People with osteoarthritis may feel pain in their joints from time to time, especially when they are active. Taking some pain-relieving medications has the effect of relieving the pain. Some patients feel no pain after taking them and feel cured. So, can taking painkillers cure the disease?

One of the ways to treat the disease is to treat the symptoms. Patients can take pain medication when they feel pain. However, feeling no more pain after taking them means that the drugs have worked, but this does not mean that the disease is cured. Some patients think that they have gotten rid of the disease, so they stop treatment. In fact, the disease is still there, only the symptoms of pain are relieved or eliminated. If the treatment is not continued, it may lead to aggravation of the disease, and when the pain is felt again, some patients may still continue to take painkillers.

If a patient takes painkillers for a long time, it can be harmful to the body. The gastrointestinal tract, kidneys, liver and other organs will be damaged. For example, taking sodium salicylate for a long time will lead to dyspepsia, gastric mucous membrane erosion, gastric and duodenal ulcer bleeding, and even lead to perforation. In addition, taking large amounts of painkillers can also cause cardiovascular and hearing damage. Therefore, patients should not take a large number of painkillers because of pain, and should not take them for a long time.

Painkillers can only relieve the pain, but not achieve the purpose of treatment. So patients with osteoarthritis still need regular treatment. The main methods of treating osteoarthritis are medication and surgery.

Some of the medications needed in the treatment process are sodium hyaluronate, glucosamine, and non-steroidal analgesic and anti-inflammatory drugs. The use of sodium hyaluronate in patients with osteoarthritis, whose diseased joints are damaged, reduces friction between tissues. The drug acts as a lubricant and protects the cartilage of the joints. Whereas, if glucosamine is used, the damage to the cartilage cells will be reduced, the joint movement will slowly return to normal and the pain will slowly decrease. Non-steroidal analgesic and anti-inflammatory drugs may also be used to relieve joint edema and pain. In some patients, the symptoms are more severe and daily life is severely affected. These patients should undergo surgery.

To summarize, painkillers cannot cure osteoarthritis, and taking them in large quantities can lead to damage of body organs. Osteoarthritis patients should go to the hospital to receive regular treatment, and the treatment methods include medication, surgery and so on. Depending on the patient's condition, the doctor will recommend a treatment that is more suitable for the patient.

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Regardless of men and women, after 50 years of age, the body will obviously go downhill, to the age of 60 years old many diseases have revealed its claws, today I'll talk about the most common knee pain.

Common Diseases:

Osteoarthritis, rheumatoid arthritis, gouty arthritis, meniscus injury, etc.

Osteoarthritis is the most most common disease

Knee pain in middle-aged and elderly people is most commonly caused by bone and joint degeneration, which is also known as osteomalacia and osteoarthritis of the knee, due to the loss of water in the articular cartilage and the reduction of collagen as a result of aging, coupled with wear and tear caused by youth.

Treatment:

From the point of view of modern medicine, it is fundamental to treat the cause of the disease and the nature of the disease

1. Reduce squatting, going up and down stairs, and going up and down slopes.

2、Enhance the strength and resistance of large and small leg muscles

3, pay attention to knee warmth

4. Severe pain Oral NSAIDs + glucosamine tablets

5. Sodium vitrate injections can be used in the intermediate stage (there are multiple recommendations from the expert group, some are considered effective, some are considered ineffective, and most of the mild to moderate ones are still effective in my clinical work)

6. The seriousness of the need for surgery is to improve the quality of life. Many elderly people can no longer walk in pain and can only walk around the house, which will lead to a faster decline of the body!

Exercise therapy:

Introducing a way to build strength and resistance in the quadriceps:

Effective for some people with knee pain

The method is simple and effective, 3-4 times a day each time accounted for a little fatigue until, adhere to a week will have the effect of the

Points to note: the knee joint should not exceed 90 degrees, the elderly physical strength is weak, at first you can start from 130 degrees, slowly reduced

Lifestyle changes

1

Learn the difference between osteoarthritis and rheumatoid arthritis.

Although they have similar characteristics, they have different causes.

People with rheumatoid arthritis feel pain because the autoimmune system attacks the joints. People with osteoarthritis feel pain because their joints move a lot.

The type of arthritis varies and the treatment required may be different.

Rheumatoid arthritis can occur at any age, whereas osteoarthritis starts with frequent use of the joints, so it usually occurs after middle age. Rheumatoid arthritis disease usually progresses rapidly, rather than slowly becoming apparent over a period of years.

How do you know you have rheumatoid arthritis and not osteoarthritis?

You'll mainly have to keep an eye out for any other symptoms that come up, such as feeling fatigued and feeling sick all the time.

Large and small joints on both sides of the body are affected by rheumatoid arthritis. Pain in the joints in the morning for more than an hour.

Some people with osteoarthritis also feel pain in the morning, but most of the time it's only when the affected joint is used.

2

Weight control.

Being overweight can trigger or aggravate arthritis complications and can also trigger arthritis pain. You should slowly make lifestyle changes, such as exercising more and eating healthier, so that you can lose weight.

You need to work the muscles around the joints, but not hurt them.

Focus on stretching and joint mobility exercises to gradually increase your strength. Avoid running, jumping, tennis and high-impact cardio.

Try doing your exercise a little later in the day. That way your joints won't be as stiff when you wake up the next morning.

Lifestyle changes must be made consistently in order to maintain weight over time and improve overall health and reduce pain caused by arthritis.

Losing weight also helps to slow down the degeneration of joints caused by aging and wear and tear.

3

Stay active.

In addition to doing exercises, it is important to move your muscles more throughout the day.

After a long period of immobilization, you will feel more pain once you start moving.

Stand up and walk around at least once an hour while at work. Adjust your posture frequently by rotating your neck, changing the position of your hands, bending and stretching your legs.

If your legs are in severe pain due to arthritis, you should get up and walk around every 30 minutes.

4

Receive physical therapy.

If the joints become less mobile, your doctor may put you in physical therapy. A physical therapist can teach you exercises to keep your muscles and joints strong and relaxed so they don't become too stiff.

Therapists can also design a personal fitness program for you that covers strength training and cardio to help reduce joint pain, improve health and maintain weight.

5

Do yoga.

Yoga combines deep breathing, meditation, and specific body poses that not only help reduce joint pain and stiffness, but also de-stress. Listen to how your body feels and only do poses that will help with mobility and won't hurt your joints.

Start slowly and familiarize yourself with the movements before gradually increasing them.

6

Use of assistive devices.

If the pain is severe, you may be able to use some assistive devices to make it easier to move around or to reduce the damage to your joints. When the joint pain is severe, you can use a cane or walker to reduce the pain and stop the joint from swelling and hurting as much.

You can also use a raised toilet seat or a specially designed bathtub to relieve joint pain or make it easier to move yourself.

7

Reduce the stress on your joints. Learn to reduce the stress on your joints so they don't get overworked and become more painful. Switch to something else or perform activities in a different way to protect and maintain joint function. For example, switch to a thicker pen, which is easier to hold and write with. You can also buy things with larger, longer carrying handles that require less effort to carry.

Use the stronger joints to hold things, not the smaller ones. For example, when lifting a heavy handbag, you should use your elbow, not your wrist or fingers.

You can also buy plastic cutlery. They are lighter and easier to carry around, use and clean.

8

Hot compresses. Suffering from arthritis pain? Heat packs are one of the best ways to relieve pain. Heat therapy relaxes the muscles and provides temporary pain relief. You can use an electric heating pad or heat patch on the affected area, bathe or soak in hot water, or have a waxing session.

Be careful not to burn yourself. Do not apply heat for more than 20 minutes at a time.

You can also apply cold packs to temporarily disable muscle awareness of arthritis pain.

9

Soak the joints in laxative salt. Laxative salt contains magnesium sulfate. This natural mineral has been used for years to relieve pain. When you soak in water, large amounts of magnesium help to reduce joint pain.

Fill a large bowl of warm water and pour in 120 grams of laxative salt. Soak the painful joint in the bowl for at least 15 minutes.

Some joints don't dip easily in the bowl (like knees), you can fill a bathtub with water, pour in laxative salts, and get in there for a while.

10

More sunshine.

In addition to getting vitamin D from food, you can also get sunlight. Every other day go outside in the sun for 10 to 15 minutes without sunscreen. This allows you to absorb a lot of vitamin D naturally, and you won't be exposed to UV rays, which can cause skin problems.

Worried that not wearing sunscreen will cause skin problems? You can apply it to your body, but not your hands. Even if only a small portion of your skin is exposed to the sun, it can help absorb more vitamin D!

11

Smoking cessation.

Smoking is bad for your overall health and can also cause arthritis pain. Harmful chemicals enter the body and put pressure on connective tissue, making arthritis more painful.

Try quitting smoking by utilizing nicotine patches, gum, or the cold turkey method (forcing yourself to stop smoking suddenly). [32]

methodologies

3

Eat the right foods

1

Eat bananas. Bananas are useful for arthritis and can help treat the underlying cause. It contains high levels of potassium, a mineral that is important for proper cell functioning. It also contains vitamin C, vitamin B6 and folic acid, which help improve immunity.

Eat bananas as a snack or with your regular meal.

2

Add turmeric to your food. Turmeric is a spice that can be added to foods to help relieve joint pain. It contains curcumin, which blocks inflammatory cytokines and enzymes, which in turn reduces joint pain and reduces swelling.

Many foods can be spiced up with turmeric, including entrees and desserts.

3

Consume more ginger. Recent studies have shown that ginger has anti-inflammatory effects similar to ibuprofen, and ginger extracts have been shown to be almost as effective as steroids. Add more ginger to your food, including chicken and desserts.

You can also make tea with ginger and drink ginger tea to help reduce pain.

4

Eat foods that contain vitamin D. People with arthritis need to take good care of their bones, which means they need to consume more vitamin D. People taking corticosteroids need to consume more, as this medication reduces the amount of vitamin D in the body.

It is not a bad idea to eat fish, especially salmon, mackerel or herring. Eating 85 grams of fish will meet the recommended daily intake of vitamin D.

You can also eat raw fish, which has more vitamin D than cooked fish.

Eat plenty of vitamin D-rich dairy products, such as milk, cheese and yogurt, every day.

5

Drink green tea. Green tea contains epigallocatechin-3-gallate (EGCG). This is an antioxidant ingredient that stops the body from producing molecules that can damage joints. With less damage to the joints, it won't hurt as much.

Studies recommend drinking 2 to 3 cups of green tea per day to fully enjoy the benefits of the antioxidant content.

6

Eat foods that contain probiotics. Probiotics, also known as "good bacteria," can help reduce pain. Recent studies have shown that foods containing probiotics greatly reduce joint pain and help improve mobility.

Try eating at least 1 serving of yogurt a day to help relieve joint pain.

7

Eat foods that contain sulfur compounds. Sulfur compounds help your body detoxify, but taking NSAIDs and other painkillers can deplete them. You must replenish them by eating foods that contain sulfur compounds, such as stimulating foods like onions and garlic.

Other vegetables rich in sulfur compounds include broccoli, cauliflower, Brussels sprouts, and cabbage. [

8

Consume more magnesium-rich foods. Magnesium relaxes muscles and nerve endings and reduces pain. It also helps with bone mineralization. Try to eat more magnesium-rich foods like dark leafy greens, nuts and beans.

You can also take supplements, but natural foods are easier for your body to digest.

9

Eat more sweet potatoes. Sweet potatoes are very useful for people with arthritis. They are rich in beta-carotene, vitamin A, vitamin C, minerals, anthocyanin and soluble fiber. All of these substances reduce pain and inflammation and promote joint health.

Sweet potatoes can be steamed, poached or baked, and try to eat as many of them as possible every day.

Knee pain caused by arthritis there are many kinds of arthritis, such as common gouty arthritis, osteoarthritis, rheumatism or rheumatoid arthritis, I believe that the questioner should be the most common osteoarthritis caused by pain, because this arthritis can be said to be the most common kind of joint pain caused by a disease, this disease is often closely related to the friends of the bone spurs that the bone is often thought of as bone spurs, today we will talk about this issue.

Why does this condition known as osteoarthritis affect so many people? In fact, this type of osteoarthritis that causes knee pain is also known asdegenerative osteoarthritisWhat does degenerative mean? It's actually aging. It means that as weAs we age, with the use of our joints, many people can not escape, this possibility of developing osteoarthritis. According to statistics, the Chinese population of kneeThe prevalence of osteoarthritis was 9.56% in，78.5% over 60 years of ageThe number of women is higher than the number of men. From this data one can understand what a large amount of people with osteoarthritis would be.

Pathologic basis of osteoarthritis

Pathologic basis of osteoarthritisIt's us.Breakdown of cartilage in the joint cavityThe bone marrow is the most important component of the bone marrow in the joints. When various reasons lead to wear and tear of the cartilage in the bone and joint, joint instability will occur, and joint instability will be followed by the formation of joints of the bone marrow, a small amount of bone marrow people do not have special symptoms, but when theThe amount of bone formation is higher and the formation is largerThis can cause pain by irritating the soft tissues, nerves or tendons around the joint. And when the cartilage in the joint cavity is worn down too much, it can causeNarrowing of the joint space, which creates a change in pressure between the bones, which is one of the causes of the pain.

Common triggers of osteoarthritis.

Prolonged use is one of the reasons (perhaps it would be more accurate to say overuse). For example, walking with weight for a long period of time, squatting repeatedly, and climbing for a long period of time are all actions that irritate the joints more than anything else, and can very easily lead to wear and tear of the cartilage in the joint cavity.

● Weight. People who are overweight are 2.6 times more likely to develop osteoarthritis.

● Genetic factors.

● Gender factor. Osteoarthritis is about 1.84 times more common in women than in men. This is due to women's physiology and hormonal changes.

Trauma. Trauma to the joints is likely to cause damage to the cartilage in the joints by damaging, cracking, or even dislodging the cartilage.

In short, all problems that have the potential to induce wear and tear of the cartilage in the joint cavity have the potential for osteoarthritis.

How is osteoarthritis diagnosed?

If a patient is experiencing pain in the bones and joints, especially the knee, then we first recommend that the patient be examined for.Rheumatology 4 labs, to clarify the presence of rheumatism, rheumatoid or hyperuricemia-induced joint pain.

If these problems are ruled out, we usually give the patient aKnee x-ray, clarifying whether the patient presents with a significantStenosis of the joint space, or the formation of a bony mass, theBone spurs, osteophytesThe presence of the

Typically, we base our knee x-rays on the manifestations in theThe presence or absence of narrowing of the joint space, and the degree of bony encumbrance formation categorizes osteoarthritis into 4 stages。

Osteoarthritis in stages I and IIOften, the narrowing of the joint space is not obvious, a small amount of bone formation can be seen, and the patient's symptoms of pain are not particularly severe.

Osteoarthritis in stage IIIOften the patient has begun to experience significant narrowing of the joint space due to wear and tear of the cartilage, and there is a corresponding significant increase in the amount of bone redundancy.

Osteoarthritis in stage IVThere is a significant narrowing of the joint space and a significant limitation of joint function, which is often due to the formation of an excessive amount of bone matrix that blocks the patient's progress in flexion and extension.

I believe that after reading these three x-rays, you will have a better understanding of the progression of osteoarthritis, and after understanding these issues let's talk about what should be done?

Early osteoarthritis.

In the early stages of osteoarthritis, joint pain is not particularly severe and tends to occur when walking up or down stairs, flexing or extending the knee, or when squatting.

At this time, as the cartilage of the bone joints is not particularly badly worn, then at this time you canoral ammonia (medicine)，Scientific exercise of the muscles around the knee joint to strengthen the stability of the knee joint.The treatment results are usually better after about three months, or three months of oral intake of some proprietary joint-protecting medicines.

And it is recommended that people with osteoarthritis in the early to mid-stage must beWeight controlI'll try to do my best in my life.Reduced stair and hill climbing, such movements that irritate the joints and increase the burden on the articular cartilage, which is often something that patients should be aware of at this stage.

Since osteoarthritis is a degenerative form of osteoarthritis as mentioned earlier, once the symptoms start to appear, the disease may progress slowly with age, so in the early and middle stages of osteoarthritis, try to give it scientific control, it is possible to slow down the progression of the disease.

Osteoarthritis in stage III

In this stage of osteoarthritis, we can see on the x-ray that the joint space has narrowed significantly and the articular cartilage has worn down more severely.The patient experiences pain in the joints when walking on flat surfaces, going up and down stairs, squatting, or performing a little moderate-intensity exercise, there are some severe cases of patients who develop synovial inflammation secondary to synovial inflammation in the joint cavity, with aLarge amounts of joint effusion.

Patients at this stage can also tryoral ammonia (medicine)because, after all, there is residual cartilage in the joint cavity, but at this stage it is recommended that the joint cavity be given aSodium vitrate injections or PRP injectionsto better increase the elasticity and lubrication of the joint cavity, observe whether it can protect the residual cartilage. Two injections, the price of sodium vitrate is relatively speaking cheaper, more suitable for most of the cartilage injury patients, in general, do not choose the more expensive, foreign sodium vitrate choose our domestic products registered once the cost of about 200 ~ 300 yuan.Usually inject 1~2 times to observe the effect.If there is a significant reduction in pain, then a course of 5 injections can be registered, if the pain is still not relieved after 1-2 injections, then this treatment technique is not effective for the patient and can be stopped.PRP injections are relatively expensive, and Medicare reimbursement is not particularly extensive, so it is recommended that patients who are in a position to do so try it.

advancedPatients are afraid of a misconceptionThat's when the joints started to hurt, and the radiographs showed that there was something wrong with the joints.Beginning of excessive sedation with little activityThe reason for this is that it is a mistake to not use the joint for a long period of time. It is a wrong choice, because a long time not to use the joints will lead to the strength of the muscles around the joints will be reduced, there are many patients will appear around the knee joint muscle atrophy, then muscle atrophy after the stability of the joints will become longer, but will aggravate the condition of osteoarthritis.

Patients with stage III osteoarthritisIt is perfectly fine to limit the recommended amount of walking to about 6,000 steps per day.requestDon't go downhill.I'm going to try to take the flat road, and I'm going to take theIt doesn't need to be too fast, a slight sweat is fine. When walking you must be careful to wear a better pair ofProfessional Walking ShoesThe knee joints can be well protected and the burden on the joints can be reduced. In addition, before exercising, you must do a good job of jointWarming up and stretchingThis will minimize sports damage.

Stage IV osteoarthritis

Patients at this stage often have significant deformity in their joints already, and if they areIf the cartilage in the medial joint space is worn down more, the patient will have an o-shaped leg, and if the patient's lateral joint space is worn down more, the patient will have an x-shaped leg. Also at this time the patient's pain tends to be more severe, and walking is usually more than a kilometer or so before the pain worsens and requires a good rest to be relieved. There is often no particularly good treatment at this stage, as the cartilage has worn away and disappeared. If patients have begun to experience significantNocturnal painorrest painThis means that if the pain interferes with the patient's sleep, or if the joints start to ache even when resting, this isSurgical indications for joint replacement。

summarize

The above is the answer to the question of the subject, for such problems as osteoarthritis, weIt is important to choose the appropriate treatment for each stage according to the different stages of the disease. In the article above, there have been some relatively detailed descriptions.

What kind of rehabilitation exercises do osteoarthritis patients need to do, in Dr. Xie's previous articles, or Q&A have a detailed introduction, you can pay attention to Dr. Xie, in Dr. Xie's previous articles to find the answers you need. If you still have other doubts, you can leave a message below, so that we can discuss together.

I'm Xie Xinhui, who insists on explaining complex disease knowledge in simple language, it's not easy to code, if you agree with me, please help to point a concern or click a like, if you or your family or friends also have osteoarthritis problems, please forward this article to them who need it, thank you!

The human body has many joints all over the body, and the joints are basically made up of bones, ligaments, cartilage, and muscles on both sides. Once a problem occurs in a joint, a person's movement will also be limited to a great extent.

For short-term arthritis pain, non-steroidal anti-inflammatory drugs such as anti-inflammatory pain, ibuprofen, and diclofenac can be used. Fast-acting, but short-lasting.

Long-term relief of arthritis pain, the need for a combination of Chinese and Western medicine, that is, the use of Western medicine combined with the use of traditional Chinese medicine, physiotherapy, acupuncture and other treatments, can play a role in relieving the pain, limiting the development of the disease effectThe chondroprotective agents, such as glucosamine sulfate, can be used as a basic treatment for a long time. Chondroprotective agents such as glucosamine sulfate can be taken as a basic therapeutic agent for a long period of time, with a slower onset of action, but with a good safety profile. It is recommended to see a pain and orthopedic surgeon promptly.

Other measures for pain relief include physical therapy and rehabilitation. Physical therapy includes electrotherapy, magnetotherapy, ultrasound therapy, light therapy, and cold therapy. Rehabilitation training focuses on functional exercises and lifestyle adjustments, and should be carried out under the guidance of orthopedic rehabilitation physicians if available.

Life, relieve arthritis pain, to provide patients with a, well ventilated, dry environment living environment. Joint pain should be bed rest, can be appropriate massage, symptoms do not attack after appropriate exercise. Scientific and reasonable diet is also very important point, over-nutrition, overweight and obesity can induce or aggravate arthritis pain.

Instructor: Wang Jiashuang, National Second Class Professor, Chief Physician, Top Ten Famous Doctors of Guangzhou. Former Vice Chairman of Pain Society of Chinese Medical Association, Chief Expert of Pain Department of Jinshazhou Hospital of Guangzhou University of Traditional Chinese Medicine, Honorary Lifetime Professor of Pain Department of Guangzhou Red Cross Hospital, Medical College of Jinan University.

Specialties: Specializing in postherpetic neuralgia and cervical and lumbar disc herniation pain diagnosis and treatment.

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Arthritis is very common in clinical practice, mostly characterized by swelling, pain and limitation of movement, with more treatment options up and some arthritis treatments are tricky.

I have been engaged in orthopedics and hand surgery for more than 20 years, and I will answer this question from the perspective of clinical specialty. Welcome to clap the brick axe correction, agree with please poke the upper right corner of the attention of Dr. Xie Songlin.

There are many types of arthritis with dozens of causes, and different arthritis has different treatments. The common ones are:rheumatoid arthritis, rheumatoid arthritis, osteoarthritis, gouty arthritis, allergic arthritis, infectious arthritis, traumatic arthritis and so on. Different kinds of arthritis treatment methods are different, for example, gouty arthritis is mainly to lower uric acid, pain can be used colchicine and non-steroidal anti-inflammatory painkillers and so on. Rheumatoid arthritis and rheumatoid arthritis joint pain can use hormones and non-steroidal anti-inflammatory pain relieving drugs. Rheumatoid arthritis also requires the use of slow-acting antirheumatic drugs and cytotoxic drugs. Infectious arthritis is mainly the use of sensitive antibiotics.

The most common clinical arthritis is degenerative osteoarthritis of the knee, and this Q&A focuses on answering the treatment of osteoarthritis of the knee. Osteoarthritis of the knee is a common disease in the elderly, which is usually called osteophytes and joint degeneration in China.

According to the latest AAOS Updated Treatment Guidelines.Recommended treatments include: 1. Lifestyle modifications such as walking instead of running. 2. 2. Encourage overweight individuals to lose weight (at least 5% of body weight for BMI over 25) and to keep physical activity at a low level. 3. Encourage patients to perform aerobic low-intensity adaptive exercise. 4. Encourage patients to perform quadriceps exercises and short-term use of patellar immobilization straps. 5. Acetaminophen, NSAIDS (e.g., meloxicam), or COX-2 inhibitors (e.g., celecoxib) can be used for pain management, or topically for gastrointestinal reactions. 6. Intra-articular corticosteroid injections can be performed for short-term pain relief, but should be used with caution. 7. Arthroscopic surgery can be performed for meniscus injury or intra-articular free body with corresponding symptoms. 8. Osteotomy is an option for symptomatic unicompartmental patients with axial malalignment.

The following are not recommended: 1. Orthopedic foot supports and insoles. 2. Glucosamine or chondroitin based medications. 3. puncture and irrigation of the joint cavity or arthroscopic irrigation and debridement at first presentation.

Methods with uncertain efficacy include: 1. Knee braces. 2. Acupuncture. 3. Intra-articular injection of hyaluronic acid.

The Ultimate Effective Treatment: Artificial Joint Replacement。

Arthritis Currently there is no specific treatment for rheumatoid arthritis and ankylosing spondylitis. The principle of rehabilitation is to control pain, enhance muscle strength and maintain joint stability in the early stage, and to maintain or promote joint function in the middle and late stages to minimize disability.

From Chinese medicine, arthritis belongs to the category of "paralysis". Inherent endowment of the organism is insufficient, deficiency of positive qi, the coupling is not and or to the seven feelings of internal injuries, excessive fatigue, or after the disease, post-partum collective defense function is low, the coupling is empty, the guard is not solid, the wind, cold, dampness and heat of the evil take advantage of the weakness, paralysis blocked in the muscles, bones, meridians and collaterals, so that the qi and blood run poorly caused by this disease.

Among these types of diseases, pain relief through the use of Western medications is not very effective. Start with NSAIDs and gradually transition to immunosuppressants or hormones. Commonly used ibuprofen, diclofenac sodium, naproxen, celecoxib and so on. In the later stages, drugs like celecoxib, ibuprofen, etc. are very ineffective. And the use of this type of drugs, the gastrointestinal tract and kidney function are damaged.

In fact, I still think that using a combination of Chinese medicine and physical therapy techniques is much more effective and relatively less likely to recur. Chinese medicine believes that it is due to the lack of positive energy in the human body and the feeling of wind, cold and dampness, which obstructs the meridians and collaterals. The treatment of dispelling wind and dampness, dispersing cold and clearing the channels is given after the identification of the disease.

Physical factor therapy, spa therapy, can be analgesic, relieve spasm, increase tissue stretch and increase capillary permeability. Medium-frequency electrotherapy to antispasmodic and anti-inflammatory, paraffin therapy to reduce swelling and relieve pain and Chinese herbal fumigation therapy to warm the meridians. Of course, acupuncture and massage can also be used as an adjunctive therapy.

Note that when in the acute phase rest, medication is the mainstay. Gradually add exercise therapy, muscle strength is not enough to control will lead to further damage to the joints, therefore, increase joint mobility and enhance muscle strength of active and passive exercise at the same time. There is also the focus that patients should focus on whole body health care exercise, active exercise to protect uninvolved joints and enhance physical fitness.

It's a long-term, combination of treatment and prevention. Patience, confidence and self-control are essential.

I'm Dr. Lee from the Rehabilitation Department. Click the upper right corner to follow me, stay away from sub-health and enjoy a healthy life.

Osteoarthritis is characterized by primary or secondary degenerative changes in the articular cartilage of the movable joints and new bone formation at the joint margins, with the rate of degeneration exceeding the rate of repair and regeneration. The disease can be categorized into primary and secondary. Primary osteoarthritis has no obvious causative agent; secondary osteoarthritis is based on pre-existing lesions, prompting the development of osteoarthritis in some joints. Common factors include: congenital anatomical abnormalities of the joints, injury or mechanical wear and tear.

Treatment Programs and Principles

(i) Adequate rest

Reducing stress and weight bearing on the affected joints should be avoided, excessive walking and walking up and down stairs should be avoided, quadriceps exercises are particularly important for osteoarthritis of the knee, and overly obese patients should lose weight to reduce the stress on the affected joints.

(ii) Physical therapy

Appropriate treatment such as physical therapy and massage can relieve the symptoms.

(iii) Drug therapy

There are no medications that can inhibit the progression of degenerative joint changes. Pain medication is usually not needed for mild pain. Anti-inflammatory analgesic and antispasmodic drugs are used during flare-ups.

(iv) Articular injection therapy

Medications are based on small doses of glucocorticosteroids and local anesthetics, with the option of hyaluronic acid preparation injections depending on the situation.

(v) Surgical treatment

The surgical approach is determined based on the severity of the lesion, age, occupation, and the patient's requirements for quality of life, in conjunction with the general body condition.

1. Joint cleaning For cases where there are free bodies in the joint and bone spurs on the edges are obvious, but the weight-bearing surface of the joint is still relatively intact, the surgery can be completed under arthroscopy.

2. Osteotomy is suitable for cases with obvious knee valgus and valgus deformity and hip flexion and adduction deformity, but the articular cartilage surface is still partially intact.

3. Occlusal neurectomy Occlusal neurectomy is feasible for patients with significant hip pain but less joint destruction.

4. Arthrofusion For patients with a single weight-bearing joint of the lower limb, with severe joint destruction and younger patients who need to walk or stand more for work.

5. Artificial joint replacement is indicated for older persons with severe pain and more joint destruction. With the improvement of surgical techniques, there is no particularly strict age limit.

I hope the above answer can help you.

The authoritative interpretation of Pharmaceutical Affairs, unauthorized reproduction, plagiarism will be punished.

Different rheumatic diseases have different treatments, so patients with joint pain can go to the hospital for examination to clarify which condition they belong to, in order to better target treatment.

In addition to medication, arthritis patients should be aware of the following:

1. Patients with gouty arthritis.Pay attention to maintaining an ideal body weight and limit the intake of foods with high purine content, such as animal offal, beef and mutton, sausage, ham, salted fish and seafood. Do not drink alcohol, because drinking alcohol (especially beer) will not only increase the purine content in the body, but also can exacerbate urate deposition.

2. Osteoarthritis patients.The affected joints should be fully rested and try to remove the affected joints excessive weight-bearing activities, such as obese people should reduce their weight. It is worth mentioning that many older people mistakenly believe that joint pain is caused by the lack of exercise, and from then on every day to climb mountains, do sports, but will aggravate the joint strain.

3. Patients with ankylosing spondylitis.Attention should be paid to maintaining normal posture and mobility in daily life, such as sleeping on a hard board bed, insisting on labor and physical activities that are within one's ability, and paying attention to posture at work to prevent spinal curvature and deformity.

4. Patients with rheumatoid arthritis.In the acute stage, rest should be taken, activities should be reduced, and the joints should be kept in a functional position. In the subacute or remission stage, joint functional exercises should be started as early as possible, and the amount of activities should be gradual from small to large and from weak to strong to prevent muscle atrophy and joint ankylosis and to keep the joints functional.

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