Effective treatment of knee joint gonarthrosis
The structure of the knee joint of a person
Problems with joints are familiar to almost every second person on Earth. Modern methods of treating the disease help the body to mobilize its own resources, open new resources and be healed of such a disease as gonarthrosis of the knee joint. There are indications and contraindications for any kind of medication, as well as nuances, non-observance of which causes harm to health.
How to treat gonarthrosis of the knee joint and what effect does this or that medical preparation give? The pain can be successfully eliminated if the doctor has sufficient knowledge and can make a specific plan of treatment for the patient. Self-medication of joint ailments is unacceptable and entails dangerous consequences for the diseased organ.
Knee joint gonarthrosis is accompanied by numerous symptoms characteristic of other diseases, so the specialist should always monitor the progress of treatment and the performance of prescribed procedures. The doctor who is treating the gonarthrosis of the knee joint 1 degree, appoints a complex of medical procedures to the patient, which contribute to the following important tasks:
- improvement of the cartilage nutrition process;
- elimination of pain symptoms;
- adjustment of pressure on the joint area;
- preserving the mobility of the cartilaginous joint.
Ointments and creams for the treatment of gonarthrosis
Having set a specific goal, a person seeks to cure the ailment with the help of ointments and anesthetic gels or creams. It is important to remember that anesthetic with ointments is a symptomatic treatment that is not capable of eliminating the cause of the ailment, but which brings relief in an uncomplicated process.
Cartilage gradually deteriorates, leading to destruction of the joint bones
Knee joint gonarthrosis is treated with warming ointments that improve blood circulation in the affected organ. When they are applied, the mechanism for reconstructing the blood filling of the cartilage tissues is triggered. For treatment use such preparations:
- "Fast Relief".
Therapeutic ointments have a therapeutic effect, penetrating through the skin. They pleasantly warm, soothe the skin. When using local anesthetics, the overall psychological mood of the patient is important. With the development of clinical manifestations of synovitis, the physician recommends the treatment of gonarthrosis of the knee joint with ointments containing non-steroidal components.
- Indomethacin and turpentine ointments.
Treatment of knee joint gonarthrosis with non-steroid ointments is less effective due to the insignificant penetration of the active substance to the diseased organ.
Application of chondroprotectors
Chondroprotector is a drug that is injected directly into the joint
Quite often the doctor recommends that patients begin treatment with chondroprotectors that restore the cartilage base and supply it with the necessary nutrients. The state of cartilage is well influenced by glucosamine and chondroitin sulfate. When the diagnosis of "knee joint gonarthrosis" is required not only to eliminate the symptoms of arthrosis, but also to work on the cause of the disease.
Glucosamine heals the cartilage surface, and also promotes:
- to improve the formation of synovial fluid;
- to change and normalize its qualitative composition.
Gonarthrosis 1 degree is treated very quickly and successfully if the doctor uses chondroitin sulfate and glucosamine. In more advanced cases, treatment with chondroprotectors is less effective due to the complete destruction of the cartilaginous tissue. In the second and third stages of knee joint gonarthrosis, chondroprotectors stop the development of the disease very slowly.
The course of therapy lasts 3 months, during which glucosamine or chondroitin sulfate is taken. To achieve a stable result, you need to undergo 2-3 courses of treatment. The funds prescribed by the doctor after the examination and diagnosis, help the patient to effectively combat the disease, especially with the disease of the knee joint 1 degree.
For therapy use monopreparations and combined agents:
- "Chondroitin AKOS";
Popular medication for arthritic arthritis
Chondroprotectors do not have contraindications and only in case of individual intolerance cause side effects. Among them, most often there is an allergic reaction. There are also such symptoms:
Caution should be given to biologically active additives containing glucosamine and chondroitin sulfate. They are not medical devices and can harm a person's health.
Treatment of joint damage 1 degree
If there are signs of gonarthrosis, treatment of joint fatigue and restriction of movements should be started as early as possible to obtain a quick effect. Medicinal products should fulfill the main therapeutic task - reducing the burden on the affected joint. Treatment of gonarthrosis of the knee joint involves diet food, exercise therapy.
To achieve maximum effect, the doctor suggests the patient:
- sanatorium treatment;
The medicamentous effect consists in the use of anti-inflammatory drugs, hormonal and anesthetic drugs, chondroprotectors. Anti-inflammatory drugs eliminate pain in the joint, reduce inflammation and promote faster recovery. The result of treatment depends on how the disease proceeds. Before prescribing NSAIDs, the doctor examines the patient's state of health, since these drugs are contraindicated for people with liver, kidney, stomach ulcer.
It should be remembered that anti-inflammatory drugs do not treat gonarthrosis, but only eliminate pain in the joint. Long-term therapy with drugs leads to a disruption in the supply of cartilage to water, exacerbation of the inflammatory process and destruction of the cartilage of the diseased joint.
Doctors recommend the use of drugs that have a selective effect, for example, "Movalis."This medicine has no dangerous side effects and does not destroy articular cartilage. It can be taken for a long time, but only under medical supervision, until the patient feels better.
Folk medication for joints sufferers
Phytotherapy of articular ailments can effectively remove inflammation of the hip and knee joints, eliminate pain attacks. Treatment of sawdust from pine, fir, spruce has a calming effect. These substances are used as an integral part of compresses that do not cause any harm, if there are no abrasions on the skin.
Nature is a universal healer, and preparations from laurel leaf relieve inflammation and treat sick joints no worse than medications. Collected herbs, carefully selected, used for articular ailments, using as infusions and broths. Treatment with folk remedies involves the use of sunflower. From his baskets, a medicinal ointment is made for rubbing into the patient's skin several times a day. Tincture of dried chestnut flowers on turpentine eliminates pain and deformity in the joint. She warms up the affected tissues well, relieves pain. During treatment, drafts must be avoided.
An effective remedy is the Caucasian hellebore and a drug based on it. After its use in patients, pain disappears, inflammation passes, joints are freed from salt deposits. Oil based on a resin, with the addition of ginger, juniper, propolis, relieves inflammation, removes puffiness and pain.
For joint diseases, it is useful to take medicinal sage preparations or to make rubbing from turpentine turpentine, pork fat, iodine and aloe juice. Turpentine baths are used at 1 degree of arthrosis. They greatly facilitate the patient's condition. Before their application it is necessary to consult a doctor, as they are contraindicated in case of increased blood pressure, heart disease, after a stroke. In the period of exacerbations of the disease, the patient is also helped by coniferous baths, which relieve pain and muscle spasms. The fee for gonarthrosis includes:
- birch leaf;
- flowers of violets;
- nettle leaf.
Treatment of phytopreparations alleviates the condition of the patient 1.5 months after the start of treatment. Metabolic processes improve the collection of clover, linen and grass sabelnik. Patients should not wait for the full stiffness of the joint. They need to include a day of exercise for the joints, which are gentle. Do not exercise when exacerbated. The result is Nordic walking, which has a healthy character. Use a pedometer for lessons, gradually increasing the path to 10,000 steps per day.
For many years, the condition of patients helps to ease the saber. It suppresses the formation of salts in the joints, cleans the cells of accumulated toxins. From the grass, the plants are made to infuse, for 10 days, an ointment is used from the rhizomes and stems of the saber. Ointment is rubbed into sore spots and covered with a warm cloth. When the disease worsens, the treatment continues: a more vivid manifestation of the symptoms testifies to the effective action of the plant on the diseased joint.
Treatment of gonarthrosis is long, symptomatic. To date, there are no highly effective drugs that affect the mechanism of the disease. Physiotherapy and medicines are the basis of complex treatment of joint diseases.
Bilateral gonarthrosis of 1 degree: causes and treatment
Joint diseases now occupy a huge niche among pathologies of the musculoskeletal system. Among them, an important place is occupied by gonarthrosis.
What is it?
Under gonarthrosis is understood an inflammatory disease of a degenerative, degenerative nature, affecting the knee joint. This disease is widespread everywhere and develops mainly in middle-aged and elderly women. The incidence of this pathology is higher in rural areas than in cities.
The disease is characterized by depletion of the articular cartilage, changes in congruence of the joint, as well as the development of bone growths in the joint( osteophytes) region. When gonarthrosis changes the volume of active movements, the configuration of articular surfaces.
The disease has a high risk of disability of patients, a significant deterioration in their quality of life. If the process is not diagnosed in time, the prognosis regarding recovery and complete restoration of the impaired joint function worsens.
Among the reasons provoking the development of gonarthrosis, we can distinguish the following:
- Hereditary predisposition. According to statistics, the risk of developing gonarthrosis in patients whose parents suffered from this disease is high enough.
- Heavy static work. In this case, prolonged stagnation of blood and lymph in the joint region, its overload, which significantly increases the load on the articular cartilage. This factor often serves as a prerequisite for the development of gonarthrosis 1 degree.
- Injury to the joint. They are the most common cause of gonarthrosis development as long-term effects or complications. Causes immediate damage to the cartilage, which subsequently undergoes resorption.
- Overweight and osteochondrosis. They are not the direct causes of gonarthrosis, but worsen the course of the disease itself.
- Congenital malformations of the knee joint. Because of incorrect embryonic tissue filling, the joint can not develop fully, which is why the gonarthrosis of the first degree of the knee joint develops.
Features of the disease course
Gonarthrosis has some specificity, which depends on the underlying cause. If the cause is not clearly understood or there are predisposing factors such as excess weight or spine diseases, then in the given situation the bilateral gonarthrosis of the 1st degree develops most often. If the basis of the disease is trauma or some professional characteristics, then in this situation there will be a one-sided defeat of the knee joint.
Joint damage on one side is more favorable for treatment, however, it progresses faster than with a bilateral process. Bilateral gonarthrosis of 1 degree is more favorable in terms of prognosis, however, treatment takes more time.
Classification of gonarthrosis
The disease can be divided by the amount of damage( bilateral or unilateral).Unilateral, in turn, is divided into right-sided gonarthrosis and gonarthrosis of the left knee joint.
Three stages of the disease are distinguished by severity:
- Grade 1( or stage) gonarthrosis has no clinical manifestations and is only detected during routine examination or is an accidental finding of diagnosticians. Deformation for this stage is not typical.
- The second stage of gonarthrosis already has some clinical signs( pain after a long walk or static load, some stiffness when moving).The volume of active movements is gradually limited by the initial changes and deformations in the joint.
- Gonarthrosis of the third stage is characterized by a constant pain syndrome, visible deformation and almost complete loss of active movements in the joint. Passive movements are difficult. Walking at this stage is impossible.
Gonarthrosis This stage of gonarthrosis is most favorable for patients. The pathological process can stop at this stage and then not progress. Changes in the joint do not make patients uncomfortable and do not limit their social activity. Two-sided gonarthrosis of the 1st degree develops less often than its one-sided form.
The main symptoms that can manifest at this stage are a feeling of discomfort in the knee joint after a long physical work, a low-intensity aching pain that quickly passes after a period of rest. Depending on which joint is affected, a left-sided and right-sided shape is identified. Left-sided gonarthrosis of the first degree develops mainly in left-handers and is characterized by pain in the left knee joint.
Right-sided form is much more common. Suffer it usually jockeys, wrestlers, weightlifters, gymnasts. When conducting preventive arthroscopy, right-sided gonarthrosis of the 1st degree is diagnosed in 40 percent of the population.
Pain usually appears in the morning and passes in a few minutes( for example, when charging).
In some cases, patients may be disturbed by a crunch in the joint, or by the friction felt when the joint is palpated( just put your hand on the knee and bend it several times).
With competent division of labor and rest, gonarthrosis of the first degree of the knee joint stops at this stage. Either flows, but rather slowly. Deterioration of the state is usually observed only after several years( depending on the regime and type of labor).
In rare cases, deforming gonarthrosis of 1 degree may develop. This phenomenon is extremely rare. The development of this form of the disease is prognostically much worse than the classical course.
If there is gonarthrosis 1 degree, treatment may not be required.
2nd stage of gonarthrosis
With progression of the disease, gonarthrosis passes to a new stage.2 stage( or degree) of gonarthrosis is characterized by a more intense pain syndrome: if in the first stage only the initial pains were noted( in the morning or after a long rest), then unpleasant sensations can appear at any time. Pain is more intense, more difficult to stop with anti-inflammatory drugs.
Because of the intensity of the pain syndrome, atrophy of the muscles of the affected limb can often be observed. This is due to the fact that patients, sparing a sick leg, less and less try to load it.
The main characteristic feature of stage 2 is the development of deformity in the joint. Most often, patients can not completely unbend the bent leg. Palpator can determine the inconsistency of articular surfaces( with unilateral gonarthrosis when compared with a healthy leg) or sensation formation on both sides( bilateral gonarthrosis).
Grade This stage is almost terminal during the course of the disease, and patients acquire a disability group( if they can not be operated on).
The pain syndrome acquires a permanent character and is not stopped by usual analgesics. Possible use of narcotic drugs( in the hospital).
Deformations become visible to the naked eye, and the volume of active and passive movements decreases significantly, down to total loss. Perhaps the development of X-shaped and O-shaped deformations.
In the affected joint, the development of ankylosis is possible, which is why surgical correction of the pathology is indicated.
Articular cartilage completely disappears from the joint cavity. Friction of the articular surfaces becomes more palpable.
In some cases, the third stage of gonarthrosis is characterized by the development of blockade of the knee joint - a condition in which it is impossible to bend the leg or unbend it.
Such patients need joint replacement.
The diagnosis depends entirely on the patient's complaints, his history( life, work), as well as information obtained by examination and using instrumental methods.
During a general examination, it is possible to identify a pronounced discrepancy between articular surfaces. With palpation, local soreness can be felt( in the case when gonarthrosis of 1 degree, synovitis and bursitis occur).
During movement in the joints are guided by the noise of crackling or crunching during the movement.
In addition to the examination, it is necessary to determine the amount of movement in the joints. The volume of active movements is those movements that the patient can perform himself, and the passive ones with the help of a doctor.
Radiography of the affected joint and endoscopic examination were disseminated from instrumental methods. Radiography allows you to determine the condition of the joint gap, as well as to identify the developing areas of joint deformation. In order to determine gonarthrosis 1 degree, it is necessary to conduct the radiography in the first place. Intra-articular endoscopy allows to determine visual changes on articular surfaces. It should be remembered that endoscopy is an intervening cavity, and can damage the joint, as well as provoke an aggravation of the process.
Treatment of 1 and 2 degrees of gonarthrosis
Like any disease, gonarthrosis requires a certain approach in treatment. Properly selected therapy should organically combine non-drug methods, drug support and physiotherapy procedures.
If there is gonarthrosis 1, 2 degrees, they can be treated at home or in the hospital - with a significant exacerbation. It all depends on the individual characteristics of the patient and the clinical picture. Usually, folk methods and drug support are used for this.
When a patient complains of grade 1 gonarthrosis, treatment will be performed on an outpatient basis and include symptomatic therapy - non-steroidal anti-inflammatory drugs( Nimesulide, Movalis) inside and general activities - diet, hardening, vitamin therapy.
In the second stage of the disease, injectable anti-inflammatory drugs and analgesics( medicines "Diclofenac", "Tramadol") are added to the above-listed preparations, as well as means for restoring synthesis of synovial fluid( "Hyaluronic acid" preparation).Do not interfere and the means containing the components of the articular cartilage - drugs "chondroitin sulfate", "Don".
Treatment of 3 severity
With worsening of the condition and diagnosing "gonarthrosis of 3 degrees of severity", conservative treatment becomes mostly ineffective( possibly using narcotic analgesics).
For the correction of joint disorders should resort to surgical treatment, usually to joint prosthetics.
This operation allows you to replace both affected articular surfaces( femoral and tibial) bones. Indications for such an operation are persistent disruption of movements in the joint, as well as completely destroyed articular surfaces with loss of ability to walk.
In some cases( if the patient can not tolerate such an operation or if the patient refuses to perform a prosthetic repair), it is possible to remove the formed bone outgrowths by means of an arthroscope - a device inserted into the joint cavity. This intervention is less traumatic and can be performed under local anesthesia.
Complications of gonarthrosis
In case of untimely diagnosis of the disease, some complications may develop. Among them, one can distinguish those that directly affect the affected limb, and those that will have an effect on the body as a whole.
Gonarthrosis 1 degree does not lead to the development of complications and is the most favorable form.
Local complications include the development of total ankylosis( the formation of a single fusion between the bones), gankrene of the shin and foot( may occur when the vessel falls between the affected bones and their adhesion to the compression of the artery).Possible infringement of passing nerves with development of an intensive painful syndrome and infringement of function of a finiteness.
To total complications include the development of osteochondrosis, scoliosis( due to improper load distribution on the limbs), muscle atrophy of the affected half of the body. Often there is a development of arthritis( due to the redistribution of the load) and herniated intervertebral discs. With the progression of total complications, involvement of internal organs is possible.
In some cases, pain shock may develop.
Prevention of gonarthrosis
Like any disease, gonarthrosis 1 degree is easier to prevent than cure.
The main preventive measures include a healthy lifestyle, proper nutrition( saturated with calcium, glucuronic acid, vitamin D), getting rid of excess weight, rejection of bad habits.
If possible, less time spent on legs. Uniform distribution of workload and working conditions helps prevent joint overload and delay the development of the disease.
It is also necessary to consult a doctor more often in order to timely diagnose the disease and take early measures.
Treatment of concomitant diseases of the musculoskeletal system and metabolism is also important.
With all of the above measures, the likelihood of knee arthrosis is extremely low. A high risk, however, remains with a family history of a family history( if there were cases of development of the disease in close relatives).
Symptoms, Diagnosis and Treatment of Knee Osteoarthritis 1,2,3 Degrees
Knee joint gonarthrosis is a fairly common disease, the leader of all arthrosis. His active study of physicians of different countries began over a century ago, which causes significant progress in the fight against the disease. At the household level, this pathology is stubbornly called the deposition of salts, although the process of calcification does not play a primary role. The disease is dangerous in its development and can lead to a restriction of mobility and disability.
Knee joint gonarthrosis requires long-term treatment, which is not always able to help without prompt intervention. In order not to appear on the surgical table, it is very important to detect pathological changes in time and to begin treatment at an early stage. Like most joint diseases, this type of osteoarthritis is easier to prevent, taking preventive measures, than to treat after debilitating pain.
What happens with this disease?
Gonarthrosis, or osteoarthrosis of the knee, is a degenerative-dystrophic joint injury caused by degeneration of the cartilage, until its complete destruction, and leading to deformation of the joint;while less pronounced inflammatory reactions are secondary phenomena and are also generated by degeneration processes.
The onset of pathology is usually associated with structural changes in cartilage tissue at the molecular level, including as a result of circulatory disorders in small vessels. Then the hyaline cartilage is involved in the process, which becomes turbid, decreases in thickness, is stratified and covered with multidirectional microscopic cracks. The pathological process is completed by the complete destruction of small and large cartilage, and at the same time bone articulation is exposed.
The organism instinctively reacts to the disappearance of cartilage by bone growth in peripheral zones, which is expressed in the growth of osteophytes. As a result of abnormal changes, the joint is deformed, the lower limb is bent. Such a result ensured the name of destructive pathology - deforming arthrosis.
Disorders of gonarthrosis
The development of the disease occurs with the growth of the following pathological disorders in the joint:
- Disturbance of the metabolic process in the cartilaginous tissue: a constant supply of cartilage occurs due to the separation and absorption of lubricant when the joint moves, but the disease leads to a change in osmotic pressure and impaired makeup;at sites of the raised pressure there is a thinning of a cartilage.
- Structural changes of collagen fibers: the softening of the patellar cartilage starts, the depreciation function of the cartilage and the metabolic capacity of the chondrocytes are broken - the cartilage loses its elasticity and its instability appears.
- Distortion of articular congruence: the synthesis of bone substance, leading to the growth of osteophytes, is activated. As a result, the synovial membrane is irritated, which generates an inflammatory process in it, the loss of joint mobility begins.
- The most active destructive process occurs in the inner region of the joint and in the gap between the knee and the femur.
Classification of pathology
Classification of gonarthrosis is carried out in accordance with the international system of ICD 10 by code 17.0 - 17.9.There are 2 main types of etiology: primary and secondary osteoarthrosis.
The primary( genuine) type is the development of a degenerative process on a healthy cartilage that has not previously been subjected to pathological effects. The process is the result of mechanical and physiological overloads. Secondary form of the disease develops on the joint, previously subjected to pathological effects( trauma, disease), and the beginning of the process is due to a decrease in the durability of cartilage tissues to normal loads. The most common form is posttraumatic gonarthrosis.
Given the localization of lesions, there is a one-sided and two-sided gonarthrosis. In turn, a one-sided view is characterized by joint damage on only one limb: right-sided and left-sided gonarthrosis. The most difficult and dangerous is the two-sided type, when the knee joints of both legs are subjected to destruction. The main reason for the appearance of this form is the age factor.
Causes and stages of the disease
In order to start a degenerative-dystrophic process of destruction of cartilage tissue, provoking factors are needed.
There are following causes of the disease:
- metabolic disorder, especially hormonal imbalance;
- circulatory disturbance and capillary fragility;
- excessive body weight;
- knee injury( fracture, cracked bone, ruptured ligament or meniscus);
- inflammatory diseases( rheumatism, arthritis);
- frequent and prolonged physical overload( especially among athletes - gymnasts, football players, athletes, tennis players);
- disorders of the endocrine system;
- genetic abnormalities of the structure of tissues;
- hereditary predisposition, violation of body statics;
- age factor.
The severity of gonarthrosis is determined by the type of injury and complications.
It is subdivided into 3 stages and, accordingly, 4 stages of development:
- 1 stage( 1 degree): the initial phase, characterized by a slight narrowing of the joint gap, visible on the roentgenogram. There is a feeling of discomfort in the joint, fatigue by the evening, a slight limitation of joint mobility.
- 2nd stage( 2nd degree): on the roentgenogram there is a significant narrowing of the slit and the appearance of osteophytes, bone growths. There is the appearance of pain syndrome with strengthening with prolonged standing or walking, a crunch in the joint, complicated flexion and extension of the leg in the knee, the angle of extension of the leg is limited, the appearance of signs of atrophy of the quadriceps femoris.
- 3rd stage( 3rd degree): joint deformity with foot axis disturbance, articular instability. There is a sharp increase in pain, even at rest, edema, local temperature, impaired mobility of the joint.
- Stage 3 at 4 degrees of severity: severe joint deformity, complete disappearance of cartilage, impaired mobility of the limb, pain is permanent.
At the initial stage, the symptoms of gonarthrosis are manifested by a feeling of tightening the muscles under the knee and a slight pain after a long hiking trip. In the mornings or after a long sitting, it takes time to "puff up" the joint and eliminate discomfort in the knee. The development of pathology leads to the appearance of a pain syndrome under the knee. When walking, there is a crunch in the joint. Further progression of the disease limits the mobility of the joint, there are problems with squatting and extension of the legs, lame appears. Pain is getting stronger and longer.
Visual inspection of the joint in the initial stages does not reveal any changes. Gradually, the joint deformity becomes noticeable, and then the curvature of the shin. If you put your hand to the knee, then when flexing your legs you can distinguish a distinct crunch. Palpation indicates the presence of a painful patch on the inside of the knee joint.
Signs of gonarthrosis are greatly enhanced if the disease is complicated by synovitis( inflammation of the inner shell).In this case, already at the first stage swelling of the joint is noticeable due to liquid. At further stages, it fills even the popliteal fossa in the posterior articular region( Baker's cyst).Pain syndrome is greatly enhanced.
The primary diagnosis is established by examination, palpation of the joint, changing the direction of the bones, the angulation of the mobility of the joint. Laboratory tests are conducted on general blood and urine tests: determination of ESR, fibrinogen, urea and other biochemical parameters. The ultrasound of the knee joint is performed. The most informative are X-ray studies and magnetic resonance imaging. Only after that the doctor treats the disease.
Tactics and methods of therapy
The question how to treat gonarthrosis of the knee joint is decided by the doctor, taking into account the stage and severity of the disease.
In general, the treatment is carried out in a complex way, but usually includes the following steps:
- Elimination of the inflammatory response: Non-steroidal anti-inflammatory drugs are prescribed: Diclofenac, Olfen, Diclac, Ibuprofen, Indomethacin, Ketaprofen, Meloksikam, "Nimesulide";at a complicated stage, injections with the introduction of hormones - drugs "Hydrocortisone", "Kenalog", "Diprospan";To stop degenerative processes, antifoam agents are prescribed - Counterline, Ovomin, Gordoks.
- Anabolic and anti-catabolic effects, restoration of cartilaginous tissue: chondroprotectors - Structum, DONA, Rumalon, Alflutol, Mukosat.
- Normalization of blood circulation, warming and soothing effect: ointments, gels, creams - "Finalgon", "Fastum gel", "Nikofleks", "Apizarthron", "Feloran".
- Improvement of blood circulation, strengthening of vascular tissues: vasodilating drugs - "Cavinton", "Trental", "Actovegin", "Upsavit", "Ascorutin".
- Reduction of muscle tension: antispasmodics - "No-shpa", "Midokalm", "Tizalud".
- Restoration of synovial fluid: substitutes - "Otrovisk", "Hyalual", "Fermatron".
Complicated forms of the disease are treated with additional methods, such as: oxygen therapy( introduction of oxygen);introduction of stem cells;laser therapy;the introduction of the protein preparation "Ortokin" on the basis of blood serum.
In the last stages of gonarthrosis, the only effective method is surgical treatment. A surgical operation for prosthetics of the affected tissues is performed. Depending on the severity of the disease, the following operations are performed:
- arthrodesis( removal of the destroyed cartilage along with the joint);
- arthroscopic debridement( removal of deformed cartilage with an arthroscope);
- osteotomy( fixation of bones in another position);
Treatment of gonarthrosis of the knee joint, especially at the initial stage, is carried out in ways that do not involve medical therapy. The therapeutic sports complex allows to improve blood circulation, strengthen the musculoskeletal system, raise muscle tone, maintain joint mobility. LFK is developed by the treating orthopedist under the individual scheme.
Physiotherapy for osteoarthritis involves the use of the following methods: electrophoresis with bischofite, caripain and reinforcement with dimexide;magnetic therapy;ultrasound;microwave exposure;paraffin application;reception of radon and hydrogen sulphide baths;mud baths. Its effectiveness was proved by therapeutic massage and manual therapy, if conducted by a specialist.
Prophylaxis of the disease necessarily provides proper nutrition.
The diet for gonarthrosis excludes the use of pickles, spicy and fatty dishes. The menu recommends the inclusion of increased consumption of low-fat chill( for example, in poultry meat), jelly from natural fruits. It is useful to eat sea fish and seafood.
Loss of capacity for work and a group of disabilities are not threatened if the prevention is carried out with folk remedies. Effective use of infusion based on garlic and lemon with the addition of celery. Recommended tea from the grass of black beans. Especially useful is the grass of moccas, which should be added to various salads. And of course, the welding of beef knees and hoofs, it is better to eat hot, not hardened fat.
Gonarthrosis of the knee joint( arthrosis): treatment of 1 degree, 2 degrees, 3 degrees.
Along with this, the bone tissue is restructured and deformed, so-called spines or osteophytes are formed. It is they that limit the movement of the joint and cause pain.
If, in the presence of a man diagnosed with knee joint gonarthrosis, treatment should be started, this may result in the disappearance of the cartilage, deformation of the joint and exposure of the underlying bone.
Knee joint gonarthrosis 1 degree
The first signs are the appearance of a feeling of discomfort in the joint and periodic pain. As a rule, the disease develops gradually and pain over time is more periodic.
Especially should pay attention to the condition of the joint in the morning, after sleep. Most people complain about the morning pain( after a long period of immobility), but leaving and developing the joint pain goes away.
Also, a person feels discomfort when climbing and descending the stairs, becausethe weight of the body rests on one leg and the articular cartilages in the knee joint are compressed. It is worth paying attention to crunches in the joints.
Gonarthrosis of the knee joint of the 1st degree characterizes such features:
- fatigue of the limb
- moderately restricted movement in the joint
- can be heard a small crunch
In gonarthrosis of the knee joint 1 degree of pain will occur at the beginning of the walk, after a prolonged load, and in rest or light load theyare absent. At this stage, the knees still retain their natural form and are practically not deformed. In the joint space, there will be some narrowing.
Knee joint gnatroz of 2nd degree
Knee joint gonarthrosis of the 2nd degree already restricts in the movement of a person. At this stage, pain will accompany any movement associated with the affected knee. Especially severely affected knee will hurt after a long walk and wearing a light weight.
The pain syndrome can only be reduced after a long rest. Check the joint for flexion right now - if you can not bend your leg in your knee, serious deformations have already begun.
In the second stage, a knee crunch will be well audible, joint deformation will also be visible, the patient will begin to limp and develop muscle malnutrition. On the x-ray, you can see the narrowing of the joint gap in comparison with the norm 2-3 times.
A pathological fluid may also accumulate in the joint. At the second degree, drug treatment becomes necessary, it is impossible to cope with the disease alone with one's folk remedies.
knee joint Gonarthrosis of the third degree knee joint will further strengthen the patient's pain syndrome. The mobility of the knee joint will decrease to a minimum. Pain will bother a person even when the knee joint is at rest. Deformation of the joint bones becomes very noticeable.
It will be difficult for the patient to find a comfortable position for rest. In the case when the destruction of the joint is observed and a violation of blood circulation, the joints will twist at night and on the weather.
In the structure of the knee joint articular cartilage is practically absent, due to the sharp sealing of the articular surfaces. Pain relieves patients even when lying down. The likelihood of gait disturbance due to X or O-deformity is very high.
At this level, it is advisable to perform arthroscopic surgery of the knee joint to remove outgrowths and deformed elements, as well as joint replacement - replacement of native elements with artificial analogues
. On the x-ray, the joint gap will be practically absent.
How to treat gonarthrosis of the knee joint? Treatment of gonarthrosis should be started as early as possible, as the patient's recovery process will be quite long.
The main task in the treatment is to remove the load on the joint as much as possible. Get rid of excess weight( diet and proper nutrition), do regular massage of the affected part of the joints, practice physical exercises on the recommendation of a doctor( exercises and gymnastics).
In the first stage, treatment can be conservative and include:
Knee joint gonarthrosis, symptoms, causes
This disease first appears after forty years and is most often diagnosed in women who complain of knee pain.
Knee joint gonarthrosis
No one pays special attention to this and everything is written off to the deposition of salts.
But in fact the cause of pain is gonarthrosis of the knee joint. The essence of the development of this disease lies in the dystrophic changes of the hyaline cartilage, which are covered with the tibial condyles, as well as the femur. In the future, gradual destruction of the cartilage takes place and as a result the subchondral surface of the bones forming the knee joint is exposed.
Causes of the appearance of the disease
The causes of this disease are different, it all depends on whether the primary or secondary gonarthrosis is diagnosed.
This type of disease appears most often in the elderly, and against a background of complete health. It is suggested that the cause of the disease is a disturbed metabolism, because gonarthrosis is more often diagnosed in patients with obesity and overweight.
There are suggestions that the cause of the disease is a hereditary factor, and this can be influenced by the long intake of hormonal drugs and much more. In this case, do not forget that the presence of anomalies in the structure of the joint tissues, not only cartilaginous, but also bone may be the cause of gonarthrosis. Also, the appearance of the disease can significantly affect the various pathologies of the ligament apparatus.
In this version of the disease, the causes are more obvious:
- knee injury - bruises, sprains and the like;
- surgical operations, which a person suffered after a knee injury, removal of the meniks;
- joint disease - arthritis or swelling and other inflammatory diseases in the joints;
- untimely appeal for medical assistance after the received knee injuries, which leads to the development of gonarthrosis;
- hormonal imbalance. This can be a slow metabolism or a malfunction of metabolic processes in the body;
- excessive intensity of physical exertion on the joint. As a rule, it manifests itself in people engaged in professional sports;
- diseases that adversely affect muscle tone, muscle spasms and clamps, stiffness of muscles.
Symptoms and stages of the disease
Symptoms of gonarthrosis of the knee depends on its stage. There are three main stages of the disease.
Each stage characterizes a certain period of the course of the disease - from the moment of slight changes, to serious lesions of cartilaginous tissue and its complete disappearance.
Gonarthrosis 1 degree
In the initial stage, the disease manifests itself stiffness in the knee joint in the morning hours after sleep and a little pain.
Grade 1GonarthrosisThe person notices that pain and stiffness are aggravated by long walking or prolonged stays in a sitting position. However, with the first degree of gonarthrosis, there is no deformation of the cartilage in communication, with which the pain syndrome is not strongly manifested, and the mobility of the joints remains the same. It is for this reason that in many cases the disease remains unnoticed;
Gonarthrosis of 2nd degree
Gradually the pains become stronger and more persistent. They appear not only after sleep, but also with a prolonged load on the knee - for example, if you stand on your feet or climb the stairs for a long time.
Gonarthrosis of 2nd degree
In the recumbent position the pain decreases. The knee deforms and increases in volume, the patient feels a characteristic crunch when flexing the leg. Bony outgrowths - osteophytes - grow on the surface of the joint. Also, there is no full possibility of bending the leg, which leads to a curvature of the vertebra.
Gonarthrosis of 3rd degree
Symptoms are all the same, but they are more pronounced. The pain in the knee is permanent, it tortures a person both during walking and at night, preventing them from falling asleep normally.
severely impaired function of the joint - the patient can not bend the leg in the knee, even at ninety degrees.
There is lameness, a person falls on an affected leg or is unable to move without assistance at all.
Joint deformation can be seen immediately, the change in its structure is diagnosed on the X-ray. The bone surfaces are so deformed that there is practically no gap between them, which is necessary for movements and the person has to experience continuous cutting pain.
Treatment with medical and folk remedies
The gonarthrosis of the knee joint is treated for a long time, and treatment requires doctors of great professionalism, and the patient should be patient. But you can not get rid of the disease forever, but it is quite possible to slow its development.
Medication therapy involves the administration of the following drugs:
- for pain relief. To do this, anti-inflammatory non-steroid drugs are prescribed: diclofenac, indomethacin, paracetamol and others. But they are taken according to the doctor's prescription, a long reception of these medicines can cause an exacerbation of gastritis or stomach ulcers. It should be noted that the action of these drugs is aimed at reducing inflammation and the manifestation of a feeling of pain. Therefore, they only hide the unpleasant symptomatology and do not relieve the disease;
- chondroprotectors. These drugs contain chondrocytes, which will restore the structure of the cartilage. The drugs help to increase the mobility of the affected joint and stop the development of the disease. However, chondroprotectors have a positive effect on the initial stages of the development of pathological changes in the knee joint. They are absolutely useless in the complete destruction of cartilage. These medications are very slow acting and need to be systematically used in certain doses for several courses over a period of one to one and a half years;
- anti-inflammatory drugs. These are corticosteroids, which are hormonal drugs with a strong effect. When the cartilage tissue is destroyed, an inflammatory process occurs and a fluid forms in the joint, and corticosteroids are injected into the joint itself. This hydrocortisone, Kenalog and much more. Assign and hormonal gels with ointments - Diclofenac, butadione and others;
- preparations of hyaluronic acid. A film is formed on the damaged joint, which prevents further destruction of the cartilage by reducing the friction between the articular cavities. As a result, the cartilaginous tissue becomes much more elastic and elastic, including its depreciation abilities. The treatment of gonarthrosis with hyaluronic acid preparations is carried out by courses.
Methods of treatment without the use of medications
This is a physiotherapy that can reduce the pain in the aching joint and relieve inflammation. In most cases, electrophoresis is used, because with its help, external drugs penetrate much deeper than the usual application to the skin. Also, to improve nutrition and microcirculation of tissues in medicine, magnetic devices, ultrasound, laser radiation are used.
Medical gymnastics together with manual therapy will relieve the overstrain from muscles and joints, improve the condition and mood of the patient. Wellness gymnastics is an indispensable component of successful treatment of gonarthrosis. Exercise helps to strengthen the muscular system of the lower leg and thigh, thereby increasing mobility of the limb and improving the condition of the ligaments.
In some cases, surgical treatment is prescribed. As a rule, it is necessary in cases when pronounced deformity of the knee joint is observed and its complete immobilization arises and at the same time conservative methods of treatment are not effective. This is endoprosthetics and arthroscopic debridement. In the first case, the patient is placed with a ceramic, metal or plastic prosthesis. In the second case, with the help of an arthroscope, the painful, broken parts of the cartilage are removed.
Folk recipes do not lose their relevance. The joint use of "grandmother's recipes" and medications will have a good therapeutic effect.
It is recommended to rub the joint joint with camphor oil, apply a mixture of apple cider vinegar and honey, or apply a compress from the burdock leaves to the affected knee.
Also, the traditional medicine section advises you to tie a heated shredded horseradish root at night to your knee, and with pains, drink three times a day a glass of broth from onions, which is prepared by calculating two onions per 1 liter of boiling water. In addition, it is useful to take a bath twice a week with a decoction of grass hay and malt. If there is a pronounced inflammatory process, wipe the knee joint with a lemon wedge.
Prevention of gonarthrosis
The most important thing in the prevention of this complex disease is muscle training and constant maintenance of them in tone. Very often, having heard advice from a doctor to do gymnastics, a person neglects this and very much in vain. Exercises will help to adapt the body to constant loads, because when they are performed, the muscles of the legs are strengthened.
Prevention of gonarthrosis
Excess weight is also a risk factor for the onset of gonarthrosis. This same gymnastics will help him to fight, because the fat people are constantly stressed by joints due to weight.
One of the causes of the disease is trauma. Therefore, while skating, skiing should be cautious and if you do not imagine your life without it, then take care of good protective equipment and use quality knee pads.
Vitamins are especially useful for prevention. This vitamin E, D and C, so you need to periodically use vitamin complexes.
Calcium fortress will take care of calcium strength, high amounts of calcium are found in eggs, sesame and celery.
The right diet will help the joints. The food should be balanced and correct, for the prevention of gonarthrosis you need to consume a lot of fresh vegetables, cakes and sweets replace with fruits. In winter it is useful to eat cranberries with honey. Homemade cottage cheese, milk and cheese will also help to strengthen joints with bones.
Gonarthrosis of the 1st degree of the knee joint: left-sided, bilateral, deforming, treatment
The term gonarthrosis in medicine denotes the degeneration of the cartilaginous tissue of the knee joint, which leads to destructive changes in the bone tissues of the bony heads entering this articulation. In this article, we consider gonarthrosis of the first degree, in which a rapid and complete restoration of damaged tissues is possible with the subsequent restoration of the physiological volume of mobility of the lower limbs. It is very important to recognize the pathology at the initial stage of development, this allows us to apply non-surgical methods of treatment.
Gonarthrosis of the first degree of the knee joint can manifest itself with minimal symptoms, which are difficult to formulate to the patient at the primary address to the doctor. Typical signs can be short-term pain, crunching and clicks during sudden movements. These symptoms intensify after a busy working day, during which increased physical stress on the knee joints appeared.
Destructive changes do not appear in any way. When the radiograph is taken, the thickness of the cartilaginous layer is seen to decrease. There may appear a decrease in the amount of synovial fluid and a decrease in its biochemical properties.
Causes of bilateral first-degree gonatrosis
As mentioned above, bilateral first-degree gonarthrosis is well suited for conservative treatment, pathology can be completely stopped. With the right approach, it is possible to achieve a stable remission, the beginning of a complete regeneration of damaged tissues. But as with any other disease, an important factor of therapy is the elimination of probable causes that contributed to the destruction of cartilaginous tissue. Therefore, it is worth investigating the causes that cause gonarthrosis. They can include the following pathogenic factors:
- excess body weight, which is accompanied by a deficiency in the development of muscle mass of the femoral and gastrocnemius muscle groups;
- incorrect placement of the foot, which leads to an incorrect position of the heads of bones in the cavity of the knee joint;
- heredity and the presence of systemic connective tissue diseases;
- concomitant diseases of the hip, ankle, spine;
- trauma and predisposing working conditions;
- infection during medical manipulations.
This is not an exhaustive list of possible causes, but they are highly likely to provoke destructive processes. Therefore, they should be excluded first.
What is a bilateral deforming gonarthrosis of the 1st degree?
Double-sided gonarthrosis of the 1st degree is the most common diagnosis in case of systemic involvement of the joint tissues. In the traumatic nature of the disease, a one-sided degenerative process arises. In the initial diagnosis it is important to understand how much the cartilage tissue is weakened and whether there are reliable signs of a change in the bone structure.
Deforming gonarthrosis of the 1st degree differs in that with a significant change in the depreciation properties of cartilage there is an increased mechanical stress on the heads of bones. As a result, microscopic cracks may appear, which are filled with deposits of calcium salts. Radiographically, it can look like outgrowths, thorns, roughness. There are no external signs at the initial stage. Pain during movement can occur after severe physical exertion.
Double-sided deforming gonarthrosis of the 1st degree can be diagnosed already at the age after 30 years. The risk group includes persons engaged in manual labor with the primary load on the knee joints. Symptomatically, this can manifest as a slight stiffness in the morning hours after awakening. After a short walk, all the pains disappear. In the evening and at night, there may be cramps in the calf muscles, pulling pains, restless legs syndrome.
To answer the question about what is deforming gonarthrosis of the 1st degree, it can be very simple. This pathology, which in the absence of timely treatment can go into the pronounced destruction of the articular tissues. This inevitably leads to disability and significant difficulties in the independent movement of a person.
Left-sided gonarthrosis of the 1st degree and its distinctive features
Left-sided gonarthrosis of the 1st degree is not common. Usually, the predecessor of the disease is a trauma in the form of stretching of the ligamentous apparatus, dislocation of the knee joint, stroke, inflammation of the meniscus, detachment of the patella and much more. In a number of patients, pathology may occur after medical intervention for arthroscopy or an operation to restore the integrity of the meniscus.
On the right side, a pathological process occurs in a similar way. It is worth noting the inflammatory component in the development of subsequent destruction. An aseptic inflammatory reaction with a compensatory purpose is possible if the physical properties and volume of the synovial fluid are disturbed.
Differential diagnosis is performed with various forms of arthritis, bursitis, traumatic lesions. It is not necessary to exclude the possibility of irradiation of the pain syndrome in the hip joint lesion.
Treatment of gonarthrosis of the 1st degree by the methods of manual therapy
For the treatment of gonarthrosis of the 1st degree, official medicine suggests using mainly non-steroidal anti-inflammatory drugs in combination with chondroprotectors. Additional methods of therapy can be therapeutic exercise, massage physiotherapy. However, often the measures taken are not sufficient to stop the destructive process.
We recommend that you use manual therapy techniques in addition to traditional methods of treatment. In our clinic, effective programs have been developed that allow the restoration of knee joints to be started at the expense of hidden reserves in the human body.
For the treatment of gonarthrosis of the 1st degree, osteopathy and therapeutic massage, a course of gymnastics and reflexotherapy are widely used. For each patient an individual technique is developed that takes into account possible causes leading to this disease. In particular, the specialists of our clinic work with overweight the patient, recommend changes in the diet, develop a program to increase physical activity.
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Knee joint gonarthrosis 1, 2, 3 degrees: symptoms and features
- Knee joint gynarthrosis of 3 degree
A degenerative-dystrophic disease characterized by the defeat and alteration of cartilage tissue, a decrease in its functions, is called gonarthrosis of the knee joint. This insidious disease is associated with the slow destruction of connective tissue. Developing, gonarthrosis can affect all the elements of the joint: directly cartilage, ligaments, bone, articular membrane and periarticular muscles.IMPORTANT TO KNOW!A new means of restoring joints in 99% of subjects. The pain goes away 100%!Read more here - & gt;
Considering the onset of the development of knee arthroplasty, there may be a time when, under the influence of an unfavorable internal or external factor, there is a disturbance in cartilage nutrition. There is a shortage of nutrients with a decrease in the capacity of the vessels as a result of their spasm or blockage. This process can be combined with a malnutrition of the inner layer of the joint bag.
Changing important biological processes leads to degeneration and death of cellular cartilage elements. The elasticity of the connective tissue decreases, defects appear in it. The so-called "dry joint" is formed, the deadened particles of which are capable of causing inflammation. Accompany this process will be ingress into the cartilage of substances capable of splitting and changing the composition of tissues.
Degeneration and destruction of the joint structure will constantly provoke further development of gonarthrosis. As a result, an important cushioning body will become incapable of performing its functions. On the surfaces of the cartilage, the growth of the growths will increase. The adjacent bone will change its shape, and the ligaments become shorter. There will be contracture - restriction of mobility. In the advanced stage, muscles are atrophied.
When reaching 60 - 70 years of age, such a disease as deforming gonarthrosis of the knee joint is diagnosed in almost 70% of people. But according to scientists, in recent years, the ailment has become noticeably "younger".
Symptoms of knee joint graft disease
At the initial stage of the disease, minor knee pain is felt, especially after a load. Patients, as a rule, pay little attention to this discomfort, since after rest everything passes. Sometimes the pain is felt in the thigh. Strengthen and acquire a permanent character discomfort will be in damp and wet weather. With inflammation, the joint of the knee increases in volume and swells.
As a typical representative of a disease such as arthrosis - the knee joint gonarthrosis has symptoms typical of it:
- edema of the periarticular zone;
- pain in connective tissue during movements;
- a sense of instability in the cartilage;
- articular changes( lead to the formation of O-shaped and X-shaped legs).
Many patients are forced to "pacing" the affected leg in the mornings or after sitting on a chair for a long time. At the same time, they feel pain, a crunch in the knee joint and limited flexion-extensor movements. Gradually develops lameness, the patient loses the ability to move independently. When the disease passes into the final stage, a person can simply lay in a layer.
There is one feature that characterizes gonarthrosis of the knee joint - the symptoms of the disease are expressed regardless of the degree of progression of the process. Only with a steady increase in the signs of the disease, they will correspond to a certain stage.
Types of gonarthrosis
In traumatology and orthopedics, two types of knee joint gonarthrosis are distinguished, taking into account the pathogenesis of the disease: primary( idiopathic) and secondary. The first type of disease occurs usually for no apparent reason and in most cases is bilateral. Secondary gonarthrosis is formed already on the existing platform of pathological changes or knee injuries. It can occur at any age, often on the one hand.
Approximately 40% of cases are diagnosed as primary gonarthrosis of the knee joints. The causes of this type of illness are metabolic disorders and disorders of the endocrine system. It is believed that any process that leads to damage to the cartilage can become a provoking factor in the development of the disease. Most of the gonarthrosis is bilateral, that is, it affects both knees.
Usually, primary gonarthrosis is diagnosed in the elderly. A variety of circulatory disorders in the limbs, such as varicose veins or atherosclerosis, also contribute to the occurrence of knee arthrosis. Favorable conditions for the disease creates an inactive way of life . A sharp increase in the physical load on joints( prolonged running, jumping) also often leads to cartilage damage.
Two-sided gonarthrosis of the knee joint usually develops in such people:
- patients with diabetes mellitus;
- patients with thyroid disease;
- people with excess weight;
- of women in the menopause and after it, due to the decrease in the amount of estrogens.
Secondary gonarthrosis is observed on one of the knee joints. And the left side lesion is formed when the right leg is injured, and vice versa. This occurs at a time when the weight of the body is unconsciously transferred to one side, exposing the intraarticular tissue heavily to the load. When research is usually found narrowing the gap, cartilage damage, deposition of salts, sharpening the edges of the condyles of the bones.
Often after injuries, secondary gonarthrosis of the knee joint develops - the reason for this is not enough correct treatment of fractures and permanent microtraumas of cartilage:
- shock impacts on the knee joint during running, water and mountain skiing, snowboarding, when jumping, playing football, basketball;
- trauma of the meniscus( detachment, pinching, tearing) as a result of unsuccessful movement;
- prolonged static load on cartilage of the knee, for example, with prolonged squatting.
Secondary gonarthrosis usually develops on the background of an inflammatory process of an autoimmune or infectious nature. People who have too loose or weak ligaments from birth are at risk. This is due to the development of tissue dysplasia and uneven distribution of the load on the cartilage. Often gonarthrosis of the knee develops due to a trauma of the rounded bone forming part of the cartilage.
Degrees of gonarthrosis of knee joint
In medicine, it is accepted to distinguish 3 degrees of gonarthrosis - from the moment of minor changes, to catastrophic cartilage damage and its disappearance. It is established that at some stages of the disease people do not feel pain and discomfort when moving. Therefore, it is rather difficult to independently determine the gonarthrosis of the knee joint - that such things are not known to everyone. Stiffness helps to recognize the ailment.
Knee joint gonarthrosis 1 degree
Even today, it is very difficult for physicians to detect 1 degree of gonarthrosis. It is impossible to detect the changes that have begun in the tissue of cartilage even with X-ray examinations. Diagnosis of the disease relies primarily on an individual description of the patient's condition. For example, gonarthrosis of the knee joint of the 1st degree can be manifested by morning stiffness or slight pain in the cartilage.
Many note the disappearance of unpleasant sensations in overcoming a short distance and their resumption after a long walk. However, only a few know that with such symptoms it is necessary to go straight to the doctor immediately. Neglecting the first signs is risky. At this time, there may already be a slight narrowing of the joint gap, a crunch and tingling. Then the disease will only develop.
At the first degree of gonarthrosis of the knee joint, the cartilage does not deform, which is why people usually do not feel pain. In this period, the disease can be overcome not only with the help of medicines. Help preventive gentle charging, full and balanced nutrition.
Knee joint gnarthrosis of 2nd degree
In gonarthrosis of the 2nd degree, narrowing of the cleft and growth of osteophytes, osteophytes, over the surface of the joint becomes evident. Visually, one can observe a slight inflammation in the knee area, feel a pain syndrome while walking. X-ray method diagnoses reliably. The emergence of degenerative gonarthrosis of 2 degrees leads to a disruption of the nutritional process of the cartilaginous tissue.
The following factors can lead to the development of second degree gonarthrosis:
- heavy work;
- vascular disease;
- problems with the absorption of nutrients by the body.
Because of the lack of possibility to fully bend the leg, gonarthrosis of the knee joint of the 2nd degree leads to curvature of the spine. The danger of this pathological process lies in the gradual formation of changes, while treatment removes inflammation and pain syndrome. The morphological changes that have occurred in the joint remain. Therefore, therapy should be started as soon as possible.
Knee joint gynarthrosis of 3rd degree
Significant, sometimes irreversible changes in the joint occur at the third degree of knee gonarthrosis. On the X-ray, a rough deformation of the cartilage structure is seen. Patients constantly feel cutting pain. They do not stop day nor night, nor after loads, nor at rest. At this stage, people are practically immobilized, joints cease to bend, lameness develops.
Treatment of such patients is carried out in a complex manner. To defeat gonarthrosis of the knee joint of the third degree, drug therapy is used in combination with various physiotherapy procedures, such as electrophoresis, laser therapy, magnetotherapy, etc. In severe third degree gonarthrosis of the knee, when intraarticular injections do not help, surgical intervention is also used.