Western medicine treatment methods
1, systemic drugs: mainly can be divided into symptom-control drugs and disease-improving drugs.
1.1, the former mainly include acetaminophen, specific COX 2 inhibitors, and traditional NSAIDs. (Painkillers have almost no therapeutic effect on osteoarthritis.) They are prone to stomach and other digestive discomfort after long-term use. Dong Hongsheng, Department of Rheumatology, Beijing Hospital of Traditional Chinese Medicine
1.2, improve the condition of drugs mainly chondroitin sulfate, glucosamine sulfate, etc. Chondroitin sulfate is an important part of joint cartilage. Oral administration of chondroitin sulfate can effectively relieve chronic symptoms and improve joint function. (The effect is slow in the acute phase, mainly acting in the remission phase and long-term oral administration). From clinical observation, not every patient has efficacy.
2.Local medication
The local western medicine for the treatment of knee 0A is mainly joint cavity injection drugs, to have sodium hyaluronate, hormones and growth inhibitors.
2.1. Sodium hyaluronate Intra-articular injections of sodium hyaluronate have been shown to have significant benefits in improving pain, stiffness, and function. Sodium hyaluronate is the main component of synovial fluid and plays the role of lubrication, covering barrier and buffering stress in the joint cavity.
2.2. Hormones Hormones are less often used for joint cavity injection alone and are mostly mixed with other drugs. The results of the treatment of knee OA with a mixture of Depo-Provera and sodium hyaluronate joint cavity injection, compared with sodium hyaluronate alone, the efficacy was significantly improved. (But patients with hypertension, diabetes, glaucoma and other diseases need to be applied under the guidance of a doctor).
2.3, growth inhibitor After intra-articular use, growth inhibitor can act on different kinds of cells and tissues: inhibit the proliferation of synovial cells, gonocytes and the activation and chemotaxis of monocytes and other effects.
Generally, the joint cavity injection can not be greater than 3 times a year, otherwise it will easily lead to crystal arthritis.
2.Chinese medicine
(1) Internal use of Chinese medicine
Chinese medicine is characterized by evidence-based treatment. Osteoarthritis is mostly characterized by deficiency of liver and kidney qi and blood, interspersed with a variety of evil and real evidence. The treatment of osteoarthritis is characterized by deficiency of liver, kidney, qi and blood, mixed with a variety of evil and real symptoms.
(2) Chinese medicine fumigation
Chinese herbal fumigation must be guided by the identification of evidence, and “the method of external treatment is the principle of internal treatment”. Different prescriptions and methods are used according to different types and actual conditions. It can promote local and circumferential blood circulation and lymph circulation, make the metabolism flourish, improve local tissue nutrition and systemic functions; and can unblock meridians, harmonize qi and blood, and promote the function of regulating activities of meridians.
(3) Chinese herbal compresses
It has the functions of activating blood circulation, dispelling blood stasis and relieving pain, and dispersing inflammation. The herbal compress directly reaches the diseased area, with high local drug concentration, forming a huge drug ion pile gathered in the affected area, achieving rapid onset of action, strong and lasting effect.
(4) Chinese medicine ion introduction
The local concentration of drugs is higher than the concentration of drugs reaching the affected area after systemic administration, which makes it easier for the drugs to work and enhances the absorption and penetration of Chinese medicine through the skin, thus increasing the therapeutic effect on local diseases, and therefore the therapeutic effect is remarkable.
(5) Acupuncture and Tuina
Improving the blood circulation of the knee and promoting the absorption of inflammation can also loosen the adhesion of soft tissues and release the spasm to relieve pain and restore function.
Personally, I believe that the acute stage is most commonly characterized by dampness and heat paralysis, manifesting as redness, swelling, heat and pain in the joints and unfavorable flexion. In Chinese medicine, “treat the symptoms if it is urgent, and treat the root cause if it is slow.” Chinese herbal medicine can be used internally and externally, which is very effective, while pain can be taken orally with painkillers.
Osteoarthritis is divided into 4 stages, and for patients in stages 1-3 herbal medicine can significantly relieve the condition and reduce its development.
Misconceptions.
1, osteoarthritis can be cured
Osteoarthritis is a degenerative change, such as a television set, it is impossible to use more and more new, so it can only be controlled, not cured.
2.It can be treated without
After old age, osteoarthritis will seriously affect a person’s quality of life, need to go to treatment, if not treated on weekdays, and finally need joint replacement, which is not unlike a car for a tire, immediately can drive, the patient needs 3-6 months of crutches exercise.