Arthrosis of the shoulder joint medication treatment
Pain in the shoulder - a sign of the development of arthrosis
Osteoarthritis is an insidious disease. In the early stages of the disease, it is very easy not to notice its onset, becausethe symptoms are not very pronounced. Most often these are periodic pains in the shoulder area, which appear with serious loads - carrying heavy bags, lifting the bar, and sharp and strong movements of the hands as when playing volleyball. Pain passes as soon as the joint rests and does not bother until the next overload. It is at this stage that it is easiest to cure arthrosis of the shoulder joint, but more often physicians have to deal with the second and third stage of the disease.
Signs of arthrosis in the second stage begin to remind themselves of themselves more and more: pain is increasing;there is a crunch when moving the joint;in addition, the motor ability of the shoulder is reduced. The third stage of the disease - the pain becomes unbearable, the hand is almost completely immobilized.
What is arthrosis of joints
To understand the seriousness of the disease, it is necessary to know the anatomy of the person, in particular the shoulder girdle. As can be seen in the figure, it consists of a shoulder blade, a humerus, a shoulder joint.
The structure of the shoulder girdle
The joint has the following components: articular hyaline cartilage;a fibrous capsule;synovial membrane filled with synovial articular fluid. Arthrosis depends primarily on the condition of the articular cartilage, the stronger it is thinned, destroyed, the higher the stage of the disease. In the first stage of arthrosis, the articular cartilage has minor injuries, but the periarticular bones and tissues are not yet deformed. In the second stage - the cartilage may be absent in some places, there is a narrowing of the joint space. The third stage of the disease is indicated by the almost complete wear of the articular cartilage, the deformation of the joint membrane, the head of the humerus.
As it was already written earlier, arthrosis of joints is observed in sportsmen, who are most susceptible to various injuries and daily workouts create excessive loads on the body. Also people who are affected by this disease after forty years can be said that arthrosis is an age-related disease. But in recent years he has significantly "grown younger", because it can also appear as a result of pathological hereditary diseases and bone structure. Also, its detrimental effect has a sedentary lifestyle, improper diet, the presence of consequences of shoulder injuries that were not cured in time( dislocation, sprain of muscles and ligaments, fracture), impaired metabolism, arthritis.
Diagnosis of the disease
It is known that diagnosing diseases and picking up complex treatment is the prerogative of a doctor. Therefore, in the presence of the slightest symptoms of arthrosis of the shoulder joint, one should not postpone an appeal to a specialist. An obligatory stage in diagnosis is the collection of anamnesis - detailed description of complaints, external examination of the damaged joint, indication of concomitant and chronic diseases. Next is the collection of tests. To do this, it will be necessary to donate blood to the clinic and biochemistry to reveal the inflammatory processes in the body. The joint should be checked on the roentgenogram, in some cases the results of ultrasound and MRI will be needed. And only after that the doctor can choose the most suitable treatment.
Complex treatment - medicines, physiotherapy
With the diagnosis of arthrosis of the shoulder joint, medication treatment is one of the main components of the complex. First of all, drugs are prescribed that can protect the patient from painful pain. For these purposes, non-steroidal anti-inflammatory drugs( nimesulide, diclofenac, etc.) are intended. They are taken inwards only by people who do not have problems with the gastric mucosa. If any, alternative selective anti-inflammatory drugs are prescribed. They have a more gentle effect on internal organs, but with their main purpose - anesthesia, they cope as well as the previous ones.
If the patient is intolerant of these drugs or if the pain in the shoulder region is so strong that oral medications do not help, intraarticular injections of corticosteroid hormones are prescribed. The introduction of medicines directly into the inflamed area, has an almost instantaneous and long-lasting effect.
Intraarticular injections of
In addition to conservative methods of anesthesia, folk remedies are also used. For example, taking a noodle inward will ease the pain, help remove puffiness, in addition, it removes salt deposits from the body. You can also make a mush from a mug and attach it to the affected area in the form of a compress. Another anti-inflammatory effect is possessed by leaves of birch and string. But you should not replace herbal medicines, they can be combined with each other.
For external use, ointments and creams with a warming effect can be prescribed. In addition to taking medicines, fixative bandages are used to anesthetize them.
Fixation of the patient joint
Chondroprotectors appear next in the list of medications. It is this drug group that directly acts on the articular cartilage, restores it, improves blood circulation in the joint, and also improves the quality of the synovial fluid. Chondroitin sulfate and glucosamine are in the structure of chondroprotectors, which in their structure are similar to cartilaginous tissue. It should be noted that the effect of chondoprotectors is most effective at the first stage of arthrosis and requires a long period of treatment. However, their ability to restore cartilaginous tissue does not extend to the third stage of the disease. In this case, only the operation of endoprosthetics can help the patient. In the course of surgical intervention, the cartilage and the joint head are replaced by an endoprosthesis.
Endoprosthetics - replacing the destroyed cartilage with the endoprosthesis
Another group of medications - muscle relaxants, is prescribed to relieve muscle tone.
To strengthen the effect of drugs prescribe physiotherapy manipulations. This can be hirudotherapy( treatment with leeches), balneotherapy( treatment with useful mud), magnetotherapy, laser therapy, as well as massage and mandatory exercise therapy. All these physical effects on the joint are aimed at improving blood flow in the periarticular muscles and tissues, the supply of useful substances directly to the hyaline cartilage.
Regarding massage, do not try to cope with this task yourself without clear instructions from the doctor. It is better to turn to a professional, because there is a big risk of harming the course of the disease, only accelerating the rate of destruction. The same tips apply to gymnastic exercises. Develop a shoulder joint every day, preferably in the morning. The most important sign that everything is being done correctly, should be a comfortable joint condition, a lack of sharp pains and an improvement in motor function.
You should not overstrain the joint, it is better to gradually increase the number of repetitions of each exercise than to try to execute them immediately. Below is a gymnastic complex, which can be used for self-study at home. But before you start, it's best to consult a doctor.
Gymnastics for the shoulder joint
Proper nutrition is the guarantee of health
It's no accident that the talk about nutrition is made by a separate item. After all, many health problems can be avoided if you clearly monitor what comes into the body with the products. In case if the question of prevention is no longer being maintained, but treatment is necessary, the diet will again come to the rescue. You should not regard it as torture and starvation. On the contrary, one should beware of such radical methods. Nutrition should not only benefit, but also pleasure. It is important to include in your diet foods rich in calcium, phosphorus and protein.
In addition, to help patients with arthrosis will come vitamin E and potassium. Under the ban are salted, smoked, fatty foods, all that clogs the body and contributes to the deposition of toxins in the joints and vessels. If the body is already well-cured, it should be cleaned. To do this, you just need to observe the drinking regime of the day - to consume clean water in the amount of one and a half to two liters per day.
Diet - an indispensable component of the treatment of arthrosis
On a plate people should always be vegetables, white meat( poultry, rabbit), fish, legumes( if there are no problems with the digestive tract), cereals, dairy products, fruits( excluding acid varieties).When cooking, use the steam method or bake in the oven, from the abuse of fried foods should be discarded. Alcoholic drinks also will not contribute to recovery.
Video - arthrosis of the shoulder joint medication treatment
Causes of shoulder arthrosis and powerful combined treatment
Arthrosis of the shoulder joint is a disease caused by dystrophic 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. It is necessary to treat this disease for a long time, but if it is carried out correctly, you can count on a good result.
Shoulder joint - the most mobile in the human body
Prevalence and causes of brachial arthrosis
Basically arthrosis of the shoulder joint affects people of older age groups, more often men. Among the inhabitants of developed countries, at the age of 55, about 10% of the population is sick, and 70% of the 65-year-olds. Deformation of the joint develops in 60 - 70% of patients.
Specialists call the 3 main causes of the disease:
Excessive, disproportionate load on the shoulder for a long time. For example, it can be for people engaged in heavy manual labor( plasterers, builders).
Congenital or acquired defect of articular structures( cartilage, ligaments, etc.).The usual load on the hands is perceived by the body as excessive, there is a rapid wear of the cartilage.
Metabolic disorders that result in deposition of salt crystals in the joint cavity or disruption of cartilaginous tissue supply.
Heredity plays an important role, as arthrosis of the shoulder joint, as a rule, is of a family nature. If parents are ill - the probability of developing pathology in children( sooner or later) is much higher than in families of healthy people.
Also the causes of the illness can be:
- , traumatic injuries or permanent minor traumatism for months and years( for example, due to constant large sports loads) - the so-called posttraumatic arthrosis of the shoulder joint develops;
- acute and chronic inflammation of the joints - arthritis.
Arthrosis of the shoulder is almost always accompanied by arthrosis of the subacromial joint( connection of the humerus and the acromial process of the scapula).
Symptoms, development of the disease
How does arthrosis develop in the shoulder joint? There are 3 stages of the process.
Disease 1 degree is characterized by aching pain in the shoulder region, often worse at night. The volume of movements is not limited, but their maximum amplitude, especially the retraction of the arm back, causes pain. At this stage, the X-ray helps to recognize the disease: the picture shows a characteristic "ring symptom" - the image of the articular cavity looks like an oval ring. The initial period of the disease can last several years or months.
The second degree already has more vivid symptoms. The pain in the shoulder and shoulder area becomes strong and constant, with movements of the hand a characteristic crunch is heard. The volume of movements is limited by pain and muscle spasm, especially it is difficult to take the hand back. There is a medical test when the doctor asks the patient to put his hands behind his back in the lock: a healthy person does it without difficulty, and for an arthrosis shoulder this movement is not only painful, but also often impossible due to the limitation of
mobility. Also in the second stage of arthrosis on an x-raythe picture shows symptoms: narrowing of the joint gap, the appearance of osteophytes( bone growths), and thickening of the articular surfaces of bones. You can notice some muscle atrophy in the shoulder area.
Symptoms of the 3rd degree are already expressed deformation and constant pain. Hand movements are very limited, perhaps only a slight swing back and forth. Lifting and retracting the arm is completely impossible, the joint is significantly deformed. On the body of the patient, bone protrusions are clearly visible, especially in the area of the connection of the shoulder and shoulder blade. The position of the hand is forced, that is, the person holds his hand in the least painful position.
Arthrosis of the shoulder joint of the third degree does not develop in all: often the development of pathology stops at one of the previous stages, and it lasts for a long time without progression. The danger of transition to the last stage exists more in those people who continue to overload the affected joint( for example, if it is impossible to change jobs or unwillingness to leave professional sports).
In the photo - X-ray picture. Left - normal, right - very small articular cleft in the shoulder
To treat arthrosis of the shoulder need a long time. At the initial stages, while the function of the joint is not broken - the course conservative treatment is conducted. His tasks include:
- anesthesia is an important point in therapy, because because of pain, a person tries to limit movements in the affected shoulder, which further intensifies the pathological process;
- restoration and protection of cartilaginous tissue;
- removal of inflammation - as a factor complicating the course of the disease;
- recovery of the volume of movements in the shoulder.
The doctor selects various medications, depending on the form and stage of the disease. Including non-steroidal anti-inflammatory drugs, hormones that are injected directly into the joint cavity( so that they do not affect the entire body).From analgesics are used various analgesics( painkillers) inside, in the form of injections, as well as externally( creams or ointments).To restore the cartilage prescribed drugs with chondroitin.
An important role is played by diet. It is necessary to limit the consumption of salty and sharp foods, to consume more food containing natural collagen-a building material for cartilaginous tissue. First of all, it is a fish of the salmon family, fresh greens, poultry( especially turkey), seafood( shrimps, crabs, sea onions and sea kale).
How to treat arthrosis of the shoulder joint during remission? A good effect is manual therapy, massage, physiotherapy and gymnastics. Physical culture can be performed at home, it does not take a lot of time: start with 5 minutes and gradually bring up to 20 minutes a day. Here are a few simple and effective exercises:
Wobble. Sit on a chair, hang and relax your hand. Move her back and forth, without bending at the elbow. Begin with 10 repetitions of the exercise with each hand.
Lifting and lowering of the shoulder girdle. Sitting on a chair, simultaneously and in turn, raise and lower your shoulders. Perform 10 times.
Shoulder rotation. Perform 5 to 10 rotational movements with both shoulders back and forth.
How to treat arthrosis of the shoulder joint, if conservative measures were not effective? It remains only the operation - the installation of a prosthesis. But with this form of arthrosis( unlike others - for example, arthrosis of the joints of the legs), the need for surgical intervention does not occur often. Take care of your health and do not bring the disease to stages and symptoms, in which you will not have any non-operative treatment options.
Treatment of arthrosis of the shoulder joint - what you need to do
radiation exposure( infrared, ultraviolet, laser radiation).
Who can do gymnastics, and who can not?
Any treatment exercises are useful only when they are performed during the remission period. During the same exacerbation of the disease, exercise therapy is contraindicated.
On whatever reputable medical site or book you find exercises for arthrosis, be sure to show them to your doctor before you start using them. Not all such exercises are developed by doctors, and sometimes they can do more harm than good.
No procedures for curative gymnastics for joints can be performed if there is a high temperature, decompensated heart and lung diseases, as well as other diseases in which even small physical exertion can cause serious harm to the body.
Therapeutic exercises for joint arthrosis should not cause severe pain. If the performance of some exercises causes you pain, refuse to do it and consult with the doctor about it;
For good effect, medical gymnastics with arthrosis of the shoulder joint should be carried out regularly, every day;in the end of the daily complex of exercises it is useful to make a light self-massage in the area of the aching joint and nearby muscles;With this massage, you can additionally use a variety of healing creams, balms and gels.
Remember: therapeutic gymnastics is the only method of fighting a disease that does not require you to have money, drugs, or nerves. Do them regularly, and very soon you will see the long-awaited effect!
Exercise # 1
Sit on a chair. Brush a sick hand on your knee or on the table. The arm is completely relaxed, the shoulder is as far down as possible. Slightly swing your elbow out - inward( from yourself - to yourself).Movement is carried out with a very small amplitude - no more than 1-2 cm.
Exercise No. 2
Raise and lower your shoulders. The amplitude of the movements is not more than 1-2 cm.
Exercise No. 3
Move your shoulders lightly back and forth.
Exercise # 4
Rotate your shoulders in both directions. Amplitude of movements is minimal.
This exercise for arthrosis of the shoulder joint is recommended to be performed for 5-10 minutes several times a day. Take care that your shoulders do not "bulge" upwards. To do this, you need to relax them as much as possible and control this position until a stable habit is formed.
Take care of the painful joint carefully, do not overload it. Do not resort to pain medication for the sake of doing exercises - this is the right way to complications.
Protect the patient's joint, try not to overload it. Remember, the use of pain medication in order to comfortably perform difficult work - this is the surest way to complications of the disease.
For an almost healthy joint is useful and allow a wide variety of exercises - rotation and waving hands, push-up, work with weighting, pull-up and stuff. However, if you have a long-term sedentary lifestyle and suddenly you suddenly started physical exercises, then you have the chance of damage to the joint.
In the beginning, do the exercises, not even half, but in the fourth part of the force. A range of movements, their intensity should grow in stages. And, the longer the sedentary lifestyle lasted, and the older you are, the slower the intensity of employment. It is necessary to avoid exorbitant loads on the joint, in order not to injure it additionally. If necessary, lift a heavy object or perform an unusual job for yourself, be sure to do a warm-up of the joints within a few minutes. This you can avoid a number of troubles and can save a lot of time for further treatment.
Therapeutic gymnastics for arthrosis have their own principles, which are as follows:
a) Do not rush things - enjoy the smallest successes achieved, the volume of movements should be increased very carefully, gradually. Energetic, forced movements are contraindicated.
b) If pain occurs, exercise should be stopped, in no case can pain prevail.
c) Exercises should be performed in a relaxed state - lying or sitting, movements in the joints should be done slowly, but with sufficient amplitude.
d) Movements should not be too intense, traumatizing the affected joint. E) Exercises should be repeated throughout the day for several minutes.
e) The intensity of training should depend on the exacerbation or remission of arthrosis.
For people with arthritis, a healthy, balanced diet rich in fruits, vegetables, whole grains, fish and white meat is useful. Inclusion of fatty fish in the diet once or twice a week will help ease the painful inflammation in the joints: one study showed that 200 grams of salmon a day significantly alleviate the condition of patients with rheumatoid arthritis. It should be borne in mind that the consumption of fatty fish can aggravate the condition of those suffering from gout( see Other forms of arthritis, Gout).Walnuts, green tea, fresh ginger also have anti-inflammatory properties.
For arthrosis with edema, a low-salt diet with a sufficient amount of liquid should be observed. That is, you should reduce the consumption of salty foods, spicy seasonings, tomatoes and spinach. This diet helps to get rid of excess fluid, which helps to remove swelling.
The diet for arthrosis of the shoulder joint plays an important role. It is necessary to limit consumption of salt and spices, and to consume more products containing natural collagen( red fish, fresh greens, poultry, seafood) is a building material for cartilage.
Intra-articular injections are often used to help with arthrosis of large joints( knee, hip, shoulder, elbow).In many cases, intra-articular injection can really alleviate the condition of the patient.
Most often, the joints are injected with corticosteroid hormones( diprospan, flosteron, celeston).
Corticosteroids are good because they quickly and effectively suppress pain and inflammation in synovitis( swelling and swelling of the joint).It is the speed with which the therapeutic effect is achieved - the reason that corticosteroid injections have gained particular popularity.
However, the problem is that the corticosteroids themselves can not be treated and can not be cured. So, they can not prevent the development of arthrosis! Corticosteroids do not improve the condition of the articular cartilage, do not strengthen the bone tissue and does not restore normal blood circulation. All they can do is to reduce the reciprocal inflammatory response of the body to this or that damage in the joint cavity. Therefore, intra-articular injection of hormonal drugs as an independent treatment method is useless: they should be used only in complex therapy of arthrosis.
Self-massage is the final stage of gymnastic exercises aimed at improving the blood supply of the patient joint and restoring the cartilaginous tissue.
Technique and sequence of movements:
massage of the muscles of the thigh, combined stroking, squeezing the palm with the edge and combs of the fists, stroking - shaking the legs, single and double ring kneading( all repeat 3-4 times);at the joint itself, a circular and concentric stroking of the lateral areas is used. Rubbing - the base of the palms of both hands rectilinearly, "forceps", in a circular fashion and again rectilinearly;repeat the massage on the thigh, but less intensively and reduce the number of repetitions and return to the massage of the knees. Finish again with a deep thigh massage( item 1);conduct active charging: flexion and extension of the legs( 5-7 times), rotation of the shin. In conclusion, we return to the massage.
The strength with which self-massage should be performed depends on the local sensitivity of the tissues. It's good to combine massage with warm baths( 37-39 degrees) or right after the steam bath.
There are many situations when an experienced specialist can help you with a shoulder massage. Of course, if this is not a surgical case or if the doctor recommended trying a massage first. Here is a short list of the positive effects:
Pain reduction Promotes muscle resorption Helps healing after dislocations and injuries And other benefits of simple massage
If there was an operation
In the postoperative situation, shoulder massage can also help, but should proceed with caution and with the permission of the treating doctor. Also make sure of the experience of the masseuse, as it will depend on him a lot. And do not forget that this is an addition to the prescribed treatment, and not a complete replacement.
If you have chronic or simple shoulder pains that traditional medicine has not identified or if you are trying an alternative before surgery, consult a doctor and a massage therapist to see if massage can help.
Proper nutrition leads to normal metabolism, which is important for arthrosis of the shoulder joint. Meals are not limited to strict rules, but some tips can be taken: reduce the salt content in the diet, increase the amount of water consumed, drink diuretics, eat potassium-rich foods and exclude sorrel, tomatoes and spices from the menu.
For the treatment of joint arthrosis there are many folk remedies. As a rule, folk treatment of arthrosis consists in using self-made ointments. For example:
- flowers of white lilac mixed with three tablespoons of butter. The resulting ointment is lubricated by a diseased shoulder joint;
- very useful in the treatment of arthrosis of the shoulder( and not only) joint ointment from St. John's wort and sweet clover. Two tablespoons of sweet clover and two tablespoons of St. John's wort are mixed with 50 grams of Vaseline. This ointment is fashionable to rub in a sore spot, or apply a compress of it.
Source of promedvital.ru
Treatment of brachial arthrosis with folk remedies provides for the use of ointments. Ointments are also useful, as are rubbers. The composition of ointments, as a rule, includes strong biologically active components. Their use is especially effective when shoulder arthrosis is in an acute inflammatory period.
Ointment with horseradish
Grind 40 g of horseradish roots and mix them with petroleum jelly. Rub around the affected joint. Very well reduces pain and helps to relieve inflammation.
Mix 1 part hop cones and 4 parts Vaseline. Rub the affected joints twice a day.
Source of narodnue-sredstva.ru
Treatment of arthrosis of the shoulder joint
Treatment of arthrosis of the shoulder joint has 4 goals:
- Pain and inflammation removal;
- Restoration and impregnation of cartilage joint tissue;
- Bone mineralization;
- Return full mobility to the shoulder.
The main attention in the treatment of arthrosis should be directed to the search for a competent doctor who will prescribe the complex of measures for treatment, provision and implementation of this complex.
For your part, to help treat arthrosis of the shoulder joint, you can quit smoking and observe a simple diet that helps maintain the integrity of bone and cartilaginous tissue.
For the treatment of arthrosis of the shoulder joint, the following medicines are used.
To eliminate pain and inflammation:
- Nonsteroidal drugs( NSAIDs) in the form of ointments, gels, tablets: Diclofenac, Meloxicam, Piroxicam, Butadion, Ketoprofen, Nimulide and others.
The benefits of this group of drugs include their rapid ability to extinguish inflammation and associated pain, but the use of these drugs is NOT a cure for arthrosis.
Disadvantages of this type of drugs are their harmful effect on the hematopoietic system of the body, the condition of the mucous membranes of the stomach and esophagus.
The result of their long-term use is the blocking of the synthesis of proteoglycans, which provide fluid in the cartilaginous and interarticulate tissue, the development of joint dehydration and acceleration of its destruction.
Therefore, these drugs should be selected by a doctor and take them longer than prescribed is dangerous.
- Non-hormonal painkillers and ointments on a plant basis relieve pain in the joint, on the surface of which are applied: Menovazine, Nikoflex, Apizarthron, Carmolis.
- Hormonal injections of corticosteroids( Hydrocortisone, Kenalog, Flosteron, Celeston, Diprospan) are used to quickly relieve severe pain and are injected by the doctor directly into the joint.
The goal of hormonal injections is to reduce the inflammation reaction in response to joint destruction.
On the basis of arthrosis - the destruction of cartilage - they do not affect, and therefore do not treat.
Nutrition of cartilaginous tissue Chondroprotectors( Teraflex, Chondroxide, Artrodarin, Don, Structum) are drugs that, when acting on the cause of the disease, treat it.
Their active substances: hyaluronic acid, chondroitin sulfate, glucosamine stop the destruction of cartilaginous tissue, improve the structure and flexibility of the available cartilage, stimulate the growth of new cells of the cartilaginous tissue.
Please note, the use of chondroprotectors makes sense in treating 1 and 2 stages of arthrosis of the shoulder joint, that is, with partial preservation of the cartilage, at later stages it is meaningless.
A marked improvement in chondroprotectors is brought 3-4 months after the start of the procedure, their course may take several years with interruptions, of course.
- mineralization of bone tissue Vitamin-mineral complexes that ensure the correct exchange of minerals and their distribution in the periosteum: Calcimin, Biovital gel, Centrum calcium, Berocca with calcium and magnesium.
Taking medication is important to combine with physiotherapy procedures, as they allow you to get the most from them, reduce the time and dose of their use, and therefore avoid side effects that are far from harmless.
What to avoid during treatment:
- Loads on the affected shoulder and spine as a whole;
- Overheating and hypothermia of limbs;
- Skipping medication and physiotherapy.
Physiotherapy to reduce pain.
- Suf-irradiation - exposure to the joint of medium-wave ultraviolet irradiation to light reddening of the skin surface.
This effect reduces the sensitivity of the nerve fiber of the affected joint, reduces the number of pain impulses in the brain, which makes the sensation of pain noticeably reduced.
Applicable at stages 1, 2 and 3 of arthrosis.
In the treatment of arthrosis of the shoulder joint, the intensity of irradiation from 6 to 9 doses, the number of procedures: 5-6, holding: daily or every other day.
- Low-intensity UHF therapy stops the spread of inflammation to the muscles and joints adjacent to the joint, stimulates blood circulation and reduces swelling in the affected joint.
Applicable in the 1-2 stages of arthrosis.
The duration of each procedure: 5-15 minutes, the number of procedures: 10-15, holding: daily.
Maximum efficiency is achieved in combination with hormonal injections.
- High-intensity centimeter physiotherapy has a thermal effect on the joint, which improves blood circulation around the joint and in the cartilaginous tissue inside it."Heated" thus the intensity of the work of capillaries and lymph vessels removes the products of the inflammatory process from the joint, which causes inflammation to decrease, and the cartilage nutrition improves qualitatively.
Applicable in stages 1-2 of arthrosis in the absence of synovitis.
The duration of each procedure: 15-20 minutes, the number of procedures: 12-15, holding: daily or every other day.
Reconstruction of cartilaginous tissue
- High-intensity high-frequency magnetotherapy - local heating of the diseased joint and surrounding ligaments 9-10 cm deep from the surface of the skin. Warming of the joint makes the blood circulation in it more intense, reduces edema, increases cellular immunity, triggers a mechanism for restoring the cartilaginous tissue.
Applicable for stages 1 and 2 of arthrosis in the absence of synovitis and changes in the structure of the tissues near the articulation of the joint.
The duration of each procedure: 10-15 minutes, the number of procedures: 7-10, holding: daily or every other day.
- Mud treatment, in addition to restoring cartilaginous tissues and synovial membranes, improves blood supply and nutrition of the joint and muscle tissues adjacent to it, which facilitates movement by hand and increases its amplitude.
The duration of each procedure: 15-30 minutes at a mud mass of 42 C, the number of procedures: 10-20, holding: daily, one or two days later.
- with vitamin A - raw carrots + vegetable oil, pumpkin, rosehip oil, sea buckthorn, flax, wheat germ.
A sufficient amount of this vitamin provides the synthesis of interarticulate fluid, does not allow its excess or lack;
- with vitamin D - animal liver, egg yolk of a bird.
This vitamin does not allow the destruction of calcium in its transport and active forms, protects bone tissue from destruction;
- with calcium - green vegetables, milk and sour-milk products, the latter, for maximum digestion, it is better to eat in the 2 nd half of the day.
Do not use:
Table salt, as it cleanses calcium from bone and joint fluid.
Alcohol, since it blocks the transfer of calcium from the transport form to the active one.
Margarine and baked pastry on its basis, because trans fats block vitamin K, which provides a synthesis of vitamin D, which demineralizes bone tissue.
However, if you eat right, and bone and joint tissue continues to degrade, this indicates liver disease, which can not fully synthesize nutrients.
Popular treatment of
Most often, from the first aid kit for diseases with arthrosis of the shoulder joints, ointments based on animal fats, alcohol rubs for compresses, aqueous tinctures for ingestion are chosen.
Facilitate the condition and baths with medicinal herbs, and steaming in a bath with essential oils.
But it should be understood that no medicinal plant, fat, water or steam does not restore damaged cartilage tissue, but only relieve pain, therefore they can be used only as part of the complex therapy prescribed by a doctor!
A set of exercises is prescribed by a specialist( physician or physiotherapist) after completely eliminating inflammation in the joint, restoring the cartilage tissue inside it and resuming the ability to perform daily necessary movements without difficulty.
The selection of the set of exercises is purely individual, the load should not be excessive, destroy the newly reconstructed cartilage tissue, bring painful sensations.
Only an all-encompassing treatment that achieves all the goals can provide long-term remission and stop the development of arthrosis!
Osteoarthritis of the shoulder joint - symptoms, causes, treatment
Arthrosis of the shoulder joint is an inflammation of the joint, which is caused by changes in the cartilaginous and bone tissue. This disease eventually acquires a chronic form, progresses in several stages, and in the end leads to deformation and disruption of the normal function of the hand. The shoulder joint is the most mobile in the human body, and its disease leads to many complications.
The main reasons for the development of arthrosis of the shoulder joint is considered to be excessive load on the joint for a long period, as well as a congenital or acquired defect of the joint itself, a violation of metabolic processes in the cartilaginous tissue. It is possible that the development of arthrosis in the shoulder joint affects heredity.
Symptoms of arthrosis of the shoulder joint
Several stages are distinguished in the development of the disease.
- Arthrosis of the shoulder joint of the 1st degree
In the development of arthrosis of the shoulder, three stages are distinguished:
It is manifested with aching joint pains, which intensify at night. The maximum amplitude of movements at this stage is violated, in general, their volume is unlimited. Pain can cause the arm to be pulled back. At this stage, the disease can be recognized with the help of an X-ray, the "symptom of the ring" is clearly visible in the picture;The articular cavity is depicted in the form of an oval ring. This stage of the disease can last a long time.
- Arthrosis of the shoulder joint of 2nd degree
Characterized by more vivid clinical symptoms. The pain increases in the shoulder and shoulder area, and when moving in the joint, you can hear a characteristic crunch. There is a limitation of the volume of movements in the development of muscle spasm and soreness. When the doctor asks the patient to close his hands behind his back, the patient can not do it, even though a healthy person can do it without much difficulty. On the X-ray, the picture shows how narrowed the articular fissure, the appearance of outgrowths( osteophytes), the articular surfaces of the bones thicken, there is muscle atrophy in the shoulder region.
Further arthrosis in the shoulder joint develops with joint deformity and the occurrence of constant pain in this area. Movement of the joint is almost completely lost, sometimes the patient is able to shake his hand back and forth. It is completely impossible to raise and take your hand. On the patient's body, one can see bone protrusions where the shoulder and shoulder blade are connected. The hand is in a forced position, i.е.position, which brings relief to the patient. But the 3rd degree of the disease can not develop in all patients, as a rule, it stops at any of the stages and lasts for a long time without improvement. The disease progresses in those patients who continue to load the joint with excessive loads.
Post-traumatic arthrosis of the shoulder joint develops after the injury, and the consequences can be quite serious. Starting with the appearance of a red-blue hue on the skin until tissue rupture and stretching. In this case, there is a violation of blood circulation in the tissues of the joint and a decrease in muscle tone. Treatment of such a process should be carried out immediately, as soon as X-ray images show changes in cartilage tissues. Sometimes posttraumatic arthrosis can develop asymptomatically, but when bone growths are found and the joint becomes immobile, pain begins to be felt. Over time, pain intensifies, so it is very important to begin treatment as quickly as possible.
Post-traumatic arthrosis of the shoulder joint, the treatment of which should be complex. First, you need to ensure full protection of the joint from overvoltage and stress. A frequent complication of posttraumatic arthrosis is neuralgia. Therefore, without the help of a neurologist, you can not do without, and necessarily take the drugs prescribed to them. To restore normal blood circulation, you can apply electromagnetic therapy, which is based on the action of electromagnetic waves. They help the joint to improve mobility.
The main goal of the treatment is to remove the inflammation and restore the former joint mobility
Osteoarthritis of the shoulder joint treatment is a very lengthy process. At the beginning of the disease, when the function of the shoulder is not severely affected, it is recommended to conduct course conservative treatment. The most important stage of this treatment is anesthesia, since when the pain occurs, human movement is as limited as possible, and this leads to an intensification of the pathological process. The task of the specialist is to protect and restore the cartilaginous tissue, to remove the inflammatory process and restore movement in the joint.
Drugs used in the treatment of osteoarthrosis of the shoulder joint in the initial stages, mainly belong to the group of non-steroidal anti-inflammatory drugs. And also hormones that are injected directly into the joint cavity, analgesics are used - analgesics, externally apply creams and ointments. To repair the damaged cartilage use drugs with chondroitin. Along with conservative methods of treatment, there are also operative methods, such as prosthetic joint.
Pain in the left shoulder occurs mainly in bodybuilders. The main cause of these pains is the instability of the shoulder joint. Load on the joint in the form of complex physical exercises, as well as stress in the joint bag of the shoulder girdle, excessive muscle work, tearing of the cartilaginous ring - all this leads to arthrosis in the left humerus. If such symptoms occur, you should immediately consult an orthopedic practitioner with experience in sports medicine. Arthrosis of the left humerus, whose treatment consists of the use of both medicament preparations, exercise therapy, various physiotherapeutic procedures, depending on the development of the disease.
Treatment of arthrosis of the shoulder joint is not without a proper diet. Necessarily limited to eating sharp and salty foods. It is recommended to eat foods containing natural collagen, which, in turn, is the building material for cartilage. Diet for arthrosis of the shoulder joint involves eating fish of the family of salmon, poultry, fresh herbs and seafood - crabs, shrimp, sea kale and onions.
Gymnastics and physiotherapy are recommended for the treatment of arthrosis of the shoulder joint during remission. Manual therapy has a positive effect, and exercise therapy for arthrosis of the shoulder joint begins with light gymnastic exercises, which can be increased from 5 to 20 minutes per day. Exercises for arthrosis of the shoulder joint are movements of the affected joint's arm forward and backward, rotation of the shoulders back and forth, lifting and lowering the shoulders. Massage in the treatment of arthrosis of the shoulder joint helps to restore movement in the joint, and has a preventive effect on the development of the inflammatory process.
Folk treatment of arthrosis of the shoulder joint is the use of healing baths, which improve blood circulation in the joint. They add mint, common mustard, decoctions of heather, nettle, burdock, cranberries, tartar, ledum. Contraindications for the use of hot baths are heart disease and high blood pressure. To treat arthrosis of the shoulder joint it is possible and with the help of compresses with oat flakes, wraps with decoction of hay. Ointments made on the basis of grass sweet clover, hops and St. John's wort on Vaseline well relieve pain in the shoulder joint.
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