Review Article
Osteoarthritis: From Physiotherapy to Advanced-Therapy Medicinal Products and Back Again
Joaquim Vives*, Marta Caminal and Arnau Pla* | |
Divisió de Teràpies Avançades / XCELIA, Banc de Sang i Teixits, Edifici Dr. Frederic Duran i Jorda, Passeig Taulat, 116, 08005 Barcelona, Spain | |
Corresponding Authors : | Joaquim Vives de Divisió Teràpies Avançades/XCELIA Banc de Sang i Teixits Edifici Dr. Frederic Duran i Jorda Passeig Taulat, 116, 08005 Barcelona, Spain Tel: +34 93 5573500, Ext. 6708 E-mail: jvives@bst.cat |
Arnau Pla de Divisió Teràpies Avançades / XCELIA Banc de Sang i Teixits Edifici Dr. Frederic Duran i Jorda Passeig Taulat, 116, 08005 Barcelona, Spain Tel: +34 93 5573500, Ext. 6701 E-mail: apla@bst.cat |
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Received February 25, 2013; Accepted March 25, 2013; Published March 27, 2013 | |
Citation: Vives J, Caminal M, Pla A (2013) Osteoarthritis: From Physiotherapy to Advanced–Therapy Medicinal Products and Back Again. J Nov Physiother 3:128. doi:10.4172/2165-7025.1000128 | |
Copyright: © 2013 Vives J, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
Abstract
Aging and injuries can lead to damage to articular cartilage, which can eventually result in impaired joint function. Osteoarthritis is a painful and sometimes disabling condition considered a public health concern that represents the leading osteoarticular pathology in developed countries. It is difficult to manage with current treatment options. Physiotherapeutic and pharmacological interventions mainly focus on pain relief and improvement of joint function whilst surgical approaches do not successfully restore hyaline articular cartilage. The worldwide demand for therapies to promote the efficient resolution of articular cartilage damage may be approached by tissue-engineering techniques due to the complexity of pathologies involving two types of distinct tissues (articular cartilage and subchondral bone) with their own particular biomechanical and biochemical characteristics. In addition to outlining established treatments of osteoarticular pathology, we will also discuss recent advances in the orthopaedic field that had led to the start of clinical trials for novel cell-based therapies.