Deforming arthrosis of the ankle: causes, symptoms and treatment
The term osteoarthritis designates the pathology of the joint, which is accompanied by damage to cartilage and its premature destruction. In the process, as a rule, bone tissue, ligaments, articular membrane and muscles are also involved. Osteoarthrosis is more likely in women aged 45-55 years, with the total number of people suffering from it is about 15%.Osteoarthritis of the ankle is not the most typical form of this disease, but it occupies one of the first places in terms of the severity of impaired motor function.
Three main causes of deforming arthrosis of the ankle:
Injuries are the most common cause.
Congenital malformation of the formation of joint tissues( dysplasia).
Chronic inflammation, which leads to the development of secondary osteoarthritis( that is, arose against a background of another pathology).
In addition to the immediate causes of the disease, several risk factors can be identified:
- hereditary and congenital diseases of bones and connective tissue, genetic mutations in DNA;
- external environmental influences( hypothermia, intoxications, joint operations, their chronic microtrauma);
- metabolic disorders and deficiency of certain vitamins and elements in the diet;
- a change in the function of endocrine organs and the synthesis of hormones, including during menopause in women.
Symptoms of the disease
One of the characteristic symptoms of deforming arthrosis of the ankle is pain, which is aggravated by exercise, during walking or playing sports, and decreases in a calm state. At night, the pain can become aching and dull, which is associated with stagnation of venous blood in the collapsing bone tissue. In the morning, when you get up, usually there is an intense, sharp, so-called starting pain, which then gradually decreases - it arises from the friction of the deformed articular surfaces against each other.
Stiffness and limitation of mobility with deforming osteoarthritis are usually associated with the presence in the joint cavity of the destroyed fragments of cartilage and bone tissue. For the same reason, wedging of the limb may occur in certain positions.
With concomitant inflammation, redness, swelling and an increase in skin temperature in the ankle area are possible. As arthrosis progresses, bone tissue proliferation occurs, which leads to deformation and even greater functional changes.
On the picture deformed right ankle
Treatment of deforming arthrosis of the ankle is directed to:
- elimination of the cause,
- relief of the symptoms of the disease,
- slowing down the processes of cartilage and bone tissue destruction.
The first thing to do in treatment is to reduce the burden on the affected joint by reducing body weight, restricting physical activity and prolonged walking. In severe cases, temporary use of a crutch or walking stick is allowed.
Non-steroidal anti-inflammatory drugs( NSAIDs) are most commonly used. They reduce pain and eliminate signs of inflammation, but do not affect the immediate cause of osteoarthritis. Use them can be in the form of ointments, gels or tablets. Since this group can destroy the gastric mucosa - with prolonged use it is necessary to consult a doctor.
Local remedies in the form of ointments, gels based on NSAIDs are widely used in the treatment of
disease. In the early stages of the disease, drugs that restore the cartilage structure - chondroprotectors can be effective. Perhaps their intra-articular injection, along with glucocorticosteroid hormones.
Physiotherapy treatment is aimed at restoring mobility in the ankle joint, improving its nutrition and blood supply. Most often with arthrosis apply:
- UHF therapy,
- laser irradiation,
- electrophoresis with a variety of medicines( novocaine, analgin),
- applications of warm paraffin.
In the treatment of arthrosis is very important therapeutic exercise, which should be done daily
To strengthen the ligament apparatus with deforming osteoarthritis, orthopedists are prescribed therapeutic gymnastics. Here are some useful exercises for the ankle:
Starting position: lying on the back, both legs are relaxed. It is necessary to turn the feet on and off with minimal amplitude without sharp movements.
In the same position, rotate the stops one by one clockwise and counterclockwise.
Sitting on a low stool perform an imitation of walking, lowering and picking up the heels and socks.
Stand with his socks on a small raised platform, lower his heels below him, and then go up on his toes. In this case it is desirable to stick to something to avoid losing balance.
Do not squat deeply, without taking off socks and heels off the floor. Knees should be pointed straight ahead.
To achieve and maintain a curative effect, exercises should be performed daily at least three times a day.
In severe cases with significant deformation and proliferation of bone tissue resort to surgical methods of treatment. Unlike the hip and knee joints, the ankle is rarely prosthetic. Much more often perform the usual mechanical removal of excess tissue.
Folk methods of therapy
Treatment of deforming ankle arthrosis folk methods can be effective in the initial stages of the disease: it helps reduce pain and inflammatory changes. At home, you can prepare several types of ointments:
- Soak and crush rice, mix it with Vaseline and tie it overnight.
- Mix two tablespoons of hops and St. John's wort, 50 g of lanolin. The resulting cream is well rubbed into the affected areas.
- Wormwood powder, olive oil and glycerin heat on a water bath, insist 2 days, and then strain. Ointment should be stored in the refrigerator and lubricate the patient joint every morning and evening.
Recipes for decoctions for ingestion:
- Cowberry leaf insist on boiling water for 30 minutes, take 30 ml before meals.
- 10 g of bay leaf mixed with a liter of water and heated for 15 minutes, drink the resulting broth in small sips for three days.
- A mixture of garlic and olive oil in a ratio of 1 to 10 can be taken in half a teaspoon before breakfast.
Remember that with the untimely begun treatment of arthrosis of the ankle joint, the destruction of cartilage and bone will quickly progress .Therefore, with the first symptoms you need to see a doctor. In addition, it is important to always monitor your health( and not only during illness): control weight and exercise regularly.
It is important to read: osteoarthritis of the knee joint.
How to cure arthrosis of the ankle: advice to the patient
Arthrosis of the ankle is a chronic progressive disease that is not easily treatable. But now there are effective medicines that can reduce pain in this disease, reduce the level of inflammation and slow the progression of the disease.
If you know what medicinal and non-medicinal methods you can treat arthrosis of the ankle, then you can discuss with the doctor these methods of treatment, feeling sufficiently savvy in this area.
Fast navigation for the article:
Rapid action drugs
Local and anti-inflammatory treatment
Drugs of slow action( chondroprotectors)
Surgical treatment methods
All medications used in this disease are divided into two large groups: fast-acting medications and preparations of delayedactions.
Representatives of these groups have different effects on the disease and benefit the body. So, fast-acting drugs treat only the symptoms of the disease - reduce pain in the ankle joint. Slow-acting drugs restrain the progression of ankle arthrosis, i.e.partially stop the further course of the disease.
Rapid action drugs
Most drugs that reduce pain in deforming osteoarthritis of the ankle, belong to the group of non-steroidal anti-inflammatory drugs( NSAIDs).These include drugs such as diclofenac, ibuprofen, aceclofenac, naproxen, acetaminophen, nimesudide and other drugs.
These medicines quite well help to remove pain in the joints, but their use has its drawbacks, and very significant. The fact is that NSAIDs have a very negative effect on the gastric mucosa. With long-term administration of such drugs, gastritis may occur, and in some cases even ulcer, which in the future may not respond well to treatment.
It is for these reasons that non-steroidal pain relievers should be taken only by short courses and appointed by the attending physician: self-medication can result in bad consequences. This is particularly true for elderly patients, as well as for people who have or have had problems with the stomach in the past.
Local and anti-inflammatory treatment of
Local treatment in the ankle area is aimed at reducing the level of inflammation in the affected joint, and therefore indirectly reducing the progression of the disease while keeping the inflammation under control. Such treatment is especially important in cases when the use of NSAIDs in severe cases of the disease is no longer effective or the analgesic effect is not sufficient. Local treatment is useful for a variety of types of the disease - including post-traumatic arthrosis of the ankle joint.
ointments for pain - a necessary element of treatment
Local treatment includes the use of various ointments and gels containing in their composition both non-steroidal and steroid anesthetic components. These drugs include Diclofenac-ointment, Bystrum-gel, Dip-Relief, Butadion, gel "Horsepower" and others. They give a good curative effect, especially when combined with other drugs.
Another, the most important type of local treatment for ankle osteoarthritis is intraarticular joint blockade. This method of treatment is used in neglected cases of the disease, especially when other painkillers do not help enough.
The essence of this procedure is that the area of the joint itself is injected with anti-inflammatory drugs( corticosteroids) - such as Kenalog and hydrocortisone( in addition, injections can be supplemented with anesthetic drugs).
Corticosteroids are powerful enough drugs, and if administered as tablets or intramuscularly, they will give very strong side effects. If these drugs are injected into the joint area, these drugs exert their anti-inflammatory effect only on the joint, without causing harm to the body.
Drugs of slow action( chondroprotectors)
This group of drugs includes drugs that affect the very bases of the disease: they help the cartilage of the joint to recover and improve the synthesis of cartilaginous tissue, a deficiency that causes pain and movement in the ankle. These drugs are called chondroprotectors because they protect the joint and restore it from the consequences caused by the disease.
The main representatives of chondroprotectors are chondroitin sulfate, glucosamine and hyaluronic acid. These are the main active substances in such drugs, and they are in different combinations and doses present in such drugs as Arthra, Teraflex, Artrodarin( Diacerein), Structum, Aflutop and others.
The listed active substances of these drugs are included in the joint of the cartilaginous tissue and are essentially the main "building material" for cartilage. When they are introduced into the body of the necessary materials for the construction of new cartilaginous tissue becomes larger, and the synthesis of cartilage is accelerated, due to which the development of the disease, on the contrary, slows down and the cartilage of the ankle joint is destroyed more slowly.
The peculiarity of chondroprotectors is that the effect of treatment does not appear immediately, but after a rather long time - from 3 months to 6 months. This is worth remembering, so be patient. For the same reason, the duration of treatment with chondroprotectors is usually long and up to 12 months and more, up to several years.
In addition, chondroprotective drugs are prescribed only at the first-second degree of arthrosis of the ankle joint - when cartilage in the affected joints is still present. At the third stage of arthrosis, chondroprotectors are useless, becauseThere was practically no cartilage left in the joint and there was already nothing to restore.
Do not forget that such drugs should be taken only on the prescription of the attending physician. Do not take these medications yourself: it can not only do you no good, but it will completely waste your wallet, since the cost of chondroprotectors is high enough: one package of Arthra will cost you between 1200 and 1700 rubles.
If chondroprotectors are prescribed by a doctor according to indications, then for a long-term treatment these medications can effectively fight the disease and significantly improve the function of the joint, and in some cases even avoid surgical treatment.
How else to treat arthrosis of the ankle joint? Physiotherapy can be a good help in drug treatment of this disease. Correctly selected physiotherapeutic procedures allow not only to improve the condition of the affected joint, but also to reduce the amount of pain medication. In osteoarthritis, such physiotherapy procedures as laser therapy, magnetotherapy, radon baths, and SUF irradiation have proved to be well established. More details about these methods can be found in the article Physiotherapy for arthrosis.
Surgical treatment methods
To date, there are three main surgical methods of treatment: arthroscopy, arthrodesis and arthroplasty of the ankle.
Medical sanation arthroscopy
This procedure is carried out most often in 2 stages of the disease development with severe pain, which is poorly treated with medicines. With the help of an arthroscope, the doctor removes fragments of the destroyed cartilage, bony outgrowths and other elements that cause pain from the joint cavity. After carrying out such procedure pains are considerably reduced, and the effect from it can last till several years.
The creation of arthrodesis is an operation in which the ankle joint is removed and the bones coalesce, that is, the mobility in the ankle region ceases. And once the joint is no more, then there are no pains in it either.
In case of defeat with arthrosis of other large joints, such an operation has not been performed for a long time. But due to the fact that the ankle joint consists of a large number of bones, then when removing this joint, its work is taken on by other joints, and a certain mobility of the foot due to this is preserved.
This is the most modern and progressive operation taking place in the final stages of the development of the disease. During this operation, the articular surfaces of the bones are replaced by metal, ceramic or plastic dentures. Due to the high strength and reliability of such prostheses, the term of their work can be up to 20-25 years. After such an operation, movement in the joint is restored in full.
In order to avoid surgical treatment, contact your doctor as soon as possible. Than in earlier terms you seek help and begin to receive the necessary treatment, the easier it will be to develop the disease and the less unpleasant it will bring to you.
Ointments for arthrosis of the ankle and other treatments for
Until recently, arthrosis and arthritis were considered as problems of older people, in our day the facts show an increased incidence among young people. According to statistics, every third person suffers from a joint problem. This disease can develop due to improper diet, sedentary lifestyle, impaired metabolism, severe physical exertion, trauma, genetic predisposition.
The ankle is most prone to injury, since it has the main load - the mass of the whole body. The development of the disease begins with the gradual destruction of the tissues that form the joint. Microscopic trauma leads to exhaustion, losing strength, the joint is exposed to cracks in which calcium salts are deposited, provoking even more destruction, deformation occurs due to the growth of bone tissue. This problem is very serious and requires immediate diagnosis and treatment.
Manifestation of arthrosis of the ankle
There are two types of problems with joints: degenerative-dystrophic and inflammatory. The first type of physician is called arthrosis. This disease affects all the elements of the joint, ligaments, cartilage, periarticular muscles, bone.
The manifestation of this disease in the early stages is not too noticeable. Very often the patient can not determine how old this problem is. Periodic pains in the leg are noticeable with or after the load, there is a crunch in the ankle joint. Unpleasant sensations in case of arthrosis become stronger with time and start to appear after each load, becoming more and more long and painful. In the next stage, in addition to painful sensations, stiffness at the beginning of movement and rapid fatigue appear, which leads to a limitation of mobility. Some patients experience an increase in temperature, swelling, especially severe pain when climbing or descending the stairs.
Symptoms of arthrosis:
- stiffness and limited movements;
- pain in the depth of the joint( increases with exercise, decreases at rest);
- crunching in the joints.
Causes of arthrosis in this area
The cause of arthrosis of the ankle joint may be premature aging and destruction of the joint tissues. The source of the problem is heavy physical stress on this area. Very often this problem occurs in professional athletes, as well as in people with severe obesity.
Becoming a cause of the disease can be all kinds of injuries( dislocations, fractures, etc.).In addition, arthrosis causes inflammation. Provoke the appearance of arthrosis of the ankle can: osteodystrophy, nervous diseases, endocrine system disorders, bone ischemia or abnormal metabolism. Osteoarthritis in the ankle develops when the resistance of joint surfaces is disturbed.
Diagnosis and treatment of the disease
For the diagnosis of ankle problems, doctors perform X-ray examinations, sometimes tomography is also prescribed to confirm the diagnosis, as well as the analysis of periarticular fluids and a detailed blood test.
Symptoms for arthrosis of the ankle in all patients manifest themselves in different ways and with varying intensity. The drug that helped one patient, for another can absolutely not be approached.
When exacerbated, a medicamentous method is used that helps relieve pain and inflammation( corticosteroids and non-steroidal anti-inflammatory drugs, analgesics).For external use, ruminants and ointments are often prescribed.
The modern pharmaceutical industry has a significant number of creams created on the basis of medicinal plants: St. John's Wort, needle, eucalyptus oil, hops. These drugs penetrate deep into the skin and affect the problem area. The patients note the good ability of these ointments to relieve severe pain, but they do not have any appreciable therapeutic properties. Pharmacy ointment is used more as an anesthetic.
The main task of ankle joint treatment is to prevent aggravation of degenerative cartilage processes, as well as to reduce pain and improve joint function. It is important to relieve the problem joint. For patients with arthrosis of the ankle, treatment in specialized sanatoriums is shown, where patients are offered effective physiotherapeutic procedures( ultrasound, electrophoresis).With their help, micromassage of the affected tissues is performed, which improves the nutrition of the joint. Balneological procedures that contribute to the improvement and stimulation of blood circulation are helpful.
In no case should you start a disease. When arthrosis of the ankle is contraindicated to practice self-medication, it is better to consult a specialist, because a timely diagnosis is the first step on the road to recovery.
Treatment of arthrosis of the ankle joint in the clinic "Orthopedics" in Moscow. Symptoms of arthrosis of the ankle joint
Experts of the Orthopedics clinic in Moscow have for many years practiced the treatment of arthritis and arthrosis of the ankle joint. To work with this disease, only modern methods of treatment are used here and use the best equipment.Relieve pain for 1-2 visits to the clinic. Restore motion in the joint. Consultations of a specialist are free of charge when treating us
Arthrosis of the ankle joint - what is it?
An arthrosis of the ankle is a disease that causes the patient to completely or partially destroy the cartilage structure of the joint and other tissues in the area. Cartilage loses its strength during life and becomes brittle. For this reason, bone tissue is destroyed, and then the joint itself deforms.
The photo shows the ankle joint affected by arthrosis
Symptoms of arthrosis of the ankle
For arthrosis of the ankle, the following symptoms appear:
- Pain that occurs immediately when the joint moves.
- Pain, which is significantly worse with increasing load.
- Squeak, clicks and crunching in the area of the harassing joint.
- Possible inflammatory processes causing swelling and fever in the ankle.
- Weakened tendons and muscle, resulting in regular subluxation.
- Stiffness and some limited mobility of the foot are highlighted.
Degrees and types of ankle arthrosis
There are two main types of the disease:
Depending on the absence or presence of a specific factor that caused the disease, arthrosis of the ankle may be primary or secondary. There is also a division into stages. In the presence of the 1st stage a person is able to work, if the arthrosis has passed into the 2nd and 3rd stage, pain and limitation of mobility lead to disability( temporary or complete).
Symptoms of arthrosis of the ankle
- "Start" pain. This is one of the earliest symptoms of ankle arthrosis. The pain appears after a long sitting while trying to lean on the leg, can be accompanied by a short-term stiffness of movements in the joint. After several steps, the pain passes;
- Pain at and after exercise;
- Nocturnal aching pain, it is associated with an inflammatory process that is triggered by the destruction of the cartilaginous tissue;
- A crunch, clicks in the joint during movements;
- Swelling, especially noticeable under the ankles;
- Restriction of movements;
- Hypotrophy of the periarticular muscles and weakness of the ligamentous apparatus due to the fact that the person begins to spare the aching leg;
- Joint deformation at the last stage of arthrosis.
Arthrosis and its aggravation should be distinguished from various inflammatory processes in the joint, for example, as a result of rheumatoid arthritis or psoriatic arthritis. Therefore, the doctor appoints a detailed blood test, rheumatoid tests, a test for CRP, uric acid. With arthrosis, these rates are normal, but if the disease is in the acute stage, ESR and leukocytes can be increased. To determine the stage of arthrosis and obtain more detailed information about the pathology, radiography is used in 2 projections, ultrasound, CT or MRI of the joint. On the x-ray image, a slight narrowing of the joint gap can be noted, if the arthrosis is at the 1 st stage. At the transition to the 2 nd stage, the joint gap is reduced by 40% or more from the norm. And at the third stage it is considerably narrowed, it can be practically absent, and bone growth and deformation are visible.
Arthrosis of the ankle, as well as other localizations, involves complex, long-term and course treatment.
- Unloading the ankle joint during a period of severe exacerbation( walking with a cane from the side of a healthy limb), using a bandage;
- Exclusion of shock loads( jumping, running), vibration, weight transfer, prolonged stay on legs;
Arthrosis of the ankle: symptoms, treatment, photo
Symptoms of arthrosis of the ankleIn order not to miss the development of the disease, it is necessary to know the early signs of arthrosis. And so, arthrosis of the ankle is characterized by pain in the affected joint, which can occur after rest, in the morning hours, increasing with loads, as well as symptoms such as:
- crunching, clicks in the joint;
- rapid fatigue when walking due to pain;
- due to the weakening of the muscles and ligaments can occur the usual subluxation of the joint;
- is a visual deformity of the joint.
- fatigue of the foot with habitual physical exertion, including walking on heels;
- initially discomfort, then - the pain in the joint that appears when moving the foot, disappears at rest or when the joint is fixed with bandages or orthoses;
- crunching or other sounds when moving in the joint is not audible.
DiagnosisThe diagnosis of arthrosis of the ankle joint is made by the traumatologist( if there is a visible connection with the development of the disease after an injury) or a rheumatologist. For this they need:
- to listen to complaints;
- ask in detail about the suffered injuries, infections and joint diseases;
- inspect the joint, determine its mobility and volume of movements;
- to evaluate the radiograph of the joint performed in two projections( at the initial stages it is possible to recommend computer tomography of the joint);
- the presence of fluid in the joint with the attachment of synovitis can be determined by ultrasound.
Treatment of arthrosis of the ankleFor arthrosis of the ankle joint conservative and surgical treatment is used, the choice depends on the stage of the disease. Conservative treatment should be carried out in a complex, and consist of medical treatment, exercise therapy, physiotherapy, complementary therapies. Consider them in order. As a drug therapy apply:
- 1) Drugs that anesthetize and eliminate inflammation: Diclofenac, Indomethacin, Nimesulide. If the first stage of arthrosis drugs can be used even in the form of ointments or gels, then in the second stage you need to use them in the form of tablets or injections. If a person suffers from gastritis or peptic ulcer, then instead of the listed drugs, either "Movalis" or "Piroxicam" or coxibs are prescribed: "Celebrex", "Rofika".
- 2) Chondroprotectors: Dona, Structum, Arthra. The effect of these drugs is aimed at maintaining the structural integrity of the remaining cartilage. These funds are prescribed only in 1-2 stages of the disease for at least six months.
- 3) To improve the nutrition of the joint used vascular drugs: "Nicotinic acid", "Trental."
- 4) For the relief of pain and inflammation in the joint, hormones can be injected several times: "Kenalog", "Solu-Medrol", "Hydrocortisone".
- 5) Hyaluronic acid preparations - analogues of natural joint lubrication are very effective.
As people age, the risk of developing various degenerative and destructive processes increases. This primarily refers to violations of the musculoskeletal system.
According to medical statistics, most problems arise with the ankle joint.
Approximately 10% of people over the age of 40 experienced all the symptoms of ankle arthrosis.
Features of the disease and its types
Ankle joint consists of several parts: talus, large, tibia, articular ligaments, medial and lateral ankles. If arthrosis develops, this degenerative inflammatory process arises in the articular cartilage. Inflammation is detrimental to its tissues, which causes thinning of the cartilage, loss of strength.
Arthrosis of the ankle is characterized by the gradual growth of damaged tissues, causing deformations( osteophyte bone growth).Physicians distinguish several types of disease:
- primary arthrosis of the ankle. The disease can start after excessive stress on the foot;
- secondary arthrosis. It is characterized by severe destruction occurring in the cartilage itself.
Secondary arthrosis is sometimes called posttraumatic because it is the response to trauma( often this occurs after fracture of the limb).
Characteristic signs and symptoms of
If the stage of ankle arthrosis is initial, it practically does not make itself felt, which greatly complicates the diagnosis. The patient can only experience minor pain after physical exertion. Over time, they become stronger and longer. In a state of rest, the ankle does not hurt.
There are other symptoms of arthrosis, except pain. As the problem progresses, the patient will feel limited mobility and deformity of the affected joint.
Pain, crunching and creaking( crepitation) in the joints are gradually amplified. In the mornings after awakening or long dormancy the patient will note stiffness in movements. If the arthrosis of the ankle is post-traumatic, then the leg will be aching when walking. There is an atrophy of muscles which are located near a joint, on it the osteophyte is formed.
With the disease, subluxations occur more often due to weakened muscles and tendons. If the arthrosis develops against the background of the inflammatory process, the ankle joint swells, and the skin over the affected area becomes hot.
The normal axis of the shank is often curved. It can take both X-shaped and O-shaped.
The causes of the pathology of physicians are called:
- mismatch of the load on the joint( the resulting load is not comparable to the natural counteraction to it).Usually, this factor provokes arthrosis in professional athletes and people with excessive body weight;
- incorrect comparison of articular surfaces( uneven load on the joint occurs).To significantly reduce the ability to withstand the load and cause changes in the natural properties of cartilage can diabetes and arthritis;
- wrong shoes. This item refers primarily to women who wear high-heeled shoes and have a habit of acquiring too narrow shoes that are not fit to the size of their feet;
- high physical activity. Arthrosis is affected by those people who have suffered severe stress on the ankle because of intense sports or professional activities.
These causes become the impetus for thinning, aging and loss of the former elasticity of the cartilaginous tissue. It cracks, and in the wounds deposited calcium salts, contributing to even greater deformation. Arthrosis can be safely called an occupational disease of dancers and football players.
Methods for diagnosing the pathology of
The doctor will be able to prescribe a preliminary diagnosis even during a visual examination and questioning of the patient. To confirm the disease, in addition to data collection, clinical trials will be required.
The main one is radiography. It is this photo that gives accurate information about the localization of the axis of the affected joint, the location of the damaged cartilage, the degree of destruction, and whether the osteophyte has formed.
A snapshot is usually taken during a load on the affected joint. He will allow the doctor to determine the extent of damage to nearby joints and help to draw a conclusion about the causes of the development of pathology.
Other methods of investigation may be required. Patients with arthrosis are recommended to undergo computed tomography( according to SPECT / CT technique), which will clearly show the general process of bone reconstruction( it necessarily occurs when the load is redistributed).
Deforming arthrosis of varying degrees involves the application of treatment methods that:
- prevent further destruction of cartilaginous tissue;
- improve the functioning of the joint;
- reduce pain in the ankle.
If diagnosis was confirmed during diagnosis, the treatment of arthrosis of the ankle should be directed to anesthesia, prevention of inflammation, increased quality and quantity of movements, regeneration of damaged tissues, improvement of metabolism in the joint, foot and shin( adjacent areas).
The disease can be cured and the osteophyte can be removed provided an integrated approach is taken. First of all, we are talking about drug therapy. All medicines used for arthrosis are usually divided into 2 groups. So, the first include means of rapid exposure to the body. These are non-steroidal anti-inflammatory drugs( NSAIDs), and in particular: Naproxen, Ibuprofen, Acetaminophen, Diclofenac, Aceclofenac.
These remedies relieve the symptoms of ankle arthrosis of any degree, but their use can adversely affect the digestive and gastric mucosa. With extreme caution, NSAIDs should be used in patients with stomach ulcers and duodenal ulcers. Treated for a long time with such medicines is strictly prohibited.
The second group includes time-consuming drugs - chondroprotectors. These help the injured and injured cartilage of the ankle to qualitatively restore its properties and improve the production of cartilaginous tissue. The most in demand today are:
- chondroitin sulfate;
- is glucosamine.
Based on these active substances, many drugs have been developed. Most often, patients are recommended to take such: Arthra, Structum, Diacerein, Alflutop, Teraflex. Treatment with them is indicated only for pathologies of 1 and 2 degrees.
Local remedies, satisfying the symptoms, are well proven. Ointment usually contains painkillers in the composition. Patients noted a good dynamics of the disease after applying Butadion ointment, Diclofenac, Horsepower, Dip-Relief.
If you combine ointments with other medicines, you can quickly achieve a therapeutic effect.
Physiotherapy methods and diet
Anesthetize, significantly expand the vessels and remove the osteophyte with the help of physiotherapy procedures. Usually, to remove symptoms of arthrosis of any degree, magnetotherapy is used.
Magnet treatment is carried out 2-3 times a day. During the procedure, make a circular motion clockwise for 15 minutes. The duration of the course should be discussed with the doctor on an individual basis.
Much in the disease, deforming arthrosis depends on the patient's eating behavior. It is very important for him to eat as much protein food as possible. It helps to build new cartilage, regenerate damaged and can prevent the osteophyte.
For the restoration of joints, it is especially important to consume a large number of dairy products and culinary dishes based on bone broth and gelatin.
It is useful to enrich the diet with vitamins and minerals. First of all, we are talking about calcium and B vitamins:
- B1 is contained in whole grain bread, beans baked in the uniform of potatoes, peas;
- B2 can be found in chicken eggs and bananas;
- B6 is found in walnuts and chicken meat;
- B12( folic acid) is present in large quantities in any variety of cabbage and lentil.
If the patient suffers from excess weight and has developed an osteophyte, then one should also be careful about the manner of eating. It is always important to follow certain rules. To get rid of obesity and arthrosis should be eaten fractional and often. It is necessary to abandon the addictions( smoking and alcohol).Alcohol can burn nutrients and thereby increase appetite.
There is a golden rule: to get up from the table you need with a slight sense of hunger, since true satiety occurs only 20 minutes after eating.
It is recommended not to eat after 6 pm or 3 hours before bedtime.
Surgical treatment of
If arthrosis has passed to stage 3 and the joint is severely disrupted, then in such cases the treatment provides only an operation. There are several types of such intervention:
- arthrodesis( it is possible to preserve the remains of cartilaginous tissue).The surgeon makes the immobilization of the joint "closing" it by artificial means. Such treatment is not able to return the joint to its former mobility;
- arthroplasty( the entire joint is removed);
- endoprosthetics( the joint is completely replaced with a prosthesis, removing the osteophyte).Such treatment for today is considered the most progressive and is carried out in neglected cases of arthrosis( 3 and 4 degrees).As a result, the surface of the joint is replaced with ceramic, metal or plastic prostheses and its full mobility is preserved. The service life of an artificial ankle can reach 20-25 years.
From an arthrosis of an ankle joint of an initial degree and an osteophyte can be disposed of in folk ways, but on condition that such treatment will be a continuation of the medication.
You can use rubbers, compresses, ointments. To prepare many recipes use only natural ingredients and products.
Ideal way to anesthetize the ankle becomes a coniferous bath. Such treatment at home can be supplemented with warm compresses with needles. For him, take 250 ml of water and 4 tablespoons of pine needles.
The mixture is brought to a boil, infused for 30 minutes, cooled. Cotton cloth impregnated with infusion and wrapped around her joint.
Doctors strongly recommend, at the slightest suspicion of arthrosis and osteophyte, to seek help. Only in this case it is possible to remove symptoms, avoid surgery, loss of efficiency and disability.