients invalid.
Other treatments: including the patient's self-training, weight loss, aerobic exercise, range of motion training, strength training, mobility aids, tools, knee varus wedge insoles line, joint protection and so on. Europe and the United States as part of the treatment of patients with the above symptoms can be reduced to restore normal life and work.
Weakened quadriceps may be the cause of knee osteoarthritis, one of the risk factors, due to the weakening of quadriceps muscle strength, knee stability were affected, normal muscles of the buffer should be able to cut, Therefore to strengthen the quadriceps muscle strength training and aerobic training on osteoarthritis patients is beneficial.
Plant preparation such as Pagosid is anti-inflammatory, anti-rheumatic, analgesic and immune regulation. Chronic musculoskeletal pain in patients pagosid patients can significantly ease the discomfort of pain and to improve the activities of the extent of joint involvement. Lappaconitine Department for the treatment of moderate pain. After years of clinical observation, was found on inflammatory pain (such as rheumatoid arthritis or rheumatic pain, etc.) better. Antidepressants during the initial treatment to long-term pain caused by depression, and later found success in the treatment of depression accompanied by at the same time ease the pain. These drugs can be used for back pain and joint pain such as pain continued progress on the effective, but rarely able to completely eliminate the pain, a strong adverse reaction is the main defect. The main clinical use is tricyclic antidepressants, including amitriptyline, maprotiline, such as norepinephrine. In addition, the stability of estazolam can also play a role in pain relief. Chlorzoxazone, strong gluten, drug-song have a clear analgesic effect because of muscle relaxant. Calcitonin not only is treatment of osteoporosis, but also have a good effect for the limb pain and complex regional pain syndrome (CRPS). Other auxiliary substances, including vitamins, trace elements, amino acids, such as is the more commonly used in clinical orthopedic treatment of chronic pain drugs complementary.
The use of natural shark cartilage powder to arthritis treat, especially in natural peak saw-tooth sharks (blue shark) cartilage powder can be obtained from the Human articular renewable and widely used as a substitute for medical and clinical. Natural peak saw-tooth shark cartilage powder is not only a significant effect, and natural no side effects.
