Is arthrosis treated?

How can I treat arthrosis of the knee joint of the 2nd degree?

Many people, feeling pain in the knee joint, amuse themselves with the thought that it's just fatigue. Time passes, and pain not only does not go away, but also does not allow to rest, makes you wake up at night and look for a comfortable position for your legs. The patient, exhausted by constant pain, notices that the gait has changed, and the knee joints have become swollen, and the leg bends with difficulty. Is it possible to return the previous activity? How to cure arthrosis of the knee joint of the 2nd degree? First, you need to contact a specialist to have a final diagnosis and an effective treatment.

Causes of arthrosis development

The cause of arthrosis is mechanical factor

Gonarthrosis( another name arthrosis of the knee joint) is an ailment that affects the meniscus( cartilaginous lining) and bony growths appearing at the edge of the joint. It is a progressive destructive process that develops in the cartilage of the knee joint. Osteoarthritis is a chronic disease. It develops due to heavy loads on the knee. The people call this disease the deposition of salts. The defeat of the joint is slow, blood circulation is disturbed first in small vessels, later the cartilage of the knee joint is affected. The first degree of arthrosis is not as palpable as the second. Therefore, patients do not consult a doctor. Female sex is susceptible to the disease twice as often as the male sex.

Experts call the cause of the disease development a mechanical factor. Degeneration of the joint develops due to microtrauma, after which the load on the joint surface increases, resulting in its destruction. The disease leads to a disruption in the metabolism that feeds cartilage tissue. These elements are unique, they are not produced any more by human organs. Specialists point to the main causes of arthrosis:

  • knee injury;
  • arthrosis( after Paget's disease);
  • bone tumors;
  • rheumatic arthritis and ankylosing spondylitis.

The diagnosis is made by the treating doctor on the basis of interview and visual examination of the knee, refined using an X-ray;if necessary, the patient undergoes ultrasound, CT, MRI.Only a comprehensive examination can show the doctor how much the joints of the patient are affected. Arthrosis of the 1st degree narrows the joint gap, affects the outer or inner parts, arthrosis of the 2nd degree affects the entire knee joint, along the edges of which there are osteophytes - bone growths.

The emergence of the disease

Is it possible to cure arthrosis and live without pain? The earlier a patient realizes that he develops arthrosis, the easier and faster the treatment will be. Do not wait for the disease from mild 1 degree to develop further, bringing more and more suffering. Symptoms that should be noted:

  • the appearance of pain in the knee after a resting state, when moving, it weakens, but by the evening appears again;
  • limitation of mobility in the joint;
  • appearance of osteophytes;
  • when you move the knee joint, you hear a crunch;
  • when hypothermia joint lomit;
  • changes gait.

If at least one of the symptoms manifests itself, this is an occasion to consult a doctor. The specialists determined the following stages of development of arthrosis:

stages of artose
  1. Initial, the first degree - the presence of periodic pain, knee tumor, deformation of the joint is almost invisible.
  2. The second degree is a consequence of already fallen joints. Pain increases, becomes more intense, a crunch appears, knee flexion causes discomfort. The patient becomes dependent on weather conditions.
  3. The third degree is the heaviest. Severe pain becomes almost constant, even during rest, there is a change in gait, restriction of movements.

Gonarthrosis is primary and secondary( occurs due to other diseases).Primary arthrosis is a disease of age, secondary - more often due to a knee injury.

Methods for the treatment of arthrosis

Arthrosis of the knee joint of the 2nd degree should be treated in a comprehensive manner using various methods. Only in this case we can expect a result. With drug treatment, doctors prescribe an application, systemic, intra-articular therapy. Application includes the use of anti-inflammatory, warming drugs. When using systemic therapy, symptomatic and pathogenetic drugs are prescribed.

Simultaneously with taking medications, a non-drug method of treatment is used. The patient will have to reduce body weight, which will significantly reduce the pressure on the joints. Apply special orthopedic devices to ease the load on the knee.

lfk for knee treatment

To improve the mobility of the knee, you can do therapeutic gymnastics under the supervision of a physician. The whole complex of exercises is performed by patients sitting or lying down to avoid pain due to the load on the affected joint. Gymnastics will improve the nutrition of the joint elements. It is recommended to be engaged in swimming: water is extremely useful, it perfectly treats, helps to relieve the load from joints. To improve blood supply to the hip and knee joints, the patient can be recommended self-massage of the leg, thigh, knee joint.

If the disease is started and conventional methods of treatment do not provide relief, a micro-operation is necessary. With some preservation of joint functions( more often it is arthrosis of 2 degrees) it is disinfected, all the destroyed particles are carefully extracted, then osteophytes are removed. Using the operation, you can restore or improve the motor function of the knee for a fairly long time. In more serious conditions, more complex operations are performed. Most often, the results are encouraging: the joint resumes its functions for several years. The launched form of arthrosis is treated with endoprosthetics of the knee joint. A person returns to normal activity.

Folk methods

Patient with arthrosis often searches for the answer about treatment on various sites. Often finds miraculous disks, folk recipes. No matter how tempting the proposal may seem, treatment with non-traditional, folk methods should be supervised and with the permission of the attending physician. During the treatment of grade 2 arthrosis, the patient will be helped by:

  1. Lemon with skin.
  2. The use of cabbage leaves, smeared with honey, as a compress on the knee at night, is applied in the morning fresh and remains for a whole day on the affected joint. The procedure is repeated for a month.
  3. Drink three times a day a drink consisting of 2 teaspoons of apple cider vinegar, diluted in 200 g of water.
  4. To reduce pain in the joint, rub it with heated vegetable oil for at least 5 days.

The usual burdock can get rid of the pain. In the people it is often used to treat various diseases.6-7 leaves are washed, wiped dry and stacked with a velvety part down. On a pile of mug put a container with hot boiled water. With a warm vegetable oil, wipe the sore spot and apply the prepared burdock sheets. Top covered with cellophane tape, wrapped with a woolen warm cloth. Use for this procedure and dried mug. In this case, it will have to be soaked in hot water.

Applying treatment in the complex, you can cure arthrosis of the knee joint of 2 degrees and get rid of the pain. To ensure that the patient's condition does not deteriorate, the treating doctor should observe the treatment.

Osteoarthritis. Degree of arthrosis. Treatment and prevention.

Osteoarthritis is a disease of the bones in which the cartilaginous layer in the joint or between the vertebrae gradually deteriorates, which disrupts the mobility of the joint. The disease begins with damage to the articular cartilage, then it breaks down until it disappears completely.

Arthrosis of the joints has different classification, the most common is osteoarthrosis or deforming arthrosis primary .To its development leads to premature aging, articular cartilage wear associated with a violation of its metabolism. The causes of arthrosis are still not accurately determined.

Posttraumatic arthrosis .It is believed that professional arthrosis occurs as a result of permanent microtrauma, the wear of the joint under the influence of large loads, for example, in athletes. Doctors and the role of the hereditary factor, as well as endocrine disorders and circulatory disorders, do not exclude medicine.

The cartilage, which is destroyed, serves as a shock absorber, therefore, after its disappearance, compaction and deformation of the joint surfaces begins. The joint is deformed, its normal functioning becomes impossible.

Osteoarthrosis is most affected by women aged 40 to 60 years. The most common arthrosis of the extremities is ( osteoarthrosis), which affects first of all the hip and knee joints, as well as interphalangeal joints of the hands.

Symptoms of arthrosis

External signs of arthrosis appear gradually increasing by the evening pains, external deformation of joints, swelling in the joint area. Sometimes, as a result of infringement of a piece of cartilage between articular surfaces, acute pain may occur. Pain in arthrosis is the main symptom of all types of arthrosis.

The most severe form of arthrosis is coxarthrosis - arthrosis of the hip joint .It causes severe pain when walking, restricting movements, shortening the limb due to subluxation of the femoral head. In especially severe cases, coxarthrosis is treated with complete prosthesis of the affected joint. Total degrees of arthrosis of the hip joint 5, starting from the 0th( no arthrosis) to the 5th( pronounced osteoarthritis).Determine the severity of arthrosis from the result of X-ray examination.

Other forms of arthrosis are less dangerous, the prognosis is usually favorable, the work capacity is preserved. In Eastern Siberia and the Trans-Baikal region, this form of arthrosis is common, like arthrosis deforming endemic. Scientists associate its occurrence with infection with the fungus of cereals and lack of calcium in water and soil. Endemic arthrosis children under 16 years of age. The disease is steadily progressing. As a treatment, physiotherapy is used, preparations with a high content of calcium and phosphorus are taken.

The causes of arthrosis

As with many other diseases, there are a lot of causes of arthrosis. Despite the fact that arthrosis is considered an age-related disease, it also occurs in young people. Call arthrosis may:

  • joint injury( such arthrosis is called posttraumatic);
  • hereditary factor;
  • prolonged static load on the joint;
  • , as already mentioned, the age-related changes in the structure of the articular cartilage;
  • is overweight, which at times increases the load on the joints, especially the joints of the lower limbs.
  • metabolic disorders( diabetes mellitus, disease of endocrine glands), which leads to malfunctions in the synthesis of cartilaginous tissue;
  • flat feet - shifts the center of gravity and increases the load on the joints;
  • problems with the vessels of the lower limbs, which complicate the nutrition of the cartilaginous tissue.

It is possible that over the years there will be some other causes of arthrosis. But at the moment, if you fall into the "risk group", be sure to do the prevention of arthrosis!

Degrees of arthrosis

In medical practice, there are three stages of arthrosis. Patients with this disease are very common. To determine at what stage of development is the arthrosis is fairly easy, the main thing to know the symptoms. So, the first stage consists in metabolic disorders, the second one is associated with traumas, as well as with infectious non-specific arthrosis, and the last, the third stage is the most dangerous, it is caused by disorders in the joints of a person. The treatment and detection of each degree of arthrosis are described in detail below.

Arthrosis 1 degree

At this stage the joints move, however, not fully, but only in the direction in one direction. It is rather difficult to see the seriousness of the disease with the help of an X-ray, since it is not able to detect any abnormalities at the initial level of the disease.

Symptoms of arthrosis of the 1st degree .Identify the disease is very simple, on the uneven surface of the place where the joints are located, and according to their solidified state. At the first stage there are no edematous conditions on the joints, the temperature does not appear, the skin, on the joints does not change color. What can be disturbing is the barely audible cracking of the joints, as well as aching pain, and a slight tingling in them. Many simply ignore their illness, but not because they do not care about their own health, but because the signs of the first stage are completely unsettling.

Treatment of arthrosis 1 degree .To further not develop the disease will help the lotions based on horseradish, also perfectly helps the rubbing of various ointments, which include propolis, wax, horseradish. With arthrosis is strictly prohibited the use of any alcoholic beverages, it is recommended to do regular exercises, to balance nutrition.

Osteoarthritis of 2nd degree

Many patients forget about their health because of their employment, and they reach the second degree of arthrosis, and then they turn to the doctors for help. The second degree is able to recognize not only the doctor, but also the patient himself, because joint disorders are obvious. However, arthrosis of this degree does not strike at once, but warns of its onset from afar.

Symptoms of arthrosis of the 2nd degree .There is a slight fatigue, there is a feeling of pressure on the joints, especially after any stress on the legs. Knee arthrosis is revealed in very painful sensations, even with the slightest movement. Such painful sensations are accompanied by a knee crunch, and it is becoming more difficult to bend or unbend the leg each time.

The risk of arthrosis of the second degree is a partial deformation of the knee joints. And if you do not start treatment at the time, the disease will not recede, but on the contrary, it will gain momentum.

Treatment of arthrosis of 2nd degree .Unfortunately, to treat arthrosis of the second degree is much heavier than arthrosis of the first degree, because traditional medicine in the second case is powerless. Only modern medicine can help here, and physicians will necessarily prescribe chondroprotectors, as well as drugs that dilate blood vessels.

Osteoarthritis of 3rd degree

The most palpable and painful degree of arthrosis is the third.

Symptoms of arthrosis of the 3rd degree .In the joints gives a sharp pain, and even when the person is in complete peace, that is, the joints are not tense. Not only that the weather conditions directly affect the sensitivity in patients with joints, so also the joints themselves stop working, which leads to total leg incapacity.

Treatment of arthrosis of the 3rd degree .With arthrosis of the third degree, the patient is prescribed a complex treatment. That is, a patient, not only takes all sorts of medicines, but also goes to various procedures, such as: electrophoresis, diadynamic therapy, magnetotherapy, laser therapy, microwave resonance therapy, and electrosleep.

Deforming arthrosis of the joints of the hands

A chronic disease of the joints of the hands, in which degenerative-dystrophic changes are combined with hyperplastic ones. The disease, extremely widespread, deforming arthrosis is caused by numerous causes, among which, along with trauma, metabolic and endocrine disorders, infection and, what is very important, age changes play a big role. Thus, deforming arthrosis is undoubtedly a polyethological disease, and the summation of microtrauma, usually associated with occupational activity, can be only one of the causes of this disease.

During the deforming arthrosis, 3 phases are marked, each of which is characterized by anatomical features and clinical manifestations. In the 1st phase, aching and gnawing pains in the joint are noted, sometimes worse at night, and movements in the joint are not limited, or some of them are slightly limited and painful. In the second phase, an increasing number of different movements are limited, the pains in the joint become more and more persistent and strong, often accompanied by a sonorous and coarse crunch. In this phase, it is possible to detect a moderate atrophy of the muscles of the corresponding segment of the limb. At the same time, the joint itself is slightly enlarged in volume, which is clearly visible if the process develops in the wrist, metacarpophalangeal, or interphalangeal joints of the hands. In the III phase, the deformation of the joint increases, the movements in it are further restricted, and only the preservation of swinging( pendular) movements indicates the absence of ankylosis. The patient often fixes the joint in a forced position, and it takes a lot of effort to passively conduct a series of movements. The destruction of cartilage in this phase reaches its maximum, the bony marginal growths that deform the articular surfaces of small and large joints are very large. Some areas of bone growths undergo a fracture. Usual are not only muscle malnutrition, but also trophic bone disorders in the form of osteoporosis.

Rheumatoid arthritis

Rheumatoid arthritis manifests itself as a sharp pain in the joints of the hands and feet. As a rule - symmetric. Painful sensations with reactive arthritis of infectious origin are more often asymmetric: no joints are aching, but one. The pain moves from foot to foot. Especially vigilant in this case should be those who have already had cases of reactive arthritis in the family. For safety, you can pass a special analysis for the presence in your blood of the ill-fated antigen HLA.B27, and therefore - a predisposition to this kind of rheumatological diseases. To confirm the diagnosis will help and X-ray: with reactive arthritis and with Bekhterev's disease - pelvis, with arthrosis - knees and brushes, with rheumatoid arthritis - brushes and feet.

Treatment of arthrosis of joints

Many are looking for information whether it is possible to cure and how to cure arthrosis. So cure arthrosis to the end is impossible! There is no cure for arthrosis! It is possible only to suspend the course of the disease, to prevent the joint cartilage from collapsing. The main goal of arthrosis therapy is to prevent the progression of cartilage degeneration and the maximum possible preservation of joint function. Treatment of arthrosis should be only complex, that is, to combine several types. To establish the diagnosis, the doctor will send you to X-ray, and only having a picture on hand, he will be able to establish the degree of arthrosis and prescribe treatment. It is also necessary to identify the cause that caused the appearance of arthrosis, if possible, eliminate it and immediately begin treatment. Methods of treatment of joint arthrosis:

  • Anesthetize. Most often, the doctor is treated at the stage of the appearance of pain in the joints. Therefore, usually prescribed painkillers - analgesics.
  • Remove inflammation. If there is inflammation, swelling of the joint, it must be eliminated. Anti-inflammatory drugs are prescribed.
  • Restore cartilage tissue. This is the most important task of the entire treatment. Even if it can not be restored, it is simply necessary to suspend degenerate processes. To do this, medicines containing chondroprotectors are prescribed. It is not worth waiting for an instant result. Nevertheless, if you take the medication at an individually selected course for several months, the result will be obvious.

In the event that joint damage occurs without significant symptoms, the patient may be prescribed ointments for arthrosis with a warming effect, the main purpose of which is to improve local circulation in the affected area.

As examples of such ointments, you can cite Menovazine and Nikoflex - cream, which usually do not provoke the occurrence of allergic reactions and manifestations of side effects. Patients only note a pleasant sensation of warmth and even comfort, which in no way interferes with them.

Prevention of arthrosis

Prevention of arthrosis, as with any other disease, can be primary and secondary. Primary prophylaxis of arthrosis is aimed at controlling weight( fighting obesity), preventing injuries( excluding traumatic sports, choosing a profession that does not burden the knee joints).The risk of arthrosis can significantly reduce the wearing of adequate shoes, as well as regular exercises that strengthen the muscles and support the volume of movement in the joints.

If the disease has already occurred, treatment of it will not have a sufficient and lasting effect if the patient does not change the way of life to a healthier and more rational one. In this case, it is a question of secondary prevention of exacerbations and relapses of arthrosis. Secondary prevention of arthrosis also includes proper nutrition, maintaining optimal body weight and fitness. Not recommended: red meat, foods with high content of animal fat. It is advisable to replace these products with white poultry meat and fish, especially marine( salmon, tuna, sardines).Eat plenty of fresh fruits and vegetables. In addition, you can take capsules with fish oil. You should drink at least 6-8 glasses of water, this is more than is usually necessary to quench your thirst, so this should become a habit.

There are vitamins and minerals that are especially useful for bones and joints, you need to be sure that you get them in sufficient quantity. Antioxidants are essential vitamins A, C and E. These vitamins are known enemies of free radicals, which destroy cartilage in the inflamed joint. Boron, calcium, copper, magnesium and zinc - these minerals are necessary to provide healthy joints, either alone or in combination with each other or with vitamins. Calcium, for example, is absorbed only in the presence of a sufficient amount of vitamin D.

Finally, glucosamine sulfate and chondroitin sulfate are not only used as pharmacotherapy, but also contribute to maintaining the elasticity of cartilage in a healthy joint, preventive administration of these drugs may be appropriate,when the cartilage is not yet damaged.

is it treated for arthrosis and what?


When the joint crunches during sharp movements, and an unpleasant sensation arises when bending, you are unlikely to run to the doctor - a trifle like! But in vain. This is how the heaviest disease begins - arthrosis.
If the disease is not treated, the pain will appear with the movement over the years. With arthrosis of the hip joint, pain comes from the upper part of the thigh and gives to the knee, which is especially felt when walking. A suffering knee arthrosis painfully descends the stairs;if the shoulder joint is touched, it is difficult to raise and lower the arm.
It would seem that now it's definitely time to visit the doctor, but we are not in a hurry - all the time is not enough. And only when any movement causes unbearable pain, and the joint loses mobility, we begin to cry: "Doctor, help!".But time is lost. At this stage of the disease, one can only remove the inflammation that has joined the arthrosis, reduce the pain, but it is already impossible to repair the damaged cartilage.
According to experts, the causes of destruction of articular cartilage can be:
• metabolic and hormonal background disorders,
• deterioration of blood supply of the joint,
• hereditary predisposition to cartilage tissue diseases,
• advanced age,
• trauma,
• such diseases, As rheumatoid arthritis and psoriasis.
However, the most common cause of arthrosis is the discrepancy between the load on the joints and the ability of the cartilage to resist it.
What happens with arthrosis? The main components of the cartilage are destroyed: collagen and proteoglycans.
It becomes turbid, rough, loses its elasticity and elasticity, then it splits and becomes ulcerated, the bone is exposed. Separate fragments, which form foreign bodies in the joint cavity. Now the cartilage can not absorb at all under load, so all the pressure falls on the bone below it;it is damaged, and on the spot defects of cartilaginous tissue grows painfully.
Osteoarthritis is the most common joint disease. She suffers from 6.4 to 12% of the population, and the sad thing is that today this pathology several times more often causes disability and leads to disability than several decades ago.
Women suffer from arthrosis 2 times more often than men, but after 65 years this difference is almost not noticeable: signs of the disease are found in 68% of women and 58% of men.
Everyone can get sick. The risk group includes not only elderly people, whose cartilage components are destroyed faster than synthesized, but also professional sportsmen( especially boxers, wrestlers, runners, football players), dancers, stunt men, extreme sports fans and ordinary citizens, work or imagewhose lives are associated with increased strain on the joints. Curvature of the spine, shifting the center of gravity when walking, high heels of women of fashion, excess weight and even the habit of sitting on the leg - all this can eventually lead to problems with the joints.
Like any other disease, arthrosis is easier to prevent than cure. Just need to take care of your joints. First, carefully approach physical exertion, try to avoid injuries, sudden movements.
Secondly, if possible, engage in preventive gymnastics for joints. In addition, forget that "a good man should be a lot": weight twice as much as normal should be adjusted by diet.
Cure arthrosis is not easy. In neglected cases, even a high-class specialist can not fully restore the joint - in his power, as already mentioned, to slow down the development of the disease, relieve pain and mute the inflammatory process.
If the arthrosis is found on time, there is a chance to completely get rid of it. For the treatment of arthrosis, you can undergo a hirudotherapy( treatment with leeches), you need about 6-10 sessions. Leeches will remove the inflammatory process and severe pain.


Answer [link is blocked by the decision of the project administration]!

vladimir climov

This is not a disease, but uncultivated!?!? And is treated primarily by the culture of clothing, shoes, labor
yes. ... And without this all medications and whispering are useless. ...

Pavel Filatov

unfortunately radical treatment of arthrosis at this stage is surgical.all the rest, only a slowdown of processes.good results are given by intraarticular injections of antibiotics with hydrocortisone.
except for classic operations with large, now widespread arthroscopic operations( through punctures)
in any case need consultation orthopedic trauma. Do general practitioners( family) are not treated.they are now chasing the indicators and are ready to treat literally everything without having the special knowledge of remove a strong pain before treatment by a doctor can be intramuscular injections of ketorol( tried on my grandmother - a momentary effect).but they can not be treated for a long time( ((


Drink. .. coral water. .. this is the source of assimilable calcium! !!
On the day of 1.5 liters! !!
but not in any way not pharmacy. .. it or goes in transit...
or settles on the joints. .. aggravating the problem! !!
And give up coffee. .. 1 cup of coffee takes out of the body. ..
daily calcium rate! !
Write. .. Good luck! !!


A lot of drugs in Ayurveda products and the Coral Club, all natural origin, all experienced on myself, very satisfied and advise you. In no casee pharmacy, synthetics, which heal one, and rob another. And it will also help to make a parasitic cleansing of the body, to clean the intestines. In the future, toxins cause inflammation in the joints, too.


Good article in LO. Perhaps the best thing is that IHas read through on a subject.

Whether it is possible to cure arthrosis of 2nd degree?

lusi dok

an arthrosis - a progressing sore.he can not be cured at all in the world.
to stop its development is difficult, but you can try, the
course of the disease will depend on the degree of wear and tear, the condition of the joint capsule and the strength of bones.associated factors that need to be considered: weight, level of physical activity and its type, addiction to spicy food, intestinal conditions, smoking.
to the so-called. The following recommendations of
belong to the "gold standard" of the treatment of arthrosis: 1. to control the body weight - it should be reduced to normal
2. physical loads are mandatory - their regularity affects the prognosis.their intensity and duration are determined by localization of arthrosis and severity of disturbances.
3. Align habits in the diet( acute, sour is desirable to be excluded altogether)
4. Have at least 3 times a year undergo regular "treatment", which will include: anti-inflammatory( at the same time and anesthetics) drugs, complex vitamins D, A, E,C, and so-called.chondroprotectors( here it must be borne in mind that they are very cunning - the effect is, while you take, and if you do not do anything else, it will not help)
5. this is my addition - it is desirable to help yourself with herbs: mother and stepmother, St. John's wort,nettle, thyme, chamomile, sage, flax seeds, centaury.- they are many, you do not have to drink everything - just brew for 2-3 weeks alternately a few herbs and drink in the evening instead of the usual tea - the effect will be months after 6 already noticeable.
You will need to detail, communicator.
Good luck.
P.S.I can disappear for 3 weeks from the network - I'll be back when I return.


Arthrosis is one of the main diseases shown for the treatment of arthrosis with the Orion laser irrespective of age and stage of the disease. Orion removes the inflammatory processes that occur in the joint, relieves the pain syndrome, improves the nutrition of tissues and blood flow, helps restore the composition of the synovial fluid and partially restores the cartilaginous tissues, restores the mobility of the joint and stops the further development of the disease. For more detailed advice, please contact our advisory center at Prospekt Mira, 105, tel.(495) 101-33-23, consultations are conducted by our doctors, all consultations are free of charge.
I wish you luck!

is curable deforming arthrosis? At least, I'm flying. ...

vladimir climov

.And the reason is only in bare feet and uncomfortable shoes.


at your age this diagnosis is unlikely - as a rule "arthrosis" - either in the elderly, or after a joint injury.

Shin Sh

Probably posttraumatic arthrosis, + physiotherapy

is still necessary barabas karabas

DOA should be confirmed radiologically. You took a picture of the joint? If not, then to make this diagnosis is incorrect.

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