MODERN APPROACHES TO THE COMPLEX TREATMENT OF OSTEOARTHRITIS: PRESENT AND FUTURE

DOI: https://doi.org/10.29296/25877305-2021-12-05
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Issue: 
12
Year: 
2021

N. Kunitskaya, MD, PhD. I.I. Mechnikov North-Western State Medical University, Ministry of
Health of Russia, Saint Petersburg

Osteoarthritis (OA) is a chronic progressive joint disease that poses a serious general medical and social problem. The disease is associated with an increased risk of death and requires the earliest possible appointment of therapy. According to modern recommendations, the treatment of patients should include non-pharmacological and pharmacological methods. The article discusses the basic therapy of OA, including symptomatic delayed-action drugs (SYSADOA), paracetamol, nonsteroidal anti-inflammatory drugs, intra-articular administration of hyaluronic acid and glucocorticosteroids, as well as issues of anesthesia for severe pain syndrome. Total knee replacement is recommended only for patients with the last stage of OA.
Keywords: 
osteoarthritis
modern therapy
recommendations
comorbidity
symptomatic drugs
chondroitin sulfate
paracetamol
tramadol
diacerein
capsaicin
etanercept
lutikizumab
Osteomed
regenerative methods

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