Recommendations for osteoarthritis

Osteoarthritis (OA) represents one of the most important clinical situation characterized by chronic pain (CP), huge number patients worldwide and large amount burden for each national health systems. Moreover, OA is now considered as a syndrome in terms articular localization; on other hands cartilage remodelling an imbalance between degradation synthesis due to impact subchondral bone citokines production. presents mechanic CP, inflammatory acute period flare. The American College Rheumatology published “2012 recommendations therapy OA”: NSAIDs, acetaminophen, opioids, intra-articular steroids, well viscosupplementation are cornerstones pharmacological recommendations, while weight management exercises suggestions non-pharmacological treatments. Academy Orthopeadic Surgeons 2015 surgery criteria OA: both conservative treatments come first surgical approaches. It very consider that early diagnosis accurate stadiation disease can lead start focused therapy, reduction evolution towards chronicity, progression, disability, with consequent burden, and, finally, increasing quality life.