How to cure osteoarthritis of the foot: advice of a doctor
Arthrosis of the foot is a joint disease in which joints of the ankle joint and joints of the metatarsal bones are affected, but first of all - interphalangeal joints of the toes: this forms arthrosis of the joint of the big toe.
In order for this disease to not progress, and the pain with it was absent or minimal, the treatment of arthrosis of the foot joints must be approached very seriously, and it should be carried out immediately in several directions - both with and without medications.
Drugs that improve cartilage in the joint
Treatment with folk remedies
Non-medicated therapiesFirst of all, the doctor tells the patient what osteoarthritis of the foot is and what it shouldknow in order to prevent the progression of the disease - that is, how to treat arthrosis of the foot:
- if the patient has excess weight, it is very important that he begins to lose weight. A high load on the joints of the feet slows their recovery;
- for the same reason - to reduce the burden on the joints of the legs - the patient should use any opportunity to sit where he used to stand. It is important to do this in everyday life, and especially at work;
- it is very important to wear free shoes at the same time, so that the foot feels comfortable when walking;
It is highly not recommended to wear shoes with a heel height of more than 3-4 cm, since such shoes greatly increase the load on the thumb of the foot and its joints.
If the doctor deems it necessary, you need to wear special orthopedic insoles and liners or special orthopedic shoes, which should be selected under the strict supervision of a specialist. Following the recommendations of a specialist can significantly reduce the symptoms of foot arthrosis.
In the treatment of this disease can be used drugs of different groups. Each of these groups solves some of their medical problem - relieves pain, reduces inflammation in the joints, stops the progression of the disease, improves the recovery processes in the joints. In brief, we will talk about the main such groups of drugs.
The goal of these medicines is to reduce or completely stop pain in osteoarthrosis of the foot. By and large, these medicines do not treat the cause of the disease, but they help to cope with its painful manifestations.
medicines should be prescribed only by a doctor
First of all, these drugs are non-steroidal anti-inflammatory drugs( NSAIDs), which include paracetamol, aceclofenac, diclofenac and others. Indomethacin in this regard is particularly useful, because it is believed that it not only reduces pain, but also contributes to the regeneration of cartilage in the affected joints.
These medications usually cope well with the symptoms of pain in the joints of the feet, but, unfortunately, they have their side effects: when taking these drugs, the risk of problems with the gastric mucosa is great - until the occurrence of ulcers and gastric bleeding, especially in the elderly.
These drugs, such as nimesulide and meloxicam, have less pronounced side effects, but their cost is higher.
Drugs from the group of pain medications should be prescribed only on the advice of a doctor. It is not recommended to use them uncontrolled and for a long time, as a sick person, ceasing to feel pain in the joints of the foot, ceases to spare them, and the disease progresses faster.
Drugs that improve the condition of the cartilage in the joint
This group of drugs include the means that affect the very basis of the disease - the destruction of the cartilage of the joints. Still such medicines name chondroprotectors( ie the means protecting a cartilage).
They contribute to the improvement of metabolic processes in the cartilages of affected joints, improve its recovery and help delay the development and progression of osteoarthritis.
This group of drugs includes such drugs as chondroitin sulfate, hyaluronic acid, glucosamine sulfate, arthrodarin( diacerein), Arthra, Structum and others. Most often these drugs contain the same substances that synthesize cartilage cells. By introducing these medicines into the body, a person, as it were, supplies an additional "building material" to the cartilage, since the cartilage cells themselves can not cope with this problem.
There are two types of chondroprotectors. Drugs of the same group( chondroitin sulfate, etc.) are taken orally, and drugs of the second group are usually injected directly into the joint. These include drugs such as ostenil, synvisc and others.
Note: all chondroprotectors - relatively new drugs for arthrosis - refer to drugs with a delayed period of action. This means that to obtain the effect of these drugs must be taken for a long time - from 6 to 12 months or more. But chondroprotectors affect the very cause of the disease and help to stop the development of osteoarthritis of the joints of the foot, and other joints of the body, too.
Drugs from this group are effective only in the early stages of the disease development - at the latest in osteoarthritis of the foot of the 2nd degree, and better at the first stage. Discuss with the doctor, whether there is a sense in purpose or appointment of chondroprotectors in your case.
A good effect is also given by physiotherapeutic procedures for joint arthrosis. At the indications the doctor can recommend the passage of courses of such kinds of physiotherapy as infrared laser therapy, SUF-irradiation, low-intensity UHF-therapy, high-frequency magnetotherapy, ultrasound therapy, medical baths and many others.
The methods of treating arthrosis of the toes with physiotherapy are especially effective if they are initiated in the first-second stage of osteoarthritis of the joints of the feet. However, physiotherapy sessions can be performed only when the disease occurs without inflammatory phenomena in the joints( in the form of synovitis).
In other cases, it is necessary to wait for the disappearance of such inflammation: the doctors say that physiotherapy can be carried out only on the "cold" joint, implying that there should be no inflammatory phenomena at the time of the course.
A good effect is also provided by physical exercises and medical gymnastics.
Treatment with folk remedies
There are effective folk methods for treating osteoarthrosis of the foot joints, tested in decades.
Here is a recipe for one of them - medical pine trays.
Take a basin where you can steam your feet and pour hot water into it. Then add one finely chopped tuba of Jerusalem artichoke, a pair of pine branches, a teaspoon of turpentine, a tablespoon of honey and a little sea salt for baths. Wait for the water to cool down to an acceptable temperature, and lower your legs there for a while.
After the end of the baths, make an iodine net on the affected joints, and then attach a steamed mesh from the usual internal pork fat to them. To get the effect, do 10-12 such trays.
What is the deforming arthrosis of the foot joints, its symptoms and treatment?
Arthrosis of the foot is a chronic disease that is based on degenerative-dystrophic damages of the cartilaginous tissue in the joints, inflammatory processes in the periarticular tissues and the violation of blood circulation and metabolism in them. In some areas of the foot there are unforeseen pains of a sharp nature, especially when they manifest themselves during motor activity, if the disease is started, the pain also appears in a state of rest.
Further manifestation is the deformation of the shape of the fingers, painful papillae appear in areas of excessive load. Any motor activity brings pain and after a while a specific gait is formed, which manifests itself in the patient's unwillingness to get up on the destroyed joint, with a redistribution of the load to the outer edge of the foot. The patient has fast fatigue, a specific gait is formed, he seeks to avoid the need to rely on the affected joint, which significantly reduces his activity and ability to work. Sometimes arthrosis of the foot leads to a group of disabilities. Most often, the joint tissue of the thumb of the lower limb is destroyed.
The most common age category that falls under the development of such an ailment are women who are over 45 years old. The older the person, the higher the risk of arthrosis of the joints of the foot. Deforming foot arthrosis often occurs in athletes and people who often experience prolonged physical exertion. Many are wondering how to treat arthrosis of the foot and what are its causes.
Causes that contribute to the development of the disease
There are a large number of factors that form the arthrosis of the small joints of the foot and there is a deformation of the interphalangeal joints. A large number of these factors is caused by a saturated rate of life or malfunctions in the circulation of inflow and outflow of blood in the organ. The main causes of arthrosis of the foot joints:
- features of the foot design, for example, the leg can be too wide, the legs are of different length and distorted configuration;
- toes can be deformed, the thumb is twisted;
- prolonged heavy physical exertion on moving joints, prolonged stay in an upright position, heavy loads, excessive body weight;
- trauma, sprains, bruises, cracks in the joint itself and in the cartilage, involuntary microtrauma in strength training, ignoring the injuries that occur while playing sports, ends with arthrosis of the foot joints;
- permanent hypothermia of the feet;
- disruptions in metabolism, chronic inflammatory processes, disorders in the endocrine system;
- concomitant diseases of joints and cartilage( polyarthritis, arthritis).
There are also factors that trigger chronic arthrosis of the foot joints. These include a genetic predisposition, if close relatives also suffered arthrosis of the joints of the foot. The disease can appear due to wearing tight and uncomfortable shoes, if the toe is squeezing the leg, and the heel is too high. After a while this leads to deformation of the big toe and to arthrosis of the foot joints. A common cause is the management of an incorrect lifestyle, an unbalanced diet, a sharp cessation of strength training or sports( when muscles are weakened and joints loose), professional sports, high growth provokes prolonged stress on the joints of the legs.
Arthrosis of the 1st degree arises without obvious reasons, even if the cartilage is not subject to injury and changes in their tissues. In this case, the disease affects different joints. Arthrosis of 2nd degree can appear after the transferred diseases of vessels, strong bruises, destruction of bone tissue. In this case, one or two joints undergo arthrosis of the foot joint.
Mechanism of arthrosis of the joints of the foot
At the outset, the cartilages are damaged, which serve as a defense for the bones( therefore the disease is also called deforming arthrosis, affecting one leg or both).Cartilages become inelastic, their destruction begins, the cushioning stops because of the high pressure on the bone surface, the latter experiences constant strong mechanical loads, there are damages to the tendons and ligaments.
In areas of overload, blood circulation is disrupted, bone-cartilaginous growths( osteophytes) appear.2 degree of the disease is characterized by changes in articular surfaces, as a result of which the motor activity of the joints is restricted, and atrophy of neighboring muscles occurs. At 2 degrees of arthrosis damage to the foot joint, irreversible changes occur in the periarticular tissues, cysts can form. As with arthritis, the confirmation of arthrosis of the foot joints at the first stage is not easy, as the disease does not show itself.
Treatment of arthrosis of the 2nd degree is complicated by the fact that the toes of the legs are deformed and fixed in the wrong position. First, the appearance of the first toe changes, then the remaining fingers deform under its pressure.2 disease severity is difficult to treat.
Symptoms of the pathology
Classical manifestations can be different in all patients.
The brightness of the expression of symptoms and inflammation depends on the degree of progression of the disease.
The main symptoms of arthrosis that affects the leg are:
- during motor activity there is a specific crunch in the joints;
- , during physical exertion, pain syndrome appears, it disappears in a calm state, usually a dull and periodic pain, can be intensified in wet weather and when contact of joints with water, complete immobility occurs rarely, stiffness is often formed;
- signs of arthrosis of the foot are the stiffness of post-awakening movements, and during the day the mobility of the joints is limited, in the diseased region the muscles are dressed up;
- joints with time deform, and cure arthrosis at such a neglected stage is very difficult;
- gradually appears a violation of gait for the reason that a person unconsciously tries to reduce the burden on the affected joint;
- signs of such a disease - it's swelling, redness, swelling in the affected joint;
- can increase body temperature( with any exacerbation of joint disease);
- observed excessive fatigue and decreased level of ability to work;
- at the started stages of the disease there is a disruption of the functioning of the joints, there is a thickening and bony proliferation.
Three main stages of the progression of the disease are divided. At the first stage there is a slight soreness of the legs and an increased fatigue when the legs are loaded. In the second degree, the pain syndrome is strengthened and the movements are limited. In the absence of treatment, the disease progresses and is more difficult to treat later. At the third degree there is deformation of bones and strong restriction of mobility, and in the lower part of the leg there is swelling and redness, motor activity is difficult.
Features of therapy
Than to treat an arthrosis of a foot, this question excites many people who have faced this problem. Timely contact with a doctor makes it possible to carry out diagnostics on time and select the right treatment. When setting such a diagnosis, treatment should be comprehensive. The main task of such treatment is to reduce the painful manifestation and normalization of motor functions. The main methods for treatment are rehabilitation methods, such as therapeutic gymnastics for foot arthrosis( includes special exercises for restoring joint mobility), therapeutic massage, physiotherapy procedures - magnet therapy, heating, ultrasound. Treatment is also carried out using non-steroidal anti-inflammatory drugs that relieve inflammatory manifestations and pain syndrome. The basis of such treatment is made by such drugs as Ibuprofen, Indomethacin, Piroxicam and others.
Injectable injections of some drugs into the joint can be prescribed, these agents improve metabolism and circulation in cartilage tissues. The treatment is the appointment of vitamin complexes and fortifying agents.
Chondroprotectors, analgesics and anti-inflammatory drugs are prescribed. We treat arthrosis and with the help of oral means, whose purpose is to relieve inflammation and pain syndrome, restore cartilaginous tissue and joint mobility. Treatment of leg arthrosis is possible with drugs in various forms of release - tablets, capsules, ointments. Treatment of arthrosis requires compliance with a special diet, which includes the renunciation of salt, fatty, spicy, spicy food. Such a diet contributes to the rapid restoration of motor functions. If all methods are ineffective, surgical treatment is performed, but this is rare.
In the treatment of such a disease, folk methods are used that can cope well with the main signs of ailment. To restore impaired functions, use baths, lotions, compresses.
For the prevention of arthrosis it is necessary to wear comfortable shoes that do not squeeze the legs. The heel should be low. Watch your diet, include products containing essential vitamins and microelements for your joints, avoid excessive salt intake. Control your body weight so as not to exert additional strain on your legs. In a timely manner, treat associated diseases of the musculoskeletal system. Walk more often barefoot on sand, grass and pebbles, this helps improve blood circulation.
Arthrosis of the foot: symptoms of the disease and its prevention
Foot osteoarthritis( arthrosis, osteoarthritis) is one of the most common joint diseases that affects people of working age, significantly reducing their quality of life.
Arthrosis of the foot joint is called a degenerative-dystrophic disorder of the joint tissues, which often affects the joints of the toes. Often changes in metatarsophalangeal joints of the thumbs are visible to the doctor without any additional examination methods.
Risk factors and causes of osteoporosis of the feet
How the development of the disease occurs
Symptoms of arthrosis of the foot
How the doctor makes this diagnosis
Prevention of osteoarthrosis of the feet
Risk factors and causes of the disease:
- obesity or simply overweight;
obesity and flat feet increase the risk of developing an arthrosis
- wide stop;
- if one leg is shorter than the second;
- uncomfortable shoes;
- flat feet;
- "standing" work;
- osteochondrosis and other diseases of the joints of the spine;
- genetic inferiority of human cartilage;
- harmful eating habits;
- physical inactivity;
- injury of joints, sprains, bruises, microtraumas of the joint bag or cartilage;
- frequent freezing of feet, hypothermia;
- metabolic disorders, endocrine system diseases, chronic foci of inflammation.
obesity and flat feet increase the risk of developing an arthrosis
The above points, rather, are predisposing factors to the development of arthrosis of the feet, but not mandatory reasons. Together they can increase the likelihood of articular diseases not only of the lower extremities, but also of any other areas of the body.
It is known that the disease more often affects women 40-50 years old, and the probability of its development with age only increases. Both women and men after 55 years in 85% of cases suffer from arthrosis of the feet, primary or secondary.
Young people who actively or professionally engage in sports( wrestling, ballet, jumping, gymnastics) are also prone to osteoarthritis of the feet. In this case, arthrosis affects different joints. A secondary arthrosis develops with vascular lesions, bruises, necrosis of bones( 1-2 joints are affected).Sharp refusal of the sport can also push the onset of the disease, when the joints "blur" because of muscle weakness.
How the development of the disease
deforms arthrosis of the toes( Figure B)
The cartilage of the joints that cover the bones is the first to be affected. Their elasticity and amortization is lost, their destruction begins, because of what mechanical loads are transferred by cartilages worse, ligaments and tendons are damaged. Areas of functional overload lose normal blood microcirculation, bone-cartilaginous growths, osteophytes begin to form.
Because of deformation, the joint surfaces lose congruence( correspondence to each other), because in them the amplitude of movements is limited, and the neighboring muscles atrophy. Periarticular tissues also experience sclerotic changes, cysts appear, the joint capsule thickens.
Because of the fixation of the toes in the wrong position, it is difficult to treat their joints. Usually, first the position and shape of the thumb change, and under its pressure the 2nd and 3rd deform. Against the background of the disease bursitis can develop( inflammatory defeat of the joint bag), because of which the joints become very swollen, painful.
Symptoms of foot arthrosis
Clinical manifestations of foot arthrosis is different for different degrees of inflammatory process and deformities. Soreness varies from minor discomfort to persistent severe pain.
pain in the foot when walking - the main sign of joint arthrosis
1. In the first stage of the disease a person can mark periodic pains in the front part of the foot, especially after a long standing, walking and other loads on the legs.
2. The second degree of arthrosis of the legs is characterized by an ever-increasing pain syndrome, a visible thickening of the heads of metatarsal bones, which leads already to the limitation of movements in damaged joints. The pain intensifies with the load on the feet or already have a permanent character.
3. The last stage is a serious deformity of the joints, almost complete impossibility to move the foot.
The most common symptoms of arthrosis of the feet are a crunch in the joints during movement, dull, unstable weather-related pain, stiffness, morning stiffness, the appearance of Geberden's nodules that can break out.
The deforming arthrosis of the foot causes an imprint on the person's gait. He begins to walk, limping, leaning on the outer edge of the foot. The skin above the affected joint can be hot, red, and the entire foot - swollen, swollen.
Diagnosis of the disease »deforming arthrosis of the foot»
It is not only visually and palpatorically that the doctors make an accurate diagnosis.
diagnosis of arthrosis of the foot
It is desirable to use hardware diagnostic methods: radiography in one or more planes, magnetic resonance imaging or computed tomography. Usually the first method is enough. Tomography is preferred for frequent human irradiation.
Also in this case, the method of arthroscopy is used, which makes it possible to study the condition of the joint from the inside.
Differential diagnosis is used to exclude diseases such as gout, flat feet, heel spurs, various types of arthritis. Additionally, a laboratory blood test is performed for the presence of infection, toxins, urates, rheumacomplex and other specific symptoms.
Prevention of osteoarthritis of the feet
To prevent the development of this joint disease, it is necessary to choose quality footwear of the appropriate size, having good cushioning, flexible sole, permissible lifting. Women should abandon tight shoes( especially with a narrow toe) on a high unstable heel.
You should not buy a favorite pair of shoes of a smaller size and especially "wear out" - this is a sure way to hurt the joints of your legs.
Watch for food to prevent salt deposits and accumulation of excess weight.
It is useful to walk barefoot on sand, pebbles, grass and do joint exercises. Swim, do yourself a massage, let's rest your feet. Protect the vessels of the legs, their diseases can also contribute to problems with the joints.
Do not start arthrosis, because in the most severe stages of the disease it becomes very difficult to walk, legs constantly worry, "twist" on the weather or for no apparent reason. Strong deformations usually develop to a fairly venerable age, when many treatments are no longer being used.
If your relatives suffer or have had any problems with joints in the past, then this is an excuse not to lose their suspicion. Even if one of the members in the family accidentally injures ligaments and joints, this may indicate an inherent weakness of the connective tissue that could get to you. Do not suffer injuries on your feet, for any reason, be sure to consult with doctors - so you will save your time, strength and even youth( you will keep mobility, mobility longer).
Take care of comfortable old age now - take care of your feet!
About the treatment of this disease, read the article How to cure osteoarthritis of the foot joints: doctor's advice.
Osteoarthritis can be cured using traditional medicine recipes.
The best effect will be achieved if you use folk remedies in combination with traditional ones.
The folk remedies include:
- Tincture from the swamp saber. To cook it, you need 100 gr.sabelnik pour vodka( 4 cups) and put in a dark place. The solution must be infused for 3 weeks. At the end of time, tincture should be filtered and consumed three times a day before meals( 1 tablespoon).Tincture of sabelnik can be used to rub the damaged foot or in the form of compresses. Such procedures are best done before bedtime.
- Eucalyptus tincture. For its preparation you need to take 100 gr.eucalyptus crushed and pour it with vodka( 1/2 liter).The solution should be insisted for 7 days in a dark place. Before going to bed, the eucalyptus tincture should be rubbed into the sore foot.
- Tincture of Mullein. 50 gr.flowers Mullein need to pour 70% alcohol solution and vodka( 200 g.).Consistency should be insisted for 10 days. Then tincture can rub the affected joint.
- Tincture from the leaves of aloe. For its preparation it is necessary to take the leaves of aloe, wash them and grind them through a meat grinder. In 50 grams.of the aloe juice obtained, add honey( 100 grams) and vodka( 150 grams).The composition must be insisted in a dark place( minimum 7 days) and then used as compresses.
- The poison of a bee. Bee venom perfectly removes pain syndromes, inflammatory processes and returns the joint mobility. They should rub the affected area with arthrosis.
Treatment at home
Nutrition for arthrosis of the foot should be complete.
This is the main condition from which the treatment of the disease begins at home.
The diet should include calcium, vitamin E and B-vitamins.
They are found in almonds, sprouted wheat, breads, pasta.
You can buy these vitamins in a pharmacy in the form of tablets.
For this disease, it is recommended to consume less salt.
At home, you can make herbal baths for a damaged foot.
They will help to remove pain syndromes and relieve the heaviness in the legs.
Very effective for arthrosis baths of honey and salt.
Also very effective for arthrosis foot baths from bischofite.
Bischofite is a storehouse of trace elements, and therefore this remedy has a beneficial effect on the general muscular condition of the legs and helps to heal the feet.
You can apply compresses from bischofite, which are best done before bedtime.
With various forms of arthrosis, effective treatment with clay.
Clay baths and rubbing help to remove pain syndromes and inflammatory processes.
Clay lozenges are applied to the affected foot and held for two hours.
After this, heat is provided to the feet.One of the most common causes of pain in the foot is the calcaneal spur. On our site you will find useful information about the methods of treating the calcaneal spur.
What helps diclofenac ointment? Find out here.
What is infectious arthritis? Read in this article.
The diet is aimed at eliminating the causes and factors that provoke inflammation in joints and destroy cartilage tissues.
The main enemy of joints is overweight.
For arthrosis of the foot, it is recommended to abandon:
- cakes, cakes, sweets and other products that contain fast carbohydrates;
- alcoholic beverages, since they contain a large volume of carbohydrates.
You need to eat more vegetables, fruits, dairy products, rich in B2 - vitamin and calcium, low-fat fish.
Before starting a diet, you should consult a doctor who can advise the optimal diet.
With this disease, there is a violation of blood microcirculation.
Therapeutic massage sessions can help restore this process.
Foot massage begins at the fingertips and continues along the back area to the ankle joints.
Movement during foot massage should be continuous.
Massage will be more effective if it is accompanied by trituration and ends with a warming session with paraffin and ozocerite.
Video: how to properly massage the foot
Orthopedic insoles are equipped with a certain relief, which has a therapeutic effect.
Such insoles are used for flat feet of various shapes, painful feet and diseases of the supporting and motor apparatus.
Fig.: function of orthopedic insoles
Orthopedic insoles are recommended for patients who have flat feet or arthrosis of the feet.
They prevent deformation of the foot in the future and return the shock absorbing function.
Correctly made insoles help cure arthrosis of the foot and relieve the victim of pain syndromes.
Surgical methods of treatment are used when medicinal and physiotherapeutic methods are ineffective.
There are several surgical methods of treatment:
- Joints. In this operation, the bones are fixed in the joint zone with the help of plates, screws or rods. When the joint heals, it remains motionless.
- Replacement of the joint. Here the ankle joint is replaced with implants of artificial origin. But this type of operation is used in extreme rare cases.
The main goal of drug treatment is to stop the progressive inflammation in the joint and improve the cartilage layer.
Sometimes medications are injected into the area of the collapsing joint.
How correctly to treat a deforming arthrosis of foot?
Restricting the foot load in osteoarthritis of the toes
Restricting the load on the joint involves wearing soft, comfortable shoes. Shoes should not squeeze the foot in the joint area, the sole should perform the function of damping and evenly distribute the load between the heel, and the plantar surface of the metatarsophalangeal joints of the first and fifth fingers. Severe deforming arthrosis of the small joints of the foot requires the use of orthopedic insoles or special orthopedic shoes.
It is necessary to refrain from long trips, exclude standing work, periodically give legs rest.
In reducing the load on the joints of the foot, the maintenance of normal body weight plays a big role, therefore, all patients with arthrosis of the foot joints and overweight are assigned a reduced diet in combination with physical exertion, excluding exercises based on a sick leg.
Therapeutic gymnastics and massage allow to stop the development of foot arthrosis. Dosage treatment activates blood circulation in the joint, improves cartilage nutrition and prevents the development of cartilage tissue dystrophy.
Arthrosis of the foot medical treatment
Medication for arthrosis medication includes the use of non-steroidal anti-inflammatory drugs, hormones, chondroprotectors and other drugs that improve the trophicity of the joint tissues.
Non-steroidal anti-inflammatory drugs( NSAIDs) in the treatment of deforming arthrosis of the foot are prescribed at the stage of exacerbation, in the presence of the phenomena of inflammation of the joints. Such drugs as indomethacin, orthophene, ibuprofen help relieve pain syndrome and stop acute effects of arthritis.
In cases of severe inflammation of the joints and lack of effect on NSAIDs, intra-articular administration of hormonal steroid preparations is used. Hydrocortisone, diprospan, kenalog have a powerful anti-inflammatory effect. Within a few days after their application, it is possible to pass to medical gymnastics, massage and physiotherapy, contraindicated in the period of acute arthritis and arthrosis of the foot joints.
Physiotherapy for arthrosis of the foot
Arthrosis of the metatarsophalangeal joints of the big toes is an indication for the complex use of physiotherapy techniques.
Treatment of arthrosis of the foot
Today, more and more often, such a disease as arthrosis of the foot. So what is this ailment?
Deforming arthrosis is a disease in which the cartilage tissue of the joints is damaged. Joints begin to deform, the structure of the head of the bone changes, soft tissues become inflamed, so the treatment of foot arthrosis should begin almost immediately after confirmation of the diagnosis.
The main causes of the deforming arthrosis of the feet:
- Loading on the feet. Continuous walking on heels or in tight, narrow shoes that compress the joints.
- Daily standing on the legs or carrying some heavy loads( at work or on duty).
- The disease can be the result of some injury, injury or severe hypothermia of the joints.
- Overweight also contributes to the development of arthrosis.
Symptoms and signs of foot arthrosis
All of these factors lead to impaired blood circulation. Symptoms are seen immediately: there is pain around the foot, swelling, fever. The main sign of deforming arthrosis is the modification of the thumb. Often, all fingers of the foot are deformed, the phalanges are warped. When walking, the pain becomes unbearable, especially if the shoes are incorrectly selected.
Not everyone knows how to treat arthrosis of the foot and most often seek help from doctors. If you start treatment at the initial stage, the results will be achieved more quickly. So what should you do from the very beginning?
- Get rid of the pain syndrome.
- Restore mobility and trophic exchange in the joints.
How to treat arthrosis deformities of the foot
If the disease worsens, first of all, you need to see a doctor, and in order for the treatment to be most effective, you should definitely listen to the following recommendations:
- - choose shoes that are comfortable for walking;
- - to reduce excess weight;
- - forever forget about high heels.
Now you can start directly treating the deforming arthrosis of the foot, arthrosis of the thumb or all phalanges of the fingers.
To reduce pain, is used with anesthetic injections of , a rapid effect gives lidocaine. Applied in the treatment of corticosteroids. Other conservative methods: anti-inflammatory drugs, physiotherapeutic procedures, injection of steroids locally( into the joint), taking drugs that improve metabolism in the joint itself. Non-steroid drugs include indomethacin, orthophene, ibuprofen, piroxicam, but all of them should be taken with caution, since they negatively affect the gastric mucosa.
In some severe cases, surgical intervention is necessary. But before agreeing to an operation, it is worth trying all means of treatment and even folk.
Treatment with folk remedies
Do not underestimate the role of traditional medicine, because it is the main assistant of modern traditional medicine. To treat deforming arthrosis often use a variety of ointments, lotions, compresses and herbal decoctions.
Here is one of the tincture recipes: grind 100 grams of eucalyptus, pour a half liter of vodka and insist in a dark place for a week. Ready tincture every day before going to bed you need to rub into sore spots.
You can take a bath of various herbs. Use for their preparation can be a violet tricolor, thyme, wild rosemary swamp, oregano. At night, you need to make an alcohol compress, or one that includes salt and honey.
Now, summarizing all of the above, you can make an instruction for those who suffer from deforming arthrosis of the foot. Observing it, you can relieve the symptoms of the disease.
Instruction for pain relief of arthrosis of foot
- First of all, it is necessary to reduce any burden on the feet. It is strictly forbidden to wear shoes with high heels, otherwise the disease will progress. Walk in a loose, not pressing and not constraining joints of shoes. The heel should not be more than three centimeters. If the doctor recommended wearing orthopedic shoes, strictly follow his recommendations. You can use instep arresters.
- Use anti-inflammatory and pain medications prescribed by a doctor. For the treatment of osteoporosis use ointments, they combine anti-inflammatory and analgesic effect.
- If the disease is too neglected and causes great discomfort, you will have to resort to surgery.
- At home, it is good to use recipes from traditional medicine. Take foot trays of herbs, various tinctures, lotions, compresses for the night. This will ease the condition, relieve inflammation and pain.
- For those who are overweight, it's just necessary to fight it. A strict diet, exercise therapy will help in this.
- Sufferers of arthrosis should exclude from their diet of smoked meat, pickles, rich meat broths. Do not abuse alcohol. Eat more fruits, vegetables, greens.
Arthrosis of the foot - symptoms and treatment
Deforming arthrosis of the foot is a disease in which the cartilage is primarily damaged( its degeneration and degeneration develops), and then the articular surfaces of the bones are involved. As a result, joints are deformed. This is one of the most common lesions of joints, the frequency of which increases with age. Thus, 50% of the population aged 60 years and older suffer from this disease, with men and women equally common.
Causes of the disease
arthrosis of the foot photo phalange
Arthrosis of the toes develops as a result of increased load on the joint, in which the cartilage strength is insufficient to resist this load. This is the main mechanism for the development of damage to the cartilaginous surfaces of the bone with deforming osteoarthritis.
Based on this situation, the main factors that predispose to the onset of this disease are identified. These include:
- frequent and lengthy exercise;
- nerve damage, which develops in diabetes mellitus. As a result, the elasticity of the cartilage decreases;
- joint dysplasia, when the articular surfaces are irregular, there is no clear correspondence between one surface and the other, which predisposes to permanent trauma during movements;
- injury, especially when wearing shoes with heels;
- operative interventions on the joints;
- inflammation of the joints( arthritis);
- metabolic disorders, which are characterized by the deposition of certain substances in the joints and periarticular tissues. These are diseases such as gout( increased uric acid in the body), hemochromatosis( an iron metabolism disorder), Wilson-Konovalov's disease( a violation of copper metabolism);
- cartilage damage that develops with age;
- hormonal changes in menopause;
- is an aggravated heredity, especially in cases of collagen formation disorders, etc.
Mechanism of damage
Arthrosis of small joints of the foot, like the middle ones, is an irreversible process. Therefore, the treatment is aimed at preventing the progression of pathological changes, as well as on the elimination of arterial insufficiency, which leads to a decrease in the strength of the cartilage.
The mechanism of the damaging effect is as follows:
- at the beginning decreases the content of the main substance of the cartilage - proteoglycans;
- develops degenerative processes in the cartilaginous tissue;
- substances formed as a result of decomposition are absorbed by phagocytes;
- , cell death is observed, which carries out phagocytosis;
- in response to this develops a reaction of inflammation;
- the synovium of the joint is involved again in the process.
Thus, the arthrosis of the foot joints from the primary process goes to the secondary one with the defeat of a number of located tissues.
Symptoms of arthrosis
- pain, which are provoked by physical exertion;
- pain is most intense at the beginning of the movement;
- the presence of constant pain is characteristic of the hypertension of a number of located muscles;
- pain at night due to impaired venous drainage from the joint;
- pain that occurs in a particular position is associated with either synovitis or periarthritis;
- pain can appear and suddenly, because of the joint blocking "mouse" - loose bodies inside the joint.
Inspection of the affected joint can also provide valuable information. So, during the examination it is possible to determine the presence of characteristic crepitation, which appears during movements. In the case of joining the inflammatory process in the synovial membrane, there is local pain, swelling and redness of the joint. The late stages of osteoarthritis are characterized by the appearance of joint deformation.
Arthrosis of the toe is the most common lesion of the joints of this organ. It is characterized by the defeat of the metatarsus-phalanx joint. The main manifestations are:
- bilateral defeat;
- localization of pain - the inner edge of the foot;
- is most often a manifestation of gouty joint damage.
Diagnosis of the disease
In the diagnosis of deforming osteoarthritis, an important role is played by the X-ray study, based on the results of which the degree of severity of the disease is determined:
- arthrosis of the 1st degree foot - the gap between the articular surfaces is reduced by more than 2/3 ;
- arthrosis of the foot of the 2nd degree - even more pronounced narrowing of the gap, the outgrowth of the bone tissue is determined, and sclerosis under the cartilage is observed;
- arthrosis of the foot of the third degree - there is practically no joint aperture, deposition of calcium salts is determined in the periarticular tissues.
Treatment of deforming osteoarthritis
Treatment of this disease can be carried out in three main ways. They include:
- non-drug therapy - this is special gymnastics, physiotherapy procedures, as well as the exclusion of low temperatures on the joints of the foot;
- drug therapy, which aims to prevent the progression of the pathological process( basic treatment), pain management, and the treatment of concomitant synovitis;
- surgical methods of treatment.
How to treat arthrosis of the foot with the help of pharmacological drugs from the group of chondroprotectors? These drugs are part of the so-called basic therapy, the purpose of which is to prevent further destruction of the cartilage. They exert their therapeutic effect when a certain concentration of the active substance is created. Therefore, treatment with them should be long. Chondroprotectors have a beneficial effect on cartilaginous tissue as a result of stimulating the processes of cartilage formation and also preventing its destruction. Currently, rheumatologists use 2 main groups of these drugs:
- mucopolysaccharides( structum and chondroxide);
- preparations that stimulate the formation of proteoglycans( don and arteparone);
- combined preparations( artra and teraflex);
To combat the pain syndrome used drugs from the group of non-steroidal anti-inflammatory drugs( Ibuprofen, Indomethacin, etc.).Their appointment is indicated in the period of exacerbation. It is best to use these drugs topically in the form of ointments and gels.
Synovitis should be treated by creating rest for the sore leg, as well as using non-steroidal drugs and injecting glucocorticosteroids or arteparone into the joint.
Treatment of deforming arthrosis of the foot by surgery is indicated in the presence of persistent pain syndrome or loss of ability to normal movement. Bone outgrowths are usually removed or joint prosthetics shown depending on the stage of the process.
Arthrosis of the foot, treatment with folk remedies is a waste of time, since joints require real help to slow the progression of the disease. Medicinal plants can be used in conjunction with other methods of treatment.
Thus, osteoarthritis of the foot is a serious disease, which must be diagnosed and treated in a timely manner. This will improve the patient's quality of life and reduce the risk of disability.