Publication: Estudio del tratamiento crenoterápico de la gonartrosis en el balneario de Lanjarón
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2017-09-14
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Universidad Complutense de Madrid
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Abstract
Dada la importante asistencia de pacientes con gonartrosis al Balneario de Lanjarón y, al mismo tiempo, existir la posibilidad de aplicar una novedosa línea terapéutica, complementaria de las prácticas y técnicas habituales, se ha diseñado y desarrollado finalmente este trabajo, que se presenta con la intención de optar al Grado de Doctor en Medicina y en el que se han revisado y contrastado, clínica y económicamente, tres variantes crenoterápicas utilizables frente a la gonartrosis para llegar a proponer una prelación terapéutica crenoterápica derivada de nuestros resultados. La rodilla es la principal articulación afectada en la artrosis, alcanzando su propia entidad al utilizar el término gonartrosis para referirnos a la misma cuando se aluda a la degeneración progresiva y lenta de esta articulación. Un informe reciente de la OMS, indica que la artrosis de rodilla está próxima a ser la cuarta causa más importante de incapacidad en mujeres y la octava en varones. Entre las manifestaciones clínicas de la gonartrosis se destacan las siguientes: el dolor, la rigidez articular, la incapacidad funcional de la articulación (movilidad articular disminuida), la inestabilidad articular y los ruidos articulares (crepitación y crujido); y como se alcanza el diagnóstico basándose en la conjunción de manifestaciones clínicas, hallazgos exploratorios y signos radiológicos (disminución de la interlinea articular, la esclerosis subcondral, los osteofitos, etc.) junto con valores analíticos dentro de la normalidad, pero hay que tener siempre presente la inexistente correlación entre intensidad de los síntomas y el grado de alteración radiológica y que en todo caso se debe realizar un correcto diagnóstico diferencial con otras enfermedades reumatológicas antes de establecer el diagnóstico artrosis...
Given the considerable assistance to patients with knee osteoarthritis in Lanjarón Spa and at the same time, being possible to apply a new complementary therapeutic treatment line of standard practices and techniques, it has been designed and finally developped this work, which is presented with the intention to qualify for the Degree of Doctor of Medicine and in which there have been reviewed and contrasted, clinically and economically three crenotherapeutic variants used against knee OA in order to reach therapeutic crenotherapy derived from our results. The knee is the main joint affected by osteoarthritis, reaching its own entity by using the term gonarthrosis to refer to it when the slow progressive degeneration of the joint is produced. A recent report by the World Health Organization indicates that knee osteoarthritis is about to be the fourth leading cause of disability in women and the eighth in men. Clinical manifestations of knee osteoarthritis are the following: pain, joint stiffness, functional disability of joint ( impared joint mobility), joint instability and joint sounds (crackling and crunching); and as a diagnosis based on a combination of clinical manifestations, examination findings and radiological signs (decreased joint line, subchondral sclerosis, osteophytes, etc.) along with analytical values within normal limits, but there must always be this nonexistent correlation between severity of symptoms and the degree of radiological alteration and in any case one must make a correct differential diagnosis with other rheumatologic diseases before establishing the diagnosis osteoarthritis. With respect to the therapeutic spectrum of knee OA we can divide it into two actions: pharmacological and the non-pharmacological. But specifically what is to be highlighted is the potential crenotherapy: the use of mineral waters and its derivatives for the treatment, a question that from some time ago was recommended by the EULAR...
Given the considerable assistance to patients with knee osteoarthritis in Lanjarón Spa and at the same time, being possible to apply a new complementary therapeutic treatment line of standard practices and techniques, it has been designed and finally developped this work, which is presented with the intention to qualify for the Degree of Doctor of Medicine and in which there have been reviewed and contrasted, clinically and economically three crenotherapeutic variants used against knee OA in order to reach therapeutic crenotherapy derived from our results. The knee is the main joint affected by osteoarthritis, reaching its own entity by using the term gonarthrosis to refer to it when the slow progressive degeneration of the joint is produced. A recent report by the World Health Organization indicates that knee osteoarthritis is about to be the fourth leading cause of disability in women and the eighth in men. Clinical manifestations of knee osteoarthritis are the following: pain, joint stiffness, functional disability of joint ( impared joint mobility), joint instability and joint sounds (crackling and crunching); and as a diagnosis based on a combination of clinical manifestations, examination findings and radiological signs (decreased joint line, subchondral sclerosis, osteophytes, etc.) along with analytical values within normal limits, but there must always be this nonexistent correlation between severity of symptoms and the degree of radiological alteration and in any case one must make a correct differential diagnosis with other rheumatologic diseases before establishing the diagnosis osteoarthritis. With respect to the therapeutic spectrum of knee OA we can divide it into two actions: pharmacological and the non-pharmacological. But specifically what is to be highlighted is the potential crenotherapy: the use of mineral waters and its derivatives for the treatment, a question that from some time ago was recommended by the EULAR...
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Tesis inédita de la Universidad Complutense de Madrid, Facultad de Medicina, Departamento de Medicina Física y Rehabilitación. Hidrología Médica, leída el 22-01-2016