How correctly to treat arthrosis of the knee joint?What do you feel when you meet an elderly man with a cane in the street? Probably sympathy, but also the certainty that you will not exactly become like that!
No young energetic person positions his old age with sickness and lameness; rather, the imagination draws a youthful smiling pensioner, traveling around the world on healthy legs and with a snow-white smile, as in a photo in foreign magazines.
But illnesses are a tricky thing. And especially joint diseases. Sneaking up unnoticed, various ailments slowly destroy and deform the joints, manifesting in one beautiful morning with pain and the inability to move normally.
Among all joint pathologies, judging by the number of requests for medical help, arthrosis of the knee joint( gonarthrosis, osteoarthrosis of the knee joint) is leading. According to statistical data, suffers from gonarthrosis every fifth inhabitant of the planet at the age of over 40 years old , moreover, this woman "loves" more than men.
What is arthrosis of the knee joint and is it possible to avoid it? Let's start with the definition of the disease.
Osteoarthritis of the knee joint( gonarthrosis, osteoarthrosis of the knee joint) is a degenerative - dystrophic change of the articular cartilage .
May be primary and secondary, i.e., occur against a background of other diseases.
Causes of arthrosis of the knee joint.
The most common gonarthrosis is due to:
- Traumatic injuries of the knee joint
- Excessive body weight
- Excessive physical activity, including with professional sports
- Previous diseases( usually arthritis of different etiology)
- Weak ligamentous apparatus
- Metabolic disorders
About gymnastics exercise therapy for cervical osteochondrosis, find out everything in this article.
How does arthrosis develop?
Osteoarthritis of the knee joint is divided into 1, 2 and 3 degrees. Let us consider in more detail the distinguishing features.
Symptoms of 1st degree arthrosis of the knee joint.
For the first time, gonarthrosis manifests itself as a pain that occurs when walking on a ladder. A person feels discomfort in the knee joint area, a pain that makes it difficult to descend the stairs. In other situations, pain does not occur almost and therefore the patient safely forgets about it or undertakes some of its own medical measures, entirely trusting the advice of friends who "also had it".
is the periodicity of the pain and postpones the visit to the polyclinic for later, which leads to the transition of the disease to a more serious, 2nd degree.
How does the 2nd degree of the disease manifest itself?
Gonarthrosis on the photo
2 degree of gonarthrosis is characterized not only by severe pain, but also by the limitation of mobility in the joint. Pain occurs more often, not only with exercise, but also in a calm state. The patient becomes it is difficult to bend and unbend the knee , when driving in the joint, a characteristic crunch is heard.
At visual examination, joint swelling is noted, slight deformation of the joint. It is the patients with the 2nd degree of gonarthrosis who are patients of the polyclinic, unable to cope with the painful pains themselves and, suffering from the limitation of mobility, they turn to the doctor.
3 degree of arthrosis is a synonym for disability?
3 degree of arthrosis of the knee joint is characterized by persistent severe pain in the joint and loss of its mobility. X-ray examination shows dystrophic changes in cartilage tissue, pronounced joint deformation. Develops the so-called deforming arthrosis.
Arthrosis pains have a habit of intensifying at night, becoming most intense in the pre-morning hours.
Patient with a 3 degree of arthrosis walking can only with the help of a cane, remember our old man from the entry? It's him.
Tactics for the treatment of arthrosis of the knee joint.
The therapeutic process for arthrosis - a long-term case, requires the patient's perseverance and patience. The main principles of gonarthrosis treatment can be called
- Systematicity of
- Comprehensive approach of
Arthrosis should be treated without fail under the guidance of a physician. It is he who should give you recommendations how and what to treat the disease, which must be observed very carefully. It is possible to add to medical appointments and folk methods, but only after your attending physician approves them.
The beginning of treatment of gonarthrosis, like any other disease, begins with the organization of a sparing regimen. With gonarthrosis, a gentle regimen is created for the patient's joint. The maximum exclusion of physical activity, long walking. In the diet should limit the consumption of salt, sweets, fatty foods, including in the diet more fruits and vegetables rich in vitamins.
1. For the withdrawal of the pain syndrome, preparations of the group of analgesics, antispasmodics are prescribed:
2. Non-steroidal anti-inflammatory drugs are very popular:
- L-lysinic acid
- Piroxicam and many others.
You can get acquainted with the application of the popular NSAID Mawalis by following the link.
Drugs of this group are not prescribed long courses because of the abundance of side effects. Therefore, long-acting tablets or preparations in injections and injections are more often used for treatment. NSAIDs alleviate the condition of patients, but do not eliminate the causes of gonarthrosis. This mission is entrusted to medical science by another group of drugs - chondroprotectors.
3. Chondroprotectors include:
The action of these drugs is based on the restoration of normal production of synovial fluid and damaged cartilage tissue. The drugs are very effective in treating 1 and 2 degrees of gonarthrosis.Unfortunately, in the stage 3 , the treatment with chondroprotective agents does not give an effect.
4. Healing ointments, gels, creams. They are applied topically, used for grinding and compressing. In the pharmacy network a huge assortment of drugs of this group is presented, when buying it is necessary to be guided not by advertising popularity of this or that ointment, but by the recommendations of a specialist.
Ozokeritic applications on the knee joint
5. In case of exacerbation of the disease, not only loads, but also massages and physiotherapy procedures are excluded. They can not be used in an acute period because of the increased pain syndrome. As soon as the pain subsides, massage, exercise therapy, physiotherapy methods must necessarily be attached to medical treatment.
The following procedures are well proven for the treatment of gonarthrosis:
Traditional medicine and gonarthrosis.
In folk medicine, there are a lot of different recipes for the treatment of arthrosis of the knee joint.
- corn stigmas,
- gold mustard
are taken inside and used for compresses. There are also techniques using alcoholic infusions for grinding:
- tincture of bitter pepper,
- tincture of fly agaric,
- tincture of woodworm.
Used in folk medicine and compresses with medical bile, apple cider vinegar, cabbage - honey compresses. There is even a method of treating sick joints with the help of raw fish, which is tied at night to a sore spot! But we do not think that there are many adherents of using this recipe.IMPORTANT!Whatever you choose from folk remedies, the expediency of use must be discussed with your doctor!
How to prevent the development of gonarthrosis - preventive measures.
It is not difficult to prevent arthrosis of the knee joint if you think about it from a young age. How are the rules of prevention formed? Very simple. Read the causes of the disease and do everything to avoid them, namely:
- Do not overeat, adhere to a sparing diet and principles of proper nutrition
- Reasonably distribute physical activities
- Do not overcool
- Timely treat any diseases
- Avoid injuries
- Do gymnastics
- Call a specialist on time
What exercises facilitate the flow of arthrosis? A complex of exercises LFK on video.
Recommendations at first glance quite simple. And if you follow them, you will not face gonarthrosis. And you will not have to worry about respectable age, because we already at the beginning of the article agreed on traveling around the world on our own feet!
Symptoms and signs of arthrosis, the basic methods of treatment
Joint disease, in which the cartilaginous layer breaks down, is called arthrosis. Unfortunately, covering the inner surface of the cartilage joints, eventually aging. Many reasons affect. Is arthrosis dangerous to humans and what does it threaten? Are there really effective methods to combat the disease?
To understand the specificity of the disease and to equip with the necessary elementary knowledge, we will consider what is arthrosis: its symptoms and treatment. The destruction of cartilage occurs gradually and at first the person can not feel its signs. The slightest trauma and overload, dislocations and subluxations help the development of the disease. The aging cartilage is recovering worse after them and salt is deposited on the injury site and scars are formed. The articular surfaces are not so smooth and even more injured during the movement. There is a specific crunch, pain and swelling. Gradually, the joint may become deformed.
Scheme of the knee joint
Causes of arthrosis occurrence
Heredity plays a big role in the appearance of the disease. If the parents had this ailment, then the probability of its appearance in children is great. In this case, the disease can significantly "grow young".Uneven loads on the joints are of great importance. They are exposed to people who perform sitting and standing work related to the profession: hairdressers, salesmen, drivers, and now those who spend a long time at the computer.
Also affect the joints are great physical exertion. They suffer from athletes, builders, loaders, miners, as well as working with vibroinstrumentami. Lead to arthrosis can and endocrine diseases( obesity, diabetes), women during menopause - a deficiency of hormones, which makes cartilage vulnerable to injury and stress.
Arthrosis affects more women - 87%, in men it is noted in 83% at the age of 55-65 years. The disease can affect almost any joints. It is divided into primary and secondary arthrosis. The primary form begins without a noticeable cause at the age of over 40 years and affects many joints simultaneously. It can be accompanied by high blood pressure, violation of fat metabolism, atherosclerosis, etc. Most often, arthrosis is localized on the fingers - nodular changes in phalanges.
Secondary arthrosis can develop at any age, it affects one or more joints of the limbs and spine. With this form of the disease the joint slits narrow, and the surface of the bones thickens due to bone growths. For example, when an ankle is affected, pain in the anterior surface of the joint, swelling, restriction of mobility, lameness, joint deformation appear more often in football players, runners, ballerinas.
Knee joint, damaged by arthrosis. Right - X-ray picture
Diagnosis and treatment of the disease
Only a doctor can determine the form of the disease and its causes. This is done through a comprehensive examination of the patient. The condition of the whole organism is assessed. To do this, a research system is conducted: a patient's questionnaire( anamnesis) for the purpose of identifying previously suffered diseases and injuries, radiographic examination, laboratory tests, instrumental and special examinations to obtain the complete picture. In this case, it is not always easy to determine the degree of development of arthrosis: with significant changes in X-ray images, the patient may not have severe pains and, conversely: with severe pain, changes in the images are quite insignificant.
Treatment of arthrosis today is a serious and urgent problem. And although the amount of medicines used for arthrosis is constantly increasing, they have only a symptomatic effect. And while none of the drugs has become a panacea in the treatment of joints. Because the treatment strategy is chosen by the doctor, and the patient himself helps. Treatment should be comprehensive.
The first action is the removal of the pain syndrome. During the exacerbation of the disease, joints need rest and less stress. It is recommended to unload them with a cane, crutches or walkers. Avoid prolonged standing or bending. Parallel to this, chondroprotectors are appointed - a group of drugs that "restore" the affected joint mechanically and are a kind of lubrication of the articular surfaces. They prevent further destruction of the cartilage.
The development of arthrosis is accompanied by an inflammatory process. To combat it, non-steroidal anti-inflammatory drugs are prescribed. But their use as a double-edged sword can be vital, and can be very dangerous. Therefore only the art of a doctor can skillfully direct it to the inflammatory process and at the same time avoid the risks of developing gastritis, thrombosis, liver disease.
At home, as prescribed by the doctor, the patient can use distractions in the form of ointments, sweets, gels, infusions of herbs. Good results are provided by physiotherapy, acupuncture, hirudotherapy( treatment with leeches), and also sanatorium treatment in the stage of remission( attenuation of the disease) with the use of natural mud and mineral baths.
Treatment with leeches - not very common, but gives good results
Arthrosis of large joints
Pains, knee joint damage( in this case we are talking about gonarthrosis) never appear sharply, in one second. Osteoarthritis in the knee joint is gradually growing. First, there are pains with prolonged walking, while climbing the stairs or descending from it. It is also difficult for the patient to start the movement after sleeping and sitting. After rest, pain in the knee disappears. At the first stage of the disease the joint has the same shape, but it can be swollen. Over time, pain intensifies, and mobility decreases. The knee bends less and reaches only 90 degrees. There is a deformation of the joint, a coarse crunch appears, more and more intensifying. In the third stage, the mobility of the joints is reduced to a minimum, they deform even more, the legs are bent, the gait becomes overtaxed.
Osteoarthritis of the hip joints( coxarthrosis) develops after 40 years, and they are more often affected by women. This is the most severe form of degenerative joint disease. Often it is caused by congenital dysplasia, dislocations and subluxations, suffered diseases and injuries of the femoral head. The main symptom of the disease is pain in the groin, which extends no more than up to the knee, increases with walking and it is especially difficult to get up from a chair or bed.
Gradually, the signs of arthrosis of the hip joint are supplemented by the restriction of the movement of the sore leg. A person can no longer take his foot to the side or pull up to his chest, there is a rough dry crunch. He finds it difficult to put on socks and shoes, he begins to limp. If the patient is put on his back, it will clearly be seen that the sick leg has become shorter and unfolded outward. Further, due to lameness, there is fatigue in the lumbar region and pain in the attachment of tendons in the knee joint. These pains can be even stronger than the pain in the groin and can provoke incorrect diagnosis.
Maintain physical activity, avoid overcooling and professional overloads, do not injure joints and spine, eat rationally. Take care and train your bone system.
With arthrosis, it is possible to relieve the patient's condition at home using folk remedies. Such methods make treatment more effective.
If there is swelling of the knee, first you need to remove it.
- In the evening, dissolve 2 tablespoons without top of baking soda in 1 tablespoon of warm boiled water.
- With the solution obtained, moisten a soft cloth and wrap the knee around it.
- So that it does not get wet, put cellophane on top, wrap it with a warm woolen shawl and fix it with a bandage.
- Let the compress be on the knee until the morning.
Repeat the procedure 5-6 times and puffiness will pass.
- Next, take the vinegar and the same amount of water.
- We make a compress at night.
- In parallel, morning and evening, take 1 tablet of aspirin.
- So continue to be treated a month.
After this, it takes 30 days to be treated with diclofenac.
- You need to buy a diclofenac ointment and pills in the pharmacy.
- Ointment before going to bed rub in the knee, popliteal region and in the big toe.
- Take, as written in the instructions, diclofenac tablets.
Tip: if you have problems with the digestive tract, it is better to consult a doctor before taking diclofenac tablets.
After all the passed stages, proceed to the final stage of treatment - knee massage. Find an experienced masseur, with good reviews, and take a course of massage.
Treatment of arthrosis of the knee joint is a long process, please be patient. Diligent passage of all stages of treatment by folk remedies will help you get rid of the pain.
In the framework of the system of treatment of arthrosis of the knee joint folk remedies are widely used by folk remedies.
- We tear off 5-6 leaves of burdock, pile it down with a rough side down.
- Lubricate the knee joint with vegetable oil and apply a stack of leaves to it.
- Turn all the cellophane and dress it with a warm woolen shawl for the night.
- Collected in spring, leaves are steamed in boiling water.
- We impose a diseased joint( the thickness of the leaves should be 2 cm).
- We wrap the cellophane and wrap it in for the night.
- Pure celandine soaked gauze bandage.
- Wrap for 40-50 minutes.
- So you need to spend 3 courses for 7 days.
- Before the procedure, it is necessary to warm well, for example, with a heating pad.
- When the skin turns pink, smear it with honey.
- You need to make a honey massage of your knees for 15 minutes.
- Then attach a compress of burdock leaves.
- Pain passes through 10 such procedures.
- Stir in a low heat so that the liquid does not boil away.
- Put on gauze and apply to the patient's knee joint.
- Course - 15 days.
- Bulb together with husks boil in distilled water until it is completely boiled.
- Decoction to drink before eating one glass.
Remedies for pain, swelling and seizures
For the removal of pain during treatment, various non-steroid preparations are used, mainly in the form of tablets and injections( diclofenac, piroxicam, nimulide, etc.).Of topical drugs - plaster Nanoplast, a solution of dimexide, medical bile in the form of lotions, but before applying dimexide it is necessary to test for an allergic reaction. The doctor should choose the optimal treatment.
Drugs will help to anesthetize, make the movement more free. Without this it is impossible to undertake further treatment. But on this, in no case, you can not calm down, because the main problem is not solved, the disease can return at any time.
Then it is necessary to undergo a course of treatment with chondroprotectors - drugs that repair articular cartilage. Contained in them chondroitin sulfate - a natural component of cartilage( monotherapy Artiflex, Don) and glucosamine( drugs Arthron chondrex, Structum) trigger the regeneration of the cartilage tissue of the affected joint.
There are many chondroprotectors of different cost, they should be selected individually for consultation with a doctor. Chondroprotectors in injections are diluted with the help of solvents. In addition to medicines, there are many bioadditives containing chondroitin and glucosamine( Susanorm, Stokartit, etc.).These supplements are not medicines and have not been clinically tested, therefore, it is not recommended to use them as a treatment.
Intra-articular administration of drugs is widely used in the treatment of arthrosis of the knee joint. The injections directly into the aching joint help to quickly remove the pain, inflammation, puffiness. Their advantage is that the medicine gets directly into the diseased cartilage and heals the problem, and not only removes the pain.
In this way, glucocorticoids( flosteron, hydrocortisone, kenalog and other corticosteroid hormones) are administered, which are used in the acute period of the illness to relieve pain and swelling. Hormonal agents have a lot of side effects.
Preparations of hyaluronic acid( sodium hyaluronate, ostenil, hyastat, fermatron, etc.), when introduced into the cavity of the knee joint, replace the healthy synovial fluid, lubricate the articular surfaces and nourish the cartilage.
Gymnastics for arthrosis
Treatment of arthrosis of the knee joint is complex, and in it the last role is assigned to therapeutic gymnastics. It is carried out to improve blood circulation, improve the muscle tone of the limb. The first gymnastics session is held in the morning, even before the sick person gets to his feet. After this, the exercise complex is performed 3-4 times a day, without fail - when moving to a vertical position. After exercising, it is recommended to lie down for 30-45 minutes.
In addition to gymnastics, patients with knee joint gonarthrosis must necessarily follow a diet to reduce body weight.
One of the popular exercise complexes, developed on the basis of Dr. Popov's technique, is described in detail in the video.
If in the course of treatment of the disease you took advantage of our advice and suggested exercises, leave your comment at the bottom of the article, we will be glad to your successes.
Symptoms and treatment of arthrosis of the knee joint
Table of contents:
- Treatment of arthrosis
Osteoarthritis of the knee joint leads to deformity of the knee. Articular cartilage is gradually destroyed. The motor activity of the knee joint is reduced. Osteoarthritis of the knee joint( photo) - a disease that has two forms: primary and secondary. In the first case there is a congenital defect of the joint, and in the second case arthrosis develops as a result of a trauma or other disease.
Causes of arthrosis
The primary form of arthrosis of the knee joint is mentioned above, but the following causes can lead to the development of the secondary form of the disease:
- Various injuries - fractures, knee dislocations, bruises. In this case, joint damage leads to post-traumatic arthrosis of the knee joint.
- Increased stress on the legs, especially among athletes.
- Removal of the meniscus, leading to knee joint wear.
- Excess weight and metabolic disorders in the body.
- Prolonged leaking arthritis( inflammation of the joint).
- Diseases that are accompanied by spasm of blood vessels and leg muscles.
Osteoarthritis of the knee joint can be either unilateral or bilateral.
We bring to your attention a video about the causes, signs of development and treatment with preparations of arthrosis of the knee:
Symptoms of the disease
For arthrosis of the knee joint is characterized by gradual development. Months can pass until the patient feels obvious signs of a serious ailment. Most often this disease affects women over 45 years, especially those who are overweight or have a pathology of veins( varicose veins).Symptoms of arthrosis of the knee joint are directly dependent on the stage of the disease:
- The first stage is accompanied by episodic pains in the knees, especially after a night's sleep, while descending and climbing the stairs.
- The second stage is marked by the appearance of a crunch in the knees during the movement. The pain intensifies, the mobility of the knee joint decreases, the knee deformation begins.
- The third stage with persistent pain( even at rest).The legs do not bend well at the knees. There is a change in the gait - a person moves "waddle".Often legs during walking are half-bent, knees deformed.
Inadmissible independent treatment of arthrosis symptoms of the knee joint. When discomfort in the knees, especially when weather changes, it is recommended to consult a doctor for a full examination.
Treatment of arthrosis
Effective treatment of arthrosis of the knee joint is carried out under the condition of full interaction between the doctor and the patient. The treatment regimen depends on the severity of joint damage and the stage of the disease. The main goal of treatment is to achieve long-term remission( rest) from irritating symptoms of arthrosis.
A unique cream "Shark Fat" is found - the best way to eliminate pain in joints.
A tangible effect comes on the first day of use! Learn more.
Treatment of arthrosis of the knee joint is aimed at eliminating pain syndrome and restoring mobility in the knees. Important in the treatment is the ability to restore the ligament apparatus and the destroyed cartilage. The medicamentous treatment of arthrosis of the knee joints is represented by the following drug groups:
- Anti-inflammatory and analgesic agents.
- Muscle relaxants.
Treatment of arthrosis of the knee joint with ointments and medical creams is quite acceptable, but it must be remembered that these remedies can not cure the disease. Such ointments as "Menovazine", "Gevkamen", "Espol" help to reduce pain and improve the condition of the patient.
Conservative treatment of post-traumatic arthrosis of the knee joint is performed using chondroprotectors, such as Teraflex, Chondroitin-AKOS and other similar means. It is recommended to introduce into the articular cavity of hyaluronic acid. This is a very effective procedure. Such medications are called "liquid prostheses."
Therapeutic physical training( LFK), therapeutic massage and physiotherapeutic procedures are additional methods of treatment of posttraumatic arthrosis of the knee joint. In the absence of a positive effect of conservative treatment, surgical intervention is performed - joint replacement.
We recommend that you familiarize yourself with the knee joint arthrosis:
Patellofemoral arthrosis of the knee joint is not quite a diagnosis. In medicine, there is a patellofemoral syndrome, from which arthrosis of the joint most often begins. The main signs of this syndrome:
- Pain, covering the front side of the knee joint and intensifying with active movement( jumping, running, walking on stairs, squats).
- Feeling of stiffness in the kneecap.
- Exacerbation of pain in a position where a person sits on a chair, bending his legs.
Treatment of patellofemoral arthrosis of the knee joint is to reduce the load on the knees. During exercise or performing exercises, you can use special devices for the knee joints - corsets, bandages. A weak painful sensation will help to remove the ice. Acute pain requires more serious help - the introduction of a mixture of hormones and anesthetic. This procedure is carried out only by a doctor.
Sometimes, with the observance of the basic rules, the patellofemoral syndrome passes by itself.
To prevent the development of arthrosis of the knee joint, it is necessary to consult a specialist in due time and treat any injuries of the knees. An important point is the fight against excess weight. Strict fulfillment of the doctor's appointments is the key to successful treatment. The basis for the prevention of arthrosis - compliance with the correct load on the knee joints. It is important to remember that joints need protection from excessive hypothermia. In human nutrition, foods high in B group vitamins( potatoes, whole wheat bread, cabbage) should be present.
A unique cream "Shark Fat" is found - the best way to eliminate pain in joints.
A tangible effect comes on the first day of use! Learn more.
Osteoarthritis of the knee joint. Symptoms and Treatment of
Arthrosis gives a person pain and discomfort, restricts in physical terms. The affected joints literally bind the person with pain, greatly overshadowing his existence. The anesthetic gives only a temporary effect, and choosing the treatment yourself means "poking your finger in the sky."So without a visit to a specialist will not work. Remember that the sooner the doctor can examine you, the more effective the further treatment will be. Delayed therapy can lead to the fact that the physical capacity to fully recover is no longer possible, despite the fact that you have to do the operation.
One of the most painful types of arthrosis is arthrosis of the knee joint, the symptoms of which are found both in the elderly and in young people. However, most often arthrosis still torments the representatives of the older generation - those who "exchanged" the fifth decade. Basically, the disease is diagnosed in women.
Speaking in the language of medicine, arthrosis is a dystrophic disease of the joints of the bones. It is inextricably linked with the damage to the cartilages, which, as it were, are covered with joints. These cartilages crack, become thin and brittle, cease to perform their function - to amortize and protect the joint from damage.Specialists have determined that cartilage tissue is usually thinned due to disorders in the circulatory system. As a result, a person gets a sharp pain when moving, which subsides at rest. The knee swells and deforms, begins to crackle loudly when walking.
Gradually the knee takes the wrong shape, because of what the joint ceases to be mobile. To speed up the process of getting to the doctor you can look at the macabre photos of arthrosis symptoms of the knee joint.
Joints should be protected
Usually arthrosis is associated with an increasing strain on the joint and a lack of balanced nutrition, which is often neglected by middle-aged people. Usually in this case we are talking about the fact that a person who does not eat properly receives the necessary vitamins and trace elements, and also accumulates excess weight. As a consequence, the load on the joints increases, which do not receive enough "make-up".Blood supply in the cartilaginous tissue is disturbed.
It is important to consider that in case of nutritional deficiency, the joints suffer almost the same as when overeating. Often the pain in the knee appears after a serious injury or from hypothermia. But there is a congenital predisposition to such diseases.
To "hedge" against this disease, you need to take care of your health and, if possible, protect your joints. Prevention will be superfluous. If your knees are already sick, you should avoid physical activity and do not try to "develop" them. Activity in this case will not just be painful, it can worsen the situation of the patient. To reduce the burden on the diseased knee, usually use a variety of crutches, walking sticks or special tools. In some cases, you can do with a fixing bandage or an elastic bandage.
Extreme stress = diseased joints
Arthrosis often affects the knees of professional athletes. This is easy to explain: years of grueling training and permanent injuries are destructive to fragile joints.However, at first symptoms are invisible, because microtraumas seem to "hide" a well-developed musculature. It is the muscles that help fix the joint in the right position, support it and thus give the necessary flexibility to the knees.
In this case, sometimes the doctor advises to do physical exercises, as soon as the pain receded. This is done to improve blood supply and increase muscle tone. Needless to say, the load selects the most minimal. In fact, the patient's joint can not be overloaded in any case.How to remove salt from the body with the help of folk remedies. Home medicine How to strengthen the immunity of an adult? All in our article.
So the first advice on the treatment of arthrosis symptoms of the knee joint, will reduce the burden on the diseased knee, but do not take a "recumbent" lifestyle.
Prevention of the disease
There are several simple tips how to relieve your joints from destructive loads. It is necessary to wear comfortable shoes, and always warm up before training or work. To live an active lifestyle.After the load, it is better to stretch the joints with the exercise "bicycle".A beneficial effect is provided by swimming and water aerobics. Observing these simple rules, you can prevent the disease, but swollen knees can not be cured. There are many folk remedies, thanks to which you can rid yourself of unpleasant sensations.
- It is recommended for those suffering from arthrosis of the knee to make alcohol compresses that perfectly warm, or warm baths( the water should not be hotter than body temperature).It is best if it is used before bedtime.
- It helps with arthrosis and regular oatmeal. Kasha is not consumed inside, but used for compress. A few spoons of oat flakes are poured over with boiling water, and after five minutes they begin to cool. A thick mixture is applied to the diseased joint. Important: yesterday's porridge does not fit, every time you need to prepare a new one.
- To get rid of the pain, use simple fern leaves wrapped in cheesecloth or bandage. You can also rub a chilled mixture of propolis, water and sunflower oil into the skin near the knee( can be replaced with corn oil).
- In addition, those who noticed the first symptoms of the disease, are advised to drink every day for half a cup of natural apple juice. It perfectly cleanses the blood and helps improve digestion.
- Arthrosis is often treated with compresses from cabbage juice. To do this, the head is finely shredded and squeezed into the juicer. After that, a piece of soft woolen cloth( necessarily without an admixture of synthetics) is moistened in the liquid and applied to a sore spot. The juice of cabbage leaves retains its medicinal properties for three days.
Ideally, the treatment of symptoms of arthrosis of the knee joint folk remedies is better to supplement medication."Double blow" will be more effective and will not leave the disease a single chance. But just in case, it's better to ask the doctor in detail if the medicine is harmless.
Arthrosis of the knee joint: symptoms and effective treatment
Arthrosis of the knee joint is a very common disease in which, due to metabolic disorders in patients( primary arthrosis), infectious arthritis and trauma( secondary arthrosis), a number of anatomical changes are observed intissues of the joints.
Symptoms and degrees of arthrosis of the knee joint
With arthrosis of the knee joints of the first degree, the joints move already in a limited way in one direction and in an insignificant measure. With this arthrosis on the joints do not appear edema, the skin color in the joint region does not change, there are no temperature reactions. The main symptoms in this case are mild joint pains, tingling, and joints can be cracked.
With arthrosis of the knee joints of the second degree, as well as with arthrosis of the shoulder joint, the symptoms are more pronounced. This type of arthrosis is the most common. Patients with a second degree disease usually complain of fatigue, feel pressure and tension in the joints, complain of pain during and after physical exertion, fatigue and pain in the joint area after and during lifting heavy items, a long walk. Also, symptoms of arthrosis of the second degree are crunches in the knee joints, difficulties in flexing / flexing the knee. With arthrosis of the second degree, the joints begin to deform.
Symptoms of arthrosis of the third degree are pains in the joint area, very sharp, causing inconvenience to the patient even at rest. A person can not choose a comfortable pose, so at this stage of the disease it is very difficult for him to fall asleep. Damaged joints tend to show reactions to changes in weather conditions, joints are almost not bent.
Treatment of knee arthrosis
Knee arthrosis can be treated with non-steroidal anti-inflammatory drugs( diclofenac, ketoprofen, piroxicam, butadione, indomethacin, meloxicam, nimulide, cebrex and their derivatives).With arthrosis non-steroid, i.e.non-hormonal, anti-inflammatory drugs are traditionally used to eliminate inflammation and pain, because because of severe pain, there is no possibility to begin treatment. Only after the pain is eliminated with anti-inflammatory drugs, you can go to massage, a complex of therapeutic gymnastics and physiotherapy procedures.
But these drugs should not be used for a long time, as they can "disguise" the manifestation of the disease, or, as doctors say, remove symptoms. When the pain decreases, a deceptive impression is created that the joint begins to heal. At the same time, arthrosis continues to progress. Therefore, NSAIDs are able to eliminate the symptoms of the disease, and not treat it.
You can also use chondroprotectors in the treatment of arthrosis( chondroitin sulfate and glucosamine).Chondroprotectors are substances that can nourish cartilaginous tissue, and restore the structure of the damaged joint. These are the most useful drugs for the treatment of arthrosis.
Chondroprotectors have the ability to eliminate the causes of the disease. When using drugs such as chondroitin sulfate and glucosamine, the restoration of the cartilage surfaces of the joints is observed, the production of the lubricating fluid improves, and the normalization of its properties is improved.
Other drugs for the treatment of knee arthrosis are: Arthra( USA), Dona( Italy), Structum( France), Mukosat( Russia), Chondroitin( AKOS Russia), Elbona( Russia).
Among other things, you should use therapeutic creams and ointments in the treatment of arthrosis. Muscles and creams do not heal arthrosis of the knee joint, but they can reduce pain in the knee and improve the patient's condition. Also, many ointments help improve blood circulation in the joint area.
In order to improve blood circulation in the knee joint, warming ointments should be used( in the absence of synovitis).You can use the following warming ointments: Gevkamen, Menovazine, Nikoflex-cream, Espol, etc. With such ointments the patient will achieve comfort and pleasant warmth. There will be no side effects( with rare exceptions).
Also for the treatment of arthrosis of the knee joints, non-steroidal anti-inflammatory ointments should be used: Butadionic, Voltaren-gel, Indometacin, Dolgit, Fastum. Such ointments are used in case of deepening of gonarthrosis with synovitis.
Do not neglect and various types of compresses. After all, the means.used for compresses, there is a more effective therapeutic effect, in contrast to ointments. Such means include, for example: bishofiti, dimexid, medical bile.
Do not ignore injections( intra-articular).
Intraarticular injections are used to provide emergency medical care in case of knee arthrosis. For treatment, such drugs as kenalog, hydrocortisone, flosteron, kenalog, celeston, diprospan are used. Often use such a method as intraarticular injections is not recommended, although often it is necessary to resort to it, because the patient's condition is greatly facilitated by the use of injections. And do not forget that before applying even the most ineffective drugs, it is necessary to consult a doctor.
The use of physiotherapy and manual therapy is also recommended. These methods of treatment have virtually no side effects, and therefore are more preferable.
Manual therapy is recommended for joint arthrosis of the first and second degree, it gives a very effective positive result.
Many doctors also recommend exercise in therapeutic gymnastics. Therapeutic exercises are needed in order to strengthen muscles, pump blood vessels, resume blood flow to the maximum possible. The plus of this method of treatment is that you do not need to spend money on various medications. You will need a small spot in the room, as well as a rug or blanket on the floor.
Some types of gymnastic exercises that will help you cope with the disease: lifting the straight legs in a prone position;extension and bending of the knee joint not to the stop in the prone position.
Exercises for the treatment of arthrosis of the knee joints:
Knee arthrosis deformans
During the change of the cartilaginous tissue, the hyaline cartilage can disappear completely, so there is an outcrop of bone, peripheral outgrowth, and the formation of exostoses. As a result, the knee deforms, a disease such as knee arthrosis deforming arises.
In this case, both conservative and surgical treatment are allowed.
Conservative treatment includes limitations of physical stress on affected joints, swimming, exercise therapy, the use of medications( non-steroidal anti-inflammatory drugs, analgesics, corticosteroids and other drugs).
Surgical treatment involves arthroscopy of the knee joint( this is an endoscopic treatment and diagnostic operation).In this case, the destroyed fragments of cartilage, meniscus and other damaged structures are removed.
Treatment of arthrosis of the knee joint
Many people sooner or later come to life in a life when they begin to disturb the pain in their knees. It becomes difficult to walk, there is a desire to limp on the leg, which worries, sparing it. Over time, the pain intensifies, begins to accompany the unfortunate wherever he goes. Finally, it becomes so intrusive that a person goes to the doctor, or seeks information about their problems on their own.
Often in this case, the doctor, based on the symptoms, diagnoses "deforming arthrosis of the knee joint."Let us consider in more detail what it is, how it manifests itself, where it comes from and what it leads to. And, most importantly, how to get rid of it?
What is it?
This is a process during which the destruction of cartilage tissue occurs. In this case, there is often a concomitant inflammation, called synovitis. Subsequently, the knee deforms, and the movements become painful, or impossible at all.
Who can get sick?
This disease is diagnosed on the basis of a number of symptoms. In general, they are quite specific and characteristic for all types of disease. But before you figure out what caused the pain in your knees, bothering you periodically or permanently, let's see in what categories of people this disease is possible:
- people who are overweight. It is logical that obesity, overweight when walking, contribute to increased pressure on the legs. As a result, cartilage, not coping with the load, are destroyed;
- athletes. The emergence of the disease is associated with the excessive workload experienced by athletes during training;
- varicose veins. In this case, the cause is a violation of blood supply, a reduction in the intake of nutrients;
- people with leg injuries.
Belonging to one of these categories significantly increases the risks of getting knee arthrosis. Now let's look at his symptoms directly.
How to recognize the disease?
The development of the disease can last a very long time - for several years a person does not feel anything, does not suspect that the disease starts to develop. Over time, manifestations increase, there is already obvious discomfort. There are several stages of its development:
- Osteoarthritis of the knee joint of the 1st degree. For a long time may be generally asymptomatic, or manifest as a period of weak pain, mild discomfort. Sensations increase when a person rises from bed in the morning and starts walking. Even more striking is the discomfort when a person descends or climbs the stairs. This degree can last several months and even years. If you go to the doctor at this stage, it will be much easier to be cured than if you pull to the next stage.
- Osteoarthritis of the knee joint of 2 degrees. The patient begins to observe a characteristic crunch during walking, which is sometimes accompanied by severe pain. Movements become limited, constrained, as if with difficulty. During the examination at this stage, the doctor can detect the onset of minor deformity, the accumulation of fluid. This stage involves medication and regular exercise.
- Osteoarthritis of the knee joint of the third degree. During this period, a pronounced deformation is seen, and the movements become very difficult. The patient has problems with bending and unbending his leg. The pain is permanent, intensified during the change of weather conditions. There is a characteristic gait on the half-bent legs, waddling, while the legs have a curved X-shaped or O-shaped form.
Methods of treatment depend on the degree of manifestation of symptoms, on the stage of its development and become more complicated as it develops.
Why does it appear?
The reasons for the development of the knee lesion are many, and they directly depend on which form the ailment has - primary or secondary.
Primary form occurs for reasons of an innate nature;manifested begins at an early age. Because of the pathology of the development of the ligament apparatus, walking causes too much strain on it. This leads to the development of the disease. Due to timely medical intervention, adherence to a certain diet, the defeat of the knees of the primary form will be eliminated.
Secondary form is the result of injuries and diseases.
Consider all the causes of the disease:
- rheumatic diseases( rheumatism, arthritis) can be the root cause. With prolonged arthritis fluid accumulates, causing inflammation and, as a consequence, the development of the disease;
- presence of excess weight also contributes to problems due to increased load on the cartilage layer and, as a result, its premature damage;
- disturbances of metabolic processes, leading to deposition of salts in the joint cavity, difficulty in blood circulation;
- prolonged spasms of muscles or vessels on the legs;
- surgical interventions;
- too high a burden on the legs during sports activities;
- trauma: dislocations, fractures, bruises, which were accompanied by damage to the cartilaginous layer, ligamentous apparatus.
In the treatment of deforming arthrosis of the knee joints, one of the main roles is to eliminate the causes that led to the development of the disease. And only after getting rid of the reasons, we can talk about the possibility to cure the disease itself, using different means, methods, as well as the correct diet.
How to treat it?
How to treat gonarthrosis can be determined exclusively by a specialist, guided by the stage of the development of the disease, the severity of cartilage damage, determining the exact cause that led to the disease. Techniques, types, methods of therapy are diverse and often effective only in a complex. Therefore, this issue should be approached responsibly, carefully follow all the recommendations of the doctor.
It should be borne in mind that this is a chronic disease that rarely gives in to complete cure, so any methods of treatment are aimed primarily at achieving a stage of remission and the disappearance of symptoms. However, in the very first stage of development, when problems are just beginning, it is possible to achieve complete elimination of knee joint injury, eliminating its causes( eg, overweight or excessive load) and performing simple physiotherapy.
Therapy in most cases is reduced to relieving a person of pain, to restore the destroyed cartilage, to return the possibility of full movement. Therapy combines such methods:
- medicines and medicines, the use of therapeutic ointments;
- carrying out of medical massages and manual therapy;
- physiotherapy methods: medical gymnastics, exercise therapy;
- surgical intervention if necessary;
- folk and non-traditional methods of treatment.
How and what medicines are used?
The first goal that medical therapy should pursue is anesthesia. For effective analgesia, non-steroidal anti-inflammatory drugs such as diclofenac and aceclofenac, indomethacin, paracetamol, and some others are used.
These drugs do not relieve the disease and do not prevent its development - they are designed only to relieve the pain. Their use should be combined with the use of drugs to restore the function of cartilage damaged by arthrosis of the knee( chondroprotectors) and ointments. They have a number of side effects - mainly this is a negative effect on the mucous membranes. With prolonged uncontrolled admission, diclofenac can cause a stomach ulcer or gastritis. That's why the appointment of doses and the frequency of taking medication should only the doctor. Do not try to heal yourself - it will inevitably lead to negative processes.
There are also observations that in large doses anti-inflammatory nonsteroidal drugs have a devastating effect on cartilage.
Only if non-steroid drugs no longer have an effect, a physician can prescribe strong analgesics with a central action, such as tramadol.
with analgesics, gymnastics and massages uses the following group of drugs - corticosteroids, the purpose of which is the removal of inflammatory processes. These are hormonal drugs, the action of which is very strong, because of what they are not recommended to take inside. In addition, their reception causes many side effects. Recently, such corticosteroids as kenalog and hydrocortisone are injected into the affected area by injection.
The next group of drugs - chondroprotectors - stimulates the synthesis of healthy cartilage cells( chondrocytes), which replace the destroyed ones. The active substances that make up these preparations are in many respects similar to those of which the cartilaginous tissue consists, and, getting inside, they stop the destruction and stimulate the reproduction of cells. This group includes such drugs as Arthro-Active, Arthrodarin and others.
Before taking chondroprotectors, be sure to consult a specialist: the fact is that these drugs are effective only at the first and second degrees of the disease. In the third degree, the cartilage has already been completely destroyed, and there is nothing to restore.