Thursday, May 19, 2011

Degenerative Arthritis - Osteoarthritis - Treatment

Is pharmacological therapy of choice in osteoarthritis and include patient education, weight loss, thermal control, exercise, physical therapy, occupational.Stress relief joints:Instructs the patient to avoid worsening of mechanical stress on affected jointsProper posture is recommendedEncourage the obese to lose weight to relieve stress and balance genunchiu mechanically.Physical Therapy:Cause atrophy of knee osteoarthritis, quadriceps, muscles that help protect the articular cartilageWill perform the aerobic exercise-Hydrotherapy can have benefitsLocal heat-and capsaicin topical cream, or ice relieves the pain and stiffness.
Pharmacological Therapy:We want pain relief and functional status. The treatment begins with acetaminophen for moderate pain without apparent inflammation. If clinical response to acetaminophen is not satisfactory or if the clinical presentation is inflammatory is administered NSAIDs. Use the lowest dose if the pain is intermittent and most if patient response is not sufficient. Options for patients with gastrointestinal toxicity of NSAIDs include the addition of a proton pump inhibitor or misoprostol regimen or the use of selective cyclooxygenase inhibitors.
In patients with significant pain, tramadol is administered resistance. Muscle relaxants are helpful for patients with muscle spasms. Intra-articular corticosteroid injections improve symptoms.Should not be taken more than four injections in a single year because of the risk of joint cartilage destruction. Systemic corticosteroids have no role in controlling osteoarthritis. Intra-articular injections of hyaluronic acid therapy is symptomatic knee damage.
Surgical therapy:Joint lavage is beneficial to a small group of patients. Arthroscopy can help patients with knee osteoarthritis that imaging shows specific structural destruction, to repair cracks, meniscus, meniscus removed fragments that produce symptoms. Osteotomy is indicated in patients with hip or knee malalinierea. The procedure is recommended in young patients with osteoarthritis.Osteotomy can relieve pain. Arthroplasty is performed if the rest of the methods are inefficient and not viable osteotomy. This procedure improves pain and function.
Surgical Complications:Infection is the most feared complication of postsurgical, especially in cases of total arthroplasty. Prevention resultant thrombophlebitis and pulmonary embolism is important in patients suffering from lower limb arthroplasty.The success rate of hip and knee arthroplasty is 90%. The longevity of prosthetic implant depends on patient activity. Young and physically active patients will require reintervention.

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