title: [Reducing pain by oral enzyme therapy in rheumatic diseases].
abstract: Proteolytic enzymes have analgesic, effects, besides the wellknown antiinflammatory and edema-reducing properties. These analgesic effects are based on the inhibition of inflammation and in addition to that on direct influences on the nociceptors. All that explains the therapeutical effects of such enzymes in degenerative-rheumatic and soft tissue rheumatic diseases in which inflammatory or immunologic processes are not in the forefront. In recent years a significant reduction of pain in various rheumatic diseases, concerning these aspects, was shown in several clinical studies. The clinical trial in patients with periarthritis of shoulder showed statistical equivalence of pain reduction, whether they were treated with phlogenzym or diclofenac. Likewise in the trial of patients suffering from painful osteoarthritis of the knee, there was a statistical equivalence of the pain-scores, comparing diclofenac and enzymes. The study of painful vertebral syndromes again resulted in equivalence of the treatment with NSAIDs compared to therapy with enzymes.
authors.affiliation: Sonderkrankenanstalt für rheumatische Erkrankungen und Herz-Kreislaufkrankheiten der PVArb, Saalfelden.
authors.forename: G
authors.initials: G
authors.lastname: Klein
authors.forename: W
authors.initials: W
authors.lastname: Kullich
mesh_terms: D000328:Adult; D000368:Aged; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000009:adverse effects / Q000627:therapeutic use; D001172:Arthritis, Rheumatoid / Q000188:drug therapy*; D001963:Bromelains / Q000009:adverse effects / Q000627:therapeutic use*; D002986:Clinical Trials as Topic; D004008:Diclofenac / Q000009:adverse effects / Q000627:therapeutic use; D004338:Drug Combinations; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000188:drug therapy*; D010147:Pain Measurement; D010489:Periarthritis / Q000188:drug therapy*; D012431:Rutin / Q000009:adverse effects / Q000031:analogs & derivatives* / Q000627:therapeutic use; D014357:Trypsin / Q000009:adverse effects / Q000627:therapeutic use*
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D004338:Drug Combinations; C119937:Phlogenzym; D004008:Diclofenac; D012431:Rutin; D001963:Bromelains; D014357:Trypsin