Applicative therapy (local treatment) is a simple and painless method for treating patients with osteoarthritis, supplementing drugs prescribed systemically (paracetamol, NSAIDs, etc.).
A new direction in the symptomatic treatment of osteoarthritis and other diseases of the musculoskeletal system is the use of combined inhibitors of cyclooxygenase and lipoxygenase - COX and LOG.
Non-narcotic analgesics (for example, paracetamol) are more often used during the washing period when NSAIDs are approved. However, the results of comparative studies conducted in the 80-90s of the last century indicate that paracetamol may be an alternative to other NSAIDs
Virtually all drugs used in the treatment of patients with osteoarthritis (NSAIDs, depot-GCS, hyaluronic acid, chondroitin sulfate, etc.), have a symptomatic effect, but differ in the rate of onset of the effect
Systemic enzyme therapy (SET) was developed in 1954 by M. Wolff and K. Ransberger and is successfully used in Europe and the US in the treatment of various diseases accompanied by an inflammatory syndrome.
As a natural component of articular cartilage, glucosamine sulfate (sulfated derivative of natural aminomonosaccharide of glucosamine) was first used as a tool that stimulates reparative processes in patients with osteoarthrosis more than 20 years ago.
A physician of the therapeutic profile should remember that every patient with osteoarthritis, regardless of the stage of the disease, should be consulted by an orthopedist who decides on the necessity and scope of surgical intervention.
The spa treatment is directed to patients with osteoarthritis of the I-III radiologic stage according to Kellgren and Lawrence without synovitis or with its mild exacerbation.
Primary prevention of osteoarthritis should be carried out as early as childhood. It is necessary to monitor the correct posture of the child at the school desk in order to avoid the formation of juvenile scoliosis with the subsequent development of deforming spondylosis. Children need systematic gymnastics to strengthen the muscular-ligamentous apparatus.
