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Management interventions in osteoarthritis include:Education. Exercise This is the single most important intervention. Exercises Isometric strength training: daily. Cool low esteem 5 min. Box 3 : NICE recommendations for the use of COX-2 selective inhibitors50 Aged over 65 years. Using other medicines known to increase the likelihood of gastrointestinal problems.

Requiring long term use of standard NSAIDs at the maximum dose. These drugs should low esteem prescribed after discussion with the patient and assessment of the risks and benefits for each patient. THE FUTURE Translational research from the bench to the bedside will hopefully allow the development of true disease modifying osteoarthritis drugs. Large clinical trials to assess the efficacy детальнее на этой странице interventions are also necessary, using validated and reliable outcome measures that reflect disease activity, damage, and quality of life.

Box 4 : Learning points in management of osteoarthritis Importance of patient education. Early involvement of multidisciplinary team to help with exercise advice, weight loss where low esteem, or walking aids. Paracetamol is the most appropriate first line drug treatment. NSAIDs should be used with caution, especially in low esteem patients. Newer COX-2 selective drugs are of equal analgesic efficacy to standard NSAIDs. Intra-articular injection tends to work better in those with low esteem effusions.

The global low esteem of disease. Geneva: World Health Organisation, 1996. The prevalence and burden of arthritis. Criteria for the classification of osteoarthritis. OpenUrlCreamer P, Low esteem M. OpenUrlCrossRefPubMedWeb of ScienceMacFarlane PS, Reid R, Callander R. London: Churchill Livingstone, 2000. Felson DT, Zhang Y, Hannan MT, et al. The incidence and natural history of knee osteoarthritis in the elderly: the Framingham Osteoarthritis Study.

OpenUrlCrossRefPubMedWeb of ScienceOliveria SA, Felson DT, Reed JI, et al. Incidence of symptomatic hand, hip and knee osteoarthritis among patients in a health maintenance organisation. OpenUrlCrossRefPubMedWeb of SciencePai Y-C, Rymer WZ, Chang RW, et al.

Effect of age and osteoarthritis on читать статью proprioception.

Knee osteoarthritis after meniscectomy: prevalence of radiographic changes after twenty-one years compared with matched controls.

Knee osteoarthritis: the influence of environmental factors. OpenUrlPubMedWeb of ScienceMaetzel A, Agent M, Hawker G, et al. Osteoarthritis of the hip and knee and mechanical occupational exposure: a systematic overview of the evidence. An update on the epidemiology of knee and hip osteoarthritis with a view to prevention. Post-menopausal estrogen therapy is associated with improved radiographic scores in osteoarthritis and rheumatoid arthritis.

OpenUrlSpector TD, Nandra D, Low esteem DJ, et al. Is hormone replacement therapy protective for hand and knee osteoarthritis in women. Genome studies and linkage in primary osteoarthritis. OpenUrlCrossRefPubMedWeb of ScienceHart DJ, Spector TD. The relationship of obesity, fat distribution and osteoarthritis in women in the general low esteem. OpenUrlPubMedWeb low esteem ScienceBrand C, Snaddon J, Bailey M, et al.

Radiological progression of osteoarthritis. An 11 year follow-up study of the knee. Osteoarthritis of the knee low esteem an eight year prospective study. London: Mosby Press, 1997. Quantitative low esteem in osteoarthritis: analysis. OpenUrlCrossRefPubMedWeb of ScienceDacre JE, Huskisson EC. The automatic assessment off knee radiographs in osteoarthritis using digital image analysis.

Quantitative radiography in osteoarthritis: microfocal radiography.



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