Effective techniques of knee massage for arthrosis
Properly performed massage with arthrosis of the knee joint can significantly alleviate the unpleasant symptoms of this ailment. The great value of massage was known even in Ancient Greece, China and India. Today it is an excellent addition to the traditional methods of treating knee arthrosis.
Arthrosis of the knee( gonarthrosis) occurs due to premature wear of the cartilage of the knee joint. Massage is not able to repair the cartilage, but it helps to restore the functionality of the joint and bring great benefits in the form:
- pain relief;
- muscle relaxation located near the affected joint;
- eliminating stiffness and restoring knee mobility;
- accelerate the healing process by improving blood circulation;
- leaching of toxic inflammatory substances causing pain and swelling.
Effective Massage Techniques for Knee Arthrosis
Patients with arthrosis of the knee joint are shown the following types of massage therapy:
- Japanese( Shiatsu),
During the massage according to the Shiatsu method, a dosed point physical load is simulated on certain( hard, painful) joint zones. Swedish and Russian techniques are similar in that they are characterized by the use of stroking and rubbing palms, but Swedish massage also includes the movements of the directly affected joint, thereby achieving a more pronounced effect. The Finnish technique is distinguished by the fact that all kneading movements are carried out with the thumbs.
The massage procedures themselves pursue the following goals:
- relieve tension;
- stretch muscles, ligaments and neurovascular connections;
- pound the seals in the tissues, remove the deposits from the joint;
- release muscles from venous blood;
- stimulate blood flow and lymph flow;
- improve the motor function of the knee.
For this use rubbing, kneading, squeezing, stroking, etc.
Classical massage scheme for gonarthrosis
Important: Massage should be performed only by a qualified expert and only if the patient has no contraindications to this procedure.
To the surprise of many patients, a massage session for the treatment of gonarthrosis does not begin with manipulation on the knee. Before the masseur gets to him, other parts of the body must be well prepared. In the classical procedure, the stages of massage for arthrosis of the knee look like this:
massaging the lower part of the spine;
kneading muscles of the thigh of the leg on which the affected joint is located: 3-4 strokes are performed stroking, squeezing( with the palm of your hand or the fist's crest) movements;
shaking and stroking the muscles of the thigh, re-kneading, re-shaking and stroking.
strokes( usually circular) of the knee at the sides;
rubbing several species;
express massage of the thigh;
careful joint movement: flexion and extension;
rotational movements of the shin;
rubbing the knee with your fingertips.
easy stroking of the knee,
During the session, the patient should not experience pain. Especially effective are massage procedures conducted in warm water or during / after a visit to the sauna.
What is the real effectiveness of the massage?
The positive effect of massage on gonarthrosis was demonstrated in a clinical study conducted at Yale University( USA).The study involved 68 adults with this diagnosis. Some patients attended classical Swedish massage twice a week during the first month and once a week during the second month of testing, the remaining participants led a habitual way of life and did not resort to massage procedures.
The results published in May 2006 were as follows: , the participants in the study who underwent a course of manual therapy significantly changed the indicators of soreness, stiffness, functionality, mobility and endurance of the joints. And even after 2 weeks after the end of the course the achieved effect was preserved.
In the second group of participants, all indicators remained unchanged.
In the early stages of the disease, massage can be considered even as an alternative to the medicamental treatment of knee arthrosis. Taking medications can be accompanied by negative consequences for the cardiovascular system, GIT, kidneys and liver. Manual therapy is safe in this respect, and at the same time it has sufficient effectiveness.
Knee joint gonarthrosis of the 2nd degree: characteristic signs of the disease
Under gonarthrosis, also called arthrosis of the knee joint, it means the damage to the cartilage and bony growths appearing along the edge of the joint, as well as xytotic irritation of the joint tissue.
Knee joint gonarthrosis is one of the degenerative-dystrophic joint diseases. This disease has 3 degrees of severity, the most common is gonarthrosis of the knee joint of the 2nd degree, because only at this stage people begin to pay attention to this disease and practice treatment, practically ignoring the first degree.
It should be noted that arthrosis in general is a scourge of modern society, this disease was formerly characteristic only of middle-aged and elderly people. Now, arthrosis is not just young, they just do not have age limits, appearing even among young people as a result of injuries.
The risk group in this disease consists of overweight people, professional athletes and people with varicose veins of the legs experiencing serious physical exertion.
Causes of development of
The main cause of disease occurrence is mechanical factor. There is microtraumatization of articular cartilage, as a result of which begins its degeneration. As a consequence, the load on some parts of the joint surface increases, and further - its destruction. It was also found that with this disease there are changes in metabolism in cartilage tissue. The essence of these changes is a decrease in the saturation of chondroitin sulfate, which is a specific component of cartilage and nowhere else in the body is found.
In general, you can identify such causes of the disease:
- intra-systemic fractures of the bones that form the knee joint;
- arthrosis, which was caused by Paget's disease;
- malignant and benign bone tumors;
- rheumatoid arthritis and ankylosing spondylitis.
Degrees of severity of the disease
When developing gonarthrosis passes several stages of the disease( degrees of severity):
Gonarthrosis 1 degree is the initial stage of the disease, which is often ignored by patients. She periodically has pain( usually after exercise), sometimes the knee swells up, the deformity of the joint is insignificant and invisible.
Gonarthrosis of the knee joint of the second degree is a logical continuation and development of the disease. At this stage, the symptoms intensify, the intensity and duration of pain in the joint increases, and a crunch in the joint and bending difficulties may also appear. Deformation takes a pronounced character.
Gonarthrosis of the third degree is the most severe stage of the disease. It is characterized by pains that occur not only during movement, but also in those moments when the joint is in a state of rest, there is a reaction to changing weather conditions. The gait is greatly disturbed, the mobility of the joint is limited.
Also distinguish primary gonarthrosis( arising initially) and secondary gonarthrosis( occurs against the background of other diseases of the knee joint).
Characteristic signs of gonarthrosis
It is very important to notice the onset of the disease in time. As we have already said, people usually skip the signs of the disease and notice it only when it says "pripeklo."Treatment in this case will be more prolonged and difficult.
In general, the main symptoms of the disease are pain and limitation of mobility in the joint, as well as gait disturbance. Gonarthrosis develops gradually and time passes between the first and second severity severely.
A very characteristic sign of gonarthrosis, which distinguishes this disease from other diseases of the knee joint, is that the pain appears after a state of rest, and then gradually subsides( when a person "diverges").But by the end of the day the pain returns - this is due to the increased load on the affected joint.
Another characteristic feature of this disease is the appearance of osteophytes( marginal bone growths).Soft cartilage tissues constantly rub against osteophytes, which leads to inflammation of the joint membrane - synovitis, which manifests itself with redness, swelling and an increase in local temperature. Also, when you move or feel the joint, you can feel a crunch.
Diagnosis of the disease consists in interviewing the patient's complaints, checking the volume of movement in the joint and examining the joint itself. Naturally, according to such information, only preliminary conclusions are made, and the main ones are instrumental methods of diagnostics. In the case of gonarthrosis, this is primarily the radiography of the joints. Depending on the overall picture of the disease, the stage of the disease is determined. Also recently, in the diagnosis of gonarthrosis, arthroscopy and ultrasound are often used.
Is it possible to treat gonarthrosis at home?
Now complex treatment of arthrosis is applied, in other words - treatment is not limited to only one method. In this case, the treatment of gonarthrosis does not differ from the treatment of other osteoarthrosis of other location. With this disease, it is recommended to limit the load on the joint. But we must not forget that the practice of physiotherapy in this disease is mandatory, since movements in the joint make it possible to preserve its mobility, to provide an improvement in the nutrition of the joint elements. The complex of exercises is formed by the physician of exercise therapy or a methodologist in therapeutic physical culture. The main condition for choosing exercises is the fact, you can not load the knee, but you need to ensure its maximum mobility. That's why most exercises are done sitting or lying down. Also swimming and swimming in the pool will be very useful - water allows you to remove the load from the joint.
Almost always doctors recommend performing self-massage of the leg and thigh muscles, as well as the area of the knee joint. This improves the blood supply of the joint, allows you to maintain your leg muscles in good condition.
In addition, anti-inflammatory drugs and analgesics are prescribed to relieve the pain syndrome. You can also use various analgesic and irritating ointments. Venotonics, vasos-regulating drugs will also be useful - they will improve the blood supply of the joint. And since the main problem is the state of cartilage, chondroprotectors are appointed for a long time, which are intended to improve his condition.
It often happens that people try to use folk remedies for gonarthrosis of the knee joint of the 2 nd degree. Such treatment, in principle, is permissible, but only with the permission and approval of the attending physician, since much of what is printed in newspapers under the guise of "folk remedies" is in fact just a profanation.
Often, conservative methods of therapy are useless or simply do not bring the desired result with a neglected form of the disease.
In such cases, a small surgical intervention( with relative preservation of the motor function of the joint) is possible - arthroscopy. In this case, the joint is washed, the damaged parts of the menisci and cartilage are removed, osteophytes are removed. This operation at low traumatism makes it possible to restore or improve the function of the joint for 2-3 years.
In more serious conditions, more serious operations can be assigned. In the overwhelming majority of cases, they give very good results and make it possible to keep the mobility of the joint for a fairly long time.
But the most common and effective method of advanced form of gonarthrosis, which allows a person to fully return to active life, is knee replacement.
How to treat gonarthrosis of the knee joint
Gonarthrosis of the knee joint, that is, damage to its cartilage, is a chronic disease. While there is no medicine that completely heals. However, knowing how to treat gonarthrosis of the knee joint, it is necessary that when using different methods to slow the progression of the disease and reduce painful symptoms.
Therapeutic treatment of gonarthrosis of the knee joint requires the combination of therapeutic measures in order to solve the following tasks:
- to eliminate pain;
- improved articular cartilage nutrition and accelerated its recovery;
- activation of blood circulation in the affected joint;
- pressure reduction on damaged joint parts;
- strengthening muscles around the affected joint;
- increases the mobility of the joint.
The specified tasks are solved by various methods of treatment.
These include non-steroidal anti-inflammatory drugs( NSAIDs), for example, indomethacin, paracetamol, aceclofenac, diclofenac and others. They are the main analgesics. However, their task ends here.
These drugs are not able to stop the development of the disease and treat joints.
Among patients, uncontrolled ingestion of indomethacin or diclofenac is very common, especially at the onset of the disease.
It should not be forgotten that prolonged use of these medicines can lead to serious side effects: the formation of gastritis or stomach ulcers.
This is due to the adverse effects of NSAIDs on the mucosa, especially in the elderly and people prone to gastric diseases. Moreover, it is very important in what dose the medicine is taken. According to the latest medical research, it was found that some doses improve the condition, while others, on the contrary, have a harmful effect on the articular cartilage. That's why it is better to discuss the optimal drug plan with your doctor.
As a rule, treatment with such drugs begins with paracetamol. In the absence of effect, stronger painkillers, up to analgesics of central action, for example, tramadol, are prescribed.
Treatment with anti-inflammatory drugs
Corticosteroids( anti-inflammatory hormones) reduce inflammation of the knee joint. By their action, these are very strong substances. Since they cause many side effects, in recent years, they are almost never prescribed for oral administration. Preparations of the group of corticosteroids - hydrocortisone and kenalog - are administered topically to the knee joint with the help of injections. This procedure is called intra-articular blockade of the knee joint. It reduces inflammation and reduces pain( especially when NSAIDs are not effective).
In the presence of synovitis a good effect as a topical treatment is given by anti-inflammatory and analgesic gels and ointments containing both hormonal substances and NSAIDs. This ointment DIPRelif, Diclofenac, Butadion, Bystrumgel and others.
If gonarthrosis occurs without synovitis, it is useful to use warming ointments that improve blood circulation in the joints. These are Menovasin, Espol, Gevkamen, and others.
These are preparations that induce cartilaginous cells( chondrocytes) to synthesize a young cartilaginous tissue instead of collapsing. When entering the body, these substances deliver "building material" to the joints for the formation of cartilage. As a result, the condition of the knee joint improves, the destruction of its cartilage slows down, and pains decrease at the same time.
Drugs and chondroprotectors are chondroitin sulfate, hyaluronic acid, glucosamine sulfate. Chemical compounds of this type enter the gel-like part of the cartilage, providing for cushioning in the joint during walking. Such substances in different dosage and ratios are included in the preparations: Don, Arthra, Arthroarin, Arthroactive, etc.
Features of the treatment with chondroprotectors:
These drugs have a delayed action. The effect of them develops within a few months, so you need to wait patiently for the result;
Before treatment is mandatory consultation with a doctor, because the drugs are effective in treating gonarthrosis of the first and second degrees and are useless in the already destroyed cartilage.
If treatment is started in the early stage of gonarthrosis, then, as a rule, long courses of therapy significantly improve the state of the cartilage.
Compared with ointments, the means for compresses have a more pronounced therapeutic effect. Popular among them are: dimexide, medical bile and bischofite.
Dimexide is a liquid with a good analgesic and anti-inflammatory effect. Unlike other external drugs, dimexid penetrates through skin barriers, absorbed by the body and relieving inflammation at the site of the disease. In addition, dimexide has a resorptive property, improving the metabolism. Therefore, it is especially useful in gonarthrosis, burdened with synovitis.
Medical bile is a natural bile of pigs and cows. It has a resolving and warming effect. However, bile can not be used if the following conditions are present:
- pustular skin diseases;
- febrile state with high temperature;
- is an inflammation of the lymph nodes.
Bischofite is an oil derivative. It gives a moderate anti-inflammatory, analgesic and warming effect
Physiotherapy of gonarthrosis is a rather fast and effective method that allows for a short time to reduce pain and improve the joint condition. With a combination of physiotherapy and drug treatment, it is possible to reduce the dose of pain medications taken.
The best therapeutic effect for gonarthrosis of the knee joint is:
- ultrasound therapy;
- infrared laser therapy;
- rhodonic and hydrogen sulphide baths.
These physiotherapy procedures, in addition to reducing pain, contribute to the overall strengthening of the entire body, reducing stress levels, improving mood.
However, as a rule, procedures are performed only with gonarthrosis of the knee joint of the first and second degrees. And in that period of time when the active joint inflammation is absent in the joint.
Methods of exercise therapy and manual therapy
The use of methods of physiotherapy and manual therapy significantly improves the overall condition with knee gonarthrosis.
At the first and second degrees of gonarthrosis, manual therapy often leads to remarkable results. After a few sessions, the patient is noticeably relieved. Manual therapy of knee joints is especially effective in combination with chondroprotective drugs, joint extension and intra-articular injections of Ostenil.
Certain therapeutic exercises and limited physical activity reduce the excessive tension of the knee joints and relieve the strain of ligaments and muscles. You should choose exercises that strengthen the ligaments of the affected joint and the muscles of the diseased limb, but without increased flexion and extension. That is, we need static exercises.
- For example: lie on your back and slightly lift your straight leg, keeping it on the weight. After one or two minutes, fatigue will appear in the muscles of the leg and abdomen, and the joints do not move.
- An example of a slow dynamic exercise is the slow lifting from the floor of a straightened leg and its slow descent. Eight to ten such exercises cause considerable fatigue.
- Thus, the strengthening of muscles and ligaments in gonarthrosis is facilitated by static exercises with fixation of position for a certain time or slow dynamic.
Methods of folk treatment of gonarthrosis
The described methods of treatment can be supplemented with folk remedies, if approved by the attending physician. With the help of various ointments, decoctions, compresses, tinctures, you can reduce pain in the knee and strengthen the entire body.
- Tincture of dandelion eliminates pain in the knee. A bottle of dark glass should be filled with yellow dandelion heads and pour triple cologne. The drug persists for a month. Then drain it. Before going to bed, wipe the aching joints. You can make a similar tincture from the leaf of the ficus.
- When gonarthrosis helps decoction from the leaves of Jerusalem artichoke. One and a half kilograms of stems and Jerusalem artichoke leaves should be chopped and poured with enriched pots of boiling water( 810 liters).Infuse until the temperature becomes tolerant for the skin. The composition should not be allowed to cool. The sick joint should be dipped in this bowl and hold for half an hour. In the following days, repeat ten times.
About prevention of gonarthrosis
Adherence to preventive measures prevents the development of the disease, and if it has appeared, then improve the condition of the knee joint.
The main "provoker" of gonarthrosis of the knees is overweight. The large mass of the body creates an increased load on the joint. As a result, the regenerative capacity of cartilage is reduced. With the help of diet and other means of reducing weight, you can improve the condition of the body in this disease.
It is very important to reduce the physical strain on your legs( respectively, on your knees).If possible, it is better to sit down and not stand. If the work schedule assumes a high physical load on the legs, you need to think about the question of changing it to a more sparing one.
If the disease has gone far, even when the gait changes, you need to use a cane or other orthopedic drugs that reduce the burden on your knees.
With competent combination of medical measures, gonarthrosis will definitely give up its positions, especially at the first stages of the disease development.
How to treat gonarthrosis of the knee joint
The invention relates to medicine, in particular to physiotherapy exercises. To do this, therapeutic gymnastics is organized, consisting of three parts: the introductory part, the main part, the final part. At the same time, in the introductory part, breathing exercises and walking exercises are also performed in an amount of 5-6 times. The main part consists of a set of exercises in the starting position sitting on a chair;lying on his back, arms along the trunk;lying on his side and exercises near the gymnastic wall. And each of the exercises are performed 6-8 times, starting with a slow pace with acceleration to average. The final part includes exercises in the starting position standing at the chair, practicing on the stationary bike at a slow and medium pace for 2-3 minutes, ending with breathing exercises. The method allows to reduce pain in the knee joints, stiffness, decreases the tension of periarticular muscles, improves blood circulation in them, and also avoids a sharp rise in contact pressure in the joint.
Before going directly to the recommended medical training, I would like to make some recommendations:
Vigorous movements for arthrosis are strictly contraindicated, in connection with which, all exercises must be performed slowly and smoothly, gradually increasing the amplitude of movements. Physical exercises are performed in a sitting or lying position. In the case of pains, it is necessary to stop occupations. Training should be conducted regularly, several times during the day, but, at the same time, the duration of each exercise should last no more than a few minutes.
And now we will consider the most effective physical exercises for arthrosis of the knee joint:
exercise 1. Exercise is performed lying on the back. The legs are stretched, the heels are forward, the socks are pulled back. Such movements very well relieve muscle tension and improve metabolic processes in almost all joints of the lower extremities.
exercise 2. This exercise is called "vertical scissors".It is performed lying on the back, alternately raising and lowering the legs in the hip joints.
exercise 3. Flexion and extension movements in the knee joint in the supine position.
exercise 4. Lie on your back. The legs are bent at the knees and simultaneously in the hip joints. We perform flexion movements of the legs in the knee joint.
exercise 5. "Horizontal scissors".This exercise is also performed by lying on the back. The legs are bent in the hip joints, alternately they are reduced and divorced.
exercise 6. "Bicycle" - flexion and extension of the legs in the knees and thigh in the supine position.
exercise 7. Raising and lowering the knee straightened in the knee in the prone position on the side.
exercise 8. Lying on the abdomen, flexion and extension movements are made in each knee alternately.
exercise 9. Raising and lowering the straight leg lying on the abdomen. The sock is not pulled off.
exercise 10. Rocking the legs in a sitting position( on a high chair).Exercise is done with a small amplitude, without effort.
Reasons for reactive synovitis of the knee joint are described here.
Is it possible to play sports with arthrosis of the knee joint http: //sustavprof.ru/lk/ fiziolechenie-pri-artroze-kolennogo-sustava.html.
Who really needs an operation on the knee
With arthrosis of knee joints, there are situations when one can not do without surgery.
This happens in the following cases:
at the third degree of osteoarthritis of the knee joint, when the cartilage tissue is already completely destroyed, the painkillers do not work or give insufficient effect, and most importantly, the pains arise even not at movements, but at rest and at night, due to what surgical intervention - the only way out in this situation;with arthrosis of the knee of the second degree: in this situation it makes sense to go through surgery, which does not solve the problem of the disease completely, but can significantly reduce pain in the knees for a fairly long period( on average from six months to 3 years).
There are several types of surgical interventions on the knee joints with osteoarthritis, which can vary quite widely among themselves.
The essence of this procedure is that the leg is fixed in the most suitable functional state, and then immobilized in the knee, removing the remains of the cartilaginous tissue.
The femur, the tibia and the patella grow together, and thereafter no movements occur in the region of the knee, that is, so-called ankylosis is formed.
When creating an arthrodesis, the approach to the treatment of arthrosis of the knee joint is very radical: if the patient is concerned about pain in the joints while moving, then if the joint is completely removed from the remains of the cartilaginous tissue, then in general, there will simply be nothing to hurt.
However, a very strong disadvantage of this operation is that the person with his help loses the joint, although almost non-working before. Since now there are other, more progressive and subtle methods of surgical treatment of arthrosis, in which a person can continue to own his joint, now such surgical interventions are not very frequent( although it is used, for example, in the surgical treatment of ankle arthrosis).
When there is a choice, usually both doctors and patients choose the endoprosthesis replacement, which is discussed below.
Unlike the previous procedure, arthroscopic debridement is a "temporary measure": with her intervention in the joint is minimal, but it has a temporary, but still a fairly long-lasting effect.
Usually, this arthroscopic operation on the knee joint is performed in the second stage of gonarthrosis, when the cartilaginous tissue is still more or less preserved, and pains in the joint are only in motion, and they are related to the fact that small dying particles of cartilage freely float in the joint cavity, injureit, and this and cause painful sensations.
What is the essence of this procedure? With the help of a special device - an arthroscope - the surgeon extracts from the joint cavity necrotic cartilage particles that cause pain. Despite the fact that this procedure does not help with arthrosis once and for all, nevertheless, the effect of such procedure in the form of disappearance or significant reduction of pain continues for 1-2 years, which is also very good.
Like the creation of arthrodesis, at present, this surgical intervention is practically not applied. This is due to the fact that it is technically difficult enough, but the most important thing is that the rehabilitation of patients after it takes a very long time( up to 4-6 months), and the effect of this operation is only temporary.
The essence of this surgery is that the bones that participate in the knee joint are definitely filed and reassembled, but at a slightly different angle. Due to this, the load falling on the joint is redistributed, and the pains caused by increased loads disappear, because the weight is taken over by other parts of the bones.
Endoprosthetics is one of the most common operations on joints. During such an operation, the knee joint that has stopped working is removed, and in its place is placed a high-quality joint prosthesis made of metal, high-tech plastic or ceramics.
Undoubted plus of this procedure is its cardinality, so the question of knee arthrosis can be closed for a very long time. Thanks to modern achievements in prosthetics, the artificial joint replacement can work up to 20-25 years or more. Knee endoprosthetics are performed as follows:
The price of such an operation is from 40,000 to 100,000 rubles and above, depending on the clinic where it is performed.
Consult your doctor about the type of knee surgery you need( if you need it) - taking into account the severity of your illness, the rate of its progression and other factors.
General recommendations for massage
The massage session with gonatrosis is best performed after special exercises of therapeutic gymnastics. Also a good "prelude" for the manual therapy session will be a hot shower or some time spent in the steam room or sauna. Then the muscles get warm enough, and the massage manipulations have a deeper effect. In addition, it is often practiced to massage in water at a temperature of about 37 degrees.
To achieve a lasting result, you need to complete a full course of massage. The massage is best entrusted to a specialist - a manual therapist, but today there are many instructions for self-massage.
During the procedure, you can use both ordinary massage oils and creams, and ointments, specially designed for rubbing with arthrosis of the knee joints. All movement should be directed strictly along the lymphatic vessels. Massage should not cause pain and any other discomfort, especially in the joint area.
In addition to manual local massage for arthrosis of knee joints, vibratory mechanical massage is also used. It is also recommended to perform vibrating movements with a sponge and a nozzle with spikes.
Techniques and methods
To date, in manual therapy of gonarthrosis use four well-known massage systems, namely Finnish, Swedish, Russian and Oriental. They all have their own characteristics. The Russian massage method includes rubbing and stroking. The founder of this system advised to combine these techniques with hydrotherapy and gymnastics.
The task of the eastern system is the release of massaged muscles from venous blood and the improvement of the motor function of the joint. The most powerful effect in gonarthrosis is the application of the Swedish technique. In it, stroking and rubbing are combined with the movement of the joint. Thanks to this approach, muscles, neurovascular connections are well stretched, seals in tissues are rubbed.
The Finnish system is very close to Swedish, however, there is one difference - kneading is carried out only by bundles of thumbs.
For the massage there are several basic techniques, the combination of which is a standard massage movements. So, for example, almost any massage begins with stroking and ends with it. The strokes are carried out by the whole palm and pursue the goal of relaxing the muscles, improving blood flow, relieving tension, stimulating the outflow of lymph.
Rubbing is one of the main techniques for knee joint massage. It reveals a deep action: stretches and relaxes muscles and ligaments, accelerates blood flow and lymph flow. When grinding occurs, resorption and the removal of deposits from the joint, improving the mobility of the joints.
Mening is the main procedure for massage of patients with knee arthrosis, in practice it looks like a slight pushing on the skin. By stretching a specific area on the foot, the masseur gets to the deepest layers of the skin, affects the trophism of the tissues and muscle tone, making them stronger and more elastic.
Vibration is a kind of shaking of the skin and muscles, which thanks to the amplitude transfers its vibrations to tissues that are located more deeply.
The entire massage session is divided into three parts: introductory, basic and final. During the introductory and final stages of the movement is characterized by light pressure, slow pace. But the most intensive manipulations are carried out in the middle of the session, when tissues and muscles are already well prepared for such actions. Rules for the massage
When gonatrozee massage not only the knee, but also other parts of the body. Begin the massage from the area of the lower segment of the spine. Then the muscles of the thigh of the diseased leg are kneaded. At the same time, the following techniques are used: combined stroking, squeezing the fist crests and the edge of the palm. All these manipulations are carried out 3-4 times. Then shaking and stroking( 2-3 times) are done, the muscles are again kneaded and shaken and stroked again.
After the muscles of the hip are developed, you can proceed to direct massage of the affected joint. It begins with circular strokes on the sides, and then uses several types of rubbing. After that, you need to repeat the thigh massage again, but already reducing the number of repetitions. In this order of knee massage for arthrosis, and also, the hip is performed several times. Then the masseur conducts careful bending and extension of the knee joint, and rotation of the shin.
After such active actions and another massage procedure in the hip area, you can repeat kneading. To stroking this time, rubbing with fingertips and phalanges is added. Finish the procedure with shaking and easy stroking in the area of the patient joint
Patient with gonarthrosis must adhere to the diet. You should change the diet and eat every 4 hours, taking the bulk of the food at lunch time. It is also necessary to limit the use of table salt and abandon semi-finished products, salted fish, chips and mayonnaise. During cooking, it is better to use unrefined oil.
Often, patients with gonarthrosis are overweight, so you should use a diet that would help lose weight, but at the same time provided the body with all the necessary substances. To maximize the correct menu, it is worth consulting with a nutritionist who will take into account the features of arthrosis and other associated pathologies.
To prevent excessive weight gain, it is recommended to eat a lot of fruits and vegetables, as they contain complex carbohydrates, which are slowly absorbed and not stored as fat. From sweet and good food is better to refuse.
To control body weight, it is necessary to remember:
any alcoholic drinks excite appetite;there should be small portions, thoroughly chewing food;you need to monitor the emptying of the intestine - the chair should be daily.
For proper metabolism, the body should receive a sufficient amount of vitamins and minerals. When gonarthrosis is recommended to use a lot of protein, because it is proteins used to build new tissues and to repair cartilage. Especially useful are dairy products, low-fat varieties of fish and meat, buckwheat porridge and lentils. For better assimilation of proteins, it is recommended to eat boiled, stewed dishes or steamed foods.
Patients with joint damage are useful to include in their diet a cold based on bone broth. It contains a lot of collagen, which is necessary for building cartilage. In addition, food gelatin is useful. It promotes the restoration of cartilaginous tissue, since it contains substances with chondroprotective properties.
It should be noted that even a carefully formulated diet is not able to cure gonarthrosis of the knee joint, but with the observance of the main recommendations it promotes general improvement and improvement of joints.
In the diet of a patient with arthrosis, doctors recommend including low-fat fish or meat, bread with bran and vegetables. It will be useful to add jelly or jelly, cooked on bone broth. It contains collagen, which is necessary for the construction of bone and cartilaginous tissue, ligaments and muscles.
Correct metabolism in the body is not possible without vitamins and mineral components. Particularly useful are vitamins of group B. Folic acid( the so-called vitamin B12) is found in lentils, bananas, cabbage. Vitamin B6 - in potatoes, bananas, nuts, chicken meat, vitamin B1 - in baked potatoes, beans, peas, whole-grain bread.
Dairy products are rich in vitamin B2 and calcium, necessary for strengthening bone tissue. To restore and build a new cartilaginous tissue that covers the articular surfaces of bones, proteins are required - milk, vegetable and animal. Vegetable protein is found in lentils, buckwheat porridge and beans, animal - in fish and low-fat meat. For better digestibility of proteins, the diet should include stewed or boiled dishes.
Full nutrition with arthrosis is impossible without moderate consumption of fats, which are necessary for the normal course of metabolic processes. However, the consumption of animal fats should be reduced, replacing them with vegetable and butter. How to eat right?
To preserve the health of your joints and prevent the destruction of cartilaginous tissue, proper nutrition with a slight predominance of carbohydrates, a sufficient number of fruits and vegetables, and a limited intake of protein will help. Naturally, cure arthrosis with a single diet is almost impossible. However, adherence to simple recommendations for food intake in conjunction with the prescribed therapeutic measures will help to reduce weight, improve the joints and the general condition of the body.
There are a few tips to reduce hunger and provide adequate nutrition:
Eat from a small plate, so the portion will seem bigger Never overeat Take small pauses during meals Chew each piece of food thoroughly Do not eat after 18 hours After eatingalways go for a walk. Constantly watch your weight
Diet for arthrosis has its own specifics, but it is consistent with the standard dietary techniques aimed at the deathadequacy and sufficiency in nutrition. It is, in principle, unchanged in the defeat of different parts of the body, ie, for example, a diet for arthrosis of the knee joint, as a rule, does not differ from the recommendations on nutrition for arthrosis of the hip or shoulder joints.
The medical treatment of gonarthrosis( arthrosis of the knee joint), despite its widespread application, has a very modest role. The effectiveness of drug therapy is significantly inferior to non-pharmacological treatment methods. And if you are concerned about pain in the joints before you start taking medicine, you should try non-drug treatment methods. And only then when non-drug treatment methods are not effective enough, you can add medications.
One can not disagree with the thesis that treatment of patients with degenerative joint diseases should be early, pathogenetic complex and stage. In this regard, modern approaches to treatment are aimed at reducing pathological symptoms using various methods:
non-pharmacological treatment( eg, educational programs, physical exercises, lifestyle changes);pharmacological treatment( eg, paracetamol, non-steroidal anti-inflammatory drugs - NSAIDs, topical treatment);invasive methods of treatment( for example, intraarticular injections, lavage, arthroplasty).
Drug medication for gonarthrosis is aimed at reducing pain( analgesic effect) and inflammation( anti-inflammatory effect), as well as slowing down cartilage degradation( structural-modifying effect).It is recommended to begin conservative treatment with NSAIDs, more precisely, with their topical application to the affected joints in the form of ointment, cream, gel. When there is stiffness in the joint or a clear sweating systemic( oral) application of NSAIDs is indicated.
Conservative treatment of deforming arthrosis of the knee joint: In the initial stages of the disease it is recommended to limit the load on the joint, prescribe drugs of the group of oxycamides( ksefokam, piroxicam), ketorolac. Locally apply ointments with anti-inflammatory drugs( nimulide, voltaren).
In the event that joint damage occurs without significant symptoms, the patient may be prescribed ointments for arthrosis with a warming effect, the main purpose of which is to improve local blood circulation in the affected area.
As examples of such ointments, you can cite Menovazine and Nikoflex - cream, which usually do not provoke the occurrence of allergic reactions and manifestations of side effects. Patients only note a pleasant sensation of warmth and even comfort, which in no way interferes with them.
It is very popular to prescribe ointments based on bee venom, for example, Apisatron and Ungapiven, as well as snake venom such as Viprosal. The main principle of their effectiveness is a distracting and irritating effect, but, in addition, due to the contained in them in small amounts of poisons, when absorbed through the skin they increase the elasticity of muscles and ligaments.
However, some doctors are wary of prescribing these drugs because of the high risk of an allergic reaction, as well as the possible inflammation in the application sites. In addition, the use of such drugs is strictly contraindicated in children and women during critical days.
In the event that the course of the disease is complicated by manifestations of synovitis, it is appropriate to administer non-steroidal anti-inflammatory drugs, including Voltaren-gel, Fastum-gel, Dolgit and many other ointments. Unfortunately, the effectiveness of these drugs is not as high as we would like, since a certain amount of the drug is delayed on the skin, which is quite enough for the drug to not be able to act at full strength.
Therapeutic ointments and creams, although they can not in any way heal arthrosis, can alleviate the condition of the patient with gonarthrosis.
For arthrosis of the knee joint, which occurs without the symptoms of synovitis, I recommend warming ointments to my patients in order to improve blood circulation in the joint.
For this use menovazine, gevkamen, espol, nicoflex cream, etc. These ointments usually cause the patient a feeling of pleasant warmth and comfort. They rarely give any side effects.
Ointments based on bee venom( apizatron, unapiven) and venom of snakes( viprosal) have an irritating and distracting effect, but, in addition, absorbed in a small amount through the skin, improve the elasticity of ligaments and muscles, as well as microcirculation. However, side effects from their use are more: such ointments quite often cause allergy and inflammation of the skin in places of their application. You should also know that they are contraindicated for women in critical days and children.
Ointments based on non-steroidal anti-inflammatory substances( indomethacin, butadion, dolgite, voltaren-gel, fastum) are used in cases where the course of gonarthrosis is aggravated by synovitis. Unfortunately, they do not work as effectively as we would like - after all, the skin misses no more than 5-7% of the active substance, and this is clearly not enough to develop a full-fledged anti-inflammatory effect.