How should osteoarthritis be treated

summary

Grandfather's joint has a little problem. Recently, he often feels pain in the joint for no reason, and the effect of sticking some plasters is not very good. The doctor said that this is osteoarthritis. Now let me tell you how to treat osteoarthritis.

How should osteoarthritis be treated

First: non drug treatment of osteoarthritis, including health education, self training, weight loss, aerobic exercise, range of motion training, muscle strength training, use of walking aids, wedge insole of genu varus, occupational therapy and joint protection, auxiliary facilities of daily life, etc.

Second: drug treatment of osteoarthritis. For most patients with osteoarthritis, mild to moderate pain can be controlled by taking analgesics. It mainly includes various non steroidal anti-inflammatory drugs (NSAIDs), such as selective COX-2 inhibitors (nabumetone, etodolic acid, etc.) and central analgesic drugs such as tramadol hydrochloride, etc. In drug treatment, we must pay attention to the side effects of some drugs, such as gastrointestinal bleeding, ulcer, perforation, and so on, as well as the side effects such as platelet aggregation inhibition caused by drugs.

Third: internal injection therapy. Hyaluronic acid and glucocorticoid are commonly used drugs. The former has been used in clinic for a period of time in China and has certain curative effect. The analgesic effect of glucocorticoid appears quickly. It is worth noting that intra-articular injection therapy is an invasive operation, to avoid iatrogenic intra-articular infection, the application of glucocorticoid should be cautious.

matters needing attention

Generally speaking, there are many treatment methods for osteoarthritis. In addition to the above three treatment methods, surgical treatment is also common. However, we generally do not recommend surgical treatment for patients, only for those patients who have been treated for a long time.