Arthrosis of the ankle is a serious enough disease, always requiring a qualified approach to treatment. Unfortunately, it is very difficult to cope with this pathology. However, modern medicine offers effective means to reduce the level of existing inflammation and slow the progression of the disease.
What is a disease?
Ankle joint connects the leg parts to the talus bone of the foot. Basically, it moves along the front axis, thus ensuring the flexion and extension of the foot. Lateral movements differ in minimum amplitude.
Arthrosis of the ankle, the symptoms and treatment of which are directly interrelated, is the process of consecutive destruction of the joint tissue. Pathology entails a violation of the usual structure of tissues, the death of a part of cartilage cells, the formation of cracks on its surface, and the compaction of bones. If you do not take the prescribed medicine for joint arthrosis, it deforms, and its normal work becomes really impossible.
The older the person, the higher the probability of developing a degenerative-destructive change. In this case, the musculoskeletal system is no exception. According to available information, about 10% of the world's population over 40 years old suffers from arthrosis. In developed countries, the number of patients from 65 years of age and older varies from 60 to about 80%.
The first stage of the disease is characterized by a direct narrowing of the joint space, the cartilage itself swells and softens. Arthrosis of the 2nd degree differs in that in the areas of the greatest pressure of the joint heads microcracks are formed, and in the places of the smallest - explicit protrusions. In the third and fourth stages, there is a rupture of cartilage with the subsequent formation of cysts, the growth of so-called bone calluses( osteophytes).As a consequence, the joints themselves flatten, which prevents the foot from making the usual movements.
The main causes of
Very rarely the disease is primary, that is, it arises spontaneously. Most often it is secondary and is explained by the impact of a number of factors. The causes of arthrosis of the ankle joint can be as follows:
- Damage of the musculoskeletal apparatus of the foot and directly of the joint itself( flat feet, connective tissue dysplasia of hereditary character).
- Posttraumatic arthrosis( dislocation, sprain, bruise).
- Inflammations of the immune system.
- Infection lesion.
- Various kinds of neurological disorders( osteochondrosis, neuritis).
- Pathology of metabolism( obesity, rickets, gout).
The causes of arthrosis of the ankle often lie in the constant wearing of shoes with high heels. The unnatural positioning of the foot causes the load to increase several times on the ankle itself. The risk group also includes athletes, dancers and those whose weight significantly exceeds the normative indicators.
How does arthrosis of the ankle manifest? Symptoms and treatment
First of all, patients note painful discomfort when trying to stand upright, as well as the appearance of a characteristic crunch when moving. Over time, the pain becomes stronger and even at rest. Gradually, the limitation of foot mobility along different axes is aggravated. The joint itself increases in size, the foot slightly curved. At the advanced stages of the pathology, pain can also be felt in the knee and hip joints.
Most drugs that reduce pain syndrome belong to the group of so-called non-steroidal anti-inflammatory drugs. Typically, doctors prescribe the following medications: Ibuprofen, Naproxen, Nimesulide, Aceclofenac, Diclofenac. The price of such drugs can vary from 20 to about 100 rubles. For example, the cost of Diclofenac is only 25 rubles.
These medicines allow you to get rid of the pain, but they also have some drawbacks. The thing is that non-steroidal anti-inflammatory drugs have a very negative effect on the gastric mucosa. For example, with prolonged admission, patients often get worse gastritis and even have ulcers. That is why the reception of such funds is appointed in short courses in order to minimize the negative consequences.
Local treatment of the affected area implies a reduction in inflammation in the joint. Thus, it is possible to reduce the progression of the disease, that is, to keep the inflammatory process under constant control. Such therapy is prescribed if the use of non-steroidal anti-inflammatory drugs has proved ineffective.
To local treatment carry the use of gels, which include painkillers( "Bystrum-gel", "Butadion", "Dip-Relief", ointment "Diclofenac").The price for these funds is certainly high( from 200 to 700 rubles).However, this cost completely justifies itself. Ointments and gels give an excellent therapeutic effect, especially in combination with other medications.
Some patients are assigned chondroprotectors( Teraflex, Structum, Alflutop).They help the cartilage to recover and significantly improve the synthesis of tissues.
Surgical treatment of
Unfortunately, it is not always possible to overcome ankle arthrosis only through drug therapy. Sometimes medicines are ineffective. In this kind of situation, the doctor decides on surgical intervention. Arthroscopy is the safest way to stop the degenerative process.
This procedure is performed by means of a special tool that is inserted into the affected area through micro cuts. This operation allows you to remove all bony proliferation.
LFK is prescribed for many types of arthrosis. Especially such exercises are effective in the posttraumatic version of the disease. Therapeutic gymnastics for arthrosis is aimed primarily at restoring the lost muscle tone, as well as expanding the volume of movements in the ankle itself.
Initially selected such exercises, which require a minimum load. They are performed in the supine position( for example, circular movements in the foot).Then the lessons become more complicated. Exercises are performed in the sitting position( rolls of the foot, without lifting the heels off the floor).Note that in each case the complex of exercises is selected individually by the doctor.
First of all, specialists strongly recommend avoiding injuries and mechanical damage to the joint. To do this, you should choose shoes with a steady heel, and when practicing sports use special protective equipment.
It is very important to control body weight, because excess weight is often the main reason that arthrosis of the ankle joint develops. Symptoms and treatment of this pathology should not be left without attention. If there are primary signs, you should seek qualified help, do not try to solve the problem yourself.
Also experts recommend a diet with a high protein content. It should be abandoned for a while from excessively salty and fatty foods, as well as alcohol.
In this article, we described in as much detail what arthrosis of the ankle is. Symptoms and treatment, causes and prevention are just some of the topics on which detailed answers are presented. Note that the effectiveness of therapy of the disease depends not only on its specific stage of development and the presence of concomitant health problems, but also on the correct adherence to all the recommendations of the doctor.
How to cure arthrosis of the ankle
Ankle joint is one of the most active and loaded joints of ODS, so problems with it are not uncommon, and at absolutely any age. The most common diagnoses are:
- Inflammatory disease - arthritis, rheumatism, gout, tuberculosis
- Vascular disorders
- Degenerative deforming process - arthrosis
How to recognize the symptoms of arthrosis of the ankle joint?
Unlike foot injury, arthrosis edema persists
Symptoms and treatment of arthrosis of the ankle
The fact is that such symptoms as pain and swelling are peculiar to almost any joint pathology. But nevertheless, each subgroup has its own etiology and signs, therefore it is important for the doctor to know everything for the verification of the diagnosis and the corresponding treatment to him:
- Nature of pain symptoms:
- pain intensity
- its duration
- as it first appeared
- at what frequency and in communicationwith what occurs, etc.
- Where the edema is and how long it lasts
- Is the joint shape changed
- What changes are there on the X-ray
Comparison of the symptoms of arthrosis, arthritis and trauma
Suspected an injury( the most common is a subluxation) :
- After a sudden acute pain arisingimmediately after the foot has turned
- For edema of the foot and lower leg
Arthritis differs :
- Inflammation of all periarticular tissues
- With an aching aching pain
- High t
- temperature Increased ESR, the presence of an allergic or immune reaction in the blood( depending on the cause of arthritis)
Vascular disorders are accompanied by :
- Whole swelling of the entire leg
- Loss of sensitivity, tingling, numbness
- Superficial skin changes:
- redness or pallor with blue
- "asterisks"And protruding veins
- trophic ulcers
Arthrosis of the ankle is the result of the destruction of hyaline cartilage that occurs due to metabolic, hormonal,endocrine disorders, or because of the unclear etiology of
. Unlike foot trauma, edema in arthrosis is kept constantly by .
It should also be aware that despite the fact that arthrosis, arthritis, trauma refer to different diseases, arthrosis of the ankle may be the result of severe foot trauma or recurrent dislocation, and it will also be the end result of rheumatoid or infectious arthritis.
Thus, the end result of any chronic joint disease is arthrosis .
The most common cause of ankle arthrosis is trauma.
Arthrosis itself is also a chronic disease, with a slowly progressive development, which makes it very difficult to diagnose and treat it.
Symptoms of arthrosis, depending on the degree of
Arthrosis of the ankle is rarely detected in the first stage, as the pain symptoms in this period are poorly expressed and can easily be attributed to such reasons as fatigue, a slight sprain, etc.
- After rest, the pain usually ceases, which also calms
- Some edema of the foot is mistakenly attributed to either poor kidney function or to problems of poor blood circulation.
Identify the pathology when it is in the first degree, only possible with the help of an X-ray.
Photo-X-ray for arthrosis of the ankle allows diagnosing the disease in the first stage
- deformation of the cartilaginous plate - it can exfoliate, have loose, scaly structure
- small thickening of the bone under it
- accumulation of intraarticular fluid and reduction of joint clearance
The accumulation of fluid occurs because of the increasing friction between the joints. This synovitis is a kind of protective reaction of the joint
In the second degree, pain symptoms and deformation progress, as well as the synovitis :
- Start pain( after movement starts) lasts longer
- Flexion of the foot, its rotation becomes limited
- Side bones on the foot protrude and swell strongly
- At this stage, when walking or moving in the foot, a deaf crunch is heard: this is due to a deficiency of hyaluronic acid in the intraarticularliquid. The liquid becomes depleted, turning into practically ordinary water, and gradually and completely can disappear. Joints are lubricated poorly, which leads to even more destruction
- On the surface of the cartilage x-ray diagnosed
- multiple "bare" areas
- individual pieces of cartilage in the joint capsule
- beginning calcium extensions
- interarticular crevice strongly narrowed
With arthrosis of third degree, the foot is heavily deformedand bends
Arthrosis of the ankle joint of the third degree is clinically pronounced :
- The symptoms of pain are almost constant, even whenthe foot is at rest
- The ankle is deformed to the limit:
- The ugly protuberances of the
- are everywhere on the foot. It is curved in relation to the shin( curvature is caused by the ossification of the ankle ligaments)
- There comes an almost complete restriction of mobility: neither an ankle nor bend it is possible
- On the x-ray:
- between the joints is almost closed
- Hyaline cartilage completely destroyed and replaced with osteophytes
- All ligaments and tendons
are calcined and deformed Treatment of artOz's ankle
ankle during exacerbation of pain can be fixed with an elastic bandage or a special orthosis
treatment of such pathologies is always difficult :
- cure the disease can only be the first step in the future can only smooth out the symptoms and slow down the process. Properly thought-out treatment can lead to a very long remission and balancing of arthrosis forever in the second stage of
- . On the third, alas, one can only not let arthrosis take itself completely in chains - at the cost of constant exercises, physiotherapy and nutrition.
Complex conservative treatment of ankle arthrosis is aimed at cuppingpain( acute period) and subsequent recovery of mobility of the ankle( subacute period):
In acute period with pain associated with swelling, intraarticular injections of hormones( hydrocortisone, kenalog, diprospan) are usually used.
- Ankle can be fixed with elastic bandage or special orthosis
- NSAID in ankle arthrosis in case of ankle arthrosis only in case of intolerable chronic pain, andthen for a short period, until pain subsides
In a subacute period, the restoration of cartilage itself and joint mobility are carried out:
- Chondroprotectors are taken inside withGlucosamine or chondroitin sulfate:
Alflutop, Rumalon, Structum, Chondrolone, etc.
Drugs are effective only in the first and second stage of arthrosis
You can also additionally rub the ankle with ointment Chondroitin
- Injection directly into the joint with hyaluronic acid preparations:
Ostenil, Hyastat, Synvisc, Fermatron
- Drugs are needed( both internal and external) that regulate blood circulation and the condition of the vessel walls:
Pentoxifylline, Trental, Detralex, ointment Troxevasin
Arthrosis of the ankle due to superficial location) very well reacts to physiotherapeutic treatment :
- Laser and magnetic therapy
- Thermal therapy( ozocerite, mud, paraffin treatment)
- Deep penetrating compresses of bile, dimexid and bischofite
- Chondroprotectors are taken inside withGlucosamine or chondroitin sulfate:
Therapeutic gymnastics is the main means for fightingwith arthrosis in general, well, even the ankle especially
( About LFK will be discussed in a separate article)
Manual therapy, if it is competently combined with exercise therapy, allows you not to allowь contractures for normal and posttraumatic arthrosis and increase the amplitude of movements
Treatment for life in life
Any course of treatment ends sooner or later, but work on the joints will need to continue the whole life of .Nothing complicated seems to be. Just necessary:
- proper nutrition
- daily gymnastics
- folk remedies
- activity, mood, fresh air
- normal rest and sleep
Unfortunately, our laziness, fussiness, unbelief turn such simple things often into an insurmountable threshold. But they could help many to avoid a surgical operation, which also does not give any guarantee.
Video: Flattening and Arthrosis of the Ankle
Causes, Symptoms, Degrees and Treatment of Ankle Arthrosis
Many people face various diseases in which inflammatory processes in bone and cartilage tissues begin to develop. In recent years, the number of patients diagnosed with ankle arthrosis has increased. Against the background of the development of this disease, patients can lose mobility of the lower limbs and permanently become disabled.
What is arthrosis of the ankle joint?
Osteoarthritis of the ankle is a disease in which degenerative processes in the cartilaginous tissues develop. With the progression of arthrosis in the cartilage of the joint, irreversible processes begin to occur that cause serious consequences.
To date, modern medicine classifies arthrosis of the ankle as follows:
The study of this disease involved leading experts from around the world who for many years have been conducting research in this field. According to statistical data published in specialized mass media, for every 100 patients examined, in 6 cases arthrosis of the ankle is revealed.
Most often, this disease affects people of advanced age, of the total number of patients, 80% are in older men and women. Such a high indicator is explained by the fact that with the age of people the work of many internal organs, circulatory system is disrupted, bone and cartilaginous tissue is thinning. Despite this prevalence, arthrosis of the ankle is excellent for treatment.
Causes of arthrosis of the ankle
Arthrosis of the ankle is a disease that develops against a background of certain reasons, which can be attributed to the following:
strong physical exertion that is on the musculoskeletal system, in particular on the lower limbs;
any degree of obesity( in people who have problems with excess weight, joint problems are often observed, as during the movements on them there is an additional physical effect);
classes in power and active sports can cause arthrosis of the joint;
non-uniform distribution of load on the lower limbs during movement;
any injuries: bruises, falls, bumps, etc.;
wearing the wrong shoe often provokes the development of arthrosis;
is an advanced age( in the elderly, the cartilage tissues become thinning over time, which lose elasticity and begin to crack);
harmful working conditions( many people spend the whole day on their feet, without rest);
various diseases( chronic and inflammatory);
hereditary predisposition, etc.
Symptoms of arthrosis of the ankle
Arthrosis of the ankle joint may be accompanied by various symptoms:
with painful sensations that increase with any physical activity on the musculoskeletal system;
crunching in the joints;
fatigue, which appears after moving even for small distances;
muscle atrophy in the lower limbs;
subluxations occurring against a background of impaired functionality of muscles and tendons;
swelling, appearing in the ankle;
inflammatory processes, accompanied by an increase in temperature;
stiffness and impaired motor functions of the lower limbs;
acquisition of the shin axis by an x-shaped form, etc.
Degrees of arthrosis of the ankle
Modern medicine defines 3 degrees of arthrosis of the ankle, which can be detected during hardware diagnostics. The first two degrees of arthrosis respond well to treatment, after which patients regain their previous mobility. When this disease passes to the third stage of development, joint deformation begins to occur in patients. Many patients who have had arthrosis of the third degree become disabled.
Arthrosis of the ankle joint 1 degree
The first degree of arthrosis is considered the initial stage of the disease. People may not have a pronounced symptomatology. Most often, patients go to medical institutions for excessive fatigue. Some patients have pain in the lower extremities, which themselves disappear during sleep or daytime rest.
During arthroplasty, arthrosis of the ankle joint of the 1st degree is very rare, as the specialists almost never find any pathological changes.
Arthrosis of the ankle joint of 2nd degree
Arthrosis of the ankle joint of the 2nd degree is accompanied by certain symptoms, which people should pay close attention to. In patients, there is a strong pain syndrome, which does not pass during rest. In some cases, inflammatory processes in the ankle joint area may develop, against which reddening of the skin and an increase in the temperature regime occur.
With the progression of inflammation, swelling, loss of activity and mobility of the lower extremities, as well as meteorological dependence( joints of patients begin to ache worse when weather changes).If timely medical assistance is not received, more serious problems may arise in this category of patients, which will require constructive treatment.
Arthrosis of the ankle joint of the third degree
After transition to the third stage of development of arthrosis of the ankle begins to deliver the patient discomfort and painful suffering from pain. This is due to the fact that on the background of the progression of this disease, ossification of the cartilaginous tissue occurs. As a result, the joint loses its amortization qualities and mobility. The patient begins to hear a crunch in the joint with any movement of the lower limb. If you engage in self-medication, or do not pay attention to this symptomatology, you can get disability, as a result of deformation of the foot.
Deforming arthrosis of the ankle
Deforming arthrosis often develops in people who daily, for several hours, are in a standing position, as they have a strong ankle joint. To this category of patients can be attributed to patients who regularly exert their body strong physical exertion.
The following factors can be the cause of deforming arthrosis:
dysplasia of cartilaginous tissues;
hereditary predisposition to arthrosis;
diseases of the endocrine system( from arthrosis people suffering from diabetes mellitus at any stage of development are most often affected), etc.
The deforming arthrosis developed in the ankle joint is divided into several degrees:
First degree. Deforming arthrosis is accompanied by painful sensations. When performing hardware diagnostics in such patients, it is possible to identify the thickening of the talus, as well as the narrowing of the joint gap. Patients may experience discomfort in the joint area at the time of movement.
Second degree. Patients are deformed joint, there is a strong pain syndrome, a feeling of fatigue with any physical exertion.
Third degree. At this stage of development the disease is accompanied by a pronounced symptomatology. In patients against the background of joint deformation, mobility is limited, pains appear, which can be removed only with special preparations.
Treatment of this form of arthrosis of the ankle joint( 1 and 2 degrees) is possible by a medicamentous method. Physicians are prescribed physiotherapy procedures and recommendations on the choice of special footwear. When this form of arthrosis passed into the third stage of development, its treatment is possible only surgically.
Treatment of arthrosis of the ankle
The key to successful treatment of arthrosis is timely diagnosis. Everyone who has discovered the symptoms of this disease or just discomfort in the joint area, should contact the nearest medical institution. At the reception of an orthopedic trauma the patient will be examined. During the palpation of the ankle, the specialist will be able to detect serious abnormalities.
To confirm his diagnosis, the doctor will send the patient to an additional examination:
for computer or magnetic resonance imaging.
When choosing the method of treatment of arthrosis, developed in the ankle, the specialist must use various modern techniques, due to which the process of degeneration of cartilage tissues stops. First and foremost, the doctor must prescribe to his patient medical preparations that can relieve him of a severe pain syndrome. After that, patients begin taking medications that relieve inflammation in the joints.
The course of medical therapy includes the following:
exercise physiotherapy( all exercises must be performed under the supervision of an instructor who will ensure that during the training the patient is not injured);
normalization of weight( if the patient has obesity, he should urgently sit on a diet that limits the consumption of fats, salts and other harmful substances);
ointments that have analgesic effect;
physiotherapy procedures, including magnetotherapy, etc.
The patient's diet plays a big role in the healing process. During treatment, as well as for prophylaxis, patients need to eat cold meat, and other dishes, which contain gelatin( for example, jelly).It is very important to monitor the amount of vitamins consumed, which are present in various foods. If the patient can not for some reason use these products, he can buy a balanced vitamin-mineral complex, shown in the treatment of joint arthrosis.
All questions concerning dietary rules for arthrosis of the ankle must be discussed with a nutritionist who will help the patient to correct weight and restore metabolic processes in the body. During the treatment, patients are not recommended to drink alcohol and carbonated drinks. Doctors strongly recommend to quit smoking, since nicotine negatively affects all vital organs and human systems.
If medical therapy fails, the patient undergoes surgical treatment of arthrosis:
endoprosthetics( during replacement surgery, the damaged joint is replaced by a qualitative prosthesis);
arthroplasty( during surgery, a part of the cartilaginous tissue is retained and the joint is immobilized by artificial means).
During endoprosthetics, specialists use prostheses made of ceramics, metal or plastic. After successful prosthetics, the patient can lead a full-fledged lifestyle for 20 years.
To prevent the development of arthrosis in the ankle, it is necessary to carry out a number of preventive measures in a timely manner:
to monitor the diet( try not to eat fatty foods that can lead to weight gain);
timely visit a medical facility for the treatment of chronic and inflammatory diseases;
try to avoid injuries;
before exercising sports to perform a full warm-up;
to take vitamins and minerals, as well as preparations containing calcium and other trace elements, necessary for the full development of joints.
Author of the article: Kaplan Alexander Sergeevich, Traumatologist, orthopedist
How to cure arthrosis of the ankle joint: advice to the patient
Arthrosis of the ankle is a chronic progressive disease that is not easily treatable. But now there are effective medicines that can reduce pain in this disease, reduce the level of inflammation and slow the progression of the disease.
If you know what medicinal and non-medicinal methods you can treat arthrosis of the ankle, then you can discuss with the doctor these methods of treatment, feeling sufficiently savvy in this area.
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Rapid action drugs
Topical and anti-inflammatory treatment
Drugs of slow action( chondroprotectors)
Surgical treatment methods
All medications used in this disease are divided into two large groups: fast-acting medications and delayed-release drugs.
Representatives of these groups have different effects on the disease and benefit the body. So, fast-acting drugs treat only the symptoms of the disease - reduce pain in the ankle joint. Slow-acting drugs restrain the progression of ankle arthrosis, i.e.partially stop the further course of the disease.
Rapid action drugs
Most drugs that reduce pain with deforming ankle arthroarthrosis belong to the group of nonsteroidal anti-inflammatory drugs( NSAIDs).These include drugs such as diclofenac, ibuprofen, aceclofenac, naproxen, acetaminophen, nimesudide and other drugs.
These medicines quite well help to remove pain in the joints, but their use has its drawbacks, and very significant. The fact is that NSAIDs have a very negative effect on the gastric mucosa. With long-term administration of such drugs, gastritis may occur, and in some cases even ulcer, which in the future may not respond well to treatment.
It is for these reasons that non-steroid pain medications should be taken only by short courses and appointed by the attending physician: self-medication can result in bad consequences. This is particularly true for elderly patients, as well as for people who have or have had problems with the stomach in the past.
Local and anti-inflammatory treatment of
Local treatment in the ankle area is aimed at reducing the level of inflammation in the affected joint, and therefore indirectly reducing the progression of the disease while keeping the inflammation under control. Such treatment is especially important in cases when the use of NSAIDs in severe cases of the disease is no longer effective or the analgesic effect is not sufficient. Local treatment is useful for a variety of types of the disease - including post-traumatic arthrosis of the ankle joint.
ointments for pain - an essential element of treatment
Local treatment includes the use of various ointments and gels containing both non-steroidal and steroid anesthetics. These drugs include Diclofenac-ointment, Bystrum-gel, Dip-Relief, Butadion, gel "Horsepower" and others. They give a good curative effect, especially when combined with other drugs.
Another, the most important type of local treatment for ankle osteoarthritis is intraarticular joint blockade. This method of treatment is used in neglected cases of the disease, especially when other painkillers do not help enough.
The essence of this procedure is that anti-inflammatory drugs( corticosteroids) such as Kenalog and hydrocortisone are injected into the joint by injections( in addition, injections can be supplemented with anesthetic drugs).
Corticosteroids are powerful enough, and if administered as tablets or intramuscularly, they will give very strong side effects. If these drugs are injected into the joint area, these drugs exert their anti-inflammatory effect only on the joint, without causing harm to the body.
Drugs of slow action( chondroprotectors)
This group of drugs includes drugs that affect the very bases of the disease: they help the cartilage of the joint to recover and improve the synthesis of cartilaginous tissue, a deficiency that causes pain and movement in the ankle. These drugs are called chondroprotectors because they protect the joint and restore it from the consequences caused by the disease.
The main representatives of chondroprotectors are chondroitin sulfate, glucosamine and hyaluronic acid. These are the main active substances in such drugs, and they are in different combinations and doses present in such drugs as Arthra, Teraflex, Artrodarin( Diacerein), Structum, Aflutop and others.
The listed active substances of these drugs enter the joint of the cartilaginous tissue and are essentially the main "building material" for the cartilage. When they are introduced into the body of the necessary materials for the construction of new cartilaginous tissue becomes larger, and the synthesis of cartilage is accelerated, due to which the development of the disease, on the contrary, slows down and the cartilage of the ankle joint is destroyed more slowly.
The peculiarity of chondroprotectors is that the effect of treatment does not appear immediately, but after a rather long time - from 3 months to 6 months. This is worth remembering, so be patient. For the same reason, the duration of treatment with chondroprotectors is usually long and up to 12 months or more, up to several years.
In addition, chondroprotective drugs are prescribed only at the first-second degree of arthrosis of the ankle - when the cartilage in the affected joints is still present. At the third stage of arthrosis, chondroprotectors are useless, becauseThere was practically no cartilage left in the joint and there was already nothing to restore.
Do not forget that such drugs should be taken only on the prescription of the attending physician. You should not take these medications yourself: it can not only do you no good, but it will completely empty your wallet, since the cost of chondroprotectors is high enough: one package of Arthra will cost you between 1200 and 1700 rubles.
If chondroprotectors are prescribed by a doctor according to indications, then for a long-term treatment these medications can effectively fight the disease and significantly improve the function of the joint, and in some cases even avoid surgical treatment.
How can I treat arthrosis of the ankle joint? Physiotherapy can be a good help in drug treatment of this disease. Correctly selected physiotherapeutic procedures allow not only to improve the condition of the affected joint, but also to reduce the amount of pain medication. In osteoarthritis, such physiotherapy procedures as laser therapy, magnetotherapy, radon baths, and SUF irradiation have proved to be well established. More details about these methods can be found in the article Physiotherapy for arthrosis.
Surgical methods of treatment
To date, there are three main surgical methods of treatment: arthroscopy, arthrodesis and arthroplasty of the ankle.
Therapeutic sanation arthroscopy
This procedure is carried out most often at the 2 stages of the development of the disease with severe pain, which is poorly treated with medicines. With the help of an arthroscope, the doctor removes fragments of the destroyed cartilage, bony outgrowths and other elements that cause pain from the joint cavity. After carrying out such procedure pains are considerably reduced, and the effect from it can last till several years.
The creation of arthrodesis is an operation in which the ankle joint is removed and the bones coalesce, that is, the mobility in the ankle region stops. And once the joint is no more, then there are no pains in it either.
With the defeat of arthrosis of other large joints, such an operation has long been not carried out. But due to the fact that the ankle joint consists of a large number of bones, then when removing this joint, its work is taken on by other joints, and a certain mobility of the foot due to this is preserved.
This is the most modern and progressive operation taking place in the final stages of the development of the disease. During this operation, the articular surfaces of the bones are replaced by metal, ceramic or plastic dentures. Due to the high strength and reliability of such prostheses, the term of their work can be up to 20-25 years. After such an operation, movement in the joint is restored in full.
In order to avoid surgical treatment, consult a doctor as soon as possible. Than in earlier terms you seek help and begin to receive the necessary treatment, the easier it will be to develop the disease and the less unpleasant it will bring to you.
Arthrosis of the ankle: treatment, symptoms, photo
Frequent, at first glance, occasional sprains and podvorachivaniya feet can be a sign of a common disease "arthrosis of the ankle joint."It indicates that the muscles that should stabilize the joint during the support of the leg, become weak or the blood circulation is broken in the joint. Osteoarthritis of the ankle is completely cured, provided that the early detection and the correct treatment are chosen.
Recognize the disease
The unemotional statistics claim that out of a hundred people six are subject to arthrosis of the ankle joint. This is 2 percent of the population up to the age of forty and 80 percent are older people.
Arthrosis of the ankle is accompanied by destruction and thinning of the muscle tissue, as well as deformation and changes in the structure of the heads of bones. Detection of the disease at an early stage gives greater effectiveness in the treatment of ankle arthrosis.
Symptoms of the disease may be as follows:
- frequent pain in the legs in the ankle;
- pain in the ankle when moving after a resting state;
- sound crunch in the joints of the feet;
- painful sensations with a load on the legs;
- fast fatigue of the feet;
- frequent dislocations, joint tucking, stretching.
If these symptoms are detected, you should consult a doctor to avoid complicating the treatment of the disease.
Treatment of the disease
Treatment of ankle arthrosis begins with an accurate diagnosis. Usually, the doctor can determine the exact diagnosis either when examining the patient or using an X-ray.
Depending on the degree of severity of the disease, the doctor determines the tactics of treatment.
Arthrosis of the ankle is of three degrees:
- arthrosis of 1 degree - metabolic disturbance;
- arthrosis of 2nd degree of ankle joint - associated with mechanical injuries;
- arthrosis of the third degree - changes occur in the joint of a person.
How to treat arthrosis of the ankle joint? Treatment before going to the doctor begins with reducing the load on the joint and avoiding hypothermia and overload. The attending physician ascribes complex treatment to patients: physiotherapy, balneotherapy, the use of pain medications, as well as medicines that can improve blood circulation.
Ankle can be treated both on an outpatient basis and in a hospital with the prescription of non-steroidal anti-inflammatory drugs.
To complicate the treatment, the patient may be overweight, so it is important to eat right not only during treatment, but also for the prevention of the disease.
Treatment of arthrosis of the ankle by folk remedies can help to avoid various complications.
Treatment with a magnet: with a magnet 2-3 times a day, make circular motions clockwise in the area of the affected joint. The procedure lasts 15 minutes.
Treatment with mummy: ointment - 0,5 gr.mummy mixed with rose oil and gently rubbed into the ankle area.
For internal reception - in 50 ml of steep boiling water dilute 0.2 gr.mummy and take two times a day for an hour before meals.
Treatment with potatoes: to remove the pain, rub on a small grater of potatoes and apply it to the joint for 20 minutes.
Treatment with ointment from medicinal comfrey: a glass of comfrey leaves mixed with a glass of vegetable oil and boil for half an hour on a small fire. Then filter, add a solution of vitamin E and half a glass of beeswax. Let the mixture cool down and apply for half an hour on the ankle twice a day.
Egg shell treatment: egg shell is an additional source of calcium for the human body. It is ground into powder and added to food.
Treatment with collagen-containing products: Collagen helps synthesize cartilage cells( chondrocytes).Products rich in collagen: seaweed, cabbage, cold meat, tomatoes, parsley, fish of the salmon family.
Treatment with products containing silicon: Silicon promotes better absorption of calcium. Products rich in silicon: cauliflower, currant berries, turnip, radish, olives, yarrow.
Physiotherapy or gymnastics for arthrosis of the ankle
Gymnastics for arthrosis of the ankle is usually performed only after the symptoms of the disease( inflammation, pain) are absent or minimal. The complex of exercises must necessarily be coordinated with the attending physician or instructor of exercise therapy.
Any exercises of therapeutic gymnastics for arthrosis of the ankle should give a load to the ligaments and muscles in the joint, while not overloading the joints themselves.
Passing the course of therapeutic gymnastics does not require the patient to invest money, drugs or expensive equipment, but the patient must have enough willpower and patience to complete the course of treatment.
Successful treatment of ankle arthrosis is facilitated by early detection and the correct choice of a set of methods.
Arthrosis of the ankle joint: treatment, symptoms, diet
It is the joint trauma that occupies the leading position among the reasons why an arthrosis of the ankle joint arises in a person.
Among the most common causes contributing to the manifestation of the disease, we can distinguish:
- Pinching of the nerve.
Arthrosis of the ankle arises due to pinching of nerve endings in the lumbar spine, in which the muscles of the lower leg and foot are malfunctioning. In turn, the jamming of nerves occurs due to osteochondrosis and intervertebral hernias, stretching and loosening of ligaments, as well as intraarticular fractures in man.
- Diseases of an exchange character.
Among them, the most likely "conductors" of arthrosis are gout, diabetes mellitus, improper diet, endocrine system diseases.
- Joint inflammation( eg, rheumatoid arthritis)
- Hereditary factor
- Sexual accessory.
A certain risk, in which ankle arthrosis occurs, is experienced by women who often walk on high heels, thereby exposing the joints to stress and possible injuries.
- Professional accessories.
To some extent, this disease has a professional nature. His appearance is subject to people whose activities are associated with significant stress on the ankle joint. And it, first of all, sportsmen( football players, runners, hockey players, figure skaters), choreographers, ballerinas.
People, whose weight is far from the average, do not follow a diet and proper nutrition, put the joints on excessive load, thus provoking the onset of the disease.
Because of all the above reasons, cartilage and bone, experiencing great pressure, grow old, weaken, lose their former elasticity. Gradually they begin to become inflamed, give excess formations in bone tissue and lead to joint deformation.
Because it is very important to know the symptoms indicating arthrosis of the ankle, whose treatment in case of confirmation of the diagnosis should be started as early as possible in order to avoid unpleasant and serious consequences.to table of contents ↑
Depending on the stage of development of the disease, symptoms can manifest themselves in varying degrees of soreness. The initial stage, as a rule, can not even let the person know that his illness is developing. There are no pronounced symptoms, and the first thing a person can notice is minor pain after walking, as well as fast fatigue of the feet even as a result of short trips. True, such pains must push the attention of a person with their systematic nature, which will indicate that the disease is developing.
As arthrosis develops and progresses, the soreness of the joints increases, acquiring is not temporary, but permanent, and pains appear not only during or after walking, but also at rest, especially at night. The pain is associated with other symptoms, expressed by increased body temperature, restriction or loss of motor activity, edema of the legs. Signs such as crunching and other sounds during walking, pronounced deformations and curvatures of the foot will speak about a significant stage of the disease, and already for the movement, patients are forced to use a cane and a crutch.
In order to consult a doctor and start treatment with medicinal or folk remedies, you should pay attention to the symptoms indicating the onset or progression of the disease:
- Sound symptomatics: crunching, clicks, creaking;
- Soreness that occurs during physical exertion, at the beginning of movement, with climatic changes( inclement weather or the presence of foot in the water), morning pain;
- Restriction and stiffness of movements;
- Puffiness, hyperemia and local arthritis;
- Increased body temperature, indicating an inflammatory process in the body;
- Frequent appearance of calluses;
- Various deformations of the joint: thickening, curvature;
- Frequent trauma and subluxation of the foot;
- Numbness and muscle atrophy.
If any of these symptoms occur, no matter how mild it is, you should not delay visiting a doctor and not try to cope on your own with the disease with the help of folk remedies.to table of contents ↑
Types and stages of arthrosis of the ankle
Mainly, arthrosis of the ankle is premature aging and destruction of joint tissues and loosening of ligaments. Loss of elasticity of ligaments promotes increased friction of the joints, the appearance of cracks in the bones, in which the deposition of calcium salts occurs and, as a consequence, deformation of the joint occurs. This indicates a deforming arthrosis.
Another type of disease is posttraumatic arthrosis, which occurs as a result of mechanical damage to the joint. These can be fractures, dislocations, traumas of various genesis. In posttraumatic arthrosis, it is customary to single out two phases. In the primary phase, inflammation occurs on healthy cartilage, in the secondary phase - on the already damaged articular cartilage that has undergone trauma or fracture. The peculiarity of this type is that the joint can not resist the usual, even insignificant, load when walking or standing, which the damaged joint is experiencing.
A person does not always and can not immediately understand that the joint was injured. Because such symptoms as pain when climbing the stairs or when descending from it, swelling and local swelling should lead him to the idea that accidental tucking or dislocating the legs could contribute to the occurrence of post-traumatic arthrosis.
In addition, it is common to distinguish three degrees of arthrosis, which are different in their manifestation, symptoms, treatment and consequences. At the first degree there are periodic pains in the joint, some fatigue of the legs, but at the same time the person at the same level can perform normal movements, but with some difficulty.
The second degree already gives the person unpleasant sensations, essentially complicating the motor activity. At 2 degrees the disease is projected onto the cartilage, which gradually deforms. Symptomatology is already pronounced: soreness, increased pain in the morning, crunching and scratching, stiffness of movements.
The third degree already speaks about the tightened character of the disease. The pain is systematic, strong. In addition, the joint has noticeable swelling and deformity. Gait can change significantly. The most extreme case of this degree of disease is loss of movement and inability to walk.
Each of the degrees of arthrosis requires special treatment.to table of contents ↑
Treatment of arthrosis of the ankle
Treatment of arthrosis of the ankle depends on the degree and form of the disease. The most effective, giving good results and relieving the consequences is the therapy started as soon as possible. As a rule, at the initial stage you can do with folk remedies, massages and physiotherapy procedures. Running forms require already operative intervention.
Among the methods of treatment of ankle arthrosis are:
The leg tarry leg is connected to the foot with an ankle. The ankle is the joint, which has the greatest load from the weight of our body. Over time, this joint wears out, its "carrying" ability weakens - these are prerequisites for the development of arthrosis of the ankle joint.
Background of the disease
Arthrosis can develop equally in the older age group, and in young people. The disease can provoke a number of factors:
- frequent injuries to the ankle, such as dislocations, are a prerequisite and significantly accelerate the onset of arthrosis. In this case, posttraumatic arthrosis is diagnosed;
- gradual aging of the body and its tissues;
- large salt deposition;
- diseases associated with the thyroid gland, gout, metabolic diseases, in aggregate or separately, lead to the development of arthrosis;
- pinched nerve in the spine;
- walking on heels refers to contributing factors.
Overweight and exercise, the impact of which is mainly on the feet, are also the reasons that sooner or later lead to arthrosis of this joint.
The deposition of salts or calcium leads to the appearance of osteophytes - bone growths, that is, growths on the bones. Because of osteophytes, deforming arthrosis of the ankle joint may develop, which is an indication for disability registration.
Arthrosis of the ankle joint proceeds in two consecutive stages:
The disease in the first stage arises on a healthy cartilage tissue. The pain syndrome is not very strong, it only occurs with a significant load, the movements are not limited.
The second degree is characterized by the development of deformities, the painful defect intensifies, and movements are increasingly limited by bone build-ups and pain.
Among the general diagnoses are the following:
- when walking in the ankle, you hear and feel the crunch, creak in flexing and extension of the foot;
- joints are weakened - this leads to frequent dislocations;
- in the morning movement bound, but then the leg kneads;
- pain syndrome increases by morning;
- muscle tissue around the ankle is subject to degradation and degenerative changes;
- swelling of the ankle, body temperature around the affected areas grows;
- the shape of the tibia changes to barrel or cruciform;
- pain is ascertained by a sharp transition from the calmness of the joint to its work.
If even weak symptoms appear from this list, you should immediately contact a specialist.
Treatment of arthrosis of the ankle
If you have questions like "how to cure" and "what to treat", then do not engage in amateur activity, all possible means and methods are prescribed only by the attending physician. Treatment of arthrosis of this form is not only a matter of surgery, there are effective ways of therapeutic, manual and physiotherapeutic nature:
- Massage procedures relax the feet and muscles of the talus, blood circulation returns to normal. Procedures of a manual nature can significantly slow down the process of deformation, just by using manual therapy, the joint is inserted, which was damaged during dislocation.
- With excess weight, a diet is prescribed, since a large body weight is a very serious load on the "bearing" ankle joints.
- In order to relieve pain, anti-inflammatory ointments and analgesics are used;
- Cartilage begins to experience significant dystrophy, so glycosaminoglycans are actively used - substances that are very similar in composition to cells of cartilaginous tissue.
- Blood circulation is restored by biostimulants, magnesium for intravenous injection is very effectively used from old preparations.
- Physiotherapy, acupuncture, massage and electrophoresis are very effective tools that are prescribed together with outpatient treatment.
Application of hydrogen sulphide and radon baths, treatment at the resorts has a very positive effect, which consists in the absence of pain for a very long period.
- In the course of the onset and development of arthrosis, there is a deterioration in the properties of the fluid - synovitis, which acts as a lubricant while in the periarticular bag. With arthrosis, this fluid is saturated with salts and loses its properties. An effective method for overcoming this is the method of replacing the synovitis fluid by its analogue - a fluid-prosthesis.
In those cases where arthrosis led to joint destruction:
- surgery to remove the joint, so that the development of polyarthrosis does not start.
- an artoplastic operation allows to preserve the mobility of the joint to a large extent, the operation is performed every six months;
- removal of the joint and replacement with its endoprosthesis.
Timely treatment of the guarantee allows you to avoid these funds in the treatment of this disease and save your own joint.
Treatment of deforming arthrosis
The beginning of joint deformation is the beginning of irreversible changes in the structure of the joint. Deformations begin because of two harmful factors that begin to act actively in the joint:
- salt deposition in large volumes, especially in the cartilaginous bag;
- is a proliferation of bone tissue. This is explained by the fact that the body tries to protect bone joints at the place of their contact, as the cartilaginous tissue is destroyed, then the calcified tissue of bones is used.
Treatment of deforming arthrosis is aimed at slowing down the deformation process. Such a result can be achieved with the use of injections of chondroprothesive fluids - preparations aimed at restoring and replacing articular tissues, drugs are injected drip. Constant development of the joint, its massage and observation are the means that will help in the overall application.
Osteoarthritis - this is very serious, but this is not the limit of life, when you go to doctors, help will be obtained in 100 percent of cases. Therefore, you do not need to sit at home and suffer pain, best of all, while you can still walk, go to the doctor and ask for help and examination.
Now let's look at the video how to restore the mobility of the ankle joint and eliminate the pain: