What is deforming arthrosis of the foot joints, its symptoms and treatment?
Arthrosis of the foot is a chronic disease that is based on degenerative-dystrophic damages of the cartilaginous tissue in the joints, inflammatory processes in the periarticular tissues and the violation of blood circulation and metabolism in them. In some areas of the foot there are unforeseen pains of a sharp nature, especially when they manifest themselves during motor activity, if the disease is started, the pain also appears in a state of rest.
Further manifestation is the deformation of the shape of the fingers, painful papillae appear in the areas of excessive load. Any motor activity brings pain and after a while a specific gait is formed, which manifests itself in the patient's unwillingness to get up on the destroyed joint, with a redistribution of the load to the outer edge of the foot. The patient has fast fatigue, a specific gait is formed, he seeks to avoid the need to rely on the affected joint, which significantly reduces his activity and ability to work. Sometimes arthrosis of the foot leads to a group of disabilities. Most often, the joint tissue of the thumb of the lower limb is destroyed.
The most common age category that falls under the development of such an ailment are women who are over 45 years old. The older the person, the higher the risk of arthrosis of the joints of the foot. Deforming arthrosis of the foot often occurs in athletes and people who often experience prolonged physical exertion. Many are wondering how to treat arthrosis of the foot and what are its causes.
Causes that contribute to the development of the disease
There are a large number of factors that form arthrosis of the small joints of the foot and there is a deformation of interphalangeal joints. A large number of these factors is caused by a saturated rate of life or malfunctions in the circulation of inflow and outflow of blood in the organ. The main causes of arthrosis of the foot joints:
- features of the foot design, for example, the leg can be too wide, the legs are of different length and distorted configuration;
- toes can be deformed, the thumb is twisted;
- prolonged heavy physical exertion on moving joints, prolonged stay in an upright position, heavy loads, excessive body weight;
- injuries, sprains, bruises, cracks in the joint itself and in the cartilage, involuntary microtrauma in strength training, ignoring the injuries that occur while playing sports, ends with arthrosis of the foot joints;
- permanent hypothermia of the feet;
- disruptions in metabolism, chronic inflammatory processes, disorders in the endocrine system;
- concomitant diseases of joints and cartilage( polyarthritis, arthritis).
There are also factors that provoke chronic arthrosis of the foot joints. These include a genetic predisposition, if close relatives also suffered arthrosis of the joints of the foot. The disease can appear due to wearing tight and uncomfortable shoes, if the toe is squeezing the leg, and the heel is too high. After a while this leads to deformation of the big toe and to arthrosis of the foot joints. A common cause is the management of an incorrect lifestyle, an unbalanced diet, a sharp cessation of strength training or sports( when muscles are weakened and joints loose), professional sports, high growth provokes prolonged stress on the joints of the legs.
Osteoarthritis of the 1st degree arises without obvious reasons, even if the cartilage does not undergo traumas and changes in their tissues. In this case, the disease affects different joints. Arthrosis of 2nd degree can appear after the transferred diseases of vessels, strong bruises, destruction of bone tissue. In this case, one or two joints undergo arthrosis of the foot joint.
Mechanism of arthrosis of the foot joints
At the outset, the cartilage is damaged, which serves as a defense for the bones( therefore the disease is also called deforming arthrosis, affecting one leg or both).Cartilages become inelastic, their destruction begins, the cushioning stops because of the high pressure on the bone surface, the latter experiences constant strong mechanical loads, there are damages to the tendons and ligaments.
In the areas of overload, blood circulation is disrupted, bone-cartilaginous growths( osteophytes) appear.2 degree of the disease is characterized by changes in articular surfaces, as a result of which the motor activity of the joints is restricted, and atrophy of neighboring muscles occurs. At 2 degrees of arthrosis damage to the foot joint, irreversible changes occur in the periarticular tissues, cysts can form. As with arthritis, the confirmation of arthrosis of the foot joints at the first stage is not easy, as the disease does not show itself.
Treatment of arthrosis of the 2nd degree is complicated by the fact that the toes of the legs are deformed and fixed in the wrong position. First, the appearance of the first toe changes, then the remaining fingers deform under its pressure.2 disease severity is difficult to treat.
Symptoms of the pathology
Classical manifestations can be different in all patients.
The brightness of the expression of symptoms and inflammation depends on the degree of progression of the disease.
The main symptoms of arthrosis that affects the leg are:
- during motor activity, a specific joint crunch arises;
- , during physical exertion, pain syndrome appears, it disappears in a calm state, usually a dull and periodic pain, can be amplified in wet weather and when contact patients with water, complete immobilization occurs rarely, stiffness is often formed;
- signs of arthrosis of the foot are the stiffness of the movements after awakening, and during the day the mobility of the joints is limited, in the diseased part the muscles are dressed up;
- joints with time are deformed, and cure arthrosis at such a neglected stage is very difficult;
- gradually appears a violation of gait for the reason that a person unconsciously tries to reduce the burden on the affected joint;
- signs of such a disease - this is puffiness, redness, swelling in the area of the affected joint;
- can increase body temperature( with any exacerbation of joint disease);
- there is excessive fatigue and a decrease in working capacity;
- at the started stages of the disease there is a disruption of the functioning of the joints, there is a thickening and bony proliferation.
Three main stages of the progression of the disease are divided. At the first stage there is a slight soreness of the legs and an increased fatigue when the legs are loaded. In the second degree, the pain syndrome is strengthened and the movements are limited. In the absence of treatment, the disease progresses and is more difficult to treat later. At the third degree there is deformation of bones and strong restriction of mobility, and in the lower part of the leg there is swelling and redness, motor activity is difficult.
Features of therapy
Than to treat an arthrosis of a foot, this question excites many people who have faced this problem. Timely contact with a doctor makes it possible to carry out diagnostics on time and select the right treatment. When setting such a diagnosis, treatment should be comprehensive. The main task of such treatment is to reduce the painful manifestation and normalization of motor functions. The main methods for treatment are the methods of rehabilitation, such as therapeutic gymnastics for arthrosis of the foot( includes special exercises for restoring joint mobility), therapeutic massage, physiotherapy - magnet therapy, heating, ultrasound. Treatment is also carried out using non-steroidal anti-inflammatory drugs that relieve inflammatory manifestations and pain syndrome. The basis of such treatment is made by such drugs as Ibuprofen, Indomethacin, Piroxicam and others.
Injectable injections of some drugs into the joint can be prescribed, these drugs improve the metabolism and circulation in cartilage tissues. The treatment is the appointment of vitamin complexes and fortifying agents.
Chondroprotectors, analgesics and anti-inflammatory drugs are prescribed. We treat arthrosis and with the help of oral means, whose purpose is to relieve inflammation and pain syndrome, restore cartilaginous tissue and joint mobility. Treatment of leg arthrosis is possible with drugs in various forms of release - tablets, capsules, ointments. Treatment of arthrosis requires compliance with a special diet, which includes the renunciation of salt, fatty, spicy, spicy food. Such a diet contributes to the rapid restoration of motor functions. If all methods are ineffective, surgical treatment is performed, but this is rare.
In the treatment of such a disease, folk methods are used that deal well with the main signs of ailment. To restore impaired functions, use baths, lotions, compresses.
For the prevention of arthrosis, it is necessary to wear comfortable shoes that do not squeeze the legs. The heel should be low. Watch your diet, include products containing essential vitamins and microelements for your joints, avoid excessive salt intake. Control your body weight so as not to exert additional strain on your legs. In a timely manner, treat associated diseases of the musculoskeletal system. Walk more often barefoot on sand, grass and pebbles, this helps improve blood circulation.
What are the degrees of arthrosis and what causes the disease
The degree of arthrosis shows the severity of the disease. There are only 4 stages. Each of them is characterized by its symptoms and, accordingly, methods of treatment. To treat arthrosis 1, 2 degrees is always easier than in the last two stages. Arthrosis of the 2nd degree does not refer to serious illnesses. Therefore, the army takes young people with a diagnosis of flat foot 2 degrees, with arthrosis 1 degree. That is, if you have a flat foot 2 degrees and arthrosis, then this does not guarantee the cancellation of military service. Treatment of the first degree and the second of this disease consists in regular gymnastics and the use of folk remedies. It does not require medication or surgery. However, the degrees progress from one to the other.
The degrees of arthrosis in medicine have their own characteristics. For example, people with type 1 arthrosis have a metabolic disorder, grade 2 is accompanied by traumas and infectious diseases, and 3 and 4 - deformation and destruction of the joints.
Osteoarthritis occurs due to injuries of various kinds or mechanical overloads. They arise against the background of excessive loads on the joints. Lifting heavy things or uneven physical exercise negatively affects your health.
Arthrosis 1 degree
As a rule, patients with arthrosis do not feel any special signs of the disease .At times you may feel a tingling or crunching in the affected area, but intense pain does not occur.1 degree can not be determined by X-ray: the disease has only begun to develop, so there have been no noticeable changes. However, to see the hardened places, affected by pathology, it is possible. Since the stage passes without obvious signs of discomfort( no fever, no swelling), you do not pay attention to minor symptoms, and the disease will progress further. Thus, the disease passes into the 2nd stage of the disease.
Treatment of arthrosis 1 degree is at home. It is recommended that you exercise regularly, but you do not want to walk for a long time. Do not overwork your body. Use ointments from horseradish or propolis, they will stop the development of pathology. Do not drink alcohol at all, it will aggravate the situation. You need to make a mode of the day, which includes charging, rest, work, food. In the diet, by the way, you need to include vitamins. They will support the body and strengthen immunity. Eat more fresh fruits and vegetables, forget about bad habits.
Second degree of disease
From arthrosis 2 degrees will not be cured easily. The intervention of the doctor is required, since traditional medicine will be powerless. What symptoms characterize the 2 stage of degenerative-dystrophic joint disease? This is the onset of pain, which is aggravated by stress. In addition, there is a slight deformation, which is accompanied by a crunch of bones. It becomes difficult for you to stay long in one position, which affects your activity. Despite the early stage, arthrosis is treated with medications, anesthetics and anesthetics. If the treatment is not started on time, the disease will go to stage 3, the course of recovery takes much longer.
People with arthrosis of 2 degrees are not recommended to walk much, do excessive loads. It is recommended to have more rest and exercise.
The third degree of the disease
This stage is accompanied by strong pain, stiffness of movement, and sometimes complete disability. A person becomes dependent on weather conditions: the pain subsides, then intensifies. Sometimes the joints refuse to work, or when they work, there is a crunch and aching pain. This stage is not conclusive, but leads to the surgical table. If the process of joint destruction is not stopped, then the operation is the only way out. You should not bring your health to such a state, it is better to turn to a specialist.
Treatment of grade 3 arthrosis should be comprehensive. It includes the use of medications, various procedures( laser therapy, electrophoresis, UHF, magnetotherapy and others), gymnastics and a special diet.
Fourth degree of arthrosis
Stage 4 of arthrosis is characterized by persistent pain in the area of the affected joint. The person loses mobility. Anesthetics stop helping. To treat arthrosis with medications and physiotherapy is already useless. Thus, a patient with arthrosis is forced to resort to surgery. It lasts no more than 3 hours and is the removal of the destroyed part of the joint. Instead, an endoprosthesis is inserted, which serves up to 25 years. Such a prosthesis will be more suitable for older people, since their mobility is limited. Young people move much more, which will complicate their lives after the operation. Moreover, the process of rehabilitation takes a lot of time, so it is better to stop the disease in the early stages.
Severity, symptoms and treatment of arthrosis of the knee
Pathology is caused by the destruction of the knee or its deformation. The occurrence of arthrosis of the knee joint can occur for various reasons: age, trauma, genetic predisposition. There are many reasons, but the outcome is one.
How does the disease manifest itself? By stages, you can identify complications, and the symptoms of the disease itself.
Arthrosis of the knee joint also 4:
- Osteoarthritis of the first degree is characterized by pain that occurs when the knees or legs are stressed. With prolonged movement, you begin to feel tired, but there is no particular discomfort. The first degree of arthrosis is not observed on X-ray images, but an alarming signal can be increased fatigue of the legs with daily loads. Treatment of this stage is outpatient. It is recommended to do exercises in the morning, eat properly and do not allow the lifting of heavy objects.
- Stage 2 presents a different picture: the pain appears not only with the load, but also at rest. And it can be long and aching, but quickly passing. Here, you can benefit from ointments, tinctures and home-made creams that lubricate the knee joint. Anesthetics are prescribed for the doctor's prescription.
- Stage 3 arthrosis of the knee joint in rare cases leads to surgical intervention. You begin to notice that the pains are more intense than before. You are now difficult to move, as the legs hurt and give to the knee. To treat arthritis of this degree, you should consult a doctor and follow all his instructions exactly.
- To 4 degrees, the cartilage tissue is destroyed. You stop moving, you suffer constant pain. If you allowed the development of the disease before the final stage, then you will have to operate. Conservative methods are powerless, you need to remove the affected part.
Degrees of arthrosis of foot
Arthrosis of the foot is a common disease that spares no one. With this pathology, the joints of the toes are destroyed. The disease can be observed with another pathology, which is called flat feet. Most often this is observed flat foot 2 degrees.
People with arthrosis who are overweight or engaged in activities that require a long stay on their feet .Also, the disease provokes heredity, improper diet, curvature of the spine.
Articular tissues are affected depending on the severity of the disease.
- Arthrosis of the foot of the 1st degree is characterized by periodic pains in the anterior part of the foot, which occur when the legs are stressed.
- In the second stage, the bones noticeably thicken, the foot becomes limited in mobility. The pain manifests itself more often and becomes prolonged.
- The third degree is caused by deformation of the foot and a significant difficulty in movement.
A person who suffers from arthritis, is characterized by a limping gait. It rests on the outer part of the foot, and movements of a constrained character. On the affected area there is swelling.
Treatment includes long-term use of nonsteroidal drugs, painkillers, physiotherapy, the use of chondroprotectors and compliance with a certain diet.
How to treat arthrosis of the foot and thumb? Symptoms, causes, treatment( + folk methods) and diet
Some body conditions of can provoke the development of arthrosis of the foot:
- Endocrine diseases, hormonal disruptions, metabolic disorders.
- The lack of micro and macro elements in the body.
- Congenital dysplasia of the hip joint.
- Other diseases of the musculoskeletal system, especially - allergic, autoimmune, infectious nature.
Symptoms of foot arthrosis
As a result of a variety of causes, the articular cartilages of the foot lose moisture, becoming less elastic, cracking and gradually breaking down. Compounding the situation and violation of blood supply of hyaline cartilage , as a result of which the processes of its regeneration are significantly slowed down.
The clinical picture of the disease consists of following symptoms:
- pain during physical exertion, prolonged walking, standing;
- rapid foot fatigue;
- pain when changing weather, in the evening, when cold water hits the foot;
- crunching and creaking of the foot joints;
- swelling, redness, increased skin temperature in the joints;
- restriction of leg movement, muscle tension, especially often - in the mornings;
- formation of corns on the sole of the foot;
- gait disturbance due to joint deformity.
Characteristic signs of sensations for arthrosis of the foot are aching, hardening, burning pains, a feeling of stiffness, tightness of the joints. As the disease develops, expansion of the compensatory elements - bone osteophytes, capable of squeezing soft tissues and nerve endings - is observed.
Often arthrosis of the toes leads to thickening of the knuckles and the formation of Geberden's nodules that can break through a thin layer of skin. The thumb can move down, while the person tries to transfer the load to the outside of the foot, resulting in clubfoot and lameness.Movement of the foot is severely restricted;in addition to bone growths in the joints, cysts can appear in the muscle tissue, as well as on leg ligaments.
Depending on the type of affected joint, stops with the most common forms of the disease:
- Osteoarthritis of the subtalar joint( between the talus and heel bone).
- Osteoarthritis of the calcaneocuboid joint( connecting the heel and cuboid bone).
- Osteoarthrosis arthrosis( located between the scaphoid and talus bones).
- Arthrosis of metatarsal joints( articulation of metatarsal bones with wedge-shaped joints).
- Osteoarthritis of toes, in particular, arthrosis of the thumb.
For the reason that caused the development of the disease, there are:
- primary( idiopathic) arthrosis of the foot;
- secondary arthrosis of the foot( caused by diseases, injuries, inflammations);
- polyarthrosis;in this case, the lesion of the foot joints is part of the generalized process in the body involving other groups of joints.
Degrees of development of arthrosis
There are 3 degrees of severity of the disease , characterized by different severity of clinical signs:
- The first( initial) degree. A person quickly becomes tired, pain in the foot occurs after prolonged walking or physical exertion.
- Second degree. The pain is more pronounced and prolonged, there are small thickening of the knuckles of the fingers, calluses on the heels, and bones are formed on the other joints of the foot.
- Third degree. The deformation of the foot becomes clearly visible;there is limp, limited or complete cessation of the motor activity of the foot, the pain is intense and prolonged. The x-ray image reflects a significant narrowing of the joint slits, the formation of bone osteophytes, cysts.
Consequences of the disease
Chronic discomfort and inflammation not only significantly reduce a person's ability to work, but also lead to the appearance of bursitis synovial bags. In this case, the strongest pain manifests itself with the slightest touch of the foot.
In case of arthrosis of the big toe, a common phenomenon is the compression of the other toes by deformation. As a result, a combined pathology of the foot develops, which is difficult to treat.
In the advanced stage of , the fingers are so tightly fixed in the wrong position that only surgical intervention can restore them to their previous condition.
Degenerative processes in the bones and cartilages of the joints of the foot lead to a restriction of its mobility, and sometimes - to disability of the patient.
Diagnosis of arthrosis of the foot
The history of the patient's words and the clinical picture of the disease are the determining types of the examination. To establish the degree of development of foot arthrosis, an X-ray examination is performed, including foot and shin images in different projections, and for the evaluation of the state of muscle tissue - MRI.To exclude the development of osteoporosis, laboratory tests and densitometry are performed.
Differential diagnosis is performed with rheumatoid and other types of arthritis, gout, bursitis;soft tissue cysts should be distinguished from other muscle formations.
Treatment of arthrosis of the foot
For successful therapy of arthrosis of the foot, a complex of conservative methods, as well as a number of physiotherapeutic procedures and a set of therapeutic gymnastics should be applied:
This treatment may include:
- NSAIDs to alleviate pain and relieve inflammation. Most often, the course of taking ibuprofen, ketonal, nise, movalis, indomethacin, piroxicam, orthophene, etc.;
- pain medication ( spagmalgon, analgin, baralgin);
- for severe pain, injections of corticosteroids( diprospan, hydrocortisone) may be prescribed;
- restoration of hyaline cartilage tissues with the help of long courses of reception of hondoprotectors( arthra, chondroitin sulfate, glucosamine);
- for improving mobility of joints, local administration of hyaluronic acid preparations( synvisc, fermatron, ostenil) is practiced;
- external therapy - ointments with bischofite( bishal, bischoline) or lotions and trays with this remedy, compresses with dimexide, medical bile, ointments with NSAIDs, warming creams.
Non-drug treatment of
- in severe form of the disease - immobilization of the foot( gypsum boots are used);
- wearing insoles, insteps, special pads, raising the arch of the foot, or ensuring its immobility;
- application of braces( braces) for fixing the foot;
- massage, manual therapy;
Osteoarthritis of the foot. Symptoms of foot arthrosis. Deforming arthrosis of the foot. Treatment of arthrosis of foot
About arthrosis of the foot
Arthrosis of the foot is a degenerative joint disease that manifests itself as an inflammatory process in the soft tissues and destruction of the cartilaginous. Such changes in tissues appear as a result of a metabolic disorder in the tissues of cartilage and with a worsening of blood circulation in them. Until now, scientists around the world can not establish the cause of this type of change.
Symptoms of arthrosis of foot
The most typical and bright symptoms with arthrosis of the foot are, of course, the pain sensations in it .In the foot area, you can clearly see a small puffiness, light redness with a slight increase in temperature in the area of edema( as a consequence of the inflammatory processes of ).In this case, the movement of the foot is difficult and very painful. The patient with foot arthrosis is recognized by slight limping.
The main and most effective method of diagnosing foot arthrosis is radiography .In the picture, the patient can notice changes in the surface of the joints of the bone of the foot that form the joint, namely, the unevenness of the bone surface and the reduction of the joint space.
Depending on the clinic of the disease, there are three stages of arthrosis of the foot:
- Arthrosis of the first degree of the foot .Periodic pain in the anterior part of the foot is noted at the initial stages of the disease. This is very noticeable with strong loads and leads to a rapid appearance of fatigue.
- Arthrosis of the foot of the second degree .Painful sensations more pronounced than at the first( initial) stage, the thickening of the head of the first metatarsal bone becomes noticeable. This type of thickening grows in the form of bones and leads to a slight restriction of the movement of the joints of the foot. When the load on the leg lasts a long time, then a steady pain syndrome may appear.
- Arthrosis of the third degree of the foot .At the third stage of arthrosis of the foot, the patient has a significant and clearly noticeable deformation of the first metatarsophalangeal joint, the motion becomes almost impossible. The thumb of the patient's foot is lowered to the bottom, while only small movements are possible, and only the side of the sole.
Deforming arthrosis of foot
Patient with deforming arthrosis of the foot is easily recognized by a characteristic gait. During movement of the , a patient with arthrosis of the foot tries to shift the load to the outer edge of the foot , trying to reduce the pain that is directly related to the physical effects on the painful joint. In the area of increased loads, under the phalanx of the first finger, painful calluses may appear. Serious pain in the foot area is felt not only when walking on foot, but also in a calm state. In patients with deforming arthrosis of the foot, the is shown to be inferior to and , the fast fatigue of .
Arthrosis of the foot - symptoms and treatment
Deforming arthrosis of the foot is a disease in which the cartilage is firstly damaged( its degeneration and degeneration develops), and then the articular surfaces of the bones are involved. As a result, joints are deformed. This is one of the most common lesions of joints, the frequency of which increases with age. Thus, 50% of the population aged 60 years and older suffer from this disease, with men and women equally common.
Causes of the disease
arthrosis of the foot photo phalange
Osteoarthritis of the toes develops as a result of increased load on the joint, in which the cartilage strength is insufficient to resist this load. This is the main mechanism for the development of damage to the cartilaginous surfaces of the bone with deforming osteoarthritis.
Based on this situation, the main factors that predispose to the onset of this disease are identified. These include:
- frequent and lengthy exercise;
- is a nerve damage that develops in diabetes mellitus. As a result, the elasticity of the cartilage decreases;
- joint dysplasia, when the articular surfaces are wrong, there is no clear correspondence of one surface to the other, which predisposes to permanent trauma during movements;
- injury, especially when wearing shoes with heels;
- operative interventions on the joints;
- inflammation of the joints( arthritis);
- metabolic disorders, which are characterized by the deposition of certain substances in the joints and periarticular tissues. These are diseases such as gout( increased uric acid in the body), hemochromatosis( an iron metabolism disorder), Wilson-Konovalov's disease( a violation of copper metabolism);
- cartilage damage that develops with age;
- hormonal changes in menopause;
- weighed down heavily, especially with collagen formation disorders, etc.
Mechanism of damage to the
Arthrosis of the small joints of the foot, like the middle ones, is an irreversible process. Therefore, the treatment is aimed at preventing the progression of pathological changes, as well as on the elimination of arterial insufficiency, which leads to a decrease in the strength of the cartilage.
The mechanism of the damaging effect is as follows:
- at the beginning the content of the main substance of the cartilage - proteoglycans decreases;
- develops degenerative processes in the cartilaginous tissue;
- substances formed as a result of decomposition are absorbed by phagocytes;
- , cell death is observed, which carries out phagocytosis;
- in response to this develops an inflammation reaction;
- the synovium of the joint is involved in the process again.
Thus, the arthrosis of the foot joints from the primary process goes to the secondary one with the defeat of a number of located tissues.
Symptoms of arthrosis
- pain that is caused by physical exertion;
- pain is most intense at the beginning of the movement;
- the presence of constant pain is characteristic of the hypertension of a number of located muscles;
- pain at night due to impaired venous drainage from the joint;
- pain that occurs in a particular position is associated with either synovitis or periarthritis;
- pain can appear and suddenly, because of the joint blocking "mouse" - loose bodies inside the joint.
Inspection of the affected joint can also provide valuable information. So, during the examination it is possible to determine the presence of a characteristic crepitation that appears during movements. In the case of joining the inflammatory process in the synovial membrane, there is local pain, swelling and redness of the joint. The late stages of osteoarthritis are characterized by the appearance of joint deformation.
Arthrosis of the big toe is the most frequent lesion of the joints of this organ. It is characterized by the defeat of the metatarsus-phalanx joint. The main manifestations are:
- bilateral defeat;
- localization of pain - inner edge of the foot;
- is most often a manifestation of gouty joint damage.
Diagnosis of the disease
In the diagnosis of deforming osteoarthritis, an important role is played by the X-ray study, based on the results of which the degree of severity of the disease is determined:
- arthrosis of the 1st degree foot - reducing the gap between the articular surfaces by more than 2/3 ;
- arthrosis of the foot of the 2nd degree - an even more pronounced narrowing of the gap, the outgrowth of the bone tissue is determined, and sclerosis under the cartilage is observed;
- arthrosis of the foot of the third degree - there is practically no joint aperture, deposition of calcium salts is determined in the periarticular tissues.
Treatment of deforming osteoarthritis
Treatment of this disease can be carried out in three main ways. They include:
- non-pharmacological therapy is special gymnastics, physiotherapy procedures, as well as the exclusion of low temperatures on the joints of the foot;
- drug therapy, which aims to prevent the progression of the pathological process( basic treatment), the fight against pain, and the treatment of concomitant synovitis;
- surgical methods of treatment.
How to treat arthrosis of the foot with the help of pharmacological preparations from the group of chondroprotectors? These drugs are part of the so-called basic therapy, the purpose of which is to prevent further destruction of the cartilage. They exert their therapeutic effect when a certain concentration of the active substance is created. Therefore, treatment with them should be long. Chondroprotectors have a beneficial effect on cartilaginous tissue as a result of stimulating the processes of cartilage formation and also preventing its destruction. Currently, rheumatologists use 2 main groups of these drugs:
- mucopolysaccharides( structum and chondroxide);
- preparations that stimulate the formation of proteoglycans( don and arteparone);
- combined preparations( artra and teraflex);
To combat the pain syndrome used drugs from the group of non-steroidal anti-inflammatory drugs( Ibuprofen, Indomethacin, etc.).Their appointment is indicated in the period of exacerbation. It is best to use these drugs topically in the form of ointments and gels.
Synovitis should be treated by creating rest for the sore leg, and also using nonsteroidal drugs and injecting glucocorticosteroids or arteparone into the joint.
Treatment of deforming arthrosis of the foot by operation is indicated in the presence of persistent pain syndrome or loss of ability to normal movement. Bone outgrowths are usually removed or joint prosthetics shown depending on the stage of the process.
Arthrosis of the foot, treatment with folk remedies is a waste of time, since joints require real help to slow the progression of the disease. Medicinal plants can be used in conjunction with other methods of treatment.
Thus, osteoarthritis of the foot is a serious disease that must be diagnosed and treated in a timely manner. This will improve the patient's quality of life and reduce the risk of disability.