Which group of disability is put by a doctor with coxarthrosis of the hip joint
Currently, diseases of the musculoskeletal system are very common in medical practice. Suffer from this pathology to a greater extent, the elderly, but more often the disease of bones and joints are observed in young people. Pathology of the osseous system occupies one of the leading places in the general structure of the causes of disability of people. Many are interested in the question of which group of disabilities with coxarthrosis of the hip joint is being prescribed by a doctor.
If the disease occurs in chronic form, there is a high degree of severity, that is, a high probability that the sick person will become disabled. Deforming osteoarthritis is the basis for the so-called medico-social commission. Based on the conclusions of doctors, it is possible to set a disability group for this patient. It's one thing to become an invalid of the 2nd group and quite another, if the doctors put 1 group, at which the patient completely loses his ability to work. Let us examine in more detail how the medical and social examination is carried out, what is the etiology, the coxarthrosis clinic of the hip joint.
What is coxarthrosis
Arthrosis of the hip is a disease characterized by the development of degenerative-dystrophic processes in the cartilaginous tissue involving surrounding tissues( ligaments, bone, joint). Coxarthrosis is a type of simple arthrosis. This is one of the most common pathologies of the musculoskeletal system, which can make a sick person an invalid. It is interesting that the social significance of this disease is measured in the distance. This makes it clear how many years of active life and disability have been lost as a result of the illness.
Osteoarthritis can occur not only in the hip joint. Very often, knee joints are affected. As for the sex differences in the level of morbidity, at a young age, the hip joint lesion is more common in men, and in elderly - in women. It is important that the disease of the hip joint is most difficult. This is due to anatomical features and a heavy load. It is important that disability can be avoided with timely treatment of pathology at an early stage. If there is a third stage, then the person will become disabled.
Etiology of the disease
Cokearthrosis can occur for several reasons. Allocate external factors and internal. External includes traumatic injuries. This is the most common cause of disability. Injuries arise for various reasons: as a result of playing sports, negligence in the workplace and at home. In some cases, the cocksoarthrosis develops against the background of a poorly performed operation on the joint. The second external etiologic factor is an increased load. As a result of systematic stress, the function of the joint is disturbed, it can be deformed. Among the external causes, an important place is occupied by irrational nutrition.
This directly depends on the body weight, the excess of which also increases the load of the hip joint. As for endogenous causes, there are many more. First, it is a genetic predisposition. It is established that some defects in the development of bone and cartilaginous tissue can be inherited. The congenital pathology of hip joint formation is called dysplasia. Secondly, inflammatory diseases such as rheumatoid arthritis are of great importance. In some cases, inflammation of the joints accompanies syphilis, gonorrhea, tick-borne encephalitis. The defeat of the hip joint is observed with hemophilia.
In coxarthrosis, predisposing factors play an important role. These include endocrine disbalance, local joint cooling, decreased immunity, the nature of the profession and lifestyle, the effects of toxic substances, the lack of trace elements( phosphorus and calcium), metabolic disorders in the body, and some others.
Stages in coxarthrosis of the hip joint
To determine the disability of a sick person, it will be necessary to identify the stage of the disease. There are 3 main stages of this pathology. The first is the easiest. With it, there are no morphological changes in the joint and surrounding tissues. With coxarthrosis of the hip joint of stage 1, the composition of the joint fluid changes, which somewhat worsens the metabolic processes in the joint cavity. The patient may not experience pain during normal daily exercise, but when it becomes large, pain syndrome may occur.
The second stage is characterized by the fact that the cartilage of the hip joint and the meniscus begins to break down. In this period osteophytes begin to form. They are bony outgrowths along the edges of the joint. The third stage is most difficult for any person. It differs in that contractures are formed, pathological mobility of the hip joint is observed. The muscles are stretched or shortened. All this contributes to the violation of trophism and restriction of motor activity. The patients are given pain medication, but they do not always help. In coxarthrosis of the 3rd stage, ankylosis( immobility of the joint and limbs) may occur.
Disability in coxarthrosis of the 3rd degree
Disability in the vast majority of cases occurs with the 3rd degree of arthrosis. In this situation, a person does his work with difficulty or completely ceases to perform it. In severe disease there is a permanent loss of ability to work. Often a sick person can not stay in one position for a long time, in this situation surgery is required. The most effective method is hip joint prosthetics.
What kind of disability group is put in the presence of 3 degrees of arthrosis? The question is ambiguous. Everything depends on the severity of the disease and the condition of the patient. The most common is the 2 group of disability. This disability means that the sick person is able to independently serve himself, without the assistance of others, with auxiliary means. This group includes patients who are able to move with crutches or walking sticks. As for the ability to work, with the 2nd group of disability patients can carry out certain types of work, but only with the help of devices.
What is medical and social expertise
What kind of disability group will be delivered to a person determines the medical commission. To this end, ITU is conducted. On a similar study with coxarthrosis is directed according to the following indications:
- if arthrosis is rapidly progressing;
- if the patient underwent surgery for arthrosis;
- if the patient has a pronounced restriction of the motor function, interfering with the work and fully live.
In the first case, there should be a radiologic confirmation of the diagnosis. In this case, expressed clinical signs should be observed for at least three years. Obligatory condition - the presence of periods of exacerbation of arthrosis with a frequency more than 3 times a year. Medico-social examination is also conducted in the presence of concomitant complications, the development of reactive synovitis. To determine which group of disabilities the patient has, several stages of assessing the patient's condition should be organized.
The first stage includes diagnostics. At the same time, all complaints of the patient are assessed, laboratory and instrumental studies are conducted to establish signs of inflammation and destruction of cartilaginous tissue. At the second stage, social diagnostics is carried out. The future group of disability largely depends on this. The most important aspect is a person's ability to serve himself, move around, lead a work activity, a degree of adaptation. The psychological state of a person is assessed. The most recent stage is the determination of the extent to which a person needs protection and social support.
When 1 disability group
is put It is known that 1 group of disability is the heaviest. To ensure that such a degree of disability was fixed by a commission of doctors, certain criteria are necessary. The main one is the inability of a person to serve himself, move, work and study( if a sick person is young).It must be remembered that the first group of disabilities limits the patient's possibilities, as a result of which he needs constant care. Such people are not able to take care of themselves, cook food, go to stores.
Thus, their life largely depends on others.1 group of disability is made out when arthrosis makes it impossible for movement and disability to stand. Group 1 disability occurs with coxarthrosis of the 3rd degree, with ankylosis of the hip joint. If doctors give the first group, then this is a good reason to think about surgery.
The second group is established by the commission with a significant limitation of the person's ability to service and move. To do this, he needs the help of other people or special care. The ability to work can be partially preserved. This requires the organization of a special place to work. The second group of disability occurs at the 3rd degree of the disease, ankylosis, the limb length is reduced by more than 7 cm. Less often, the doctors give 3 groups.3 group of disability is characteristic for patients with a small limitation of mobility.
Conclusion, conclusions, recommendations
Thus, the disability group with coxarthrosis is determined on the basis of the medical examination performed. During the research, the patient's condition is assessed, analyzes and other studies are performed. Most often, with coxarthrosis of the hip joint, a second group of disabilities is formed. The first one is the heaviest. A person in this situation needs careful and constant care. This disease can not be cured, you can only suspend the process, so it is better to warn.
Is it possible to treat gonarthrosis of the knee joint of the third degree and why does the disability occurGonarthrosis of the third degree of the knee joint is the heaviest .The disease significantly complicates the life of patients, severely limits work capacity.
In this violation, the knee structure undergoes serious changes. The cartilage of the joint is almost absent. This leads to the fact that the surfaces of the bones of the joint are densified.
Bone growths on them becomes larger. Also, with this deviation, there is an obvious narrowing of the joint gap.
It is often enough to reveal a complicated version of arthrosis - a bilateral gonarthrosis of the third degree.In this situation, it is meant that both legs are struck. This type of disorder is observed more often than one-sided, and at the same time requires more thorough examination and treatment.
When the left knee bends inward as it moves, a left-sided gonarthrosis appears.
Accordingly right-sided affects the joint of the right knee.
Read more about gonarthrosis of the knee joint of 2nd degree in our article.
What is the peculiarity of
grade 2 gonarthrosis? By gonarthrosis is meant the damage to the cartilage and bony growths that occur on the joint, the xytosis of the articular tissue. Arthrosis of the knee - deg. ..
Symptoms of the disease passing to the third stage of
When the bilateral bilateral gonarthrosis develops, all early manifestations intensify and new ones arise:
- pain is strong and constant;
- sharp reaction of the sore spot to weather change;
- gait violation;
- knee deformation;
- limitation in motion;
- congestion of the joint fluid;
- reduction of joint space;
- sclerosis of the subchondral portion;
- salt deposition.
When combined with synovitis, the contour of the knee is smoothed, the tissues protrude above the knee and from the side. At the same time blood tests are normal, body temperature does not increase. Simply the patient feels a hindrance when flexing.
Both knees often suffer, but it happens that only one bothers.
Sometimes the disorder is confused with other diseases:
- arthrosis of the femoral joint;
- vascular pain in the knee;
- Inflammation of tendons.
Treatment of the disease
Treatment in the early stages does not cause problems, it is often possible to limit oneself to prevention. But in 3 stages it is already quite difficult.It is very difficult to repair heavily affected joints. All forces are aimed at neutralizing the pain, preventing inflammation, restoring the mobility of the joint. With no results, surgical intervention is performed.
Treatment begins with the neutralization of the edema with anti-inflammatory agents. This removes the pain and makes the person's condition easier. After eliminating the pain, you can begin to physiotherapy, physical education, massage.
Anti-inflammatory drugs are taken no more than 3 months.
Chondroprotectors are introduced to restore cartilage. They affect the cause of the disease. Improves the production of joint fluid. However, at this stage of the violation they can be useless.
Introduction of hyaluronic acid inside the joint is very effective at 1 and 2 degrees of severity, with 3 only brings relief.
The greatest result can be achieved by stretching in combination with physiotherapy. The bones are stretched out by stretching, which unloads the joint. Physiotherapy improves blood flow in the joint, the condition of the tissues. Neutralized painful muscle spasm.To promote treatment, it is worth using a cane. When walking with support on it, the product takes about half the load on the joint.
The cane should be selected according to the growth. A cane with a rubber nozzle below does not absorb and does not slip.
Read more about the treatment in our material.
Treatment of knee joint gonarthrosis - medications, chondroprotectors, sport and diet
Knee joint gonarthrosis is a common disease that is a gradual drying of cartilage tissue that causes deformity of the joint with. ..
When the disease becomes severe and conservative treatment does not help, the patient needs surgery. Perform various surgical interventions:
- puncture - removal of excess fluid with subsequent administration of hormonal agents;
- osteotomy of the tibia - correcting the deflection of the axis when the joint is deformed;
- arthrodesis - joint resection with bone fusion. Such intervention is very rare;
- arthrolysis - removal of the altered synovial membrane, adhesions to ensure a normal volume of motion of the joint;
- arthroplasty - reduction of cartilage residues with the formation of articular surfaces. This kind of intervention is rarely done because of the development of joint instability;
- endoprosthetics - replacing a sick joint with an artificial one.
The most important part of treatment after surgery is recovery. Under the supervision of a doctor, a patient begins movements in the operated joint from the first days. If the patient's state of health is normal, he can get up on the second day.
Exercises are performed to strengthen the muscles, a gait is developed, a gentle joint. The rehabilitation period can last up to six months.
Initially, the movement is carried out by means of crutches, then they are changed to a cane. It is important to follow the recommended exercises.
It is useful to walk a lot, but not exhausting yourself. Walking does not cancel exercise. On the stairs you need to move extremely carefully.
About the slightest redness of the wound, inconvenience should be reported immediately to the doctor. Unforeseen numbness or weakness in the extremities can talk about damage to the vessel, nerve.
Whatever products are not replaced by a knee joint, they wear out with time. But the newer and more expensive the prosthesis, the longer the service life.
Complications and prognosis
Knee joint injury of any severity requires observation by a specialist. Osteoarthritis of the knee is not easy to treat, and often exercises, tablets or a diet do not help to eliminate the disorders that have already appeared.
The development of grade 3 gonarthrosis almost always means disability, which can only be prevented by the installation of an artificial prosthesis. Otherwise, the result of the disease will be full fusion or the formation of a false joint with abnormal mobility.
Independent movement in any of the situations will be extremely difficult.
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All the necessary knowledge of how the Cramer bus overlaps can be obtained from our step-by-step instructions.
How to prevent the third degree of the disease
If you are addicted to diseases of the musculoskeletal system, as well as a heavy load on your knees because of your profession or sports activities, you must adhere to the following rules:
- Moveable lifestyle, choice of sport not related to joint overload( bicycle, dance, swimming, walking);
- Exclusion of overloads, injuries and bruises of the knee, hypothermia;
- Wearing comfortable low-heeled shoes;
- Healthy diet, normal drinking regimen, reduced salt intake;Control over weight;
- Complete rest, anticipation of stress;
- Increased immunity, hardening;
- Treatment of infections, prevention of their transition to chronic disorders;
- Prophylactic use of agents that improve local blood flow.
The choice of the direction of treatment depends on the characteristics of the organism, therefore the treatment algorithm is always developed by the treating doctor individually. The treatment takes a lot of time, and requires careful monitoring with changes in the X-ray.
During the entire treatment of , the limitations imposed by this diagnosis on the lifestyle of should be taken into account: exercise should be limited to the extent possible and weight loss should be avoided, in order to relieve the load from the joints.
Video: What is gonarthrosis
To the question of knees. Why do knee joints crunch and ache? What to do in such cases will tell this video.
Knee joint gonarthrosis of 2nd degree and disability: exercises, exercise therapy, photos |Are joints aching?
With painful sensations in the knees, one-fourth of the planet's population is turning to the orthopedist. In this case, the severity of the disease is palpable, since most patients simply do not pay attention to joint discomfort or normal fatigue. In the meantime gonarthrosis of the knee joint, the photo of which proves the deformity of the limb, is already in the second stage. Therefore, in order to prevent the development of the disease at an early stage, it is worth familiarizing yourself with certain features of the treatment of the disease.
Symptomatic of gonarthrosis of 2nd degree
Today, gonarthrosis of the knee joint of 2nd degree and the disability to which it leads is the most common medical disease.
The knee joint daily takes the heaviest load, and therefore wears faster than others. The person initially feels a slight fatigue in the legs, there is swelling, and after the transition of gonarthrosis to stage 2, the above symptoms are added:
- Pain during movement, remission of discomfort in lying position;
- Crunch in the joints;
- Synovitis is an inflammation of the joint that prevents normal knee flexion;
- Heaviness of legs;
- Limitation in mobility.
The patient gradually becomes more difficult to move and the slightest roughness on the road surface, becomes an obstacle to further movement.
Methods for treatment of grade 2 gonarthrosis
A patient who suffers from arthrosis of the second degree should know that this disease can be diagnosed only by a doctor. Self-treatment harms the healthy joint.
Among the methods of treatment of gonarthrosis are isolated surgical and conservative. The latter is further divided into several categories:
- Removing the load from the joint.
Each of these methods must be combined with one of the list. That is, along with the exercise therapy the patient necessarily takes medication, goes to physiotherapy sessions. Only with the combination of different techniques can the maximum effect.
Effective exercise therapy for arthrosis of the knee joint of 2nd degree
Today, exercise therapy for arthrosis of the knee joint of the 2nd degree is considered one of the effective methods of treating the disease. It is carried out not only to improve the patient's condition, but also for preventive purposes. For example, with atrophy of the hip muscles that occurs with gonarthrosis, the doctor can prescribe a set of anticipations to strengthen the quadriceps muscle.
For this in the prone position, the patient should unbend the knee and keep his foot straight until he feels a slight pain. As the muscles strengthen, the exercise with gonarthrosis of the knee joint of the 2nd degree becomes more complicated. The patient performs it sitting, and then, standing at the Swedish wall. This exercise is aimed at increasing the volume of movements in the deformed joint.
Effective is also considered therapeutic exercise in gonarthrosis of the knee joint of the 2nd degree in the pool. Holding on to the handrail of the patient imitates riding a bicycle, the style of swimming a toad and performs other complexes. In the period of remission of arthrosis, an orthopedic trauma specialist can prescribe the following set of exercises, which can be divided into two groups:
Coxarthrosis and hip joint hip 2, 3 degrees. How to apply for a disability? Groups of disability. How is the sick leave issued?
Arthrosis( osteoarthritis) is a noninflammatory lesion of the joints, characterized by their destruction. Statistics statistics are disappointing: from 10 to 16% of the world's people have a history of this or that form of arthrosis. Women are sick more often than men. In those over 60 years old, the disease is diagnosed in almost 100% of cases.
Disability in arthrosis is unavoidable, although traditional and alternative medicine methods can stop the disease. However, it can not be completely cured.
Osteoarthritis, general concepts of the disease
The cause of arthrosis of the joints, especially the ankle, knee and hip, in the disparity of their capabilities and loads. In other words, cartilaginous tissue does not stand up and begins to deteriorate. Smooth, healthy surfaces of the cartilage age and become rough, which worsens the mobility of the knees, hip and ankle joints.
Subsequently, cracks appear on the joint, in advanced cases the cartilage is completely erased, exposing the bone head.
After this, the bones begin to deform. The disease can cause irreparable harm to a person, making him incompetent. Progressive arthrosis is a disease, because of which you can lose not only your ability to work, but also the opportunity to qualitatively serve yourself. Such patients often receive a disability, but it is difficult to formalize it and additionally it is necessary to pass an annual commission. Distinguish such varieties of arthrosis( osteoarthritis), as:
- deforming arthrosis of the ankle joint;
- coxarthrosis( affects the hip joints).
Osteoarthritis of the ankle
Most arthrosis is diagnosed as idiopathic, that is, their cause is not fully understood. Heredity plays a big role. If one of the relatives has an anamnesis of osteoarthritis, the likelihood of its occurrence in you increases.
In case of deforming arthrosis of the ankle, the head, ligament apparatus, joint capsule and bones are involved in the process. To begin the process is characterized by excessive physical stress on the ankle. Another possible reason is the imbalance of metabolic processes in the body, in particular, proteins, in which the cartilaginous tissue lacks nutrition. In arthrosis of the ankle, the following processes occur:
- Ankle injury, in which the joint capsule is damaged or a ligament rupture occurs, is the direct route to deforming arthrosis. Due to the fact that the first stage of the disease passes asymptomatically, a visit to the doctor and the appointment of the appropriate treatment is delayed.
- In the process of destruction, the cartilage becomes friable and heterogeneous, like fish scales. Individual flakes exfoliate completely, enter the synovial fluid. During the movement, they are between the rubbing parts and act like nazhdachki, erasing the cartilage. Simultaneously, the synovium( synovitis) is damaged.
- Synovitis is characterized by pronounced edema and a local increase in temperature( the second degree of ankle arthrosis).The patient needs to undergo a complete examination and treatment, otherwise disability can not be avoided.
Remember, for doctors who conduct a commission, first of all it is important to know how much the patient is limited in movement and how this affects your ability to work. The signs of osteoarthritis and their degree are secondary to them. The referral for the passage of the IEC( medical and social expert commission) is given by the attending physician.
Deforming arthrosis( osteoarthritis) of the knee joint is called gonarthrosis. At the first degree of the disease, the hyaline cartilage is involved, at a later stage the synovial membrane and the joint capsule are affected. The bone under the cartilage is compacted and increases in size. This is the most common form of arthrosis.
The disease usually occurs after 40 years, mainly in women. Athletes who survived knee injuries, it can manifest itself at a younger age. The main manifestations of gonarthrosis are pain in the knee region and severe swelling( congestion of synovial fluid).The disease develops slowly, so it is important to consult a doctor at the first discomfort. The treatment is conservative. The disease passes in its development of the third degree:
- The first degree is characterized by some painfulness, which is noticeable after large physical exertion, edema may appear.
- The second degree is the familiar characteristic crunch in the knees, the pains become more intense, the joint is noticeably deformed, its stiffness is noted.
- The third degree is characterized by gait disturbance, severe joint deformity, constant pain, maximum stiffness.
The patient with grade II and III gonarthrosis is not able to work on physically hard jobs, therefore the attending physician usually recommends that the MSEC get through and receive a disability group. Works that do not require much physical activity are available, so the disability obtained does not prevent such a patient from working, for example, in sedentary work( on the phone, in the call center, or at the computer).
Coxarthrosis( osteoarthrosis) of the hip joint
All age groups are affected. But most often it is diagnosed in 40-year-old people and older. Hip joints are the largest in our body. They carry the maximum load and therefore are at risk. The causes of coxarthrosis may be: trauma, excess weight, age. The disease has several stages:
- The first bell, signaling that the hip joints are not all right, is the morning stiffness, as well as unpleasant sensations in the buttocks or groin. After a while a person "diverges" and everything disappears, but the disease continues and progresses.
- The next stage is the appearance of bone spurs and a strong thinning of the cartilaginous tissue. The pain does not go away even at moments of rest. Inflammation of the joint bag.
- The third stage - severe pain in any movement, the inability to turn a bad leg, loosening of muscles and lameness.
The earlier the patient turned to the doctor, the longer the disease can be delayed. It is impossible to completely cure coxarthrosis. The second and third degrees - the reason of the attending physician to send the patient to the commission for obtaining disability. The disease is heavy, but the first, non-working group, is given to people infrequently. II and III groups of disability are not usually a contraindication for physically non-severe types of work( as in gonarthrosis).
Which examinations are needed to obtain a disability
When carrying out medical and social diagnostics and determining the group of disability with deforming joint arthrosis, factors such as the degree of mobility impairment of the limb, the possibility / impossibility to move around and service oneself without assistance from outside, take into account. The following categories of patients are sent for examination:
- with progressive osteoarthritis within 3 years, which is exacerbated more than three times a year( the development of arthrosis is fixed on X-rays);
- after endoprosthetics, while maintaining the restriction in movements;
- with obvious mobility impairments in the patient's joint( s).
Analyzes that must be submitted to the commission are urine / blood, fluorogram of the chest, x-ray of the joints, the conclusion of the traumatologist-orthopedist. Disability groups. How is the sick leave issued?
There are 3 groups of disabilities. The following criteria will help to understand what the patient can expect by going to the Ministry of Health:
- III group - moderate impairment of mobility of one or two joints( static-dynamic function) in persons engaged in heavy or moderately-heavy physical work associated with prolonged standing / moving.
- II group - impairment of mobility is expressed strongly and does not compensate for anything, the disease quickly progresses, accompanied by frequent, prolonged exacerbations.
- Group I - complete disability, the inability to move independently and self-service, the constant need for help from the outside and complete dependence on it.
The issuance of a hospital for coxarthrosis is a standard procedure. The average period of incapacity for work is one and a half months from the date of contact with a doctor. The strongest pain that a person experiences with this disease is a reason to give sick leave, but this may not be enough to register a disability group. The fundamental factor is the limitation of mobility and the inability to move independently and service oneself.
Making a disability with arthrosis is a difficult task. After confirming the disability group, you have to go through the annual MCEC every year, where you can consider lowering the group or removing it( for example, after hip replacement).
The most correct option is to regularly examine your joints and listen to the recommendations of your doctor. Only in this case arthrosis( osteoarthrosis) of the ankle, knee or hip joint will be able to be detected in time and to maximally inhibit its development.
One of the most common causes of arthrosis is injury. Male 20-50 years of age and women aged 30-60 years are the most traumatized. Injury can be obtained on the street and at home, being a participant in the traffic and production. Especially this problem is relevant for athletes.
Post-traumatic arthrosis belongs to the group of secondary arthrosis, that is, trauma is a factor contributing to its development. For example, when a joint is injured, a tissue rupture occurs, against which background inflammatory processes occur. Risk factors for the development of arthrosis are also sprains, fractures, a break in menisci, dislocations. Alas, any trauma does not pass without a trace. Even minor damage affects the blood vessels and nerves. The tissues of the joint are worse than the bloodstream, and it is impossible to transmit a signal from the brain to the muscles of the damaged nerves. This also provokes the development of the degenerative process in the joint.
Therefore, post-traumatic arthrosis is not considered the prerogative of only the elderly. Osteoarthritis after fracture of or stretching occurs in people of young age. Most often this disease is affected by the ankle and knee joints, less often - shoulder and elbow.
Symptoms of post-traumatic arthrosis
Consider the clinical picture using as an example of post-traumatic arthrosis of the ankle .At first, the disease can be completely asymptomatic. It seems that the joint after the injury is restored, and the patient does not make any complaints. After some time, the person notices that during walking he began to turn the foot. The ankle joint is not designed for lateral movements, which means that the ligaments and muscles become weak or damaged, since they can not hold the joint while resting on the leg.
During physical exertion, the patient begins to worry about pain in the ankle, which then becomes permanent. As the progresses, post-traumatic arthrosis of the ankle leads to deformation of the bone tissue and restriction of mobility.
|"In my young patients, the trigger for the development of arthrosis is usually a trauma, any trauma - no matter whether it's heavy or not - causes inflammation." Mechanical damage to joint tissues is a factor contributing to poor blood supply, which leads to metabolic disorders.but do not think that only the fact of injury can lead to arthrosis - regular microtrauma, which a person does not even notice, for example, while walking on the kabows, too, can cause. "|
Posttraumatic arthrosis is a chronic disease, so the goal of treatment is to slow the progression of the disease. The course of therapy is appointed based on the results of an X-ray study, which determines the stage and form of the disease.
If to speak about physical activity, it is recommended to combine a specially selected complex of exercises with unloading the affected joint. Massage, physiotherapy procedures, manual therapy are widely used non-medicament means of treating post-traumatic arthrosis .Their goal is to improve blood supply in the place of injury. However, these procedures are possible only outside the exacerbation of the disease. To maximally relieve the joint, a diet for weight loss and sanatorium treatment are recommended.
For relief of joint pain, administration of analgesics is prescribed, and for the removal of inflammation, which arises periodically in the joint, a short course of non-steroidal anti-inflammatory drugs( NSAIDs).NSAIDs are not drugs for continuous use, as long-term use can lead to undesirable effects. With a pronounced inflammatory process, intra-articular blockade drugs from the group of corticosteroids are used. The course of chondroprotectors is prescribed to stimulate the growth of cartilaginous tissue and protect it from damage. This is just the drugs that require a long reception, so that the positive effect could develop.
In case of complete destruction of the cartilage and persistent limited movements in the joint resort to routine surgery. To date, there are several ways of surgical correction for this disease. An arthrodesis is recommended to those patients who have contraindications to other operations. The essence of this technique is to fix the joint in the right position, depriving it of the possibility of movement, but at the same time to achieve its stability. However, the most common surgical procedure for post-traumatic arthrosis remains arthroplasty of the joints. This method of correction allows you to replace the damaged joint with new articular surfaces of an artificial, durable material, returning the lost motor function to the patient.
Disability for arthrosis
The determination of disability with for post-traumatic arthrosis requires a medical and social examination. The Commission determines the static-dynamic function of the limb, the patient's ability to self-service, independent movement and work. The patient is recognized as able-bodied if he has arthrosis of I-II degrees and one joint is affected, if the pathological process progresses slowly and the violations of joint function are insignificant.
III group of disability is given to patients who have a small restriction in self-movement and use ancillary facilities. Their work is less productive, and self-service is quite possible. These are patients with coxarthrosis and grade II gonarthrosis, with deforming arthrosis of several joints.
II group of disability is established with the expressed restriction of abilities to work, self-service and movement. Such patients suffer from grade III arthrosis, have ankylosis( fusion of the articulating bone surfaces) of large joints in a functionally unprofitable position. They can be frequent and prolonged exacerbations of the disease, rapidly progressing, shortening of the affected limb by more than 7 cm.
I group disability for arthrosis is determined by those patients who completely lost the opportunity to move independently, serve themselves, engage in professional activities. Such people require constant extraneous care. Usually these are patients with deforming coxarthrosis of III-IV degrees, expressed by ankylosis of the ankle, knee or hip joint in a functionally unfavorable position.
In order not to bring the matter to the stage of medical and social expertise about disability, you need to monitor your health. Our medical center GarantKlinik deals with the diagnosis and treatment of joint diseases. Timely access to specialists will allow to control the course of the disease and avoid serious complications.
We have experienced orthopedists, traumatologists, doctors of medical sciences, professors. The material and technical base of the clinic allows not only to perform complicated joint operations, such as arthroscopy and arthroplasty, but also there is the opportunity to provide quick rehabilitation of patients. Since our clinic is a clinical base of the PMGMU named after. Sechenov, then for many services we have state prices.