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Ból
|
2012
|
vol. 13
|
issue 2
32
EN
Osteoarthritis (OA) is the most common joint disorder and the main cause of disability in the elderly. As the average age of the population increases, the prevalence continues to rise. The course of the disease is slowly progressive, and the predominant symptom is pain. Currently, no therapeutic strategies have been proven to inhibit the progression of structural changes. The primary goal of treatment is reduction of pain, co-existing stiffness and disability. Optimal management of osteoarthritis requires the combined application of different therapeutic.
PL
Choroba zwyrodnieniowa - osteoartroza (OA) jest najczęstszą chorobą stawów i najczęstszą przyczyną niesprawności w wieku podeszłym, a wraz ze wzrostem długości życia rośnie częstość jej występowania. Przebieg choroby jest powoli postępujący a dominującym objawem jest ból. Nie istnieje obecnie metoda terapeutyczna skutecznie hamująca progresję zmian strukturalnych. Celem leczenia jest przede wszystkim zmniejszenie bólu, towarzyszącej sztywności stawów, zmniejszenie niesprawności. Optymalne postępowanie w chorobie zwyrodnieniowej stawów wymaga łącznego stosowania różnych metod terapeutycznych.
EN
Pain syndromes of the cervical spine are becoming more common cause of significant disability. Most patients with chronic neck symptoms fit into category of nonspecific neck pain which etiology is multifactorial and not yet fully elucidated. The majority of neck pain syndromes has no objective diagnostic criteria, the causa treatment is not possible, therefore treatment is often limited to reducing of symptoms and improving the patients’ functioning. Currently it is difficult to treat patients with neck pain according to the principles of evidencebased medicine as most commonly used forms of therapy such as anti-inflammatory agents, analgesic, tricyclic antidepressant, psychotherapy, patient education, physiotherapy have not been sufficiently tested, and the value of existing research is uncertain.
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