Osteoarthritis

 

 

A degenerative illness disturbing the articular hyaline cartilage that covers the bone surfaces of synovial joints calls (knee, hip, hand joints ...) is called Osteoarthritis. Far from being a static method, osteoarthritis is caused by an imbalance between the mechanisms of regeneration & degeneration of cartilage. As a consequence of a heterogeneous group of factors is disturbed chondrocyte metabolism involves a thinning of cartilage, bone changes associated with regenerative working together to determine the clinical manifestations of the disease to be discussed later.

What are the causes of osteoarthritis?


The main symptom is pain, insidious onset, deep and badly localized, which generally increases with movement and improves with rest. As the disease progresses, the pain is continuous and may occur even at rest. It may appear stiffness aggravated after rest. Joint deformities occur during disease due to increased bone component and a physical examination capsular. A these deformities are seen as a limitation of mobility with pressure pain, clicking, crepitus and joint radiology affect. In the early stages may be normal, but more generally to observe a narrowing of the joint space associated with bone sclerosis and marginal osteophytes appear (bony). There is no specific laboratory abnormalities of osteoarthritis.

What are the symptoms of osteoarthritis?


The main symptom is pain, insidious onset, deep and poorly localized, which generally increases with movement and improves with rest. As the disease progresses, the pain is continuous and may occur even at rest. It may appear stiffness aggravated after rest. Joint deformities occur during disease due to increased bone component and a physical examination capsular. A these deformities are seen as a limitation of mobility with pressure pain, clicking, crepitus and joint radiology afecta . in the early stages may be normal, but more generally to observe a narrowing of the joint space associated with bone sclerosis and marginal osteophytes appear (bony). There is no specific laboratory abnormalities of osteoarthritis.

Who is at risk?


This is the most common joint disease currently on the increase over the aging of the population. Is estimated to affect between 1 and 2 percent of the population, predominantly female and a strong association with age. Here 55 years, joint participation was similar in men and women. Above this age, the most common is often injured the hip in men and joints of the hands of women.

What is the treatment for osteoarthritis?


Management of osteoarthritis focuses on the treatment of clinical manifestations and to a lesser extent, in its prevention. The possibility of a causal therapy begins to have a theoretical basis. Symptomatic Treatment: The goal should be to relieve pain and prevent disability the most functional on the other hand should be established for each patient individually, taking into account the pathogenetic factors in each case (to avoid overloading ... ).Drug treatment includes intra-articular corticosteroid injections and medication use anti-inflammatory drugs (NSAIDs), always using the lowest effective dose. Topical NSAIDs may be useful to support treatment, joint pain do NSAIDs superficiales. Si fade and significantly limits daily activities, surgical treatment should be considered, including different procedures. First, if the osteotomy is feasible (to avoid an uneven distribution of charges), which relieves pain and may limit the progression of the disease. If this is not possible, we should consider joint replacement or arthroplasty, very useful in the hip and knee. To stop the progression of the disease, have tested two types of drugs acting symptomatic effect slow (SAL) and the so-called chondroprotective. Among the former are the chondroitin sulfate or hyaluronic acid, which relieve moderate pain weeks after application, which is obtained by reducing the consumption of NSAIDs. Chondroprotective treatment should be treated with caution, is not quite clear today its effectiveness.