What exercises to perform with arthrosis of the ankle joint?
Exercises for arthrosis of the ankle are the main part of the course of treatment of this disease. Medical gymnastics in this disease gives a certain strain on the ligaments and muscles in the area of the affected joint, but its overload is not allowed. But you should remember that physical education is only performed when the pain of the ankle is minimized or completely absent.
Exercises for arthrosis of the ankle prevent atrophy of ligaments and muscles of the ankle. With arthrosis, much time is devoted to such gymnastics, since it leads to complete recovery of the ankle joint.
Special exercises at home
It is not difficult to perform physical exercises, but in order to achieve the result, you need to perform them daily, with each time increasing the time. So, for arthrosis of the ankle, the following exercises are useful:
- Lie flat on your back, while stretching your legs. Carefully, without straining, turn first one stop at first, then from yourself, also repeat with the second. Exercise should be carried out quietly, avoiding pain or discomfort in the ankle;
- Take a comfortable position, the legs stay free. Slowly rotate from side to side with one foot, then the other;
- Sit on a chair, your back is flat, and your legs are loose. Next, try stopping to represent walking.
Doctors recommend the above-described medical exercises several times a day. Take into account the time for physical exertion: on the first day the total time of lessons should be 15-20 minutes, then, starting from the second day, add a few minutes extra. Ideally, you should exercise up to 3 hours a day. But before you begin, you need to consult your doctor. Remember also that during the classes you should not feel pain in the ankle.
Physical culture with arthrosis speeds up the healing process, especially if you are taking medications prescribed by a doctor in parallel. Will help you and folk treatment. Of course, it is better to treat the disease at an early stage, but often people miss this point.
Depending on the degree of development of arthrosis of the ankle( they will be described in detail below), treatment is prescribed. For example, at the first degree( stage), an arthrosis of the ankle joint will be cured by gymnastics. As for the neglected disease, both physiotherapy and medication can be prescribed. Sometimes the way out is surgical intervention. However, everything is in your hands, and you can not allow serious consequences of this pathology.
Ankle arthrosis: symptoms and treatment methods
Ankle arthrosis is a common disease that requires long-term treatment. Sometimes the disease appears due to frequent injuries. But basically this is an age-related disease that develops after 50 years, that is, the risk of developing arthrosis increases with age. As a rule, such a pathology is observed in women who spend most of their time on their feet, subject themselves to physical stress, hypothermia, and lead an incorrect lifestyle.
Ankle joint is one of the most active in the musculoskeletal system. He is responsible for walking, which is significantly hampered by arthrosis. If you do not start treatment on time, arthrosis can even lead to disability.
With arthrosis, muscle tissue is destroyed and thinned, and the bones of the head are prone to deformation. When the ankle is affected, the following symptoms( changes) are observed:
- in the ankle area painful sensations often appear;
- sharp pain that occurs after the onset of motion from a calm state;
- when moving joints sometimes crunch;
- there are painful sensations with physical exertion on the joints of the legs;
- fast fatigue on walking;
- permanent dislocation, stretching of the muscles of the joints of the feet;
- there are swelling in the foot;
- joints affected by arthrosis are much warmer to the touch than the whole body temperature;
- noticeable changes when walking( limping).
If any of the above signs appear, consult a rheumatologist immediately. Using an X-ray, he diagnoses the presence of arthrosis. And in the picture you can see the affected part of the joint( its deformation or the broken joint).
With arthrosis, such treatment methods as physiotherapy, massage, exercise therapy, medication and oriental treatment, and, finally, surgical intervention will be effective. Physiotherapy for arthrosis specializes in heating the affected joint. Such therapy includes various compresses based on herbs. This procedure is carried out exclusively in the presence of a doctor in charge( do not self-medicate!).
Warming the affected area of the foot improves the general condition of the patient and leads to a speedy recovery( but in all cases, heating helps).Passing the course of treatment, you can be assigned and physiotherapy, which include the use of a current or laser.
Physiotherapy is necessarily accompanied by a therapeutic physical culture( which will enhance the effect of physiotherapy).A specially designed complex of gymnastic exercises can reduce pain in the joint and stop the development of arthrosis.
Massage can have a beneficial effect on the affected feet. Especially if it is carried out after the warm-up procedure. Massage improves blood microcirculation in the affected tissues of the joint.
Oriental therapy most often involves acupuncture, acupressure, which accelerate the process of recovery.
Drug treatment is prescribed by a doctor only if an inflammatory process is observed. Special drugs can stop the destruction of the joint.
Surgical intervention is necessary when all of the above methods are impotent and the process of destruction can not be stopped.
Stages of development of arthrosis and disease prevention
Arthrosis of the ankle joint is divided into three main stages( degrees): arthrosis of the 1st degree - metabolic disorder, 2nd degree - the appearance of any mechanical injuries and 3 degree - changes in the affected joint.
Depending on the stage, treatment is prescribed. But it is better to prevent illness than to undergo long-term treatment.
Prevention of joint disease includes proper nutrition, exercise( without overload), avoidance of hypothermia, weight control and periodic visits to the doctor.
Exercises for arthrosis of the ankle
Frequent wearing of uncomfortable shoes can cause arthrosis of the ankle
Symptoms and causes of the disease
Pain is the most important symptom in the development of any disease. So in the case of having problems with the ankle, they manifest painful sensations when moving. Depending on the degree to which the disease has reached, the symptoms show themselves in different ways. At an early stage, the pain in the joints is disturbed only under stress, and at rest there is no discomfort. But the second stage makes itself felt by frequent pains not only when walking, but also in the morning, with a crunch and creak, there may be swelling and a rise in temperature in the area of the damaged joint. In this state of the ankle, torsions and dislocations occur more often than usual.
The cause of arthrosis of an ankle can be the following diseases, a way of life and habits of a person:
- congenital anomalies of the ankle;
- hereditary connective tissue dysplasia;
- infectious and inflammatory processes in the joints( arthritis);
- various injuries;
- problems with the spine, for example, pinched nerves;
- abnormal metabolism caused by hormonal failure;
- is overweight;
- age over forty;
- professional sports, with significant stress on the joints;
- in women - frequent wearing of uncomfortable shoes with high heels.
Anatomical features of the ankle
The ankle is made up of a set of movable joints, each of which has an articular cartilage, a synovial membrane filled with synovial fluid.
Structure of the ankle
That's why arthrosis can develop, both in the joints of the toes, and in the ankles. It is important to turn to a specialist for help in time, so that the destruction of the cartilage does not entail a change and erosion of the bone, the emergence of spike-bones.
Diagnosis and treatment of arthrosis
The surgeon or orthopedist, to whom the patient comes with complaints of pain in the joint, first collects an anamnesis of the disease. It is very important to find the cause of the disease and conduct its parallel elimination. Therefore, it is necessary to give a full amount of information about what kind of hereditary diseases there are in the family, what traumas have been transferred up to early childhood, and also about the nature of the pain, their duration, etc. Next, it is necessary to undergo a diagnostic examination on ultrasound and make an X-ray,.As a rule, it is also necessary to donate blood to the clinic and biochemistry to exclude, or to reveal the inflammatory process in the body.
Following the complete collection of the analysis and diagnosis, the physician selects the treatment. In the case of arthrosis of the joints, it is not only taking medications, but also compulsory combining them with massage, gymnastics, manual therapy. Only with strict implementation of the entire complex, treatment will yield results. If, however, "to save" the joint by such methods is not possible, then surgical intervention can not be avoided. There are several options for replacing cartilage: artificial joint immobilization;plastic of the articular cartilage;replacement of worn cartilage with an endoprosthesis.
Let's return to the treatment of early stages of arthrosis. First of all medications are prescribed to relieve pain. Medicines of a group of non-steroidal anti-inflammatory drugs( diclofenac, etc.) cope with this task. To combat acute pain, intraarticular injections of corticosteroid hormones or their administration to the periarticular tissues can be prescribed. To feed the cartilaginous tissue, chondoprotectors are prescribed. If there is swelling in the joint area, then decongestants, diuretics are prescribed, as well as a salt-free diet. By the way, nutrition in the treatment of arthrosis of the ankle should include foods high in protein, calcium and phosphorus. It will be mandatory for people with excess weight, becauseReduce the load on the joint can be due to weight loss.
Diet in the treatment of arthrosis of the ankle
In addition to taking medication, anesthetize the joint with an elastic bandage or special corset to fix it. It is also important to ensure the joint rest, sometimes up to bed rest.
Ankle fixation with elastic bandage or special corset
Another way to get rid of pain is external application of warming ointments.
Manual therapy, ankle massage
Not all doctors are equally well treated with manual therapy. But in the early stages, with subluxations of the joint, this method will greatly facilitate the patient's condition. The manual doctor himself will determine which way to apply for the treatment of the joint. If arthrosis is at the initial stage of the disease and is accompanied by a displacement of the joint head, then manipulation is carried out to release the joint sharply and place it in its place. This is a quick and painful procedure, but improvement is immediately apparent. In more severe cases, a mobilization procedure is carried out. It is done by the course throughout the year of treatment. The process itself is an easy extension of the joint, helping to relieve muscle tone and restore the motor function of the ankle.
For the treatment of arthrosis, the following procedures are performed: massage, balneotherapy( mud treatment), magnetic therapy, acupuncture and exercise therapy. Massage is carried out by a course and by a professional, otherwise such procedures can aggravate the course of the disease.
Ankle massage is an important procedure for the treatment of arthrosis
It is very important to choose the right exercises for arthrosis of the ankle joint. You can not overload it and deal with it "through pain."It is compulsory to perform gymnastics on a daily basis, otherwise they will not bring any benefit or improvement. Very useful lessons for the development of joints in the water.
Frequent wearing of uncomfortable shoes can cause arthrosis of the ankle
. You can visit the pool at will, but you must develop joints. Therefore, below is a set of exercises that can be done at home:
Exercises for the development of ankle joint
- with the help of a hand we move the ankle joint in the ankle area. We make smooth movements in the sides. In no case do sharp jerks, all movements should be neat and do not cause discomfort;
- rotational movements of the ankle clockwise and in the opposite direction;
- in sitting position, raise itself on toe-toes with crossed legs in ankle and lower to the starting position on the floor;
- sitting on a chair, perform movements with your toes, trying to crumple the fabric;
- an exercise to twist the foot with your fingers inside;
- feet on the floor, legs spread out with heels inward, slowly raise themselves and sink to the socks. Exercise is done while sitting;
- walking on the pyramidal step;
- for the next exercise you need a sports projectile: a stick or a small plastic bottle. Putting stops on the projectile, move them back and forth;
- "bicycle", performed by stops;
- in standing position, fix stops. Do shallow sit-ups without taking your feet off the floor;
- sports equipment - a small step at the height of the foot. Fingers on the step, feet on the floor. Perform lifting and lowering of the foot;
- stand up against the wall, legs together, stop fixing. Slow approach of the body to the wall and return to the starting position;
- in the sitting position raising and lowering the feet up and down.
Attention should be paid to the condition of the joints during gymnastics. At the appearance of the slightest pain, the exercise should either stop performing, or reduce its amplitude to more comfortable. Begin with a small number of repetitions, increasing them daily.
Video - Exercises for arthrosis of the ankle
Symptoms and treatment of foot arthrosisArthrosis of the foot is a progressive degenerative disease of the cartilaginous and bony tissue of the articular formations of the foot( in particular the ankle joint).Why are cartilages destroyed, what is the disease manifested and how to treat it? We'll figure it out.
Arthrosis of the ankle joint( or osteoarthrosis) is a common problem of obese older people, dancers, and also athletes who are engaged in running, jumping, weightlifting and other sports, coupled with increased stress on the feet. For patients, this disease becomes an obstacle to full motor activity, which significantly changes their habitual life.
Osteoarthritis, what is it?
This term means dystrophic changes in the cartilaginous tissue lining the articular surfaces of bones. Cartilages at the same time thin out, destroyed, germinate with bone formations( osteophytes).With the progression of the disease, other joint structures( synovial membrane, articular bag, ligaments) and surrounding muscles are involved in the pathological process. The extreme degree of damage to the joint with arthrosis is deformation and a complete lack of movement, so arthrosis is called deforming, because sooner or later it leads to deformity of the joint.
Why develop arthrosis of the ankle?
Osteoarthritis of the ankle joint is primary and secondary. In the first case, dystrophic changes develop on healthy cartilage with strong loads exerted on the foot. Secondary arthrosis is formed on the already changed cartilage. The causes of this condition can be trauma, endocrine diseases, arthritis, metabolic and vascular disorders. In addition, arthrosis often develops in people with osteochondrosis, congenital hip dislocation and other similar diseases, which lead to disruption of biomechanics. Athletes are more likely to experience primary and secondary posttraumatic arthrosis, but for elderly people, there are usually several reasons to play their role.
Symptoms of foot osteoarthrosis
Deforming arthrosis of the ankle has three stages of development:
- At the first stage, patients feel a slight limitation of movements in the joint, moderate soreness in the evenings, and also note swelling of the anterior ankle.
- In the second stage, the pain becomes pronounced, often permanent, a specific joint crunch appears. Patients begin to limp.
- The third stage is characterized by an almost complete restriction of movements in the joint and its deformation, which becomes clearly visible and visually.
In addition to the stages, three degrees of arthrosis are distinguished. Each of them is characterized by a certain loss of ability to work for patients. So, in case of arthrosis of 1 degree a person can work without restrictions, at 2 degrees the disease interferes with the performance of work, at 3 degrees - causes a total loss of ability to work.
Treatment of arthrosis of the foot
The earlier this disease is diagnosed and the earlier the treatment begins, the greater is the probability to manage exclusively with conservative therapy and completely restore the patient's ability to work. Therefore, when there are unpleasant sensations in the ankle, it is worthwhile to see a doctor.
As the conservative treatment for arthrosis of the foot, the following methods are used:
- Restriction of the load on the joint in the acute period.
- Medication Therapy.
- Physiotherapy( UHF, laser, electrophoresis).
- Foot massage.
- exercise therapy.
- Diet and weight loss, if there is an extra.
- Sanitation and health improvement.
Surgical treatment is applied already when serious deformations leading to contracture are formed in the joint. The most used surgical methods in such situations are endoprosthetics and arthroplasty.
In the initial stages of the disease, the use of chondroprotectors, vitamins and minerals is considered effective. When there are painful sensations, non-steroidal anti-inflammatory medications are indicated that are used orally and externally, and other analgesics. With severe pain and severe inflammation, intra-articular hormone injections are performed. Reduce muscle spasm around the patient's joint and relieve soreness also helps muscle relaxants.
In addition, with arthrosis of the ankle, it is very important to improve microcirculation in the tissues of the joint and the supply of nutrients to the cartilage. To do this, use various vasodilating drugs. As for taking chondroprotectors, it should be long, otherwise there will be no result from treatment. A positive effect is the simultaneous administration of chondroprotectors inside and locally( the drug is injected into the joint), as well as the use of intraarticular injections of hyaluronic acid.
Massage, exercise therapy and physiotherapy are prescribed after the extinction of pain and inflammation in the affected joint.
Diet for arthrosis of foot
For people with excess weight, weight normalization with arthrosis of the foot is crucial, since no drugs can compensate for the load that the joints of the legs feel daily in such patients. Diet for them should not only be useful for cartilage tissue, but also a low-calorie, promoting weight loss.
Among the products most favorably acting on the joints, you can identify gelatin, fish and all kinds of seafood, vegetable oils, low-fat milk, kefir, cottage cheese, egg yolk and butter.
Patients with arthrosis of the foot should spare their joints as much as possible during the period of exacerbation of the disease. But immediately after the disappearance of pain and inflammation, it is possible to start exercise therapy. Their task is to restore mobility and full volume of movements in the affected joint. To implement these tasks I use various types of training( aerobic, water, exercises for muscle development, etc.).
Another important point is the dosing of the load, since both the joint overload and its complete immobility can further worsen the picture of the disease. Therefore, independent treatment at home arthrosis ankle with the help of some physical exercises or complete rest is not recommended. Only the doctor of the LFK knows how to treat arthrosis and what techniques can be used for each particular patient.
What is folk medicine advising?
For the treatment of foot arthrosis, various ointments, tinctures, lotions, prepared on the basis of plants( for example, marshmallow, lilac, lilac, Kalanchoe) are used. Such folk remedies need to rub the sick ankle several times a day, and also make compresses from them.
And since cartilage is destroyed in arthrosis, it is also possible to use folk remedies from gelatin for the treatment of this disease. For example, milk gelatinous, fruit-gelatin or honey-gelatinous cocktails. For their preparation, several small spoons of gelatin are poured into the glass with hot water and insisted until the lumps disappear completely, then additional components( milk, fruit juices or a few spoons of honey) are added to the mixture.
Traditional medicine is recommended once a day on an empty stomach for 14 days. However, it is worth noting that gelatin treatment due to a number of contraindications is not permissible in all patients with arthrosis of the foot, therefore on this issue it is first necessary to consult with the attending physician.
Ankle arthrosis: symptoms and treatment. Causes and prevention of arthrosis of the ankle
Arthrosis of the ankle is a serious enough disease, always requiring a qualified approach to treatment. Unfortunately, it is very difficult to cope with this pathology. However, modern medicine offers effective means to reduce the level of existing inflammation and slow the progression of the disease.
What is a disease?
Ankle joint connects the shin parts to the talus bone of the foot. Basically, it moves along the front axis, thus ensuring the flexion and extension of the foot. Lateral movements differ in minimum amplitude.
Arthrosis of the ankle, the symptoms and treatment of which are directly interrelated, is the process of consecutive destruction of the joint tissue. Pathology entails a violation of the usual structure of tissues, the death of a part of cartilage cells, the formation of cracks on its surface, and the compaction of bones. If you do not take the prescribed medicine for joint arthrosis, it deforms, and its normal work becomes really impossible.
The older the person, the higher the probability of developing a degenerative-destructive change. In this case, the musculoskeletal system is no exception. According to available information, about 10% of the world's population over 40 years old suffers from arthrosis. In developed countries, the number of patients from 65 years of age and older varies from 60 to about 80%.
The first stage of the disease is characterized by a direct narrowing of the joint space, the cartilage itself swells and softens. Arthrosis of the 2nd degree differs in that in the areas of the greatest pressure of the joint heads microcracks are formed, and in the places of the smallest - explicit protrusions. In the third and fourth stages, there is a rupture of cartilage with the subsequent formation of cysts, the growth of so-called bone calluses( osteophytes).As a consequence, the joints themselves flatten, which prevents the foot from making the usual movements.
The main causes of
Very rarely the disease is primary, that is, it arises spontaneously. Most often it is secondary and is explained by the impact of a number of factors. The causes of arthrosis of the ankle joint may be as follows:
- Damage of the musculoskeletal apparatus of the foot and directly of the joint itself( flat feet, connective tissue dysplasia of hereditary nature).
- Posttraumatic arthrosis( dislocation, sprain, bruise).
- Inflammations of the immune system.
- Infectious disease.
- Various kinds of neurological disorders( osteochondrosis, neuritis).
- Pathology of metabolism( obesity, rickets, gout).
The causes of arthrosis of the ankle often lie in the constant wearing of shoes with high heels. The unnatural positioning of the foot causes the load to increase several times on the ankle itself. The risk group also includes athletes, dancers and those whose weight significantly exceeds the normative indicators.
How is arthrosis of the ankle manifested? Symptoms and Treatment of
First of all, patients note painful discomfort when trying to fully stand up, as well as the appearance of a characteristic crunch when moving. Over time, the pain becomes stronger and even at rest. Gradually, the limitation of foot mobility along different axes is aggravated. The joint itself increases in size, the foot slightly curved. At the advanced stages of the pathology, pain can also be felt in the knee and hip joints.
Most drugs that reduce pain syndrome belong to the group of so-called non-steroidal anti-inflammatory drugs. Typically, doctors prescribe the following medications: Ibuprofen, Naproxen, Nimesulide, Aceclofenac, Diclofenac. The price of such drugs can vary from 20 to about 100 rubles. For example, the cost of Diclofenac is only 25 rubles.
These medicines allow you to get rid of the pain, but they also have some drawbacks. The thing is that non-steroidal anti-inflammatory drugs have a very negative effect on the gastric mucosa. For example, with prolonged admission, patients often get worse gastritis and even have ulcers. That is why the reception of such funds is appointed in short courses in order to minimize the negative consequences.
Local treatment of the affected area implies a reduction in inflammation in the joint. Thus, it is possible to reduce the progression of the disease, that is, to keep the inflammatory process under constant control. Such therapy is prescribed if the use of non-steroidal anti-inflammatory drugs has proved ineffective.
To local treatment carry the use of gels with an anesthetic components( Bystrum-gel, Butadion, Dip-Relief, Diclofenac ointment).The price for these funds is certainly high( from 200 to 700 rubles).However, this cost completely justifies itself. Ointments and gels give an excellent therapeutic effect, especially in combination with other medications.
Some patients are assigned chondroprotectors( Teraflex, Structum, Alflutop).They help the cartilage to recover and significantly improve the synthesis of tissues.
Surgical treatment of
Unfortunately, it is not always possible to overcome ankle arthrosis only through drug therapy. Sometimes medicines are ineffective. In this kind of situation, the doctor decides on surgical intervention. Arthroscopy is the safest way to stop the degenerative process.
This procedure is carried out by means of a special tool that is inserted into the affected area through micro cuts. This operation allows you to remove all bony proliferation.
LFK is prescribed for many types of arthrosis. Especially such exercises are effective in the posttraumatic version of the disease. Therapeutic gymnastics for arthrosis is aimed primarily at restoring the lost muscle tone, as well as expanding the volume of movements in the ankle itself.
Initially selected such exercises, which require a minimum load. They are performed in the supine position( for example, circular movements in the foot).Then the lessons become more complicated. Exercises are performed in the sitting position( rolls of the foot, without lifting the heels off the floor).Note that in each case the complex of exercises is selected individually by the doctor.
First of all, specialists strongly recommend avoiding injuries and mechanical damage to the joint. To do this, you should choose shoes with a steady heel, and when practicing sports use special protective equipment.
It is very important to control body weight, because overweight is often the main reason for the development of arthrosis of the ankle joint. Symptoms and treatment of this pathology should not be left without attention. If there are primary signs, you should seek qualified help, do not try to solve the problem yourself.
Also experts recommend to follow a diet with a high content of protein foods. It should be abandoned for a while from excessively salty and fatty foods, as well as alcohol.
In this article, we are as detailed as possible what is arthrosis of the ankle joint. Symptoms and treatment, causes and prevention are just some of the topics on which detailed answers are presented. Note that the effectiveness of therapy of the disease depends not only on its specific stage of development and the presence of concomitant health problems, but also on the correct adherence to all the recommendations of the doctor.
How to treat arthrosis of the ankle
Arthrosis of the ankle is a serious disease that is complicated by degenerative processes. Pathology should be started when the first signs appear, otherwise irreversible damage to the structure of the connection may occur. Arthrosis is found most often in elderly patients, as well as in young people whose ankle joints are subjected to constant significant loads. The athletes, workers, whose activities are connected with hard physical labor, as well as those who are predisposed to this kind of disease, enter the risk zone.
Since this pathology is considered quite common, many people are concerned about the question: how to treat arthrosis of the ankle joint? There are many answers, but it is important not just to take measures to eliminate the disturbing signs of the disease. To cure arthrosis, it is first of all necessary to influence the factors that provoke its development.
Treatment of arthrosis
If a person begins to worry about pain in the foot, fatigue of legs and swelling, the first step towards recovery will be a visit to a specialist who will assess the condition of the joint and prescribe the best therapy.
The first stage of
The specificity of treatment largely depends on the stage of development of the disease. If the patient turned to the doctor in a timely manner, then you can get rid of the painful symptoms in a short time. At this stage, minimal morphological changes in the structure of the compound are observed, therefore such phenomena as pain and swelling occur only after severe physical fatigue.
In most cases, the patient simply needs rest and no load on his legs. When the cause of arthrosis is excess weight, proper nutrition and a special diet will help to reduce weight and, accordingly, to restore the joint. It is also important to wear only comfortable shoes that do not pinch the foot and do not create discomfort. Such actions will help reduce the burden on the lower limb and improve regenerative and metabolic processes in the cartilage fibers.
Therapy of the early stage of arthrosis does not allow the pathology to progress, and in the case of a foot injury it is possible to avoid posttraumatic arthrosis.
The second stage
With the development of the disease in the joints, inflammatory processes begin to occur, which become chronic. Articular cartilage is thinned, open unprotected patches are formed on the bones. The mobility of the foot worsens, the pain becomes more intense and permanent. In the evening there is noticeable puffiness. At this stage, the risk of injury - dislocations and sprains - increases.
Treatment of the second stage of arthrosis includes a set of measures that are aimed at:
- pain relief;
- activation of processes in the joint tissues( blood supply and nutrition);
- return the mobility of the connection.
Several interconnected techniques are used to improve the state of the bond structures.
To remove inflammation and to stop pain syndrome it is often possible only with the help of special drugs - NSAIDs( not steroid anti-inflammatory drugs) taken inside. This group includes: Voltaren, Declofenac, Movalis, Ibuprofen, Indomethacin.
Ointments and gels - Finalgon, Declofenac, Fastum-gel , possessing the same properties as NSAIDs are also effective.
In cases where these drugs do not have the proper effect and the pain does not subside, it is advisable to use glucocorticoids injected into the joint. Drug treatment significantly alleviates the condition, but does not solve the very problem of arthrosis.
To improve metabolic processes in affected tissues, the patient is assigned a vasodilator - Agapurin, Nicotinic acid, Pentoxifylline .
Stimulation of the growth of cartilaginous tissue
This method of treating pathology facilitates the restoration of cartilaginous fibers. It is based on the use of chondroprotectors - preparations containing natural components - glucosamine and chondroitin sulfate( building material of cartilage).
Despite the fact that the treatment takes a long time( the course lasts several months with short interruptions), the introduction of chondrojectors gives excellent results and restores the functionality of the joint.
Physiotherapy is actively used for the treatment of ankle arthrosis of various etiology and localization. On the inflammation focus are affected by the following procedures:
Treatment of arthrosis of the ankle
Treatment of diseases of the musculoskeletal system, in particular arthrosis of the ankle , depends on the stage of the disease. In the initial stages, as a rule, medical treatment is used.
Medications help to remove pain and inflammation, but have side effects. They are divided into 2 types:
- Hormonal preparations. Corticosteroids quickly relieve inflammation, but their amount should be gradually increased. Severe cancellation of hormonal drugs can lead to kidney failure and become the cause of excess weight .With this disease, obesity is the main enemy, since the additional weight load on the damaged joints contributes to the progression of arthrosis of the ankle joint.
- Non-hormonal drugs. Also reduce the inflammatory process, but are contraindicated in patients suffering from diseases of the gastrointestinal tract( gastritis, stomach ulcer).Such drugs are not addictive, but increase acidity in the body. On the question of which tablets to use and which creams to use for arthrosis of the ankle from the list of non-hormonal drugs, doctors advise the supplements "Collagen Ultra", since this remedy does not cause side effects.
With arthrosis cartilage is destroyed, the restoration of which is impossible without drugs and appropriate treatment. Preparations based on soybean oil and avocado oil Piascleline , Chondroitin , Glucosamine improves the composition of synovial fluid, connective and cartilaginous tissue, resulting in the regeneration of cartilage.
TREATMENT WITH MODERN TECHNOLOGIES
For the treatment of arthrosis of the ankle joint, a manual therapy technique is used, in other words, of the therapeutic massage .As a result of this method, the joint returns to its normal position. The effectiveness of massage helps to improve tissue metabolism and blood flow, relieve spasms, pain and restore the functional capabilities of the joint. In the complex with massage classes for exercise therapy are recommended.
Today in modern medicine to eliminate the ailment associated with arthrosis, hyaluronic acid preparations are used, having a high molecular weight - they are implants of synovial fluid. These drugs improve the viscosity and elasticity of endogenous hyaluron, they are aimed at eliminating pain and restoring the mobility of the joint. Lubrication of tissues inside the joint increases, which helps protect the cartilage of inflammatory mediators. After the introduction of the synovial fluid, the patient can forget about how treats the disease and what pain medication tablets to drink, about 9 months. After the passage of this time, you can repeat the procedure.
Another modern technology is the biological cartilage regeneration .This procedure is applied if the defect of the cartilage does not exceed 2 cm. The membrane of specially grown artificial cartilage cells covers the exfoliated and damaged cartilage areas. Through special perforation holes in the defective area, particles of the red bone marrow enter along with the stem cells and growth factors that form the super-clot. Thus, favorable conditions are created for the growth of a new cartilaginous tissue.
Osteoarthrosis of the ankle of the last stage requires surgical treatment by endoprosthetics in the ankle joint. With the help of precise, effective and high-tech intervention, the patient again has the opportunity to return to the usual life without pain.
Treatment of arthrosis of folk medicine
Many herbs, flowers of plants, vegetables, which are densely settled in the daily life of a person, have their useful and medicinal properties. Natural ointments, creams, compresses are widely used as agents for the treatment of arthritis and arthritis of the musculoskeletal system, in this case arthrosis of the ankle joint. Treatment with folk remedies can be performed either externally or for oral administration.
- To remove the pain, a gruel from raw potatoes, which must be applied to the damaged joint for 15-20 minutes, will help.
- Leaves of the usual flower of geranium can be used for compresses and trays.
- Ointment from the leaves of the comfrey is easily prepared at home. For her, you must mix sunflower oil and plant leaves and boil for 30 minutes. The resulting mixture must be filtered, cooled and applied to the injured place for half an hour several times a day.
- The crushed egg shell is saturated with calcium, it is great for strengthening joints. A pinch of shell can be added to food.
- Products containing collagen( sea kale, tomatoes, parsley), silicon( currant, radish, olives) have beneficial effects on the joints.
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 have experienced all the symptoms of ankle arthrosis.
Features of the disease and its types
Ankle joint consists of several parts: talant, 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 a gradual overgrowth of damaged tissues, causing deformities( 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 arthrosis of the ankle is initial, then it practically does not make itself felt, which significantly 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.
In case of a 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 usual curve of the shank is often observed. It can take both X-shaped and O-shaped.
The causes of pathology are called:
- discrepancy 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 an 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 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 use of treatment methods that:
- interfere with the further destruction of cartilaginous tissue;
- improve the functioning of the joint;
- reduce pain in the ankle.
If the diagnosis was confirmed during the diagnosis, then the treatment of arthrosis of the ankle should be directed to anesthesia, prevention of inflammation, expansion of quality and quantity of movements, regeneration of damaged tissues, improvement of metabolism in the joint, foot and shin( adjacent areas).
To cure the disease and to remove the osteophyte it is possible provided an integrated approach. 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 organs and the 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;
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 have been proven to be successful, which alleviates symptoms. 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 of 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.
To restore 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 found 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 cabbage and lentil variety.
If the patient is overweight and has developed an osteophyte, then you 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 also not to eat after 6 pm or 3 hours before bedtime.
If arthrosis has passed to stage 3 and the joint is severely disrupted, then in such cases the treatment provides only surgery. 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 surfaces of the joint are 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.
Treatment at home
From 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 the boil, insist for 30 minutes, cool. 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.