The treatments are primarily symptomatic, to relieve the pain related to osteoarthritis.
When the pain is not too great, paracetamol can relieve. When there is no inflammation of the joint, the efficacy of paracetamol may be sufficient. It is also well tolerated by the digestive system. But it must be taken at a fixed time, throughout the day, in three or four takes because its duration of action does not exceed a few hours.
> Non-steroidal anti-inflammatory drugs (NSAIDs):
They are the best answer in case of osteoarthritis with pain and swelling, when inflammation is present. They are therefore indicated in case of pain crisis in short cure. The problem is that they create unwanted digestive effects, up to ulceration of the stomach. Be careful not to take anti-inflammatories long especially if you are old.
> Symptomatic anti-osteoarthritis with slow action or AASAL:
These drugs are so called because their action is primarily to reduce the consumption of analgesics and anti-inflammatories, and improve joint function because their protective effect on cartilage is not yet proven outside experimental studies .
Four molecules are commonly used in France, but their action is not manifested in all osteoarthritis, and does not occur for several weeks or months of treatment: glucosamine sulfate; chondroitin sulfate; unsaponifiable avocado and soya; and diacerein. They differ in their mode of action, their cost and their tolerance.
Studies have shown, on radiography, a slowdown in the progression of osteoarthritis and pinching in some patients, under the use of anti-osteoarthritis slow action. It is therefore possible that these molecules have an effect on the structure of the cartilage and the evolution of osteoarthritis and not only on the symptoms.
Specialist doctors (such as a rheumatologist) can offer other specific treatments such as knee osteoarthritis: intra-articular injection of cortisone if there is a strong inflammatory flare, or injection of hyaluronic acid ... Drugs called symptomatic anti-osteoarthritis slow acting (ASLAA), such as chodroitin, glucosamine seem to have quite limited effects against pain and functional disorders, according to the High Authority of Health (HAS).
Functional rehabilitation and physiotherapy are sometimes prescribed (back school).
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