Pain due to joint pain often unrestraintedly. Therefore, people who suffer from pain always rely on pain pills, for example asetaminopen. Unfortunately, such drugs was not much help.
The latest research on how that should be done when the recurrent knee pain produced some surprising things. Therapy is often suggested that might not be much help, even a placebo injections derived from salt water actually reduce pain than any pill.
Dr Raveendhara Bannuru and colleagues at Tufts Medical Center near Boston look at the thousands of studies on the various forms of treatment for knee pain problems, from asetaminopen - the active ingredient in Tylenol pain reliever - ibuprofen, to steroid injections.
Finding scientific truth is sometimes very complicated. Moreover, there are many advantages for drug companies to test the type of generic drugs, medications such as naproxen, and also the type of the generic steroid injections of hyaluronic acid, a kind of lubricating joints.
This study led Bannuru analyzed 137 studies involving 33,000 people who meet several criteria. This study randomized, blinded, which means the doctors do not know where that is obtained by the treatment of patients after evaluation of pain, stiffness and range of motion.
Therapy is the treatment of comparative material placebo (empty drug that has no active substance) in the form of pills or injections.
The results were surprising. "All kinds of treatments except pain relief medication showed significant clinical improvement of the pain in the beginning.", The researchers wrote in the journal Annals of Internal Medicine.
In addition, celecoxib drug sold under the name Celebrex is also no better than asetaminopen. In fact, salt water injection works better than pills, although it is not as good as injections steorid or lubricating joints.
This may be due to a placebo effect super, or may inject any liquid to the knee, called viscosupplementation, it will provide temporary pain bidder.
This finding is certainly surprising because in the global market medicines and pain relief glucosamine also generate a lot of money for pharmaceutical companies. Risk of inflammatory joint disease and knee pain is increased in people over the age of 45 years.
Supplement that is claimed to improve the condition of the knee and joint pain such as glucosamine and chondroitin are also not too much help.
David Jevsevar, an orthopedic surgeon at Dartmouth Medical School, said it was difficult to assess pain in the knee are always coming and going.
"Patients with osteoarthritis of the knee usually do not experience pain every day," said Javsevar.
Injections of pain in the knee also thinks the effect only lasts a maximum of 4 weeks. Though the cost is not cheap at all injections. In America, once injection could cost up to $ 700 ..
He recommended for knee pain therapy slowly and gradually, of course, at an affordable cost. Things to do them lose weight and using ice.
Exercise can help, if done properly without stimulating the knee strain. For example, swimming and cycling.
Another treatment that can be done, including taking acetaminophen, the drug is not toxic in recommended doses and does not cause bleeding in the stomach like other drugs, such as aspirin and ibuprofen.
"We believe that the pharmacological intervention is important for patients to be able to relieve the pain. Surgery is a last resort," said Jevsevar
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