अंगूठे के ऑस्टियोआर्थराइटिस का प्रथम-पंक्ति उपचार क्या है?
अंगूठे का ऑस्टियोआर्थराइटिस पहले कार्पोमेटाकार्पल (CMC) जोड़ को प्रभावित करता है और हाथ के दर्द एवं कम पकड़ क्षमता का एक सामान्य कारण है। प्रथम-पंक्ति प्रबंधन प्रमुख रुमेटोलॉजी संगठनों द्वारा निर्देशित है और इसमें गैर-औषधीय पद्धतियां तथा लक्षित स्थानीय जोड़ हस्तक्षेप दोनों शामिल हैं।
References
DOI: 10.1016/j.rdc.2022.03.009.
- Acupuncture was conditionally recommended for patients with knee, hip, and/or hand OA in the ACR/AF guidelines despite limited evidence, given the positive effect of acupuncture for analgesia and low risk of harm.
- Thermal modalities were strongly recommended for hip OA by OARSI (conditionally not recommended for knee and polyarticular OA) and conditionally recommended by ACR/AF for knee, hip, and/or hand OA.
- Cognitive behavioral therapy (CBT) was conditionally recommended for patients with knee, hip, and/or hand OA by ACR/AF on the basis of data regarding chronic pain management, although further study is needed to better assess the benefit of CBT in OA directly.
- EULAR made a strong recommendation against IACS for hand OA though commented on its potential use in the case of "clear joint inflammation", whereas ACR provided a conditional recommendation for its use.