Arthrosis of the joints of the hands: symptoms and treatment
The main cause of the common degenerative disease is arthrosis of the hands - damage to the cartilaginous tissue of the joints. The most often suffer wrist, metacarpophalangeal, distal( located at the base of the finger pad) interphalangeal and proximal( located at the center of the fingers) interphalangeal joints. Significant less often affected elbow or shoulder joints.
With arthrosis of the cartilage of the joint, simply speaking, wears out more quickly. Because of this, the bones begin to rub against each other without damping, there is inflammation, stiffness and painful sensations. To maintain the functionality of the joints and relieve the pain, patients are prescribed medication, special gymnastics, diet, sometimes it is recommended to change the way of life.
Causes and Risk Factors
The main cause of arthrosis development is premature wear of cartilaginous tissue. In some people cartilaginous tissue can worn at a fairly young age( 20-30 years), while others in 60 do not know about such a disease. It depends on many factors, some of which can not be avoided in principle.
The disease itself is not inherited, but some factors contributing to its development - yes. This, for example, strength, elasticity and density of cartilaginous tissue, metabolic features, etc.
Age - another uncontrollable risk factor. The older we become, the more all tissues in the body wear out, including articular cartilage, and the higher the risk of developing the disease.
Professional activity can also be involved in the development of pathology. Mainly it concerns people and sportsmen, whose hands are exposed to great loads: builders, loaders, weightlifters, boxers. Due to prolonged and excessive loads, the cartilaginous tissue wears out faster, preventing friction of bones against each other.
Symptoms of arthrosis of the hands can manifest themselves in different ways. The most characteristic are the following:
- painful sensations with various actions performed by the hands: compression of the hand into the fist, seizure of objects, flexion of the arm at the elbow, shoulder, etc.;
- stiffness, immobility of joints, especially pronounced after a night's sleep;
- atypical difficulty in the ordinary affairs( the feeling that there is not enough strength, for example, to open a jar or move an object from place to place);
- significant weakening of the gripping force( compression) of the brush;
- crunching in the joints;
- swelling, swelling of the fist or area near the wrist;
- formation of Heberden's nodules and / or Buşar's nodules.
Geberden's nodules are osteophytes or bone spurs. These are expanding seals that form on the bones at the junction of phalanges of the fingers. Geberden's nodules are usually round, solid, seemingly swollen. They are formed mainly on the distal and proximal interphalangeal joints. The proximal joints are also called Buschar's nodules.
Modern methods of treatment of
Patients with arthrosis of the hands can be assigned various methods of treatment, including medicamental therapy, therapeutic gymnastics, special diet. In advanced and severe cases resort to surgical intervention.
For analgesia, analgesics and non-steroidal anti-inflammatory drugs( NSAIDs) are used. NSAIDs dispensed from pharmacies without a prescription can not only relieve pain, but also eliminate inflammation. If these medications do not help, the doctor can prescribe a prescription for stronger means. If, and in that case, the treatment does not give the desired effect, go to injections. When analgesics and anti-inflammatory drugs are injected directly into the joint cavity, pain and inflammation recede almost instantaneously, and the result can be preserved for several months.
Rigid, painful joints greatly affect how a person uses their hands. For many patients, everyday matters become very difficult. Develop joints will help special exercises, which should be performed several times a day:
- unclench and clench fists in turn;
- alternately touch the pincushion of each finger to the base of the thumb, and the thumb pad to the base of the little finger;
- compress in your hand a soft object, for example, a ball, holding the brush in a compressed position for a few seconds;
- placing your palm on a firm surface, lift each finger vertically upwards;
- "go" with your fingers on the table back and forth or on the wall up and down;
- for arthrosis of elbows, do the following exercise: sitting at the table, put an elongated hand on the tabletop and do tapping with the fingertips( with the whole brush) for 10-15 minutes - these are exercises for elbows;
- if the shoulder joint is affected, it is possible to do the swinging movements, but it is much more effective to perform them in the water - think about entering the pool.
By changing their lifestyle, patients can better control their ailment and suffer less from it. Hot paraffin baths and cold compresses are a good folk remedy for pain and swelling. Use compresses as needed, as well as between medications.
Wearing special bandages, gloves or elastic bandages stabilizes the position of the affected joints and gives them the necessary support. Due to this, you can avoid exacerbating the symptoms. Ask your doctor which supplements will work best for you.
Think about replacing some items in your home( kitchen utensils, cleaning tools).Such things should have thick and comfortable handles that do not require much effort to grip and use.
Be sure to follow the rules of healthy eating. The diet should include vegetables, whole grains, low-fat fish and meat. Keep an eye on the amount of sugar, salt and fat consumed - this will help to avoid excess weight gain( with excessive body weight, the joints are subjected to an additional load).Pay attention to vegetables and fruits of dark color( see the list below) - they contain substances that suppress inflammatory processes in the whole body, including joints.
Recommended for use:
red and violet grades of grapes;
forest berries( raspberries, blueberries, cranberries, strawberries, blueberries, blackberries, etc.);
greens( spinach, lettuce, parsley, celery, etc.);
citrus( especially red orange and grapefruit).
When the disease is not amenable to drug treatment, does not respond to changes in lifestyle and nutrition, the question arises of surgical intervention. In the case of treatment of larger joints( knee, hip, elbows), they are usually assigned a partial or complete replacement. Small joints( interphalangeal) simply bind or reconstruct. By combining the bones, the affected part of the hand is immobilized, but with it the pain also disappears. During the reconstruction, the cartilage is replaced, the soft tissue for which is taken from other parts of the body.
In the photo - the female hand completely
The defeat of the hands with arthrosis starts slowly, with the passage of time the symptoms intensify, and the tissue damage becomes more pronounced. This disease can not be cured, but can be successfully controlled. In time, having seen the symptoms and taking timely measures, it is realistic to expect a comfortable life without pain and torture. If you notice the first signs of ailment, do not try to mask them or suffer pain - consult a doctor for diagnosis and( if necessary) drawing up an effective treatment program.
Arthrosis of the hands - detailed information on the treatment and prevention
Arthrosis of the hands
Arthrosis is a joint disease in which cartilaginous tissue can be destroyed.
Arthrosis-affected joint of the finger
For today it is precisely because of this disease that people become disabled. Approximately 20% of diseases - arthrosis of the hands. As a rule, this is a very unpleasant condition, which is accompanied by severe pains, the inability to control the limbs and the violation of fine motor skills. It is very difficult to cure this disease. However, if you make a diagnosis in time, you can easily alleviate the condition of the patient, stop the further development of the disease, not allowing critical changes in the joints.
Causes and occurrence of arthrosis
In general, the onset of arthrosis is due to hereditary predisposition. In such cases, the patients show disturbances in the synthesis of collagen on a genetic background, but there are no precise reasons for the deviations.
There is an assumption that one of the causes of the disease can be the gradual destruction of interarticulate cartilage.
The destructive effect on the underlying tissue
But there are factors that contribute to the development of arthrosis.
First, it is certainly the hardest manual labor, the systematic strain on the joints of the fingers and wrists.
Secondly, these are strong physical activities and injuries to the hands, fingers. For example, people who often engage in fitness, or heavyweights.
Thirdly, the disease is endocrine, psoriasis, diabetes, obesity, congenital pathology.
Fourth, the management of a wrong lifestyle( alcohol, smoking, excess weight), malnutrition, poor ecology, and aging. All this plays an important role in the occurrence of this disease, the treatment of which will take a long time and will incur large costs. What is arthrosis dangerous?
Like any disease, arthrosis is best not to start and treat in the early stages. Progressive arthrosis over time often leads to periarthritis( inflammation and damage to surrounding articular tissues) and synovitis( inflammation of the membrane that covers the joint cavity).Arthrosis threatens and complete immobility of the affected joints. Small joints in this disease can acquire an ugly form.
Signs of the disease and the development characteristics of
There are three stages of the disease. The first stage is expressed by temporary pain in the fingers with each hand movement. If you feel a crunch in your joints, then this may indicate the onset of the disease. Also near the joint, there may be a swelling, which in time can be transformed into a small nodule. In the second stage, the pain becomes stronger and becomes permanent, accompanied by a lack of mobility of the joint. The number and size of nodules increase. Because of this, the joint becomes larger in size. The appearance of such nodules usually causes burning and throbbing pain, but there are exceptions when everything passes painlessly. The third one is characterized by almost complete limitation of movements of the joints. The proliferation of nodules leads to a severe deformation of both fingers and hands. In addition, the joint itself deforms, which leads directly to the destruction of cartilage and bones. In the place of the aching joint, the area usually swells, becomes red. There are also severe pains and limited mobility of the fingers, or even the hands as a whole.
Prevention of the onset and treatment of arthrosis of the hands
Fortunately, there is the possibility to prevent the occurrence of arthrosis. As you know, arthrosis itself is not inherited. There is only a predisposition to it at the genetic level( this is, for example, elasticity, strength and density of articular cartilage or metabolic features).With a problem such as arthrosis, most often women face.
Before choosing a profession, you need to think carefully. Not only at the expense of career opportunities, high wages, but also at the expense of health. As excessive stress on the joints of the hands causes an increase in the risk of the disease. Pianists, masseurs, programmers, or people who type too much on the keyboard are often prone to illness. Therefore, if there is a predisposition to the disease, it is better to be careful in choosing a profession.
Scientists have shown that arthrosis of the hands can appear or manifest in women at the time of menopause. This is most likely due to the loss of body moisture, so the cartilage becomes weak and fragile.
Take note of several tips for the prevention of arthrosis:
- Stick to a healthy lifestyle, walk more.
- Massage your hands from time to time. Massage includes several simple exercises. Actually, it is necessary to rub the palms until the hands become warm. With fingers of one hand, gently knead each finger on the other hand, starting from the base towards the nail, and then back. Slightly grasp your finger and gently rotate it, as if undercutting a pencil. About 20 times you need to quickly unbend and bend your fingers, not leading up to the compression to the fist. Fold your hands together, press your fingers hard against each other - perform for 1-2 minutes, repeat several times.
Hand massage as a method of treatment
- more often regularly knead the brush, especially when you feel discomfort in this area;
- attend sessions of paraffin therapy;
- take protective preparations( chondroprotectors).
Treatment of arthrosis
In the case when arthrosis passes asymptomatically, then, as a rule, no special treatment is prescribed. Then it is recommended simply to beware of strong physical exertion so that the joints do not overload.
If the diagnosis is arthrosis, its cause is determined, then the first thing to do is not to load the joint and avoid all kinds of injuries. In the case of strong pain, non-steroidal anti-inflammatory drugs are used. At the initial stages of the disease, do special exercises for the fingers and hands, the amplitude of which should not be too large. Observe this rule in order not to injure any more sick joints.
Charge for fingers
Special massages of hands are also necessary( massage for kneading and rubbing, and also with tapping, which strength is strengthened with time) are also good. But it is important to know that if any pain is felt during the massage, then it is necessary either to weaken the effect on the damaged joint or to stop the procedures immediately.
In the treatment of arthrosis often resort to methods of physiotherapy( treated with ultrasound, electrophoresis, magnetotherapy, laser therapy).
Waxing sessions of paraffin therapy are also actively used, with the help of which painful pain is relieved.
Hand paraffin therapy for arthrosis
Folk remedies are also actively used to treat arthrosis. For example, complicating arthrosis of the hands is treated with a mixture of salt and honey. Mix in equal proportions salt with honey. The resulting mixture is spread along the length of the linen shred, then applied to the sore spot. From above it is necessary to warm it well. It is advisable to leave the compress overnight.
Active compresses are used from leaves of fresh cabbage, pharmacy clay, green potato tubers. Potatoes of this kind, as a rule, do not eat, because it contains so-called potato poison. Just this poison helps to eliminate pain in arthrosis. Grated potatoes are heated to a temperature of about 36-37 ° C, then applied to the inflamed place overnight.
There is another effective compress, which consists of fresh porridge and chalk porridge, which is mixed with kefir. The resulting mixture should be thick, like a paste.
It is also recommended that patients take herbal diuretics, the same lotions.
Therapeutic fees for decoctions and lotions
The structure of our body is unique. When everything works as a mechanism, a person feels great. Just think about the structure of our hands. How many of them are pits, joints, cartilage, muscles. How everything functions perfectly and smoothly.
Hands should be protected from a young age. Especially when choosing a future profession. If the professional activity is still connected with the load on the joints, then do not forget about preventive gymnastics, preparations and massages.
On the ice, you must be extremely attentive. Since when a person falls, they involuntarily put their hands forward. And any trauma can lead to arthrosis in the future.
If you feel the first signs of the disease, immediately contact the specialists, because the launched arthrosis requires a lot of money and long treatment.
Video - Arthrosis of the hands
Arthrosis of the fingers
Often the age can be judged not only in the face, but also in the appearance of the hands. Knotty fingers willy-nilly add their owner a couple of decades. And, as luck would have it, the diseases of the fingers are ten times more common in women than in men. It is in the beautiful half of humanity, whose caring hands are the keepers of the home. Osteoarthritis of the fingers is another name - deforming osteoarthritis or polyosteoarthrosis( multiple arthrosis of the fingers).
The disease affects not one joint, but several( interphalangeal, metacarpophalangeal).What happens in this case? In the joints affected by arthrosis, the pathological process begins, the loss of synovial( lubricant) fluid, thinning, cracking and inflammation of the cartilaginous tissue. Joints are deformed and begin to ache, there is an increase in osteophytes - neoplasms on the edges of bones. Violently violated fine motor skills, in neglected cases, a person is not able to unscrew the lid on the bottle and pick up the fork.
Causes of developing arthrosis of the fingers
The first and main cause of the development of the disease is the genetic predisposition of .If your parents and grandparents had their fingers affected by arthrosis, then it is necessary to worry about the beauty and health of their hands already in their youth. And by inheritance is transmitted not the disease itself, but features of metabolism, the structure and density of bones and cartilaginous tissue.
Another reason for the destruction of the cartilage - increased load on the fingers. Among the increased risk of developing arthrosis are such professions as: masseur, pianist, as well as office workers who have to type a lot of text on the computer.
The provoking disease can sugar diabetes, endocrine diseases and other metabolic and pathological disorders.
Hormonal changes in women( menopause) contribute to the fact that the body, together with a decrease in the level of estrogen, begins to actively lose moisture, resulting in cartilaginous tissue becoming thinner, joints and bones more fragile.
The most common cause of arthrosis is the injury to the flanks of the fingers and wrist joints of , especially if inflammation starts after an injury.
Abuse of smoking and alcohol also leads to the development of pathological changes in tissues in the body.
Symptoms of the disease
Patients refer to specialists already at that stage of the disease, when the seals appear on the hands, called the nodules of Geberden and Bushard. However, development begins long before their formation.
The first signals indicating arthrosis are aching finger pains, predominantly appearing at night and receding during the day, and small edema of , with joint movement not yet limited, but may already have an unpleasant crunch .With the development of pathology and the destruction of cartilaginous tissue appears on the joints . Geberden nodules are usually formed in the first to third interphalangeal joints of the hand and resemble dense neoplasms in size from a rice seed to a pea. Sometimes the nodules burst, but the contents pour out, but if a breakthrough does not occur, the seals harden and become almost painless. During their growth, the skin becomes red, and the patient feels burning and pain( not all patients). Bushard's nodules appear on the lateral surface of the joints, usually in conjunction with Geberden's nodules. These neoplasms lead to deformation of the joints of the fingers.
Diagnosis of arthrosis of the fingers For the diagnosis of the disease, the doctor performs an visual inspection, palpation of the of the affected areas and, in order to avoid mistakes in the diagnosis, the patient is referred to the and and clinical tests for the rheumatography( from the vein) on the radiograph and .X-ray photographs show narrowing of the joint cracks of the affected joints, deformation of bones, osteophytes. In blood tests, there should be no abnormalities, but if they are still present, this indicates the development of more serious diseases( eg, arthritis).
Treatment of arthrosis
Treatment of arthrosis involves the restoration of the motor function of the joints, preventing the development of pathological processes, reducing the pain syndrome, improving blood circulation in the affected joints. It is very important in the treatment to maintain systematic and regularity.
Complex treatment of arthrosis includes:
- - application of analgesics;
- - non-steroidal anti-inflammatory drugs;
- - glucocorticosteroid hormones;
- - chondroprotectors;
- - vitamin complexes;
- - intraarticular injections of hyaluronic acid;
- - baths with broths of medicinal plants;
- - physiotherapy methods( magnetotherapy, electrophoresis, laser therapy, ozocerite and paraffin applications, mud therapy);
- - massage and manual therapy for improving blood supply to tissues;
- - special physical exercises to preserve the mobility of joints( squeezing of expander or rubber ball);
- - methods of traditional medicine.
If treatment does not work, they resort to surgical interventions( arthroscopic surgery, osteotomy).In the most neglected cases, the affected joints are completely replaced with dentures.
Treatment of arthrosis folk methods
Before applying compresses, infusions and baths, you should consult your doctor, exclude allergic reactions to components and ensure the quality and safety of the ingredients used.
- Honey and table salt must be mixed in equal parts until homogeneous, and then used as a compress on the affected joints( apply before bedtime, taking off in the morning).
- Clay appliques on the fingers give a good result for the condition of the skin and cartilaginous tissue. Apply them for 20 minutes daily, after which they lubricate the skin with glycerin.
- Tincture from the string is used as an anti-inflammatory and wound-healing agent.2 spoons plants pour a glass of boiling water, insist for twenty minutes, filter and drink 2 tablespoons three times a day. Course 1 month.
- 40 grams of crushed root horseradish are mixed with fifty grams of Vaseline and lubricate the diseased joints. Ointment helps to relieve inflammation and reduce pain in the fingers.
- The burdock leaves are ground, then applied fresh to the fingers, the compress is insulated.
- In case of arthrosis, general strengthening teas for the organism from dog rose, thyme, mint, cowberries are helped.
- Chunk chalk grind, add a bit of yogurt to make a gruel and put to your fingers for the night in the form of a compress.
- Devyasil( 20 g) is mixed with vodka( 100 g) and insisted in a dark place for 12 days. Then rub the joints of the fingers.
Prevention of arthrosis
Follow the diet, avoiding the appearance of excess weight and metabolic disorders. Avoid bad habits( smoking and alcohol).Spend more time in the fresh air so that tissues are saturated with oxygen. To improve the blood supply to the joints, massage hands and baths with medicinal plants. A few minutes a day, give exercises with an expander or a ball. These simple measures will help reduce the risk of developing arthrosis of the fingers and keep their beauty and health.
Osteoarthritis of the fingers how to treat
Osteoarthritis of the fingers
Osteoarthritis, from the discharge of those diseases that, in the absence of timely and proper treatment, can lead to a restriction of the ability to move. The course of the disease is characterized by constant exacerbations. At its core, arthrosis of the fingers is a dystrophic disease that has a degenerative effect on the interphalangeal joints. The result of the destruction is manifested in violations of the functionality of the hands, it can be spindle-shaped deformation and nodular.
The result of arthrosis of the hands
As the process of dividing the intercellular substance is disrupted, then the tissues that are between the joints crack and dry up.
Clinical features of arthrosis ailment
Clinical features of arthrosis
This disease is deservedly called deforming osteoarthritis. And all because when the late stage of development of arthrosis sets in, not only the articular cartilage deforms, but also what adjoins it, that is, the bones. Basically, it attacks the segment of the fingers of the limbs, as a result, on the surface of the bone, thickenings are formed. Such manifestations are called the "Heberden bundle".The thumb of the hand is much less likely to be affected than others.
When arthrosis starts, which is extremely dangerous, bone tissue becomes denser, and outgrowths are formed on it, which have a deforming effect on the joints. These very growths are to blame for further inflammation. To avoid unbearable pain, a person with arthrosis, tries to move his fingers as little as possible, because it is difficult and painful. When the muscles begin to atrophy due to inaction, the joints undergo such changes, which can not be corrected.
Arthrosis of brushes: causes of
The cause of arthrosis
The most important and the first reason, according to scientists, are the age-related changes in the structure of the joint. A spinning flywheel of this whole process, which has a pathological nature, again, in the opinion of scientific researchers, excessive functional loads. There are many professions that oblige people to perform a lot of finger manipulation( programmer, teacher, dentist).And all because cartilaginous tissue has a property to wear out, as a result of which arthrosis of small joints arises.
There are still many factors that, as practice shows, can provoke arthrosis, but are not the direct root cause of the disease. It can be an old age or a period of menopause in women. Weakened immunity, experienced hand injuries, respiratory infections, which are often carried by the body, are also considered causes of arthrosis. It is likely that there is some relation to the disease: irradiation;vibration and cold;allergic processes;metabolic disorders or heredity.
Each sign of arthrosis characterizes a particular stage of the disease. Thus, in the first stage you will hear a crunch, while moving your fingers. Frequent pains in joints will begin to occur, especially when physical activity is performed, with time they become more intense. Seals that will form, will begin to appear outside the palms. Bright signs of arthrosis are swelling and swelling of the periarticular tissues.
The second stage is complicated by the fact that the pains become regular and much stronger. The toes are very stiff, and the lesions are reddened and heated. Those places that swelled at the first stage, now increase in size. A muscular atrophy of the finger that is inflamed is seen.
The most extreme and severe stage of the disease, this is the third. At this stage, there is a strong curvature, up to the change in the size of the fingers. In places where there were densities and swelling, Heberden or Bushard's nodules were formed. The difference is that the first, located on okolonogtevyh joints, and the second - on the middle joints of the fingers. Explicit deformation of articular surfaces and even bones makes the movement simply impossible.
All this is due to the fact that amortization is lost, and on the bones that are located near the joints spurs form. If you let the disease into its own right, it will lead to ankylosis, complete inactivity of the joint.
How and how to treat
How to treat arthrosis of the fingers
All begins with the diagnosis, after which the doctor prescribes a comprehensive treatment. All actions should be directed to the regeneration of cartilage tissue, increased microcirculation in the blood vessels. It will be necessary to improve nutrition, more accurately its quality, to remove pain effects and swelling. Everyone should understand that the answer to the question "arthrosis of fingers as a treat" can not be given in a few words, because there is no such miracle pill that could solve all the problems. All this can last for several months, depending on the complexity of the situation.
There are several ways to treat a complex. Namely, by a medicamentous method, physiotherapy, and also observing a diet and performing therapeutic gymnastics. Folk methods and treatment can also be useful through massage. A decent result can be achieved using each of the methods in combination with another. If you hit on all fronts, the disease can not stand.
So, a little about the
tablets. The medicamentous way of
All medications that are prescribed to the patient will cope well with the manifestation of severe soreness. After all, the most unpleasant symptom of arthrosis, which is difficult to fight and endure is pain. It does not stand in one place and grows, not allowing a person to fully exist. In order to remove pain, analgesics, anti-inflammatory drugs, myorelexants, glucocorticoids and steroid medicines are used.
Next come chondroprotective medicines. These are exactly those medicines that can cure directly the source of arthrosis of the fingers. In the main role is interarticular cartilaginous tissue, which for a number of reasons can be destroyed. The composition of chondroprotective drugs is almost identical with the structure of the articular cartilage. For this reason, only it is capable of producing new cells. But they need to have time to begin treatment in the second stage of the progression of arthrosis, if you are late with it, everything will be in vain.
Physiotherapy as a remedy for chronic joint disease
Special methods and instruments have been developed for this: shockwave, magnetic, laser and sound therapy, as well as water procedures and "cold" procedures. In combination with medicines, physiotherapy techniques will help normalize all metabolic processes in the body, which will ensure the muscles stay in tonus, and cartilage tissue nutrition, in addition, help strengthen the joints.
If the possibility of destruction of the articular part of the fingers is necessary to adhere to a special diet. The diet should include products with a full vitamin and mineral complex. If you find a good and professional manual specialist, then it is even possible to get rid of some deformations of the phalanx. Massaging affected joints, can bring you closer to winning over the disease.
In order for the amplitude of the movements of the distal phalanges to be greater, namely not to let the joints become stiff in the wrong position, a lot of gymnastic exercises of therapeutic action for the hands were developed. But if there is inflammation, swelling, or severe pain, then do not exercise these exercises.
It has been proven by science that combining different methods of treating arthrosis and combining them with the use of medications, and adherence to the orthopedic regimen( most importantly, do not overload the joints) can lead to good results in the fight against chronic disease.
Video - Arthrosis of the fingers how to treat
Arthrosis of the hands
Arthrosis of the hands is a widespread disease in our time. It is caused by a variety of causes, the main ones being trauma, infectious processes, endocrine disorders and, of course, age-related changes. The latter, combined with prolonged occupational exertion, are caused by the fact that arthrosis of the joints of the hands of , in most cases, occurs in patients older than 40 years. Although now we are treating for arthrosis and young people. They have a disease more often associated with joint trauma and genetic predisposition.
Common signs of arthrosis of the joints of the hands
It is noted that the with arthrosis of the hands of is more often affected by men, which is explained by the greater physical exertion they perform. In the process of progression, three degrees( stages) of the disease are distinguished. The first stage is characterized by slight aching pain in the joint, which occur with excessive load, but they themselves pass in a state of rest.
With the transition to the second stage, there is an increase in pain and an increase in their duration, the appearance of a rough crunch, the restriction of certain movements. Due to the periodically occurring inflammatory process, the joint may increase in volume. It is especially noticeable on the wrist joint and interphalangeal joints of the hand.
The third degree of arthrosis involves aggravation of deformities of the joints of the hands. Here we have both pronounced pain syndrome and limited movement. The patient often gives the hand a forced position in order not to feel pain again. At this stage, there is a high probability of trophic disorders in bone tissue - osteoporosis, as well as the appearance of bone growth along the edge of the joint surfaces. By this time the cartilaginous interlayer of the joint is almost completely destroyed. In addition to the above, with arthrosis of the hands significantly reduces the tone of the muscles of the upper limb due to lack of sufficient motor activity.
Features of arthrosis of the shoulder joint
In the initial stage of the disease, patients note the soreness of the shoulder, the rest of the movements are carried out in full and without discomfort. This meager symptomatology often makes it impossible to diagnose clinically, pathological changes can be detected only on radiographic examination.
The deforming arthrosis of the shoulder joint is progressing slowly, only the first stage can last several years. Most often, until the third stage does not reach and the disease does not lead to disability.
Features of arthrosis of the elbow joint
Arthrosis of the elbow joint is less common than arthrosis of the joints of the hands of other localization. Develops in athletes, musicians( violinists), people who work with pneumatic tools. The peculiarity of the course of this variant of the disease is expressed in a combination of a minimal clinical picture against the background of pronounced anatomical changes revealed during the examination. Patients can not complain about anything, but in fact the cartilage of their elbow joint is already undergoing destruction processes. Of all the movements, extensibility suffers most.
|"Arthrosis of the joints of the hands prevents a person from doing daily business, doing household chores, reducing work capacity." As a rule, my patients with this diagnosis are people whose work is associated with heavy physical exertion, sportsmen and elderly people who are progressing degenerative processes inincluding joints, arthrosis can develop in any joint, but changes in small joints( wrist, fingers) are less common than the pathology of large joints, and deformations are more noticeable in them.p, the damage to the brush changes the configuration of the fingers and their length. "|
Features of arthrosis of wrist joint
This pathology is observed in patients of our clinic quite often. Often arthrosis of the wrist joint develops as posttraumatic( after a dislocation or fracture of the bones of the wrist) in athletes, workers in construction specialties. The peculiarity of this arthrosis is that the pain in the joint is manifested only at the extreme positions of the brush, when the patient tries to bend and unbend the brush to the maximum, up to the stop. Mobility in radiocarpal arthrosis is always reduced. This localization is one of the "favorite" for the development of rheumatoid arthritis, so it is important to conduct differential diagnosis.
Features of arthrosis of the joints of the hand
Of the joints of the brush, interphalangeal joints are most susceptible to arthrosis. Bright representatives of this category of patients are people who, according to their duty, print a lot. The main load lies on the second, third and fourth fingers, that's why they are involved in the process before the others. These small joints become denser, increase and become like nodules. Hence their name - the nodules of Geberden and Bouchard.
Treatment of arthrosis of the hands
Do not rely on self-healing and traditional medicine, treatment of arthrosis of the hands should appoint a doctor. The goal of therapy is to remove pain, suppress the inflammatory process and, if possible, to stop degenerative changes in articular cartilage. Basically, the procedures for the treatment of arthrosis of the hands of are divided into not medicamentous, medicinal and surgical.
- Non-drug therapy. This group includes therapeutic gymnastics and physiotherapy procedures. LFK is appointed during remission. The most simple and comfortable gymnastics is performed for treatment of arthrosis of the hands of .Also useful is swimming. With arthrosis of the joints of the hands, thermal procedures( paraffin and ozoceretherapy), ultrasound, laser therapy are carried out. Massage should be done 2 times a year.
- Drug therapy. This includes symptomatic drugs that act immediately( analgesics, non-steroidal anti-inflammatory drugs, glucocorticosteroids) and structural-modifying( chondroprotective).The first subgroup is designed to reduce pain and suppress inflammation. The second subgroup has a different function: these drugs contribute to better cartilage nutrition and stop the destruction of cells.
- Surgical treatment. It is used when other methods do not bring the desired effect. Operative treatment includes arthroscopy, osteotomy and endoprosthetics.
Osteoarthritis of the hands is not a simple pathology for treatment, which requires the doctor competent use of medicines and medical procedures, and from the patient - clear implementation of the recommendations. The specialists of the medical center GarantKlinik possess sufficient knowledge and have the necessary experience for conducting such patients and achieving qualitative results in this therapy. It must be understood that it is impossible to completely get rid of this disease, but to minimize its manifestations and delay the appearance of severe symptoms for a long time, but it should be done by experienced specialists. Therefore, our clinic employs professors who have a rich experience in treating patients with this pathology.
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Arthrosis of the hands: symptoms, treatment and photos
Deforming arthrosis of the hands is a disease of small bones of the hand, leading to a gradual destruction of the cartilaginous layer between the joints. Osteoarthritis is a slowly progressive disease leading to irreversible changes in the joints, which is difficult to treat and at the last stages greatly hampers life.
Symptoms of arthrosis of the hands
One of the causes of arthrosis is a violation of metabolic processes, which is most often observed in old age. In addition to age-related changes, the provoking factors of the development of the disease can be:
- Hand injuries;
- Long, constant load on the hands, which is observed when doing physical work;
- Congenital anomalies in the development of the structure of the bones of the hand;
- Rheumatoid arthritis, gout, endocrine diseases.
The appearance of the following symptoms may indicate that the small bones are deformed:
- Pain in the hand that appears when performing physical work.
- Crunch in the joints when moving;
- Swelling of the phalanx of the fingers;
- Sensation of tension in the muscles of the hand.
This disease can lead to such sad consequences.
Arthrosis of small joints in the hands has three stages of the disease.
- The first stage is characterized by the appearance of minor pain after performing a long, monotonous work. At rest all symptomatology disappears.
- The second stage is an increase in soreness, discomfort does not last a long time. There is an unpleasant crunch when you move your hand, puffiness. The patient avoids doing some movements. Periodically arises inflammation of the joints, which is manifested by swelling of the phalanx of the joints, the radiocarpal region. When the inflammatory process can raise body temperature, there are symptoms of intoxication.
- The third stage - the deformation of the joints is reinforced. Soreness is strongly pronounced, it occurs both during exercise and at rest, some movements can not already take place. The cartilaginous layer is almost completely destroyed, there are bony overgrowths along the edge of small and large joints. At the third stage, the development of osteoporosis is possible. The lack of the necessary motor activity leads to a decrease in the tone of the muscles of the entire arm.
In case of arthrosis of the hand, the interphalangeal joints of the second, third and fourth fingers are most often involved in the pathological process. This disease is more typical for people of a certain profession - text-makers, seamstresses.
Diagnosis is made on the basis of examination, analysis and X-ray images. At the first stage, there is a noticeable narrowing of the joint between the articulations on the radiograph. At the second stage, the picture can show a picture of the formation of bone growths around the joint. The third stage is a complete closure of the joint space, deformation of the entire joint, while the mobility of the patient in the wrist is lost almost completely.
Treatment of arthrosis of the brush
The ill person needs to know that the degenerative changes in the joint that have started can not be changed, but the process of their destruction may well be under control. Applying to the appearance of the first clinical signs to the doctor, it will be possible to stop the process of cartilage destruction, which will stop the disease at the first stage, preserve the fullness of movements and work capacity. Complex treatment of arthrosis includes:
- Anesthesia. Patients usually go to the clinic at the appearance of pain, so the doctor's task is to relieve the pain syndrome with analgesics.
- Anti-inflammatory therapy.
- Suspension of the process of destruction of cartilaginous tissue. Chondroprotectors are prescribed for this purpose, this group of drugs must be drunk for a long time, sometimes up to several months. Chondroprotectors are necessary for everyone who is ill, as they do not allow further deformations to develop, stop the destruction of cartilaginous tissue.
Arthrosis of interphalangeal joints of the hands at the last stages of the development of the disease with a pronounced inflammatory process, severe pain and deformity can be treated with corticosteroids. At the beginning of the disease can be treated with physical therapy, laser treatment, medical gymnastics. To remove the pain, you can use and therapeutic ointments with active painkillers and anti-inflammatory components.
During the period of treatment and throughout life to a patient with arthrosis, it is recommended to include certain dishes in food. First of all, it is a cold, welded from legs, ears, bones of animals - collagen and gelatin contained in them, strengthen the durability of cartilaginous tissue, improve the circulation. When arthrosis is shown and the use of lactic acid products. Exacerbation of the disease can cause alcohol intake, so many patients still refuse alcohol at the first stages. In the diet of patients it is necessary to include as many fresh vegetables, greens, fruits as possible. In the absence of diseases of internal organs and after consulting with a doctor, it is possible to carry out medical starvation. For a patient with arthrosis, it is important to get enough vitamins and antioxidants, the most important for cartilaginous tissue are vitamins A, E, C.
In the treatment of deforming arthrosis of interphalangeal joints on the fingers of the hand along with prescribed medications, performance of massage and special gymnastics is indicated. To conduct them, you can contact a specialist, and you can perform some exercises yourself. Self-massage includes:
- Easy rubbing of all fingers, the very arm and forearm;
- Mash of the palm and fingers. For these purposes, you can use a suitable rubber ball.
Rubbing is performed by the pads of the fingers of the other hand with circular and stroking movements. Ease of movement provides massage oil, purchased at the pharmacy. It can also be prepared by mixing olive oil with sesame oil and adding vitamin A in a solution in an amount of 10 ml.
Inflamed joints of the hands need periodic rest, so patients need to alternate physical activity with periods of relaxation. When performing any kind of work, the brush should be rest every hour, during breaks, you can spend relaxing gymnastics. The doctors note that the inflammatory process in the first stage rarely passes into the subsequent if the patient passes the entire course of treatment and constantly performs the recommended exercises.
Treatment of arthrosis with folk remedies
Together with the course of treatment prescribed by a doctor, you can use folk recipes - various self-prepared ointments, rubbers, compresses. For small joints of the hand, you can use trays with hay. A small amount of hay bales are poured with boiling water and in hands with hot water they hold hands for about 20 minutes. The procedure is recommended daily. Instead of hay, you can take grass mother-stepmother, turns, the root of the fox.
Helps to relieve pain and inflammation of the honey - salt compress. Honey in the required amount is mixed with salt, the mixture is wetted with tampons, they are applied to the damaged joints, bandaged and left overnight. Inflamed joints can be applied warm clay with medicinal components, such a drug is sold in a pharmacy. Inside, it is recommended to use brewed leaves from a young birch. Decoction of birch leaves cleanses blood and affects the improvement of metabolic processes in the body.
Treatment of arthrosis of small joints is a long process, requiring compliance with certain working conditions, vitamin complexes, preventive drugs throughout life.
Arthrosis of the hands
Arthrosis of the hands is the kind of arthrosis that can bring a lot of problems both in professional activity and in everyday life. It becomes difficult for a person to work with small objects, write, and type on a keyboard. Our brush has more than a dozen joints, but most often the pathological process affects the fingers - arthrosis of the big toe( rizartroz), the nodules of Geberden and Bouchard.
Arthrosis of the distal( terminal) interphalangeal joints of the hand is better known as Geberden's nodules. Its incidence is 20% of all cases of arthrosis. Mostly, women suffer during menopause and those who have a hereditary predisposition to this disease. Sometimes it is attributed to one of the variants of primary arthrosis, and sometimes it is formed after an injury or against a background of chronic arthritis, is a consequence of gout, psoriasis.
Arthrosis of the joints of the brush begins imperceptibly, the symptoms appear gradually. First, the person marks the stiffness of the joints of the fingers, then on the lateral sections of the distal phalanges there is a swelling of the soft tissues, which eventually thickens - and Geberden's nodules are formed. Most often nodules are multiple, on the joints of the first three fingers of the hand. To the touch they are dense, in the late stages of arthrosis, dense bone formations can surround the joint in the form of a ring, and not just on the sides. During the formation of nodules, the patient may experience a burning sensation, crawling, which, as they seal, passes. Since Geberden's nodules deform the joints, the deviation of the terminal phalanges develops in the right or left side.
The course of arthrosis of the distal phalanx joints has some peculiarities: the inflammatory process in them arises very often, even for no apparent reason. Joints swell, the skin over them blushes and becomes painful. Flexion and extension become difficult. Such patients are often sensitive to weather changes, that is, weather-dependent.
Arthrosis of the proximal joints of the hand occurs in 50% of patients with Heberden's nodules, but can also develop as an independent disease. Bushard nodules usually occur only on the lateral sections of the joint. Soreness in them is not expressed strongly, but they deform the joint. Such a finger becomes like a spindle due to a thickening in the middle. As a result of deformation, the volume of movement in the joint becomes limited.
On the x-ray image of for arthrosis of the hand joints, narrowing of the joint slits, unevenness of the cartilaginous layer, decrease in bone density of adjoining bone tissue, and bone growth on the sides are seen. It is because of the narrowing of the joint that the fingers are shortened, which often frightens the patients.
|"A very unpleasant manifestation of arthrosis of the hands - a violation of fine motor skills, especially musicians, athletes and other people whose profession is connected with the work of the hands." On small joints, their deformation, which prevents the usual volume of movements, is more noticeable.the patient has not lost his ability to work, he needs to contact doctors in time. I usually practice complex treatment consisting of pharmacotherapy, massage, physiotherapy, exercise therapy and, in extreme cases, surgical intervention.e means can be used, but only as a supplement. "|
Osteoarthritis of the thumb
Some of the patients who have arthrosis brush, namely interphalangeal joints, develop degenerative changes in the joint formed by the trapezoid bone of the wrist and the first metacarpal bone. This joint is at the base of the thumb. The disease is manifested with soreness and limited movements of the thumb, and a crunch arises. Over time, on the articular surfaces of bones appear growths( osteophytes), which lead to deformation of the brush.
Treatment of arthrosis of the hands
With arthrosis of the hands of complex treatment is prescribed: combination of medicines with physiotherapy and gymnastics. Pharmacological preparations often use stimulators of metabolic processes in the cartilaginous tissue, anti-inflammatory drugs from the group of nonsteroidal, analgesics, vitamin preparations.
For the early achievement of a positive effect with arthrosis brush it is recommended to practice therapeutic gymnastics. Advantages of such gymnastics are that for performing exercises patients do not need rugs or other devices, you do not have to wait for the home to have the opportunity to engage in physical training lying down. Exercises for the brush are simple, and they can be performed anywhere. The easiest of them is to drum your fingers on the table. All you need is to stretch out your hands on the table and, without straining your wrist, lightly tapping your fingers on the table top.
The medical center GarantKlinik treats arthrosis brush engaged in experienced orthopedic doctors who are doctors of medical sciences, professors. The knowledge of our specialists will help to cope with this pathology and return patients the usual quality of life.
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