Dr Carlos Evangelista MD

Dr. Carlos Evangelista M.D., was born in 1957, and was graduated in 1984 from the Faculty of Medical Sciences, Lisbon University, Portugal. Always interested in orthopedics, he recived is formation in the Orthopedic Hospital of Santana,Parede,Portugal,where he has been working for the last 22 years as orthopaedic surgean. His main work has been in the area of hip and knee replacement, with particular interest in elderly patients, developing and increasing minimal invasive systems. He is member the Portuguese Orthopedic Society and the Portuguese knee Society. In the last 20 years he has developed his own private clinic, and has also been responsable since 2002 for the Clinic IMC Cascais, now CUF Cascais, orthopaedic center. Coordenator of the geriatric orthopaedic unit of Orthopedic Hospital of Santana.

Anti-Aging Articular Process

Within all the pathologies that affect individuals from the 4th decade of life, osteoarthritis is the most common, estimated to occur in 90% of the adult population. It is has old has the history of mankind.
Osteoarthritis results from an abnormal process between the cartilage destruction and its repair. The basic function of joint cartilage is to reduce friction between two bone surfaces when they execute any kind of movement, functioning as a mechanism to absorb shock.
To improve this mechanism, there is the synovial fluid that lubricates the joints.
To maintain a good articular health we have sysadoas (Symptomatic Slowing Acting Drugs) that includes hyaluoronic acid, glucosamine and condrotine.
In patients with osteoarthritis, the concentration of hyaluronic acid in synovial fluid is diminished, so the treatment called for viscosupplementation begins to become important.
This process consists in a series of intra-articular injections with the aim to restore the quality and concentration of this component in the synovial fluid, improving the lubrication and shock absorption capability and subsequently reducing pain.
Glucosamine and condrotine contribute to the cellular protection, condrocites protection and maintenance of the structural support of the cartilage.
The author presents the recent concepts and therapeutic forms of osteoarthritis whose goal is to prevent and treat the anti-aging articular process.

View .pdf of Presentation here!