Why We Need the New Paradigm of the Chronic Skeleton Diseases?

Dalibor Krpan, M.D., PhD

Department of Osteology, University of Rijeka, Polyclinic K-center, Zagreb, Croatia

Dr. Dalibor Krpan, Department of Osteology, University of Rijeka, Polyclinic K-center, Zagreb, Croatia.

Keywords: Chronic Skeleton Diseases; Osteoporosis; Osteoarthritis

Abstract

Commentary
Chronic skeleton diseases, such as osteoporosis and osteoarthritis, are among the most common medical problems. Complications associated with these diseases cause disabilities and significant deterioration of the quality of life, thus presenting a big public health issue, and also a big financial burden not only for the patient and their family but for the whole society. They have been ignored for many years and were considered as a consequence of natural aging. Unfortunately, even today the situation is not much better. Regarding osteoporosis, various pharmacological treatments introduced in the last twenty years didn’t solve nor decreased the problem of osteoporosis [1,2]. On the contrary, new problems appeared such as drug’s adverse event and fractures after a long-term of pharmacotherapy. Regarding the osteoarthritis, symptomatic treatment with temporary effect is still a standard approach and hip’s and knee’s replacement still the only choice for many patients. But even that is not solving the problem and the most of patients suffer the whole life.

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