OA as a Balance of Etiologic Factors and Tissue Processes

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Age
Diabetes mellitus,
HTN, hypeuricemia

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Factors with protective influence on OA
• Reproductive variables (Estrogens)
• Osteoporosis
• Smoking
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Joint tenderness
Joint limitation
Pain on effort

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Therapy used for patients with OA
Education
Exercise therapy
Hydrotherapy
Footwear and walking aids
Systemic drug therapy
Intra-articular drug therapy
Rubefaciens and other local applications
Surgery: arthroscopy, osteotomy, joint replacement, arthrodesis
Complimentary techniques for pain relief:
chiropractic, acupuncture, shiatsu, massage, herbal
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Overall experts' opinion of the
usefulness of the different treatment
modalities for OA (EULAR)
Exercise
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Exercise
Joint replacement
Joint replacement
Sticks
Sticks
IA steroids
Insoles
IA steroids
Diet
Insoles
Diet
SYSADOA
Psychotropic drugs
SYSADOA
Psychotropic drugs
IA hyaluronate
IA hyaluronate Spa
Telephone
Osteotomy
Series1
opioids
Vitamines
Arthroscopy
Vitamines
Sex hormones
SexMinerals
hormones
Minerals
NSAIDs
NSAIDs
100
VAS
80
60
40
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16
13
10
7
4
1
0
Treatment modality
0 = I do not recommend,100 = I strongly recommend

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