Gout Arthritis Progression in Treatment with Herbal Therapy: A Systematic Review

Journal of Clinical Orthopaedics | Vol 8 | Issue 1 |  Jan-Jun 2023 | page: 02-07 | I Putu Arya Agung Pratama, I Wayan Subawa

DOI: :10.13107/jcorth.2023.v08i01.547

Author: I Putu Arya Agung Pratama [1] I Wayan Subawa [2]

[1] Department of Orthopedics, General Practitioner, Faculty of Medicine Udayana University, Denpasar, Bali, Indonesia,
[2] Department of Orthopedics and Traumatology, General Hospital Prof. dr. IGNG Ngoerah, Faculty of Medicine Udayana University, Denpasar, Bali, Indonesia.

Address of Correspondence
Dr. I Putu Arya Agung Pratama,

Faculty of Medicine, Udayana University, Denpasar, Bali.



Introduction: Gout is a common arthritis condition due to deposition of monosodium urate (MSU) and is closely related to hyperuricemia. The goal of gout treatment in the acute stage of gouty arthritis mainly focuses on relieving pain while slowing down or stopping progression and further gout flares in the chronic stage, ultimately improving joint function, and increasing the quality of life.

Materials and Methods: A literature search was carried out to determine potential studies for this review up to November 2022. The search was performed using the PubMed/MEDLINE, Cochrane Library, and Google Scholar databases including keywords that matched the MeSH rule and the term used for herbal therapy and gout arthritis.

Results: The search strategy generated several diverse literatures presenting a variety of randomized control trial of herbal therapy in gout arthritis patient. A total of eight studies were included in the review. Satisfactory pain relieve and decreasing of serum uric acid level were found in most of the studies. Decreasing of serum uric acid level statistically significantly found in six of the eight studies studied. Furthermore, significant fewer incident of adverse event found in four studies.

Conclusion: Herbal therapy or medication are potentially more effective than western medications or placebos at slowing the progression of pain, lowering blood uric acid levels, and preventing some adverse events in gout patients.

Keywords: Arthritis, gout, herbal therapy, progression, uric acid level.


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How to Cite this article: Pratama IPAA, Subawa IW. Gout Arthritis Progression in Treatment with Herbal Therapy: A Systematic Review. Journal of Clinical Orthopaedics Jan-Jun 2023;8(1):02-07.

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“ Shoulder Arthroplasty in Young ”

Journal of Clinical Orthopaedics | Vol 6 | Issue 1 |  Jan-Jun 2021 | page: 74-80 | Nagraj Shetty

Author: Nagraj Shetty [1]

[1] Consultant Arthroscopy, Shoulder, Knee preservation Surgeon Lilavati hospital Nanavati Superspeciality hospital Hinduja Healthcare Surgical, Mumbai, India.

Address of Correspondence
Dr. Nagraj Shetty,
Orthopaedic Department, Nanavati Superspeciality Hospital, SV Road, Vile Parle west , Mumbai, India.


Background: Prosthetic shoulder replacement provides excellent pain relief and functional improvement for patients with shoulder arthritis. Total shoulder arthroplasty for osteoarthritis and reverse shoulder arthroplasty for cuff tear arthropathy remains the gold standard for the geriatric patient population. Poor long-term survivorship, implant failure (glenoid component loosening, and glenoid arthrosis), and functional deterioration requiring early revision surgery are major concerns of similar management in younger patients. Young patients prove as a major challenge to shoulder surgeons due to expected longer life expectancy, desire to pursue sports, and active lifestyle thereby placing excessive demands on their shoulder arthroplasty components. Alternative strategies for arthroplasty in young have been developed; however, there is presently no clear consensus, recommendations to guide clinicians toward management. This manuscript reviews the current concepts of shoulder arthroplasty in young patients.
Keywords: Shoulder, arthritis, arthroplasty, glenoid, total shoulder arthroplasty


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How to Cite this article: Shetty N. “ Shoulder Arthroplasty in Young ”. Journal of Clinical Orthopaedics Jan-Jun 2021;6(1):74-80.

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