[Therapeutic management of osteoarthritis in the beginning of the third millennium. Part II: non pharmacological strategies].
CONCLUSIONS
Osteoarthritis represents one of the most frequent pathologies today, and its current management requires the combination of pharmaceutical and non pharmacological strategies. Moreover, osteoarthritis constitutes one of the main diseases leading to the requirement to the alternative medicines.
This overview resumes the main recommendations in the light of recent controlled clinical trials concerning the not medicinal coverage of osteoarthritis : importance of the information and the education of the patient, the importance of the establishment of programs of physical exercises, the need for a reduction of the weight excess for knee osteoarthitis. Some controlled studies tried to estimate the symptomatic efficiency of acupuncture, homoeopathy or the contribution of minerals, vitamins. The appeal to the alternative said medicines is approached on this review.


CONCLUSIONS
If certain not medicinal strategies have a sufficient proof of efficiency today, on the other hand number of propositions still have not, at the moment, demonstrated by superiority and by efficiency versus placebo. Numerous controlled studies should be organized to confirm or exclude the place of treatments such as homoeopathy, minerals.
Flipo
R-M
RM
Service de rhumatologie, hôpital Roger-Salengro, centre hospitalier et universitaire de Lille, 59037 cedex, Lille, France. rmflipo@chru.lille.fr
Conrozier
T
T
D000529:Complementary Therapies / Q000379:methods* / Q000639:trends; D019317:Evidence-Based Medicine; D006801:Humans; D009765:Obesity / Q000150:complications / Q000517:prevention & control; D010003:Osteoarthritis / Q000209:etiology / Q000534:rehabilitation*; D010353:Patient Education as Topic / Q000379:methods* / Q000639:trends; D026741:Physical Therapy Modalities / Q000379:methods* / Q000639:trends; D016896:Treatment Outcome
La prise en charge thérapeutique de l'arthrose en ce début de 3e millénaire. Seconde partie : les traitements non médicamenteux.