Deforming arthrosis of the shoulder joint and its treatment
Arthrosis of the shoulder joint is a pathological process characterized by dystrophic and degenerative changes in the shoulder joint, as well as in the surrounding anatomical formations - in the joint capsule and in the ligaments. This leads to structural disorders, to deformation of the joint. Therefore, this process is still called deforming arthrosis of the shoulder. As a result of all these changes, motor impairments develop in the shoulder girdle, and the hand as a working organ can not perform its functions.
Arthrosis of the shoulder does not develop as often as a similar process in the joints of the lower limbs - the knee and hip. After all, the static load of a body weight here does not matter. But the features of the performed functions are crucial in the development of such a pathology as shoulder arthrosis. Why is that?
The fact is that our shoulder joint has a spherical configuration. Here, wide-amplitude motions are realized in 3 planes. Therefore, the joint capsule here is loose, the ligaments are initially weak, and the area of contact between the articular surfaces of the head of the humerus and the articular cavity of the scapula is relatively small. This creates fertile soil for various types of injuries - dislocations of the humerus, ruptures and micro-ruptures( dilations) of the capsule and ligaments of the shoulder joint. It is injuries( more precisely - their consequences) are the leading cause of shoulder arthrosis.
In addition to injury to the development of this pathology can lead to chronic traumatic injuries in certain types of work( lifting and carrying heavy loads, painting) or sports( tennis, gymnastics, weightlifting).In rare cases, arthrosis in the shoulder joint may be a consequence of inflammation( arthritis) of rheumatic, gouty or tubercular nature.
In this case, because of inflammatory and degenerative processes, articular cartilage suffers - it thins, loses moisture, becomes less elastic. Then the subchondral( located under the cartilage) bone of the head of the shoulder is affected. Therefore, this arthrosis is also called osteoarthrosis of the shoulder joint. To at least to some extent stabilize the affected joint, the cartilaginous ring of the articular blade thickens and thickens, and on the subchondral surface appear bony expansions - osteophytes, which many mistakenly interpreted as saline deposits.
In addition to articular surfaces, the surrounding structures are involved in the process - the capsule and ligament of the shoulder, as well as the muscles of the shoulder girdle and upper limb. This phenomenon was called periarthrosis. It is noteworthy that the course of deforming brachial arthrosis rarely occurs with an isolated lesion of only one shoulder joint. As a rule, in the course of time, other joints of the shoulder zone are involved in pathology: sternoclavicular and clavicular-acromial.
Symptoms ofThe main symptoms of osteoarthritis of the shoulder joint are:
- Stiffness of movements;
- Pathological muscle tension;
- Changing the configuration of the shoulder joint.
Together, pain and movement disorders are figuratively referred to as a frozen shoulder. The intensity of all manifestations is not the same, increases with time. In this connection, 3 degrees of brachial arthrosis are distinguished.
- Arthrosis of the 1st degree is manifested by blunt aching pains in the shoulder joint and in the scapula arising with physical activity, and disappearing at rest. The volume of movements, as a rule, is not limited.
- Osteoarthritis of 2nd degree. The pain intensifies, becomes constant. The movements are accompanied by a characteristic crunch. The muscles are tense. Reduction of motor volume, mainly when the arm is pulled back.
- Osteoarthritis of the 3rd degree. 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.
Principles of treatment of
The main directions of treatment for this disease include:We also recommend reading:
Symptoms of sprain of the shoulder joint
- Elimination of pain;
- Expansion of the volume of movements;
- Normalization of articular cartilage nutrition;
- Restore the original joint configuration.
For this, the following are used:
- Massage and physiotherapy;
- Recipes of traditional medicine;
- Therapeutic gymnastics.
Shoulder osteoarthritis is treated with such medications as:
- Non-steroidal anti-inflammatory drugs( NSAIDs);
- Chondroprotectors - drugs that repair articular cartilage;
- Means that improve blood microcirculation;
- Vitamins and minerals.
Chondroprotectors( Rumalon, Structum, Chondroxide, Chondroitin Complex) taken internally, externally or injectively, play a key role in the treatment of shoulder arthrosis. After all, these drugs, containing the main vital components( Glucosamine, Chondroitin) contribute to the restoration of cartilaginous tissue. But all these funds with small interruptions need to be taken for long months, and possibly years. The effect of chondroprotectors is enhanced by the intake of vitamins and trace elements, the most important of which is calcium. NSAIDs( Diclofenac, Indomethacin, Orthofen) in the form of tablets and ointments also alleviate the condition - eliminate inflammation, pain, relieve swelling. Intravenous drip introduction of Trental, Pentoxifylline improves the blood supply of joint tissues.
Gymnastics for arthrosis of the shoulder joint is carried out standing or sitting on a chair. The following exercises are performed:
- Flexion of the arms in the elbows and rotational movements in the shoulder joints with the subsequent straightening and dilution of the hands to the sides;
- Touching the brushes on the paddles on the opposite side;
- Maximum raising of straight arms up;
- Sitting on a chair, put your hands on your knees, and carry out rotational movements back and forth with only the shoulder joints.
All exercises are performed at a slow pace, and immediately stop when pain occurs.
Treatment of folk remedies of shoulder arthrosis is carried out with the help of natural products of plant and animal origin. Here are the recipes for using these remedies.
- 10 grams of the root of the hedgehog mixed with the same number of blossoms of a rosemary and pour 50 grams of melted fat. To insist half of day, then to rub in a joint.
- Equal quantities( 10 g.) Of sweet clover, hops and St. John's wort mix with 50 g of petroleum jelly. Rub into the shoulder joint.
- 1 tbsp.a spoon of honey is heated in a water bath, then rubbed into the shoulder joint in circular motions for 10-15 minutes. Then the shoulder is wrapped in a thick woolen cloth.
- 3 grams of propolis mixed with 50 grams of melted pork fat. The resulting ointment applied to the shoulder joint.
All these drugs are not self-sufficient in the treatment of brachial arthrosis. We need more other methods - massage, physical therapy( electrophoresis, magnet, phonophoresis) followed by the use of paraffin, ozocerite and therapeutic mud.
The main symptoms and treatment of shoulder arthrosis
Arthrosis of the shoulder joint, the symptoms and treatment of which will be described below - the pathology of the articular cartilage and a number of underlying bone tissue. Arthrosis of the shoulder causes degradation, wear and destruction of these structures. The disease affects first the cartilaginous tissue, and then the capsules of the joints and the bones surrounding them are involved in the process. Another name for the disease is deforming arthrosis of the shoulder joint. If a person is sick with this ailment, but did not turn in time for medical help, the consequences of negligent treatment of his health can lead him to a complete loss of motor abilities of the hand.
Causes of development of DOA
The main impetus to the emergence and development of this disease is inflammation in the joints. It can occur due to the following factors:
- The presence of trauma leads to deforming arthrosis of the shoulder. This may be a previous damage to the area or the consistent receipt of microtrauma on it, which is especially true for people involved in sports or hard physical work.
- Disease of the vascular system, which leads to insufficient supply of joints with blood, their degradation due to dystrophic changes.
- Failures in the hormonal or autoimmune system of a person that lead to the development of psoriasis, gout and other diseases.
- Poor heredity. If one of the parents has had such an ailment as a shoulder arthrosis, then there is a high probability that the children will also develop this disease.
- Violation of the normal functioning of the endocrine system and malfunctions in metabolic processes lead to the accumulation of salts in the joints while limiting the intake of the necessary substances( calcium, phosphorus, etc.) in cartilage tissue. This leads to their destruction.
- Other joint diseases, for example, bone necrosis, synovitis, arthritis, etc.
- People of advanced age( from 50 years and up) are at risk, as with age, tissues wear out quickly.
The defeat of the right shoulder joint can lead to the development of another form of ailment - scrotal arthrosis. It occurs when not only the shoulder joint is involved in the pathological changes, but also the ligaments that connect it to the scapula. This disease can appear on the left side of the body, but it happens less often. This is due to the fact that such a disease occurs mainly due to a violation of blood supply to the structures of the shoulder blade and shoulder, which usually occurs in cardiovascular diseases.
Arthrosis of the shoulder - the main signs of
The disease is characterized by a long period of development. At the initial stage, there are practically no symptoms. Therefore, for any, even the smallest manifestations of arthrosis, you need to see a doctor. Characteristic signs of the disease are:
- Pain syndrome. It occurs usually in the morning or when weather changes. Pain is possible when lifting heavy objects or when touching the patient's shoulder. With further development of the disease, the pain syndrome begins to disturb the person and when they are at rest. Pain can occur not only in the affected area, but also in the arm, back, elbows.
- Restrictions on motor functions. The patient experiences difficulties in making simple movements. For example, it is difficult for him to comb himself( one of the tests for diagnosing brachial arthrosis).With difficulty, it is given by hand rotation or limb retraction. If the time does not begin to cure the disease, the joint will stop moving, and the contracture will develop.
- In joints, you hear a crunch or creak. This phenomenon appears because of the growth of osteophytes, which occur when salts are deposited in the affected area. At the beginning of the disease, sounds resemble rustles or creaks, but then they become clearly audible, like crackles with a crunch.
- In a sore spot, swelling may appear. There may be redness of the skin in this area. In this case, the patient's temperature rises, which finally confirms the presence of an inflammatory process in the affected joint.
- In the advanced stage, there is a danger that the joint will harden and stop moving. This is possible with the growth of osteophytes.
With sudden pain in the shoulder it is better to immediately go to a medical facility. It should also be done with bruises or injury to the joint, or when it is dislocated. It must be remembered that in the advanced stages the disease is virtually incurable. At the same time, many people who came to the patients' clinics have practically no symptoms.
Symptoms of the disease depending on the stage
Arthrosis 1 degree usually manifests itself as an evening and morning pain syndrome. It is necessary to move the joint more often to relieve the feeling of stiffness. With sudden movements, you can hear a slight crunch, but without pain. With a brachoidal form, actions such as raising the arm and rotating it cause painful sensations. With a restful condition, there is no discomfort. In this phase of the disease, the x-ray does not determine any special changes in the joints of the shoulder.
Arthrosis of the 2nd degree causes pain, which is comparatively more intense, and the crunch becomes clearly audible. With the humerosus of the disease at this stage, the patient appears symptomatic of synovitis and contracture of muscles. The amplitude of hand movements decreases sharply, but mobility remains in the joints. The process of destruction and deformation begins.
At 3 degrees of development of ailment patients can only slightly shake a hand. Pain syndrome takes a permanent character. The joint is inflamed and deformed. Possible atrophy of a small part of the muscles that are around the shoulder. With the humeroscapular form during this period, the pain calms down, and the impression appears that the disease has receded. By doing this, the joint is blocked. In the absence of treatment, symptoms of the sclerosing capsulitis appear. Cure grade 3 arthrosis can only be surgically done.
With the last 4 degrees of damage, bone fusion and joint destruction occur. Pain can not be eliminated even by the most powerful drugs for anesthesia. This stage is mainly in the elderly.
Tactics for treating
There are two main ways to combat this ailment: conservative therapy and surgical intervention. It all depends on what stage of the disease the patient has, what are the symptoms. The appropriate treatment is prescribed. In order to classify the disease, doctors use the ICD code 10.
The conservative method of combating arthrosis is aimed at eliminating pain and developing inflammation. Usually for these purposes, the attending physician prescribes to the patient anti-inflammatory non-steroid drugs. Usually these are drugs such as Diclofenac, Nimesulide and the like. They relieve pain and eliminate inflammation.
If the inflammatory process has gone too far, then it is possible to use corticosteroids. They are used for blockade of the affected joint. They have good anti-inflammatory properties. Usually, the injection of such a drug is carried out by injection, which is done directly in the diseased joint. To do this, often use drugs such as Hydrocortisone or Kenalog.
Usually, physicians prescribe to patients various gels, ointments, creams for external use. They relieve inflammation. To do this, you can apply Bystrum gel or Diclofenac. To restore the cartilaginous structures, which are destroyed with arthrosis, use so-called chondroprotectors. They are made with the use of hyaluronic acid, sulfates of chondroitin and glucosamine. Most often in these cases, using Artra and her similar drugs( Dona, etc.).
Together with these methods apply and physiotherapy( especially with a brachial arthrosis form), a complex of therapeutic gymnastics, massage. With the first method of curing a patient, doctors can send it to the following procedures:
- Ultrasonic irradiation of a diseased joint.
- Laser Therapy.
- Treatment of mud baths.
- Cryotherapy procedure.
- Improvement of leeches( gerudoterapiya).
When using a complex of gymnastics, load the joint gradually, stimulating the muscle fibers. As a result, the motor function of the shoulder and arm is restored. Together with this patient, a special diet is prescribed for arthrosis.
He is recommended to remove salty, sharp, fatty and canned foods from the diet. The patient should eat a large amount of greens and vegetables. The diet for arthrosis includes such components as: various seafood, salmon and other related species of fish, turkey. At the same time it's better to give up alcohol.
If there is a destruction of the cartilaginous tissues on the shoulder joint, the doctors direct the patient to a surgical operation. The method is called endoprosthetics. During its carrying out a cut in the affected area. From there, tissues and bone structures, affected by the disease, are removed. They are replaced with implants of ceramics, metal or plastic. This method allows to completely restore the motor functions of the shoulder joint. The period of complete rehabilitation of the patient depends on the severity of arthrosis. It can range from ½ year to 1.5 years. Usually, the disease does not relapse. If the person did not turn to the doctors on time and brought the disease to the last stage, the operation is performed urgently.
Folk remedies at home
These drugs should be used only for the qualitative and effective anesthesia of the affected area. They can not restore the joint. You can use folk recipes only after consulting with the doctor and on his recommendation. Used such types of treatment, as compresses, homemade ointments, baths and various rubbing. They help to warm up the sick area and relieve the pain syndrome.
The simplest kind of such procedures is a compress.
The first recipe. It is necessary to take oatmeal in the amount of thirty grams and boil for 10 minutes in 2 glasses of water. The resulting solution must be poured onto a piece of gauze, which is wrapped in several layers. When it is completely impregnated with the mixture, the tampon is applied to the affected area and held for ½ hour.
To effectively combat the pain, you need to make a compress from the juice of cabbage. They impregnate a cotton swab and strengthen on the shoulder joint with a bandage. This is best done before going to bed.
The second recipe. Should be applied to the shoulder before sleeping leaves of cabbage, which are smeared with honey.
For grinding, you can take the roots of elecampane in an amount of 0.05 kg. They need to insist on vodka - it needs 125 ml. The process takes 14 days. After that, the mixture is applied to the injured shoulder and rubbed.
The third recipe. Angelica roots in the amount of 15 grams should be poured with boiling water and insist for ½ hour. Then this solution is filtered. Rub into the affected area 4 times a day.
For the use of medicinal herb baths, the following should be done:
- The bath is filled with water.
- Make a decoction of herbal tea or infusion.
- Pour the resulting mixture and bathe in it patient.
Especially effective in the treatment in this way are decoctions of mint, hay, mustard, burdock. The patient is kept in a bath until his body completely decays. Then he rubs the joints and stacks under a thick blanket to keep the heat.
Homemade ointment is prepared in this way: take 15 grams of sweet clover and the same amount of St. John's wort and hops. All this is mixed and added to Vaseline. The components are mixed until a homogeneous mass is obtained. This ointment should be rubbed on the patient daily.
In any case, when symptoms of shoulder arthrosis appear, it is best to immediately go to a medical facility. Self-healing is unacceptable, since such an attempt can only aggravate the disease, which will lead a person to the surgeon's table.
DOA knee joints: stages, symptoms and treatment: : SYL.ru
The pain in the knee that arises every time during movement is initially perceived as an unfortunate misunderstanding. With the passage of time, discomfort can be exacerbated. Now it's not necessary to run or jump, the pain comes by itself and does not need any special prerequisites. As a rule, in such cases it is a deforming osteoarthritis of the knee joint. This is a fairly common disease, which is very difficult to cure. For him, a special rubric is listed in the International Classification of Diseases( ICD).DOA of the knee joint belongs to the category M17.
What is deforming osteoarthritis( DOA)?
Deforming osteoarthritis is understood as a degenerative disease degenerative disease, which is associated with the gradual destruction of cartilage tissue on the articular surfaces. According to WHO, currently 5% of the world's population has this diagnosis.
Deforming osteoarthritis is a continuously progressive disease. This means that sooner or later one stage of the pathological process will move to the next. The rapid progress of the disease is due to the constant involvement of the surrounding tissues. Usually DOA is diagnosed in the elderly. However, recently, young people often face this disease more often.
DOA of knee joints
The knee joint is constantly under pressure, as it is forced to retain the entire body weight of the person and ensure the mobility of the legs. Over time, hyaline cartilage, responsible for the mobility of parts of the joint and their cushioning, begins to thin out. If it disappears completely, the bone is exposed. It begins to expand, exostoses appear. As a result of the changes, the knee deforms.
The impetus for the onset of destructive processes is a variety of reasons that lead to a violation of metabolic processes. The cartilage gradually loses its elasticity, resistance to regular loads and strength. Its structure becomes loose, microcracks appear. If the problem is not eliminated in a timely manner, the result can be a complete destruction of the intraarticular tissue.
As a result of all these pathological changes, the disease leads to instability of the joint. The organism itself reacts to this problem by the growth of osteophytes. These are special bony outgrowths, which are necessary for stabilization of the knee joint. Their appearance aggravates the whole situation. Osteophytes, reaching a large size, significantly increase discomfort. In addition, they can exfoliate and freely be in the joint cavity. As a result, a person can not move freely. To eliminate the problem, you often have to resort to surgical intervention.
In recent years there has been a rejuvenation of the disease, now the risk group includes people from 30 years of age. That's why doctors recommend that anyone who has not yet touched this ailment adhere to certain rules of prevention.
Why suffer from knees?
DOA of the knee joints is divided into two forms: primary and secondary.
The main causes of the former are still unknown. Doctors suppose that the disease develops against the background of excessive loads on the joint and some age-related changes.
Secondary form usually occurs in people who previously had to face knee joint injuries or other pathologies of a similar nature.
Among the main factors predisposing to the development of DOA of the knee joint( code on ICD 10 - M17), the specialists refer to the following:
- Low motor activity.
- Knee Injury( ligament / meniscus ligament).
- Age changes.
- Endocrine diseases( diabetes mellitus, rheumatoid arthritis).
- Intense load on the legs when doing professional sports.
In addition, if close relatives were diagnosed with a DOA of the left knee or right, the likelihood of developing the disease increases eightfold.
Clinical picture of pathology
Symptoms of the disease and the degree of their intensity depend on the neglect of the process. The longer the patient neglects treatment, the more worried about discomfort. The main signs of this pathology are listed below.
- Pain discomfort, the intensity of which can vary.
- Stiffness of movements, which is especially evident in the morning hours.
- Squeak and crunch while walking.
- X-rays show spines and cartilage deformation.
- Knee swelling.
- Appearance of discomfort in sports.
- Atrophy of leg muscles due to lack of physical activity.
Types and forms of the disease
As already noted, each pathology according to the International Classification of Diseases lists its ICD code. DOA knee joints is no exception in this matter.
There are two forms of this pathology: primary and secondary. The first variant develops for unknown reasons, as a rule, against the background of worn out cartilage joints and natural aging of the body. Secondary arises from previous inflammation and joint trauma.
In addition, deforming osteoarthritis is classified according to the severity of the disease. Each of them has its own distinctive symptoms. Diagnosis necessarily implies an accurate determination of the degree of the disease, since the subsequent treatment and prognosis depend largely on it.
1 degree of disease
At the initial stage of pathology development, the clinical picture is almost completely absent. Patients notice that minor discomfort occurs only after a busy day. It is manifested by the severity or pain in the knee. Such feelings disappear right after rest. That is why many people prefer not to pay attention to DOA 1 degree of the knee joint. At this stage of the development of the disease, serious changes in the deforming nature are not noted.
2 degree of disease
Symptoms become more pronounced every day. Many patients begin to seriously worry, some seek help from a doctor. Qualitative therapy at this stage allows to return a person to a full life and relieve the discomfort.
The disease usually manifests itself by prolonged pain inside the joint. Gradually begins its deformation, there is swelling of the knee.
3 degree of disease
Pathology is characterized by irreversible changes. Medication can not cope with the constant discomfort. DOA 3 degrees of the knee joint is characterized by constant pain, which does not subside after rest. There is sensitivity to any weather changes.
Deformation of the joint is rapidly progressing, it can be seen with the naked eye. In patients with this diagnosis, lameness, limited mobility of the joint appears.
Diagnosis of pathology
Despite the rapid development of medicine, at present the only effective option for diagnosing deforming osteoarthritis remains radiography. The snapshot allows the doctor to assess the degree of neglect of the process, to consider the volumes of bone changes. DOA of the knee joints has a similar clinical picture with many pathologies of the musculoskeletal system. That is why specialists often prescribe an additional examination, which includes:
Osteoarthrosis of the shoulder joint. Symptoms, Diagnosis, Treatment
The cause of development of deforming arthrosis of the shoulder joint is considered to be an elderly age, and people who are involved in sports or are at genetic disposition to the disease are considered at risk.
Symptoms of shoulder joint osteoarthrosis
There are almost no symptoms at the initial stage of the disease, sometimes morning paleness of the joints is felt, which passes in a short time. The cause of the asymptomatic course of the disease is the absence of nerve endings and blood vessels in the cartilage tissues. In the period of development or exacerbation of the osteoarthritis of the shoulder joint, there is a restriction of the mobility of the hands, a characteristic crunch, and also severe pain, which may worsen later in the evening or at night.
Symptoms of shoulder osteoarthritis are characterized by the degree of disease
The development of the disease is divided into three stages. If you have osteoarthritis of the shoulder joint of 1 degree, the pain will be almost absent. In this case, patients do not hurry to consult a doctor. Minor indispositions do not cause suspicion in a person. Diagnosis of the disease in the first stage is possible with the help of X-ray examination or computed tomography, which already at early stages are able to detect abnormalities.
In case of osteoarthritis of the shoulder joint of the 2nd degree, joint pain, crunch, morning stiffness are felt. The pains are dull, unstable, and often intensify in damp and cold weather, during physical exertion or while sleeping. The third stage of the disease, characterized by severe deformity of the joint, severe pain, a sense of heaviness, the functionality of the joint is also impaired, the person can not normally operate the hands, there is a shiver, changes in the phalanges of the fingers are noticeable.
Diagnosis of the disease
The doctor can diagnose the illness after examining the patient, the collected history, the results of the examination and laboratory tests, which will allow the doctor to identify the cause, make the right diagnosis and prescribe an effective treatment. To identify the nature of the disease, the doctor prescribes a number of procedures: magnetic resonance imaging, radiography, computed tomography, which will help determine the localization of the disease, the focus of inflammation, stage and other necessary and important factors. Good results are obtained from laboratory tests, especially blood tests.
Doctors recommend the treatment of osteoarthritis in the early stages, when the disease has not yet acquired a chronic form and does not progress at a high rate. Modern methods of treating deforming arthrosis are carried out by several methods: conservative, operative and non-traditional methods of treatment. The treatment is aimed at restoring the functionality of the joints, reducing painful sensations, improving the mobility of the shoulder joint.
Conservative treatment is carried out with the help of drugs that have anti-inflammatory, analgesic properties: Diclofenac, Ortopheen, Indomethacin and other nonsteroidal agents. Vitaminotherapy, bioadditives, chondroprotektory, micro-relaxants and others are also prescribed. Widely used ointments, creams, local effects.
In case the treatment prescribed by the physician is ineffective, then the operation
is performed. In cases of ineffective treatment and progression of the disease, deforming arthrosis of the shoulder joint, surgical treatment for replacement of the shoulder joint with a prosthesis is performed. The treatment process is very long and does not always give positive results. Many doctors recommend to carry out complex treatment using physiotherapy procedures, acupuncture, massages, electrophoresis and other methods of treatment.
In addition to traditional medicine, there are a large number of methods for treating osteoarthrosis of the shoulder joint folk remedies, which are already very popular among patients. Usually, herbs, preparations, decoctions, which have medicinal properties are used for treatment: hawthorn, plantain, calendula, chamomile, oak bark and others, and also beekeeping products help get rid of the disease and transfer it to a long stage of remission.
Patient is advised to avoid physical exertion, but at the same time daily doing therapeutic exercises, as well as high-quality and healthy nutrition will help maintain the body in shape and avoid serious complications of the disease.
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Arthrosis of the shoulder joint - the basis
Arthrosis of the shoulder joint
Arthrosis of the shoulder joint is a disease caused by dystrophic changes of 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 synovitis of the hip joint in the child is here.
Osteoporosis of the hip joint gymnastics http: //sustavprof.ru/bolezni/ostprz/ osteoporoz-tazobedrennogo-sustava.html.
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 is chronic, 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 the pain is checked when the hands are pulled back, and then the comb is done, which helps to regulate the movement of the hand behind the head in the neck area. 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 pain in the joint 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 pains gradually subside, 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 that reduce 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 the articular cartilage is destroyed, followed by a change in the articular surfaces of the bones.
Etiology and pathogenesis
The shoulder joint consists of the articular surfaces of two bones: the humerus and the 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 the 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.