Artrosis: ¿cambios degenerativos o cambios adaptativos? Consejos educativos breves en la consulta de atención primaria

IF 1.8 4区医学 Q2 MEDICINE, GENERAL & INTERNAL Atencion Primaria Pub Date : 2025-02-01 DOI:10.1016/j.aprim.2024.103173

Gema Izquierdo Enríquez , María Victoria García Espinosa , Isabel Prieto Checa , María Fernández de Paúl , Patricia Moreno Carrero , Silvia Fernanda García Vila

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Abstract

Osteoarthritis is a degenerative joint disease and is the most common joint problem worldwide. It is considered a serious disease due to the presence of pain and reduced functional capacity. Moreover, there are no disease-modifying drugs or curative treatment at present; the basic or first-line treatment is non-pharmacological, based on education and physical exercise.

The presence of degenerative changes in imaging tests is present in a high percentage of the general asymptomatic population, i.e. in those who have no pain or functional limitation, and this percentage increases progressively with age. In short, osteoarthritis is part of the normal aging process of the population.

As with low back pain, it is proposed to apply a salutogenic model of health, paying special attention to the terms used when informing and advising patients.

It is proposed a review of the main causes, effectiveness and prognosis of osteoarthritis treatment, in order to provide brief educational advice to patients.

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骨关节炎：退行性改变还是适应性改变？初级保健中的疼痛简短建议]。

骨关节炎是一种退行性关节疾病，是世界范围内最常见的关节疾病。由于存在疼痛和功能下降，它被认为是一种严重的疾病。此外，目前还没有改善疾病的药物或治疗方法；基本的或第一线的治疗是基于教育和体育锻炼的非药物治疗。在一般无症状人群中，即在没有疼痛或功能限制的人群中，成像检查中出现退行性改变的比例很高，并且这一比例随着年龄的增长而逐渐增加。总之，骨关节炎是人口正常衰老过程的一部分。与腰痛一样，建议采用健康的健康模型，特别注意在告知和建议患者时使用的术语。本文就骨关节炎治疗的主要原因、疗效和预后进行综述，以期为患者提供简短的教育建议。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Atencion Primaria 医学-医学：内科

CiteScore

2.90

自引率

8.00%

发文量

156

审稿时长

33 days

期刊介绍： Atención Primaria es una revista que publica trabajos de investigación relativos al ámbito de la atención primaria de salud. Desde el punto de vista conceptual, Atención Primaria asume el nuevo modelo de atención primaria de salud, orientado no sólo a la curación de la enfermedad, sino también a su prevención y a la promoción de la salud, tanto en el plano individual como en el de la familia y la comunidad. En estos nuevos aspectos que definen el modelo de atención primaria de salud es en los que se centran los trabajos de investigación que publica Atención Primaria, la primera revista de originales española creada para recoger y difundir la producción científica realizada desde los centros de atención primaria de salud sobre cuestiones como protocolización de la asistencia, programas de prevención, seguimiento y control de pacientes crónicos, organización y gestión de la asistencia primaria, entre otros.