Der Schmerz
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Chronic pain in the knee joint is most commonly caused by osteoarthritis, especially in elderly patients but can be due to other causes, such as rheumatoid arthritis. The diagnostics include an exact patient medical history and a clinical examination, which often already provide clear indications of the cause of the knee pain. ⋯ Generally, therapy consists of pain management and physiotherapy as well as alternative therapeutic procedures, mostly in combination. Proximal tibial opening wedge osteotomy can be useful; however, partial or total knee arthroplasty should only be considered when conservative treatment options have been exhausted.
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The regular update of the guidelines on fibromyalgia syndrome, AWMF number 145/004, was planned for April 2017. ⋯ The guidelines are published in several forms, i.e. complete and short scientific versions and clinical practice and patient versions.