What drugs are used for joints and cartilage
Cartilage is a cushioning between the bones
Cartilage is called one of the types of connective tissue. It consists of chondrocytes and intercellular substance. Cartilages are divided into three types:
- is elastic;
The main difference between cartilage tissue and other species is the absence of blood vessels and nerve endings inside.
The role of joints and cartilage, the consequences of their destruction
Hyaline cartilage plays a crucial role in the elastic basis of the skeleton. Metabolic disorders, injuries, increased stress, weight lifting, excess weight weaken it. At the same time, it is erased and thinning. This can be the reason for the development of joint diseases. As a rule, if the cartilage is worn out, the knee joints, as well as the joints of the neck and lower back, are more likely to suffer from this.
Slowly flowing joint diseases, such as osteochondrosis, inflammation and thinning of the knee, are usually associated with dystrophic disorders in the articular, cartilaginous tissue. In order to avoid destruction, in which the thinning of the cartilage takes place, and for its structural restoration, chondroprotectors are used, with the help of which the treatment is carried out in a shorter period. These drugs have a targeted effect on the production of new cells in the joint and cartilage tissues. They are also used to form a sufficient amount of synovial fluid.
If, for some reason, the cartilaginous tissue begins to deteriorate, rub away, this immediately provokes the destruction of the cartilage. This opens a rough surface of the bone. Located opposite the hyaline cartilage, constantly in contact with the bone tissue, also begins to break down. As a result, the synovial fluid partially stops producing, the joint lacks lubrication and sufficient nutrition. In the final result, the cartilage slowly dies, and changes occur in the joint, resulting in the loss of its original functions. An example of this is osteochondrosis.
Chondroprotectors do not allow this process to develop. These drugs slow the development of diseases and increase pain in the knee joint, improve blood circulation in the area of the affected joint. Treatment usually lasts 5-6 months, but tangible improvements usually occur as early as 2-3 weeks. This is the norm that is observed in most cases.
Chondroprotectors contain substances produced in the body and necessary for the production of synovial fluid, which serves to maintain hyaline cartilage in normal form. The main components of chondroprotectors are chondroitin sulfate and glucosamine.
How to take chondroprotectors
It is necessary to bear in mind that only hyaline cartilage that is not completely destroyed can be restored. Therefore, treatment should be started as early as possible, with the appearance of the first symptoms, for example, unpleasant painful sensations during movement. In case of death of cells of joints and cartilage, drug treatment becomes impotent.
Also important is the rather long reception of medications: specialists recommend not to stop treatment after 2-3 courses. Restoration of connective tissue of the joints is a rather long process. Chondroprotectors become an indispensable source of support for joints, with untimely stopping the use of drugs, destructive processes will resume.
On average, treatment lasts for quite some time, from one year to 1.5 years. This allows you to achieve reliable, positive results and consolidate the result. The exact dosage in each case is different, and it should be assigned by a specialist.Treatment with medications in this area is usually easily tolerated by patients. They practically do not have any side effects, but the intake norm must be observed. But it must be taken into account that they are cautiously prescribed to people suffering from diabetes mellitus, in connection with the glucose content of the drugs. They are also not recommended for pregnant and small children.
Selection of medicines
For the relief of the patient's condition and elimination of pain in the back, often used for external use - gels, ointments, creams, balms. Also use the tablet formulations for oral administration. At the moment there is a huge amount of means to combat such ailment as osteochondrosis, which complicates the choice of the medicine. Given the relatively high price of drugs and the long period of treatment for osteochondrosis and other diseases of joints and cartilage, it is recommended to consult a specialist and he will help make the right decision on the choice of medication.
In the treatment of diseases such as osteoarthritis, osteochondrosis, arthrosis and others, several types of drugs are used:
- restorative cartilage joints;
- muscle relaxants;
In order to get rid of the pain syndrome, especially if the neck is aching, the patient is prescribed anti-phlogistic and anesthetic drugs that help to eliminate pain, swelling and inflammation. As a rule, in the treatment of the knee joint, they are prescribed in the form of ointments, gels for grinding and for internal use in the form of tablets and injections. These drugs are divided into several groups.
Non-steroidal anti-inflammatory drugs
Diclofenac is the main constituent of many common medications used to treat diseases of the knee and intervertebral discs. Medicines of this group have anti-inflammatory effect, intensify the action of analgesics. The drug has contraindications, it is not recommended for pregnant and nursing mothers, children and people suffering from peptic ulcer. The daily norm of the drug is indicated on the package.The group of similar means includes a diklak, voltaren and others. These drugs are prescribed not only for the treatment of the knee joint. They are effective when treating any diseases of the musculoskeletal system. Osteochondrosis is no exception.
Ibuprofen. Preparations, which include ibuprofen, have similar properties. They are similar to drugs based on diclofenac, with the difference that ibuprofen is prescribed for pregnant and small children who have osteochondrosis diagnosed. This is due to the fact that this substance is more easily tolerated by the body. The group includes nurofen, reumafen and others.
Indomethacin. Medicines with this active substance have special anti-phlogistic and anesthetic properties. They treat osteochondrosis, inflammation of the knee joint. In large doses can have side effects in the form of digestive disorders, irritation of the intestinal mucosa, therefore the intake norm must be observed, which can not be exceeded. Contraindications are similar to diclofenac preparations. The group includes indomethacin, inteban and others.
Ketoprofen. Medications that include ketoprofen relieve inflammation and pain much sooner than medications containing ibuprofen, but they have rather unpleasant side effects and a lot of contraindications. The group includes ketonal, fastum gel and others. They are used for pain in the knee joint, they treat osteochondrosis and many other diseases.
Nimesulide. This is a group of anti-inflammatory drugs of a new generation. Has no strong side effects. It is prescribed for patients with diseases of the musculoskeletal system as a means of external application. Good for pain in the knee joint. With prolonged use, irritation and itching may occur at the site of application. When osteochondrosis, such drugs are recommended by all pharmacists. The group includes Najz, Nimulid and others.
Vessel dilating drugs and muscle relaxants
Xanthinal nicotine is an effective vasodilator for stress pain
Because of the overstrain of the muscles, the vessels contract, preventing the normal blood flow, and the knee joint most often suffers from this. This leads to functional disorders in the work of organs and oxygen deficiency. In order to eliminate these effects, prescribe such drugs. To improve blood circulation in the joint, xanthinal nicotinate is most often recommended. To improve nutrition and accelerate the recovery processes, prescribe means containing lipoic acid.
Therapy of pain syndrome, which can provoke osteochondrosis, is often supplemented by the intake of muscle relaxants. They relax, soothe muscles, promote blood circulation and reduce pain in the knee joint. Under the action of these funds, joint mobility is restored. In this case, diseased tissues regenerate faster.
Such drugs as cycloblobenzaprine, midokalm and others, treat the following diseases: osteochondrosis, osteoarthritis of the knee joints. They are very effective in spasms, but have side effects. In this regard, their reception should be under the supervision of the attending physician. Midokalm has no sedative effect unlike analogues and is perfectly combined with the simultaneous use of non-steroidal anti-inflammatory drugs.
Medications restoring cartilaginous tissue, and sedatives
One of the main directions in the treatment of joints is the process of rehabilitation of cartilage tissue. For this purpose, the above-described chondroprotectors and vitamins are prescribed. Vitamin preparations promote the normalization of metabolism. In particular, the improvement of calcium metabolism contributes to the early restoration of hyaline cartilage, ligaments and tendons. Such means include calcium, centers and others, which include vitamins of such groups as B, D, E, A, C, as well as calcium and phosphorus.In case of problems with the musculoskeletal system, not only those drugs that directly affect the disease itself, but also sedatives are used. This is necessary due to the fact that prolonged pain syndrome causes a feeling of depression. And this can significantly interfere with the treatment of the underlying disease.
In such situations it is advised to take tinctures of such medicinal plants as motherwort and valerian. With more severe disorders, prescribe antidepressants: gidazepam, donormil and others. Sometimes, when using antidepressants, the rate of intake of anesthetics and drugs with anti-inflammatory effect is reduced.
The quality and effectiveness of treatment depends on the right methods, the exact diagnosis and qualification of the treating staff. Therefore, it is not recommended to practice self-medication, as it can provoke complications and exacerbations of illnesses, aggravate the situation. Often the consequences are irreversible.
The choice of medication and dosage should be entrusted to an experienced physician. Based on the results of research and analysis, he will make the right decision. The process of recovery will require much less time and money.
Ways to restore cartilage tissue of knee joint
What is the knee joint of
? The cartilage joint disorder can begin as early as 30 years. In carrying out studies on the cartilaginous surface, splittings and fractures are found. Splitting can occur both horizontally and vertically. The body begins to react to destructive processes, because of which the patient begins to observe the accumulation of cells of the cartilaginous tissue. Age disorders of cartilage tissue of the knee joint can be seen already at the age of 40 years.
In the world a huge number of people suffer from various defects of articular cartilage tissue. According to the research, thousands of patients appear every year, who diagnose damage to the cartilaginous tissue of the knee joint. Such damage can occur due to age-related wear, and sometimes due to sports injuries. When a patient refuses to undergo treatment, this leads to a marked decrease in the quality of life. In some cases, the patient begins to experience constant severe pain with the slightest movements of the legs. As a result, the patient can diagnose arthrosis - a chronic painful disease of the joints with their permanent deformation. Joints are the mobile connections of the bones of the skeleton, involved in the movement of bone levers, the movement of the body and keeping it in the desired position. Diseases of the joints people have been sick since ancient times.
The main causes of destruction of cartilage tissue of the knee joint
The main cause of the appearance of joint diseases is the wrong metabolism, which occurs as a result of an unbalanced diet and an incorrect lifestyle. The reason may be the abuse of smoking, alcohol, fatty and fried foods, the lack of vitamins and minerals in the diet, weak physical activity, poor working conditions.
Often articular cartilage arises due to infectious joint damage. Chronic hypothermia of the joints also provokes the onset and development of the disease. Inflammatory process in the knee joint can begin because of a violation of the permeability of the vascular wall.
What is the cartilaginous tissue of
Even a minor knee injury can lead to the development and aggravation of the disease. Diseases of the joints affect both men and women.
But men can often find spine diseases, and in women - diseases of peripheral joints.
Articular cartilage in the knee joint plays a very important role for human movement. It is a strong, resilient, smooth gasket, the main functions of which are:
- load distribution when walking;
- providing easy sliding of bones relative to each other.
Development of articular cartilage disease of the knee
When the negative factors appear, the cartilage becomes rough, is substantially thinned, and in some cases even dries and becomes covered with cracks. Soft sliding becomes impossible, instead of it there is a strong friction, the surfaces of the joints begin to cling to each other. In the absence of treatment, the degeneration process continues. With reduced depreciation, the bones begin to flatten, thereby increasing the articulation area. The patient can observe the appearance of osteophytes - bone growths that look like growths.
Due to lack of pumping and mobility, the structure of the knee joint begins to become atrophied, the joint fluid becomes thick, viscous. This leads to a weakening of the supply of useful nutrients to the cartilaginous tissue, which greatly worsens the patient's condition.
Because of the thinning of the cartilage, the distance between the articulating bones is significantly reduced. When walking, severe friction of the joints begins. Destructive processes continue to progress more and more. The patient begins to feel morning stiffness, a painful condition. This happens when carrying out loads, and in complete peace. Particularly pronounced painful symptoms become when walking on the stairs. To protect a painful leg, a person begins to limp. In neglected cases, the patient can no longer move without a cane or crutches.
With the advanced degree of arthrosis, the cartilaginous tissue almost completely collapses. Restore the cartilaginous tissue will not help any ointments and drugs, in this case only surgical intervention can help.
How to restore cartilaginous tissue of the knee joint?
Surprisingly, the cartilaginous tissue of the knee joint is arranged in such a way that it can be very easily damaged even by a load of 1 kg applied in the wrong place. This will never happen if the joint is encased in a strong corset of ligaments that holds the bone in position.
Restoration of cartilage of the knee joint is possible only if sufficient nutrients are supplied to the cartilage tissue. For a day, knees bend and unbend a huge number of times. If there is a lack of lubrication - a synovial fluid, then the touching joints will increasingly destroy each other.There is almost no blood in the knee joint( there are no capillaries in the articular cartilage).In the absence of proper nutrition, growth and restoration of cartilaginous tissue become impossible. To support its existence, cartilage tissue is forced to take the necessary microelements and vitamins from the synovial fluid.
To regenerate the cartilaginous tissue faster, it is necessary to maintain a high level of chondrocytes - the main cells of the cartilaginous tissue. This is provided by adequate nutrition, which is possible through synovial fluid. However, if the knee joint remains stationary, nutrients can not penetrate the tissue. Restoration of cartilage joints is almost completely dependent on motor activity.
The first thing to do is to revise your diet. Only natural products should be taken. However, this does not mean that only foods of plant origin should be taken into food. First of all, you should exclude the use of carbonated water, fast food, overcooked fatty foods. They not only reduce the level of acidity in the gastrointestinal tract, but also hamper the production of growth hormones. Eating should be done 5-6 times a day. Portions should be small or medium.
The amount of growth hormones in the blood directly depends on the intensity of training. The more intensive the exercises, the faster will be the restoration of the cartilaginous tissue of the joints. However, do not overdo it. After training, there should be no feeling of exhaustion, there should be a vigorous state of the body. If the joint is damaged, the intensity of the exercise should be discussed with the doctor. He will tell you exactly what exercises should be done. Any training should include warming up the damaged joint and spine.
In arthrosis, the cartilaginous connective tissue of the joint is thinned, thereby injuring the bones of
. In the treatment of arthrosis of the knee, the correct set of measures for curing the disease should be selected. First you need to establish the correct diagnosis. The sooner the treatment is started, the greater the chance of a quick recovery. Anesthetics should be taken only as directed by a physician. When the cartilaginous tissue of the knee is damaged, hondoprotectors are taken, thanks to which the damaged cartilage tissues are rapidly restored. In addition, warming ointments, anti-inflammatory creams and vasodilators are used. The attending physician may prescribe the imposition of various compresses on the painful joint, as well as injections and physiotherapy procedures.
Do not forget that medications do not treat arthrosis of the knee joint, but only help to get rid of the unpleasant symptoms of the disease. Many of them have side effects, and their long use is undesirable.
Take pain medication tablets only with very severe pain, since they affect the joint negatively.
Treatment of knee joints with folk remedies
One of the most common folk recipes for treating inflamed joints is the application of shredded radish and horseradish to a sore spot. When applying it should be well rubbed into the skin. An effective recipe is oil with salt. For its preparation you need to take 10 ml of fir oil and slightly warm it up. In warmed-up oil, moisten the cloth and pour a layer of salt on top. Apply salt cloth to a sore spot, cover with a pack and wrap it in an elastic bandage for the night. The course of treatment is 1 week( compresses should be done every day).
In addition, it is necessary to take diuretic herbs that will relieve swelling and inflammation. Well suited medicinal herbs, such as kidney tea, nettle, corn stigmas, horsetail field, dandelion root.1 tbsp.l.any herbs are brewed on a glass of boiling water. Take infusion should be 3 times a day.
100 g of hazel leaves should be poured with 3 cups of alcohol and insist 3 weeks in a dark place at room temperature. This tincture is used for grinding and preparing compresses for the night. You can pass through a meat grinder 200 grams of elecampane and burdock, pour it all 1 liter of medical alcohol and insist 3 weeks in a dark place. The tincture can be used 3 times a week. For prevention it is useful to drink a drink with chicory or tea with cowberry leaves. To sore joints, burlap can be applied, which is impregnated with propolis.
For acute pain in the knee joint, chestnut tincture works well. For its preparation 600 g of crushed chestnuts pour 1 liter of vodka and insist for 2 weeks, with daily shaking. This infusion rubs the aching joints in the evening before going to bed.
What tablets will help with joint disease?
Joint diseases are one of the most common groups of human diseases. They can affect both young people and elderly patients. Nosological forms that occur with joint damage are more than 100. This group includes degenerative-dystrophic, allergic, infectious, autoimmune, traumatic injuries of the joint components.
But which etiology b was articular disease, it rarely occurs without signs of inflammation - pain, swelling, mobility restriction. Therefore, for the treatment of joints, a variety of medications of different groups and forms of release are used. More often in everyday life we have to deal with tablets for joints. It is this type of pharmacological drugs doctors appoint most often. Therefore, a modern person who cares about his health should know how these or other tablets work, when they are prescribed, possible side effects and contraindications to certain groups of medicines.
Non-steroidal anti-inflammatory drugs
This is the most popular and widely used group of drugs around the world. They have an excellent anti-inflammatory, antipyretic, analgesic and anti-edematous effect. This is the first and mandatory class of drugs that are prescribed for inflammation of the joints, regardless of the etiology and form of the disease.
Admission of 1 tablet of a modern NSAID effectively and quickly eliminates the main symptoms of inflammation of the joints, but it must be remembered that these remedies are symptomatic - they eliminate only signs of the disease( pain, swelling, redness), but do not affect its cause and progression. Therefore, they are used mainly in acute arthritis and with exacerbation of chronic arthritis, when it is necessary to quickly achieve positive results.
But for long-term use, such drugs are not suitable, as they have many contraindications and side effects, the risk of which only increases with each day of admission.
The most famous tablets from the group of NSAIDs( active ingredient):
- acetylsalicylic acid;
- is ethyricoxib;
- is rofecoxib.
Effective anti-inflammatory agent from the NSAID
group As already mentioned, these remedies are indicated for all joint diseases for symptomatic therapy, in particular to eliminate pain and eliminate the active phase of the inflammatory process.
Side effects of
Despite the fact that anti-inflammatory tablets from this group are highly safe and are OTC drugs, their widespread use and uncontrolled reception led to a wide spread of side effects, especially with prolonged use:
- gastrointestinal bleeding;
- nausea, vomiting, indigestion;
- epigastric pain;
- formation of stomach ulcers( peptic ulcer disease);
- progression of renal failure;
- provocation of myocardial infarction;
- asthmatic attack;
- aplastic anemia;
- liver damage.
Important! Preparations from the NSAID group should be taken with extreme caution and only according to the doctor's testimony to patients with coronary heart disease, gastritis and peptic ulcer disease, people with liver and kidney disease, blood system, bronchial asthma and COPD, and pregnant and lactating mothers.
Principles of taking anti-inflammatory tablets:
- Use only a minimally effective dose of the drug.
- At the same time, no more than one of this group can be used.
- Do not drink tablets on an empty stomach.
- Combine with the simultaneous administration of drugs that protect the gastric mucosa from the negative effects of NSAIDs( pantoprazole, omeprazole, rabeprazole, misoprostol).
- Take the pill only on the advice of a doctor, do not increase the dosage on your own.
- In case of long-term administration it is necessary to monitor the development of side effects from the digestive tract, kidneys, liver and hematopoiesis.
NSAIDs should be prescribed only by a doctor, self-medication is dangerous
Glucocorticoid hormones are a unique class of medicinal substances that have a large number of therapeutic effects. As for the joints, they use a powerful anti-inflammatory effect( they quickly eliminate pain, swelling, improve the function of the joint).Despite its effectiveness, SCS is used only in the treatment of chronic autoimmune articular pathologies, since these drugs have simultaneously many serious side effects. Their incorrect and irrational use can even lead to death.
Self-medication with glucocorticoids is strictly prohibited.
However, there are serious illnesses in which patients are forced to take these drugs on a daily basis. They exist in injections and tablets, as well as in forms for topical application( ointments, gels, creams).
Representatives of the SCS group:
For the purpose of basic anti-inflammatory therapy for chronic joint diseases, for example, in rheumatoid arthritis, methylprednisolone( Metipred, Medrol) is used most often.
Adverse effects of
- adrenal insufficiency;
- decreased immunity;
- Itenko-Cushing syndrome;
- hyperglycemia and provocation of diabetes mellitus;
- increase in blood pressure;
- stomach ulcer;
- increase in cholesterol in the blood;
- increased degenerative changes in articular cartilage.
Strias( component of the Itenko-Cushing syndrome) with long-term use of SCS
This is only a small part of the side effects of SCS, because such drugs are always prescribed in strict dosage and are taken according to certain rules, for example, in the morning, and require strict monitoring bymany organs and systems.
Chondroprotectors are used to repair joints, namely to restore the integrity of intraarticular cartilage. Apply these pills mainly with arthrosis changes of any joints. It should be noted that the effect of the use of chondroprotectors does not come immediately( they do not eliminate pain and have no anti-inflammatory effect), but these drugs act on the cause of joint pains - they renew and strengthen the cartilaginous tissue of the joint that is destroyed by arthrosis.We also advise: Treatment of brachial arthrosis with folk remedies
The active substance of chondroprotectors is chondroitin and glucosamine, the main structural components of cartilaginous tissue. Depending on what substance is contained in the tablets, the following are isolated:
- mono preparations that contain either chondroitin or glucosamine( Chondroxide, Mucosate, Structum, Don);
- combined( glucosamine + chondroitin) - Honda, Teraflex, Arthron complex, Chondroitin Complex;
- complex( chondroitin and / or glucosamine + NPZP) - Triac, Artron, Advance, Moveks, Artrodar.
To protect the chondroprotectors with articular pain, they should be taken for a long time, in courses of 4-6 months. In this case, it is better to start treatment with injections, gradually switching to taking tablets.
How to choose the best chondroprotektornye tablets
Given that in the modern pharmaceutical market there is a wide range of chondroprotectors, as well as biologically active additives and Chinese homeopathic remedies, for example, Millennium Neo, the choice of the drug is combined with some difficulties. In addition, these drugs are not cheap, because choosing really effective is very important.
Choice criteria for chondroprotector:
- combined drug or mono-drug( it is better to buy combined medications, after all, both chondroitin and glucosamine are necessary for healthy cartilage);
- must take into account the manufacturer( choose better known pharmaceutical companies, which are a guarantee of high quality medicines);
- when buying, it is worth paying attention to whether the drug is a dietary supplement or a drug( for medicinal products, clinical studies have been conducted to study efficacy and safety, which is not the case with the purchase of a biologically active additive);
- also consider the stage of arthrosis( the chondroprotector will have a positive effect in the initial stages of the disease, and if the cartilage is completely destroyed, then these drugs will not be effective, since there is nothing to restore).
Judging by the opinions of patients and doctors, among the best chondroprotectors is Arthra, Teraflex, Dona, Structum, Alflutop.
The most effective chondroprotectors
Drugs that affect the mineral composition of bones are used with concomitant osteoporosis( reduced bone mineral density).Especially this applies to elderly patients and women in the climacteric period, which constitute a risk group.
The following tableted medicines are popular:
- Alpha D3-Teva;
- Calcium-D3 Nycomed;
- Ostalon Calcium-D;
- Calcium-Sandoz forte;
- Calcium Advance;
Daily calcium intake should not exceed 400-600 mg, because the excess of this mineral also negatively affects health, as well as its lack.
Very often joints and especially the spine are accompanied by a pathological spasm of skeletal muscles, which only increases pain, swelling and other pathological changes. Therefore, the use of tablets that relax these muscles, greatly facilitates the patient's condition. Most often used Mydocalm, Tizalud, Sirdalud.
Thus, for the adequate therapy of joint diseases, it is first necessary to determine the etiology of the disease and the type of inflammation. Only in this case the doctor will be able to prescribe an effective treatment that will not cause side effects.
Restoration of cartilage joints of joints
Common joint diseases and their causes
Modern medicine knows many diseases of the musculoskeletal system with joint damage. The most common are arthrosis( degenerative-dystrophic processes) and arthritis( inflammatory processes).
Arthrosis most often occurs deforming osteoarthritis. This is a chronic, degenerative-dystrophic, progressive disease that affects all the components of the joints, primarily the intraarticular cartilage.
Eventually, pathological changes in the joint lead to its destruction and loss of functions.
Causes of deforming osteoarthritis:
- age changes in cartilage tissues
- Overweight and obesity
- Birth defects of the musculoskeletal system, acquired deformities of bones and joints
- Bad habits
Arthritis is an inflammatory joint disease.
Causes of arthritis:
- autoimmune diseases( rheumatoid arthritis, rheumatism, scleroderma, systemic lupus)
- metabolic disorders( gout)
How to choose a medication for the treatment of joints?
Modern medicine offers many drugs for the restoration of cartilaginous tissue. Consult a doctor who will help you choose the right drugs, and if you follow his recommendations carefully, you can get a good result of the treatment, or even get rid of the problem altogether.
The medicines used for the treatment of joints can be divided into groups:
- Anti-inflammatory and analgesic. They do not slow the course and progress of the disease, but significantly improve the quality of life of people. This group includes hormonal drugs, which in some cases are injected directly into the joint cavity. The main representatives: Diclofenac, Meloksikam, Ibuprofen, Naproksen, Ketorol, Nimesulid, Hydrocortisone.
- Drugs that improve the blood supply to the affected joint components, improve microcirculation.
- Preparations that repair the destroyed cartilage tissue. These drugs significantly slow the progress of the pathological process( chondroprotectors).The most common representatives of the group: Alflutop, Glucosamine, Dona, Chondroitin sulfate, Mukosat, Hoddrolone, Khodrorotok.
- Basic antirheumatic drugs that are used for rheumatoid arthritis. They slow the progress of the disease and reduce symptoms( Methotrexate, Medrol, Delagil).
- Antimicrobials for the treatment of infectious arthritis.
Often, people ask how to choose a medicine for the treatment of joints, meaning exactly the choice of the chondroprotector, since such a drug is taken by long courses at the outpatient stage of treatment.
Criteria for the choice of chondroprotector:
- Whether this drug is a mono-drug or a combination drug
- needs to be clarified, the selected drug is a medicine or biologically active additive
- to take into account all indications, contraindications, side effects of
- , to clarify the mechanism of action of the drug and the time of
effectivenessPrevention of joint diseases
Is it possible to restore cartilaginous joint tissue? First of all, you need to lead a healthy lifestyle, ease the burden on the joints, getting rid of excess weight.
To diversify your diet with seafood containing chondroitin and glucosamine, which actively contributes to the slowing down of the destructive action of enzymes on the cartilaginous tissue and protects it, contributes to its recovery.
- adhere to the principles of rational and balanced nutrition
- treatment of concomitant pathology
- preventive courses of vitamin D, calcium, chondroprotectors
- injury prevention
- regular exercise
Modern medicine has many techniques and very effective medications for the treatment of joint diseases. However, before any chosen treatment, it is necessary to accurately diagnose the disease. Treatment of arthritis and arthrosis is a serious matter, and the methods of therapy are different. In order to avoid possible side effects of self-treatment, you need to seek the advice of a specialist.
Chondroprotectors for joints: the best way to treat intraarticular problems
Literally chondroprotectors are drugs that protect cartilage tissue .They contain substances that improve its nutrition, moisturizing, and also to some extent restore the structure. However, this is possible only at the initial stages of the disease, with regular and long-term use.
Principle of action of chondroprotectors
The effect of the action of "cartilage protectors" is based on the restoration of the function of nutrition and the natural moistening of cartilaginous tissue, which must continuously occur in a healthy joint. Their components affect the metabolic processes in the compound, replacing the missing elements. Some of the chondroprotectors are substitutes for synovial( intra-articular) fluid.
The structure of cartilage tissue and the causes of its destruction
In a healthy version, cartilage has an elastic spongy structure that absorbs the required amount of synovial fluid when the joint moves. When the movement is reversed, it is squeezed out. Thus, careful friction of the joint surfaces is achieved about each other. While all the functions associated with this process work correctly, the cartilage is self-healing.
It is believed that the main is caused by the thickening of the synovial fluid , the cause of drying and cracking of the articular cartilage. This process, in turn, is due to metabolic disturbances due to deterioration of nutrition within the bone tissue and circulation of nearby vessels. Thus, the cartilage is gradually erased, which leads to degenerative destruction of the joint - arthrosis.
Principles of regenerative effect of chondroprotectors
The main component of cartilaginous tissue are proteoglycans, which consist of glucosaminoglycans - chondroitin sulfates, hyaluronic acid, etc. These elements in the connective tissue perform important functions that are disturbed by changing metabolic processes. Chondroprotectors contain one or more of these important compounds that restore the lost activity of cartilage structures.
Optimal doses of active substances are calculated that must be received per day for the onset of the therapeutic effect: glucosamine - from 1000 to 1500 mg, chondroitin sulfate - 1000 mg.
Types of chondroprotectors and form of release
The pharmacy can be purchased as monopreparations containing only glucosamine or only chondroitin sulfate, and their combined variants. The latter are sometimes criticized because their simultaneous presence has a negative effect on each other, which, however, has not been proven. Both these and other versions of chondroprotectors are quite effective provided that they are produced with observance of all technologies.
Drugs in tablets and capsules
Drugs with chondroprotective action for internal use are the most popular group of drugs. They are well tolerated, have no side effects, are easy to apply. However, they also have a disadvantage: the effect is manifested not earlier than in 3 months, and the necessary effect is achieved in six months. Representatives of this group are Structum, Dona, Artra, Teraflex, Piascladin.
Drug for injection
These pharmaceutical products are less convenient to use and require certain skills, but the effect from them comes faster. In addition, the course of treatment is also shorter - 10-20 intramuscular injections. Then it is recommended to take some more pills or capsules for a while. The group of preparations for injections include Alflutop, Noltrex, Elbona, Adgelon, Hondrolon.
Substitutes of intra-articular fluid
Intra-articular introduction of chondroprotectors will be practiced for about 10 years. This is a mini-operation, which implies the accuracy of the injection and is often performed under the hardware supervision. For the injection, hyaluronic acid is used, which has both a protective effect and is a substitute for the synovial fluid. Not all joints are suitable for such manipulation, but only large and accessible ones.
Intraarticular chondroprotection is called "liquid prostheses", as they replace the non-working liquid, literally revitalize the dried cartilage and form a protective film on it. Thanks to this, the amortization properties of the joints improve, mobility improves and pain decreases. This group includes Ostenil, Fermatron, Sinokrom, Synvisc, as well as an inexpensive domestic Hyastat.
The course of treatment with hyaluronic acid preparations usually takes 1-5 injections with intervals between them in 1-2 weeks. Sometimes even 1 injection is enough. The next series, if necessary, can be carried out only after six months.
Alternative forms of
Chondroprotectors for topical application in the form of ointments, creams and even balm are also available. Most of them have a combined action, which also have an anti-inflammatory and analgesic effect. The most famous of them are: Chondroxide Ointment, Arthrosin Cream, Kondronova, Teraflex Cream, "Toad Stone".
The most famous and effective drugs
When choosing drugs, many people often have a vague idea of their actions or analogues. The doctor appoints - the patient acquires. But, unfortunately, sometimes doctors are interested in the protection of this or that remedy. Even worse, if a dietary supplement with a dubious effect is recommended. Based on the reviews, we present the known effective chondroprotectors for joints - a list of the most popular drugs:
- Arthra( USA) - tablets( packs of 30-100 pcs.), A combination of chondroitin sulfate and glucosamine in equal parts of 500 mg. Recommended for 2 tab.in a day;
- Dona( Italy) - solution for intravenous injections( 6 pcs in the package), glucosamine sulphate monopreparation - 400 mg / amp. The course of treatment - 12 injections every other day. Also available in the form of a powder of 1500 mg / 1 packet( 20 pieces per pack, 1 powder per day) and 250 mg capsules per unit.(4-6 capsules per day);
- Structum( France) - capsules( 60 pcs in the package), mono-drug chondroitin sulfate for 250 or 500 mg / caps. The regimen is 1000 mg per day;
- Teraflex( USA) - combined capsules( 30-120 pieces per pack) containing 500 mg of glucosamine and 400 mg of chondroitin sulfate.2 pcs is recommended.a day in combination with Teraflex-cream;
- Chondroitin AKOS( Russia) - capsules( 50 pieces in a package, 20 pieces in a can), a mono drug containing 250 mg.chondroitin sulfate. Reception - 4 pcs.in a day;
- Elbona( Russia) - solution for intravenous injections( 6 ampoules per pack), mono drug, contains 400 mg.glucosamine sulfate. The course of treatment - 12 injections every other day( 2-3 times per year);
- Chondrolon( Russia) - ampoules( 10 pieces per pack), 100 mg of chondroitin sulfate / 1 amp. Course - 20-25 injections.
Reviews on the effectiveness of chondroprotectors
In pharmacology there is no such thing as the best chondroprotectors for joints or the worst. Everyone chooses the drug for themselves individually - according to compatibility, efficiency, usability and price. In runet can be found as a sufficient number of enthusiastic reviews of these funds, and completely opposite opinions. The reasons for this ambiguous reaction are as follows:
- people have inflated demands on the effectiveness of the drug( and they can be understood).Advertising promises a magical result, but few people take into account that this requires additional efforts( complex treatment, exercise, diet);
- this remedy is effective only at the initial stages of the disease. Accordingly, therapy with advanced stages of chondroprotective drugs will not change much;
- minimal treatment with standard chondroprotectors - 6 months or more. Few can withstand such a period.
Effective therapy with pharmaceutical products from the group of chondroprotectors is, in its way, a new life for cartilage joint tissue. The main drawback of such drugs is the high price of .But this problem can also be resolved thanks to the selection, together with the doctor, of high-quality domestic drugs, which are much cheaper. The choice of intra-articular injections will minimize the duration of treatment.
Teraflex or how to restore cartilaginous tissue in the joints.
better eat more jelly, jelly and jelly.
arava ---- more economical.
is the same complex tool.
will help.even on the X-ray.changes take place. ..
only reception long ------- courses.
as the doctor appointed and see the instructions.
Well, I'm my curator, says it's hre. .. n. Money just to the wind. There is a non-steroidal composition, which can be used for 15 rubles.buy. And chondroetin sulfate. But digestive juices act on it. In what form will it suck? ?! !And how alien it will be to build your cartilage. There is an opinion that even intraarticular injections are ineffective. And from the pain, it is possible and cheaper drug to buy
at such a young age can not be problems with joints. I think teraflex you have been appointed from the bald.if the joints do not respond to the weather, you are definitely divorced, and if they react, you should have been given rheumatros.in any case, there is no sense from this potion and you better go in the summer on mud( saki anapa), and after piercing Rumalon or Alflutop.
Bay leaf tincture.
T & P
Only increased blood flow can help restore joints. And the blood flow to increase only due to the work of nearby muscles.
Read http: // www.rus-lib.net /b/ b9b95998-5b86-102c-bbfc-5025ca853da2( no spaces)
I tried - it helped. Really. Only the course must be sustained, do not run!
Low molecular weight regulatory oligopeptides - exclusive DRUGS FROM OLDER.
Accelerates the restoration of the functional activity of cartilage in inflammatory and metabolic-dystrophic lesions of the joints and spine.
Normalizes disturbed metabolic processes in the body, thereby contributing to the prevention of chronic joint disease - osteoarthritis. Targeted regulation of the metabolism not only stops the deformation of the joints, regardless of the stage of the disease, but also contributes to the restoration of the morphological structure of the cartilage. The drug has a pronounced anti-inflammatory effect, activating two powerful anti-inflammatory tissue hormones - prostaglandin E1 and prostaglandin E3, which significantly reduces pain and helps restore functional mobility and flexibility of the joints. Chondroprotektorny oligopeptide effectively reduces inflammation, while it does not cause undesirable side reactions, but, on the contrary, it has a powerful systemic ozdoravalivayuschee and rejuvenating effect on the entire body as a whole.
Recommendations for use.
Topical preparation. Apply in the amount of 15 drops to the problem area of this or that joint and rub it with light massaging movements until completely absorbed 2 times a day. Duration of application - 3-4 months. It is recommended that such courses be conducted 2-3 times a year.
Give joints a norm of quality water, minerals and normal physical activity. Remove bad habits( smoking).For self-healing, see the selection of letters "Secret fragments of a mosaic of health" on lidamagnit.blogspot.com
This medication is a complete sediment( (injections of chondrolon 30 ampoules, or alflutop 20 capsules per course, give relief, especially after the second course.) 6-month break.