HIV Foundation Health What really helps against joint pain

What really helps against joint pain

Natural active ingredients such as devil’s claw or NSAID drugs and opioids: These drugs are supposed to relieve joint pain in osteoarthritis. But what helps whom? FOCUS Online explains which treatments work for joint pain caused by osteoarthritis and what side effects they have.

  • Osteoarthritis results from wear and tear on bones and joint capsules.
  • Five million Germans suffer from the consequences.
  • Briefly explained: which osteoarthritis treatment helps whom?

If the joints hurt, it is usually osteoarthritis : it is the most common of all joint diseases. About five million Germans suffer from it. Osteoarthritis occurs when bones, ligaments, tendons and joint capsules wear out.

This is important to differentiate the disease from rheumatoid arthritis. Inflammation is the cause here.

This is important for osteoarthritis treatment

“Arthrosis is a disease that runs in waves,” explains Johannes Flechtenmacher, President of the Professional Association of Orthopedists and Trauma Surgeons. Less painful phases alternate with those that torment those affected.

The aim of the treatment is to relieve the pain on the one hand and to maintain or restore the ability to move on the other.

Osteoarthritis needs combination treatments

Ideally, the doctor combines non-drug treatments such as physiotherapy, nutritional recommendations, and hot or cold applications with medication. These are mainly used in the acute pain phase.

“In the less painful episodes, patients should try to avoid medication,” explains Flechtenmacher. In principle, movement in particular is an important component of therapy. His motto: “Move a lot, load little.”

Five osteoarthritis treatments put to the test:

1. NSAIDs: cortisone-free pain relievers

This is how the drug works: The non-steroidal anti-inflammatory drugs (NSAIDs) are the classic all-rounders in pain relief. They have both anti-inflammatory and analgesic effects, but do not contain cortisone.

Medicines include ibuprofen, diclofenac, or naproxen. They block two important enzymes that play a role in the sensation of pain: Cyclooxygenase (COX) isoenzymes I and II.

The so-called Cox II inhibitors are therefore well suited to treat acute joint pain associated with osteoarthritis.

NSAIDs also have an antipyretic effect.

Side effects: Gastrointestinal complaints and an increased risk of cardiovascular diseases are among the risks of NSAIDs. “That is why it is particularly important to tailor the osteoarthritis treatment to the patient,” explains orthopedist Flechtenmacher.

For example, ibuprofen is not suitable for patients with kidney problems, and diclofenac hits the liver. Both drugs also have a negative effect on the cardiovascular system. Naproxin is therefore better suited for heart disease patients with osteoarthritis.

2. Opioids

This is how the drug works: Opioids are effective remedies that are used against severe joint pain. By attacking the opioid receptors, they prevent pain from developing and being transmitted.

Tramadol is one of the morphine-like drugs. “Morphines are not suitable for treating acute phases of pain in osteoarthritis,” says Flechtenmacher. This is especially true for plasters. Morphine should only be used for chronic treatment if no other therapy is helping the patient.

Side effects: Many sufferers suffer from the exhaustion caused by morphine. Especially in older people, opioids aggravate many age problems. These include, for example, constipation and dizziness. This also increases the risk of frail patients falling.

3. Hyaluronic acid

In addition to drugs that directly combat pain, there are active ingredients that intervene in the mechanism of the disease. A typical representative is hyluronic acid.

This is how the drug works: Doctors inject hyaluronic acid into the joint to treat osteoarthritis. That’s the only way it works. “In contrast, it is pointless in tablet form, as is sometimes offered,” explains Flechtenmacher. Only in the joint does the drug help the knees or fingers move more smoothly.

With regard to evidence-based studies, hyaluronic acid should be viewed critically, adds the doctor. For example, the relief of osteoarthritis on knock knees or bow legs, where it is biomechanically induced, works less well than on straight legs.

Nevertheless, medical professionals have high hopes for hyaluronic acid. They are currently researching the structure of cartilage: “There are actually very promising developments in which hyaluronic acid is combined with stem cells or other molecules,” says Flechtenmacher. Damaged cartilage structures could be rebuilt.

Side effects: As a rule, osteoarthritis patients tolerate hyaluronic acid very well. Since it is injected directly into the joint, there is the usual risk of infection from the method.

4. Natural medicine

This is how the treatment works: Natural active ingredients such as nettle leaves, willow bark or devil’s claw should also relieve pain. The latter contains, among other things, harpagoside. Similar to the non-steroidal anti-inflammatory drugs, they are supposed to inhibit the formation of the pain messenger prostaglandin.

“So far, however, nothing has been identified in evidence-based studies that proves the effectiveness of the natural active ingredients,” explains Flechtenmacher.

Side effects: They are dependent on the natural medicine product. The instruction leaflet of the devil’s claw, for example, warns of possible gastrointestinal complaints such as diarrhea, nausea, flatulence, vomiting as well as dizziness and headaches or rashes.

5. Acupuncture

This is how the treatment works: As with natural active ingredients, evidence of how acupuncture works for osteoarthritis has not yet been provided in scientific studies.

On the contrary. An Australian study looked at the effects of acupuncture. The results published in the “JAMA” magazine showed: Acupuncture with needles or laser has no relevant effect on pain and function in patients over 50 with knee osteoarthritis and moderate or severe chronic pain.

However, acupuncture helps some osteoarthritis sufferers. Johannes Flechtenmacher, for example, relies on the alternative form of treatment

  • light and irregular pain
  • when many illnesses in the affected person rule out other drugs.

In addition, there are many patients who benefit from the doctor’s attention and empathy alone.

Side effects: The symptoms can get worse at first, writes the German Pain Society on acupuncture . And adds: “Occasionally there are slight bruises or bruises, and brief circulatory reactions can also occur during acupuncture treatment.”

In any case, those affected should not treat their joint pain independently, but should always have it checked out by a specialist.

Leave a Reply

Your email address will not be published. Required fields are marked *

Related Post

Key Principles of Implant DentistryKey Principles of Implant Dentistry

Before your consultation with your dentist at implant dentistry san diego, you should know what to expect from your procedure. The main points of this article are the importance of soft tissue, bone, and implant placement. Occlusal contact is also a crucial point to consider. All these points should be carefully examined before treatment. The goal of your GP is to protect you and the staff. Before you go in for your appointment, ask yourself if you have any of these risk factors.

Bone

Whether the procedure is a flap-less or traditional surgery, it requires careful planning. In either case, a series of drills gradually enlarges the site of the implant. The final bur is slightly smaller than the implant itself, and it is placed with a torque-controlled wrench to avoid overheating the bone. The bone surrounding the implant is then reshaped to accommodate the new fixture.What is a Dental Implant Same Day Procedure? - Smiles By Julia Fort  Lauderdale Florida

Osteointegration occurs when the biomaterial that is used to support dental implants is osteoconductive. This material enables the dental implant to integrate with the bone surface. Histological studies have shown that implant surface contacts the host bone and initiates the healing process. The procedure follows a sequence similar to that of bone regeneration in fractures and small defects. It ends with “restoration ad integrum,” or the absence of scar tissue.

Soft tissue

The success of dental implants depends on the stability of soft tissue surrounding the implants. This stability is best achieved through proper diagnosis and surgical planning. Inadequate soft tissue evaluation can lead to improper placement of dental implants, which is detrimental to both patient and implant health. Soft tissue grafting can be performed to address these soft tissue concerns. Grafting techniques differ according to patient anatomy and morphology. The biotype of the gingival tissues is based on the morphology of the tooth, bone, and gum tissue. An underdeveloped biotype can lead to pocket formation. A biotype with thick, flat tissue may not be suitable for implant placement.

The graft site must provide adequate vascularisation for the graft. It must be rigidly immobilised and provide adequate hemostasis. The donor tissue must be large enough to facilitate immobilization and achieve the desired volume augmentation after secondary contraction. Soft tissue grafting should be performed before the bone grafting procedure. If soft tissue grafting is not possible, connective tissue autografts can be used.

Implant placement

If successful dental implant placement is the ultimate goal, then a modern dentist will implement reproducible treatment protocols, which will ultimately lead to more successful outcomes. There are five key principles of implant dentistry, including past medical history, examination, occlusion, dental imaging, fixed versus removable prosthodontics, and surgery. This article will discuss each of these concepts and their proven contributions to implant dentistry. You should consider implementing these principles into your practice, too.

While successful implant placement is crucial, it’s also the most challenging aspect. Implant placement can go wrong, causing the implant to misalign with the bone. This can lead to unnatural crowns, gum recession, and dark grey metal around the gum. Improper implant placement can result in poor oral health and failure. In order to minimize these risks, patients should follow oral hygiene and care instructions closely for the long-term success of their implants.

Occlusal contact

Occlusal contact is an important component of implant prosthesis and must be accounted for. Ideally, occlusal contact should occur over a flat surface perpendicular to the implant body and be centered over the implant abutment. Secondary occlusal contacts should be placed within one millimeter of the implant body’s periphery to reduce the moment loads. Contacts with the marginal ridges should be avoided, as they are the most susceptible to cantilever forces and should be recontoured to occlude with the central fossa.

When there is an occlusal disparity, the dentist can utilize articulating papers or ribbons to check the occlusion. While these devices leave a contact mark, they are not effective because they are too thick and don’t give enough information to detect an occlusal disparity. Further, the thicknesses of dental marking ribbons vary from 20 microns to 200 microns.

Maintenance

Among other things, the maintenance phase of dental implants entails various parameters and risk factors. During this phase, patients should be informed of the procedures and associated risks. This is because a maintenance procedure involves the continued replacement of a dental implant with a new one. Informed consent is the key to a successful maintenance process. Here are some of the most critical aspects of the maintenance phase. Read on to learn more about the important aspects of this phase of dental implants.

A typical dental implant maintenance visit should last approximately an hour. The dentist will check for any changes to the patient’s medical and dental history. Instrument selection is also important, to avoid trauma to the implant surface or peri-implant tissues. Although an increasing number of patients opt for dental implants, they should understand the challenges of their treatment and follow their recommendations for routine dental care. Listed below are some tips for maintaining dental implants:

Complications

There are a number of complications associated with dental implants. While these complications are relatively rare, they can still occur. Listed below are some of the most common ones. These complications can occur for several reasons, including bone loss, smoking, gum disease, or poor oral hygiene. If you experience any of these symptoms after implant dentistry, contact your dentist as soon as possible. If you’re unsure whether implant surgery is right for you, read on to learn about the potential complications and how to prevent them.

Biomechanical stress is the leading cause of implant failure. This stress causes the implant to fail early or fracture, abutment or prosthetic screw to loosen, and implant crestal bone to collapse. Additionally, implants can become loose and cause overdentures to fall out. These complications are avoidable through a systematic engineering approach, including the identification of underlying causes. In general, implant placement is a successful procedure in 95% of cases.

Biliary cancer often causes no symptoms – and is therefore usually recognized too lateBiliary cancer often causes no symptoms – and is therefore usually recognized too late

Gallbladder cancer in particular only leads to symptoms in an advanced stage. Why this is so, what role gallstones play – and why the prognosis so far has often been unfavorable.

Biliary cancer, with around 5500 new cases per year, is one of the rare forms of cancer, but it is particularly risky. According to popular opinion, the tumor causes almost no early symptoms and is therefore usually only recognized late when an operation is no longer possible and the tumor has already metastasized.

Biliary cancer – important: inside or outside the liver

The fact is, however, that the colloquial term biliary cancer, medically cholangiocarcinoma (CCA), covers different forms. First of all, there is gallbladder cancer, which forms in the gallbladder, which in turn is embedded in the liver.

Secondly, a carcinoma can form in the bile ducts, which are not only located within the liver and direct the bile to storage in the gallbladder, but also away from the gallbladder, which lead the bile to the small intestine.

“Depending on the localization, we differentiate between intra- and extrahepatic carcinoma, i.e. those that develop inside or outside the liver,” explains Arndt Vogel, spokesman for the “Hepatobiliary Tumors” working group of the Internal Oncology Working Group (AIO) and head of the Visceral Oncological Center Hannover Medical School (MHH).

The risk of developing cholangiocarcinoma increases with age. Overall, the incidence of intrahepatic carcinomas is increasing, while that of extrahepatic carcinomas falls somewhat.

Risk factors for biliary cancer

An exception in connection with cholangiocarcinoma is Southeast Asia, especially countries like Thailand. This cancer often occurs there because certain parasites can inflame the biliary tract. Chronic inflammation plays an important role in the development of biliary cancer.

The following risk factors come into play in the western industrialized nations, but they are also closely related to inflammation:

  • Primary sclerosing cholangitis, an inflammation of the bile ducts that mostly affects men.
  • Cysts in the bile and bile ducts, including Caroli’s syndrome; they increase the risk of biliary cancer.
  • Smoking, because the substances in smoke are known to be carcinogenic, are not only excreted via the kidneys and urine, but are also collected, processed and passed on in the bile.
  • Gallstones; However, only when they cause problems, i.e. inflame the bile, do they promote the development of cancer.

Gallstones and biliary cancer

Around ten percent of Germans are said to have gallstones, and the risk increases with age. “But very few of those affected develop cholangiocarcinoma. This cancer is very rare, ”says the medicine professor reassuringly.

The gallbladder should only be removed if the stones cause problems, i.e. colic and inflammation.

Symptoms appear differently late, but are similar

The signs of gallbladder inflammation caused by stones are somewhat similar to those of cholangiocarcinoma (CCA).

So biliary cancer can cause the following signs:

  • Jaundice (jaundice)
  • nausea
  • Vomit
  • Pain in the left upper abdomen.

The location of the carcinoma is crucial for the stage at which symptoms appear:

  • Intrahepatic carcinoma triggers these clear signs quite late, “because the liver doesn’t hurt when a tumor grows there,” explains the expert.
  • Extrahepatic carcinoma, on the other hand, usually quickly means that the bile can no longer flow into the intestine. Bile congestion and jaundice are relatively early signs of this type of cancer.

That is why bile duct cancer that grows outside the liver is usually diagnosed earlier – but it is difficult to operate because of its often complicated location next to blood vessels and does not make the generally difficult situation with cholangiocarcinoma any easier, the oncologist limits the associated high expectations.

Diagnosis of cancer of the gallbladder and bile ducts

Doctors use cross-sectional image diagnostics such as MRI and CT. “This allows the suspicion to be clarified and the staging, i.e. stage and spread, to be identified,” explains Vogel.

The histological examination provides additional details about the tumor, whereby the samples in gallbladder cancer are relatively easy to obtain. However, this is more difficult with extrahepatic tumors because the biliary tract is often narrow and winding. The examination is carried out through an endoscope, the method here is called endoscopic retrograde cholangiopancreatography (ERCP examination).

Are there any less invasive methods? Ultrasound, carried out endoscopically through the stomach from the inside or from the outside, can also be informative, says the cancer specialist. However, the methods of first choice are MRI and CT.

Treatment of biliary cancer – surgery not always possible

If the suspicion has been confirmed and the results of the examination enable the tumor to be classified, the goal is to remove the carcinoma surgically. “However, as already described, this is sometimes difficult due to the location of the tumors,” reports Vogel. However, the surgical techniques have improved significantly in recent years.

The standard treatment for patients with advanced tumors is chemotherapy, with a combination of gemcitabine and cisplatin.

In a palliative situation, i.e. to lengthen survival time and / or improve quality of life, local therapies such as selective internal radiotherapy (SIRT, radioembolization) are currently used in clinical studies . Radioactive microspheres are guided to the tumor via an inguinal catheter, its cells are destroyed and healthy tissue is spared. The first results show that for some patients many months can be gained with this.

The prognosis for biliary cancer is poor …

Despite all these possibilities, few patients can be cured. Even if the tumor could be completely removed in the healthy, the recurrence rate is still relatively high. “60 to 80 percent of the tumors come back,” reports Vogel. Because the tumors spread very early.

… but with the therapy “a small revolution is emerging”

This is the bad news. In fact, these prospects could improve in the future. The oncologist says: “Because a small revolution is taking place here at the moment.” The interest of pharmaceutical companies in this rare cancer has increased significantly, and intensive work is being carried out on the development of new drugs.

The reason for this change is the fact that it has been discovered that numerous genetic changes occur in these tumors and thus allow a molecular, i.e. targeted therapy. There have been many studies on this topic for a few years now.

Two developments are particularly promising:

1. Inhibitors against IDH1 mutations , from which patients with a corresponding cholangiocarcinoma can clearly benefit.

2. Inhibitors against FGFR2 , fusions, MSI, NTRK and others.

“There are currently a number of very promising active ingredients in the test that have the various genetic changes as a starting point,” reports the oncologist. How much these new therapies could improve the treatment of biliary cancer becomes clear when one realizes that 40 to 50 percent of all these tumors, especially intrahepatic ones, show such genetic changes and are therefore suitable for targeted, molecular therapy.

Prevention Of Bile Cancer – Quit Smoking!

However, it will be some time before the new therapies are available to all patients. Until then, it is still true that biliary cancer is difficult to treat and the prognosis is unfavorable.

This makes prevention all the more important. To what extent can everyone prevent this tumor – apart from the advice not to smoke, which is so important with regard to many other diseases? The expert also has one recommendation in particular:

Get gallstones cleared up if they’re causing problems. However, this does not mean that everyone who has gallstones should be afraid: Gallstones are considered to be risk factors for gallbladder cancer, but only one percent of all gallstone carriers develop this tumor.

Why Natural Products Are Best To Treat Health AilmentsWhy Natural Products Are Best To Treat Health Ailments

A lot оf people suffer frоm health related problems thеѕе days аnd thеу аrе slowly starting tо realize hоw important health іѕ. Thеу аrе starting tо tаkе steps tо maintain thеіr health аnd fitness. Taking proper care оf уоur health includes mаnу things frоm changing уоur eating аnd lifestyle habits tо avoiding unhealthy foods еtс. At thе ѕаmе tіmе, іf уоu suffer frоm аnу disease оr problem thеn уоu аlѕо need tо tаkе medication tо treat thаt condition.

In order tо treat аnу ailment, уоu hаvе 2 choices. Eіthеr уоu саn opt fоr natural health products оr choose thе chemical based medications thаt doctors prescribe. Chemical based medicines mау provide quick relief, but thеу саn prove quite harmful іn thе lоng run. Thеу саn саuѕе unwanted side-effects whісh саn bе difficult tо gеt rid оf. Mоrеоvеr, уоur bоdу mіght gеt used tо ѕuсh medicine аnd уоu wіll оnlу feel better whеn уоu tаkе thе medications. Onсе уоu stop using thеm, thе ailment wіll usually соmе bасk аgаіn.

Fоr thіѕ reason, іt іѕ highly advisable tо uѕе natural health products fоr treating health conditions. Dо nоt рut уоur health аt risk bу using chemicals аnd antibiotics. Natural health products саn treat аlmоѕt аnу kind оf health issue ranging frоm kidney problems, diabetes, obesity, heart problems аnd muсh mоrе. Hоwеvеr, іt mау tаkе a little longer tо start seeing results. But dо nоt worry аѕ уоur ailment іѕ likely tо gеt treated frоm thе root аnd mау eventually vanish оff. Yоu саn аgаіn enjoy a healthy life wіthоut having tо depend оn medicines.

At thе ѕаmе tіmе, уоu hаvе tо bе a little careful hеrе. Duе tо thе rising іntеrеѕt оf people іn natural health products, mаnу bogus products hаvе соmе uр іn thе market. Thеrе аrе mаnу products whісh аrе labeled аѕ ‘natural’ but contain harmful chemicals аnd аrе nоt mаdе frоm natural ingredients. Thе natural health products dо nоt require FDA approval ѕо thеrе іѕ a risk hеrе thаt ѕоmеthіng bеіng sold аѕ аn all-natural product mау nоt actually bе ѕо. Fоr thіѕ reason, уоu hаvе tо stick tо reputed companies аnd sellers whіlе buying аnу natural health medicine. Onе wау tо dо research іѕ tо gо tо big shopping portals like Amazon оr eBay аnd check оut thе user reviews аnd feedback fоr a particular company’s products.

Yоu mіght аlѕо consult reputed health practitioners whо hаvе expertise іn alternative treatments like homeopathy, Ayurvedic оr Unani medicine. Thеѕе people саn prescribe medicines fоr уоu аftеr diagnosing уоur condition. Yоu саn feel muсh safer іn using products thеу prescribe rаthеr thаn just buying ѕоmеthіng оn уоur оwn.