Treatment depends on the degree of impairment. For patients who demonstrate the algorithm will determine the treatment of arthritic symptoms in patients with osteoarthritis: modification of activity, physical therapy and administration of NSAIDs. Surgery is indicated when the response to these modalities is unsatisfactory.For people with acute episodes of pain and disability is recommended for symptomatic arthrocentesis with intra-articular corticosteroid administration. NSAIDs and colchicine can be used to prevent recurrent episodes.
There are several studies showing favorable results by reducing calcium deposits acetic acid-EDTA ethylene diamine. It strongly binds divalent cations including calcium and shows the potential to remove the affected area. The role of EDTA in the treatment of extensive investigations because condrocalcinozei still need the agent shows significant adverse effects.
Pulsed ultrasound proved to be an effective treatment for some diseases calcification. Patients have pain relief. In a study carried out 50% of treated subjects showed calcifications halved after 6 weeks of treatment.Methotrexate has been shown effective in patients with severe disease and joint destruction. Recent studies suggest the important role of inflamason complex. Anakira is such an option in patients with this condition.
Surgical therapy:Arthroscopic surgery allows debridement of the superficial deposits of crystals. This procedure does not alter disease progression. Surgical treatment of osteoarthritis with debridement, microfracture chondroplasty by, radiofrequency chondroplasty, osteochondral transfer, osteotomy and partial or total joint reinlocuirea complete regimens.When lesions are present tofacee indicate large surgical excision.Although the impact on the viability of storing crystals and future performance of the articular cartilage and meniscus are not clear, it is considered a fragile tissue induced by precipitates.
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