For various diseases of the musculoskeletal system, joints for the joints can be prescribed. Do not be afraid of this procedure, for today it is the most effective way to treat arthritis, arthrosis and rheumatoid diseases.
Than are useful nyxes at pains in joints?
Treatment of arthritis and arthrosis in the acute phase is impossible, so the first thing to do in this case is to stop the pain syndrome and relieve the inflammation. Tablets can help if your arthritis or arthrosis began to develop very recently, but in severe stages of joint disease, blockage is necessary - an injection into the joint of an anesthetic of the anti-inflammatory agent. There are three categories of drugs:
- non-steroidal anti-inflammatory drugs;
- hormonal preparations;
- complex medicines, combining a non-steroidal anti-inflammatory drug of the newest generation with an antibiotic or analgesic.
Despite good indicators of the latter type of medicine, in the medical practice, until now, more often used means of hormonal origin. In many ways, this is due to the lack of knowledge of new drugs. Injections with pain in the joints can be carried out directly into the joint slot, or intramuscularly. We will consider both types of injections.
Names of popular joints for joints
Injections for arthritis of the knee joint, or any other place of connection of large bones bearing a heavy load, are not often conducted. In the case of an anti-inflammatory drug, the doctor injects into the intra-articular cleft every 10 days. This is enough to calm the pain and gradually cope with the inflammation. Here are the drugs that are used most often:
The main advantage of these remedies is that they stop the pain syndrome and make it possible to treat the very cause of the disease.
Sometimes therapy is supplemented with injections with an antibacterial component - in those cases when foreign joint microorganisms start to multiply in the synovial fluid of the joint. The course of treatment with these drugs should not exceed 1-2 months because of the large number of contraindications and side effects. Especially it concerns hormonal medicines.
Here are the names of injections in the joint, conducted intramuscularly:
These anti-inflammatory injections for joints do not act locally, but on the whole body, so their effectiveness can be considered relatively low, but in the initial stages of the disease, these drugs are fully justified. In therapy, it should be noted that they are usually not prescribed for patients with a sensitive digestive tract and ulcer of the stomach and duodenum.
Pricks from arthrosis of the knee joint, if the inflammatory process is already stopped, have the goal of protecting the joint from further destruction. Patients may be assigned funds chondroprotectors, or injections of hyaluronic acid. The most effective chondroprotectors are:
- Ostenil and others.
Depending on the patient's needs, injections can be given every 5-7 days, or several times a month. The course of treatment can last up to six months, but at the end of it, a persistent remission is likely.
Hyaluronic acid is an analogue of the synovial fluid that nourishes the cartilaginous tissue and increases the cushioning of joints, so for the patient to feel well, 1-2 injections per year are sufficient. Pricks in the joint with arthrosis to date - the only way to slow the progression of the disease and save mobility.
Injection for knee joint treatment
It is known from history that the first injections were done in the middle of the 17th century. How and by what means, it is not clear, since syringes appeared a century later, in 1853.Since then, injections in the joint of the knee are the best way to deliver medicines to the sick body. Analogues of modern disposable plastic syringes were patented in America in 1956.The novelty greatly facilitated the work of medical personnel, the cases of transmission of infection through injections from one patient to another decreased.
Methods of injection of injections
Drugs in the human body can come in several ways:
- directly into the joint( intra-articular nyxes);
- is intraarterial;
Intravenous infusions are two types: inkjet and drip. A small amount of drugs is injected with a 10-20 ml jet of syringes. Large volumes of liquid are dripped with the help of disposable systems( droppers).Intra-arterial injections are necessary for large blood loss that occurs with open fractures of joints with tissue and vascular rupture.
The length of the medical needle can reach 90 mm, diameter - 2 mm
Intramuscular injections are the most common. Are made in the outer upper quadrant of the buttocks. The injection site for subcutaneous injections selects the upper part of the forearm or the anterior thoracic region of the thigh. For each type of infusion, a needle of the appropriate length and diameter( section) is taken.
|Needle insertion method||Needle length in mm||Cross section in mm|
|Subcutaneous||Up to 16||Up to 0.5|
|Intravenous||40 mm and shorter||0.8-1, 1|
|Intraarticular injection||20 - 40||0,4 - 2|
For intraarticular injections, syringes with a capacity of 2-5 ml are used. The smaller the cross-section of the needle, the more painless it will be. Preparations-suspensions( suspensions) are poorly soluble. They can clog the lumen of the needle and make it difficult to administer the medication. For suspensions, needles of large diameter from-1.1 to 2 mm are needed.
Diseases and nyxes
Indications for injections in the joint area are a number of diseases, the classification of which is as follows:
- inflammatory - arthritis, tendovaginitis, synovitis, bursitis, Reiter's disease, enthesitis;
- degenerative-dystrophic - osteoarthritis, gonarthrosis;
- traumatic - joint fractures open or closed, tears, tears, sprains;
- arthralgia is a pain syndrome that arises in response to irritation of the neuroreceptors of the joint by various reagents - allergens, salt crystals, osteophytes( bone growths), etc.
One of the reasons for applying pricks to knee joints is the presence of strong, sometimes intolerable pains, edema, hyperthermia( heat), inflammation. For their relief, such drugs are used:
- glucocorticosteroids - synthetic analogues of adrenal hormones;
- anti-inflammatory non-steroidal( non-hormonal) drugs;
- antimicrobials or antibiotics;
Diprospan - a corticosteroid with a prolonged action of
The action of drugs with the use of injections is aimed at relieving pain, restoring joint mobility, and reducing the period of incapacity for work of the patient.
Glucocorticosteroids( SCS)We also advise: Injections for the knee joint
( GCS) are most effective for inflammatory diseases, less for degenerative-dystrophic diseases. Local injections in the joint cavity create a high concentration of the drug. The therapeutic effect is not immediately apparent, but it takes quite a long time. Time depends on the type of medication, varies from 6 days to 21 days. The shortest period of action in hydrocortisone, long-lasting - at leaperspan. After injections, temporary exacerbations of the disease are sometimes observed. It is not necessary to be frightened, working capacity is restored quickly.
Of the other corticosteroids, the recent emphasis is on diprospan, Kenalog. Diprospan is used for intraarticular and periarticular administration( in the surrounding soft tissue).The advantage of the drug is a rapid anti-inflammatory, anti-allergic, analgesic and prolonged prolonged period.
This is an extensive group of drugs that have a complex effect - anti-inflammatory, analgesic, antipyretic. Their action is based on the blocking of substances that affect the appearance of an inflammatory reaction. Indications for use are diseases of the musculoskeletal system( joints, ligaments, tendons, muscles, synovial membrane), as well as other types of diseases.
An injection in the joint of the knee quickly removes pain
If acute or chronic knee pains are disturbed, injections of non-steroid drugs into the joint will quickly eliminate pain, prevent them from appearing in the future for a long time. To the group of non-steroid preparations are:
- ketorolag, analog - Ketanov;
- ibuprofen, analog - nurofen;
- diclofenac, analog - voltaren;
- oxicam, analogues - piroxicam, xephox;
- naproxen, analog - pentalgin;
- indomethacin, etc.
Analogues are medicines having a common active substance. Medicines with the same active substance, but different manufacturers can significantly differ in price, but not in quality. Reviews of patients using nonsteroidal drugs confirm that the therapeutic effect of nonsteroid and their analogs is approximately the same.
Preparations are indispensable for degenerative-dystrophic diseases of the knee joint, which occur with destruction of the cartilaginous tissue - osteoarthrosis, gonarthrosis. With age, due to the physiological capabilities of the body, the state of the cartilage changes. It is more quickly destroyed, it regenerates worse( it is restored).
Fermatron - the best symptomatic for the knee
The injections of the fermatron are used directly for the treatment of the knee. In composition, it is similar to the synovial( joint) fluid. The active substance - sodium hyaluronate - positively affects the condition of the cartilaginous tissue, activates the formation of its own hyalurate. Simultaneously it is an articular shock absorber, an anesthetic.
Fermatron enters the pharmacy network in a special syringe filled with sodium hyaluronate. This form of release simplifies the introduction of the drug into the joint cavity. What other injections prevent the destruction of cartilage?
- alflutope, rumalon - natural remedies from cartilage of animals and fish;
- glucosamines - regulate the metabolism( metabolism) of bone, cartilaginous tissue;
- hyaluronic acid and preparations based on it restores cartilage, are effective in the early stages of joint diseases;
- chondroitin sulfates are components of cartilaginous tissue, contain glucosamine. Keep water in the joints of the knee, prevent the destruction of connective tissue.
Vitamin preparations are an auxiliary but important means for the treatment of knee joint. Inclusion of them in a compulsory complex of medical procedures is explained by the influence on metabolic processes, the production of enzymes, activation of the body's defenses.
Mildamgam injections are an effective way to treat the knee joint.
Bones and joints need B vitamins, ascorbic acid, vitamin E, rutin. The complex of three vitamins "B" with lidocaine under the name of the injection of milgamma is widely used in the treatment of joints. The drug has a therapeutic and analgesic effect. Injections are made 5-10 days by intramuscular route.
How do the injections
The drug, dosage, way of injections is chosen and prescribed by the doctor, taking into account contraindications. Absolute contraindications are:
- inflammatory diseases of infectious nature;
- hemorrhage of joint tissues;
- deformity with narrowing of the joint space;
- marked osteoporosis, tissue necrosis.
Intra-articular drug administration - first aid for pain
Special preparation before injections is not needed. From the patient it is required a little: it should be pure, in neat clothes. If there is hair on the knee, they need to be shaved.
Injections are made in the treatment room of a medical institution( polyclinic, hospital) by an orthopedic physician, a surgeon, a rheumatologist, a traumatologist who owns this technique. The patient lies on the couch with his back. The injections are made with sterile disposable syringes. Their capacity is determined by the disease, the dose of the drug, it can be 2, 5, 10, 20 ml.
Inserting a needle into the joint is not more painful than in a vein. Painful sensations often appear after the injection. Depending on the type of medication and the volume of fluid, there may be a burning sensation, joint flaring, aching pains.
Do not be afraid of injections. What is more important: constant pain, crunch, joint stiffness or minutes of patience and further active life without pain?
Effective pain relievers for pain in joints: pills, injections, suppositories, external
Anesthetic tablets for pain in joints may be needed at any time. Diseases of the joints are very often accompanied by severe pain. It can overtake suddenly. Often the pain in diseases of the musculoskeletal system can be unbearable. It literally immobilizes a person. Pain in the back can "shoot" at the slightest movement with such force that a person can not even straighten. Assistance in such cases is needed urgently. Regardless of the cause of pain, immediate effective pain relief is required.
What are analgesics?
These are the most popular pain killers in the world. They quickly and effectively remove various types of pain. In addition to anesthesia, these drugs have an anti-inflammatory and antipyretic effect.
Metamizole is still known as analgin. Has a mild anti-inflammatory and spasmolytic effect. But it's better than some other analgesics to relieve pain and fever. Injections of metamizole give faster and stronger anesthesia. The action time reaches 5-6 hours with a minor pain syndrome.
Ketorolac( ketanov, ketoprofen) is one of the most powerful analgesics among analgesics. Even the pills perfectly relieve very severe pain. The duration of action is about 6-8 hours. If the pain is very severe, the tablets will have to be taken more often.
Dexketoprofen( dexalgin) has a weak anti-inflammatory effect. But it does a good job of anesthetizing and relieving fever. Begins to act 30 minutes after taking the pill inside. The action lasts 4-6 hours.
Lornoxicam( ksefokam, larfix) differs from other analgesics with pronounced anti-inflammatory effect. Appointed with a mild pain syndrome pills or injections. Has antirheumatic effect.
Acetylsalicylic acid( aspirin) is one of the weakest analgesics. It is an effective antipyretic. It also has a blood thinning effect. Produced in the form of ordinary and soluble tablets.
Preparations of NSAIDs of antirheumatic action
They differ from analgesics in that, in addition to anesthetizing, they have a therapeutic effect on the joints. The high efficacy of non-steroidal anti-inflammatory drugs has the opposite side. These drugs have a negative effect on the gastrointestinal tract. Prolonged use is strongly discouraged. Serious health problems can arise. With extreme caution, people with digestive system diseases should be treated. To reduce the side effect of non-steroidal anti-inflammatory drugs should be taken only after meals.
Diclofenac( dicloberl, olfen) in tablets removes severe pain of non-rheumatic origin and swelling. Can be used topically( as an ointment) or rectally( with suppositories).In rheumatic diseases, the drug greatly facilitates the patient's condition.
Ibuprofen is prescribed for the initial stages of joint disease. By force of action, he concedes indomethacin, but better tolerated. Removes moderate pain. Has an immunomodulatory effect. Produced in the form of tablets, suppositories, ointments.
Nimesulide has an analgesic and anti-inflammatory effect, it prevents the destruction of cartilaginous tissue. It has antioxidant properties.
Meloxicam( rheumoxicam, movalis) is used for the treatment of joint diseases. The drug removes severe pain and inflammation. Intravenous application of the solution is prohibited. Treatment begins with intramuscular injections. The effect of intramuscular injection is faster and stronger. After 1-2 days, injections are replaced with tablets.
Drugs with narcotic effects are considered to be the most powerful painkillers. They are prescribed, when pain can not be removed by anything else. A serious drawback of narcotic analgesics is the addiction to them of the patient. The course of treatment with such drugs is usually small. With long-term treatment, several short-term courses are taken in combination with other types of pain medication. Narcotic analgesics have a psychotropic effect. This means that a person can become drowsy or, conversely, too vigorous and fall into a euphoric state. Narcotic analgesics are produced in the form for injections. But there are drugs in the form of tablets. For example, tramadol or promedol.
Tramadol( tramal) relieves severe pain after 15-20 minutes. The strength of the effect is second only to morphine. The validity period is up to 6 hours. You can take it as an intravenous or intramuscular injection, orally, in the form of tablets, candles.
Trimeperidine( Promedol) is a pain reliever. After 10-15 minutes, its effect is felt. There is in the form of both injections and tablets. Its advantage is good tolerability of the body.
These preparations are not available on the market. They are implemented only by prescription.
Preparations with opioid-like effect are similar in degree to the impact on narcotic analgesics, but they are not addictive. They also do not have psychotropic effects. The analgesic effect is powerful.
Nalbuphine exerts a very strong analgesic effect, with fewer side effects than narcotic analgesics. It does not cause addiction, it does not change consciousness. Intramuscular injection is able to give an effect similar to that after taking morphine. With very severe pain, repeated injections are allowed every 3-4 hours. Nalbuphine is calming, not causing drowsiness. It should be noted that this drug is relatively new. His effect on the body is still not fully understood. It is not recommended to treat this drug for more than 3 days.
Medications of other groups
The causes of the pain may be different. It can be a muscle spasm in the back or inflammation of the tissues around the joint. Often accompanied by pain, the destruction of the cartilaginous tissue of the joint. The use of drugs that act directly on the cause of pain, helps to remove it. For example, the use of antispasmodics eliminates spasm, and the pain caused by it disappears.
Tizalud and midocalsm are drugs that effectively relieve muscle spasm, for example, associated with functional and static spine disease( lumbar and cervical syndromes).
Glucocorticoid hormones( methylprednisolone, medrol) effectively relieve inflammation. Hormones stop acute inflammatory processes with various types of arthritis, including rheumatoid and gout-induced disease. Are taken topically( in the form of ointments) or inside( in tablets).Intra-articular, intramuscular or intravenous injections may be given.
Combined drugs combine the action of non-steroidal anti-inflammatory drugs with antispasmodics( spasmalgon or renalgan).
How to choose the right treatment?
The first rule for the use of pain medication is a selection from weak to potent. In other words, trying to quickly get rid of the pain, you can not immediately use strong drugs. First, it is worth trying to remove the pain by less powerful and safer means.
With very severe pain, an articular block is performed. In the affected area, injections of hormonal anti-inflammatory drugs are made. The purpose of the blockade is to bring the medicine to the hearth of inflammation.
The blockade helps to quickly remove pain, inflammation and return the joint mobility. The effect lasts for weeks. Acute pain caused by inflammation or as a result of trauma is easier, faster and more effective to remove non-steroidal anti-inflammatory drugs.
It is hardest to treat chronic joint diseases. Here we must take into account the destructive processes that always accompany chronic diseases. It is necessary to take into account all available symptoms, since the intensity of pain can be caused by their total action. In addition to anesthesia, blockade, glucocorticoids and muscle relaxants can be shown. Often appoint paraffin wrap.
It is important to remember that you can not take painkillers uncontrolled. Only the doctor should determine the dose and duration of treatment. Such actions are not only fraught with side effects, but also a decrease in the susceptibility of the organism to them.
- OTC analgesics-antipyretics for oral administration: mechanism of action and safety profile. Yu. B.Belousov, K.G.Gurevich, S.V.Chausov. Medical scientific and practical journal "The treating doctor", №1, 2015.
- Back pain: where to start therapy? Reference book of the polyclinic doctor, №09, 2011. Yu. A.Merkulov, A.A.Onsin, D.M.Merkulov. Neurological Center. B.M.Hecht of the Health Department of JSCo «Russian Railways»;2NII general pathology and pathophysiology RAMS, Moscow.
Joint shots return to normal
- joint shots
Recently, the number of joint diseases has increased significantly. Today, not only the elderly complain of pain in the knees, but such symptoms can be found in young, socially-active people. To restore the joints to their former health, and you - the ability to actively move without pain, medicine has in its arsenal of many ways to cure. One such technique is a non-surgical method of treatment - intraarticular injections or arthrocentesis.
- Methods of treatment and prevention of arthrosis
What are joint pricks?
Arthrocentesis is a method of administering a drug directly into the joint cavity. With this method of treatment, the medicine will act directly at the site of the pathological process.
For the treatment of arthrosis or arthritis, several groups of drugs are used( depending on the presence of symptoms of the active inflammatory process and the purpose of the drug administration).
- chondroprotective agents
- hyaluronic acid preparations
Most commonly, corticosteroid hormones are administered to the damaged joint( Kenalog, Hydrocortisone, Diprospan, Flosteron, Celeston, Depomedrol, Metipred).The main purpose of the introduction of such drugs is to quickly eliminate the symptoms of inflammation in the joint. This injection will greatly facilitate the patient's condition, relieve him of pain, swelling, redness of the knee.
The course of treatment consists of 4-5 injections at intervals of 2 weeks. It is undesirable to inject more often. It should be noted that relief comes immediately after the first injection. If this did not happen, then you need to think about the advisability of using such treatment.
Thanks to its action, corticosteroids have gained special popularity among patients. But you need to know that these drugs, although they effectively eliminate the symptoms of arthrosis, but do not interfere with the progress of the disease. Consequently, they can not cure osteoarthritis. Their use is justified in cases of exacerbation of the disease and the presence of symptoms of active inflammation.
A very effective method of stopping the progression of arthrosis is the introduction of chondroprotectors into the joint( Alflutop, Noltrex, Adgelon, Hondrolon).Such treatment should be conducted by a course of 10-15 injections in one joint, the course should be repeated 2-3 times a year.
These drugs, in contrast to corticosteroids, do not relieve the symptoms of inflammation, but affect the very cause of the disease. They improve the condition of intraarticular cartilage, promote its regeneration.
In the past few years, new drugs for the introduction to the joint have appeared on the pharmaceutical market - drugs based on hyaluronic acid( Ostenil, Noltreks, Fermatron, Sinocrom).Such drugs are called intra-articular fluid substitutes or liquid prosthesis.
They increase the viscosity of synovia, restore its protective and damping properties, protect the cartilage from microtraumas, slow the degenerative processes of the articular surfaces of bones.
Joint pricks: pros and cons
Pros of intraarticular injection:
- The drug acts directly at the site of the pathology. This ensures the maximum concentration of the
- of the drug and prevents its inactivation by another route of administration.
- Minimal systemic side effects of drugs.
- Fast effect of injections.
Arthritis, that is, inflammation of the joint, can develop for various reasons, in other words, arthritis is a polyethiologic disease. Therefore, a patient suffering from arthritis should be examined to find out the cause of the inflammation.
In some cases, arthritis is a companion of a common disease, most often rheumatism, lupus erythematosus and other autoimmune diseases, as well as hepatitis and various infectious diseases. In other cases, its development is provoked by arthrosis, osteochondrosis, trauma, obesity and a number of other factors. Depending on the cause of arthritis, the necessary general treatment is prescribed, aimed at its elimination. It can be not only various injections and ointments, but also physiotherapy, diet, treatment in sanatorium-resort conditions. However, you can not do without injections.
Treatment of the disease in the acute phase of
First, simultaneously, pain and inflammation are stopped. A good anti-inflammatory effect in most cases is achieved with the help of non-steroid agents such as diclofenac, nise, aspirin, nurofen. If the inflammation is caused by an infection, prescribe antibiotics: ceftriaxone, amikacin, oxacillin, lincomycin and other drugs with a wide spectrum of action. Also, as necessary, they use anesthetics, antipyretic, restorative drugs, and carry out detoxification.
For autoimmune arthritis and rheumatoid arthritis immunocorrectors are necessary.
Chondroprotectors are used to restore the cartilage surfaces of the joints.
Today, there is a wide range of options for non-surgical treatment of arthritis. In the initial stages, treatment with intramuscular injection of the injections begins, but with a deep joint injury, intraarticular administration of the drugs can not be avoided.
The most common preparations for intraarticular injections, which are especially often used for inflammation of the hip and knee joints, as well as the shoulder and legs, corticosteroid hormones. They are so often used due to the fact that they are able to immediately and effectively remove pain and reduce inflammation, which is very convenient for the rapid restoration of the function of the shoulder or legs. If the inflammation is persistent and pronounced, then injections of hormonal anti-inflammatory drugs: diprospan, kenalog, hydrocortisone, which for greater effect are usually injected directly into the cavity of the inflamed joint. However, corticosteroids do not prevent and can not cure arthrosis, that is, they do not eliminate the cause of inflammation.
Also becoming increasingly popular is the technique, in which the joint cavity is injected with hyaluronic acid preparations.
If the disease is resistant to conservative treatment or its effect is insufficient, surgical intervention may be required: arthroscopy and joint repair, and if the joint has already lost its function, joint replacement can help. Such treatment is an extreme measure when all other methods have already been tried, but have not yielded the necessary result. More often joint replacement is necessary for rheumatoid arthritis and after serious injuries.
Local treatment of arthritis
Elimination of this pathology should solve the following problems:
- reduction of pain;
- improve trophic cartilage in the joints of the legs, shoulders or knees;
- normalize blood circulation near the joint;
- to remove edema of soft tissues and minimize pressure on the affected joint;
- strengthen the muscular skeleton of the joint;
- to increase the limited mobility of the joint.
Initially, the inflammation of the joint should be ensured, especially for joints such as the knee, brachial and ulnar joints, inflammation of which may sometimes require additional immobilization. For example, the inflamed knee should be immobilized with an orthesis, in view of the fact that there are menisci inside this joint, which are easily injured during inflammation. To immobilize the shoulder in order to provide him with peace, a simple kerchief is usually enough. Only it should be remembered that if arthritis is caused by a trauma, which is especially often in cases when the inflammation develops after a shoulder dislocation or the knee joint is injured, the absence of immobilization can lead to relapse and aggravation of trauma.
Only after the acute pain has been eliminated can I begin therapeutic gymnastics and massage( !)
In the vast majority of cases, non-steroidal anti-inflammatory drugs are used to remove pain and reduce inflammation. However, they have various side effects that make their long-term use undesirable. In addition, they affect the synthesis of proteoglycans responsible for the supply of cartilage with water, which is why they can provoke dehydration of the cartilaginous tissue and accelerate the development of degenerative processes such as osteochondrosis and arthrosis. And with polyarthritis, especially rheumatoid, addiction is developing rather quickly. Therefore, with rheumatoid joint damage, selective anti-inflammatory drugs are more often used, one of which is movalis. Such remedies for rheumatoid polyarthritis and inflammation of the joints of the legs, shoulders or others, in cases where the patient has osteochondrosis, are the main drugs used to achieve the removal of inflammation in the joints.
The use of chondroprotectors in the treatment of
Chondroprotectors - preparations containing glucosamine or chondroitin sulfate - are used to restore cartilage, which is especially necessary in the case of joint inflammation against the background of osteochondrosis, as well as inflammation of such movable joints as shoulder, knee and ulnar joints. They improve trophic cartilage and restore its structure. However, they are effective only with prolonged use and treat arthrosis and osteochondrosis only at early stages.
As an emergency aid with severe pain, accumulation of large volumes of fluid in the joint, as well as in the case of hemarthrosis, joint punctures and then intra-articular injections of various drugs are used. Most often, drugs are injected into the knee, as the knee joint is more susceptible to minor injuries and it often causes inflammation, less often in the humerus, hip and elbow joints. Sometimes, with inflammation of the shoulder, periarticular blockages are required, since trauma and inflammation of this area can provoke the development of neurovascular syndrome due to damage to the humerus vascular bundle. In this way, you can enter corticosteroid hormones that quickly stop inflammation, chondroprotectors, local anesthetics, antibiotics.
After relief of acute inflammation, joints, especially the shoulder, knee and elbow joints, often produce injections of hyaluronic acid preparations, which form a unique protective film on the cartilaginous surfaces, which is especially important in cases when the development of arthritis accompanies deforming arthrosis and osteochondrosis. Among other things, they increase the mobility and elasticity of menisci and cartilage, which are in the knee.
Fortunately, if the patient does not take care of his health carelessly, arthritis is usually cured. However, in the absence of proper treatment, this pathology easily passes into a chronic form.