Arthrosis: how to treat it and how to get rid of the pain with the help of medications?
Osteoarthritis is a disease that is accompanied by a dystrophic condition of the joints of the musculoskeletal system. The disease contributes to the slow destruction of the cartilage, which is located inside the joint bag. The development of arthrosis for a long period is accompanied by an inflammatory process and degeneration of the periarticular tissues. It is arthrosis is the most common joint disease. According to statistical data, about 15% of the population are trying to get rid of arthrosis .The disease can actively develop both in men and in women. How to stop arthrosis and where to start to treat it? How can I stop the disease in stages?
The development of the disease occurs due to a metabolic disorder in the joint. Consequently, cartilage begins to lose elasticity. Constant pains begin. We get rid of the pain strictly only after treatment. The loss of proteoglycans can cause severe pain. Over the years, it begins to intensify. To date, there are innovative medications that help not only stop the development of arthrosis, but also to restore joint bags. To treat arthrosis, we must identify the causes of its occurrence. After identifying the cause, you can find out how to suspend the disease or how to cure it completely.
The development of arthrosis can begin for many reasons. To have an idea of how to get rid of arthrosis or stop its development, you must first recognize it. Specialists identify the following main causes of arthrosis:
- Metabolic disorders.
- Disturbances of a hormonal background of the person.
- Lowering the blood flow of the joint.
- Hereditary predisposition to the disease.
- Elderly age.
- Presence of injuries and other injuries.
- Presence of diseases such as rheumatoid arthritis.
- Permanent impact on the joints by an abnormal load.
Symptoms of arthrosis are considered to be permanent painful sensations when the joint is loaded. When he is at rest, the pain syndrome passes. Mobility is much lower, there is a crunch, a constant sensation of muscle tension. In order not to suffer from these symptoms and stop the development of the disease, it is necessary to begin active treatment. The disease will not progress, and it can be stopped with proper treatment. An experienced specialist should treat the disease.
Stages of arthrosis disease
In medical practice, three stages of arthrosis are distinguished. The first stage is usually not accompanied by severe symptoms. Sometimes the disease makes itself felt through minor painful sensations during movements or loads on the affected joints of the ankle, knee and others. In the synovial membrane and fluid, pathological changes begin to occur slowly. Consequently, the composition of the fluid changes, making the muscles begin to weaken.
It is very important not to prevent and prevent the beginning of the second stage. It destroys the joint, osteophytes are formed. The pain syndrome becomes pronounced, the crunch is clearly heard in patients with articular ankle bags, knee. From the side of reflex neurotrophic regulation, changes of varying degrees are observed.
The most difficult stage is considered to be the third one. It begins pathological changes in the support areas of patients with joints. Consequently, a complete change in the axes of the limbs begins. Bunches become short, the bag of the joint is rough, which results in chronic inflammation. It is becoming increasingly difficult to move, or there is simply no way to naturally carry out movements. The muscles can not fully decrease.
To treat the disease at the end of the third stage is very difficult. Osteoarthritis as a chronic disease manifests itself more and more with the beginning of each stage. The end of the third stage is fraught with complete immobility, the disease makes doctors do the patient endoprosthetics of the joint.
Treatment of arthrosis with medicines
To know how to treat arthrosis, you need to contact a specialist. After the examination, he will put an accurate diagnosis and determine the stage of the disease. Correct medical treatment restores joint activity, prevents further development of the disease. The disease, which progresses, gradually begins to recede.
First of all, the patient asks how to get rid of the pain. To do this, you need painkillers. It is them that the doctor first prescribes. After getting rid of the pain, an anti-inflammatory drug will follow with obligatory medicine. It aims to treat the joint from the inflammatory processes occurring inside it. Anti-inflammatory and analgesic drugs are able to repair cartilage joint tissues. The disease can not completely recede unless desensitizing agents such as diphenhydramine and suprastin are used.
If arthrosis is started and detected rather late, then immediate surgical intervention occurs. During surgery, the surgeon removes bony projections that can not be cured, or strengthens the bony and cartilaginous parts of the joint. After the operation is carried out, it is worth observing the rules of rehabilitation. It is very important. After operation, joints should not be loaded, it is better to keep them at rest. This means that you must observe bed rest for a certain time. If the swelling does not pass for a long time, the appropriate ointments are used.
How to deal with arthrosis: prevention and treatment of
Arthrosis is a disease that affects mainly the elderly, but it also happens that the disease manifests itself in 30 years. Usually 80% of people get sick with this ailment, to whom for 50, and therefore, how to deal with arthrosis, it is important to know everyone.
Osteoarthritis is a cartilage damage that serves as a shock absorber for various movements. Cartilage during life experiences a constant load and gradually loses its ability to absorb a sufficient amount of water. And so its fibers become less elastic, drier and brittle and can completely break down. Bone tissue also undergoes changes, the formation of bony outgrowths compensate for the collapsed cartilage, and therefore joint deformities occur. To know what prevention is and how to deal with arthrosis, you need to find out the causes of the disease.
Causes of arthrosis
There is no specific cause of this disease, but there are several risk factors that lead to the disease.
- This is mainly due to age, as old age cartilage is not able to withstand the loads that were exposed in youth, so most often suffer joints of the legs.
- Connective tissue may be weak from birth, which can lead to early development of arthrosis.
- Sometimes children are born with a dislocation of the hip joint, which must be properly treated, so that there is no future arthrosis of this joint.
- There is evidence that arthrosis is a hereditary disease.
- To arthrosis, and lead to injuries, which were accompanied by bruises, dislocations, fractures of hands and feet, as well as professional microtrauma. There are a number of professions where arthrosis is an occupational disease - miners, secretaries, weavers and ballerinas. Most often, arthrosis appears in people who, on the basis of their professional activities, stand on their feet for a long time: sellers, hairdressers, dentists, athletes and those engaged in manual labor.
- The risk group includes people with metabolic diseases. Arthrosis of the joints of the feet are more likely to suffer from diabetes, obesity, varicose veins and atherosclerosis.
How to determine arthrosis
The first sign of arthrosis is joint pain and swelling. The pain can be sharp and mild. Sharp pain arises from inflammation in the joint or muscles and tendons, and any movement can cause suffering. A swelling is due to the fact that the joint is inflamed and around it accumulates water.
If there is no inflammation, then the pain is not strong, and they are disturbing only with loads. Such pain passes after rest. In neglected cases, the pain worries constantly.
Joint lesions with arthrosis
Arthrosis affects all joints. The disease can begin with the lesions of small joints of the hands and feet, then, the supporting joints, knee and hip, suffer. In the feet and the knee joint fluid can begin to accumulate, the swelling of the legs is formed. Therefore, at the beginning of treatment, the question of how to relieve swelling and pain is solved.
At the first examination the doctor diagnoses, having studied the medical history, having listened to the patient's complaints and examined him. Further, in order to confirm the diagnosis, analyzes are made and x-rays of joints are made, sometimes additional studies are carried out - ultrasonic and thermographic. What do I need to take tests to accurately diagnose? First of all, these are general tests of urine and blood, as well as immunological and biochemical studies. What tests may still be required, the doctor determines, may be the investigation of synovial fluid and feces.
And although the disease is considered incurable, it is possible to completely stop its development, following the recommendations of the doctor. In this case, only the deformation that has already occurred in the joint will be incurable.
If you know how arthrosis is manifested, and noticed its signs, then do not panic, you must first start moving, reducing the burden on the affected joint. There may be restrictions in professional activity. When we move, there is a force acting on the joints, which exceeds the weight of the body several times, so you can not run, jump and carry weights. Relieve the course of the disease, reduce the pain and remove the swelling of the joint can be, following the advice of a specialist. In addition, you can remove the swelling of the legs by applying cold, but only if it is caused by trauma.
Do not work in an unchanged position, as the flow of blood to the sick joint worsens. If the joints of the hands are affected, then it is necessary to know how to relieve the load on them. You need a restriction in carrying heavy bags, working on the keyboard and playing the musical instruments, if this is related to your profession. The load should alternate with rest - for every 15-20 minutes of the load should be 5-10 minutes of rest. Unloading of joints is done lying down or sitting.
All exercises are done to restore blood circulation. There are special exercises that form a muscular corset around the joint and thereby maintain its normal mobility. How to relieve pain through exercise? For this exercise should be regular, for 30-40 minutes a day, the result becomes noticeable in 2-3 months, as pain with arthrosis decreases, and the vital tone is restored.
Beginning to do exercises is necessary under the supervision of a physician in the group. After the classes are over, the same exercises should be continued at home. The main condition - all exercises are done often during the day, 3-4 times for 10 minutes, slowly and smoothly. Contributes to the recovery of the affected joint such loads: a walk for 20-30 minutes a day, swimming, exercising on simulators, cycling and in winter skiing. Apply to improve the well-being of a massage, relieving pain, and physiotherapy.
Complex rehabilitation in a sanatorium is possible only outside the period of exacerbation.
During the period of exacerbation, the doctor prescribes medication with anti-inflammatory drugs in combination with various ointments that relieve inflammation, swelling and pain. Do not try to self-medicate, only the doctor will pick up the necessary medications and ointments. In this case, recovery will come faster.
In severe cases, if it is necessary to quickly remove inflammation and swelling of the legs, intraarticular injection is done. But often it can not be used, since it does not cure arthrosis and is harmful to the joint. To slow the development of arthrosis, it is necessary to use chondroprotectors - drugs that repair cartilage. The course of treatment with chondroprotectors should be long, up to 8 weeks, and repeated 2 times a year for several years. There are also new agents for the treatment of arthrosis - this is collagen, which is so lacking in the body in old age.
A person can influence his behavior by one of the factors that causes arthrosis. He can get rid of excess weight, using a low-calorie diet with the inclusion of vitamins E, D, and C, and thereby stop the wear of the joints.
If you work or play sports on the same joints of the legs, then this constant effect undermines human health. Therefore, it is necessary to know the reason for the occurrence to choose a different profession and reduce the burden when playing sports. But prolonged sitting does not allow nutrients to enter the cartilage, so the golden mean is important. You just need to move, but you need to control the load.
Is it possible to cure arthrosis without drugs? Yes, it is possible to use traditional medicine and exercise, wear comfortable shoes with orthopedic insoles. It is very important to follow a diet: completely eliminate alcohol, fried, spicy, salty foods, carbonated drinks. For drinking, only pure water is used, and you need to drink it a little, but often. By limiting the consumption of meat and the addition of marine fish containing Omega-3, it is possible to reduce inflammation in the joint. It is recommended to take more food containing calcium, and eat more vegetables and fruits.
Symptoms and signs of arthrosis, basic methods of treatment
Joint disease, in which the cartilaginous layer breaks down, is called arthrosis. Unfortunately, covering the inner surface of the cartilage joints, eventually aging. Many reasons affect. Is arthrosis dangerous to humans and what does it threaten? Are there really effective methods to combat the disease?
To understand the specificity of the disease and to equip with the necessary elementary knowledge, we will consider what is arthrosis: its symptoms and treatment. The destruction of cartilage occurs gradually and at first the person can not feel its signs. The slightest trauma and overload, dislocations and subluxations help the development of the disease. The aging cartilage is recovering worse after them and salt is deposited on the injury site and scars are formed. The articular surfaces are not so smooth and even more injured during the movement. There is a specific crunch, pain and swelling. Gradually, the joint may become deformed.
Scheme of the knee joint
Causes of arthrosis occurrence
Heredity plays a big role in the appearance of the disease. If the parents had this ailment, then the probability of its appearance in children is great. In this case, the disease can significantly "grow young".Uneven loads on the joints are of great importance. They are exposed to people who perform sitting and standing work related to the profession: hairdressers, salesmen, drivers, and now those who spend a long time at the computer.
Also affect the joints are greater physical exertion. They suffer from athletes, builders, loaders, miners, as well as working with vibroinstrumentami. Lead to arthrosis can and endocrine diseases( obesity, diabetes), women during menopause - a deficiency of hormones, which makes cartilage vulnerable to injury and stress.
Arthrosis affects more women - 87%, in men it is noted in 83% at the age of 55-65 years. The disease can affect almost any joints. It is divided into primary and secondary arthrosis. The primary form begins without a noticeable cause at the age of over 40 years and affects many joints simultaneously. It can be accompanied by high blood pressure, violation of fat metabolism, atherosclerosis, etc. Most often, arthrosis is localized on the fingers - nodular changes in phalanges.
Secondary arthrosis can develop at any age, it affects one or more joints of the limbs and spine. With this form of the disease the joint slits narrow, and the surface of the bones thickens due to bone growths. For example, when an ankle is affected, pain in the anterior surface of the joint, swelling, restriction of mobility, lameness, joint deformation appear more often in football players, runners, ballerinas.
Knee joint, damaged by arthrosis. Right - X-ray image
Diagnosis and treatment of the disease
To determine the form of the disease and its causes can only the doctor. This is done through a comprehensive examination of the patient. The condition of the whole organism is assessed. For this purpose, a research system is conducted: a patient's questionnaire( anamnesis) for the purpose of identifying previously transmitted diseases and injuries, radiographic examination, laboratory tests, instrumental and special examinations to obtain the complete picture. In this case, it is not always easy to determine the degree of development of arthrosis: with significant changes in X-ray images, the patient may not have severe pains and, conversely: with severe pain, changes in the images are quite insignificant.
Treatment of arthrosis today is a serious and urgent problem. And although the amount of medicines used for arthrosis is constantly increasing, they have only a symptomatic effect. And while none of the drugs has become a panacea in the treatment of joints. Because the treatment strategy is chosen by the doctor, and the patient himself helps. Treatment should be comprehensive.
The first action is the removal of the pain syndrome. During the exacerbation of the disease, joints need rest and less stress. It is recommended to unload them with a cane, crutches or walkers. Avoid prolonged standing or bending. Parallel to this, chondroprotectors are appointed - a group of drugs that "restore" the affected joint mechanically and are a kind of lubrication of the articular surfaces. They prevent further destruction of the cartilage.
The development of arthrosis is accompanied by an inflammatory process. To combat it, non-steroidal anti-inflammatory drugs are prescribed. But their use as a double-edged sword can be vital, and can be very dangerous. Therefore only the art of a doctor can skillfully direct it to the inflammatory process and at the same time avoid the risks of developing gastritis, thrombosis, liver disease.
At home, as prescribed by the doctor, the patient can use distractions in the form of ointments, sweets, gels, infusions of herbs. Good results are provided by physiotherapy, acupuncture, hirudotherapy( treatment with leeches), and also sanatorium treatment in the stage of remission( attenuation of the disease) with the use of natural mud and mineral baths.
Treatment with leeches - not very common, but gives good results
Arthrosis of large joints
Pain, knee joint damage( in this case we are talking about gonarthrosis) never appear sharply, in one second. Osteoarthritis in the knee joint is gradually growing. First, there are pains with prolonged walking, while climbing the stairs or descending from it. It is also difficult for the patient to start the movement after sleeping and sitting. After rest, pain in the knee disappears. At the first stage of the disease the joint has the same shape, but it can be swollen. Over time, pain intensifies, and mobility decreases. The knee bends less and reaches only 90 degrees. There is a deformation of the joint, a coarse crunch appears, more and more intensifying. In the third stage, the mobility of the joints is reduced to a minimum, they deform even more, the legs are bent, the gait becomes overtaxed.
Osteoarthritis of the hip joints( coxarthrosis) develops after 40 years, and they are more often affected by women. This is the most severe form of degenerative joint disease. Often it is caused by congenital dysplasia, dislocations and subluxations, suffered diseases and injuries of the femoral head. The main symptom of the disease is pain in the groin, which extends no more than up to the knee, increases with walking and it is especially difficult to get up from a chair or bed.
Gradually the signs of arthrosis of the hip joint are supplemented by the restriction of the movement of the sore leg. A person can no longer take his foot to the side or pull up to his chest, there is a rough dry crunch. He finds it difficult to put on socks and shoes, he begins to limp. If the patient is put on his back, it will clearly be seen that the sick leg has become shorter and unfolded outward. Further, due to lameness, there is fatigue in the lumbar region and pain in the attachment of tendons in the knee joint. These pains can be even stronger than the pain in the groin and can provoke incorrect diagnosis.
Maintain physical activity, avoid overcooling and professional overloads, do not injure joints and spine, eat rationally. Take care and train your bone system.
What is arthrosis and from what it happens?
Osteoarthritis is a joint disease that occurs due to severe wear of the articular cartilage for one reason or another. Do not confuse with arthritis( acute inflammation), which is caused by various pathogens of infection. That and arturosis is cunning, that the initial stage is almost never known, and it does not make sense to find out why it arises, when something needs to be done already.
Currently, medicine can not completely cure the disease, but it can slow down the development process. With the help of special drugs, you can temporarily reduce discomfort, although this is a half-measure.
Causes and types of
disease It is always necessary to know in advance what causes arthrosis to reduce possible risks. There are only five common options:
- spondylarthrosis( spine).
- coxarthrosis( hip joint).
- gonarthrosis( knee joint).
- interphalangeal joints on the hand.
- polyarthrosis( simultaneously several joints).
Usually there are only two reasons for the occurrence - excessive regular joint loads, which cause regular micro-trauma, as well as impaired metabolism. Practically in every sport there are certain parts of the body that suffer more than others, but it is especially noticeable in ballet( not without reason the ballerinas retire at 35 years old), where standing on tiptoe leads to a whole range of joint problems on the legs.
Nature is complex, but the realities of life are such that, in the performance of a certain work, not all muscles are strained equally, but only some, which causes others to develop poorly. This is especially noticeable in the example of flat feet, becausethe foot man naturally has an arcuate shape, but the wrong footwear and low mobility lead to the gradual occurrence of flat feet, and then arthrosis occurs.
At the time when the cartilaginous bone is thinned, the body begins to work for compensation, i.e.lays salt. To do without salts, it is enough to lead the most mobile way of life, to do regular exercise and eat right. The profession of a masseur in the 21st century has become precisely because of this popular, becauseonly 10 people do not have problems with salt being put aside, which strongly hamper the movement.
problem has already manifested As soon as the disease is diagnosed, it is necessary to start treatment immediately, in order to prevent the development and development of it in periarthritis. In time, the measures taken will allow spreading the disease to as yet unaffected joints and prevent complete paralysis of already sick people.
In the initial stages of the disease, compresses and massages are effective, but then you will have to resort to modern medication or traditional medicine. The choice of these or those herbs depends directly on the patient's condition, the reactions of the onions( allergies are still worth considering), and along with this their access in the region.
The best remedy is a Russian bath. The uncoiled joint, breezing with a broom and an elementary massage will improve blood supply and become a serious barrier to the disease. Incidentally, there is a complex of special decoctions for the bath( to create steam), which allows to achieve even greater result:
- will require a three-color violet, medicinal veronica, three-parted string, burdock root, forest strawberry leaves and wheat grass root. For 3 liters of water you need to mix 1 tbsp.l.dry mixture and boiling water, then insist 45 minutes. When the tincture is ready, you need to mix it with water, and you can use it for the intended purpose.
- will require pine buds, grass wild rosemary and nettle dioecious, the fruit of barberry and the root of the dog rose. All this is mixed in equal proportions, after which 1 tbsp.l.mixture is poured with 1 glass of boiling water and left for 20-25 minutes in a water bath, then insisted for another 40 minutes. The result is mixed with 3 liters of water, and the tincture is used for the intended purpose.
- this recipe is the easiest( leaves of cranberries, black currant leaves and cinnamon rose hips).From the resulting dry mixture is allocated 1 tbsp.l.and poured 1 glass of boiling water, after which it is infused for 30 minutes. This time it takes only 2 liters of water. In addition to the usual use for a bath, you can drink the resulting mixture of 1 glass a day, dividing it into 3 equal parts.
But modern realities are such that not always have access to the bath, so you have to get out of the bathroom:
- 1 cup of dry peppermint leaves pour 3 cups of boiling water, then insist 30 minutes. The temperature of the water in the bathroom should not be lower than 40 ° C, and the time of the procedure should not exceed 15 minutes. If there are problems with the heart, then this procedure is unacceptable.
- 150 g of dry mustard to stir in a bucket of water to a homogeneous state( without lumps), then pour into a bath with a temperature of 40 ° C, but the time of taking the procedure is not more than 12 minutes. As in the first case, it can not be taken if there are heart problems.
- to remove swelling, use a decoction of hay. The pipe is half filled into the container, then it is filled with water to the edges. After boiling on the fire, you need to torment another 15 minutes and leave it for 30 minutes. The temperature of the bath from 40 ° C, the procedure time - up to 15 minutes. To remove the edema, this procedure is repeated no more than 1 time per day and not more often 5 days for 1 week( or better 5 after 5 days).
What is needed for the prevention of
In order not to rack your brains, what to do, when the swelling suddenly occurred, you should give time to health in your daily life. It does not take much energy, money and time( especially money, because healthy food is cheaper in practice), but the result is worth the investment.
- joints should always be kept warm even when this is difficult to achieve. When training on the street( except hardening) it is worth using warming knee pads, which, on the one hand, is inconvenient, but on the other hand it will be of great help.
- power mode can not be violated. And in addition to the right timing for eating, you also need to make a menu of pure products without marking about GMOs, chemistry and spirits. Particularly harmful in this case products containing chemicals, in second place - alcoholic beverages, on the third - GMO products.
- active way of life. Do not exercise and kill health in training in the gym for 10 hours a day, it is enough to do basic gymnastic exercises 2-3 times a day, which will provide loads on all muscle groups. Another goal of such trainings is weight keeping within the limits of the norm( growth in centimeters minus 100 kg, ie at growth of 176 cm weight according to the 76 kg standard).If the main work involves sports, then you should limit yourself as much as possible so as not to overload the body.
- quality comfortable shoes. This issue is especially important, becausehigh heels and flat sole lead to the fact that 40% of the population suffers from flat feet in Russia( as of June 2014).It is very important to use high-quality materials for shoes, so that your foot does not falter.this also seriously affects health.
- many do not suspect that edema can arise from lack or excess fluid in the body. Recommendations in this case are simple enough: do not limit yourself in the liquid, but also to interfere with natural cleaning processes, too, should not be. Then do not have to look closely, from what problems have gone.
In order not to think about what to do with arthrosis, you must initially follow all the recommendations. This will not allow to be completely sure that the edema will not find out once( from fractures and natural aging no one is insured), but will give guarantees that you can continue the normal way of life until old age.
After the swelling has appeared, it is no longer necessary to seek an answer to the question of why this ailment occurs, but it is necessary to take action on treatment.
Arthritis and arthrosis of the knee: symptoms and treatment
Among the diseases affecting the joints, two are more common than others - it's arthritis and arthrosis. These ailments with consonant names are often mistaken for the same disease, and in vain. Touching the tissues of the joints, these diseases have different causes and other differences, which will be discussed in this publication.
- 3.2 Treatment of arthrosis has three main directions:
Let's look at what it is
Before we talk about the factors, symptoms and methods of treating arthritis and arthrosis, we will give a definition and a brief description of these ailments.
Osteoarthritis is a progressive joint disease that affects only the articular tissues, arises from trauma, fracture, lifestyle characteristics and is most often diagnosed at a later age. With this pathology, the cartilaginous tissue is destroyed and thinned, and the arthrosis itself is primary and secondary. When the primary is disturbed, the balance between cartilage wear and the rate of its recovery, the cells of the chondrocytes die in greater quantities than are formed. Secondary arthrosis develops in the affected joint, when the surfaces of the articulating bones are not correlated in the same way as in the normal joint. This option is observed due to severe injuries, regular stresses on the joint in the process of human activity and other reasons.
Arthritis - the pathology of the articular tissues, caused by disruption in the work and inflammatory process in any organs or systems of the body, often begins to develop at an earlier age - up to 40 years. The defeat of joints with arthritis should be considered only as one of the most pronounced symptoms of any disease in the body, whether it is a malfunction in the work of immunity or an infection.From the definitions it can be understood that the most important difference between arthritis and arthrosis lies in the causes provoking the development of the symptoms of this or that disease.
Causes of arthrosis
The most common causes of the disease are:
- various injuries: knee meniscus injury, fracture, dislocation and others;
- excessive load on the joint, for example, in sports( knee runner, etc.), with heavy physical work;
- overweight creates additional pressure on the joints, especially the knee, and acts as a provoking factor in the development of arthrosis.
In addition, the impetus to the occurrence of arthrosis can be dysplasia, in which there is abnormal cell development, inflammatory processes, congenital malformation of bones, mutation in the collagen structure, hereditary predisposition, old age.
Causes of arthritis
Arthritis is always based on inflammation in the body. Reaching the joint, it begins to develop in the synovial membrane, later spreading to other tissues: bones, tendons, etc. Let's name the main factors leading to the appearance of arthritis:
- infectious diseases of the body;
- problems with immunity;
- allergy and metabolic disorders.
Are the symptoms of arthritis and arthrosis similar?
Consider the main symptoms that concern patients with joint problems and find out what differences are present in the manifestation of arthritis and arthrosis.
Perhaps pain is a symptom that occurs in almost any ailment that affects the joint. However, the pain in arthritis and arthrosis is different. If painful feelings visit you at night in a state of rest, especially between 2 and 5 o'clock, then this is a likely sign of the rheumatic origin of pain in the joints. In arthritis, it is more often this type of pain that appears when the limb is stationary. Pain can also decrease due to active movements, after gymnastics.
Osteoarthritis is manifested by pain during movement and increased load on the joint, for example, when climbing stairs, intense sports, lifting weights, etc. It is necessary to take a motionless and comfortable position, as the pain begins to subside and passes completely. Also, we note that in the first stages of arthrosis, there are practically no morbid sensations, or they appear as a result of very heavy loads on the joint.So, remember: pain with arthrosis - when moving, with arthritis - at rest, often at night and in the mornings.
Stiffness in the joints
The nature of the limitation of mobility is observed in both arthritis and arthrosis, however this symptom is also somewhat different for these two ailments. In order to defeat the joints of inflammatory etiology, in particular arthritis, morning stiffness is characteristic, which disappears before lunch or even within an hour or two after awakening.
With arthrosis, the amplitude of motion in the joint decreases, this is due to the fact that as the pathological changes progress, the joint gap narrows, the bone tissue grows( spines, or osteophytes on the bone surface) and spasm of muscle tissue is observed. The later stage of arthrosis in the patient, the smaller the amplitude of motion.
In the area of the affected joint with arthritis, there is swelling, redness of the skin, which is associated with the activity of the inflammatory process. This symptom of arthritis is often accompanied by pain, the nature of the swelling can be of a changing nature, when one joint swells and hurts first, then the swelling subsides and then the same symptoms move to another joint, etc.
With arthrosis, swelling and swelling in the joint area is also observed. However, this symptom is of a permanent nature, since it often appears as a manifestation of late stages of arthrosis, when irreversible changes are observed in the joint: deformity, growth of osteophytes and congestion of synovial fluid due to inflammation( synovitis).
Crunch in the joint is observed mainly with arthrosis, and that is especially characteristic, it increases and becomes louder as the disease progresses. Do not confuse arthrosis crunch with a slight click on the movement in healthy joints, with arthrosis, the sound is deaf and squeaky. This symptom is related to the fact that the bone surfaces in the affected joint are disposed in relation to each other. As for arthritis, the crunch is not a characteristic sign of this disease.
Other features of
The most common symptoms of arthritis and arthrosis and their distinctive features are discussed above. However, in case of arthritis, additional manifestations of the disease are often observed, which need to be addressed:
- periodically arising chills, fever, increased sweating;
- inflammation, redness and itching in the eyes;
- appearance of nodules under the skin;
- decreased appetite, weight loss.
Features of treatment of arthritis and arthrosis
Both for arthritis and for arthrosis, timely initiation of therapy is very important, as it allows to preserve the mobility of joints, maintain the person's ability to work and prolong his normal life.
Treatment of arthritis includes the following components:
- anti-inflammatory drugs, they help not only to eliminate inflammation, but also significantly alleviate the pain;
- antibiotics are necessary for arthritis of infectious etiology;
- chondroprotectors, or agents for preventing further destruction and repair of the joint tissue;
- exercise therapy - a set of specially designed exercises for the affected joints;
- physiotherapy: warming up, therapeutic baths, massage and other procedures;
- surgery is indicated as an extreme measure of therapy.
Treatment of arthrosis has three main directions:
- pain relief with painkillers for internal and external use;
- elimination of inflammation, if any, with anti-inflammatory drugs;
- maintenance of articular tissues through the use of chondroprotectors - preparations of glucosamine and chondroitin;
- therapeutic gymnastics for the prevention of further damage and unloading of joints;
- partial or complete replacement of the joint in advanced cases.
It is worth noting that it is impossible to completely cure arthrosis, but to stop the progression of the disease or slow it down is quite realistic. The main thing is to ask for medical help on time and begin treatment.
Watch the video of Dr. Bubnovsky on how to distinguish between arthritis and arthrosis:
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Osteoarthritis of joints: symptoms and causes
Causes of arthrosis
Specialists who deal with joint problems have now come to the conclusion that it is impossible to say unambiguously why a person develops arthrosis - the causes of the development of destructive-dystrophic changes in articular cartilage can be very diverse. In addition, in recent decades there has been a clear trend that this disease is rapidly "younger" - if thirty years ago the majority of patients were elderly( over 65 years old), today arthrosis of the extremities can be found in adolescents or people whohave not yet reached 25 years.
The insidiousness of arthrosis lies in the fact that pathological changes in the cartilaginous tissue of the affected joint for a long time do not show any symptoms - pain and difficulty of movement become noticeable only at the moment when the destruction reaches the periosteum located under the cartilage.
Most often arthrosis of joints results from:
- joint injury - minor damage and cracks in the cartilage are very often not completely eliminated and "trigger the process of destruction;
- of hereditary disorders of cartilage tissue metabolism - this leads to the fact that the cartilage wears out very quickly, and the thin growth layer does not completely eliminate the damaged areas;
- prolonged static load on the joint - at the pressure on the joint, normal metabolic processes in the cartilaginous tissue are disrupted;
- age changes - over time, cartilage loses its plasticity and becomes more sensitive to any damage;
- overweight - increasing body weight for every 5 kg three times increases the load on the joints;
- metabolic disorders in the body - any metabolic disorders can eventually provoke a failure of the synthesis processes in the cartilage, regardless of the size of the joint;
- flat feet - this reason is especially important for the development of the disease on the joints of the lower limbs, even a slight deviation of the axis from the physiological position changes the conditions of blood supply to the cartilaginous surface of the joint;
- Vascular pathology that participate in joint blood supply - Arterial blood flow disorder often causes arthrosis of small joints ( this is especially true for joints of the feet and brushes)
Depending on the condition of the joints before the onset of the disease, there are:
- primary joint arthrosis - the causes of the disease in thiscase can not be identified even when conducting a thorough examination of the patient;
- secondary arthrosis - occurs as a result of traumatic injury, endocrine diseases or complicates the course of autoimmune arthritis( with systemic lupus erythematosus or rheumatoid arthritis);
- generalized arthrosis( polyarthrosis) - the disease manifests itself as a simultaneous symmetrical lesion of several large joints, this is how the deforming arthrosis of the hip arthrosis or gonarthrosis( arthrosis of the knee)
How joint arthrosis manifests
Even a qualified specialist does not always diagnose arthrosis without a comprehensive examination of the patient- the symptoms of the disease are very similar to the manifestations of inflammatory joint damage( arthritis).The most frequent complaint of patients in both cases is pain and disruption of movement in the affected joint, as well as the development of severe deformation and defoguration in the joint.
Pain in arthrosis occurs more often at the time of stress on the joint, it increases with considerable physical exertion and at the initial stages of the disease can disappear independently even without drug therapy. In the event that the destructive degenerative process complicates the course of vascular diseases of the extremities, arthrosis of the ankle joint often develops. This variant of the disease is characterized by the appearance of pain at rest and rapid disappearance after the onset of active movement.
In addition, with arthrosis, starting pains can arise - they are characterized by the appearance of unpleasant sensations at the first steps of the patient and independent disappearance at the continuation of the load( the patient "paces").With arthrosis, it is possible to develop an articular blockade - in this case, the necrotic cartilage is infringed in the joint cavity between the articular surfaces of the joint. In this case, acute pain disappears by itself in the event of accidental movement, which leads to the removal of the "articular mouse" from the articulating surfaces of the joint.
With the progression of degenerative-dystrophic changes in the joint, there is a thinning or complete disappearance of cartilage - as a result of this crepitation occurs in the affected joint, it is felt even with movement with a small amplitude like a crunch in the joint. Often patients notice that cooling joints leads to a worsening of their condition - there is an ache.
Arthrosis of the joints can be accompanied by their swelling - this symptom occurs as a result of the development of local circulatory disorders in the affected joint, but unlike arthritis, in this case, there is never an increase in the body's local temperature and redness of the skin, and there is no pronounced deterioration in the overall condition. A stable deformity of the joints with arthrosis is always accompanied by pronounced changes in radiographic images - a narrowing of the joint gap, a thinning( rather than thickening) of the cartilage layer is found, and with far-reaching arthrosis a change in bone structure on the joint surface is found.
In addition, arthrosis can be accompanied by a pronounced and persistent deformation, the degree of which does not decrease even with the appointment of massive drug therapy - painkillers and anti-inflammatory drugs reduce pain, but the degree of deformation of the joints does not change.
Types of arthrosis
When a hip is affected, the patient is diagnosed with coxarthrosis - in this disease the process usually affects the joint only on one side( unlike most arthritis).Patients complain of pain that arises and quickly disappears during the movement, an attempted movement can be accompanied by lameness and pain in the muscles of the thigh. With the progression of the disease, a limb shortens due to atrophy and flexion contracture - the patient experiences a characteristic "duck walk".
When the knee is injured, the patient develops gonarthrosis, which is characterized by joint instability, increased pain when walking on an inclined surface or a ladder, but all symptoms quickly disappear after a short rest.
Osteoarthritis of small joints
This variant of the disease most often arises as a professional disease in patients, who by the activity have to give additional load on some small joints. Typical representatives of the disease consider arthritis of the hand and typists or pianists, or arthrosis of the foot that arises in hairdressers or medical workers - treatment of the disease in this case requires temporary restriction of loads and the appointment of metabolic therapy in combination with massage and a complex of therapeutic physical training.
Treatment of arthrosis
A doctor who is admitted to the patient with any variant of degenerative-dystrophic joint damage, must necessarily conduct a comprehensive examination of the patient to exclude arthritis, especially associated with infection( including urogenital) or autoimmune process in the body. Only after this, it is possible to prescribe a comprehensive treatment for the disease, which must necessarily include the use of non-steroidal anti-inflammatory drugs, metabolic therapy, including the appointment of chondroprotectors and vitamins, manual therapy, and massage.
It should be remembered that the vast possibilities of treatment and prevention of the disease has rehabilitation medicine - arthrosis of joints is best treated with the detection of the earliest signs of the disease, with minimal changes in cartilage and bone tissue. In the case when diagnosed arthrosis - treatment with folk remedies helps to slow down the rapid development of deformities. In this case, a long reception of medicinal herbs is shown, which have a pronounced anti-inflammatory effect, the use of animal chondroprotectors( chill).
To prevent disease and reduce painful feelings, patients with any form of arthrosis are shown to limit static loads, swimming, as well as performing a complex of exercise therapy in the pool - in this case, the movement is facilitated and helps to strengthen the muscular corset around the affected joint. In addition, to reduce pain, dry compresses, physiotherapy procedures, and sanatorium treatment can be used.
With severe deformity and development of joint ankylosis, surgical treatment is indicated - endoprosthesis replacement of the affected joint.
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from what there is an arthrosis that netak in an organism?the young man's legs and hands hurt alright when at the age of
Arthrosis is a joint disease, very widespread in the world. A more correct name for arthrosis is osteoarthritis. The main symptoms of arthrosis: severe pain in the joint, decreased mobility of the joint. In case of neglect of arthrosis, immobility of the joint arises. The main difference between arthrosis and arthritis: with arthrosis, the main destructive activity is performed not by inflammatory, but by degenerative processes in the articular cartilage.
Prevalence of arthrosis
10 to 15 percent of the world's population suffers from arthrosis. With age, the risk of developing arthrosis is significantly increased. Symptoms of arthrosis are found 30-40 years.27% of people living more than half a century, suffer from arthrosis. And after 60 years, almost everyone suffers from this disease. The frequency of occurrence of arthrosis is the same among men and women. An exception is arthrosis of interphalangeal joints - this type of arthrosis occurs most often in women.
Classification of arthrosis
Primary arthrosis - 40-50% of cases of arthrosis. The disease occurs on a previously healthy joint, and its cause is not damage to the joint, but, for example, heavy physical work.
Secondary arthrosis - 50-60% of cases. The joint, subject to arthrosis, was deformed even before the illness - for example, as a result of trauma.
Mechanism of arthrosis
Metabolic disorders in the joint lead to loss of cartilage elasticity. The partial or total loss of proteoglycans from the cartilage contributes the most to this( due to deep cracks in the cartilage).There is another reason for the disappearance of proteoglycans - this is a violation of their production by the cartilaginous cells of the joint.
What joints suffer from arthrosis?
The most common diseases are arthrosis of the joints of the lower half of the body( hip, knee, first metatarsophalangeal).On the hands of arthrosis, the joints of the phalanges of the fingers are most often affected. Arthrosis usually occurs first on one joint, and then on the second - symmetrical first.
Ankylosing spondylarthrosis( Bechterew's disease) leads to a limitation of the motor abilities of the spine - due to the joint, i.e., fusion, of some joints. The results of X-ray examination reveal that the spine, subject to arthrosis, is similar to a bamboo stick. Kidneys are possibly unhealthy, the metabolism is wrong.
It is necessary to hope for the best and not to despair, to be treated.
Reason-the kidneys that control the body's bones, teeth, hair, joints.