{"id":10857,"date":"2023-04-25T02:24:28","date_gmt":"2023-04-24T21:54:28","guid":{"rendered":"https:\/\/nutripad.ir\/en-us\/?p=10857"},"modified":"2023-12-20T11:03:20","modified_gmt":"2023-12-20T07:33:20","slug":"osteoarthritis-an-introduction-to-the-disease-and-its-treatments","status":"publish","type":"post","link":"https:\/\/nutripad.org\/en\/osteoarthritis-an-introduction-to-the-disease-and-its-treatments\/","title":{"rendered":"Osteoarthritis: An introduction to the disease and its treatments (Part1)"},"content":{"rendered":"\t\t
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Osteoarthritis is the most common joint disease<\/strong> and its prevalence increases with age<\/strong> (Peak incidence after age 60). 0.5% to 1% of the world’s population<\/strong> suffer from osteoarthritis (about 400 to 800 thousand people in Iran). Osteoarthritis is more common in women<\/strong>. The joints involved are generally the knee<\/strong>, hip<\/strong> and wrist<\/strong>. Cervical and lumbar spine<\/strong> joints are the next most commonly involved joints. In this disease, the cartilaginous tissue of the joints is gradually destroyed and degraded, which shows itself by reduced flexibility<\/strong> and pain<\/strong> in the joints. The symptoms of the disease lead to decreased range of motion and ultimately a significant reduction in the quality of life of the patients. Osteoarthritis is a chronic and progressive disease<\/strong>. Sufferers may eventually need joint replacement surgery.<\/p>

Non-pharmacologic treatments of osteoarthritis<\/strong><\/p>

Non-pharmacologic treatments are of importance in the treatment of osteoarthritis. These treatments include weight loss<\/strong>, exercise<\/strong>, strengthening<\/strong> muscles supporting the joint<\/strong>, and physiotherapy<\/strong>. In this disease, the kind of physical activity or sport should be determined carefully. Many activities may exacerbate joint damage and pain. Hydrotherapy<\/strong> and swimming<\/strong> are useful in osteoarthritis. Correcting excess weight<\/strong> plays a significant role in improving the disease. Sometimes a few kilos of weight loss reduce the pressure on the joint significantly.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Pharmacotherapy of osteoarthritis<\/strong><\/p>

Drug treatments are usually not able to definitively cure arthritis and often have a palliative effect and in the best they may prevent the progression<\/strong> of the disease. Palliative treatments for pain control, in order and based on the severity of the disease, are:<\/p>

– Acetaminophen<\/strong>, non-steroidal anti-inflammatory drugs (NSAIDs)<\/strong>: Those with fewer side effects are used first including ibuprofen in doses below 1200 mg per day, naproxen in doses equal to or less than 500 mg per day<\/p>

– Adding weak narcotics such as codeine or Tramadol<\/strong> to the above drugs (usually used for short periods).<\/p>

– If the affected joint is close to the surface (such as knees or wrists), topical medications<\/strong> may be effective and should be used in preference to oral treatments. For example, topical forms of diclofenac<\/strong>, piroxicam<\/strong> or capsaicin<\/strong><\/p>

– Intra-articular injection of corticosteroid<\/strong><\/p>

– Intra-articular injection of hyaluronic acid<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

Osteoarthritis is the most common joint disease and its prevalence increases with age (Peak incidence after age 60). 0.5% to<\/p>\n","protected":false},"author":1,"featured_media":10858,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[639],"tags":[],"class_list":["post-10857","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-knowledges"],"acf":[],"_links":{"self":[{"href":"https:\/\/nutripad.org\/en\/wp-json\/wp\/v2\/posts\/10857","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nutripad.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/nutripad.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/nutripad.org\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/nutripad.org\/en\/wp-json\/wp\/v2\/comments?post=10857"}],"version-history":[{"count":0,"href":"https:\/\/nutripad.org\/en\/wp-json\/wp\/v2\/posts\/10857\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/nutripad.org\/en\/wp-json\/"}],"wp:attachment":[{"href":"https:\/\/nutripad.org\/en\/wp-json\/wp\/v2\/media?parent=10857"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/nutripad.org\/en\/wp-json\/wp\/v2\/categories?post=10857"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/nutripad.org\/en\/wp-json\/wp\/v2\/tags?post=10857"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}