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 the deposition of salt crystals in the joint cavity or disruption of cartilage tissue nutrition.
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, it is especially 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 herbs, 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.
Is it possible to treat arthrosis of the shoulder joint at home?
Treatment of arthrosis at home is a daily exercise, a massage and a strict diet. It should be remembered that gymnastics is done only in the early stages of the disease, then it can only aggravate the situation. All of your actions( taking new drugs, for example) should be coordinated with the attending physician. You can treat arthrosis at home with compresses, various procedures and a special regimen. Do not forget about medication, because inflammation is difficult to stop folk remedies. This disease belongs to the most common abnormalities of the shoulder, in rare cases leads to a complete loss of joint performance. It lasts a long time, has its own distinctive symptoms, which allows you to start treatment earlier. However, some people still care about their health, so it comes to the operating room.
Treatment of arthrosis at home is long, but effective. In the early stages of the disease you can get rid yourself, but a preliminary consultation with a specialist is necessary. Every patient knows that such a pathology is accompanied by strong, intense pain, so you can not do without anesthetics. Help you and special ointments, gels, which will reduce pain. Treatment of arthrosis of the shoulder joint is a serious and responsible affair, many underestimate this ailment. Damage to the shoulder joint adversely affects the overall health of a person.
What is arthrosis of the shoulder joint?
This is a chronic disease in which the process of destruction of the cartilaginous joint and bone tissue is observed. As a result, the shoulder joint deforms, and you can not move your shoulders without much difficulty. This is because the shoulder joints wear out and are gradually destroyed. If the disease is not treated on time, then the motor function of the entire hand is lost. Remember that arthrosis of the shoulder joint is accompanied by an inflammatory process - another symptom of the disease. In this case, the question: how to treat, doctors respond that a comprehensive treatment is needed. Despite the fact that people manage to cure pathology at an early stage in the home, it often returns. Therefore, experts recommend the use of complex therapy initially.
Causes of arthrosis of the shoulder joint
It is known that arthrosis appears due to inflammation in the joint. Where does it come from? First of all, these are traumas. Osteoarthritis is able to develop because of a previously injured shoulder. As a rule, this applies to athletes, because they often have minor bruises of joints. If these injuries are repeated repeatedly, you should visit a doctor and undergo the necessary examinations. The second important cause of arthrosis of the shoulder joint is vascular disease. The fact is that with poor blood circulation, the joints are not always provided with enough blood for normal functioning. Thus, changes in the articular tissues of the shoulder produce dystrophic changes that lead to arthrosis.
Also, we should not forget about the dangers of excessive physical exertion - they negatively affect the work of the joints. Particular attention should be paid to their health to people with a particular job - builders and loaders most often suffer from arthrosis of the shoulder joint.
Failures in the body( hormonal, autoimmune) also provoke the development of arthrosis. Such disruptions disrupt the working capacity of the joint tissue, which leads to its destruction. The process is slow, but if you do not go to the doctor in time, the consequences will be very sad. Therefore, for diseases such as gout or psoriasis, you should definitely check for joint arthritis.
Heredity always warns a person about the development of a particular ailment. It is proved that the child's risk of arthrosis of the shoulder joint increases several times if one of the parents becomes ill with this pathology. That is, all hereditary diseases are inevitable, but their development can be prevented by prevention. Thus, children who have an inherited ailment suffer from joint destruction more often than others. This applies to children born with any joint deficiencies. Both of them hardly endure the usual load for a normal person. If you do not strengthen the joints, then the process of their deformation will begin.
The main cause of the appearance of arthrosis is a failure in the endocrine system or metabolic processes. What happens in the joints? Since the cartilage tissue ceases to receive the necessary amount of minerals and vitamins, the joint is destroyed. It happens when salt is deposited in joints, which absorbs all useful substances.
Do not forget that arthrosis can be an investigational disease. If a person has arthritis of the shoulder, bone necrosis or some other joint disease, the risk of education and arthrosis increases. Therefore, it is necessary to treat any disease, since it can cause another illness. Remember that arthrosis is an age-related disease, it is observed in people over 50 years old. However, joint disease can not be ruled out at an early age, young people with harmful habits and a sedentary lifestyle( or, conversely, overly active) are susceptible to it.
Osteoarthritis of the shoulder joint: signs and symptoms of the disease in stages
The main symptom of this pathology is nagging pain. It arises from time to time, mostly felt in the morning. The nature of the pain is intense, unceasing. Unpleasant sensations occur when lifting heavy or during a period of weather change. In this case, when diagnosing, when the doctor touches the shoulders, the patient feels pain. It arises also in a state of rest, its intensity depends on the stage. Do not forget that pain can be not only in the shoulder - arthrosis affects the entire arm( sometimes even the back can hurt).
In case of arthrosis, the motor function is impaired. The patient is unable to cope with elementary tasks( combing, for example).By the way, when diagnosing a doctor, he often asks to make any movement with his shoulder - this is a kind of test. After that, a diagnosis is made.
Another distinctive feature is the crunch in the joints. This is due to the presence of osteophytes - salts. In the early stages, this creak is heard rather weakly, only with sudden movements, and then there are also distinct clicks that can be heard from a distance. In addition, the site of the affected joint shows redness, a slight swelling and a fever. All these factors indicate inflammation of the joint. At the last stage comes the curing of the joint.
Symptoms of arthrosis in the first stage can be limited to morning and evening pain. There is stiffness, which quickly passes. On the X-ray, no changes are observed.
The second stage is characterized by intense pain. The joint is damaged, but still mobile. The deformation process has already begun.
The third stage has pronounced symptoms. The patient suffers frequent pain, an inflammatory process is observed. Partial muscle atrophy is possible. Surgical intervention is required.
The final degree is the total destruction of the joint. At the same time, even strong painkillers will not help to get rid of pain. This stage is most common in elderly people.
The diagnosis of the disease is carried out in 3 stages: examination, patient examination and X-ray examination.
Treatment of arthrosis of the shoulder
How to treat arthrosis? This issue remains relevant today, since many people suffer from such a disease. In addition to drug treatment, arthrosis can be treated at home. Treatment consists in the use of compresses, rubbing, baths based on herbs, as well as the use of ointments.
Compresses can be made from oat flakes or cabbage leaf. In the first case, you need to boil 30 g in 2 cups of water, then fold in gauze and apply for 30 minutes. In cabbage juice you moisten the tissue and apply daily for the night( until the morning) on the affected joint.
To prepare a healing bath, use mint, mustard, and mug. They have a calming effect and help to relieve inflammation.
Gymnastics also has an excellent effect. To get rid of arthrosis of the shoulder joint, you should do the exercises daily, you need to finish them yourself with a self-massage. Remember that gymnastics should not bring you pain( in this case, immediately stop the exercise therapy).
Do not forget about nutrition. It should be balanced and nutritious. It is recommended to use more calcium, which is able to strengthen the affected joints.
Symptoms and treatment of arthrosis of the shoulder joint
Arthrosis of the shoulder joint is a degenerative-dystrophic disease. Arthrosis of the shoulder is characterized by the fact that during the development of the disease, destruction and thinning of the articular cartilage tissue occurs. Simultaneously with these processes, pathological changes occur in the soft tissues, while in the joints bone growths are formed.
The disease can occur as a result of the articulation of the articulation, in addition, there are cases of the onset and development of the disease for no apparent reason. The likelihood of an ailment increases with the age of a person. Osteoarthritis of the shoulder joint is equally likely to develop in representatives of both sexes, which indicates that this discrimination has no sexual selectivity.
The causes of arthrosis of the human arm
The main reason for the appearance of arthrosis is a change in the structure of the cartilage that is part of the joint.
In the process of changing cartilage tissue, it loses its smoothness and elasticity. Such pathological changes lead to a difficulty in sliding the articular surfaces relative to each other. This causes the formation of permanent microtraumas, which contribute to the further development of deterioration of the cartilaginous tissue that is part of the shoulder joint.
In the process of deterioration of the cartilage tissue from the cartilage body that covers the articular surfaces, pieces that form lying freely articular bodies, further injuring the inner surfaces of the articular bag, come off. Not only the bone and cartilaginous tissue of the joint articulation is affected, but also the adjacent soft tissues.
Over time, there is a thickening of the capsule and the synovial membrane, in them there are regeneration sites. Due to the fact that the cartilage tissue is thinning and decreasing, it is not able to provide the required level of depreciation, which leads to an increase in the load on the underlying bone. The increase in the load causes development in the underlying deformable bone and growth along the edges. The result of these changes is a violation of the normal configuration of the joint and the development of contracture.
The reasons for the development of all the pathological changes that occur can be as follows:
- bone aging with age;
- cartilage damage due to trauma;
- disturbance of metabolic processes in the body.
In addition, medical specialists indicate that some people have a genetic predisposition. As a rule, in people suffering from arthrosis of the shoulder joint, the disease is also found in close relatives, and the disease may have a different localization. If the arthrosis of the shoulder joint develops for no apparent reason, it is called the primary one, and if the arthrosis of the shoulder is the result of the development of another disease or pathological condition of the body, it is called secondary. Primary arthrosis develops, as a rule, in old age, and the secondary type of an ailment can develop at any age.
Symptoms and treatment of shoulder joint arthrosis
In the early stages of the development of the disease, the symptoms consist in the appearance of disturbing discomfort and pain in the shoulder region when the load is applied to the joint in a certain position of the body. During movements in the joint, a crunch may occur. External signs of the disease at the first stages of its development are absent: the joint does not change and there is no edema.
With the further development of the disease, the intensity of the pain syndrome increases, and the pains experienced with shoulder movement become familiar and begin to increase. Painful sensations begin to appear not only in the process of exerting pressure on the humeral joint, but also in a state of rest and rest. It is not uncommon for pain to occur during sleep at night. Very often, people with ailment complain of increased pain when weather changes.
With the further development of the disease, there is an appearance of sharp pain along with aching pain in exercise exercise. Pain sensations that occur in the shoulder region are capable of radiating to the elbow joint area, and sometimes can even spread to the entire arm of the patient. The further development of the disease provokes the appearance of pain in the back and cervical spine from the affected shoulder joint.
In addition, the patient may experience a noticeable morning stiffness in movements in the joint articulation. In case of overexertion on the joint, noticeable swelling of the soft tissue is observed. The development of the disease causes disruption of limb function.
Treatment of the disease is carried out by medical specialists: orthopedists and traumatologists. Arthrosis of the shoulder joint represents a long, slowly progressing disease. For the conduct of normal treatment it is required to limit the load exerted on the joint, to exclude the implementation of sudden movements. In the treatment it is required to exclude lifting and wearing of heavy weights. It is necessary to regularly conduct a set of physical exercises, recommended by the attending physician.
One of the tasks of the treatment is to stop the pain that arises. For this purpose, medications such as Diclofenac, Nimesulide, Aceclofenac and some others are used. This type of medications with uncontrolled application has a significant negative effect on the gastrointestinal tract and liver, for this reason they should be taken only in strict accordance with the recommendations given by the doctor in charge. Chondroprotectors are used to restore cartilaginous tissue. Endoprosthetics of joint articulation are carried out at the last stages of the development of the disease.
Arthrosis of the shoulder joint - symptoms, causes, treatment
Arthrosis of the shoulder joint is an inflammation of the joint that is caused by changes in the cartilaginous and bone tissue. This disease eventually acquires a chronic form, progresses in a few 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 shoulder joint arthrosis
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 breaks 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 task of the treatment is to remove inflammation and restore the former joint mobility
Arthrosis of the shoulder joint treatment is a very long 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 osteoarthritis 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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Dystrophy of connective tissue and cartilage eventually leads to the development of a chronic disease that is characterized by a wavy current and is called arthrosis. It turns out that arthrosis of the shoulder joint is a pathological change in the tissues of the articular shoulder bag. A distinctive feature of this disease is extremely slow development. Because of this, the patient does not notice the development of the pathological process. The shoulder joint is one of the most mobile and has a large amplitude of motion. But this makes it one of the most traumatic, along with the forearm joint. Even slight mechanical damage can lead to the development of the disease.
Causes of development of arthrosis
The causes of the disease development are natural wear of connective tissue, inflammation of various etiologies and salt deposits. In addition, there are a number of factors that can also lead to the development of a pathological process, during which the cartilaginous tissue becomes thinner and loses its smoothness.
Classification of arthrosis
There is a conditional classification of the disease that is primary and secondary arthrosis.
Primary arthrosis develops over time in the course of natural joint changes without any apparent cause. Secondary consequence of limb injuries. Arthrosis of the second type is more often diagnosed in people of middle age and youth. In older people, a mixed type of disease is most often determined. To the development of the primary disease can result:
- genetic diseases, which lead to premature destruction of connective tissue and the development of the disease at a young age. Most often arthrosis of the shoulder joint appears in women with dysfunctional genetics.
- Congenital joint defects that lead to increased trauma.
The following causes are the primary causes of the development of the disease of the second group.
- Mechanical Damage and Hand Grass. These include dislocations, fractures, severe bruises. The sprains can also provoke the disease.
- Arthrosis can be called a professional disease of builders and all those who have the main workload in their hands.
- The cause of arthrosis is considered to be advanced rheumatoid polyarthritis.
- Mechanical damages always affect the nerve fibers and the blood supply system, resulting in a reduced nutrition of the tissues, which leads to post-traumatic arthrosis.
- Disorders of the endocrine system, metabolic processes. Unstable work of the endocrine system leads to a decrease in the supply of organs and tissues with the necessary nutrients, which in turn negatively affects the mobility of the joint and promotes its deformation.
- In menopausal age, due to a decrease in the number of female hormones, gradual destruction of the cartilaginous tissue begins. Catalyst for the development of arthrosis is also considered autoimmune diseases, such as gout or psoriasis.
- Diseases of the heart and the vascular system of the body in no small measure affect the active destruction of the articular shoulder bag. For example, varicose veins lead to a slowing of the blood flow through the vessels, which significantly affects the nutrition of the tissues and eventually develops joint dystrophy.
Doctors-trauma doctors always warn that in time unviolent dislocation or lack of proper treatment in the future will inevitably lead to the development of arthrosis. This is due to the fact that the bones coalesce and the joint loses its mobility.
The course of the disease
The arthrosis of the shoulder joint begins with a gradual change in the cartilaginous tissue. Due to injuries or other causes, the blood supply to the connective tissue decreases, which leads to a thinning of the cartilage, its external changes, a decrease in the synovial membrane, and the appearance of salt deposits. That leads to a decrease in the amplitude of motion and the appearance of discomfort in this area.
Symptoms of the disease.
The clinical picture of arthrosis manifests itself gradually, because of this many people do not notice the initial stage of the disease and miss the opportunity for quick bathing of the lesion focus.
Symptoms of arthrosis include.
- Painful sensations in the shoulder, clavicle and scapula. Pain can manifest itself in a state of rest, and with active loads.
- At first a quieter, then well audible cracking in the joint.
- Decreased motor activity of the limb.
- Painful reaction from the joint to change the weather conditions.
- In the area of the affected joint, a small tumor can appear.
- Complete loss of mobility due to ossification of the joint, this symptom is observed in the most severe stage of the disease.
Degrees of arthrosis of the shoulder joint
Degrees of development of the disease have a clear classification.4 phases of progression of arthrosis are distinguished.
1 degree of arthrosis
The onset of development of the pathology is characterized by minor pain in the shoulder region in the morning and in the evening. There is a decrease in motor activity in the mornings, which passes after a while. There is a small stiffness of movement. After a long rest with an active load, there may be a shooting pain. When you work with your arm in the shoulder joint, you can note a barely audible cracking without an attack of painful sensations. Constant pain occurs only during physical exertion, which disappears at rest. It is not always possible to diagnose the onset of the disease with the help of X-ray examination, since the picture shows only the appearance of small deposits of salts and a slight narrowing of the synovial membrane.
Osteoarthritis of 2nd degree
At this stage of the disease development there is a significant decrease in motor activity. The crunch in the joint becomes noticeable during movement, the pain symptoms are acute, permanent. The joint remains mobile, but the mechanics of movements change significantly. During physical exertion, the pain becomes more severe and prolonged. During the development of arthrosis 2 degrees of the patient does not leave a feeling of constant fatigue. There are aching pains in the shoulder, associated with a significant change in the thickness of the interosseous membrane. The x-ray image shows that the synovial gap becomes thinner by several times compared with the norm. In addition, there is a significant deformation of the joint, which leads to the impossibility of performing heavy physical work. Salt deposits occupy an increasing area.
3 degree of arthrosis
This stage of the disease is characterized by a significant loss of motor activity, up to small amplitude of the vibrational movements. The pain becomes permanent, its character changes from aching to sharp.it is associated with spasms of the periarticular muscles. Bones of the joint become inflamed and react sensitively to changes in weather conditions. A sign of this degree of arthrosis is a crunch, audible to others, with the slightest stirring of the hand. When carrying out an X-ray study, there is an almost complete disappearance of the interosseous membrane, along the edges there are significant deposits of salts. The deformation of the tissues is so great that it creates considerable difficulties in moving to the full loss. Arthrosis of the 3rd degree is the cause of disability due to loss of leg capacity.
4th stage of arthrosis development
In this phase of the disease, complete loss of motion is recorded, the joint is completely deformed. There is a constant intolerable pain, which is not suppressed by medicines. On the roentgenogram, bone splices of the ankylosis joint or the appearance of the false joint neoarthrosis are noted. Disease in this form always leads to disability. The only way to treat joint replacement by artificial joints through surgical intervention.
Diagnosis and differential diagnosis of arthrosis
Preliminary diagnosis is based on tests performed on joint mobility and descriptions of symptoms from the patient's words. For damage or denial, an X-ray examination is prescribed. At the initial stage, minor salt deposits are noted, joint deformation is not fixed. In complex phases of the disease, the X-ray image fully reflects the degree of destruction of connective tissue and the area of joint damage.
For an accurate diagnosis at the initial stage, the doctor may prescribe additional examinations, for example, a computer tomogram or magnetic resonance imaging with or without contrast.
Necessarily appoints a biochemical blood test to determine the amount of uric acid salts.
Treatment of arthrosis of the shoulder joint
The golden rule that the disease is easier to prevent than treat, also acts in this case. But if the disease began its development, the main thing is to start complex treatment in time. The nature of the disease is such that it can not be cured, but it is possible to significantly reduce the risk of its development.
Treatment in the early stages of
In the first stage of the development of the disease, chondoprotectors are appointed, which accelerate the process of cartilage tissue regeneration, and vitamin-mineral complexes, they increase the number of necessary trace elements in the periarticular tissues.
To reduce symptoms, the patient is prescribed a diet, categorically forbidden to eat salty, pickled products, all sorts of canned food and smoked products. As much as possible is recommended to eat vegetables and fruits.
The doctor prescribes ointments and gels, which not only relieve pain, but also contribute to the restoration of the connective tissue of the joint.
Huge importance in the process of treatment of 1 degree of arthrosis is given to physiotherapy. It is recommended to apply medical plasters on the affected joint.
Treatment of the 2nd stage of arthrosis
At this stage it is necessary to reduce the pain syndrome and completely or partially get rid of the focus of inflammation. In this case, non-steroidal medications are prescribed, which relieve pain and relieve inflammation.
As well as in the first case, hondoprotectors are mandatory. Hyaluronic acid, part of these drugs, accelerates the process of tissue repair. A strict diet is mandatory, excluding all products that cause the development of the disease.
In addition to medical treatment, constant physical education is necessary. Invaluable help in the treatment of arthrosis is provided by physiotherapy. Prescribe the simplest, but effective methods of treatment, such as ultrasound treatment of the affected joint, electrophoresis, point laser exposure to the bones of the shoulder joint.
In addition, to activate the recovery process, mud baths, massages and folk medicine are recommended. These measures can significantly slow down the development of the disease.
Treatment of the 3rd stage of the disease
Treatment of this phase is a set of measures for the removal of the pain syndrome, for this, inject a stab into the joint with a corticosteroid, for example, hydrocortisol. The number of blockades should not exceed 4 times a year. It is possible to use other analgesics.
Therapeutic measures are aimed at activating the processes of tissue repair and slowing down the process of destruction. For this purpose, chondoprotectors and drugs that improve blood circulation are prescribed.
Physiotherapy and physiotherapy are also recommended. A strict diet is required, excluding dishes or foods with a high acid content.
Treatment of 4th degree of arthrosis
Treatment of this form of the disease is possible only by surgical method by replacing the joint with an artificial one. The most common are ceramic, titanium and plastic artificial artificial limbs. Medical methods, as well as physiotherapy, do not bring any results.
Treatment with folk methods
Methods of traditional medicine are actively used in the initial stages of the disease. Widely used tinctures on herbs, various compresses, rubbing, homemade ointments.
Folk remedies only provide additional anesthesia, no healing effect is observed. Medical measures are appointed only by a specialist and they are also monitored for their performance.
Compresses made from oatmeal, cabbage juice or honey are widely used. Alcoholic tinctures are prepared on rhizomes of elecampane and a golden mustache, flowers of lilac, angelica.
As a warming procedure, baths with medicinal herbs are recommended. To do this, take haystrap, mint, burdock root, mustard seeds.
Ointments are prepared with herbs clover, hops, St. John's wort on the basis of cosmetic Vaseline.
Which doctor treats arthrosis
Orthopedic physician deals with joint diseases, but when investigating the root causes of the disease, an additional examination by a surgeon-traumatologist is possible. Since it is the clarification of the causes of the disease that makes it possible to prescribe the best possible treatment.Dmitry Voroshilov
Of chondroprotektory preferred rumalone, as a well-proven drug. Rumalon helps to reduce pain, improve joint mobility, prevents the progression of the disease, and correlates with the renewal of cartilaginous tissue.
Yes, Rumalon is an effective drug, although it does not work right away. In addition, the degree of disease should be considered. Chondroprotectors are absolutely useless in the third stage of arthrosis, when the cartilage is almost completely destroyed. Yes, and in the first second stage of arthrosis, Rumalon acts very slowly, to get a real result, it takes at least two or three courses of treatment with this drug, which usually takes six months or a year.