Diseases

Osteoarthritis: The advice of the specialist

Interview with Dr. Hervé Bard, Rheumatologist Specialist at the American Hospital, attached to the Georges Pompidou Hospital (Paris), and Assistant Secretary of the Musculoskeletal Imaging Society. He gives lots of practical advice ...

What are the novelties in the treatment of osteoarthritis?

For the moment, there is no revolutionary novelty! But progress. At the pharmacology level, some slow-acting anti-arthritics have shown a beneficial effect that remains moderate on the symptoms of osteoarthritis of the knee and hip.
They are a good alternative to anti-inflammatory treatments or infiltrations. They are well tolerated, without all the side effects that are known anti-inflammatories or cortisone, but are quite expensive, being little or not supported by the Health Insurance.

There is also hyaluronic acid ...

Hyaluronic acid also provides satisfactory results. Injections of hyaluronic acid into diseased joints can replace or supplement corticosteroid injections. The principle is supplementation of the synovial fluid (viscosupplement), but its delayed and prolonged effects suggest a more complex action on the cartilage. Note that this is a naturally occurring product in the body. To benefit from this treatment, you must contact a specialist doctor.

And for the future?

In my opinion, it is at the level of cellular therapy (chondrocytes, stem cells), and biological with products acting on the molecules involved in the degradation of cartilage, as is already the case in inflammatory rheumatism. The stem cells are taken from the patient himself, at the level of the pelvic bone (the pelvic bone). These stem cells are able to differentiate into different kinds of cells, including cartilage cells. We know how to collect and put them in culture to re-implant them in large numbers to repair a small hole in the cartilage, but not on a large surface.
It is expensive and is still little practiced in France. This treatment is not currently intended to treat an arthritic joint, but it is a way of research ... As the cartilage can not be repaired, once destroyed, it can not be reconstituted, this technique is perhaps to be the means of remaking cartilage. It is, in any case, the most promising technique at the moment.

For bone health, you say that a sufficient supply of vitamin D is essential ...

We do not talk enough. But vitamin D deficiency is the guarantee of bone and muscle problems. However, we have habits of life that prevent us from being sufficiently exposed to the sun. Admittedly, dermatologists are right, we must be careful of the harmful effects of too long exposures. But fleeing the sun that is already rare in our home is taking the risk of vitamin D deficiency. But it is essential for the skeleton and for our health in general. You have to pay attention. And if our living conditions do not allow us enough sun exposure, we must take vitamin D prescribed by his doctor.

Popular Posts

Category Diseases, Next Article

Intertrigo: sources and notes - Diseases
Diseases

Intertrigo: sources and notes

Author : Charles Brumauld. Expert Consultant: Dr. Irene Kosseian-Bal, dermatologist at the Georges-Pompidou European Hospital, Paris. Sources: - Website of the National Union of Dermatologists and Venereologists, 2014. - Belaïche S. Krickx B. Dermatology and sexually transmitted infections, book of the intern, 3rd edition, Medicine Sciences Lavoisier.
Read More
Asperger's syndrome: autism "high" level - Diseases
Diseases

Asperger's syndrome: autism "high" level

Asperger syndrome is an invasive developmental disorder (PDD) characterized by the association of deficits and cognitive skills. This difference in psychological functioning causes a more or less important academic and social handicap. Asperger's syndrome is a high-level autism spectrum disorder (ASD)
Read More
Pulmonary infection (pneumonia): the causes - Diseases
Diseases

Pulmonary infection (pneumonia): the causes

The causes of a lung infection are microbial agents: bacteria, parasites and fungi. Bacteria Among the various bacteria involved, there is pneumococcus that can cause pneumonia and Koch bacillus that causes pulmonary tuberculosis, Pseudomonas aeruginosa is also a very formidable bacteria. Another bacterium is Legionella, which grows in relatively warm aquatic environments (40-60 ° C) and can affect the lungs and cause severe infection.
Read More
Brain tumor: different types of tumor - Diseases
Diseases

Brain tumor: different types of tumor

There are different types of tumor: 1 - The nature of the brain tumor Glioma: This tumor is about glial cells - the cells that surround and protect neurons. It is more common in men than in women, and accounts for about 30% of brain tumors. The glioma is a benign tumor that can degenerate to glioblastoma
Read More