%0 Journal Article %T Multimodal Treatment Superiority in Osteoarthritis: Insights from a Dagestani Cohort Study (2022-2024) %A Valeriia Valerievna Volobueva %A Aida Sulitdinovna Ayubova %A Karina Ernestovna Urudzheva %A Kamilla Ernestovna Urudzheva %A Guzel Islamovna Zeynalova %A Khabib Sagdulaevich Dzhairulaev %A Islam Omargadzhievich Ibragimov %A Selima Badrudievna Idalova %J Journal of Biochemical Technology %@ 0974-2328 %D 2025 %V 16 %N 2 %R 10.51847/cV7BDzw1om %P 49-56 %X This prospective observational study evaluated the efficacy and safety of different treatment modalities in 240 osteoarthritis (OA) patients (mean age 58.7±9.2 years; 68.3% female) at a diagnostic center in the Republic of Dagestan from 2022 to 2024. Patients were stratified into four treatment groups: NSAIDs (n=72), chondroprotectors (n=60), hyaluronic acid (HA) injections (n=54), and combination therapy (n=54). Primary outcomes included changes in pain intensity (VAS) and functional status (WOMAC) at 12 months. Combination therapy demonstrated superior clinical outcomes, with 41.7% of patients achieving ≥50% pain reduction compared to 22.2% in the NSAID group (p=0.008). Mean WOMAC improvement was significantly greater with combination therapy (-35.2±10.1%) versus monotherapies (p %U https://jbiochemtech.com/article/multimodal-treatment-superiority-in-osteoarthritis-insights-from-a-dagestani-cohort-study-2022-202-jpqlh4edq9shxik