Dor miofascial em pacientes com osteoartrose do quadril
Keywords:
Myofascial Pain, Osteoarthritis, HipAbstract
A osteoartrose (OA) do quadril é uma doença de alta prevalência, especialmente nas faixas etárias mais avançadas. Seu tratamento por meio da artroplastia tem resultados muito satisfatórios não apenas no que concerne a dor mas também em termos de melhora funcional. Contudo, diante da presença também elevada de outras afecções que complicam o procedimento anestésico e o acompanhamento pós-operatório, o uso de alternativas terapêuticas menos invasivas é recomendável, sendo, por vezes, a única forma restante de tratamento, mesmo que apenas paliativo. A investigação de outras causas de dor e incapacidade nestes pacientes é uma obrigação do médico preocupado com o bemestar destes pacientes. Neste artigo faremos uma breve revisão de aspectos clínicos da osteoartrose do quadril e proporemos uma nova abordagem, tendo em vista a pesquisa de pontos dolorosos relacionados à síndrome dolorosa miofascial.
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Altman R, Alarcón G, Appelrouth D, Bloch D, Borenstein D, Brandt K, et al. The American College of Rheumatology criteria for the classification and reporting of osteoarthritis of the hip. Arthritis Rheum. 1991;34(5):505-14.
Bellamy N, Buchanan WW, Goldsmith CH, Campbell J, Stitt LW. Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol. 1988;15(12):1833-40.
Brandt KD, Mankin HJ. Pathogenesis of osteoarthritis. In: Kelley WN. Textbook of rheumathology. Philadelphia: WB Saunders Company, 1993. p. 1355-73.
Brandt KD. Management of osteoarthritis. In: Kelley WN. Textbook of rheumathology. Philadelphia: WB Saunders Company, 1993. p. 1385-99.
Cooper C, Campbell L, Byng P, Croft P, Coggon D. Occupational activity and the risk of hip osteoarthritis. Ann Rheum Dis. 1996;55(9):680-2.
Croft P, Cooper C, Wickham C, Coggon D. Defining osteoarthritis of the hip for epidemiologic studies. Am J Epidemiol. 1990;132(3):514-22.
Cumming RG, Klineberg RJ. Epidemiological study of the relation between arthritis of the hip and hip fractures. Ann Rheum Dis. 1993;52:707-10.
Dahlberg L, Lohmander LS, Ryd L. Intraarticular injections of hyaluronan in patients with cartilage abnormalities and knee pain. A one-year double-blind, placebo-controlled study. Arthritis Rheum. 1994;37(4):521-8.
Dieppe P. Management of osteoarthritis of the hip and knee joints. Cur Opin Rheum. 1993;5:487-93.
Dougados M, Gueguen A, Nguyen M, Berdah L, Lequesne M, Mazieres B, et al. Radiological progression of hip osteoarthritis: definition, risk factors and correlations with clinical status. Ann Rheum Dis. 1996;55(6):356-62.
Felson DT. Does excess weight cause osteoarthritis and, if so, why? Ann Rheum Dis. 1996;55(9):668-70.
Felson DT, Zhang Y, Anthony JM, Naimark A, Anderson JJ. Weight loss reduces the risk for symptomatic knee osteoarthritis in women. The Framingham Study. Ann Intern Med. 1992;116(7):535-9.
Fortin L, Belanger R. Bursitis of the iliopsoas: four cases with pain as the only clinical indicator. J Rheumatol. 1995;22:1971-3.
Fox KM, Hochberg MC, Resnik CS, Kenzora JE, Hebel JR, Zimmerman SI, et al. Severity of radiographic findings in hip osteoarthritis associated with total hip arthroplasty. J Rheumatol. 1996;23(4):693-7.
Hart DJ, Spector TD. The relationship of obesity, fat distribution and osteoarthritis in women in the general population: the Chingford Study. J Rheumatol. 1993;20(2):331-5.
Hochberg MC, Altman RD, Brandt KD, Clark BM, Dieppe PA, Griffin MR, et al. Guidelines for the medical management of osteoarthritis. Part I. Osteoarthritis of the hip. American College of Rheumatology. Arthritis Rheum. 1995;38(11):1535-40.
Kellgren JH, Lawrence JS. Radiological assesment of osteoarthrosis. Ann Rheum Dis. 1957;16:494-501.
Kleiner JB, Thorne RP, Curd JG. The value of buvicaine hip injection in the diferentiation of coxarthosis from lower extremity neuropathy. J Rheum. 1991;18:422-27.
Lane NE. Physical activity at leisure and risk of osteoarthritis. Ann Rheu Dis. 1996;55(9):682-84.
Lorig KR, Mazonson PD, Holman HR. Evidence suggesting that health education for self-management in patients with chronic arthritis has sustained health benefits while reducing health care costs. Arthritis Rheum. 1993;36(4):439-46.
MacCarthy C. Osteoarthritis. In: Wall PD, Melzack R. Textbook of pain. Londres: Churchill Livingstone, 1994. p. 475-94.
MacDonald AG, McHenry P, Robins SP, Reid DM. Relationship of urinary pyridinium crosslinks to disease extent and activity in osteoarthritis. Br J Rheumatol. 1994;33(1):16-9.
Mandell BF, Lipani J. Refractory osteoarthritis. Rheum Dis Clin North Am. 1995;21(1):163-78.
Mankin HJ. Clinical features of osteoarthritis. In: Kelley, WN. Textbook of rheumathology. Philadelphia: WB Saunders Company, 1993. p. 1374-84.
March L, Irwig L, Schwarz J, Simpson J, Chock C, Brooks P. N of 1 trials comparing a non-steroidal anti-inflammatory drug with paracetamol in osteoarthritis. BMJ. 1994;309(6961):1041-6.
McCain GA. Fibromyalgia and myofascial pain syndromes. In: Wall PD, Melzack R. Textbook of pain. New York: Churchill Livingstone, 1994. p. 475-94.
Merksey H, Bogduk N. Classification of chronic pain: descriptions of chronic pain syndromes and definition of pain terms. Seatle: IASP Press, 1994. p. 47.
Minor MO, Hewett JE, Webel RR, Anderson SK, Kay DR. Efficacy of physical conditioning exercise in patients with rheumathoid arthritis and osteoarthritis. Arthritis Rheum. 1989;32(11):396-405.
Moffet JA, Richardson PH, Frost H, Osborn A. A placebo controlled double blind trial to evaluate the effectiveness of pulsed short wave therapy for osteoarthritic hip and knee pain. Pain. 1996;67:121-27.
Nevitt MC, Lane NE, Scott JC, Hochberg MC, Pressman AR, Genant HK, et al. The study of osteoporotic fractures research group: radiographic osteoarthritis of the hip and bone mineral densitiy. Arthritis Rheum. 1995;38(7):907-16.
Noble PC, Box GG, Kamaric E, Fink MJ, Alexander JW, Tullos HS. The effect of aging on the shape of the proximal femur. Clin Orthop Relat Res. 1995;(316):31-44.
Puett DW, Griffin MR. Published trials of nonmedicinal and noninvasive therapies for hip and knee osteoarthritis. Ann Intern Med. 1994;121(2):133-40.
Simons DG. Clinical and ethiological update of myofacial pain from trigger points. J Musculoskeletal Pain. 1996;4:93-121.
Spector TD, Harris PA, Hart DJ, Ciccutini FM, Nandra D, Etherington J, et al. Risk of ostearthritis associated with long-term weightbearing sports. Arthritis Rhem. 1996;39(6):988-95.
Stucki G, Johannesson M, Liang MH. Is misoprostol cost-effective in the prevention of nonsteroidal anti-inflammatory drug-induced gastropathy in patients with chronic arthritis? A review of conflicting economic evaluations. Arch Intern Med. 1994;154(18):2020-5.
Travell JG, Simons DG. Myofascial pain and disfunction. The lower extremities. Baltimore: Williams and Wilkins; 1992.
Tsahakis PJ, Brick GW, Poss R. The hip. In: Kelley WN. Textbook of rheumathology. Philadelphia: WB Saunders Company, 1993. p. 1823-35.
Weinberger M. Cost-effectiveness of increased telephone contacts for patients with osteoarthritis. Arthritis Rheum. 1993;36(2):243-46.
White JA, Wright V, Hudson AM. Relationships between habitual physical activity and osteoarthrosis in ageing women. Public Health. 1993;107(6):459-70.
van Schaardenburg D, Van den Brande KJ, Ligthart GJ, Breedveld FC, Hazes JM. Musculoskeletal disorders and disability in persons aged 85 and over: a community survey. Ann Rheum Dis. 1994;53(12):807-11.
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