Abstract
Among all pathologies of the musculoskeletal system, osteoarthritis and rheumatoid arthritis are the two most common diseases the course of which is caused by a chronic inflammatory process. The leading clinical manifestations of osteoarthritis and rheumatoid arthritis are pain and synovitis.
This review analyzes the recent data on the pathogenesis of pain syndrome and synovitis, as well as the most commonly used surgical or conservative treatment and rehabilitation methods. The technologies of use of low-temperature effects in the rehabilitation of patients with arthritis are considered. The original concept of a new method for the relief of pain and synovitis in the knee joint by using local deep hypothermia and a hypothesis of mechanisms of its action are presented.
The purpose of the review is to provide a comparative analysis of the effectiveness of various methods of therapy and rehabilitation in patients with osteoarthritis and rheumatoid arthritis, as well as to evaluate the mechanisms of local deep hypothermia in the relief of synovitis and knee pain.
Publisher
Federal Research and Clinical Center for Resuscitation and Rehabilitation
Reference83 articles.
1. Федеральная служба государственной статистики (Росстат). Здравоохранение в России. Статистический сборник. Москва, 2017. 170 с.
2. Насонов Е.Л. Ревматология: Российские клинические рекомендации. Москва: ГЭОТАР-Медиа, 2017. 446 с.
3. Global, regional, and national disability-adjusted life-years (DALYs) for 315 diseases and injuries and healthy life expectancy (HALE), 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015
4. Osteoarthritis: epidemiology, classification, risk factors, and progression, clinical presentation, diagnosis, and treatment
5. Variaciones en la estimación de la prevalencia de artrosis de rodilla según los criterios diagnósticos utilizados en los estudios poblacionales