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KMID : 0614520030130010004
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Journal of the Korean Pain Research Society
2003 Volume.13 No. 1 p.4 ~ p.11
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Pain Control in Arthritis
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Kim Hee-Sang
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Abstract
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Osteoarthritis (OA), degenerative joint disease, is the most common form of joint affection in humans and is responsible for a large proportion of morbidity in populations. Patients with OA have pain with weight bearing and activity and improves with rest, as well as morning stiffness and gelling of the involved joint after periods of inactivity. On physical examination, they have tenderness on palpation, bony enlargement, crepitus on motion, and/or limitation of joint motion, occasional effusion, variable local inflammation. Causes of OA are biomechanical stresses affecting the articular cartilage and subchondral bone, biochemical changes in the articular cartilage and synovial membrane, and genetic factors. The goals of the contemporary management of the patient with OA continue to include control of pain, maintain and/or improvement of joint mobility and function, and health-related quality of life, with avoidance, if possible, of toxic effects of therapy. The treatments of patient with OA outlined the use of nonpharmacologic modalities, including patient education, physical and occupational therapy, and the use of assistive devices, bracing, and footwear, as well as the use of pharmacologic agents, irrigation, intra-articular and/or peirarticular injection, and surgical management of OA. These guidelines emphasizes that these recommendations are not fixed, rigid mandates, and recognizes that the final decision concerning the therapeutic regimen for an individual patient rests with the treating physician.
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KEYWORD
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Pain, Osteoarthritis
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