Although in the OA the alteration of the cartilage predominates, other structures such as the subchondral bone, the ligaments, the joint capsule, the synovial membrane, the periarticular muscles, the menisci and the Sensorial nerve endings can be affected by the inflammatory process. The response of the subchondral bone consists in the production of new bone, generating marginal osteophytes apparent to the exterior as nodules that can be inflamed secondarily or as bone growths capable of irritating neighboring structures.
This conditions the destruction and alteration of the subchondral bone and propitiates the subsequent inflammatory reaction, responsible for the destruction of bone and cartilage, the cartilage not only does not regenerates, but can disappear in an important and extensive way.
The management of OA requires, first of all, adopting lifestyles that include reducing overweight, practicing moderate but systematic physical activity and Chinese Medicine in Melbourne. Specific exercises of the affected region, correcting postures, together with physical and rehabilitation medicine, although, various ortopsis are also used (splints, canes, crutches, corsets) , among others).
However, in many cases these measures are insufficient and pharmacological therapy is essential, which can be administered topically, orally or intraarticularly. Pharmacological alternatives and Chinese Medicine in Melbourne used in the management of osteoarthritis in the elderly. Symptomatic anti-inflammatory and analgesic treatment is essential, and is often the only pharmacological therapy that is prescribed to the patient.
In this sense, anti-inflammatories are the therapeutic class most used by patients with OA with the aim of reducing pain and improving the well-being of patients. None of the aforementioned treatments, however, modifies the cause of the damage generated during the development of OA, objective for which the chondromodulating agents that modify cartilage structures are used, such as hyaluronic acid, and glucosamine sulfate and chondroitin.
Their consumption in large quantities and in treatments at medium and In the long term, they help to replace the material lost in the catabolic process associated with inflammation, although the results of its benefits in this direction are not uniformly positive. On the other hand, other complementary or traditional medicine products with antioxidant properties or anti-inflammatory, have shown encouraging, but limited, results in in vitro and in vivo models of OA.
Cases of refractory or severe OA include treatment with local or intra-articular infiltrations, arthroscopic procedures, partial or total prostheses, among others; and finally, surgery in cases in which the degree of pain, joint dysfunction and deterioration of the quality of life requires it, which ranges from an arthroscopy with removal of cartilage fragments to total arthroplasty of the joint.
The term soft tissue rheumatism is one of the multiple designations of a group of entities that are characterized by regional pain of the extremities and whose usual cause is the abuse of tendons, entheses and bursas.
