How to treat deforming arthrosis of the joints of the hands
You probably had to see, especially in elderly women, calloused hands with deformed knobby fingers and protruding tubercles on them. About these people say - the worn out hands. These signs may be in those who have arthrosis of the joints of the fingers.
Osteoarthritis of the joints of the hands most often in the old age
Arthrosis of the fingers and wrist joint
Arthrosis of the fingers is much less common than a similar pathology in the knee, shoulder or hip joints .
The causes of arthrosis of the hands
To meet such a disease can be found among those who worked hard all their life, often overcooled hands, exposed their hands to the constant dynamic loads of :
- of workers who are constantly dealing with vibration tools: a perforator, a jackhammer, a drill
- of women who have a lotwashed manually in cold water
- of agricultural workers engaged in rough, non-mechanized work of
- athletes: tennis players, baseball players, volleyball players
Another reason is genetic predispositiondix:
deformations in the joint at the same place unmotivated. Inside, a pathological process simply turns on, impoverishing the structure of the cartilaginous tissue of the joint and leading to its gradual destruction.
Injury can also lead to arthrosis, especially damage to the wrist joint.
Estrogen deficiency in menopausal women leads to bone resorption, which contributes including arthrosis
Many people mistakenly call arthritis arthritis, although arthritis is a much more serious disease.
How to distinguish arthrosis and arthritis
Both pathologies begin with the small joints of the hands or feet, and then the larger ones are also affected.
- Arthritis is a systemic inflammatory joint disease that changes the blood formula that affects some internal organs.
- Arthrosis is joint deformity, although it is due to internal dystrophic changes, but does not affect the whole body except for motor function disorders.
- Arthritis pain does not havesuch a link to the movement, and mostly comes at night and even a few subsides as soon as the movement of the
- arthrosis pain symptom always increases with the onset of motion and calms down at rest
- Arthrosis is more common in the elderly, and arthritis in young
Mixed form - arthrosis-arthritis is often observed, when joint deformity is accompanied by its inflammation .
In any case, if the joints of the hands began suddenly to change for no reason - this can serve as an indicator that serious pathological processes have begun in the bone system.
Types of arthrosis of the hands
Arthrosis of the wrist joint, mostly of traumatic origin, is more often diagnosed.
From the figure below you can understand how difficult the device of the brush, and what a large number of joints are in it.
In the hand a very large number of joints
Arthrosis of the brush can be nodular:
- Geberden nodes - on the joints of the distal( extreme) phalanx of the fingers
- Bouchard nodules on the joints of the proximal( middle) phalanxes
Separately isolate rizartroz - lesions of metacarpophalangeal and metacarpalwrist joints of the thumb .
Stages of the disease and symptoms
Geberden and Buschar nodules - symptoms of arthrosis of the fingers
- In the first stage there are no bright external manifestations of the pathology, but there are already symptoms of periodic pains arising from the movement of the hands or during physical work
- There may also be a smallswelling in distal phalanxes
- The pain begins to acquire a permanent character, but it is rather aching, acute symptoms are usually not typical for the pathology of the hands.
- Skin surfaces near the joints turn red and swell
- . Small Heberden nodules, often symmetrical on both hands, and Bushard.
- The formation of nodes is irreversible: they remain even after the disappearance of redness and swelling
- Movement in the hands is limited and accompanied by a crunch
- Symptoms of muscular atrophy appear
- Swelling and redness can also become a permanent sign of
- Deformation in the joints and bony growths lead to the inability to bend fingersor the brush itself, that is, to the actual complete immobility of the
- The knottyness of the joints is complemented by the curvature of all the elements of the brush
- th becomes exhausted and externally thinner
Treatment of arthrosis of the hands of
Before treatment it is especially important to differentiate the disease, that is, weed out the worst option - arthritis.
To lead to this suspicion can arthrosis of the wrist joint, which appeared, it would seem, for no reason: the patient can not remember about the fall on the brush, nor about any kind of load on it.
Diagnosis of the pathology of the hands
The doctor is likely to send a rheumatic test - an immunological blood test that can reveal a C-reactive protein, a rheumatoid factor and a marker called antistreptolysin. The presence of these elements in the blood confirm rheumatoid arthritis.
Preliminary radiographic diagnosis before treatment
X-ray diagnosis of the brush can reveal arthrosis by:
- joint deformity
- narrowing or closing the interarticular cleft
- overgrowth of osteitis
The disease rarely requires analgesic treatment.
The main condition of treatment is the elimination of the cause that provoked the disease :
- Constant physical activity
- Threats of microtraumas
- Metabolic disorders in cartilage
- Malnutrition, etc.
Scheme of complex treatment of
Arthrosis of the radial joint requires mandatory protection of the wrist with a special orthopedic wristband during the period of possible loads of
. In the first stages, metabolism in the joint can be improved with chondroprotectors - artificial substitutes needed for connective tissues of chondroitin sulfate and glucosamine
. But reassessment of the possibilities of these drugs - prescriptionthem in the last stages or an incorrect short-term reception, lead to unreasonable disappointment painbut with expensive drugs
At the last stage, already with a deficiency of synovial fluid, intraarticular injections with hyaluronic acid
are effective. Physiotherapy treatment improves blood circulation and joint nutrition:
- Laser therapy
- Mud treatment
- Thermal procedures( ozocerite and paraffin applications)
- Penetrating compresses( dimexide or bischofite, medical bile)
- Manual therapy
You can apply self-massage :
"Twisting" and pulling the fingers with the other hand
- Rubbing the palms of the hands
- Rubbing each finger of the diseased hand healthy from the base to the tip
- Pressing on the fingers when the
- is folded into a fist or diluted palm "Twisting" or drawing fingers with the other hand,e.
LFK for the hands
Gymnastics are necessary, even if the joints of the hands are almost not bent .
Do such simple exercises.
Isometric ( for pain and limited movements):
- The position of the hands is on the palm of the hand, the fingers are placed
- With your fingertips we force against the surface of the table and try to put the palm in the fist, but the fingers remain still
- Relax the brush and througha few seconds, repeat the exercise
- Standing or sitting position, the arms hang freely
- Shake with relaxed brushes
Dynamic exercises :
- Drum fingertips
- "Stepsm 'fingers on the table
- Putting alternately on both hands thumb with the other fingers
- Bend and straighten, so far as the mobility of the joint
For the prevention of osteoarthritis of the hands and in the early stages of its useful exercises with expanders .
Video: Exercise for hands
Arthrosis of the joints of the hands: symptoms and treatment
The main cause of the common degenerative disease is arthrosis of the hands - damage to the cartilaginous tissue of the joints. The most often suffer wrist, metacarpophalangeal, distal( located at the base of the finger pad) interphalangeal and proximal( located at the center of the fingers) interphalangeal joints. Significant less often affected elbow or shoulder joints.
In arthrosis, the cartilage of the joint, simply speaking, wears out more quickly. Because of this, the bones begin to rub against each other without damping, there is inflammation, stiffness and painful sensations. To maintain the functionality of the joints and relieve the pain, patients are prescribed medication, special gymnastics, diet, sometimes it is recommended to change the way of life.
Causes and risk factors
The main reason for the development of arthrosis is premature wear of the cartilaginous tissue. In some people cartilaginous tissue can worn at a fairly young age( 20-30 years), while others in 60 do not know about such a disease. It depends on many factors, some of which can not be avoided in principle.
The disease itself is not inherited, but some factors contributing to its development - yes. This, for example, strength, elasticity and density of cartilaginous tissue, metabolic features, etc.
Age - another uncontrollable risk factor. The older we become, the more all tissues in the body wear out, including articular cartilage, and the higher the risk of developing the disease.
Professional activity can also be involved in the development of pathology. Mainly it concerns people and sportsmen, whose hands are exposed to great loads: builders, loaders, weightlifters, boxers. Due to prolonged and excessive loads, the cartilaginous tissue wears out faster, preventing friction of bones against each other.
Symptoms of arthrosis of the hands can manifest themselves in different ways. The most characteristic are the following:
- painful sensations with various actions performed by the hands: compression of the hand into a fist, the seizure of objects, flexion of the arm at the elbow, shoulder, etc.;
- stiffness, immobility of joints, especially pronounced after a night's sleep;
- atypical difficulty in performing routine tasks( feeling like there is not enough strength, for example, to open a jar or move an object from place to place);
- significant weakening of the gripping force( compression) of the brush;
- crunching in the joints;
- swelling, swelling of the fist or area near the wrist;
- formation of Heberden's nodules and / or Buşar's nodules.
Geberden's nodules are osteophytes or bone spurs. These are expanding seals that form on the bones at the junction of phalanges of the fingers. Geberden's nodules are usually round, solid, seemingly swollen. They are formed mainly on the distal and proximal interphalangeal joints. The proximal joints are also called Buschar's nodules.
Patients with arthrosis of the hands can be assigned various methods of treatment, including medication, curative gymnastics, a special diet. In advanced and severe cases resort to surgical intervention.
For analgesia, analgesics and non-steroidal anti-inflammatory drugs( NSAIDs) are used. NSAIDs dispensed from pharmacies without a prescription can not only relieve pain, but also eliminate inflammation. If these medications do not help, the doctor can prescribe a prescription for stronger means. If, and in that case, the treatment does not give the desired effect, go to injections. When analgesics and anti-inflammatory drugs are injected directly into the joint cavity, pain and inflammation recede almost instantaneously, and the result can be preserved for several months.
Rigid, painful joints greatly affect how a person uses their hands. For many patients, everyday matters become very difficult. Develop joints will help special exercises, which should be performed several times a day:
- unclench and clench fists alternately;
- alternately touch the pincushion of each finger to the base of the thumb, and the thumb pad to the base of the little finger;
- squeeze a soft object in your hand, for example, a ball, holding the brush in the compressed position for a few seconds;
- placing your palm on a firm surface, lift each finger vertically upwards;
- "go" with your fingers on the table forwards or backwards or along the wall up and down;
- for arthrosis of elbows do the following exercise: sitting at the table, put an elongated hand on the tabletop and do tapping with the fingertips( with the whole brush) for 10-15 minutes - these are exercises for elbows;
- if the shoulder joint is affected, it is possible to do fluttering movements, but it is much more effective to perform them in water - think about how to register in the pool.
By changing their lifestyle, patients can better control their ailment and suffer less from it. Hot paraffin baths and cold compresses are a good folk remedy for pain and swelling. Use compresses as needed, as well as between medications.
Wearing special bandages, gloves or elastic bandages stabilizes the position of the affected joints and gives them the necessary support. Due to this, you can avoid exacerbating the symptoms. Ask your doctor which supplements will work best for you.
Think about replacing some items in your home( kitchen utensils, cleaning tools).Such things should have thick and comfortable handles that do not require much effort to grip and use.
Be sure to follow the rules of healthy eating. The diet should include vegetables, whole grains, low-fat fish and meat. Keep an eye on the amount of sugar, salt and fat consumed - this will help to avoid excess weight gain( with excessive body weight, the joints are subjected to an additional load).Pay attention to vegetables and fruits of dark color( see the list below) - they contain substances that suppress inflammatory processes in the whole body, including joints.
Recommended for use:
red and violet grape varieties;
forest berries( raspberries, blueberries, cranberries, strawberries, blueberries, blackberries, etc.);
greens( spinach, lettuce, parsley, celery, etc.);
Citrus( especially red orange and grapefruit).
When the disease does not give in to medical treatment, does not react to changes in lifestyle and nutrition, the question arises about surgical intervention. In the case of treatment of larger joints( knee, hip, elbows), they are usually assigned a partial or complete replacement. Small joints( interphalangeal) simply bind or reconstruct. By combining the bones, the affected part of the hand is immobilized, but with it the pain also disappears. During the reconstruction, the cartilage is replaced, the soft tissue for which is taken from other parts of the body.
In the photo - a woman's hand completely
Let's sum up
The defeat of hands with arthrosis starts slowly, with the passage of time the symptoms intensify, and the tissue damage becomes more pronounced. This disease can not be cured, but can be successfully controlled. In time, having seen the symptoms and taking timely measures, it is realistic to expect a comfortable life without pain and torture. If you notice the first signs of ailment, do not try to mask them or suffer pain - consult a doctor for diagnosis and( if necessary) drawing up an effective treatment program.
Recipes for the treatment of arthrosis of the hands of folk remedies
Arthrosis of the hands is one of the most dangerous manifestations of this disease. In the process of development of arthrosis, there is a strong decrease in the nutrition of the joints in the phalanges of the fingers, which leads to deformational changes in the structure of the hands. In the course of the disease, the fingers literally bulge in different directions, which leads to the fact that a person can no longer fully use them.
Osteoarthritis of the hand is most often observed in women and, as a rule, leads to serious irreversible consequences. The symptomatology of the disease is well expressed and develops rapidly, unless measures are taken to treat joint tissues. The main symptoms of joint damage to the fingers of arthrosis include severe pain, complete loss of mobility of the fingers, curvature of phalanges, swelling of tissues, pressure in the area of damaged joints. Arthrosis of the hands is a dangerous disease that requires complex medical treatment, but at the same time there are excellent folk methods that can become additional means in the treatment of this disease.
Treatment with folk remedies for internal use
It is believed that the destruction of the joints of the fingers with arthrosis occurs mainly from the lack of vitamins and minerals, in particular calcium and trace elements, necessary for its full assimilation. In order to make it easier to get rid of arthrosis, you need to "hit" the disease from the inside. One of the most effective folk remedies for arthrosis is calcined cottage cheese with a tincture based on honey and horseradish.
For the preparation of calcined cottage cheese, it is necessary to take approximately 1 liter of milk and 3 tablespoons of milk.calcium chloride. It is best to take 10% of calcium, which is sold in pharmacies. First calcium, which, as a rule, goes in tablets, must be thoroughly crushed in a mortar to the state of powder. Next, you need to boil the milk and add calcium powder to it. Boil the resulting solution for at least 10 minutes to allow calcium to dissolve well. Then the milk is filtered and left to complete souring. The resulting kefir must be filtered using a rag bag to get the whey and cottage cheese, which will contain a large amount of calcium.
To make tincture of horseradish and honey, it is best to take lime or flower honey, which was only recently obtained in the apiary. First, take about 4 liters of water, in which it is necessary to fall asleep 1 kg of horseradish. To get a quality decoction of horseradish it is necessary to grind well. Boil horseradish should be about 20 minutes after boiling water. After removing from the heat, the broth should be cooled to room temperature. In a cooled broth should be added to the decoction of 0.5 kg of honey. It should be noted that honey should be added to a warm broth, as in boiling water it completely loses its properties. When treating the arthrosis of the brush, you need to use 100 g of tincture 3-4 times a day, eating 1-2 l of calcined cottage cheese. To change this combined agent it is necessary during 1 month.
In addition, a good effect gives laurel tincture. To prepare this tincture, about 10 g of bay leaves are taken. The bay leaf should be crushed and poured 1 tbsp.boiling water. Next, you need to continue boiling the broth for 5-7 minutes. Ready broth should be allowed to infuse for 4-5 hours. The cooled decoction of bay leaves should be taken throughout the day in small sips. Treatment with broth should be continued for 3 days. Osteoarthritis of the hands, the treatment of which is carried out using this tool, proceeds much easier.
Treatment with folk remedies for external use
Treatment and prevention of arthrosis of hands by folk methods can be carried out using external compositions that help to stabilize the joint and at the same time relieve severe pain syndrome. Osteoarthritis can be effectively treated with multi-component lapping. For the preparation of one of the most effective brushes for the treatment of arthrosis brush you will need floral honey, iodine, glycerin and alcohol. All of the above ingredients are taken in equal parts and thoroughly mixed. In order for the lapping to acquire all its useful properties, it is necessary to let it brew for about 5-6 hours. To achieve the desired effect, you need to use this lap 4-6 times a day. Rub the compound carefully in the skin over the affected joints for 20 minutes. Remains of the composition must be washed off with warm water.
Arthrosis of the hands can also be treated with fresh cabbage juice. Best for these purposes, a cabbage of a new crop, which contains a large amount of juice, will do. To obtain juice, cabbage leaves can be passed through the juicer. The treatment is carried out only with fresh juice, therefore it should be stored no more than 3 days. To get the best effect, it is advisable to make fresh juice whenever you plan to make lotions. Treatment is carried out by applying a thin gauze, soaked in cabbage juice. Use lotions of cabbage juice should be at least 2 times a day. Cabbage juice reduces the inflammatory process and contains a large number of vitamins that promote the nutrition of soft tissues and joints.
A good result in the treatment of arthrosis brushes folk remedies gives a lap based on propolis and the juice of the leaves of the fern. To prepare the lapping, it is necessary to take fresh fern leaves and squeeze juice from it using a juicer. For the preparation of grinding will be enough 3-st.l.fresh fern juice. Propolis needs to melt on the steam bath. Do not take too much propolis, since this substance quickly freezes at a low temperature. Fern juice and propolis should be mixed and rubbed into the skin of the hands before bedtime to reduce the pain syndrome.
For small joints of the hands with the diagnosis of "arthrosis" are characterized by nodal seals and deformative change of fingers along a line or spindle-shaped. These degenerative processes lead to exacerbations, impaired mobility and slowing down the functionality of the hands.
Arthrosis of small joints of hands is a disease that is formed in the course of genetically determined violations of the integrity of cartilaginous tissue. This pathology in medicine is classified as the primary degree of osteoarthritis. The dilated cartilaginous tissue does not withstand the loads imposed on it with age, although secondary causes, such as traumatization of the hand, also act as a factor that gives impetus to the formation of arthrosis.
Painful symptoms in the area of small joints of brushes are often a constant companion of this ailment. On the skin can also appear swelling, redness. The patient is also concerned about the stiffness of the joints and weakness of the fingers, which disrupts normal working capacity.
Principles of treatment of
The main thrust of the treatment of arthrosis of small joints of the hands is predetermined by the regeneration of the tissues of the articular cartilage, the coping of the inflammatory process( if any) and the restoration of joint mobility, the return of their strength and endurance. To do this, use:
- drug therapy with chondroprotectors that inhibit the degeneration of cartilage tissues and, on the contrary, stimulate the regenerative process of the destroyed cells;
- medications blocking the pain syndrome and providing anti-inflammatory action( non-steroidal agents);
- physiotherapy, which improves metabolic processes in the cartilaginous tissues and helps to ease the pain;
- massage procedures necessary to improve blood circulation and provide nutrients and oxygen at the cellular level, as well as eliminate muscle contractions and painful nodules that form on the joints;
- therapeutic exercise, which is necessary to activate the metabolic processes in the small joints of the hands, as well as to restore the amplitude of their movements;
- surgical intervention, as the only way when none of the treatment measures yielded positive results. In this case, refers to arthrodesis - complete immobilization of the joints of the hands( usually the thumbs);
- folk remedies, which at home effectively complement the main treatment - to remove soreness, improve the process of metabolism in the joints and at the same time avoid the use of strong analgesic drugs with chemical composition.
Treatment of arthrosis is always carried out at the stage of exacerbation, and also applies preventive measures after it.
- excludes any load on the joints, relieving them from lifting weights and any small movements for interphalangeal joints.
- to remove inflammation, use anti-inflammatory drugs, non-steroidal origin, for example, Diclofenac. His reception is carried out, both locally and systemically;
- to stop symptoms in the form of pain can be using phonophoresis based on hydrocartisone, as well as intra-articular injections of hormonal drugs.
Treat arthrosis of small joints in hands with partial or complete immobilization of thumbs effectively with hyaluronic acid. Injections are performed directly in the joint, preparations of foreign production - Ostenil, Fermatron, Synvisc, Duralan, as well as its domestic counterpart - Hyastat.
After removal of the acute phase of the disease, a group of drugs of chondroprotectors, with active substances glucosamine and chondroitin( Chondroxide) are used for treatment. With its help it is possible to restore thinned cartilaginous tissues and return the functional capabilities of the joints. However, in the presence of obvious degenerative processes, when the disease takes a chronic form, these drugs are not valid.
For topical treatment at home, the following non-steroid ointments and gels are recommended, as well as preparations for relieving inflammation and improving blood flow, due to the warming effect:
- ointments - Butadion, Ibuprofen, Indometacin;
- gels - Bystrum, Fastum, Naise, Voltaren;
- ointment based on bee venom - Virapine, Apizatron, Apireven, Ungapiven;
- ointment based on snake venom - Viprosal;
- cream - Dolgite.
Important! If the skin has abrasions, wounds, scratches or cracks, it is strictly forbidden to use ointments based on poisons. After applying the product to the affected area, immediately wash your hands thoroughly and never rub your eyes, nose, mouth, to avoid burns.
Preparations on a natural basis
It is worth noting one more drug( BAA) - Harpagin. Its antimicrobial action, promotes the adjustment of the digestive process and removes carcinogens and toxins from the body. This allows you to reduce pain and inflammation. In the composition of this product there is a natural substance - an extract of fragrant martinia.
For local treatment, apply gel R.28 from Vivasan. It is used for:
- to eliminate symptoms of pain;
- reduces inflammation in the joint cavity and muscles;
- reduction of puffiness;
- increased joint mobility,
- stimulation of the circulation.
In addition, the gel has an antiseptic, soothing, tonic effect. It is convenient to use at home, and the natural base has a predominant effect, in front of dosage forms with a chemical composition.
Gel Composition RS.28
- arnica extract and moisturizing polysaccharides;
- extract of the devil's claw( martinia);
- extracts of red algae, birch and mussels;
- essential oils of lavender, lemon, thyme and orange.
To activate blood flow in the joints and improve metabolism in cartilage tissues apply physioprocedures. Excellent paraffin baths and ozocerite baths have proven themselves. No less effective results are obtained after magneto and laser therapy.
Massage procedures are also indicated for arthrosis of small joints. They are performed by light rubbing and stroking movements, and in the presence of nodules, they also add pressure in this area. Massages should be carried out only by an experienced specialist who can calculate the force of impact, while not giving the patient painful sensations and discomfort.
No less effective is the gymnastics for the hands. To perform it, you can use the beads, sorting through them, the patient will be able to independently wash out small joints, improving their mobility. They also do exercises to squeeze and unclench the hand( into a fist).Then you can "play the piano", tapping and fingering the table like a game on the instrument.
After carrying out massage procedures or gymnastics recommend taking baths from brine and aromatic oils.
Ointments, rubbers, oils based on folk remedies are quite effective in treating arthrosis of the joints of the hands. Any of the folk remedies can be cooked at home.
Smoothing on honey
Mixing in equal parts honey, iodine, glycerin and alcohol it is necessary to give the components a good reunion with each other( two hours).After that, this rubbing is used for massage procedures. With its help get rid of pain, improve blood circulation and eliminate the symptoms of stiffness in the joints.
Ointment on the basis of comfrey
With vegetable oil pour 60 g of comfrey powder. Add 15 g of mustard powder and 60 g of honey to the mixture. All this is heated in a water bath. Preserve the ointment can be in the refrigerator, and use for acute pain, rubbing in the joints.
Live turpentine and ammonia
In equal parts( 2 tbsp.) Take ammonia and turpentine turpentine, two eggs are added to them and whipped well( can be blender).The ointment is applied to the joints for the night and the mittens are worn on top. Such a folk remedy is used for 5 days, with a break of 2-4 weeks, depending on the severity of the symptoms.
Oil on grasses
To prepare infusion oil it is necessary to take in equal parts:
Treatment of hand arthrosis with folk remedies
Treatment with decoctions
One of the most effective for the treatment of arthrosis is garlic tincture. To make it you need to mix garlic juice with olive oil in a proportion of 10: 1.The resulting mixture should be taken every morning on an empty stomach for half a teaspoon.
Also, there is a tincture of bay leaf. The tincture is very simple and for its preparation you only need the laurel leaf itself. Approximately ten grams of paper should be poured with one glass of boiling water and then boiled for five minutes. After this, it is necessary to let the broth steep for about five hours. Take a whole day in small sips. The course of treatment tincture is three days.
As a treatment, tincture from rye grains can be used. For a full course of treatment, you need about eight liters of ready-made tincture. To prepare it you need one kilogram of grain. Rye grain should be poured with seven liters of water. Next, you need to put the grains on the fire and bring to a boil, then cool and strain. After that, to the grains you need to add a glass of alcohol or a half liter of vodka, a kilogram of honey, and three tablespoons of the root of barberry. All the ingredients should be thoroughly mixed and allowed to infuse for three weeks in a cool and cold place. Take tincture should be three tablespoons for thirty minutes before eating.
Use of compresses for the treatment of arthrosis of small joints of the hands
Of all the variety of existing compresses, several most common ones can be identified.
Compress from oat flakes
To prepare a compress, you need a few spoons of oatmeal, which you need to pour a small amount of boiling water and cook for about five minutes. In the end, you should get a thick enough porridge, which must be cooled. Compress should be done at night and use only freshly mashed porridge.
Compress from the leaves of the fern
Fresh leaves of the plant should be wrapped with gauze or a thin cloth and applied as a compress for the night. Such a compress quite effectively removes pain.
Compression of gelatin
Compresses using gelatin are very effective for arthrosis. In order to make a compress you need one teaspoon of gelatin to pour a glass of warm water. When gelatin swells, it should be applied to the sore spot and then tightly wrapped with food film or polyethylene. From above it is desirable to wrap the compress with a dense cloth or woolen shawl. To achieve maximum effect, this procedure must be done at least seven times.
Razirki for the treatment of arthrosis
Very different in the treatment of arthrosis are a variety of rubs.
Chopping from chicken eggs
Despite the simplicity of the recipe, it gives a rather tangible effect. To prepare the flour, you must mix two teaspoons of turpentine and ammonia, two raw eggs are added to the mixture. All ingredients must be mixed well. This rubbing is used for evening procedures. Do not use the recipe for more than five days.
For cooking, grind propolis with a water bath, then add corn or olive oil. All ingredients should be mixed well and then cooled. The resulting mixture must be rubbed in the presence of pain, and rubbed before going to bed.
Other folk methods
A useful addition to the treatment of arthrosis is honey massage. Before the procedure, the necessary amount of honey should be heated with a water bath, and then in rubbing into the place of the affected joint. The whole procedure should last about fifteen minutes. At the end of time, the sore spot is wrapped in a warm cloth and left for two hours. Then, honey ointment should be washed off with warm water.
Good effect gives treatment with leeches, but before using this method it is necessary to find out whether the patient has contraindications. To get the first results, it is enough to do ten sessions.In the treatment of arthrosis, it must be remembered that it must be comprehensive and based on a healthy lifestyle and proper nutrition. Only with an integrated approach it is possible to achieve maximum results.
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Arthrosis of the joints of the hands of the symptoms |Hand massage for arthrosis
Symptoms of arthrosis of the joints of the hands
Geberden nodules with arthrosis
Arthrosis of the distal interphalangeal joints of the fingers of the hand( Geberden's nodules) is one of the most frequent localizations of primary arthrosis, usually affects women, especially in menopausal and postmenopausal periods. Geberden's nodules are considered to be an early manifestation of the primary genetically determined polyarthrosis of the hands, which is also associated with the overload of distal interphalangeal joints by shallow and hard work.
In this case, the symptoms of arthrosis of the joints of the hands just in later terms will show themselves a little pain, usually with a change in the weather, there will be a slight soreness on palpation and noticeable elevations on both sides of the rear surface of the distal interphalangeal joints. On the roentgenogram, there are narrowed joint arches, uneven joint surfaces, subchondral sclerosis and lateral osteophytes.
Bouchard nodules with arthrosis of the hand area
Osteoarthritis of proximal interphalangeal finger joints of the hand. Bushard's nodules are much less common than Heberden's nodules, but their clinical and radiological picture is almost the same. As a rule, Bushar's nodules appear in people who have Geberden nodules with arthrosis. This helps distinguish them from rheumatoid arthritis, in which proximal interphalangeal and metacarpophalangeal joints are often affected separately or together. In addition, the deformation of the joint at the nodules of Bouchard is caused not by thickening of soft tissues( as in arthritis), but by solid bone growths with arthrosis.
Risartrose of the hands
Arthrosis of the joints of the wrists - the wrist joint of the 1st finger( rizartroz of the thumb) occurs about the same frequency as the Heberden nodules. In this case, both lesions can be simultaneously. The cause of rizartroz of hands is microtraumatism. The clinical and radiologic picture is the same as in the case of arthrosis of the two preceding localizations.
Diagnosis of joint arthrosis
The diagnosis of any form of arthrosis is based on radiographic, clinical and laboratory data.
Diagnostic criteria for osteoarthritis of the American College of Rheumatology:
Pain or morning stiffness in the small joints of the hand + the presence of three or four of the following signs:
- The proliferation of hard tissues of more than one of the following ten joints: a) the second and third distal interphalangeal joints of both brushes;b) the second and third proximal interphalangeal joints of both hands;c) the first carpometacarpal joints of both hands.
- Overgrowth of hard tissues of more than one in ten distal interphalangeal joints.
- The presence of edema in no more than two metacarpophalangeal joints.
- Deformation of at least one of the ten joints listed above.
Arthrosis of the area of the hands:
1 - polyarthritis;2 - bushard's nodule;3 - Heberden's nodule;4 - rizatroz.
Anamnesis and a comprehensive examination of the patient help determine the form of arthrosis, the cause of its development, prescription and severity of the disease, concomitant diseases, etc.
When articulating the diagnosis of arthrosis, one can also focus on the diagnosis criteria( basic and additional) according to the data of other authors.
Differentiate arthrosis of the joints of the hands with frequent recurrences of synovitis with rheumatoid arthritis.
Diagnostic criteria for arthrosis of brushes( according to LI Benevolenskaya et al., 1993)
1. Joint pain occurring at the end of the day and / or in the first half of the night
1. Narrowing of the joint gap
2. Painin the joints arising after mechanical stress and decreasing in rest
3. Bone growths due to bone growths( including Heberden and Bushard nodules)
Note: criteria 1-2 are basic;Criteria 3 - additional. For the diagnosis of arthrosis, the presence of the first two clinical and radiological criteria is mandatory.
Differential diagnostic signs of rheumatoid arthritis and arthrosis of hands( according to NN Borovikova, 1999)
None or unstable( synovitis reactive)
Appears in 80-85% of patients after 6-12 months.from the onset of
None at first, later - osteoporosis, bony erosions
Already in an early stage articular narrowing, subchondral sclerosis, osteophytes
Hand massage for arthrosis
Massage of the arthrosis area of the hand is carried out in the patient's initial sitting position, with the forearm on the table, the hand is bent. With a superficial and deep stroking, the masseur fixes his fingers with one hand, holding the forearm, puts the other hand across the rear of the hand and moves to the elbow.
In the area of the wrist joint, the brush produces a grasping stroking. Trimming the transverse and circular in the form of stroking spend I fingers of both hands on the palmar and back sides. When rubbing the palmar surface, you should maximally bend the brush for better penetration to the joint bag. Massage of the joint of the hand is completed by stroking, as well as physical exercises: flexion, extension, retraction, reduction and circular motions.
Hand massage - the basic techniques of
The basic techniques of hand massage in the area of the brush: stroking, rubbing, passive and active exercises. First, the back, then the palm surface of the hand is massaged. Stroking the rear of the hand produces the palm of the last four fingers. Massage movements correspond to the course of lymphatic vessels. Stroking is carried out in a circular motion. After the general stroking of the rear, the hands are massaged with the large or large and index fingers of the interosseous muscles, each separately.
Rubbing in massage is used rectilinearly, spirally and circularly;dashes in the longitudinal and transverse direction. When the fingers I and II are kneaded, the soft tissues are pulled from the bone and pressed aside to the metacarpophalangeal joint. On the palmar surface of the brush, which, when massaged, is translated to the supination position, ironing is performed in the form of ironing. After the general stroking and rubbing, they specifically affect the muscles of the elevation of the I and V fingers. Massaging movements are made in the direction of the tendon sheaths. Apply stroking, rubbing, kneading with weights, pushing the tissue from the bones. When rubbing the palmar surface, you should maximally bend the brush for better penetration to the joint bag.
Massage of the fingers of the fingers - basic movements
Massage movements on the fingers of the hand correspond to the course of the lymphatic vessels and are carried out simultaneously on the palmar and back surfaces, on the side surfaces - towards the base of the fingers. Massage consists in stroking, which is performed in the longitudinal direction by the thumb and forefinger first with the back( thumb), palm( index) and then with the side surfaces( thumb and forefinger).When grinding, which is done longitudinally, use spiraling movements;rubbing can be carried out and transversely. In this case, the hatching technique is applied.
When the fingers I and II are kneaded, the soft tissues are pulled from the bone. When massage between interphalangeal and metacarpophalangeal joints, stretching is applied: articular surfaces are drawn apart from each other;the purpose of taking is the effect on the capsule and ligaments of the joint. This technique is indicated for joint stiffness, cicatricial fusion. Indications for different types of massage are presented in the table.
In cases of tissue trophism, synovitis and acute pain syndrome, preference is given to segmental massage: they affect the paravertebral regions of the corresponding spinal segments( joints of the fingers and the hand - C5-Th2).
Indications for different types of massage of brushes( Geroyeva IB, 2000)
Local acute pain in joint with synovitis
with electrostatic field of the system "Khivamat"
Joint region: frequency 150-200 Hz, time 10 min. Proximal muscle groups: frequency 20-30 Hz, time 5 min
Local acute pain in joint without synovitis
Classic manual massage with therapeutic ointments( gel T, chondraxite, voltarenovaya, etc.)
Proximal muscle groups and joint area
Limb and correspondingspinal column with a pressure of 0.5-1 atm.
Whirlpool massage. It is possible to add sea salt, ozone, etc. to the water.
Local vortex massage
General effect: water temperature 38-40 ° C, time 20 min.
Fine finger joints, time 10 min
Combination with chronic lymphovenous insufficiency
Limb with pressure up to 60 mmHg.
Time - 30 min
Massage of the hand area with the electrostatic field of the "Khivamat"
system In addition to the segmental massage with the synovitis, bursitis, tendovaginitis clinic, the electrostatic field massage of the "Khivamat" system is successfully applied. A unique operating factor of the procedure is the sagittal reciprocating displacement of the entire thickness of the tissues to be exposed( deep tissue oscillation).
This occurs during current pulses only on the movements of the hands of the masseur with worn vinyl conductive gloves: the surface is attracted at the point of contact of the hand in the glove and descends after being withdrawn. Subjectively, the patient experiences vibration. This is the main difference of this method from other types of massage, when there is pressure on the tissues of the hands of a massage therapist or a vibrator nozzle. The effect is carried out both on the joint region and on the regional muscles.
Classic massage with soft technique of hands
In the absence of inflammatory changes and in the presence of violations of muscle tone, a classical massage with soft technique is used to improve blood circulation in the limb of the hand. The joint of the hands at this stage is not massaged. With a relaxing massage, the peculiarity of the technique is the use of stroking, kneading at a slow pace, surface grinding, continuous labile vibration with moving along a massaged muscle, and easy shaking. In cases of painful or myogenic contracture, the contracted muscles are subjected to a predominant effect, which, after the above described procedures, undergo manual stretching, which contributes to the correction of contracture.
Underwater massage of the hands
To reduce pain and relax the muscles, as well as improve the circulation conditions underwater massage. At this stage of treatment, a general vortex massage or jet massage with a water jet pressure of 0.5 atm is preferred.and a distance of 5-8 cm from the tip to the massaged surface. The procedure time is 10 minutes at a water temperature of 36.5-37.5 ° C.When performing an underwater jet massage, strokes and vibrations are used. Duration of the procedure is 5-7 minutes.
The duration of the massage with arthrosis of the joints of the hands is determined by the persistence of pathological changes and amounts to 12-15 procedures. Contraindications, generally accepted for massage. The presented basic program can be modified depending on the clinical condition of the patient. In addition, individual physical rehabilitation( LFK, massage, manual therapy, rational motor, etc.) are recommended as preventive measures.
Study of metacarpophalangeal joints in arthritis and arthrosis
The metacarpophalangeal joint is subjected to palpation to ensure that there is a thickening or stretching of the synovium, soreness, a rise in temperature in three places: in the area of the joint gap, over the head of the metacarpal bone and in the interval between the adjacent heads of metacarpal bones. Articular fissures are palpable better when the proximal phalanx is bent 20-30 ° in the metacarpophalangeal joint;they are located at a distance of about 1 cm distal to the tip of the joint.
Study of the metacarpophalangeal joint
The examination of metacarpophalangeal joints allows one to determine that the phalangeal joint gap is located some distance from the head of the metacarpal bone with a bent proximal phalange, shown by an arrow in the figure.
When palpating the joint, the patient's hand should be relaxed and in the position of pronation with the palm turned down;Each doctor probes each joint separately, compressing it with the fingers located on the back side, and II - with the palmar;The doctor maintains the head of the patient's metacarpal bone with the remaining fingers. With a different method of palpation, the doctor palpates the joint on the back of I and II with the fingers of one hand, and the other - supports the patient's brush.
For these and other methods of examining the joint, called the metacarpal phalanx, it is necessary to palpate the joint slit, the metacarpal head and the longitudinal groove between adjacent joints to ensure there is a synovial thickening or enlargement with a bent and unbent joint. Subluxation of the proximal phalanx in relation to the metacarpal head may occur in the direction of the palm;In this case, the bone boundaries of the phalanx become more prominent than usual.
The soreness of all metacarpophalangeal joints can be determined by lateral compression by the hand of a physician of all metacarche bones. The sensation of pain reflects the inflammation of one or more metacarpophalangeal joints.
Transverse compression of metacarpal bones.
The study of metacarpophalangeal joints allows one to determine their stability. The stability of metacarpophalangeal joints is assessed with a strong lateral displacement of the fully bent joints( lateral ligament of metacarpophalangeal joints tense only when flexed, they relax when extended, and allow significant lateral displacement).
Study of joint movement volume
When carrying out a study of the volume of movements, the following provisions should be adhered to:
- finger mobility is defined as a single unit, and then the mobility of each joint is considered separately;
- evaluation of the function of the fingers - squeeze your fingers into a fist and unclench;actively bend and unbend fingers. Normally clenched fist, obtained with full bending of all fingers, is estimated as 100%, and the unbent palm - as 0%;
- determining the volume of movements of individual joints, the doctor must determine whether all the finger joints of the hand take normal participation in the general movement;
- the volume of movements in the metacarpophalangeal joints consists of flexion-extension or reduction-retraction of proximal phalanges relative to the heads of metacarpal bones. The combination of these movements allows you to make circular motions. Lateral ligaments relaxed at extension and stretched when bent;therefore, when the metacarpophalangeal joint is bent, the fingers can strongly bend into a fist, without deviating to the side.
To measure the degree of flexion of any finger, the doctor holds the proximal phalanx when the patient moves with a distal phalanx or phalanx. The metacarpal phalangeal joints of the fingers are bent at 90-100 °, counting from the normal mean position during extension( 0 °).However, the metacarpophalangeal joint of the first finger is bent only by 50 °.In the metacarpophalangeal joint, hyperextension is possible by almost 30 °.
Metacarpophalangeal joint - treatment with
The patient's wrist is covered by the same hand of the doctor( right - right), the patient's brush is in the supination position;with the other hand, the doctor holds the first metacarpal bone so that its distal end is fixed with the finger of the doctor's hand from above and at the proximal end by the radial edge of the II finger from below. Then we achieve pre-stress( distraction thrust by jogging in the direction of the palm), after which a push in the same direction follows. The second stage of therapy consists in the fact that the doctor grasps the penetrated wrist of the patient with the opposite arm( right - left), with the other hand fixes the first metacarpal bone I on the top( dorsally) at the distal end and the radial edge of the finger in a similar manner from below( from the palm side)movement achieves pre-stress and then during traction - a push in the dorsal direction.
Treatment of carpometacarpal joint of one finger: a - with supine bristle I metacarpal palmarno( upward);b - in the position of pronation of the hand, pressure is applied to the first metacarpal dorsal( from above) with simultaneous traction( Levit K. et al., 1993).
Attention! The traction will increase significantly if you grab V with your finger the last phalanx of the patient's finger. The method of mobilization of metacarpal bones can be represented as follows:
1. Mobilization with dorsal and palmar "fan" techniques is performed with simultaneous action on all metacarpal bones.
2. Mobilization of each metacarpal bone can be carried out in the back-palm( dorsovolar) direction.
3. Mobilization of each metacarpal bone is possible due to traction movement in the distal direction.
Joints of the wrist and phalanx and the head of the metacarpal bones
The head of the metacarpal bones fixes between the I and II fingers of one hand and grips the I phalanges I and II with the fingers of the other arm. Due to the fact that the displacement can be directed in the rear palmar and laterolateral directions, it is necessary that the fingers of both hands of the doctor are located transversely to the direction of the thrust. It is also expedient to manipulate the jaws with both fingers, bending them with it.
Manipulation on the metacarpophalangeal joint in the rear-palmar direction( a);scheme of motion( b).
These joints can have a back-palm displacement, distraction, a slight lateral displacement and a "break".To do this, the proximal phalanx is fixed by the doctor between the first and second fingers of his hand, which rests on the surface of the table. The doctor takes the distal phalanx between the first and second fingers of the other hand, after which the mobilization is carried out in one of these directions.
Warning! Both the rear-palmar and lateralateral displacement are carried out simultaneously with the distraction.
Mobilization of the interphalangeal joint in the back and palmar directions( a);scheme of movements( b).
After manipulation or mobilization, appropriate tests( eg, "joint play") should be conducted to ensure that these therapies are effective. In order to maintain the achieved effect, the patient is recommended to continue treatment aimed at improving mobility in the joints, restoring the full functional ability of the brush.