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Efficacy of Piroxicam Mesotherapy in Treatment of Knee Osteoarthritis: A Randomized Clinical Trial
Joint Authors
Farpour, Hamid Reza
Estakhri, Fahime
Zakeri, Mohadese
Parvin, Reyhaneh
Source
Evidence-Based Complementary and Alternative Medicine
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-08-03
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Introduction.
Knee osteoarthritis (KOA) is one of the most common degenerative diseases that lead to pain and disability.
Oral NSAIDs are effective drugs used to alleviate symptoms in patients with KOA, but they have several important complications, especially in the elderly.
In this study, we evaluated the effectiveness of mesotherapy on pain reduction and improvement of functioning in patients with KOA.
Methods.
Sixty-two patients with KOA, grade 2-3 of the Kellgren–Lawrence scale, were randomized into two groups: the mesotherapy group, in which two injections were applied with piroxicam at a 10-day interval, and the oral group, in which piroxicam was prescribed for 10 days.
The patients were evaluated before the treatment and 2, 4, and 8 weeks after it using the Visual Analogue Scale (VAS), Oxford Knee Scare (OKS), and Western Ontario McMaster University Osteoarthritis Index (WOMAC, Persian version).
Results.
There was no significant difference in demographic characteristics and baseline pain and function scores between the two groups.
After 2, 4, and 8 weeks of follow-up, VAS, WOMAC, and OKS scores significantly improved in both groups (in the mesotherapy group: p value <0.001 in all three scores and in the oral group: p value <0.001 in the VAS scale and p value <0.05 in WOMAC and OKS scores).
There was no significant difference between the two groups at any time in the VAS score, but improvement in WOMAC and OKS scales in the mesotherapy group was significantly better (p value <0.05 in both scales [p value <0.03 in OKS and p value <0.02 in WOMAC scales]).
Side effects in both groups were not serious: limited heart burn in 32.2% of the total subjects in the oral group and pain at the injection site in 3.2% and bruises in 38.7% of the total subjects in the mesotherapy group.
Conclusion.
Mesotherapy is an effective and safe treatment modality in patients with mild-to-moderate KOA in the short term.
This trial is registered with IRCT2017052434113N1.
American Psychological Association (APA)
Farpour, Hamid Reza& Estakhri, Fahime& Zakeri, Mohadese& Parvin, Reyhaneh. 2020. Efficacy of Piroxicam Mesotherapy in Treatment of Knee Osteoarthritis: A Randomized Clinical Trial. Evidence-Based Complementary and Alternative Medicine،Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1157127
Modern Language Association (MLA)
Farpour, Hamid Reza…[et al.]. Efficacy of Piroxicam Mesotherapy in Treatment of Knee Osteoarthritis: A Randomized Clinical Trial. Evidence-Based Complementary and Alternative Medicine No. 2020 (2020), pp.1-8.
https://search.emarefa.net/detail/BIM-1157127
American Medical Association (AMA)
Farpour, Hamid Reza& Estakhri, Fahime& Zakeri, Mohadese& Parvin, Reyhaneh. Efficacy of Piroxicam Mesotherapy in Treatment of Knee Osteoarthritis: A Randomized Clinical Trial. Evidence-Based Complementary and Alternative Medicine. 2020. Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1157127
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1157127