Two-sided gonarthrosis


Gonarthrosis Gonarthrosis ( deforming arthrosis of the knee joint) is a degenerative-dystrophic disease in which the hyaline cartilage covering the condyles of the tibia and femur is affected. In the late stages of gonarthrosis, the whole joint is involved in the process;the underlying part of the bone is compacted and expanded. Gonarthrosis is the first in terms of prevalence among all arthroses. The disease usually occurs in patients over the age of 40 and is more common in women. In some cases( after injuries, in athletes), gonarthrosis can develop at a young age. The main manifestation of gonarthrosis are pains that increase during movement, restriction of movements and synovitis( accumulation of fluid) in the joint. Gonarthrosis develops gradually, for many years. Treatment of gonarthrosis is conservative. Timely preventive maintenance plays an essential role.


Gonarthrosis or knee arthrosis deformans is a progressive degenerative-dystrophic lesion of intraarticular non-inflammatory cartilage. Gonarthrosis is the most common arthrosis. Usually affects people of middle and old age, women suffer more often. After a trauma or constant intensive loads( for example, in professional sports), gonarthrosis may occur at a younger age. Prevention plays an important role in the prevention of the onset and development of gonarthrosis.

Contrary to popular belief, the cause of the disease is not in the deposition of salts, but in eating disorders and changes in the structure of the intraarticular cartilage. When gonarthrosis in the attachment of tendons and ligamentous apparatus can occur foci of deposition of calcium salts, but they are secondary and do not cause the appearance of painful symptoms.

Classification of gonarthrosis

In view of the pathogenesis in traumatology and orthopedics, two types of gonarthrosis are distinguished: primary( idiopathic) and secondary gonorotrosis. Primary gonarthrosis occurs without previous trauma in elderly patients and is usually bilateral. Secondary gonarthrosis develops on the background of pathological changes( diseases, developmental disorders) or knee joint injuries. Can occur at any age, usually one-sided.

Given the severity of pathological changes, three stages of gonarthrosis are distinguished:

  • The first stage is the initial manifestations of gonarthrosis. Periodic blunt pains are typical, usually after considerable stress on the joint. Possible small, self-vanishing edema of the joint. Deformation is absent.
  • The second stage is the increase in the symptoms of gonarthrosis. The pains become longer and more intense. Often there is a crunch. There is an insignificant or moderate restriction of movements and a slight deformation of the joint.
  • The third stage - the clinical manifestations of gonarthrosis reach a maximum. The pain is almost constant, the gait is broken. There is a pronounced restriction of mobility and an appreciable deformation of the joint.

Anatomy and pathological changes in the joint with gonarthrosis

The knee joint is formed by the articular surfaces of two bones: the femur and the tibia. On the front surface of the joint is a patella, which slides along the groove between the condyles of the femur. The fibula in the formation of the knee joint is not involved. Its upper part is located on the side and just below the knee joint and is connected to the tibia by means of an inactive joint.

The articular surfaces of the tibia and femur, as well as the posterior surface of the patella are covered with a smooth, very strong and resilient, dense, hyaline cartilage 5-6 mm in thickness. The cartilage reduces the frictional forces during movements and performs the damping function under impact loads.

In the first stage of gonarthrosis, blood circulation in small intraosseous vessels feeding hyaline cartilage is disturbed. The surface of the cartilage becomes dry and gradually loses its smoothness. Cracks appear on its surface. Instead of soft, unobstructed sliding, cartilages "cling" to each other. Due to permanent microtraumas, the cartilaginous tissue becomes thinner and loses its damping properties.

In the second stage of gonarthrosis, compensatory changes occur on the part of the bone structures. The articulation pad is flattened, adapting to the increased loads. The subchondral zone is consolidated( part of the bone located immediately below the cartilage).At the edges of the articular surfaces appear bony growths - osteophytes, which in their appearance on the roentgenogram resemble thorns.

Synovial membrane and joint capsule in gonarthrosis also degenerate, become "wrinkled".The character of the articular fluid changes - it thickens, its viscosity increases, which leads to a deterioration of lubricating and feeding properties. Due to a lack of nutrients, cartilage degeneration accelerates. The cartilage is still thinner and disappears completely in some areas. After the disappearance of the cartilage, the friction between the articular surfaces sharply increases, the degenerative changes rapidly progress, the third stage of gonarthrosis begins.

In the third stage of gonarthrosis, the bones are significantly deformed and seem to be pushed into each other, severely restricting movements in the joint. Cartilaginous tissue is practically absent.

Causes of gonarthrosis

In most cases it is impossible to single out any one cause of gonarthrosis. As a rule, the onset of gonarthrosis is due to a combination of several factors.

Approximately 20-30% of cases of gonarthnosis are associated with previous injuries: shin fractures( especially intraarticular), meniscus lesions, tearing or ligament rupture. Usually, gonarthrosis occurs 3-5 years after a traumatic injury, although it is possible that the disease progresses even earlier, 2-3 months after the injury.

Often the manifestation of gonarthrosis is associated with excessive stress on the joint. Age after 40 years is a period when many people understand that regular physical activities are necessary to keep the body in good condition. Starting to engage, they do not take into account age changes and overload the joints, which leads to a rapid development of degenerative-dystrophic changes and the appearance of symptoms of gonarthrosis. Especially dangerous for the knee joints is running and intense quick squats.

Another predisposing factor in the development of gonarthrosis is excess weight. With excessive body weight, the load on the joints increases, both microtrauma and serious damage( meniscus tears or ligament tears) occur more often. Especially hard is gonarthrosis in complete patients with pronounced varicose veins.

The risk of gonarthrosis also increases after the arthritis( psoriatic arthritis, reactive arthritis, rheumatoid arthritis, arthritis with gout or Bekhterev's disease).In addition, among the risk factors for gonarthrosis is the genetically determined weakness of the ligamentous apparatus, metabolic disorders and innervation disorders in certain neurological diseases, craniocerebral trauma and spinal trauma.

Symptoms of gonarthrosis

The disease begins gradually, gradually. Patients are concerned at minor gonarthrosis with minor pain during movement, especially during climbing or descending the stairs. Perhaps a feeling of stiffness in the joint and "tightening" in the popliteal region. A characteristic symptom of gonarthrosis is "starting pain" - painful sensations that arise during the first steps after lifting from the sitting position. When a patient with gonarthrosis "diverges", the pain decreases or disappears, and after a significant load appears again.

Externally the knee is not changed. Sometimes patients with gonarthrosis note a small swelling of the affected area. In some cases, in the first stage of gonarthrosis fluid accumulates in the joint - a synovitis develops, which is characterized by an increase in the volume of the joint( it becomes inflated, spherical), a sense of heaviness and restriction of movements.

In the second stage of gonarthrosis, the pains become more intense, occur even under small loads and are intensified with intense or prolonged walking. As a rule, the pain is localized on the anterior-internal surface of the joint. After a long rest, soreness usually disappears, and when they move, they reappear.

As the progression of gonarthrosis, the volume of movements in the joint gradually decreases, when you try to bend your leg as much as possible, there is a sharp pain. A rough crunch is possible when moving. The configuration of the joint changes, it seems to expand. Synovitis appears more often than in the first stage of gonarthrosis, characterized by more persistent flow and accumulation of more fluid.

In the third stage of gonarthrosis, the pains become almost constant, patients worry not only during walking, but also at rest. In the evenings, patients try to find a comfortable position for a long time to fall asleep. Often the pains appear even at night.

Flexion in the joint is significantly limited. In some cases, not only flexion, but also extension is limited, because of which the patient with gonarthrosis can not completely straighten the leg. The joint is enlarged in volume, deformed. Some patients experience valgus or varus deformity - the legs become X-shaped or O-shaped. Because of the restriction of movement and deformation of the legs, the gait becomes unstable, overbalanced. In severe cases, patients with gonarthrosis can move only with support on a cane or crutches.

When examining a patient with the first stage of gonarthrosis, external changes can not usually be detected. In the second and third stages of gonarthrosis, coarsening of bone contours, deformation of the joint, restriction of movements and curvature of the limb axis are found. When you move the patella in the transverse direction, a crunch is heard. With palpation, a painful patch is revealed from the inside of the patella, at the level of the joint gap, and above and below it.

When synovitis the joint increases in volume, its contours become smoothed. There is a bulging in the anterolateral surfaces of the joint and above the patella. When palpation is determined by fluctuation.

Diagnosis of gonarthrosis

The diagnosis of gonarthrosis is made on the basis of patient complaints, objective examination data and X-ray examination.

Roentgenography of the knee joint is a classical technique that allows you to clarify the diagnosis, establish the severity of pathological changes in gonarthrosis and observe the dynamics of the process, making repeated pictures after a while. Because of its affordability and low cost, it remains the main method to diagnose gonarthrosis to this day. In addition, this method of research makes it possible to exclude other pathological processes( for example, tumors) in the tibial and femur.

At the initial stage of gonarthrosis, changes in radiographs may be absent. In the future, narrowing of the joint gap and compaction of the subchondral zone is determined. The articular ends of the femoral and especially the tibia broaden, the edges of the condyles become pointed.

When studying the radiograph, it should be borne in mind that more or less pronounced changes characteristic of gonarthrosis are observed in most elderly people and are not always accompanied by pathological symptoms. The diagnosis of gonarthrosis is only exhibited when a combination of x-ray and clinical signs of the disease.

Currently, along with traditional radiography for diagnosis of gonarthrosis, modern techniques are used such as computed tomography, which allows detailed study of pathological changes in bone structures and magnetic resonance imaging, used to detect changes in soft tissues.

Treatment of gonarthrosis

Orthopedics treat gonarthrosis. Therapy of gonarthrosis should be started as soon as possible. During a period of exacerbation, a patient with gonarthrosis is recommended to rest for maximum unloading of the joint. The patient is prescribed therapeutic gymnastics, massage, physiotherapy( UHF, electrophoresis with novocaine, phonophoresis with hydrocortisone, diadynamic currents, magneto- and laser therapy) and mud therapy.

Drug therapy for gonarthrosis includes chondroprotectors( drugs that improve metabolic processes in the joint) and drugs that replace synovial fluid. In some cases, gonatrosis shows intra-articular injection of steroid hormones. Later the patient may be referred to a sanatorium-and-spa treatment.

Patients with gonarthrosis may recommend walking with a cane to unload the joint. Sometimes use special orthoses or individual insoles.

To slow the degenerative processes in the joint with gonarthrosis, it is very important to observe certain rules: exercise, avoiding excessive stress on the joint, choose comfortable shoes, monitor weight, organize the day regimen correctly( alternating load and rest, performing special exercises).

With pronounced destructive changes( at the third stage of gonarthrosis) conservative treatment is ineffective. With severe pain syndrome, joint disruption and disability, especially if gonarthrosis affects a young or middle-aged patient, they resort to a surgical operation to replace the joint( endoprosthetics).In the future, rehabilitation activities are carried out. The period of complete recovery after the operation to replace the joint with gonarthrosis takes from 3 months to 6 months.

Gonarthrosis. Causes and degrees of gonarthrosis. Treatment of gonarthrosis

What is gonarthrosis

Gonarthrosis( arthrosis of the knee joint, osteoarthrosis of the knee joint, deforming arthrosis of the knee joint) is a degenerative-dystrophic disease of the knee joint, characterized by progressive destruction of the cartilaginous tissue, deformation of the joint and a violation of its function. Gonarthrosis is widely distributed among elderly patients of , more often they suffer from women.

Reasons for gonarthrosis

Two main types of gonarthrosis are distinguished by pathogenesis. Primary or idiopathic gonarthrosis - the cause of the development of such an arthrosis is not known. Primary gonarthrosis is more common in elderly patients, mainly a bilateral process.

Secondary gonarthrosis - arthrosis of the knee joint, which arose as a result of the previous( or against the background) pathology of the knee joint ( injury of the knee joint , developmental disability, against the diseases of the knee joint infectious or systemic, etc.).Secondary gonarthrosis occurs depending on the cause of its occurrence at almost any age, it is more often unilateral.

Stages of gonarthrosis

Clinically, there are 3 stages of gonarthrosis. The essence of the stages is to describe the clinical manifestations of the disease and the degree of disruption of the knee joint function.

First stage gonarthrosis is characterized by initial manifestations of the disease. Patients at this stage are periodically disturbed by dull pain, at the back of the knee joint that appears after a long walk or other load on the joints. Sometimes the knee joints swell, after which the symptoms themselves disappear. Knee joints are not deformed at this stage.

Gonarthrosis of the second stage of is characterized by an increase in the symptoms that appeared in the first stage. The pain syndrome becomes more prolonged and intense. Patients mark the appearance of a crunch in the joint with motion of the knee. Many complain of stiffness in the joints in the mornings, which passes after a short walk. At this stage, patients periodically use analgesics. There is an insignificant limitation of flexion and extension in the knee joint. The joint is enlarged in volume.

Gonarthrosis of the third stage of , is characterized by the greatest development of all the symptoms inherent in this disease. The pain syndrome acquires a practically constant character when walking and at rest. Often joint pain occurs when weather changes. Gait at this stage of the disease is severely impaired. Restrictions of movements in the joint are sharply outfitted. Visually the knee joint is enlarged in volume, deformed. There are X-shaped deformation of the knee joint - valgus and O-shaped deformation - varus.

Two-way gonarthrosis: diagnosis of the disease and its treatment

Most of us rarely pay attention to discomfort, periodic pain in the knee, writing off this for an old bruise. And in vain, this may well be the beginning of a very serious disease - gonarthrosis. This is called arthrosis of the knee joint, when the cartilage tissue undergoes changes and eventually loses mobility.

We used to think that such diseases are the destiny of the elderly. In fact, now the disease occurs at any age, although people more than 40 years old are more inclined to it. The reason is simple - changes in the cartilaginous tissue begin after knee injuries, which is very often the case with lovers of an active lifestyle. The cause may be an infection, a violation of blood supply in the presence of varicose veins, especially if there is excess weight.

Types of the disease

The disease manifests itself in different ways. For example, one leg can be affected - right-sided or left-sided, or two - then it is called bilateral gonarthrosis.

In its origin, gonarthrosis can be of two types:

  • Primary - its victim is any healthy person. Too large, regular physical activity, age-related changes in cartilage, diseases with metabolic disorders, overweight. .. All this directly or indirectly leads to deformities. Primary gonarthrosis can be bilateral.
  • Secondary gonarthrosis appears after an injury or other disease, for example - arthritis. Bad, incomplete treatment of one disease over time leads to its manifestation.

Both primary and secondary gonarthrosis eventually leads to pathological deformation of the cartilaginous, bone tissue of the knee joints, which greatly reduces their mobility, and without adequate treatment may eventually lead to disability.

The course of the disease

This disease does not begin immediately, it has certain clearly defined periods. They are divided into 3 degrees:

  • 1 degree - the knee joints can sometimes hurt after a long walk or running. Sometimes the knee can swell a little, but after rest everything passes. Although this is only the very beginning of the disease, but there is also a bilateral gonarthrosis of 1 degree, with the defeat of both legs.
  • 2 degree - even with a small load a person begins to feel a strong pain. Passing a small distance or raising a small weight for him becomes torture. It becomes heard a crunch when bending the knee, extension. The diseased knee becomes more healthy, the stiffness of movements appears. Two-way gonarthrosis of the 2nd degree is able to severely limit the life of a sick person.
  • 3 degree - pain in the knee is almost all the time, regardless of whether a person is sitting or walking. Constant pain can prevent a person from sleeping. It is well noticeable that the joint is greatly enlarged compared to the healthy one. The deformation of the diseased knee causes a noticeable curvature of the legs. The joints at this stage are very limited in movement.

As a rule, the disease of the 1st degree goes unnoticed - it does not bother the person practically, but to go to the reception because of a slight pain in the knee. .. Many people think this is just not serious, and are very mistaken - because it's possible to cure the disease at this stage almost completely quickly.

To see a doctor usually get with gonarthrosis 2 degrees, as a rule - bilateral. The disease goes too far, causing irreversible changes in the joints, so you can not completely get rid of it - you can only move the offensive of the 3rd degree for a long time.

Diagnosis of the disease

Of course, in neglected form, you can visually determine the increase, deformation of the knee. But much more reliable methods of research work - radiography, ultrasound, computed tomography, MRI - magnetic resonance imaging. Any of these methods can show changes in the cartilaginous tissue, and even more so - bone growths around the joint heads.

For a complete diagnosis, the doctor will prescribe a blood test. Particularly help him analyze the rheumatoid factor. Other diagnostic methods are assigned more to clarify the individual characteristics.

Treatment of

Diseases of the joints - not one that can be treated independently. It is possible to be treated only under the control and on prescription of the doctor. Especially self-treatment is fraught with consequences in bilateral gonarthrosis, and even 2 degrees - you can aggravate the situation and turn into a complete disabled person.

The doctor correctly assesses the course of the disease, appoints the appropriate physiotherapy, treatment. Therapy is aimed at improving the blood supply to the affected leg, increasing its mobility. In addition, they can prescribe injections or tablets from the group of non-steroidal anti-inflammatory drugs - to reduce the inflammatory process, anesthesia. All this is quite effective when the disease is not started.

In severe cases, when the knee function is completely broken, it is severely deformed, causes permanent pain, the doctor can decide that surgery is necessary. Methods of surgical treatment are different - from the imposition of metal structures, to the replacement of its parts by artificial ones. In particularly difficult cases, the surgeon will replace the entire joint.

As you can see, the path from an untreated knee injury to such a serious illness as gonarthrosis is very small. So do not treat such "little things" scornfully. Any sore should be cured completely, then it will not have to receive such "surprises".

Gonarthrosis of the 2nd degree - what is and how is treated

Degenerative-dystrophic disease, or gonarthrosis of the 2nd degree, occurs after the defeat of the cartilage tissue of the knee joints. The ailment causes unpleasant sensations - both soreness, and difficulties of bending of the legs, and deformation of the tissues. Disregard for yourself is fraught with serious consequences, is therefore important in time to seek medical help.

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Gonarthrosis is one of the first places among diseases of the musculoskeletal system. Most often they suffer women over 40 years of age, in the stronger sex, the disease manifests itself much less often.

Causes of

Grade 1 Grade 1, the absence of treatment of which develops the second, appears due to excess body weight, varicose veins, sedentary work and various problems with the knees. In addition, it is increasingly being used by athletes who are more prone to damage, such as meniscus ruptures, fractures and bruises.

Symptoms and differences of 1 and 3 degrees

The mechanism of the development of the disease is the following: a slight damage to the cartilage leads to degeneration, an increase in pressure on certain areas of the joint surface. About that, what is gonarthrosis of 2 degrees and about all its manifestations the patient learns when the destruction of the knee begins. At the same time there is a metabolic disorder in the connective tissues and the saturation with chondroitin decreases.

Has gonarthrosis of 3 severity, the most common among which is the average, because only then people begin to pay attention to health and treat. This is due to the fact that the disease lasts for a long time imperceptibly, and at first it simply does not matter. To prevent complications and complete immobility, you need to know the course of the course of gonarthosis:

  • gonarthrosis 1 degree. Bilateral gonarthrosis 1 degree is difficult to identify - periodically arising pain, swelling and joint changes are insignificant and invisible;
  • gonarthrosis of the 2nd degree. At the 2nd stage of gonarthrosis the intensity of painful sensations increases, they become longer, appear both from physical exertion, and in the mornings. The person begins to worry about the crunch and difficulty of flexing-extension of the leg. The knee deforms and increases in volume. Inflammation of the synovium - this is determined by swelling, fever and redness. The general condition of the patient is characterized by rapid fatigue;
  • gonarthrosis of the 3rd degree. It is characterized by constant, persistent pain, the patient becomes sensitive to changes in weather conditions. The walk is severely disrupted, because it can be difficult to move your legs.


Specialists distinguish one-sided and bilateral development of the disease. In the first case, the joints of one of the lower limbs are affected. Thus, left-sided gonarthrosis of the 1st degree leads to more serious consequences in the left leg. But more often a complicated variant is diagnosed, when the knee is subjected to both knees. In addition, rheumatologists classify it depending on the cause:

  • primary gonarthrosis. Primary bilateral gonarthrosis of 2nd degree is more common in elderly patients. As its causes are called increased load as a result of excessive weight, leg curvature, genetic predisposition and hormonal disorders.
  • secondary gonarthrosis. It occurs after, or against the background of the pathology of the knee joint - infection and trauma. In most cases, it is unilateral and is observed in people of any age.

Prevention and Treatment of

Getting rid of gonarthrosis is a complex and time-consuming process, for this purpose, therapeutic charging and special massage are widely used. Two-way gonarthrosis of the 2nd degree is treated with medicines - with non-steroidal anti-inflammatory drugs and hondoprotectors. In addition, a warning and complete relief from an illness requires adherence to the principles of a healthy lifestyle.

Gonarthrosis is a serious disease, which has been known for several decades. Until recently, there was an opinion that it is impossible to get rid of the disease, but modern medicine allows us to achieve significant improvement in the condition of patients. It all depends on how quickly the patient will notice signs of ill health, will undergo diagnostic measures and begin treatment.

Gonarthrosis of the 1st degree of the knee joint: left-sided, bilateral, deforming, treatment

The term gonarthrosis in medicine denotes degeneration of the cartilaginous tissue of the knee joint, which leads to destructive changes in the bone tissues of the bone heads entering this articulation. In this article, we consider gonarthrosis of the first degree, in which a rapid and complete restoration of damaged tissues is possible with the subsequent restoration of the physiological volume of mobility of the lower limbs. It is very important to recognize the pathology at the initial stage of development, this allows us to apply non-surgical methods of treatment.

Gonarthrosis of the first degree of the knee joint can manifest itself with minimal symptoms, which are difficult to formulate to the patient at the primary address to the doctor. Typical signs can be short-term pain, crunching and clicks during sudden movements. These symptoms intensify after a busy working day, during which increased physical stress on the knee joints appeared.

Destructive changes do not appear in any way. When the radiograph is taken, the thickness of the cartilaginous layer is seen to decrease. There may appear a decrease in the amount of synovial fluid and a decrease in its biochemical properties.

Causes of bilateral first-degree gonatrosis

As mentioned above, bilateral first-degree gonarthrosis responds well to conservative treatment, pathology can be completely stopped. With the right approach, it is possible to achieve a stable remission, the beginning of a complete regeneration of damaged tissues. But as with any other disease, an important factor of therapy is the elimination of probable causes that contributed to the destruction of cartilaginous tissue. Therefore, it is worth investigating the causes that cause gonarthrosis. They can include the following pathogenic factors:

  • excess body weight, which is accompanied by a deficiency in the development of muscle mass of the femoral and gastrocnemius muscle groups;
  • incorrect placement of the foot, which leads to an incorrect position of the heads of bones in the cavity of the knee joint;
  • heredity and the presence of systemic connective tissue diseases;
  • concomitant diseases of the hip, ankle, spine;
  • injuries and predisposing working conditions;
  • infection during medical manipulations.

This is not an exhaustive list of possible causes, but they are highly likely to provoke destructive processes. Therefore, they should be excluded first.

What is a bilateral deforming gonarthrosis of the 1st degree?

Double-sided gonarthrosis of the 1st degree is the most common diagnosis in case of systemic involvement of the joint tissues. In the traumatic nature of the disease, a one-sided degenerative process arises. In the initial diagnosis it is important to understand how much the cartilage tissue is weakened and whether there are reliable signs of a change in the bone structure.

Deforming gonarthrosis of the 1st degree differs in that with a significant change in the depreciation properties of cartilage there is an increased mechanical stress on the head of the bones. As a result, microscopic cracks may appear, which are filled with deposits of calcium salts. Radiographically, it can look like outgrowths, thorns, roughness. There are no external signs at the initial stage. Pain during movement can occur after severe physical exertion.

Two-sided deforming gonarthrosis of the 1st degree can be diagnosed already at the age after 30 years. The risk group includes persons engaged in manual labor with the primary load on the knee joints. Symptomatically, this can manifest as a slight stiffness in the morning hours after awakening. After a short walk, all the pains disappear. In the evening and at night, there may be cramps in the calf muscles, pulling pains, restless legs syndrome.

To answer the question about what is deforming gonarthrosis of the 1st degree, it can be very simple. This pathology, which in the absence of timely treatment can go into the pronounced destruction of the articular tissues. This inevitably leads to disability and significant difficulties in the independent movement of a person.

Left-sided gonarthrosis of the 1st degree and its distinctive features

Left-sided gonarthrosis of the 1st degree is not common. Usually, the predecessor of the disease is a trauma in the form of stretching of the ligamentous apparatus, dislocation of the knee joint, stroke, inflammation of the meniscus, detachment of the kneecap and much more. In a number of patients, pathology may occur after medical intervention for arthroscopy or an operation to restore the integrity of the meniscus.

On the right side, a pathological process occurs in a similar way. It is worth noting the inflammatory component in the development of subsequent destruction. An aseptic inflammatory reaction with a compensatory purpose is possible if the physical properties and volume of the synovial fluid are disturbed.

Differential diagnosis is performed with various forms of arthritis, bursitis, traumatic lesions. It is not necessary to exclude the possibility of irradiation of the pain syndrome in the hip joint lesion.

Treatment of gonarthrosis of the 1st degree by the methods of manual therapy

For the treatment of gonarthrosis of the 1st degree, official medicine suggests using mostly non-steroidal anti-inflammatory drugs in combination with chondroprotectors. Additional methods of therapy can be therapeutic exercise, massage physiotherapy. However, often the measures taken are not sufficient to stop the destructive process.

We recommend that you use manual therapy techniques in addition to traditional methods of treatment. In our clinic, effective programs have been developed that allow the restoration of knee joints to be started at the expense of hidden reserves in the human body.

For the treatment of gonarthrosis of the 1st degree, osteopathy and therapeutic massage, a course of gymnastics and reflexotherapy are widely used. For each patient an individual technique is developed that takes into account possible causes leading to this disease. In particular, the specialists of our clinic work with overweight the patient, recommend changes in the diet, develop a program to increase physical activity.

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