Diagnosis and management of knee osteoarthritis: Chinese medicine expert consensus (2015)
Language: 
English
Short Title: 
Diagnosis and management of knee osteoarthritis
Abstract: 

Literature review shows that Chinese medicine and other related treatment are still the main stream treatment of knee osteoarthritis. Currently, there is short of handbook guiding Chinese medicine from evidence-based medical evidence, so it is a top priority to develop a clinical guideline from the expert consensus. After several rounds of discussion during the conference and examination by letter, which has collected opinions from nearly one hundred experts, consensus was reached. Nonpharmacologic interventions include health education, medical exercise, acupuncture, massage, acupotomology, and physiotherapy. Pharmacological interventions are as follows. Topical application includes fumigation, application, hot compressed, ironing and iontophoresis with Chinese herbs, etc. Chinese patent medicine for external use includes plaster, ointment, etc. Western medicine for external use mainly includes emulsion, ointment, plaster and embrocation containing nonsteroidal anti-inflammatory drugs (NSAIDs). Intraarticular injection mainly includes sodium hyaluronic acid, chitosan (for injection) with prudent use of glucocorticoid. Chinese herbal medicine and Chinese patent medicine can be taken referring to syndrome differentiation which mainly includes syndromes of qi stagnation and blood stasis, cold dampness, deficiency of Gan (Liver) and Shen (Kidney), deficiency of qi and blood. Western medicine mainly includes analgesic, NSAIDs, diseases modifying drugs. Surgery procedures mainly include joint irrigation, arthroscopic surgery, osteotomy, arthroplasty, etc.

Author(s): 
Chen, Wei-Heng
Liu, Xian-Xiang
Tong, Pei-jian
Zhan, Hong-sheng
Orthopaedic Professional Committee, Chinese Association of Research and Advancement of Chinese Traditional Medicine, China
Joint Professional Committee, Branch of Orthopaedic of Chinese Association of Integrative Medicine, China
Item Type: 
Journal Article
Publication Title: 
Chinese Journal of Integrative Medicine
Journal Abbreviation: 
Chin J Integr Med
Publication Date: 
2016-02
Publication Year: 
2016
Pages: 
150-153
Volume: 
22
Issue: 
2
ISSN: 
1672-0415
DOI: 
10.1007/s11655-015-2432-7
Library Catalog: 
PubMed
Extra: 
PMID: 26688182

Turabian/Chicago Citation

Wei-Heng Chen, Xian-Xiang Liu, Pei-jian Tong, Hong-sheng Zhan, Chinese Association of Research and Advancement of Chinese Traditional Medicine Orthopaedic Professional Committee and Branch of Orthopaedic of Chinese Association of Integrative Medicine Joint Professional Committee. 2016-02. "Diagnosis and management of knee osteoarthritis: Chinese medicine expert consensus (2015)." Chinese Journal of Integrative Medicine 22: 2: 150-153. 10.1007/s11655-015-2432-7.

Wikipedia Citation

<ref> {{Cite journal | doi = 10.1007/s11655-015-2432-7 | issn = 1672-0415 | volume = 22 | pages = 150-153 | last = Chen | first = Wei-Heng | coauthors = Liu, Xian-Xiang, Tong, Pei-jian, Zhan, Hong-sheng, Orthopaedic Professional Committee, Chinese Association of Research and Advancement of Chinese Traditional Medicine, China, Joint Professional Committee, Branch of Orthopaedic of Chinese Association of Integrative Medicine, China | title = Diagnosis and management of knee osteoarthritis: Chinese medicine expert consensus (2015) | journal = Chinese Journal of Integrative Medicine | date = 2016-02 | pmid = | pmc = }} </ref>