Post-traumatic osteoarthritis and its treatment
Post-traumatic arthrosis is not a primary disease and is due to predisposing factors. This disease can develop at any age and does not depend on degenerative changes in cartilage tissue due to aging. Especially often, arthrosis affects large joints of the lower extremities in athletes, who neglect pre-preparation before the load.
Posttraumatic deforming arthrosis is used to consider the problem of people with excess weight. However, it is not. Among the main causes of secondary or post-traumatic osteoarthritis are:
- Injuries of joints with rupture and stretching of soft tissues. Especially if inflammatory processes begin in the injured tissues.
- Frequent inflammatory diseases of the upper respiratory tract( tonsillitis, influenza, acute respiratory infections).
- Metabolic disorders.
- Diseases of the endocrine system, as a result of which the cartilage and bone tissue change their structure, become thinner. With this pathological condition, the risk of fractures increases.
Post-traumatic arthrosis of knee joint
Trauma can become the trigger mechanism of mechanical destruction of hyaline cartilage, which lining articular surfaces. Meniscus rupture is the main cause of arthrosis of the knee joint. Meniscus is a fibrous-fibrous cartilage. His injuries and injuries usually develop in everyday life.
The deformed part of the meniscus begins to injure the joint surface. This is because the fibrous fibrous cartilage of the meniscus is much denser than the hyaline cartilage of the joint. As a result, the mechanical destruction of the latter occurs. This process can last 3-4 years. As a result, the hyaline cartilage is completely destroyed. This leads to arthrosis to the extent that there is a need for endoprosthetics of the knee joint.
Post-traumatic arthrosis of the knee joint is manifested by pain, stiffness, swelling. When moving in the affected joint, a characteristic crunch arises. If the patient does not consult a doctor, there is a restriction of joint functions, curvature of the lower extremity, as well as muscle atrophy.
Consequences of an ankle injury
The main causes of arthrosis of the ankle are the violation of the blood supply of articular cartilage. Even minor injuries can damage the blood vessels that provide the joint with nutrients. As a result of trophic disturbances, the internal structure of the joint bag is disrupted, the production of synovial fluid is reduced, and the friction of the joint surfaces increases.
When the circulation of blood affects the muscles and nerves. As a result, there is a decrease in tone and impaired transmission of nerve impulses to the brain. Thus, the muscle tissue remains uncontrolled by the nervous system. This can trigger the onset of post-traumatic arthrosis.
Post-traumatic arthrosis of the shoulder jointYou can also read:
Symptoms of gonarthrosis
The disease is caused not only by injuries, but also by exorbitant physical stress on the joint. It is for this reason that people who work with heavy physical labor and athletes fall into the risk group. It takes several years after the injury, before the symptoms of the disease begin to appear.
Pain syndrome appears after the appearance of bone growths in the joint. The main symptoms of posttraumatic arthrosis of the shoulder joint include a decrease in muscle trophism and numbness in the arms. One of the striking symptoms is aching pain in the shoulder and shoulder area and the difficulty of removing the arm behind the back.
Treatment of posttraumatic arthrosis is a complex approach. Assign activities aimed at reducing oxygen starvation of tissues. This is achieved through the activation of local and general blood circulation. As a result, venous stasis and swelling of the tissues decrease. Improvement of blood circulation in tissues leads to restoration of regulation of water-salt metabolism, normalization of metabolism in cartilaginous tissue.
Physical exercises strengthen the muscles surrounding the joint, and ensure its stabilization and unloading. Dosed exercises in combination with massage and other methods of physiotherapy lead to adaptation of the body and the injured joint to stresses.
During the exacerbation of the disease, the treatment is aimed at reducing pain, relaxing the muscles in the tonus. Within a few days, the patient is recommended a sparing motor regimen. With pronounced pain in the last stages of the illness, bed rest is prescribed.
For pain relief, pain relievers and non-steroidal anti-inflammatory drugs are used. To provide nutrients to the cartilaginous tissue, chondroprotectors are given in the form of tablets and external agents.
The administration of hydrogen sulfide and radon baths is effective in the treatment of posttraumatic arthrosis. The course of balneotherapy helps to reduce pain for a long period of time. Mud baths are prescribed for the same purposes. Conservative treatment and exercise therapy in the initial stages of the disease can be effective. If the patient turned to a doctor with a neglected form of arthrosis, they suggest surgery.
Posttraumatic arthrosis is a degenerative-dystrophic joint injury that has arisen after its traumatic injury. It develops more often after intra-articular fractures, but it can also occur after injuries of soft-tissue elements of the joint( ligaments, meniscuses, etc.).Is manifested by pain, restriction of movements and deformation of the joint. The diagnosis is made on the basis of anamnesis, clinical data, radiography, CT, MRI, ultrasound, arthroscopy and other studies. Treatment is often conservative, with significant destruction of the joint is endoprosthetics.
Post-traumatic arthrosis is one of the varieties of secondary arthrosis, that is, arthrosis, which has arisen against the background of previous changes in the joint. In orthopedics and traumatology is a fairly common pathology, can develop at any age. More often other forms of arthrosis are detected in young, physically active patients. According to various data, the probability of arthrosis after a joint injury is from 15 to 60%.It can affect any joints, however, the post-traumatic arthroses of large joints of the lower extremities have the greatest clinical significance, both due to the widespread prevalence and due to the influence on the activity and performance of patients.
Causes of development of post-traumatic arthrosis
The main reasons for the development of posttraumatic arthrosis are violation of congruence of articular surfaces, deterioration of blood supply to various joint structures and prolonged immobilization. This form of arthrosis very often occurs after intra-articular fractures with displacement. For example, arthrosis of the knee joint often develops after fractures of the condyles of the hip and condyles of the tibia, arthrosis of the elbow joint after overconscious fractures and fractures of the ray head, etc.
Another fairly common cause of posttraumatic arthrosis is the rupture of the capsular-ligament apparatus. For example, arthrosis of the ankle joint may occur after rupture of the intercostal syndesmosis, arthrosis of the knee joint - after the damage of the cruciate ligaments, etc. Often in the history of patients suffering from post-traumatic arthrosis, a combination of the listed lesions is revealed, for example, a three-ligament fracture with a rupture of intercleral syndesmosis.
The likelihood of developing this form of arthrosis increases dramatically with incorrect or untimely treatment, which results in even minor anatomical defects that are not corrected. For example, if the joints of the ankle joint change its location only by 1 mm, the load begins to be distributed not over the entire surface of the articular cartilage, but only 30-40% of their total area. This leads to a constant significant overload of certain areas of the joint and causes a rapid destruction of the cartilage.
Prolonged immobilization can provoke the development of posttraumatic arthrosis, both with intra-articular and with extra-articular lesions. In conditions of prolonged immobility, blood circulation deteriorates and venous-lymphatic outflow in the joint region is disturbed. The muscles are shortened, the elasticity of the soft tissue structures is reduced, and sometimes the changes become irreversible.
A variety of posttraumatic arthrosis is arthrosis after surgical interventions. Despite the fact that surgery is often the best or the only way to restore the configuration and function of the joint, surgical intervention alone always entails additional traumatization of the tissues. In the future, scar tissue forms in the area of incised tissues, which negatively affects the work and blood supply of the joint. In addition, in some cases, during the operation, it is necessary to remove the damaged or severely damaged elements of the joint due to trauma, and this entails a violation of congruence of the joint surfaces.
Symptoms of post-traumatic arthrosis
In the initial stages, there is a crunch and minor or moderate pain, worse with movements. In rest, pain syndrome, as a rule, is absent. A characteristic sign of arthrosis is the "starting pain" - the onset of pain and the transient stiffness of the joint during the first movements after a period of rest. In the following, the pain becomes more intense, it occurs not only during exercise, but also at rest - "on the weather" or at night. The amount of movement in the joint is limited.
Usually there is an alternation of exacerbations and remissions. During an exacerbation the joint becomes edematous, synovitis is possible. Because of constant pain, chronic reflex spasm of limb muscles is formed, sometimes muscle contractures develop. At rest patients are concerned about discomfort, pain and muscle cramps. The joint is gradually deformed. Because of the pain and limitation of movements, lameness occurs. At later stages the joint is bent, roughly deformed, subluxations and contractures are noted.
At visual inspection at early stages of change are not revealed. The shape and configuration of the joint is not violated( if there is no previous deformation due to traumatic injury).The volume of movements depends on the nature of the trauma and the quality of rehabilitation measures. In the following there is a worsening of deformation and an increasing limitation of movements. Palpation is painful, with palpation in a number of cases, thickenings and irregularities along the edge of the joint space are determined. There may be curvature of the limb axis and joint instability. With synovitis in the joint, fluctuation is determined.
Diagnosis of post-traumatic arthrosis
The diagnosis is based on anamnesis( previous trauma), clinical manifestations and radiographic findings of the joint. On the radiographs, dystrophic changes are revealed: flattening and deformation of the articular site, narrowing of the joint gap, osteophytes, subchondral osteosclerosis and cyst formations. With subluxation, there is a violation of the limb axis and irregularity of the joint space.
If necessary, more accurately assess the condition of dense structures designate CT of the joint. If it is required to detect pathological changes from the soft tissue side, the patient is referred to the MRI of the joint. In a number of cases, it is advisable to perform arthroscopy - a modern therapeutic and diagnostic technique that allows you to visually assess the state of cartilage, ligaments, meniscuses, etc. This procedure is especially often used in the diagnosis of posttraumatic arthrosis of the knee joint.
Treatment of post-traumatic arthrosis
Treatment is performed by orthopedists and traumatologists. The main goals of the treatment are to eliminate or reduce the pain syndrome, restore function and prevent further destruction of the joint. Complex therapy is carried out, including NSAIDs of local and general action, chondroprotectors, exercise therapy, massage, thermal procedures( ozocerite, paraffin), electrophoresis with novocaine, shock wave therapy, laser therapy, phonophoresis of corticosteroids, UHF, etc. In intensivepains and pronounced inflammation perform therapeutic blockade with glucocorticosteroids( diprospan, hydrocortisone).When spasms of muscles are prescribed antispasmodics.
Surgical interventions can be carried out to restore the configuration and stability of the joint, as well as in cases where the articular surfaces are substantially destroyed and need to be replaced by an endoprosthesis. During the operation, osteotomy, osteosynthesis with the use of various metal structures( nails, screws, plates, spokes, etc.), plastic ligaments using the patient's own tissues and artificial materials can be performed.
Operative interventions are performed in the orthopedic or traumatological department, in a planned manner, after an appropriate examination. In most cases, a general anesthesia is used. Both open access operations and the use of sparing arthroscopic techniques are possible. In the postoperative period, prescribe antibiotic therapy, exercise therapy, physiotherapy and massage. After the removal of the joints patients are discharged to outpatient care and carry out rehabilitation measures.
The effect of surgical intervention depends on the nature, severity and duration of the injury, as well as on the severity of secondary arthrosis changes. It should be borne in mind that in a number of cases the full restoration of joint function is impossible. With severe advanced arthrosis, the only way to return the patient to work capacity is endoprosthetics. If the endoprosthesis is not indicated for some reason, in some cases, arthrodesis is performed - fixing the joint in a functionally advantageous position.
Treatment of arthrosis of the shoulder joint by available methods
Arthrosis is the wear and degradation of bone and cartilaginous tissues. Since the composition of a person is many, as many different types of arthrosis can be identified. But I would like to focus on arthrosis of the shoulder, because most of the actions and loads have all the same on the upper limbs of man.
There are several degrees of complexity of development of arthrosis. The first, and the most sparing, stands out with pain in the shoulder joint and certain restrictions in the movement of the hands. The second is more complicated - the pains are aggravated, and continue even in the resting state of the limbs, and is accompanied by characteristic crunches in the joints caused by salt deposits.
In addition to this, the movements become even more limited. With the third degree of arthrosis, the movements are even more restricted, and the wear of the interosseous cartilage is fatal. And, finally, the fourth degree of arthrosis of the shoulder. Patients do not leave painful sensations, cartilage is worn out, and bone tissues begin to grow together. It is observed, mainly, in the elderly.
Arthrosis of the shoulder joint is pain in the shoulder area, scapula and the lower part of the clavicle after physical exertion, as well as injuries of the upper limb belt. If you identify any pain during falling, bruising, or any other physical damage to the shoulder, you should consult a doctor, as this may entail a series of complications, such as posttraumatic arthrosis of the shoulder joint, and many others.
In addition to the name of arthrosis in medicine, there are other definitions of the disease, such as osteoarthritis, as well as deforming arthrosis or osteoarthritis. But the most important for people who have arthrosis of the shoulder joint is treatment.
Treatment of this disease is completely diverse, ranging from traditional medicine to surgical intervention. Let's consider in more details in what cases and what exactly it is necessary to do.
For arthrosis of the first degree
With deforming arthrosis of the first degree shoulder joint, a complex of medicines aimed at restoring cartilaginous tissues and a set of exercises are usually prescribed. And in principle, the use of LPC for arthrosis of the shoulder joint, like any other arthrosis is simply inevitable.
If to speak about medicines, then basically, various chondroprotectors, together with various bioadditives, vitamins and minerals are used. And if you return to physical exercises, then the exercises are usually associated with the load on the shoulder joint - lifting the shoulders, swinging their arms with their arms to the sides in a sitting position, circular rotation of the shoulders and so on.
For arthrosis of the second degree shoulder
How to treat arthrosis of the shoulder joint of the second degree? It's very simple - the same method as in the first degree. But besides this, anti-inflammatory drugs are prescribed together with anesthetics about various pain medications.
Apart from this gymnastics for recovery are more gentle, not implying strong loads on the shoulder composition in order to avoid complications. Categorically forbid any physical stress on the upper limb of the limbs, such as, for example, lifting weights.
For arthrosis of the third degree
Usually, the condition of the patient in the third stage of the disease is extremely complicated, and the treatment of deforming arthrosis of the shoulder joint in this case requires exclusively surgical intervention. At the same cartilage of the joint is withdrawn, replaced by a special prosthesis to maintain the motor functions of the limb.
The fourth degree
But what can be the treatment of arthrosis of the shoulder joint of the fourth degree, if already at the third operation is necessary? Usually, this pathology develops in elderly people and is characterized by complete wear of the cartilaginous tissue, and the fusion of bone tissue.
In such cases, the help of a highly qualified doctor in this field is needed, which, to date, is not so much, and can only be found in large cities. To avoid the development of the disease to such an extent should consult a doctor at the first manifestations of the disease.
How to determine if you have arthrosis?
But what are the symptoms of arthrosis of the shoulder joint? Of course, firstly, it is the presence of pain after prolonged physical exertion on the upper limbs, as well as pain in the area of the scapula or the lower part of the clavicles. In addition to the symptoms can be attributed and characteristic crunching in the joints during their movement.
It should also be noted and the limited movement of hands, for example, if you simply can not raise your hands above shoulder level, then there is a suspicion of arthrosis. In addition to the above symptoms, one can also refer to prolonged pain even during the absence of any movements or actions by hands.
After consulting with the doctors you will be told that with arthrosis of the shoulder joints gymnastics is simply necessary. But do not forget about the loads - they should be minimal. It should also be noted that the treatment of arthrosis of the shoulder joint diet, as such, does not imply - everything is strictly individual, and depends on age and professional needs.Please rate the article:( votes: 2 , average: 3.50 of 5) Loading. ..
Arthrosis of the shoulder joint - the basis of
Arthrosis of the shoulder joint
Arthrosis of the shoulder joint is a disease causeddystrophic changes in the cartilaginous and contiguous bone tissue. This pathology is prone to chronic progressive progress, at later stages causes deformation and persistent impairment of hand functions. The disease is widespread and ubiquitous, but not hopelessly. If you have been diagnosed with arthrosis of the shoulder joint - the treatment is a long one, but if it is carried out correctly, you can count on a good result.
Deforming arthrosis of the shoulder joint is a disease that results in serious changes in the cartilage and bone tissue that adjoins it. In general, this disease is chronic, but it is prone to progression. As in the case of many other joint diseases, the symptoms of the disease manifest themselves quite unexpectedly. Usually the first pain sensations a person feels after heavy physical work( lifting weights, for example) or after hypothermia.
In general, arthrosis occurs as a result of the inflammatory process that occurs in the joints. Often this process begins as a result of trauma or because of the impact of infection. With the development of inflammation, the food of the cartilaginous tissue is disrupted, as a result of which it begins to lose its properties and become thinner. With the development of cartilage deformation, osteophytes begin to appear, which are capable of further injuring the joint. After that, the bone tissue begins to deform, its growth can generally block the joint, making it immobile and turning into a whole bone structure.
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The main symptom to which attention should be paid is pain, with a strain on the joint, increasing and limiting movement in the arm. When palpation of the shoulder area, you can identify the pain points that are in the lower edge of the clavicle and scapula. The osteophytes formed inside the joint cause crunching and clicking on the joint when moving by hand.
Even if the disease has a chronic nature, its acute form can still begin. Exacerbation occurs when carrying heavy loads, jerking, with increased muscle tone and ligaments, from overcooling or drafts. In this case, it is difficult to rotate the hand and withdraw it. Such a condition requires the help of an orthopedist, otherwise the movements of the hand will be limited for a long time.
On the other hand, arthrosis of the joints of the shoulder usually does not have exacerbations and does not hinder movement. Often, patients have minor pain, a little limited movement in the joint, which begins after a significant load. However, pain can occur not only with arthrosis, but also with damage to ligaments and muscles. To determine the cause of pain, you need to see a doctor.
You can also determine the presence of arthrosis with a small test: first of all, you need to try to tie an apron from behind, so you check for pain when you pull your hands back, and then do combing, which sets the pain when the arm moves behind the head in the occiput. If these movements do not cause pain, then the joints of the shoulder are not yet affected by arthrosis.
Brachial osteoarthritis in the initial stages is manifested by discomfort or joint pain at certain positions of the body. At movements in a joint the crunch sometimes is heard - in other words, a humeral joint crunches.
After a while, the pain gradually abates, but then the disease begins to progress. Pain in the shoulder becomes more intense and occurs more often. They can be constant, aching, their intensity varies depending on weather conditions and physical activity. Sometimes shoulder arthrosis manifests itself with sharp pains in the shoulder or shoulder blade in response to physical exertion.
Localization of pain can be different. Sometimes pains in the whole shoulder and even the hand, it pains the elbow. Also, pain in the neck and back muscles on the side of the lesion can be disturbed. In some cases, only the shoulder region hurts.
With further progression of the disease, morning stiffness and mobility restriction are added. The pain syndrome becomes permanent. The joint function is lost, the volume of movements decreases. At first the patient can raise his hand only by 900, with the passage of time the difficulty of movement progresses. Other symptoms include a slight swelling in the joint area, usually it appears after subcooling or prolonged exercise.
As you know, joint pain can be provoked by a mass of various causes. A complete diagnosis of the organism, with simultaneous study of other existing diseases, is able to quickly establish the cause of the disease. There is also a simpler, but effective way to confirm or refute the suspicion of arthrosis. This is a special exercise called "castle".Hands are planted behind the back and cross there. A healthy person will do this procedure without difficulty. But the occurrence of difficulties in the implementation of this exercise, or painful effect - is nothing more than a direct indication that the patient is likely to suffer from arthrosis of the shoulder joint.
The development of deforming arthrosis of the shoulder joint of the 1st degree, as a rule, a complex of medicinal preparations, the action of which is directed to the restoration of the lost cartilage tissues. A set of physical exercises is also used. In general, the use of therapeutic gymnastics for arthrosis of the shoulder joint, as in any other arthrosis, is practically inevitable in principle. The used physical exercises should be connected with the load on the shoulder joint, this is the lifting of the shoulders, the flaps bent at the elbows on the sides while standing and sitting,circular rotation of the shoulders and so on.
In a number of medications used, a number of chondroprotectors are used in combination with a variety of bioadditives, minerals and vitamins.
For arthrosis of the shoulder joint of the 2nd degree, osteophytes appear, reducing the load on the damaged area, and also characterized by a narrowing of the gap by a third. It is detected by X-ray.
Strong, sometimes intolerable pain. Stiffness of movements in the arm and in the shoulder girdle. Impossibility to carry out even elementary domestic motor skills. Deformation of the joint. In some cases, osteophytes can be probed through the skin.
All these degrees of arthrosis develop gradually, over many years.
Deforming arthrosis of the shoulder joint is a degenerative-dystrophic disease in which there is destruction of the articular cartilage with subsequent changes in the articular surfaces of bones.
Etiology and pathogenesis
The shoulder joint consists of the articular surfaces of two bones: a humerus and a scapula. The articular surface of the scapula is enlarged due to the cartilaginous structure - the joint lip. The joint cavity is lined with the synovial membrane. The joint is strengthened with only one ligament, which ensures its greater mobility. Outside, it is covered with an articular bag, the structure of which also provides a wide range of movements. Arthrosis of the shoulder joint develops less frequently than other types of arthrosis and in most cases is a consequence of trauma. Due to the high mobility, the shoulder joint is often subjected to various injuries, especially dislocations. In addition to injuries, the causes of this disease can be inflammation in the joint, congenital deformities and chronic ruptures of the rotator cuff of the shoulder. However, there are cases of primary arthrosis, in which it is not possible to identify the exact cause of the disease.
At the beginning of the development of the pathological process, the structure of cartilage changes at the level of molecules. These changes cause a decrease in the strength of the articular cartilage and the appearance of micro-injuries, which eventually increase. With the development of the disease, changes occur in other structures of the joint - bones, articular bag, synovial membrane. The result is a violation of the function and a decrease in the motor activity of the joint.
The main symptom of the disease are pain in the joint. As a rule, they are stupid, aching, pressing, bursting. Pain can have different intensity and often radiate to the forearm and hand. Usually the pains are chronic, it is possible to strengthen them when moving and when the weather changes. Night pains are typical enough for this disease and can interfere with sleep. In addition to pain for this type of arthrosis, there are limitations of movement in the joint. They can lead to the fact that everyday everyday tasks, for example, combing, become difficult. It is also possible the appearance of a crunch in the joint when moving. Over time, the pain is greatly enhanced and makes the movements in the joint almost impossible.
In the early stages of the disease can be treated conservatively. It is important to create peace of the shoulder. Various medicines are used: painkillers, drugs-chondroprotectors. It is possible to use steroidal anti-inflammatory drugs to relieve inflammation. Various types of physiotherapy are also used. If there is no result from these measures, as well as with advanced arthrosis, various operations are used. Good long-term consequences for the patient are endoprosthetics of the shoulder joint, in which replacement of both joint surfaces and any one is possible. More rarely, arthrodesis is performed - an operation to completely immobilize the joint.
Blood circulation disorder occurs with prolonged immobilization of the damaged limb due to:
Direct disturbance of blood circulation in the injured joint;Violations of venous-lymphatic outflow, which occurs due to the absence of muscle contractions. As an example, post-traumatic arthrosis of the shoulder joint can develop, which can develop with prolonged immobilization of the hand of gypsum langettes, especially if the hand is fixed in the withdrawn position.
Osteoarthritis of the shoulder joint |All about joints
Arthrosis of the shoulder joint
Diseases of the musculoskeletal system, namely the joints, are increasingly found in the practice of medical specialists. To date, there is a tendency to rejuvenate these diseases, among which cases of arthrosis have become more frequent. Arthrosis is a chronic disease, accompanied by degeneration and wear of cartilaginous tissue with progressive progression. At the same time the cartilaginous tissue is modified, turning into a bone tissue with countless bone processes that interfere with the natural motor functions of the joint.
Osteoarthritis of the shoulder joint is one of the forms of arthrosis, in which the shoulder joint is affected.
The main reason provoking the development of arthrosis, which was established by physicians to date, is a change in metabolism with a violation of the supply of cartilaginous and elastic joint tissues.
Arthrosis, affecting the shoulder joint, is increasingly statistically encountered, as it suffers excessive loads on the shoulder area, can be traumatized( provoking posttraumatic arthrosis of the shoulder joint), unwanted age-related changes in tissues, infections, which leads to the disease. In addition, the cartilaginous tissue itself does not have a vascular network that feeds tissues, so if a metabolic abnormality occurs in the body, arthrosis of the shoulder joint may occur.
This disease is most often affected at the age of 55 to 64 years. The case is explained in the slowing down of metabolism, as well as in the decrease in the rate of regeneration of the cartilaginous and elastic tissue in the joint. As a result of constant motor activity of the hand, tissues begin to atrophy and degenerate, being replaced by bone marrow with processes. The disease of arthrosis of the shoulder joint requires timely diagnosis, because the symptoms make themselves felt in the form of painful sensations, stiffness in the shoulder and a crunch - the main thing is not to ignore these changes. The timely provision of therapy can slow the progress of the disease, help to achieve remission and preserve the functions of the shoulder joint for a long time. Otherwise, the disease is fraught with a multitude of consequences: rapid fatigue of the hand, decreased motor abilities of the joint, deformity and even a disability with disability.
Arthrosis of the shoulder joint causes
Age - one of the causes of arthrosis
When talking about the causes that provoked the disease, it is necessary to take into account the form of arthrosis, because the deforming arthrosis of the shoulder joint and, for example, the posttraumatic can be caused by different factors. However, in general, experts identify several factors that can cause this serious ailment. The main ones are:
- Age. As it was said above, the elderly are most often affected by the disease. The reason is that the cartilaginous tissues do not get enough nutrition, they also lose the natural level of renewal, besides this the natural wear of the cartilage affects, which leads to the disease. Arthrosis of the shoulder joint treatment: medicines and physiotherapy are the main methods of therapy for the elderly, but the rejection of therapeutic physical exercises is highly undesirable even at this age.
- Injuries. The biggest category of risk is for athletes involved in sports that require shoulder joint activity, for example, hockey players, tennis players, golfers, and boxers, etc. Such causes provoke posttraumatic arthrosis. Post-traumatic arthrosis of the shoulder joint treatment requires a comprehensive, with an active method of chondroprotectors - restorers of cartilaginous tissue, and also with compliance with the regime of moderate loads.
- Hereditary predisposition.
Statistically proven that the disease is more susceptible to people in whose family history has already met the disease.
- Congenital anomalies in the shoulder joint. Such violations can lead to the initial atrophy of articular cartilage. According to statistics, such anomalies increase the risk of arthrosis on average 8-fold.
- Overweight and obesity. Excess weight increases the load on the joint, which leads the cartilage tissue to a more rapid wear, so it is important to observe nutrition for arthrosis of the shoulder joint.
- Various endocrine diseases and disorders in the thyroid gland. May cause the onset of diabetes mellitus, as well as metabolic disorders. Diabetes mellitus is a disease that very often develops diseases of the musculoskeletal system, not only arthrosis, but it can also provoke gout, arthritis, synovitis and many others. Since it breaks the natural diet in the soft tissues of the joint, developing inflammatory processes in them.
- Intensive and prolonged load on the joint. It occurs among workers on the conveyor belt, loaders, etc., since the joint is always active and loaded, the cartilage tissues experience friction from the bones, resulting in a rapid wear of them.
Arthrosis of the shoulder joint symptoms
Symptoms of arthrosis of the shoulder joint appear gradually, can have a latent character or appear slightly, as the cartilage tissue is destroyed slowly, having a chronic character. The severity of a symptomatic picture largely depends on the stage at which the disease is at the moment, so it is important not to ignore any negative changes associated with the shoulder, promptly turning to the physicians for help.
Minor signs of changes are also due to the lack of nerve tissue and blood vessels in the cartilage, which would be able to give severe acute pain. The main sign of the onset of the disease is pain, at first not too pronounced, as well as a feeling of discomfort, which eventually grows stronger and becomes stiff. Symptoms of arthrosis of the shoulder joint should be considered depending on the stages of the disease, which are now singled out by three:
- Osteoarthritis of the first degree of the shoulder joint. The patient can feel a moderate pain that occurs after the load on the joint, and at rest or after rest the pain symptoms disappear. You can also feel stiffness in the shoulder, especially in the morning hours after sleep, which passes as the motor activity. The main symptom that makes it possible to distinguish arthrosis from arthritis, regardless of which joint was affected is morning stiffness and a decrease in the angle of flexion and extension.
- Osteoarthritis of the shoulder joint of 2nd degree. The pain picture is more pronounced, the pain no longer passes after rest and often worries the patient at rest. There is a strong stiffness in the joint, but the crunch during movement is not observed. At this stage arthritis can occur arthrosis of the shoulder joint, caused by abnormalities in the tissues with subsequent inflammation of the joint, which further aggravates the situation. However, at this stage there are still no visible anatomical changes in the shoulder joint. Therefore, the treatment is prescribed conservative, and not radical: exercise, medication with ointments, intensive course of physiotherapy procedures.
- Osteoarthritis of the 3rd degree of the shoulder joint. The most complex form that does not lend itself to conservative therapy and often requires radical treatment in the form of surgical intervention. Painful sensations at this stage are strong, lumbago can occur, often there is a "pain on the weather," awakening at night. Movement is characterized by crunch due to overgrown osteophytes. The shoulder is deformed. Deforming arthrosis of the shoulder joint treatment involves using surgery to avoid disability. Anatomically, the joint is narrowing the lumen of the joint gap, as well as the growth of osteophytes - bone processes, almost complete degeneration of the cartilage. Surgery also makes it possible to avoid disability due to endoprosthetics. In this case, the deformed joint is replaced by a special prosthesis, which serve for decades.
MRI of the shoulder joint
If a crunch is heard in the shoulder joint, pains are noted, stiffness, fatigue of the joint after exercise is observed - this is a serious reason to call a doctor for immediate diagnosis. Diagnosis and recognition of this ailment is a rather complicated process, since arthrosis often has a symptomatic picture similar to other joint diseases, for example, with psoriatic, rheumatoid or reactive arthritis, as well as synovitis, bursitis, gout, etc.
Therefore, before you prescribe a cure for arthrosis of the shoulder joint, examine the patient's blood test. With arthrosis, the blood increases antibodies that fight with inflammation, which may serve as a reason for suspicion of arthrosis. Also the patient is referred for radiography. Arthrosis of the shoulder joint photo with radiography can show depletion of the cartilaginous tissue and bone growths. Ultrasound and MRI are also effective, which are able to show the condition of both bone, cartilage and ligamentous tissues in order to more accurately establish the stage of the disease and its type.
In most cases, it is necessary to resort to ultrasound and MRI, as they give a more complete picture of all the components of the joint and their tissues, and also identify the presence of concomitant ailments of the shoulder joint, for example, rheumatoid arthritis or gout, which often accompany arthrosis.
Arthrosis of the shoulder joint treatment
When the diagnosis of "arthrosis in the shoulder joint", the patient immediately begins to worry about the question of how to cure arthrosis of the shoulder joint. Therapy will depend on the type of disease, and also on the stage at which it is located. However, there are basic principles of treatment that can slow the course of the disease.
Arthrosis of the shoulder joint treatment requires a comprehensive using all the known conservative ways to fight the disease. For the late stage, radical therapy is prescribed - surgical intervention with surgery.
Also for therapy, prolongation( duration) and systemic character are characteristic. Treatment is also predominantly performed on an outpatient basis with the use of medications.
Methods of treatment of shoulder arthrosis
The medication for arthrosis of the shoulder joint is aimed at the removal of the pain syndrome, as well as the active restoration of the cartilaginous tissue. Therefore, primarily non-steroidal anti-inflammatory drugs are prescribed that fight against inflammation of the tissue, slow down the destruction of cartilage and inflammation of the joint synovial bag. They are effective for reducing pain. Among such medications you can name meloxicam, aerated, ketanov, nimesil, nimesulide, etc. Arthrosis of the shoulder joint treatment of medicines with chondroprotectors is a way to slow down the destruction of cartilage, accelerate its regeneration. These drugs help to eliminate not the symptoms, but the cause of the development of the disease. Among them: chondroitin sulfate, rumalone and structum. In the event that arthrosis is in the third stage with severe pain symptoms, the patient is prescribed injections with arthrosis of the shoulder joint for emergency relief of pain and muscle spasms. The basis for such injections is novocaine.
It is not uncommon for therapists to recommend the use of special intra-articular injections. They also try to eliminate the cause of the disease directly( cartilage wear and inflammation in the joint).Such injections include dexamethasone, corticosteroids, hydrocortisone and the like.
Mud applications for arthrosis
As a local treatment, anti-inflammatory and warming ointments are often prescribed, for example, fastum gel, diclofenac, voltaren gel, etc. It is important to remember that ointment with arthrosis of the shoulder joint is able to absorb the skin only to a small extent - 5-7% is absorbed by the skin, so ointments serve as ancillary methods in the fight for the suspension of the disease. Therefore, the methods of treating arthrosis of the shoulder joint should cover a whole complex of exercises, physiotherapy and diet. Treatment of arthrosis of the shoulder joint medication and ointment is only one component of recovery.
An effective method of combating arthrosis is a complex of physiotherapeutic treatment. Physiotherapy for arthrosis of the shoulder joint includes:
Arthrosis of the shoulder joint 1st, 2nd and 3rd degree: treatment, symptoms and causes of the disease
Arthrosis belongs to the group of cartilage diseases of the joints on the background of its dysplasia and destruction under theinfluence of various pathogenic factors. The leading role in pathogenesis is played by increased physical exertion, trauma and inflammatory processes that disrupt normal tissue trophism.
Arthrosis of the shoulder joint until recently was considered a gerontological disease, since the majority of the diagnosed cases were for people who crossed the pension life line. However, over the past decade, pathology is increasingly manifested in people aged 30 to 40 years. This is associated with a change in the way of life of a substantial part of the able-bodied population. With the introduction of automation in production processes, the physical load on a person is constantly decreasing, provoking hypodynamia, stagnant phenomena in the blood and lymphatic systems.
Several stages of cartilage degradation occur during the formation of arthrosis. Initially, the pathology can be triggered by instability in the joint bag due to stretching or microscopic injuries of the tendon and ligament apparatus. Then, with increased lability of the heads of bones entering the shoulder joint, the physical load on the cartilaginous membrane increases, the physiological structure deforms, the level of pressure of the synovial fluid decreases, and it loses its biochemical and physical properties. Cartilage tissue ceases to receive a sufficient amount of liquid, oxygen and nutrients. The process of dystrophy starts, which contributes to the rapid destruction of hyaline fibers.
Next, we will analyze the risk factors and probable causes of such conditions.
What causes arthrosis of the shoulder joint?
Based on the above pathophysiology of the development of the disease, arthrosis of the shoulder joint can cause numerous causes that contribute to an increase in instability of the heads of bones, their displacement and disruption of tissue trophism.
Among the potential risk factors are the following states:
- disturbance of metabolic processes in the human body with the interruption of the natural cycle of the production of collagen and hyaluron( these components are the most important substances for the restoration of cartilaginous tissue);
- lack of a sufficient level of development of muscle mass that serves and surrounds the joint and creates favorable conditions for diffuse cartilage nutrition;
- insufficient innervation of tissues due to hypotrophy and pinching of nerve roots in the cervical spine( observed against a background of chronic osteochondrosis with protrusion of intervertebral discs);
- overweight, obesity, various edematous syndromes, which lead to disruption of cellular metabolism;
- diseases of internal organs, including the intestines, in which the process of assimilation of nutrients and water is disrupted;
- increased physical activity, frequent and habitual dislocations, sprains and tendon ruptures.
The risk groups are people who lead a sedentary lifestyle, often suffer from colds and eat a large number of refined products with low levels of pectins and vegetable proteins.
Arthrosis of the shoulder joint 1st, 2nd and 3rd degree and its symptoms
Timely detection of pathology promotes more complete restoration of the cartilaginous tissue. The most successful treatment is arthrosis of the shoulder joint of the 1st degree. In this condition, the symptoms can consist only in increased fatigue of the hand and periodic pain in the projection of the affected joint of the bones. At this stage, to stop the degeneration of tissues and restore their physiological state, it is enough to change the way of life, to regularly engage in special gymnastics( naturally, under the guidance of an experienced instructor), to revise the diet and the regime of drinking clean drinking water.
However, in practice everything is not so simple. The fact is that without eliminating the cause, the pathology will progress until the patient begins to experience the symptoms of arthrosis of the shoulder joint of the 2nd degree:
- a constant aching pain in the shoulder region, can give into the elbow and under the shoulder blade;
- difficulty in trying to raise your hand yourself or take it to the side( much depends on the place of the defeat of the cartilaginous tissue);
- crunch, creak or clicks when moving in the joint;
- muscular tissue dystrophy( hand may decrease in volume).
When examined, the physician determines the deformity of the joint, the soreness of the palpation. During the exacerbation, inflammatory reactions develop: the joint area becomes hot to the touch, edematic and hyperemic, the pain can be constant, aching.
Symptoms of arthrosis of the shoulder joint of the third degree are difficult to confuse with another disease. The joint is expressed deformed, movements in it are sharply limited, the pain syndrome is permanent, exhausting. Some patients lose some of their ability to self-service. Based on the results of the medical examination, a third disability group is appointed at this stage. Work ability at the same time is limited or lost, depending on the profession of man.
For differential diagnosis, an X-ray examination is necessary, which in difficult cases can be supplemented with arthroscopy and computed tomography. To exclude rheumatoid arthritis, a special blood test must be done. The main diagnostic feature of arthritis from arthritis is that, with the latter, the pain persists throughout the day. But with arthrosis pain is most pronounced in the morning, after awakening, when a person experiences the stiffness of movements in the affected joint. During the day, the pains soften and return only in the evening.
Methods of treatment of arthrosis of the shoulder joint and manual therapy
Before treating arthrosis of the shoulder joint, it is necessary to understand the cause of its development and establish the degree of damage to the cartilage and bone tissue. If the deformation of the head of the bone has not yet begun, the chances of a successful recovery are much greater.
If the pain syndrome is tolerable, then it is recommended, whenever possible, to stop taking non-steroidal anti-inflammatory drugs. Yes, they are very effective( albeit short-term) to stop the pain. However, these substances block the supply of nutrients, fluids and oxygen to the affected tissues, which are necessary for the regeneration process.
Reception of chondroprotectors is possible, but it is worth noting that such drugs are still very little studied by medicine and the side effects from their use may be the most unexpected.especially since the intake of any chondroprotector should be continued for 6 to 12 months. Otherwise, you will not feel any positive effect. Recently, doctors have been practicing intra-articular injection of chondroprotectors. This is a more effective medical procedure, however, it can have a number of negative consequences in the form of joining inflammatory and allergic reactions. Sometimes, against the background of such complications, necrosis of the heads of bones entering the joint cavity develops.
The main tactic for treating arthrosis of the shoulder joint, which is offered by official medicine, is a wait-and-see symptomatic treatment. At a late stage, surgical intervention is proposed for the purpose of prosthetics or replacement of joint tissues.
In order not to put your health at risk, you need to start taking care of your joints right now. Do not be tempted to wait for surgery. If you have arthrosis of the shoulder joint even in an advanced stage, you can be helped, which will bring back the joy of movement. These are the methods of manual therapy that allow you to quickly and safely restore microcirculation in the tissues of the joint, which will trigger a natural process of their regeneration.
Specialists of our clinic of manual therapy are ready to offer an individually developed program of treatment and rehabilitation. During the therapy, everything will be done to strengthen the muscles of the shoulder girdle and restore the physiological elasticity of the tendon and ligament apparatus, and improve blood supply.
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