Performing gymnastics for osteoarthritis
People with osteoarthritis often assume that doing gymnastics with their condition is not recommended. Limited performance joints does not mean that you do not need to exercise. Gymnastics for osteoarthritis is not only recommended by doctors, but also necessary for a speedy recovery. Doctors often advise patients to undergo a course of therapeutic physical training to strengthen the muscular joints.
Gymnastics in case of osteoarthritis is performed according to the doctor's recommendations, preferably daily. Do exercises in good faith, gradually increasing the load. The complex of exercises of therapeutic gymnastics is developed by specialists who are advised to perform them several times a day( 15-20 minutes).
Performing medical gymnastics for osteoarthritis
Below are a few simple exercises performed with osteoarthritis:
- Lie on your back, then bend your knees. Next, gradually raise the right foot from the floor( the leg is in a bent state), press it against the chest for 5 seconds. Letting go. Repeat the same with the left foot. The exercise itself must be performed 10 times per session.
- Lie down on your back, while keeping your legs straight. Then bend one leg in the knee, trying not to tear off the floor, press it against the torso. Perform the exercise at least 15 times a day.
- Sit on the chair. Keep your back flat, and kick your legs.
- Sit on a chair, the back is flat. Lift one leg as evenly as possible, while pulling the foot towards you. Then slowly lower it. Do the same with the other leg. The exercise is performed at least 10 times.
- Lie down on your back, legs straighten. Slowly lift first one leg 30 cm from the floor, then the other. Legs lower one by one. The exercise is performed 30 times.
LFK for osteoarthritis is necessary, as it will help alleviate pain and keep joint activity. Therapeutic gymnastics can be held in the pool. Exercises should be aimed at strengthening the muscular joints, increasing the volume of joint movements, as well as improving the aerobic state.
You need to go out more often, walk on foot, visit swimming pools and other health centers. Skiing and cycling are not exceptions. You should not be treated with drugs, you can get rid of this disease yourself. Therapeutic gymnastics will speed up the healing process.
What is osteoarthritis?
Osteoarthritis is the most common disease among joint lesions. Usually this disease makes you aware of yourself after 40 years. Osteoarthritis is the cause of joint diseases in 80% of cases. Osteoarthritis is also the main cause of disability, which significantly reduces the standard of living and increases financial costs. This is especially observed in the elderly.
Primary and secondary osteoarthritis are considered. In the first case, it is also called idiopathic. With idiopathic osteoarthritis, the cause of the disease is difficult to establish. Unlike the primary type of such a disease, the secondary causes are obvious. Most often the disease develops after any injury, when the metabolism is broken.
Osteoarthritis refers to multifactorial diseases. The main causes of degenerative-dystrophic development are inflammation, trauma or dysplasia. Injury of the joint is accompanied by arthrosis, while dysplasia is an innate feature of it. Inflammation, in turn, leads to tissue damage, that is, secondary osteoarthritis develops. Usually it can be inflammation of the infection process or a complication of chronic hemarthrosis.
There are many risk factors for this disease. They are divided into stages of the disease( primary, secondary) and external factors. Primary osteoarthritis is acquired most often by inheritance. Other factors may be overweight, age, profession. In addition, the disease may depend on the gender and ethnicity of the person.
Genetic risk factors: inherited disorders, collagen deformation, dysplasia( joint and bone diseases, inherited).
In addition, there are several non-hereditary factors. Among them: excess weight, age, failure of the endocrine system, deficiency of necessary microelements( vitamins), inflammatory process in the joint itself, and finally, dysplasia.
Factors in which osteoarthritis development is possible( environment): violation of ecological balance, frequent hypothermia, interaction with chemical toxins, recurring joint injuries, surgery, scope of work at work.
Each of the above factors affects the development of this disease. Therefore it is important that you follow your health.
Prevention and useful advice for osteoarthritis
So, if you started gymnastics, you need to read the following tips to get the most benefit from the classes:
- To exercise, it is necessary to regularly perform them.
- Avoid overloading your knees and hands. Your task is to strengthen the joints, rather than load them.
- Let your legs relax between exercises. It will be good if you take a horizontal position.
- At least once a week after the exercises, do foot massage. Massage will improve blood circulation and increase exercise efficiency.
The main prevention of osteoarthritis is exercise with an early age. Do not physically overwhelm yourself. Try not to spend a lot of time in a sitting position. Do not jump, run or crouch. It is necessary to give rest to the body. At rest it will be much more useful, if you lie down, and your legs will be relaxed. In no case do not press your feet under yourself. This leads to a violation of blood circulation in the body. Attend the swimming sections, take time out for walks. In addition, skiing well relieves extra loads from the joints. The therapeutic physical culture will help to get rid of problems with joints. Movement is life. Give as much time as possible to your health, and no illnesses threaten you.
What medications does the doctor prescribe for arthrosis?
General principles of non-surgical treatment of arthrosis of the hip joint
- Preventing the progression of the pathological process.
- Reduction of pain syndrome.
- Improved functionality.
Among the medical methods of treatment of coxarthrosis, the main place is occupied by symptomatic drugs, as well as structural-modifying drugs.
Preparations of symptom-modifying action
- Analgesics( paracetamol, tramal, etc.).
- Non-steroidal anti-inflammatory drugs( diclofenac, ketoprofen, dexalgin, nimesulide, meloxicam, celecoxib, etc.).
NSAIDs eliminate pain, relieve inflammation and swelling, but with prolonged use adversely affect internal organs.
Structural-modifying preparations: structum, don, stapartrosis, arthra, alflutop, piascladin, etc. Chondoprotectors stop joint destruction, contribute to the restoration of cartilage structure.
Also noticeable results with coxarthrosis is the treatment with vasodilator drugs( trental, cinnarizine, theonikol, etc.), which improve the joint blood circulation, thereby contributing to the early restoration of the joint.
Sometimes the appointment of myorelaxates( midokalm, sirdalud), which relieve painful muscle spasm with coxarthrosis, is indicated.
The local therapy
- has a definite effect. Near and intraarticular injections of glucocorticoids, hyaluronic acid preparations, ointments, creams, NSAID-based gels.
- Systemic enzyme therapy: wobenzyme, phlogenzyme, etc.
- Physiotherapy with medications( phonetic hydrocortisone, etc.).
When is the operation necessary?
In case of ineffectiveness of conservative treatment and severe hip injury, surgical methods of treatment are used: arthroscopic operations, osteotomy, joint prosthetics.
- Arthroscopic surgery is a minimally invasive surgical procedure for the treatment of joints. It is carried out with the help of a special endoscope, i.e. an arthroscope, which is inserted into the joint through a small incision.
- Osteotomy is a surgical operation that represents an artificial fracture for the improvement of joint function.
- But most often with arthrosis of the hip joint replacement joint prosthesis - endoprosthetics. This is a complicated surgical procedure, during which part of the prosthesis is implanted in the pelvic bone, and the other - into the femoral bone.
- Endoprosthetics are performed with complete destruction of the cartilaginous tissue, allowing to fully restore the functionality of the joint.
Are physical exercises useful for arthrosis of the hip joint?
Therapeutic physical training for arthrosis of the hip joint is aimed at improving blood circulation, water-salt metabolism, normalizing metabolism, unloading the joint by strengthening the muscles.
During the exacerbation, exercises are performed for the toes of the foot, movements in the ankle joint, tension( 2-3 seconds) of the gluteal muscles.
Therapeutic exercises for arthrosis of the hip joint in the subacute period: active exercises for the toes and ankle fingers, tension( 2-3 seconds) of the muscles of the thigh and gluteal muscles.
Active exercises with movements in the affected joint are allowed only in the aquatic environment( in the pool).Performed smoothly, in the "standing" position on a healthy leg.
LFK with coxarthrosis during remission
- Tension of the hip muscles( 5 seconds).Run 10-12 times.
- The starting position is "standing" on a healthy leg, holding on to the support. Retraction of the straight leg with the affected joint, retention of 5-7 seconds, return to the starting position. Repeat 3-4 times.
- Standing on a healthy leg, raise the straight leg forward, hold 5-7 seconds, return to the starting position. Run 4 times.
Video: Gymnastics for arthrosis of the hip joint
The complex of exercises with coxarthrosis is recommended to be selected individually, taking into account the patient's age, joint condition, concomitant diseases and other factors.
Yoga classes are allowed. Asanas are selected individually, which exclude a heavy load on the damaged joint.
In coxarthrosis, it is not recommended to stand for a long time, to carry weights, walk for long distances, often climb and descend the stairs. At the initial stages of arthrosis after 40 minutes of walking you need rest for 10 minutes.
To reduce the load on the hip joint with arthrosis of I and II degrees, it is recommended to walk with a cane, with grade III arthrosis - with crutches.
Massage and physiotherapy
Physiotherapeutic treatments and massage are prescribed to improve hip function.
During the exacerbation the electromagnetic field of UHF, magnetotherapy, ultraviolet irradiation are shown. In the period of moderate exacerbation, DMV-therapy, pulsed currents of low frequency are prescribed.
With severe pain, it is effective to administer drugs with ultrasound: analgin, baralgin, dimethylsulfoxide. A good analgesic effect can be obtained using pulsed currents for electrophoresis.
Massage favorably affects the nervous system, improves blood circulation and trophic tissue of the affected hip joint, helps to strengthen the muscles. Massage is indicated for osteoarthritis of stages I-III with muscle wasting.
Diet and nutrition
The use of any food can not contribute to the restoration of the joint, nor to its destruction. Diet for arthrosis of the hip is indicated for obesity and excess weight, to reduce the burden on the joint.
Without decreasing the patient's body weight and normalizing metabolic processes, it is impossible to stop the progression of coxarthrosis.
ReviewsAnna, 48 years old. A year ago, diagnosed coxarthrosis. I took all the prescribed drugs - NSAIDs, chondoprotectors, physiotherapy, massage, and chondoprotectors, and now. I also practice physical therapy by the method of Vital Gitt. At the moment I go without a cane, the result of the last examination - the destruction of the joint stopped. I hope for a complete recovery. Masha, 28 years old. At the age of 26 I was diagnosed with arthrosis of the hip joint. The attending physician said that in a year I could not walk without a stick. I changed a few doctors, until one professor said that the process can be stopped if taking hondoprotectors and practicing physical education. At first I practiced exercise therapy in the pool, now I go for yoga. I hasten to share my joy - the pathological process has stopped. Sergei. Mom in 53 years was diagnosed with coxarthrosis of 2 degrees of one leg and 3 degrees of the second leg. Moved with difficulty with a cane. They made endoprosthetics of one joint, lost weight by 12 kilograms per year, underwent a course of treatment with pills, physiotherapy, and massage( for the second leg).Now he walks without a cane, he does not complain of pain. I want to say that coxarthrosis is not a sentence, only it is necessary to find a good doctor and perform all the prescribed treatment. And do not start the process. First aid for traumatic limb amputation
Traumatic amputation refers to accidental conditions characterized by complete or partial separation of a part of the body as a result of an accident. With complete amputation, the limb or other protruding parts are completely detached, with partial - some soft tissues, in particular the skin, muscles and tendons, remain attached to their area. Traumatic amputation. .. Continue reading →→
Curative gymnastics for osteoarthritis of the hip joint
Become on the left knee, laying under it a small pillow. Smoothly transfer the weight of your body forward. In this case, you will feel the muscle tension in the front of the left thigh. Hold in this position for 20 seconds, then return to the starting position. Repeat the exercise about 5 times. Change your legs and repeat the exercise again, even if your second leg is not affected by osteoarthritis.
Lie on your back and bend both legs, and then wind the right leg leg behind the left leg, as shown in the figure. Maximize the left leg to the stomach, helping yourself with your hands. At the same time you will feel the tension of the muscles of the right buttock. Hold in this position for 20 seconds, then return to the starting position. Repeat the exercise about 5 times. Change your legs and repeat the exercise again, even if your second leg is not affected by osteoarthritis.
Lie on your back and bend in the leg at the knee joint. Helping yourself with your hands, bring your knee closer to your chest. If you feel pain in the knee, pull your hands on the knee, and behind the back of the thigh. Hold in this position for 20 seconds, then return to the starting position. Repeat the exercise about 5 times. Change your legs and repeat the exercise again, even if your second leg is not affected by osteoarthritis.
Lie on your back and hook the long leg of your left foot with a long strap. Pulling a straight leg over the belt, maximally raise it up. Do not bend the knee. You will feel tension on the back of the foot. Hold in this position for 60 seconds, then return to the starting position. Repeat the exercise about 3 times. Change your legs and repeat the exercise again, even if your second leg is not affected by osteoarthritis.
Lie down on the floor, unbolting your aching leg. The second leg should be bent at the knee. Fully align the aching leg, maximally straining the muscles of the thigh. Continuing to strain the muscles of the thigh, lift the straight leg to a height of about 30 cm from the floor. Hold it in this position for about 5 seconds, then slowly lower it to the floor. Relax for 10 seconds, and then repeat the exercise about 10 times. Change your legs and repeat the exercise again, even if your second leg is not affected by osteoarthritis.
Lie on your back and bend both knee joints. Straining the abdominal muscles, slowly lift the buttocks up. Hold in this position for 5 seconds, then smoothly return to the starting position. Repeat the exercise about 10 times.
Lie on your right side and bend your right foot in the knee joint. Straining the muscles of the thigh, maximally unbend the left leg in the knee joint Slowly lift the bent left leg up, and then smoothly lower it back. Repeat the exercise about 10 times.
Adjust the height of the seat of the exercise bike so that when the pedals are turned the hip and knee joints do not bend too much, giving you severe pain. Begin gradually. Initially, do not spend more than 5-10 minutes on the simulator with the minimum pedal resistance mode. Gradually increase the duration of the session and the resistance of the pedals until you can safely rotate the pedals for 20-30 minutes. If you begin to feel pain, rest a bit, then reduce the resistance of the simulator and shorten the time of rotation of the pedals.
Therapeutic exercises for knee osteoarthritis
Lie on your back with your legs crossed and bent at the knee joints. Pull your legs to yourself, bending your aching leg as far as you can. Then, with the help of a healthy leg, pull the sick leg closer to yourself. Hold it in this position for 5 seconds, then rest for 10 seconds. Repeat the exercise about 10 times. Change your legs and repeat the exercise again, even if your second leg is not affected by osteoarthritis.
Sit on the floor, unbending your aching leg. Place a small soft roller( eg a rolled towel) under the knee. The second leg should be bent at the knee. Tighten the muscles of the thigh of the aching leg, trying to squeeze the cushion lying under the knee. Hold your foot in this position for 5 seconds, then rest for 10 seconds. Repeat the exercise about 10 times. Change your legs and repeat the exercise again, even if your second leg is not affected by osteoarthritis.
Lie down on the floor, unbending your aching leg. The second leg should be bent at the knee. Fully align the aching leg, maximally straining the muscles of the thigh. Continuing to strain the muscles of the thigh, lift the straight leg to a height of about 30 cm from the floor. Hold it in this position for about 5 seconds, then slowly lower it to the floor. Relax for 10 seconds, and then repeat the exercise about 10 times. Change your legs and repeat the exercise again, even if your second leg is not affected by osteoarthritis.
Lie on the floor on your stomach, straighten both legs. If you feel pain in the area of the knee cap, place small pads under them. Smoothly bend a sore leg in the knee joint, as close to the foot as possible to the buttock as close as possible. Slowly unbend the leg. Repeat the exercise about 10 times. Change your legs and repeat the exercise again, even if your second leg is not affected by osteoarthritis.
Lie on the floor on your stomach, straightening both legs. If you feel pain in the area of the knee cap, place small pads under them. Hook on a leg or foot a long towel or a belt and bend with its help a leg or foot as much as possible. Hold the foot in this position for 15-30 seconds, then slowly unbend it, continuing to pull the towel or belt. In doing so, you should feel the tension of the muscles of the thigh. Repeat the exercise about 5 times. Change your legs and repeat the exercise again, even if your second leg is not affected by osteoarthritis.
Adjust the height of the seat of the exercise bike so that when the pedals are turned the knee joints do not bend too much, giving you severe pain. Begin gradually. Initially, do not spend more than 5-10 minutes on the simulator with the minimum pedal resistance mode. Gradually increase the duration of the session and the resistance of the pedals until you can safely rotate the pedals for 20-30 minutes. If you begin to feel pain, rest a bit, then reduce the resistance of the simulator and shorten the time of rotation of the pedals.
Author of the article: a doctor of the highest category, Candidate of Medical Sciences, traumatologist-orthopedist Anton Valerievich Vakulenko.© Kiev, 2015.
Publication date: 05/16/2015
The doctor traumatologist - the orthopedist of the highest category, the candidate of medical sciences. Diagnosis and treatment of fractures, dislocations, injuries and diseases of bones and joints. Osteoarthritis. Aseptic necrosis of the femoral head. Endoprosthetics of joints. Fracture of the neck of the thigh. Osteoporosis. Therapeutic exercises for osteoarthritis. Intra-articular injections( injections into the joint).Plastic gypsum. Why does not the fracture grow together? Useless medicines. Questions for traumatologist. Recording to the reception. Private clinic.
ARTHROSE.Osteoarotrosis. COCARTATIC.EXERCISES FOR OSTEOARTHROSIS OF TAZEDED JOINT
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