Conservative treatment of patients with gonarthrosis at early stages (Review of literature)


  • Volodymyr Tankut
  • Kyrill Makolinets



knee osteoarthritis, treatment, chondroprotectors, physiotherapy


The article describes modern methods of treatment for early stages of knee osteoarthritis on the basis of results of researches, carried out by Ukrainian and foreign authors. The necessity of rational approach to conservative therapy of early stages of osteoarthritis is shown. This therapy includes use of anti-inflammatory and chondroprotective drugs with compulsory combination of physiotherapeutic treatment and local laser influence on the involved joint and its adjacent tissues in a certain sequence in order to improve the effect of pharmaceutical drugs on metabolism in the joint cartilage.


Conservative therapy of osteoarthritis / P. Diehl, L. Gerdesmeyer, J. Schauwecker et al. // Orthopade. — 2013. — № 42 (2). — P. 125–139.

EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis / Ann. Rheum. Dis. — 2013. — Vol. 72. — P. 1125–1135.

Merashly M. Management of knee osteoarthritis: an evidence-based review of treatment options / M. Merashly, I. Uthman // J. Med. Liban. — 2012. — № 60 (4). — P. 237–242.

Niempoog S. The efficacy of Plygersic gel for use in the treatment of osteoarthritis of the knee / S. Niempoog, P. Siriarchavatana, T. Kajsongkram // J. Med. Assoc. Thai. — 2012. — Suppl. 10. — P. 113–119.

Treatment of knee osteoarthritis with autologous mesenchymal stem cells: a pilot study / L. Orozco, A. Munar, R. Soler, M. Alberca // Transplantation. — 2013. — Vol. 12, № 95. — P. 1535–1541.

Schencking M. A comparison of Kneipp hydrotherapy with conventional physiotherapy in the treatment of osteoarthritis: a pilot trial / M. Schencking, S. Wilm, M. Redaelli // J. Integr. Med. — 2013. — № 11 (1). — P. 17–25.

Cost-utility analysis and economic burden of knee osteoarthritis treatment: the analysis from the real clinical practice / T. Turajane, U. Chaweevanakorn, P. Sungkhun et al. // J. Med. Assoc. Thai. — 2012. — Suppl. 10. — P. 98–104.