Author:
,Cioroianu George Ovidiu,Florescu Alesandra, ,Simionescu Cristiana Eugenia, ,Sas Teodor Nicuşor, ,Tarniţă Dănuţ Nicolae, ,Rogoveanu Otilia Constantina,
Abstract
Introduction: Osteoarthritis (OA) has been established as a progressive wear and tear disease of the synovial joints, which also involves a certain degree of inflammation. Considering there is no disease modifying medication available at the moment, the current guidelines focus on the symptomatic treatment of the affection. Our study aimed to evaluate the therapeutic advantages of the synergistic use of non-steroidal anti-inflammatory drugs (NSAIDs) and physical therapy in the treatment of knee osteoarthritis (KOA). Patients, Materials and Methods: The study comprised 46 individuals who were diagnosed with KOA and were admitted to the Department of Physical Medicine and Rehabilitation at the Emergency Clinical County Hospital of Craiova, Romania, between January 2021 and April 2022. All the participants received the same combination of pharmacological (Diclofenac 150 mg/day, no more than 10 days/month as needed) and non-pharmacological treatment (a 24-week plan of physical therapy). Results: The patient group exhibited a statistically significant reduction in both the average Western Ontario and McMaster Universities Osteoarthritis (WOMAC) index (p=0.0142) and the average Visual Analog Scale (VAS) (p=0.0023). Additionally, there was a statistically significant increase in both the average Knee Outcome Survey–Activities of Daily Living (KOS–ADL) (p=0.0128) and the average Oxford Knee Score (OKS) (p=0.0023). The study found a significant positive correlation between higher VAS ratings and cholesterol levels (p=0.0092), but no significant correlation between VAS scores and triglyceride levels (p=0.0986). Patients were evaluated for a further 24 weeks beyond the conclusion of the research to see if surgical intervention was necessary during this time. Conclusions: Our investigation tracked the WOMAC, VAS, KOS–ADL, and OKS measurements in a cohort of patients with KOA. The results demonstrate that the utilization of NSAIDs in conjunction with physical therapy effectively alleviates pain and enhances joint functionality.
Publisher
Societatea Romana de Morfologie
Reference39 articles.
1. "[1] Berenbaum F. Osteoarthritis as an inflammatory disease (osteoarthritis is not osteoarthrosis!). Osteoarthritis Cartilage, 2013, 21(1):16-21. https://doi.org/10.1016/j.joca.2012.11.012
2. [2] Buckwalter JA, Mankin HJ. Articular cartilage: degeneration and osteoarthritis, repair, regeneration, and transplantation. Instr Course Lect, 1998, 47:487-504. https://pubmed.ncbi.nlm.nih.gov/9571450/
3. [3] Cross M, Smith E, Hoy D, Nolte S, Ackerman I, Fransen M, Bridgett L, Williams S, Guillemin F, Hill CL, Laslett LL, Jones G, Cicuttini F, Osborne R, Vos T, Buchbinder R, Woolf A, March L. The global burden of hip and knee osteoarthritis: estimates from the global burden of disease 2010 study. Ann Rheum Dis, 2014, 73(7):1323-1330. https://doi.org/10.1136/annrheumdis-2013-204763
4. [4] Hunter DJ, Bierma-Zeinstra S. Osteoarthritis. Lancet, 2019, 393(10182):1745-1759. https://doi.org/10.1016/S0140-6736(19)30417-9
5. [5] Sandell LJ. Etiology of osteoarthritis: genetics and synovial joint development. Nat Rev Rheumatol, 2012, 8(2):77-89. https://doi.org/10.1038/nrrheum.2011.199