Osteoarthritis - conservative treatment


 * There is no therapy for primary arthrosis because it has an unknown etiology.
 * Prevention of secondary OA – early detection and treatment of VVV and other diseases.
 * Basic rules of treatment – ​​daily exercise, weight reduction, diet and sport.

Physical therapy

 * It does not cure, it only dampens the unpleasant reactions that accompany it.
 * The basis of this therapy is physical activity, hydrotherapy, massages, heat or cold treatment, ultrasound, magnetotherapy.
 * Effective rest therapy, Priessnitz compresses – apply a cloth soaked in cold water for 1-2 hours, the limb must be up, after removing the compress, leave the limb in dry heat (best before going to bed).
 * In the later stages, we use orthopedic aids - sticks, crutches.

Drug therapy

 * Many substances, analgesics, nonsteroidal antirheumatic drugs, corticosteroids,...

NSA

 * Anti-inflammatory, analgesic and antipyretic effects, over 200 preparations.
 * They inhibit COX, COX-1 but protects the gastric mucosa, COX-2 is induced during inflammation.
 * Various gels and ointments with anticoagulant, anti-inflammatory and anti-edema effects - Heparin, Hirudoid, Voltaren,...

Corticosteroids

 * Most often, intra-articular applications or spraying of painful tendons and ligaments.
 * They reduce the formation of synovial effusion and relieve pain.
 * KI – inflammation, virus, TB.
 * We must not apply intratendinous (danger of rupture).
 * We usually use them when other treatments do not work and the patient is not indicated for surgery.

New anti-arthrosis drugs

 * These are so-called slow-acting substances (SADOA - slow acting drugs of osteoarthrosis) - chondroprotectants (for young people, in the initial stages) - hyaluronic acid, chondroitin sulfate, glucosamine sulfate.

Related Articles

 * Osteoarthritis
 * Osteoarthritis - surgical treatment

Source

 * BENEŠ, Jiří. Study materials  [online]. ©2012. [feeling. 16.2.]. < http://jirben2.chytrak.cz/materialy/orto,trauma_jb.doc >.