Osteoarthritis - conservative treatment

There is no therapy for primary arthrosis because it has an unknown etiology.
Prevention of secondary OA – early detection and treatment of VVV and other diseases.
Basic rules of treatment – daily exercise, weight reduction, diet and sport.

It does not cure, it only dampens the unpleasant reactions that accompany it.
The basis of this therapy is physical activity, hydrotherapy, massages, heat or cold treatment, ultrasound, magnetotherapy.
Effective rest therapy, Priessnitz compresses – apply a cloth soaked in cold water for 1-2 hours, the limb must be up, after removing the compress, leave the limb in dry heat (best before going to bed).
In the later stages, we use orthopedic aids - sticks, crutches.

Many substances, analgesics, nonsteroidal antirheumatic drugs , corticosteroids,...

Anti-inflammatory, analgesic and antipyretic effects, over 200 preparations.
They inhibit COX, COX-1 but protects the gastric mucosa, COX-2 is induced during inflammation.
Various gels and ointments with anticoagulant, anti-inflammatory and anti-edema effects - Heparin, Hirudoid, Voltaren,...

Most often, intra-articular applications or spraying of painful tendons and ligaments.
They reduce the formation of synovial effusion and relieve pain.
KI – inflammation, virus, TB.
We must not apply intratendinous (danger of rupture).
We usually use them when other treatments do not work and the patient is not indicated for surgery.

These are so-called slow-acting substances (SADOA - slow acting drugs of osteoarthrosis) - chondroprotectants (for young people, in the initial stages) - hyaluronic acid, chondroitin sulfate, glucosamine sulfate.

Links[edit | edit source]

BENEŠ, Jiří. Study materials [online]. ©2012. [feeling. 16.2.]. < http://jirben2.chytrak.cz/materialy/orto,trauma_jb.doc >.