OSTEOARTHRITIS AND COMORBIDITY: FEATURES OF TREATMENT OF PATIENTS AT THE PRESENT STAGE
Summary. In this article we discuss problems of osteoarthritis (OA) that don’t let us treat it efficiently. The most important problems are overdue call to doctor, postponed treatment, patient’s lifestyle and comorbidity. We noted ESCEO 2019 recommendations and their differences from another medical societies. We described management of OA, recommended by ESCEO, in details. In the article the posibility of prescription of chondroprotectors (SYSADOA) as the first level treatment instead of nonsteroidal anti-Inflammatory drugs (NSAIDs) is discussed. We present the role of chondroitin sulfate in OA treatment. NSAIDs, hyaluronic acid, corticosteroids, opioid analgesics, surgical intervention as treatment options are also discussed.
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