WHAT SHOULD BE THE INTERDISCIPLINARY INTERACTION AND APPROACH TO PATIENTS WITH OSTEOARTHRITIS?

Osteoarthritis (OA) is the most common musculoskeletal disorder worldwide. Multidisciplinary approach to OA management according to patients' needs is of great importance and effectiveness. In the light of present evidence, multidisciplinary groups of experts in the diagnosis and treatment of this disorder representing different disciplines established recommendations/guidelines for achieving the best clinical application. The OA treatment plan should be created taking into consideration the risk factors (i.e. age, sex, comorbidity and polypharmacy), location/degree of the structural damage, pain intensity, and patient expectations. The first step of the treatment should consist of patient education about the disease and weight loss in overweight cases. Implementing a combination of pharmacological and non-pharmacological treatments is the consensus point of the multidisciplinary expert groups for recommendations designed to reduce joint pain/stiffness, improve/maintain joint mobility, prevent joint damage, improve quality of life, and to avoid physical disability and handicap. Surgery is suggested for OA patients who do not benefit from individualized combined treatments. An increasing number of studies on autologous cartilage transplantation in early-stage OA are being conducted. In future, gene therapy and tissue engineering will gain importance by better understanding of the genes influencing OA

Osteoporosis treatment at present and in the future

Osteoporoz, ülkelerin nüfuslarının yaşlanması ile giderek artan önemli bir sağlık problemidir. Osteoporozun tedavisinde, günümüzde ve gelecekte primer amaç kırıkların önlenmesidir. Osteoporotik kırıkların önlenmesinde antirezorbtif ve anabolik ajanlar olmak üzere geniş bir aralıkta ilaç grubu vardır. Nanoteknolojik ve farmakogenetik alandaki çalışmalarla osteoporozda tanı ve tedavi hızla gelişmektedir. Yeni tedavi seçenekleri, modelleri ve stratejilerinin amacı, kemik formasyonunu arttırmak ve aşırı kemik rezorbsiyonunu önlenmektir. Medikal tedavinin yanısıra kullanılan fizik tedavi ve rehabilitasyon yöntemleri bilgisayar teknolojisindeki gelişmelerle orantılı olarak hastaların yaşam kalitesini artırmada önemli bir rol oynamaya devam edecektir.Osteoporosis is a growing health problem with the aging of the World’s population. The primary goal of osteoporosis treatment at present and in the future is to prevent fractures. A wide range of medications including both antiresorptive and anabolic agents are available for the prevention of fractures. The diagnosis and treatment of osteoporosis are progressing rapidly in parallel with the research studies in the field of nanotechnology and pharmacogenetics. The aim of the new treatment options, modalities, and strategies is to increase bone formation and to inhibit excessive resorption. Besides medical treatment, correspondingly with the progress in computer technology, physical therapy and rehabilitation modalities will continue to play an important role in improving the quality of life of patients with osteoporosis

Osteoporosis Treatment at Present and in the Future

Osteoporosis is a growing health problem with the aging of the World's population. The primary goal of osteoporosis treatment at present and in the future is to prevent fractures. A wide range of medications including both antiresorptive and anabolic agents are available for the prevention of fractures. The diagnosis and treatment of osteoporosis are progressing rapidly in parallel with the research studies in the field of nanotechnology and pharmacogenetics. The aim of the new treatment options, modalities, and strategies is to increase bone formation and to inhibit excessive resorption. Besides medical treatment, correspondingly with the progress in computer technology, physical therapy and rehabilitation modalities will continue to play an important role in improving the quality of life of patients with osteoporosis