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Suchschritt : FT=glucosamine AND FT=osteoarthritis
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2/249 von 416    DIMDI: MEDLINE (ME60) © NLM
ND: ME11676313
PMID: 11676313
LR: 20051116
CED: 20011024
DCO: 20011204
Autoren: Vertullo C
Titel: Management of the osteoarthritic knee. New advances in nonoperative therapy.
Quelle: Australian family physician; VOL: 30 (9); p. 853-7 /200109/
PM: Print
SU: IM
Sprache: English
CY: Australia
JID: 0326701
ISSN: 0300-8495
CO: AFPHCX
Institution: Knee and Sports Medicine Centre, Gold Coast, St Vincent's Hospital, Robina, Queensland. cvertullo@hotmail.com
DT: Journal Article; Review
RN: 39
Schlagwörter
CT: ACETAMINOPHEN/therapeutic use; ANALGESICS, NON-NARCOTIC/*therapeutic use; ANTI-INFLAMMATORY AGENTS, NON-STEROIDAL/administration & dosage; ANTI-INFLAMMATORY AGENTS, NON-STEROIDAL/therapeutic use; ARTHROPLASTY, REPLACEMENT, KNEE; BRACES; CHONDROITIN SULFATES/therapeutic use; EXERCISE THERAPY; GLUCOSAMINE/therapeutic use; HUMANS; OSTEOARTHRITIS, KNEE/*therapy; PATIENT EDUCATION/methods; WEIGHT LOSS
CTG: ACETAMINOPHEN/therapeutische Anwendung; ANALGETIKA, NICHTNARKOTISCHE/*therapeutische Anwendung; ANTIPHLOGISTIKA, NICHTSTEROIDALE/Verabreichung & Dosierung; ANTIPHLOGISTIKA, NICHTSTEROIDALE/therapeutische Anwendung; ARTHROPLASTIK, KNIEGELENKERSATZ; STÜTZAPPARATE UND -BANDAGEN; CHONDROITINSULFATE/therapeutische Anwendung; BEWEGUNGSTHERAPIE; GLUCOSAMIN/therapeutische Anwendung; MENSCH; OSTEOARTHROSE, KNIE/*Therapie; PATIENTENSCHULUNG/Methoden; GEWICHTSVERLUST
TE: Analgesics, Non-Narcotic; Anti-Inflammatory Agents, Non-Steroidal; Acetaminophen/103-90-2; Glucosamine/3416-24-8; Chondroitin Sulfates/9007-28-7
CR: 103-90-2; 3416-24-8; 9007-28-7
AB: BACKGROUND: Knee osteoarthritis (OA) is an extremely common cause of pain and disability. As the baby boomer cohort ages, general practitioners will see an increasing number of knee OA sufferers. Many effective nonoperative and operative therapies exist, but forming a coherent management plan is difficult. New therapeutic agents have gained popular interest, including chondroitin sulphate, glucosamine sulphate and viscosupplementation. OBJECTIVE: This paper outlines seven effective nonoperative therapies that every GP can initiate, discusses the roles of viscosupplementation, glucosamine and chondroitin sulphate and suggests when referral for surgical management is appropriate. DISCUSSION: General practitioners are ideally suited to initiate nonoperative therapies, some of which are prophylactic as well as therapeutic. Nonoperative therapies include: education, weight loss, regular paracetamol, glucosamine-chondroitin sulphate, physical conditioning, quadriceps-hamstring strengthening, braces and variable, as required NSAIDs. Referral for surgical treatment is appropriate if the patient has residual pain and disability despite maximal nonoperative therapy.
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