Tratamiento farmacológico invasivo articular en la artrosis

Abstract

The degeneration of the axial and peripheral joints are linked to the aging of the human being. It is responsible for local pain, and its pathophysiology is complex and not fully understood. The common denominator in osteoarthritis is the degeneration of articular cartilage, along with other secondary changes. His approach and pain management is a challenge for pain units. Historically the interventional treatment was carried out by blind injections of different substances that relieve pain. Currently, fluoroscopy, and more recently ultrasound, are the methods of choice for the guidance of our procedures. Regarding the drugs most commonly used in our joint invasive techniques we highlight hyaluronic acid (HA) and platelet rich plasma (PRP). Steroids remain in almost all studies the gold standard or reference drug, and on the other families of drugs are compared. A thorough examination of the patient, and an algorithm of decisions regarding the decision to carry out these techniques seems necessary, adapting to each workplace.