Herbal Therapy in Patients with Osteoarthritis

Written By Bersemangat on Jumat, 01 Juli 2011 | 16.39

Osteoarthritis (OA) is a chronic disease that most often occurs in older people. Damage occurs in OA cartilage (cartilage) joints characterized by deterioration of cartilage in the joints and nearby bones, which can cause pain and joint stiffness. Pain is usually felt at the time of the move, but in a more severe degree of pain can be felt constantly despite not doing any activity.

Prof. Dr. Dr. Harry Isbagio, SpPD-KR, KGer of the Division of Rheumatology Department of Medicine Faculty of Medicine University of Indonesia, in one occasion stated, osteoarthritis prevention should begin early by recognizing risk factors for the disease, weight control, regular physical exercise, and avoid excessive use of joints. If you have been hit by osteoarthritis, patients should be treated with regular physiotherapy.

Prevention of osteoarthritis can also be done by eating nutritious food. Some dietary supplements can prevent the disease is suspected, including glucosamine and chondroitin although there are many who still doubt the effectiveness of research. In addition, some experts in Europe also began trying to provide supplements in the form of Rosa canina plant extracts that are proven to reduce the complaints of patients with osteoarthritis.

Osteoarthritis therapy
Until now still have not found a drug that can cure OA to its conclusion. Treatment given physicians in the management of OA is generally directed against two things, namely dealing with the symptoms and improve daily activities (symptom-modifying effect) as well as prevention and repair damage to cartilage structure (structure-modifying effect). Finally emerging treatment using stem cell therapy and cell with quite promising results.

The recommendations given by experts in the handling of OA include pharmacological therapy and non-pharmacological therapies (such as: weight loss, exercise, education). Nonsteroidal anti-inflammatory drugs (NSAIDs) is one of the most common pharmacological therapies used to treat pain and inflammation that occurs in patients with osteoarthritis. However, the use of these drugs often provide a fairly serious side effects, such as gastrointestinal bleeding, gastric erosion, damage to liver and kidney. Severity of side effects caused by prolonged use of NSAIDs is to make the experts continue to seek alternative therapies are effective and safe OA.

One alternative therapy and prevention of OA is a good nutritional intake. Today began developing the idea that in addition to fulfilling the basic needs of the body, nutrition also plays an important role in the occurrence of various diseases, especially degenerative diseases. OA is a degenerative disease that is believed to be prevented and overcome by the provision of adequate intake of certain nutrients. One nutrient that started a lot to try to OA therapy are plant extracts.

Extracts of these herbs are widely used by experts in European countries because the content of active substances which are quite complex so it can work on different pathways osteoarthritis mechanisms. This is in contrast with conventional pharmacological medicine where as largely monomodal (only works on one line only mechanism) so that sometimes only limited clinical benefit. Some plants that have been tried as an alternative in the treatment of osteoarthritis (OA), among others: pineapple (contains bromelain, a proteolytic enzyme that is thought to have anti-inflammatory and analgesic effects), ginger, plant Harpagophytum procumbens, Uncaria tomentosa and Rosa canina.

Rosa canina is a medicinal plant that grows in the plains of Europe and has long been believed to be able to help address the complaints experienced by patients with osteoarthritis. Along with the many studies that prove the effectiveness of these herbs, some experts in Japan and many European countries began to try to use Rosa canina plant extracts in the treatment of osteoarthritis.

Galaktolipid contained in extracts of Rosa canina was shown to inhibit migration of white blood cells into the joint so that it can reduce the occurrence of the process of inflammation and joint damage. From various studies that have dilakukukan, long-term use of Rosa canina extract shown to reduce pain and improve quality of life of patients with osteoarthritis.

Indeed, when compared to NSAIDs, anti-pain effects of Rosa canina extract was slower, the effect is only visible after using for 3 weeks. However, unlike NSAIDs, treatment with extracts of Rosa canina are no side effects or damage to gastric bleeding kidney / liver, even after 4 weeks the dose can be reduced the required OA patients.

Indonesia is rich in medicinal plants that may have the same efficacy, even better than Rosa canina, but unfortunately not supported by sufficient scientific evidence that its use is limited and is empirical only.

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