How to treat arthrosis of the shoulder joint
The shoulder joint is always subjected to the greatest stress, especially among athletes and all those whose activities are somehow related to physical activity. If you like to carry out repairs on your own, you probably noticed that the joyful end of the repair period is often overshadowed by pains in the shoulders and shoulder blades that do not go on for very long: it can last even a year. If you do not give up heavy loads, and do not try to take at least some preventive measures, the pain can take a chronic form, and can be developed first as a shoulder brachial polyarthritis , and later arthrosis of the shoulder joint .
Most common causes of arthrosis of the shoulder joint are shoulder injuries
Arthrosis of the shoulder joint and methods of treatment
Unlike other species, arthrosis of the shoulder joint is a relatively young disease and can appear at the age of 40-45 years. This is a kind of professional ailment of tennis players, volleyball players, disc throwers and spears.
Causes of shoulder arthrosis
- The most common cause is traumatic injury:
- shoulder dislocation
- injury, etc.
- Family history also plays a role:
If your grandparents were ill with arthrosis, then you are also likely to be exposed to it
- The presence of inflammatory and infectious processes also contributes to the development of the disease
Mechanism of the development of brachial arthrosis
- As a result of metabolic disorders, deficiency of collagen and important microelements, the thinning of of hyaline cartilage begins
- Mechanical damage occurs in cartilage, which is replaced by salt build-ups of with osteophytes
- Changes extend beyond cartilage:
- is tightened subchondronic bone and capsule
- decreases the amount of synovial fluid
- The ligaments and muscles of the joint are deformed( shortened), which leads to the emergence of contractures
- The articular cleft
decreases. X-ray shows changes in the shoulder joint with arthrosis:healthy joint, right - patient
Symptoms of brachial arthrosis and its stages
- First stage
- Arthrosis of the shoulder joint initially manifests with pain in the shoulder, in which it is impossible to do large amplitude movements
- Pain usually appears after physical exertion or sharp active movements
- After the load from the joint is removed and it is at rest, the pain passes
- The second stage of
- The second stage is manifested by exacerbations, which can also be provoked by stresses or hypothermia. In this case, even small in volume motion is already difficult
- At the end of the attack, the pain stabilizes and appears only with certain movements.
For the detection of symptoms of arthrosis of the second degree, you can pass a simple test:
Try tying an apron on the back or combing it. If this is difficult to do because of the pain, this may be a sign of arthrosis.
- Another symptom is a crunch in the shoulder joint when the arms are lifted upwards or the shoulders rotate.
The crunch is caused by a lack of synovial fluid, and a reduction in the joint gap, which causes friction of the dry cartilaginous surfaces from each other.
Presence of a crunch happens at many illnesses and consequently to use this symptom as the basic it is not necessary.
- When pressing in the shoulder area at the junction of the lower edge of the clavicle with the acromion of the scapula, pain arises:
Arthrosis of the shoulder joint causes another disease - arthrosis of the subacromial joint, with which the shoulder blade is attached to the shoulder. That is why the humeroscapular region is a single block in many diseases, and not always the shoulder, but also the shoulder
- always hurts. The third stage is
- . With advanced arthrosis of the third stage, the periods of remission are shorter, and the pain can already be present both at rest and during night rest,which makes the life of the patient unbearable
- Visually visible deformations in the form of a bone protrusion at the junction of the shoulder and shoulder blades
- Hand movements are sharply limited:
it is impossible neither to raise your arm above your head nor to lead it to the side of siltOsteoarthritis ago
in real life but the beginning of arthrosis in reality rarely leads to such effects and symptoms. We can live for many years and do not even guess about arthrosis, although the shoulder can occasionally hurt and the crunch is constantly heard.
With this prevalence of arthrosis( about 70% - among those who are more than 60 years old) there are actually few patients who have such a degree of immobilization of the shoulder girdle. Much more disabled people are responsible for the lumbosacral hernia.
This fact says only one thing:
Osteoarthritis is a not fully studied disease .
And today not all doctors can answer the questions:
- Why after an exacerbation the disease can be preserved for a long time( sometimes for life) in the second stage?
- Why is the disease that reaches the third stage often affects more than one large joint, but practically everything?
Common thoughts about the nature of arthrosis are given in the video below:
Joints are a powerful adapted, compensated structure, given to us by nature. Therefore, in the course of even the most unpleasant degenerative processes, it is able to adapt, so we continue to move
- For the manifestation of arthrosis, the inclusion of in the pathobiomechanical chain
is necessary. And what can include such a chain - you will learn about this from the video.
Despite the fact that this video does not deal directly with shoulder arthrosis, this scientific view can be summed up and under it.
Doctor's advice: Treatment of arthrosis of joints
How to treat arthrosis of the shoulder joint
It is necessary to begin treatment as early as possible, since the nature of the disease is hidden inside, and often this is a deficiency of important bone-cartilage elements
The main methods of treatment are preventive, conservative, surgical, exercise therapy and folk
The main methods of treatment:
- Conservative and surgical treatment
- Folk medicine
Methods of prevention of of this pathology in the presence of hereditary predisposition, trauma and inflammation are:
- reception of chondroprotectorson the basis of chondroitin
- eating collagen-containing products( jelly, sea fish, crab, shrimp, turkey meat)
Conservative treatment methods
Joints are usually treated when it is very sore, and the first priority is to moderate this pain.
Spectrum analgesic methods for the treatment of osteoarthritis is very large:
- nonsteroidal means, in the form of injections, ointments and gels based on:
- wires blockade joint
- Laser and shock wave therapy
- Radiofrequency anesthesia
- Using muscle relaxants ( midolkoma or sirdaluda ) for the removal of muscle spasm
- Massage and manual therapy
The reception of chondroprotectors is also very important and in the treatmentgoals.
If the conservative treatment lasts a long time, but the effect is not there, the patient can be offered to treat arthrosis surgically:
This is a replacement of the affected joint by artificial( endoprosthetics)
However, this is an extreme measure, which is rarely used. The functional importance of the shoulder joint is high, but still less than that of the hip and knee, without which it is impossible to move normally.
This is the image of the endoprosthesis of the shoulder joint
Therapeutic physical training
Therapeutic physical training is the main way to keep the shoulder joint functioning
To treat arthrosis with special exercises:
- They should be dosed without unnecessary loads
- Therapeutic exercises are for stretching the joints
- Perform them smoothly,without jerks and sudden movements
Video: LFK for shoulder joints
You can treat arthrosis and folk methods.
Traditional medicine( recipes)
- Propolis ointment:
In 50 g of pork fat add 3 g of propolis - rub into the joint after exercise LFK
- Tincture for internal reception:
- crust bark - three st.l
- peppermint - three tsp.
- parsley seeds - two tsp.
- dandelion root - two tsp.
A mixture of herbs pour one liter of boiling water and put on the infusion overnight. Take two tablespoons each.l.before breakfast
- Tinctures from saber, corn stigmas, etc. Help.
- Wrap hay wrap:
Wrap your shoulder with a cloth soaked in a decoction of
Treatment of arthrosis of the shoulder joint needs to be conducted by combining a full range of preventive, conservative medical and folk methods. Restoration of its efficiency is a long and time-consuming process, which must include therapeutic exercise and proper nutrition.
It is also possible to take supplements containing vitamins and collagen in one composition.
But using dietary supplements, it is necessary to remember:
- They have both indications and contraindications
- These are quite expensive drugs produced by marketing campaigns
- Among products of this kind there are many fakes of
Video: Treatment of joints by folk methods
How to cure arthrosis of the shoulder?
Joint pain is common to many people. The reasons that cause such a painful condition are very many. This can be both the most common everyday bad habits, and serious diseases. Arthrosis of the shoulder is often accompanied by pain syndrome and can appear in patients of any age. Osteoarthritis is a lesion of the articular apparatus and bones that are located next to it. The disease can be in both acute and chronic forms. Depending on what form of the disease you have, this will be the treatment. It is much more difficult to cope with the disease that is started. Therefore, at the first sign of the development of arthrosis, you should immediately consult a doctor for help.
Causes of the disease
Arthrosis of the shoulder joint is a disease that is accompanied by deformation of the articular cartilage, cartilage and adherent bone tissue. Such a disease is able to progress constantly due to the fact that its initial form very quickly flows into a chronic one. Symptoms of the disease can appear absolutely suddenly. Usually, osteoarthritis occurs after a strong physical exertion, as a consequence of prolonged monotonous training or hypothermia.
In most people, arthrosis can be triggered by internal inflammation in the joint bag. The cause of this process can be a severe injury or infection introduced into the body. When the inflammation in the shoulder begins to progress, then there is a violation of the cartilaginous tissue. It does not receive enough of the necessary enzymes, is depleted and begins to deteriorate. After the destruction of the cartilage begins, osteophytes form around the affected area. They begin to affect the joint, provoking the development of the inflammatory process and the destruction of tissue. Subsequently, the bone tissue is deformed and completely blocks the joint work.
Damage to the scapula as a result of trauma can lead to internal swelling and accumulation of purulent fluid in the joint bag. Such a trauma is dangerous because the liquid can spread not only directly in the source of the disease, but also beyond its limits. Osteoarthritis, provoked by such a cause, may not manifest itself for some time or manifest very poorly. This is why many patients initially do not respond to a painful symptom and do not consult a doctor.
Signs of brachial arthrosis
The disease manifests itself extremely slowly, and it can be difficult to notice in the early stages of development. That is why any symptoms of scapular inflammation should be paid attention and in case of doubt, consult a doctor. The main symptom of the disease is a prolonged aching pain. She usually appears in the morning and passes during the day. Painful sensations in case of arthrosis can occur with a drop in weather and temperatures.
Any, even insignificant physical load can provoke the manifestation of severe spasms. If the patient has osteoarthritis of the shoulder, then during palpation, he will experience pain. Over time, when the disease begins to progress, a similar symptom becomes more pronounced and appears even when the human body is at rest. At the same time, the painful sensations can cover not only the humeral spine, but also the entire human arm.
A patient who suffers from arthrosis will lose the ability to move normally. Osteoarthritis of the shoulder, which is accompanied by severe pain, does not allow a person to normally perform even the simplest movements. When diagnosing patients are asked to perform simple manipulations by hand. If a person can not comb the hair or touch the tip of the nose, then it can have arthrosis of the shoulder. If the treatment has not been initiated after the diagnosis, it can lead to the development of contracture and lead to complete immobilization of the shoulder joint.
Strange sounds in the joint during movement may indicate that the patient has arthrosis of the shoulder. If squeaking or crunching is heard during manipulation in the joint, this indicates the deposition of salts in the joint bag and the formation of osteophytes. Over time, the crunch will be replaced by specific clicks that will be heard with any slight movement of the shoulder.
Swelling and swelling of the affected area of the body indicates the development of inflammation in the joint. The skin in the injured area becomes hot and taut. After some time, the skin stretches even more and starts to become dense, and then hardens. Such a symptom can be triggered by the neglect of the disease and the formation of bone growths.
Symptoms of the degree of development of the disease
In case of osteoarthritis of the first degree arm, the disease is usually accompanied by pain only in the morning and in the evening. Before anything can be done to a person, one has to develop a shoulder joint for a long time. Any careless movement is accompanied by a crunch in the shoulder. If the patient's hand is at rest, then no symptoms of the disease are observed. With arthrosis of the shoulder at the 2 stages of development, the disease manifests itself through severe pain and a distinct creak in the joint. It is very difficult to move a person's hand, but the joint joint mobility is still completely preserved. Deformation of the articular cartilage and its destruction are noted. The cartilage at this stage is not yet injured.
Osteoarthritis of the 3rd degree is considered a neglected form of the disease. The patient's movements are almost completely chained. Any manipulation of the hand is very painful and almost impossible. The muscles around the joint begin to atrophy. Cure osteoarthritis of the shoulder at this stage can only be by surgery. Progression of the disease before this stage is possible in rare cases in patients who re-injured the affected joint.
In case of osteoarthritis of the 4th degree arm there is a complete deformation of the joint box, destruction of the cartilaginous and bone tissue. All the muscles around the affected area are atrophied, and painful sensations can not be removed with the help of pain medication. There is such a degree of disease only in the elderly.
disease Osteoarthritis can be treated in various ways. First of all, the attending physician prescribes to the patient medication with special medications that are aimed at removing the pain syndrome, eliminating edema and inflammation, neutralizing the destructive process and repairing the destroyed tissues. Most often, these are nonsteroidal anti-inflammatory drugs.
In the case of osteoarthritis of the shoulder, the physician may prescribe a corticosteroid for the patient. These are medicines that are aimed at blocking the inflamed joint from the destructive effects of inflammation. The procedure is a special injection, which is injected directly into the joint bag. With this treatment, the skin and mucosa are not affected. As auxiliary methods, ointments and gels are used in this case.
In addition to the usual medical treatment, the doctor can prescribe to the patient with osteoarthrosis of the shoulder the exercises of therapeutic gymnastics, sanatorium treatment, physiotherapy and a special massage course. As additional methods against shoulder osteoarthrosis, mud therapy, ultrasound and laser therapy, magnetotherapy can be used. It is quite popular with osteoarthritis of the shoulder treated with leeches. In the event that none of the possible methods of treatment does not help, the doctor can prescribe an operation to the patient.
Treatment with folk methods
For osteoarthritis of the shoulder, compresses from oat flakes help well. Take 40 g of the ingredient, pour ½ liter of water and boil for 12 minutes. When the mass is ready, apply it to a piece of cloth and attach it to the damaged portion of the shoulder. Leave the compress for 1 hour. After that, you can make a lotion from the juice of cabbage. Lubricate 3 leaves of cabbage with a thin layer of honey and attach to the inflamed joint. Wrap the wrap with food film and warm it well. Leave the medication overnight.
In order to cure shoulder arthritis, it is necessary to rub the sore spot daily with special tinctures. In order to prepare the medicine, take 70 g of the roots of elecampane and pour 150 ml of vodka or alcohol. Allow the medication to stand for 14 days in a warm, dry place. Finish with a mixture of painful joints. To make another tincture, take 20 g of angelica roots and fill them with 500 ml of hot boiled water. Let the broth brew for 30 minutes. After this, strain the medicine and wipe the injured joints every day. Before such a procedure, take a bath with the addition of 10 g of powdered mustard or 30 g of mint. This will help restore blood circulation and relax the pinched muscles.
What is it?↑
Arthrosis of the shoulder joint is a disease caused by dystrophic changes in the cartilaginous, as well as adjacent bone tissue of the shoulder joint.
As a rule, it has an actively progressive chronic course, during which there is an increasing thinning of cartilage, exposure of adjacent bones and the formation of bone growths.
Such complications can eventually block the joint completely and make it immobile, which necessarily entails a disruption of the functions of the limb.
Therefore, at the first sign of a disease, without waiting for the development of irreversible changes, you should consult a doctor and start treatment.
The disease is quite common. The treatment is long, but with proper administration and timely start it is possible to count on a positive result.
The main causes of the onset ↑
The immediate cause of the development of the disease is a deterioration in the supply of cartilage tissue in this joint.
then it can be influenced by the following factors:
- the impact of injuries and physical exertion;
- negative impact of infections;
- age changes;
- unbalanced power;
- metabolic disorders;
- concomitant joint disease;
The shoulder joint, along with the elbow joint, is one of the most mobile in the human body.
The reverse side of this valuable feature is its increased injuries.
Therefore, among all causes of the disease in the first place are injuries, and posttraumatic arthrosis of the shoulder joint is the most common form of the disease.
It can cause even a small, but constantly recurring for several months or years, trauma.
The most common type of injuries leading to arthrosis are dislocations.How to get rid of ankle arthrosis? The answer you will find in our article about the treatment of ankle arthrosis.
Why does the left side hurt under the ribs? Find out here.
Risk Factors ↑
People of older age groups, mostly men, are most often ill.
If among 55-year-olds the share of those suffering from this disease is 10%, then among 65-year-olds she already makes 70%, which is connected with physiological deterioration of cartilage tissue supply in old age.
Among the diseased, a significant part is also the patients, which for a long time exposes the shoulder to excessive loads: they are usually people who are engaged in heavy physical labor builders, plasterers, loaders, and also athletes.
Therefore, the most common arthrosis of the right shoulder joint.
An unconditional risk factor is the presence in the field of any other diseases, for example, arthritis.
But more often arthrosis is caused by a combination of several causes under the influence of the listed provocative moments.
Symptoms and signs ↑
Disease, having begun gradually, slowly developing and showing only insignificant signs, can suddenly and sharply declare itself after heavy physical work or hypothermia.
is due to the fact that there are no nerve endings and blood vessels in the cartilaginous tissue and its manifestations arise when the pathological process has already left the joint.
In this case, the patient feels the following symptoms:
- pain in the shoulder, which is strengthened by the movements of the hand to the side and back, which is a mandatory sign of the disease;
- painful sensations when palpation of the lower edge of the clavicle or scapula;
- swelling and redness of the joint;
- temperature increase;
- crunching in the joint with his movements;
- limitation of joint mobility.
Sometimes there is an atypical localization of pain, it can hurt, for example, not the shoulder, but the elbow or arm.
Therefore, it is so important for the patient to undergo a full timely examination.
Degree of development of the disease ↑
Several stages are distinguished in the development of the disease. The set of symptoms is not significantly dependent on them, but their degree of severity differs significantly.
The first stage of
is the onset of the disease.
It is characterized by fatigue, minor pain in the shoulder during movements, slight limitations of mobility with the removal of hands.
In this case, the so-called "ring symptom" is observed on X-ray images, when the image of the articular cavity takes the form of an oval ring.
that period of the disease can last from several months to several years.
The second stage of
is characterized by increased pain sensations during movements, as well as by their appearance at rest.
In the joints there is a crunch, the movements become even more limited, and the most difficult is to take the hand back.
The images show a narrowing of the joint gap, a thickening of the articular surfaces, as well as the appearance of osteophytes.
Provides complete wear of the cartilage, permanent pain, even more stiffness when moving the joint.
The raising and retracting of the arm back is completely impossible.
The patient's body shows well-marked bony projections. The patient has to hold his hand in a forced position, which is the least painful for him.
From the available movements, only the swinging back and forth remains.
Treatment of this condition can only be prompt, otherwise the patient faces disability.Do you suffer from spurs on your heels? On our site you can find out what to treat spurs on the heels.
Than to treat an epicondylitis of an elbow joint? See here.
What is synovitis of the knee joint? You will find the answer in this article.
Diagnostic methods ↑
To diagnose, determine the form and stage of the disease, a number of necessary studies are assigned based on the patient's complaints.
Among them, laboratory and biochemical blood tests are mandatory, which confirm the presence of the inflammatory process and in some cases establish its nature, for example, rheumatism.
An important and necessary type of research is X-ray, which allows to detect joint deformation at the earliest stages of the disease.
Magnetic resonance imaging is used to obtain more accurate images.
Often a doctor in the form of a test to diagnose a disease, suggest the patient to tie an apron from behind.
then allows you to determine the degree of pain when you move your hands back.
It is then proposed to perform combing of the back of the head, which demonstrates the degree of pain and joint mobility when the hand moves around the back of the head. If these movements do not cause pain in the patient, then they are caused by other reasons.
How and what to treat?↑
For arthrosis of the shoulder joint, conservative treatment is used in the first two stages, and only in the absence of a result, surgical intervention is performed.
Such conservative methods include:
- drug therapy;
- treatment by folk methods;
- sanatorium treatment;
- curative gymnastics;
- the appropriate diet.
Before treatment, it is important to ensure patient's rest, which is much easier to perform if there is arthrosis of the left shoulder joint.
The most effective is the treatment of the initial stages of the disease, when there is no scarring, and the tissue has not yet lost the ability to regenerate.
But usually with this discomfort is still insignificant, painful feelings allow themselves to be tolerated and to the doctor, patients are treated most often with delay.
Photo: orthosis for immobilization of the shoulder joint
Patient will also need a gentle mode in the future.
It is in those patients who continue to load the shoulder girdle after treatment, the development of the disease in the early stages can not be stopped.
Therefore, it reaches the last degree, when it is impossible to do without an operation.
Drug therapy is an integral part of the treatment of all types of arthrosis.
To achieve the effect, medications are prescribed in a variety of forms:
- intramuscular, intravenous and intraarticular injections;
- for internal use-tablets and capsules;
- products for external use-ointments, gels, compressive liquids.
Drug treatment begins with the arrest of pain syndrome and the removal of acute inflammatory phenomena that accompany arthrosis, and then proceed to the immediate restoration of cartilaginous tissue.
For these purposes, medicines of the following groups are prescribed:
- non-steroidal anti-inflammatory drugs;
Among the non-steroidal anti-inflammatory drugs, the most commonly used drugs are diclofenac, nimesulide, aceclofenac.
They are used either orally or in the form of injections.
They well relieve pain, quickly eliminate inflammation. But they are appointed for a number of reasons only by small courses.
The immediate cause of the disease, i.e., the destruction of the cartilaginous tissue, is eliminated with the help of drugs from the group of chondroprotectors.
These include the following active substances:
- hyaluronic acid;
- chondroitin sulfate.
In different combinations and proportions they are included in medicines Artra, Don, Structum.
They improve and accelerate the processes of restoration of cartilaginous tissue, being for them a valuable building material.
But the effect they have only in the first two stages of the disease. Treatment with chondroprotectors is long and costly.
The first results appear only after 3 months from the beginning of the reception. The total duration of treatment is about a year.
It is popular among patients with external treatment.
They quickly quench the pain, relieve the inflammatory process. At the same time, the gastrointestinal tract is avoided and not adversely affected.
The most effective:
- voltaren, containing diclofenac sodium;
- is a fast-gel, the active ingredient of which is ketoprofen;
- indomethacin ointment, based on a non-steroidal anti-inflammatory agent indomethacin;
- Cream Dolgite with active ingredient ibuprofen.
Contraindications to them are the same as for the means of internal use containing the same active substances, first of all, it is peptic ulcer of the stomach in the stage of exacerbation.
In severe inflammatory conditions, the fight against them is continued with a procedure called intraarticular blockade.
Its essence consists in the introduction by injection directly into the joint cavity of hormonal preparations such as kenalog, hydrocortisone, etc.
These drugs have a strong anti-inflammatory effect, but they have many side effects on the body that can be avoided in the local application.
In those cases when the drugs proved to be impotent, a radical treatment of arthrosis is carried out.
It consists in replacing the shoulder joint, as well as the adjacent blade joint, with a metal, plastic or ceramic prosthesis, whose service life is 15-20 years.
When the disease is started and no longer succumb to any other treatment, this is the most effective method of solving the problem.
The first surgery for shoulder joint prosthesis was carried out more recently in 2009.
Fortunately, the need for them does not arise as often as with leg joint diseases.
There are often contraindications to surgery, among which the most common is old age.
Treatment at home
In consultation with the doctor in charge, people's treatment is allowed.
It is especially effective in combination with medicinal methods.
The following recipes have proved to be the most successful:
- a bead of propolis weighing about 3 grams grind and mix with 50% pork fat. Apply the ointment to the sore spot.
- for the night perform shoulder wraps with a canvas soaked in a hot decoction of hay.
- take medicinal baths with infusions of leaves of burdock, heather, mustard, Ledum, nettle. To do this, take a third of the volume of herbs taken in the mixture or separately. About half an hour they are boiled, as much time is insisted, then poured into a bath, the temperature of which should be 40 degrees. Duration of the procedure is 20 minutes.
- make overnight compresses of oatmeal. For their preparation 30 g of flakes pour 400 ml of boiling water and cook for 10 minutes. Allow to cool slightly, then put the resulting slurry on a napkin and apply in a warm form to the sore spot for 30-40 minutes.
Exercise and Exercise
After the end of drug therapy, when pain and inflammation disappear, the question is how to resume the normal volume of movements in the shoulder?
Physiotherapy comes to the rescue.
Specially selected exercises of exercise therapy can be performed at home, starting from 5 minutes a day and gradually increasing the duration of training to 20 minutes.
is an indispensable element of therapy for this disease.
The simplest and most effective exercises are as follows:
- Hand swing .To do this, sit on a chair, dangling and relax your hand. Without bending at the elbow to perform her movements back and forth. Repeat 10 times with each hand.
- Lifting and lowering the shoulder .Sit on a chair, then simultaneously, then alternately lower and raise your shoulders. Repeat 10 times.
- Shoulder rotation .Alternately or simultaneously rotate the shoulders back and forth. Repeat 10 times.
Video: gymnastics for the shoulder joint
Massage is a very useful therapeutic procedure for all types of arthrosis, including the shoulder joint.
It helps to restore the necessary volume of movements, promotes resorption of muscular densities, improves nutrition of cartilaginous tissue.
But its carrying out becomes possible only after subsiding of acute inflammatory phenomena when the pain syndrome passes or at least considerably decreases.
If the procedure is performed correctly, not only the injured shoulder is massaged, but also the collar zone on both sides.
When you massage, you should not disregard the neck, because there may be reflex changes, and after going to the side of the lesion, you must also massage the forearm, as the mobility of the shoulder increases, the load on the elbow joint increases.
Nutrition and diet
A diet for arthrosis should be aimed at eliminating the factors leading to a metabolic disorder.
Normal starvation brings such patients instead of good only harm, because it severely limits the intake of microelements necessary for the joints.
Food should be balanced in such a way that without harm to other organs and systems, increase the intake of substances useful for cartilage tissue in the body and minimize the inflow of harmful substances.
Suffering arthrosis is necessary:
- To fight excess weight. Limit sweet, flour and fatty foods. Reduce the intake of salt. Reduce the amount of consumed portions.
- Replace animal fats with vegetable and milk.
- It is compulsory to introduce in the diet dishes that have a high content of collagen - jellies, chillies, strong bone broths.
- Increase the consumption of milk dishes, which are the source of calcium necessary for bone tissue.
- Increase the intake of fresh vegetables and fruits that supply vitamins and trace elements.
Which doctor heals?
Patients who have experienced this problem for the first time often do not know which physician to treat it.
With the arthrosis of the initial stages, the therapist is doing quite well.
The therapist will conduct the necessary examination, prescribe the required consultations and treatment, which will be predominantly medicated with the use of physiotherapy and massage.
If a specific nature of the disease, for example its rheumatic character, is detected, the patient should be observed in a narrower specialist, in this case a rheumatologist.
In case of neglected cases, when there is a violation of the joint structure and can not do without surgical intervention, the patient should be treated by an orthopedic trauma specialist.
Physiotherapy in the absence of contraindications is widely used to treat arthrosis in conjunction with other activities.
Physiotherapy helps strengthen the effect of medications, reduce their dosage, avoid side effects.
It can be prescribed from the first days of illness and combined with drug therapy.
The main physiotherapeutic methods used in the treatment of arthrosis are:
- laser therapy;
Under their influence, inflammatory reactions decrease, regeneration processes are improved, vascular tone, blood flow and lymph flow are normalized.
As a result, metabolic processes improve, and more nutrients enter the joint, which makes it more resilient.
But there are a number of contraindications to this type of treatment in general and to each of its form individually, so it should be appointed by a physiotherapist taking into account all the pros and cons.Do you feel pain between your shoulder blades? Find out why the back is hurting between the shoulder blades, from our article.
What if I have a low backache? Read here.
that disease is not for nothing known in the people as "illness of loaders and weightlifters", from which it is easy to conclude that it is the lifting of weights and heavy physical labor that provoke its development.
Therefore, prevention is reduced to the most gentle relation to the shoulder joints.
Those who carry out heavy work professionally, must take all precautions and safety precautions.
It's no accident that even the army provides postponement to young men suffering from arthrosis.
So, the prevention of arthrosis is the following recommendations:
- If an ordinary untrained person needs something heavy to move or move, you need to spare no time and pre-stretch the joint.
- If after a long period of low physical activity, a large amount of physical work has appeared, it should be dosed and measured, choosing the right pace and resting in a timely manner.
- In case of shoulder injuries, it is necessary to consult a doctor on time and be treated.
- If you have already been treated for arthrosis, after treatment avoid large loads on the affected joint, but do not stop work and do not allow complete rejection of movements.
Marina, 48 years old:Several years suffered from chronic arthrosis of the shoulder joint. On the advice of her friend, she took advantage of Dr. Bubnovsky's advice that with this disease you need to consume as much gooseberries as possible. I cooked the berries in a frozen form and made it regular - all year round cooked jelly and compotes, added to cottage cheese, grinded with sugar. As a result, acute pains receded, but the joint continued to whine periodically. Next summer I prepared more gooseberries and continued to use them. As a result, there was no trace of arthrosis.
Vladimir, 45 years old:In the past I am the champion of Ukraine in freestyle wrestling. Sports loads do not pass without a trace - earned 2 fractures of the humerus( 10 years ago).Fractures were treated conservatively. Currently, the doctor diagnosed arthrosis of the shoulder joint. Drug treatment with nonsteroidal drugs and intra-articular injections of pain syndrome could not be removed. Therefore, I now have only surgical treatment for me. Read also
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 several stages, and in the end leads to deformation and disruption of the normal function of the hand. The shoulder joint is the most mobile in the human body, and its disease leads to many complications.
The main causes of development of arthrosis of the shoulder joint are 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 rupture and stretching. In this case, there is a violation of blood circulation in the tissues of the joint and a decrease in muscle tone. Treatment of such a process should be carried out immediately, as soon as X-ray images show changes in cartilage tissues. Sometimes posttraumatic arthrosis can develop asymptomatically, but when bone growths are found and the joint becomes immobile, pain begins to be felt. Over time, pain intensifies, so it is very important to begin treatment as quickly as possible.
Post-traumatic arthrosis of the shoulder joint, the treatment of which should be complex. First, you need to ensure full protection of the joint from overvoltage and stress. A frequent complication of posttraumatic arthrosis is neuralgia. Therefore, without the help of a neurologist, you can not do without, and necessarily take the drugs prescribed to them. To restore normal blood circulation, you can apply electromagnetic therapy, which is based on the action of electromagnetic waves. They help the joint to improve mobility.
The main goal of the treatment is to remove the inflammation and restore the former joint mobility
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.
Drug medications that are 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
The folk cure for arthrosis of the shoulder joint is the use of healing baths that 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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Osteoarthritis of the shoulder joint |All about joints
Arthrosis of the shoulder joint
Diseases of the musculoskeletal system, namely the joints, are increasingly found in the practice of medical specialists. To date, there is a tendency to rejuvenate these diseases, among which cases of arthrosis have become more frequent. Arthrosis is a chronic disease, accompanied by degeneration and wear of cartilaginous tissue with progressive progression. At the same time the cartilaginous tissue is modified, turning into a bone tissue with countless bone processes that interfere with the natural motor functions of the joint.
Arthrosis of the shoulder joint is one of the forms of arthrosis, in which the shoulder joint is affected.
The main reason provoking the development of arthrosis, which was established by physicians to date, is a change in metabolism with a violation of the supply of cartilaginous and elastic joint tissues.
Arthrosis, affecting the shoulder joint, is increasingly statistically encountered, as it suffers excessive loads on the shoulder area, can be traumatized( provoking posttraumatic arthrosis of the shoulder joint), unwanted age-related changes in tissues, infections, which leads to the disease. In addition, the cartilaginous tissue itself does not have a vascular network that feeds tissues, so if a metabolic abnormality occurs in the body, arthrosis of the shoulder joint may occur.
Most often affects this disease at the age of 55 to 64 years. The case is explained in the slowing down of metabolism, as well as in the decrease in the rate of regeneration of the cartilaginous and elastic tissue in the joint. As a result of constant motor activity of the hand, tissues begin to atrophy and degenerate, being replaced by bone marrow with processes. The disease of arthrosis of the shoulder joint requires timely diagnosis, because the symptoms make themselves felt in the form of painful sensations, stiffness in the shoulder and a crunch - the main thing is not to ignore these changes. The timely provision of therapy can slow the progress of the disease, help to achieve remission and preserve the functions of the shoulder joint for a long time. Otherwise, the disease is fraught with a multitude of consequences: rapid fatigue of the hand, decreased motor abilities of the joint, deformity and even disability with disability.
Arthrosis of the shoulder joint causes
Age - one of the causes of arthrosis
When talking about the causes that provoked the disease, it is necessary to take into account the form of arthrosis, because the deforming arthrosis of the shoulder joint and, for example, the posttraumatic can be caused by different factors. However, in general, experts identify several factors that can cause this serious ailment. The main ones are:
- Age. As it was said above, the elderly are most often affected by the disease. The reason is that the cartilaginous tissues do not get enough nutrition, they also lose the natural level of renewal, besides this the natural wear of the cartilage affects, which leads to the disease. Arthrosis of the shoulder joint treatment: medicines and physiotherapy are the main methods of therapy for the elderly, but the rejection of therapeutic physical exercises is highly undesirable even at this age.
- Injuries. The biggest category of risk is for athletes involved in sports that require shoulder joint activity, for example, hockey players, tennis players, golfers, and boxers, etc. Such causes provoke posttraumatic arthrosis. Post-traumatic arthrosis of the shoulder joint treatment requires a comprehensive, with an active method of chondroprotectors - restorers of cartilaginous tissue, and also with compliance with the regime of moderate loads.
- Hereditary predisposition.
Statistically proven that the disease is more susceptible to people in whose family history has already met the disease.
- Congenital anomalies in the shoulder joint. Such violations can lead to the initial atrophy of articular cartilage. According to statistics, such anomalies increase the risk of arthrosis on average 8-fold.
- Overweight and obesity. Excess weight increases the load on the joint, which leads the cartilage tissue to a more rapid wear, so it is important to observe nutrition for arthrosis of the shoulder joint.
- Various endocrine diseases and disorders in the thyroid gland. May cause the onset of diabetes mellitus, as well as metabolic disorders. Diabetes mellitus is a disease that very often develops diseases of the musculoskeletal system, not only arthrosis, but it can also provoke gout, arthritis, synovitis and many others. Since it breaks the natural diet in the soft tissues of the joint, developing inflammatory processes in them.
- Intensive and prolonged load on the joint. It occurs among workers on the conveyor belt, loaders, etc., since the joint is always active and loaded, the cartilage tissues experience friction from the bones, resulting in a rapid wear of them.
Arthrosis of the shoulder joint symptoms
Symptoms of arthrosis of the shoulder joint appear gradually, can have a latent character or appear slightly, as the cartilage tissue is destroyed slowly, having a chronic character. The severity of a symptomatic picture largely depends on the stage at which the disease is at the moment, so it is important not to ignore any negative changes associated with the shoulder, promptly turning to the physicians for help.
Minor signs of changes are also due to the lack of nerve tissue and blood vessels in the cartilage, which would be able to give severe acute pain. The main sign of the onset of the disease is pain, at first not too pronounced, as well as a feeling of discomfort, which eventually grows stronger and becomes stiff. Symptoms of arthrosis of the shoulder joint should be considered depending on the stages of the disease, which are now singled out by three:
- Osteoarthritis of the first degree of the shoulder joint. The patient can feel a moderate pain that occurs after the load on the joint, and at rest or after rest the pain symptoms disappear. You can also feel stiffness in the shoulder, especially in the morning hours after sleep, which passes as the motor activity. The main symptom that makes it possible to distinguish arthrosis from arthritis, regardless of which joint was affected is morning stiffness and a decrease in the angle of flexion and extension.
- Osteoarthritis of the shoulder joint of 2nd degree. The pain picture is more pronounced, the pain no longer passes after rest and often worries the patient at rest. There is a strong stiffness in the joint, but the crunch during movement is not observed. At this stage arthritis can occur arthrosis of the shoulder joint, caused by abnormalities in the tissues with subsequent inflammation of the joint, which further aggravates the situation. However, at this stage there are still no visible anatomical changes in the shoulder joint. Therefore, the treatment is prescribed conservative, and not radical: exercise, medication with ointments, intensive course of physiotherapy procedures.
- Osteoarthritis of the 3rd degree of the shoulder joint. The most complex form that does not lend itself to conservative therapy and often requires radical treatment in the form of surgical intervention. Painful sensations at this stage are strong, lumbago can occur, often there is a "pain on the weather," awakening at night. Movement is characterized by crunch due to overgrown osteophytes. The shoulder is deformed. Deforming arthrosis of the shoulder joint treatment involves using surgery to avoid disability. Anatomically, the joint is narrowing the lumen of the joint gap, as well as the growth of osteophytes - bone processes, almost complete degeneration of the cartilage. Surgery also makes it possible to avoid disability due to endoprosthetics. In this case, the deformed joint is replaced by a special prosthesis, which serve for decades.
MRI of the shoulder joint
If a crunch is heard in the shoulder joint, pains are noted, stiffness, fatigue of the joint after exercise is observed - this is a serious reason to call a doctor for immediate diagnosis. Diagnosis and recognition of this ailment is a rather complicated process, since arthrosis often has a symptomatic picture similar to other joint diseases, for example, with psoriatic, rheumatoid or reactive arthritis, as well as synovitis, bursitis, gout, etc.
Therefore, before you prescribe a cure for arthrosis of the shoulder joint, examine the patient's blood test. With arthrosis, the blood increases antibodies that fight with inflammation, which may serve as a reason for suspicion of arthrosis. Also the patient is referred for radiography. Arthrosis of the shoulder joint photo with radiography can show depletion of the cartilaginous tissue and bone growths. Ultrasound and MRI are also effective, which are able to show the condition of both bone, cartilage and ligamentous tissues in order to more accurately establish the stage of the disease and its type.
In most cases, it is necessary to resort to ultrasound and MRI, as they give a more complete picture of all the components of the joint and their tissues, and also identify the presence of concomitant ailments of the shoulder joint, for example, rheumatoid arthritis or gout, which often accompany arthrosis.
Arthrosis of the shoulder joint treatment
When the diagnosis of "arthrosis in the shoulder joint", the patient immediately begins to worry about the question of how to cure arthrosis of the shoulder joint. Therapy will depend on the type of disease, and also on the stage at which it is located. However, there are basic principles of treatment that can slow the course of the disease.
Arthrosis of the shoulder joint treatment requires a comprehensive using all the known conservative ways to fight the disease. For the late stage, radical therapy is prescribed - surgical intervention with surgery.
Also for therapy, prolongation( duration) and systemic character are characteristic. Treatment is also predominantly performed on an outpatient basis with the use of medications.
Methods of treatment of shoulder arthrosis
The drug treatment of shoulder arthrosis is aimed at the removal of the pain syndrome, as well as active restoration of the cartilaginous tissue. Therefore, primarily non-steroidal anti-inflammatory drugs are prescribed that fight against inflammation of the tissue, slow down the destruction of cartilage and inflammation of the joint synovial bag. They are effective for reducing pain. Among such medications you can name meloxicam, aerated, ketanov, nimesil, nimesulide, etc. Arthrosis of the shoulder joint treatment of medicines with chondroprotectors is a way to slow down the destruction of cartilage, accelerate its regeneration. These drugs help to eliminate not the symptoms, but the cause of the development of the disease. Among them: chondroitin sulfate, rumalone and structum. In the event that arthrosis is in the third stage with severe pain symptoms, the patient is prescribed injections with arthrosis of the shoulder joint for emergency relief of pain and muscle spasms. The basis for such injections is novocaine.
It is not uncommon for therapists to recommend the use of special intra-articular injections. They also try to eliminate the cause of the disease directly( cartilage wear and inflammation in the joint).Such injections include dexamethasone, corticosteroids, hydrocortisone and the like.
Mud applications for arthrosis
As a local treatment, anti-inflammatory and warming ointments are often prescribed, for example, fastum gel, diclofenac, voltaren gel, etc. It is important to remember that ointment with arthrosis of the shoulder joint is able to absorb the skin only to a small extent - 5-7% is absorbed by the skin, so ointments serve as ancillary methods in the fight for the suspension of the disease. Therefore, the methods of treating arthrosis of the shoulder joint should cover a whole complex of exercises, physiotherapy and diet. Treatment of arthrosis of the shoulder joint medication and ointment is only one component of recovery.
An effective method of fighting arthrosis is a complex of physiotherapeutic treatment. Physiotherapy for arthrosis of the shoulder joint includes: