As the population ages and the seasons change, there are more and more patients with osteoarthritis. How to prevent and treat osteoarthritis, Dr. Hu Kong Foot was interviewed by the media and gave an introduction to osteoarthritis prevention and treatment knowledge, hoping that it will be beneficial to the majority of patients: Foot an autumn rain a cold, the weather is getting cooler, arthritis has also entered the high season. How should we prevent and treat arthritis in our daily lives? Through three real-life stories that happened recently, Director Hu Kong Foot revealed and explained the three major misconceptions about arthritis prevention and treatment in the autumn and winter seasons, reminding arthritis patients that they should pay attention to the reasonable choice of anti-inflammatory and analgesic drugs in the treatment process. Myth 1: Knee pain is not a disease when you get older? As the saying goes, “People get old before their legs get old.” Old Li, 65, often complains to his partner that his legs are not obedient, especially in the recent cooler weather, and his knee pain is getting more and more serious. His partner and children advised him to go to the hospital for a checkup, but he stubbornly believed, “I’m an old man with old legs, don’t toss and turn, who doesn’t have some problems in his body when he’s older?” Expert interpretation: middle-aged and elderly people should beware, joint pain is not a trivial matter There are many elderly people like old Li, joint discomfort and pain is attributed to the aging of the body, and is not taken seriously. Experts say that most knee pain in older adults is caused by osteoarthritis of the knee joint. Osteoarthritis of the knee, also known as degenerative arthritis or age-related arthritis, is one of the most common diseases causing pain and joint dysfunction among middle-aged and elderly people, and if left untreated to control its progress, it can seriously affect the quality of life of the elderly. According to statistics, more than 100 million patients in China are suffering from osteoarthritis, with about 62% of people over the age of 60 suffering from osteoarthritis and up to 80% of people over the age of 75, while the rate of medical treatment is less than 15%. Once symptoms such as joint pain, swelling and reduced joint function occur, you should seek early treatment and follow medical advice to take anti-inflammatory and analgesic drugs to relieve the symptoms, but experts warn that you should pay attention to the characteristics of the fragile gastrointestinal tract of the elderly, and use mild, safe and effective anti-inflammatory and analgesic drugs. In addition, the elderly should also pay attention to cold and dampness, choose walking, cycling and other mild exercise methods, diet supplementation of calcium and vitamins. Myth 2: Arthritis is the “patent” of the middle-aged and elderly? Miss Liu is a young fashionable white collar, usually like to wear short skirts and stockings. After the fall, the temperature plummeted, especially in the morning and evening temperature difference, Miss Liu began to feel frequent knee pain, and sometimes the entire joint stiffness, pain. The examination confirmed the diagnosis of arthritis. The elderly often have the “old cold leg” can really happen to young people. Expert interpretation: Young people, beware of arthritis! Many people, especially young people, think that arthritis is a disease of the middle-aged and elderly, but it is not. In recent years, arthritis has become more and more common among young people, and experts have introduced three major groups of young people who are vulnerable to joint disease. The young people are all fashionable and trendy, and cell phones, tablet computers and handheld game consoles are the new favorites of the fashionable people. But the wrist, fingers, long time repeated use easily lead to joint strain trauma, it is easy to induce tendinitis. The young women’s year-round short skirt and high heels dress, but also not conducive to the maintenance of the knee joints, become arthritis-prone people. The victim group two: sedentary people including sedentary office workers, do not like sports geeks, this part of the population due to years of sitting at the table, long-term use of computers, go out to the car, often early to join the joint disease “army”, the neck, shoulder, waist, wrist and other joint parts are vulnerable to varying degrees of injury. Victim group three: sports people love to exercise a lot of young people, but excessive exercise and unscientific exercise methods are also easy to cause joint damage, especially knee injury, which leads to joint inflammation. If the joint damage is not effectively repaired and treated, long-term so easy to habitual damage, eventually leading to degenerative arthritis of the knee, the phenomenon of 30-year-old age 60-year-old joints. Experts remind young people to choose the right lifestyle, develop good habits, balanced diet, moderate exercise, warmth and cold, to reduce the risk of arthritis. Experts also point out that symptoms such as joint pain, stiffness and restricted movement should be taken seriously and treated as early as possible. It is recommended to combine the use of Chinese medicine and analgesics with good anti-inflammatory effect and high gastrointestinal safety, with reasonable combination and synergistic effect for strong and safe analgesia. Myth 3: Analgesics hurt the stomach, so it is better not to take them? Mr. Zhang has been taking drugs regularly since he discovered arthritis several years ago, and his joint pain is well controlled. But last month, he was suddenly admitted to the hospital with severe abdominal pain and blood in his stool. The doctor diagnosed “multiple ulcers and bleeding spots on the stomach wall” and believed that the culprit for the stomach bleeding was the painkillers that Mr. Zhang had been taking for a long time to treat his arthritis. After being discharged from the hospital, Mr. Zhang would rather have a painful arthritis attack than risk his gastrointestinal tract by taking painkillers, and his family had to seek help from his doctor after repeated persuasion failed. Expert interpretation: two mechanisms of analgesic drugs, the gastrointestinal tract is an enemy and a friend as osteoarthritis and rheumatoid arthritis treatment of common anti-inflammatory analgesic drugs, non-steroidal anti-inflammatory drugs (NSAIDs) is also the most widely used class of prescription drugs around the world. The pursuit of safety and security of the gastrointestinal tract and anti-inflammatory and analgesic drugs seem to be an irreconcilable contradiction, can we really only suffer from pain in silence? The answer from experts is no. Arthritis pain is caused by inflammation, and without effective treatment of inflammation with medications, it will not only cause more intense pain, severely reduce the patient’s quality of life, but also cause tissue damage and functional impairment. Therefore, anti-inflammatory and analgesic treatment is necessary. When Mr. Zhang and his family asked for help, experts provided answers for safer pain treatment: Non-steroidal anti-inflammatory drugs (NSAIDs) act as anti-inflammatory analgesics by inhibiting cyclooxygenase (COX). There are two types of human COX: COX-1, also known as a structural enzyme, whose products of action protect the mucosa of the gastrointestinal tract; and COX-2, also known as an inducible enzyme, which is expressed in large amounts only under specific conditions such as inflammation, leading to pain, swelling, and other reactions. Traditional NSAIDs drugs cannot distinguish between the two and inhibit them simultaneously, acting while risking damage to the digestive tract. Now there is a new selective COX-2 inhibitor, which only inhibits COX-2 at therapeutic concentrations, not COX-1, which significantly reduces the gastrointestinal adverse effects of traditional NSAIDs while providing potent anti-inflammation and rapid analgesia. Experts also remind doctors to ask patients one more sentence whether they have a history of gastrointestinal disease and other gastrointestinal risks before prescribing, remind patients to consult one more sentence whether there are drugs with high safety for gastrointestinal tract when doctors prescribe or pharmacies buy anti-inflammatory and analgesic drugs, remind family members to pay more attention to the gastrointestinal tract of patients, especially elderly arthritis patients, and help patients understand the knowledge of safe analgesia. We strive to make a safe analgesic alliance among doctors, patients and family members to achieve truly strong and safe anti-inflammatory analgesia, starting from every step of diagnosis to medication.