Sadik Oman, Tahir Sophia, Sahibzada Anum, Iguh Chinenye, Ezenwa Virginia, Bhavanam Sravani
Family Medicine, Jackson Park Hospital, Chicago, USA.
Internal Medicine, Windsor University School of Medicine, Cayon, KNA.
Cureus. 2024 Apr 27;16(4):e59181. doi: 10.7759/cureus.59181. eCollection 2024 Apr.
Osteoarthritis management primarily focuses on targeting pain. Conventional modalities for pain management include acetaminophen, non-steroidal anti-inflammatory drugs (NSAIDs), and intra-articular corticosteroid injections. However, these approaches may provide minimal pain relief and can be contraindicated for some patients, highlighting the ongoing need for alternative pain management. Colchicine, commonly used in the management of gout, has emerged as a potential option for pain management in osteoarthritis. There are implications of colchicine use for knee and hand osteoarthritis but remains inconclusive. In this context, we present a case of a 68-year-old diabetic woman with glenohumeral osteoarthritis and associated right shoulder pain. Due to minimal pain relief from previous treatments, the patient was given a combination trial of colchicine and acetaminophen for three months. After completion of this treatment, the patient experienced significant pain relief and improved functionality. The aim of this case is to highlight the efficacy of colchicine as a possible treatment option for managing shoulder pain in osteoarthritis.
骨关节炎的治疗主要侧重于缓解疼痛。传统的疼痛管理方法包括对乙酰氨基酚、非甾体抗炎药（NSAIDs）和关节内注射皮质类固醇。然而，这些方法可能只能提供轻微的疼痛缓解，并且对某些患者可能是禁忌的，这凸显了对替代疼痛管理方法的持续需求。秋水仙碱常用于痛风的治疗，已成为骨关节炎疼痛管理的一种潜在选择。秋水仙碱用于膝关节和手部骨关节炎有一定意义，但仍无定论。在此背景下，我们报告一例68岁患有盂肱关节骨关节炎并伴有右肩疼痛的糖尿病女性病例。由于先前治疗的疼痛缓解效果不佳，该患者接受了秋水仙碱和对乙酰氨基酚联合治疗三个月的试验。完成该治疗后，患者疼痛明显缓解，功能得到改善。本病例的目的是强调秋水仙碱作为治疗骨关节炎肩部疼痛的一种可能治疗选择的疗效。
