Choosing the best ointment for the treatment of arthrosis: an overview of modern means
Arthrosis is a serious and progressive disease that can hardly be treated and causes a lot of trouble. To get rid of it, the patient will have to be patient and learn a lot about the methods of his treatment. Complex therapy includes different methods, but creams, gels and ointments for arthrosis are used necessarily - they help to cope with many symptoms of the disease.
Regular use of local remedies for the treatment of arthrosis is recommended by all leading specialists in joint diseases. Can be used as pharmacy products, and rubbers, pastes, herbs from medicinal herbs and natural ingredients, prepared according to the recipes of traditional medicine. In this article we will make a brief overview of the most effective tools, let's talk about their classification and principles of action.
Why are ointments useful in the treatment of arthrosis?
Despite the fact that it is impossible to cure arthrosis with external means only, they accelerate the healing process and have a number of positive effects:
- reduces inflammation;
- relieve pain;
- eliminates spasms of the muscles surrounding the joint;
- improves blood circulation in the periarticular tissues;
- have a pleasant and useful warming effect;
- normalizes the nutrition of bone and cartilaginous tissues;
- have an antimicrobial effect;
- strengthen the strength of the action of other treatments.
When choosing an ointment, you should pay attention to its principle of action and the main active substance, because the purpose of different ointments may differ.
Only the doctor can find the most suitable remedy and the scheme of its use.
Classification of anti-arthrosis ointments
Ointments used for the treatment of arthrosis can be divided into 2 groups:
Warming and vasodilating are used to improve microcirculation in the affected area, reduce pain, increase the effect of other medications, normalize the supply of bone and cartilaginous tissues.
Anti-inflammatory and analgesic used to reduce( eliminate) the inflammatory process, contribute to the elimination of edema, increased temperature, limited mobility of the affected joint.
The effectiveness of anti-inflammatory external agents is low enough, since the skin is able to pass only 5-7% active active substance. Doctors recommend local anti-inflammatory drugs to their patients only at the initial stages of the disease or at its next aggravation. For long-term treatment, ointments of warming and vasodilating action are most often prescribed.
Nase gel is a representative of a group of anti-inflammatory and analgesic ointments
Pharmaceutical anti-inflammatory and analgesic ointments
The main active ingredients of such ointments are substances that can eliminate signs of inflammation: diclofenac, tilfen, ketoprofen, indomethacin, ibuprofen, nimesulide, dimethylsulfoxide and others. Duration and frequency of application of these funds is determined by the doctor depending on the specific situation( the severity of the symptoms, the patient's condition, the presence of contraindications, etc.).
Here is the list of the main representatives of the anti-inflammatory group:
Diclofenac( voltaren emulgel, dicloberl 75) on the basis of non-steroidal anti-inflammatory drug( NSAID) diclofenac.
Fastum( rapidum gel, ketonal gel) based on ketoprofen, which has a pronounced analgesic effect.
Indomethacin( methindole) based on NSAID indomethacin.
Naise( gel nimesulide, nimulide, nise) based on nimesulide, which has anti-inflammatory and analgesic effect.
Dolobene based on dimethyl sulphoxide, which has an anti-inflammatory effect.
Dolgit( dip relic) on the basis of ibuprofen, which has an anti-inflammatory effect. Also included in the dip is a component that has a warming effect.
Do not use these drugs for longer than prescribed by the doctor, since their active components may have a negative impact on the body as a whole even when applied externally.
Pharmacy warming and vasodilating ointments
The effectiveness of such ointments depends on the type of active ingredients that make up their composition. For example, bee, snake venom, red pepper extract have a stronger effect, better increase the permeability of the capillary circulatory system than preparations based on salicylates.
Apisatron( virapine, ungapiven, apiriven) based on bee venom.
Voltaren( vipratox, viprobel) based on snake venom.
Espol based on the extract of red pepper.
Gevkamen based on menthol, essential oils of eucalyptus, cloves and camphor.
Niklofeks-cream based on capsaicin, salicylate and ethyl nicotinate.
Contraindications to the use of this group of drugs can be wounds or other trauma in the field of ointment application, allergic reactions to the components of the drug. As a rule, such drugs are not recommended for use in the period of acute inflammatory process, and only specialists can determine the time of their application after the analysis of the joint and periarticular tissues.
Ointments based on poisons are not recommended to be used for a long time, because they can help stretch the ligamentous apparatus, which can lead to a disruption in the stability of the joint.
Applying warming agents is best before going to bed or several hours before entering cold air.
Folk recipes for ointments and creams
For the treatment of arthrosis, external agents based on medicinal herbs and natural ingredients that are easy to prepare at home are successfully used. Depending on the composition, the prepared mixtures may have warming or anti-inflammatory properties.
Ural Ointment has a warming and local irritant effect. To make it, you need to take 100 g of mustard powder, place it in a glass container, mix with paraffin and 200 g of edible salt until pasty consistency. The container with the resulting mixture should be closed with a lid and allow the agent to infuse for about 12 hours. Apply at night, and wash off with warm water in the morning. Store in a tightly closed glass container in a dark place.
Ointment based on the herbs of St. John's wort, sweet clover, hops and pharmacy Vaseline
This ointment has anti-inflammatory effect and can be used in various stages of arthrosis. To make it, you need to take 10 g of each herb( shredded in advance) and mix with 50 g of Vaseline. The resulting mixture is placed in a glass container, tightly closed and allowed to stand for 2 hours. Rub into the joint or use for massage.
Honey cream paste with medicinal comfrey
This warming agent effectively fights and with inflammation. For its preparation, it is necessary to take 1 glass of finely chopped comfrey leaves, 2 cups of crushed comfrey root, and?a glass of olive oil and liquid honey. Mix all ingredients with a mixer. You can store the paste in the refrigerator( up to 2 weeks) and in the freezer( 2-3 months).Before use, warm the cream to a warm state, then apply to the affected joint and wrap it with a warm bandage that can be left for the whole day.
Other folk ingredients include clay, red pepper, sabelnik, essential oils of pine, fir, rosemary and other plants.
Before using any folk remedies, consult a physician.
What ointments are used against arthrosis of the fingers?
Already in ancient times, Arab doctors worked on the study of the action of plants, conducted experiments with their combination, wrote various manuscripts. Through these notes, useful recipes of traditional medicine have reached to our time. Arthrosis of the hands is cured with special ointments or preparations made according to folk recipes. Osteoarthritis is treated on the basis of a combined approach, which includes different methods of treatment.
In a study of the effects of ointments used for arthrosis of the hands and osteoarthritis, it was found that only 7% of the drug is absorbed into the skin of the hands, since the skin does not allow absorbing more medication. Therefore, ointments can only contribute to the removal of its symptoms in the course of the disease, and not the elimination of the cause of the disease.
One medicine can not cure such a disease as arthrosis. Doctors recommend the use of a whole complex of measures for arthrosis and osteoarthritis, which includes treatment with folk remedies, performing gymnastic exercises, rest and treatment in sanatoria.
Description of used ointments for arthrosis of the fingers
Ointments, being medicinal agents, provide an anti-inflammatory and analgesic effect from their use. Depending on the nature of the inflammation, whether it is deforming osteoarthritis or polyosteoarthrosis, various ointments are used: Voltaren-Emulgel, Diclofenac, Dolgit-Cream, Indomethacin, Butadion.
Ointment of foreign production "Voltaren-Emulgel" is an analogue of the ointment "Diclofenac", produced in Russia and in Ukraine. The basis of ointments includes an oil emulsion with a consistency that determines the cost of the drug.
"Voltaren-Emulgel" contains an oil emulsion that exceeds its quantitative content, so the cost of the ointment is higher than that of the drug "Diclofenac".Foreign analogue of the preparation of domestic production is able to be absorbed into the skin of the hands more quickly, penetrating into the inflammatory focus, therefore its action is characterized by efficiency and efficiency. Ointment should be rubbed to get the effect in the skin of the hands 3-4 times a day.
Active penetration of substances of the drug "Voltaren-Emulgel" into diseased joints through blood plasma not only relieves pain, but also speeds up the treatment process. Absorption of "Diclofenac" is slower, which does not allow for a more complete impact on the joints and muscles.
Options for creating ointments against joint diseases by the home method
Ointment can be made by yourself using suitable plants. So you can not only save the financial resources of the family budget, but also get a highly effective drug for the treatment of joints.
Self-prepared ointments used for arthrosis of the fingers can be more useful than those offered by manufacturers of pharmaceuticals. When using home remedies, it is possible to exclude the harm of chemical preparations applied to the body.
The use of ointments for arthrosis, which is based on the preparation of traditional medicine prescriptions, involves the use of various plants that have similar properties to medicinal products.
Ointments used for arthrosis of the fingers can not completely heal the patient, but will only alleviate his condition. Additional therapeutic procedures are mandatory. Ointment allows the patient to relieve inflammation, warms and strengthens blood circulation, reduces pain. Ointments help nourish the cartilage and joints, at the same time they help increase blood circulation in the tissues.
If you take white chalk, which is usually used in school, pour it with kefir, sour cream and curdled milk, mixing well, then the received mass can be lubricated by sick joints. Then they cover with a film and apply a bandage for the night. This medicine, cooked at home, helps to relieve pain, reduce the tumor and improve blood circulation.
To make an ointment, you can use 3-4 tablespoons oatmeal, which is poured with boiling water, and then cook for 5-7 minutes, putting on a small fire. It turns a thick porridge, it is cooled, to use before going to bed at night. To obtain an effective result, freshly cooked oatmeal should be used.
The use of the hellebore caucasian for making ointments is an effective tool. It will take 20 grams of dried grass, ground to a powder. Then, additives are added to the drug:
- Oils( vegetable) - 10 g.
- Honey - 20 g.
- Mustard powder - 5 g.
All mixture must be heated in a water bath and cooled. To store the mixture it is necessary to have a dark place, where the room temperature is maintained. Rub the ointment in the brush with arthrosis of the fingers.
The medicinal properties of calendula are similar to those of the chemotherapy drugs used, which include salicin, an appropriate acetylsalicylic acid, that is, aspirin.
Ointments made with the use of calendula flowers, can remove inflammation, and rubbing them at home helps to remove swelling and relax the muscles. This ointment serves as a substitute for all known muscle relaxants, helping to relieve symptoms of slow arthrosis.
With acute arthrosis of the joints of the hands, the effect of ointments based on calendula is ineffective, so overloading of the diseased fingers can end negatively for the general condition of the patient. In addition to ointments based on calendula, there are other very useful recipes that allow you to prepare them yourself.
The main thing is to accurately observe the technology of using ointments. In the bother, the joint should be rubbed into a thin layer and secured by wrapping it with a bandage or food foil. After the ointment is used, usually the sore spot is washed with water.
Ointments for different prescriptions against arthrosis
For the manufacture of the Ural ointment ingredients are used:
- Mustard - 100 g.
- Salt( food) - 200 g.
As a result of mixing the ingredients, a pasty mixture should be obtained, it should be left in a warm place for the night, then thoroughly wash out the entire solution after using the drug.
You can prepare an ointment against arthrosis on the basis of the following components:
- Leaves and comfrey roots - 1 and 2 tbsp.
- Olive oil - 2 tbsp.
- Honey - ¼ st.
The roots of the medicinal comfrey should be finely chopped and the leaves crushed. Honey can be taken in liquid form or melted, obtained in a water bath. From the components make the mixture with a mixer. When a warm honey paste is obtained, it should be applied to the joints, and a bandage or a bandage on top.
Ointment should stay on hands for a day, then it is washed off. You can store it for 2 weeks in the refrigerator. To store the ointment for a long time, it is left in the freezer for 2-3 months.
The medicine for arthrosis of the fingers can serve as an ointment prepared by mixing such herbs as:
- St. John's Wort.
It is necessary to grind and mix 10 grams of each herb by adding a medical vaseline( 50 g) to the mixture of Vaseline. All is thoroughly mixed until a uniform composition is obtained.
The preparation against arthrosis with the use of the saber
You can make the ointment using a saber. This medicinal plant has creeping roots, which have special value, which allows healing various diseases, including arthrosis of the hands.
You must have:
- Hand cream in a tube.
- Tocopherol( vitamin E) - 10 drops.
- Spirituous tincture of saber - 1 teaspoon. Pepper tincture - 1 teaspoon.
- Natural honey - 1 tbsp.a spoon.
All components must be mixed thoroughly, after that the ointment is rubbed in circular movements into the joints affected by arthrosis. Healing ointment should be stored in a cool place. This medicine can perfectly relieve muscle inflammation, reduce the impact of pain effects.
The preparation from the saber can be used as a spreader. Some of the medicines manufactured in pharmaceutical companies may contain a saber. This plant is absolutely safe. From it you can make tea, various tinctures for ingestion and rubbing, ointments.
You can prepare a compress from a saber. Dried grass is insisted on vodka for 4 weeks. The tincture that turns out must be filtered, and the composition of it is taken no more than 20 drops at a time in the morning and before going to bed.
If tincture of saber is applied as a compress, then it is applied for half an hour and insulated. Contraindication to the sapelnik is only the presence of individual intolerance. Sabernik, like any drug, should be used only after consultation with a doctor who must deliver an accurate diagnosis.
Ointments for arthrosis of the knee joint - for the treatment of
Ointments for arthrosis of the knee joint
The means for rubbing with joint pathologies have been used for a long time. They were made from various medicinal plants and other natural ingredients, such as bee products, snake venom and others. The medicines prescribed today by doctors also contain, for the most part, natural substances.
Ointment used for arthrosis may contain in its composition:
non-hormonal anti-inflammatory substances( diclofenac, ketoprofen, ibuprofen);
salicylates or salicylic acid;
capsaicin is a substance by which pepper has a burning taste;
complex of substances: bee or snake venom, camphor, turpentine, essential oils of peppermint, eucalyptus, clove tree.
When choosing an ointment, you should pay attention to its components, since it depends on their effect.
LFK for arthrosis of the knee joint of 2 degrees by reference.
Knee joint gonarthrosis is treated with a warming-up ointment that improves 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 drugs:
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."Fastum-gel"."Apizartron".
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.
What is the use of
The cheapest and most effective remedy for relieving inflammation and pain in arthrosis, rheumatoid arthritis, gout and other diseases
ODS It has more pronounced anti-inflammatory properties than analgesics
Analogues: voltaren, orthophene
Method of administration - two or threeA gram of the ointment squeezed out from the tube is gently rubbed into the surface of the knee or shoulder joint.
The drug is based on propionic acid
It has great analgesic properties and less anti-inflammatory properties, so it is better to use ointment with naproxen for the treatment of acute pains of the knee, shoulder and elbow joints with arthrosis and polyarthritis( for example, with polyurethritis)
MEDICAL TREATMENT OF ARTHROSE
NONSTEROID ANTI-INFLAMMATORY PREPARATIONS( NSAIDs) IN TREATMENT OF ARTHROSIS OF JOINTS: DICLOPHENAC, PYROXIC, KETOPROFEN, INDOMETHACIN, BUTAION and their derivatives.
Non-steroidal, that is non-hormonal, anti-inflammatory drugs are widely used to suppress inflammatory reactions in the body. One of the first drugs of this group, which appeared in 1899 and was widely known, was still used today, aspirin, or acetylsalicylic acid. In the XX century.non-steroidal anti-inflammatory drugs have become popular with doctors of almost all specialties due to their antipyretic, analgesic, antirheumatic properties.
For the treatment of joint diseases( and in particular, arthrosis), those NSAIDs are primarily used, in which the analgesic and anti-inflammatory effect is more pronounced and the antipyretic effect is less pronounced. This is butadione, ibuprofen, diclofenac, indomethacin, piroxicam, ketoprofen and their derivatives. With arthrosis, non-steroidal, that is non-hormonal, anti-inflammatory drugs are traditionally used to eliminate pain and inflammation of the joint, as against a background of severe pain it is impossible to begin normal treatment. Only by eliminating acute pain with an anti-inflammatory drug, you can later go, for example, to massage, gymnastics and those physiotherapeutic procedures, which because of the pain would be intolerable.
However, it is undesirable to use drugs of this group for a long time, since they are able to "mask" manifestations of the disease. After all, when the pain decreases, a deceptive impression is created that a cure has begun. Arthrosis, meanwhile, continues to progress: NSAIDs only eliminate individual symptoms of the disease, but do not treat it.
In addition to the fact that non-steroidal anti-inflammatory drugs mask the manifestations of the disease, they do not seem to have the best effect on cartilage of the joints. In recent years, data have been obtained, indicating the harmful effect of prolonged use of nonsteroidal anti-inflammatory drugs on the synthesis of proteoglycans.
Proteoglycan molecules are responsible for the entry of water into the cartilage, and a disruption of their function leads to dehydration of the cartilaginous tissue. As a result, the cartilage already affected by arthrosis begins to break even faster. Thus, the tablets that the patient takes to reduce pain in the joint can somewhat accelerate the destruction of this joint.
In addition, using non-steroidal anti-inflammatory drugs, it must be remembered that all of them have serious contraindications and with prolonged use can have significant side effects. They can not be used( at least in the form of tablets and injections) with peptic ulcer of the stomach and duodenum, ulcerative colitis and gastritis. In cases of extreme necessity, it is possible to recommend the use of NSAIDs in such diseases of the stomach and intestines only in the form of rectal suppositories. Absorbed in the rectum, non-steroidal anti-inflammatory agents in the form of candles affect to a lesser extent the stomach and small intestine than tablets and injections. But candles are contraindicated to those people who have rectum diseases: hemorrhoids, cracks or polyps.
Caution when using NSAIDs should be observed for people who have suffered serious liver or kidney disease( or are suffering at the moment).All these contraindications are common to all NSAIDs, but there are also individual contraindications for each drug, which can be found from the reference books or the leaflet attached to the medicine.
This, of course, does not mean that such adverse reactions will arise immediately and necessarily at all. There are many people who take NSAIDs for years, and they do not have any negative feelings, but the risk of side effects and complications with prolonged intake of NSAIDs is still quite high.
The most common trade name for the treatment of arthrosis is the main non-steroidal anti-inflammatory drugs. Diclofenac sold under the names Ortophenum, voltaren, diklofen, diklonak, diklonat, dikloran, diklobene, Rapten, naklofen, feloran, Bethar, artrozan et al. Indomethacin sold under the names indomethacin, indomin, indotard, indobene, revmatin, inteban andother Ibuprofen is a part of the preparations of nurofen, brufen, bolinet, buran, motrin, reumafen, and butadione - in the composition of rheopyrin and pyrabutol. Piroxicam is available in the form of preparations for pyroca, tonside, roxicam, pyrox, erazon, and lornoxicam is sold under the name xefokam. Ketoprofen is sold under the names ketonal, flexene, arthrosylen, kruvel, profenid, knavon Ketorolac is available as preparations ketorol, ketalgin, dolac, adolor.
SELECTIVE ANTI-INFLAMMATORY PREPARATIONS( MOVALIS) IN TREATMENT OF ARTHROSIS JOINTS.
For the past two decades, several pharmacological companies have been developing such non-steroidal anti-inflammatory drugs that, while eliminating inflammation and pain, would have a minimum of side effects. As a result, a group of drugs called selective anti-inflammatory drugs was obtained. They are also called COX-2 inhibitors( cyclooxygenase-2 inhibitors).
Selective agents are much less likely to produce unpleasant side effects, almost do not cause complications and do not adversely affect the structure of the articular cartilage. They can be drunk for a long time, even by courses from several weeks to several years( naturally, only under the supervision of a doctor).
One of the most prominent representatives of selective anti-inflammatory drugs is the moovalis preparation. Mawalis acts milder than "classical" anti-inflammatory drugs, has fewer contraindications and much less gives unpleasant reactions from the gastrointestinal tract
Movalis is most sensible to use when we need to act on inflammation and pain for a long time. As a rule, such a need arises in the treatment of arthrosis of knee or hip joints, Bechterew's disease, psoriatic and rheumatoid arthritis. Movalis is available in tablets of 7.5 and 15 mg( 0.0075 and 0.015 g), in candles of 15 mg and in ampoules for intramuscular injection of 15 mg. Movalis is convenient in the application: one tablet or a candle of the drug is enough for the whole day, that is, it must be taken once a day - in the morning or at night. And for the most acute cases, an injectable form of movalis has been developed for intramuscular injections. In those situations where we need to quickly stop the attack of intense pain in the joint, you can apply movalis in the injecting form within the first 5-7 days, and then switch to taking similar tablets, which in the future the patient will take the necessary time.
HONDROPROTECTORS( GLUCOSAMINE AND HONDROITINSULFATE) - PREPARATIONS FOR RECONSTRUCTION OF THE CARPOSITE TISSUE IN TREATMENT OF ARTHROSIS JOINTS.
Glucosamine and chondroitin sulfate are referred to a group of chondroprotectors - substances that feed cartilage tissue and restore the structure of damaged cartilage of joints.
This is the most useful group of drugs for the treatment of joint arthrosis. Unlike NSAIDs, chondroprotectors do not so much eliminate the symptoms of arthrosis as they affect the "basis" of the disease, although glucosamine and chondroitin sulfate work in different ways and each performs its own special task.
For example, glucosamine stimulates the activity of chondrocyte cells and serves as a raw material for the synthesis of proteoglycan molecules. If there is a large amount of glucosamine, more proteoglycans are produced in the cartilage, and they, in turn, retain more water in the cartilaginous tissue, which makes the cartilage moist and elastic. That is, glucosamine "starts" the production of key cartilage elements and further protects them from destruction, stimulating the action of natural mechanisms of joint repair
Chondroitin sulfate also favors the saturation of the cartilage tissue with water, but, unlike glucosamine, it does not increase the production of proteoglycans, but raises themthe ability to capture and retain water. In addition, chondroitin sulfate neutralizes the effect of certain enzymes that "eat away" cartilaginous tissue, and also stimulates the formation of a collagen protein, which is part of the collagen fibers of cartilage.
Thus, the use of glucosamine and chondroitin sulfate promotes the restoration of the cartilage surfaces of the joint, improving the production of joint fluid and the normalization of its "lubricating" properties. Such a complex effect of the chondroprotectors on the joint makes them indispensable in the treatment of the initial stage of arthrosis.
However, there is no need to exaggerate the possibilities of these drugs. Chondroprotectors are ineffective in treating the third stage of any arthrosis, when the cartilage is almost completely destroyed. After all, it is impossible to influence bone deformations or grow a new cartilaginous tissue with glucosamine and chondroitin sulfate. And in the first and second stages of arthrosis, chondroprotectors act very slowly and improve the patient's condition far from immediately. To obtain a real result, it is required to undergo at least 2-3 courses of treatment with these drugs, which usually takes a year and a half, although advertising of glucosamine and chondroitin sulfate usually promises recovery in a shorter time.
Currently, in our pharmacological market, chondroprotectors are most widely represented by the following drugs: Arthra , manufactured in the USA.Form release: tablets containing 500 mg of chondroitin sulfate and 500 mg of glucosamine. To achieve a full-fledged therapeutic effect, you must take at least 2 tablets a day. Arthroflex , produced in Romania. Form release: tablets containing 265 mg of chondroitin sulfate and 375 mg of glucosamine. To achieve a full-fledged therapeutic effect, you must take at least 3 to 4 tablets per day. DONA , manufactured in Italy. Monopreparation containing only glucosamine. Form release: powder, packaging of 1500 mg of glucosamine in 1 sachet;a day it is necessary to take 1 packet of the drug;or capsules containing 250 mg of glucosamine;a day, take 4-6 capsules of the drug. Condro( Kondronova) , manufactured in India. Release form: capsules containing 200 mg of chondroitin sulfate and 250 mg of glucosamine. To achieve a full-fledged therapeutic effect, you must take at least 4 tablets a day. Structrum , produced in France. Monopreparation containing only chondroitin sulfate. Form release: capsules containing 250 or 500 mg of chondroitin sulfate. On the day, you must take 4 tablets containing 250 mg of chondroitin sulfate, or 2 tablets containing 500 mg of chondroitin sulfate. Teraflex , manufactured in Great Britain. Form release: capsules containing 400 mg of chondroitin sulfate and 500 mg of glucosamine. To achieve a full-fledged therapeutic effect, you must take at least 2 tablets a day. Chondro , manufactured in India. Form release: capsules containing 200 mg of chondroitin sulfate and 250 mg of glucosamine. To achieve a full therapeutic effect, it is necessary to take at least 4 tablets per day Chondroitin AKOS , produced in Russia. Monopreparation containing only chondroitin sulfate. Form release: capsules containing 250 mg of chondroitin sulfate. To achieve a full-fledged therapeutic effect, you must take at least 4 capsules a day. Chondrolon , produced in Russia. Monopreparation containing only chondroitin sulfate. Form release: ampoules containing 100 mg of chondroitin sulfate. To achieve a full therapeutic effect, it is necessary to conduct a course of 20-25 intramuscular injections. Unium , manufactured in the USA.Monopreparation containing only glucosamine. Form release: tablets containing 750 mg of glucosamine. To achieve a full-fledged therapeutic effect, it is necessary to take 2 tablets a day.
VASCULAR SPREADS FOR TREATMENT OF ARTHROSIS JOINTS.
Vasodilators such as trental ( aka agapurin, pentoxifylline) and theonikol ( xanthinal nicotinate) are very useful for the treatment of arthrosis. They help the restoration of the joint by improving the joint blood flow and reducing the spasm of small vessels. Thus, vasodilator drugs eliminate the stagnation of blood circulation, almost always accompanying arthrosis or arthritis. As a result, the affected joint receives more nutrients and is quickly restored.
In addition, the use of vasodilators helps to eliminate night "vascular" pain in damaged joints. To achieve maximum therapeutic effect, the use of vasodilator drugs should be combined with the use of chondroprotectors. In this case, chondroprotective nutrients penetrate into the joint more easily and in a larger amount, and also circulate more actively in it.
The benefits of vasodilators can be attributed to their "harmlessness" - when used correctly they have few contraindications. But these medications should not be used in acute cases of myocardial infarction and "fresh" hemorrhagic strokes, when the action of vasodilator drugs may increase bleeding from the bursting cerebral vessels.
It is also not advisable to use vasodilators with reduced arterial pressure, because they somewhat reduce the pressure, and with a tendency to bleeding: nasal, uterine, hemorrhoidal.
But vasodilator drugs improve the health of patients during recovery from a heart attack or stroke, help with poor patency of the vessels of the legs, with obliterating endarteritis and diabetes, bring relief to hypertensive patients when the pressure is moderately elevated.
However, hypertensive patients need to be aware that during the period of using vasodilators it is necessary to reduce the dose of other drugs used to reduce high blood pressure. Otherwise, the effect of two different drugs is added together and can lead to an excessively sharp drop in pressure, causing fainting or collapse.
MIORELAXANTS - PREPARATIONS USED FOR REMOVING MUSCULAR SPASM IN TREATMENT OF ARTHROSIS JOINTS.
Of the drugs of this group with arthrosis, the middolists and are most commonly used for sirdalud .
Muscle relaxants are prescribed to eliminate painful muscle spasm, often accompanying arthrosis of large joints - primarily the hip and shoulder joints. These drugs really do a good job of eliminating muscle pain and, in addition, somewhat improve blood circulation in the area of the affected joint.
However, their use requires some caution. The fact is that often muscle spasm is a protective reaction of the body, protecting the joint from further destruction. And if we just remove the protective muscle tension, but we do not take measures to save the joint from excessive pressure, the damaged joint will subsequently start to decay at an accelerated rate. That is, muscle relaxants make sense to use only complex, in combination with chondroprotectors and joint extension. And it is absolutely pointless to apply them separately as an independent method of treatment.
During the use of muscle relaxants, you must follow certain rules: all drugs of this group are first appointed in the minimum dose, and you need to increase it gradually. Similarly, gradually it is necessary and to cancel the drug - it is undesirable to stop taking the medication at once, in one day, since a decisive abolition of muscle relaxants too sharply changes the tone of the organism.
In conclusion, I consider it necessary to talk about the side effects of muscle relaxants. Almost all drugs in this group can cause a feeling of slight intoxication, gait change, headache and sleep disturbances( sleeplessness at night and drowsiness during the day).In connection with this feature of muscle relaxants, they should be used with caution for those people whose work requires a quick mental and physical reaction - car drivers, air traffic controllers, drivers, etc.
THERAPEUTICAL MAZES AND CREAMS AT TREATMENT OF ARTHROSIS OF JOINTS.
Therapeutic ointments and creams are often advertised as a means of ensuring the healing of joint diseases. Unfortunately, this is far from the case. But this does not mean that ointments are useless. Although ointments and creams can not be cured by advanced arthrosis, their use sometimes significantly alleviates the condition of the patient. For example, with arthrosis of large joints that occur without the symptoms of synovitis, warming or skin irritating ointments are useful in order to improve blood circulation in the joint. With this, menovasin, gevkamen, espol, finalgon, nicoflex or other similar ointments are prescribed.
It is proved that the irritation of the skin receptors, which occurs during rubbing of these ointments, leads to the development of endorphins - our internal anesthetic "drugs", due to which the pain sensations decrease and the painful spasm of the periarticular muscles is partially eliminated;In addition, warming ointments contribute to increased blood circulation in the affected joints.
Ointment based on bee venom( aspirin , Uniapiven ) and snake venom( viprosal ) also have an irritating and distracting effect, but, in addition, absorbed in small amounts through the skin, improve the elasticity of ligaments and muscles, as well asmicrocirculation of blood. However, side effects from their use are more: such ointments quite often cause allergy and inflammation of the skin in places of their application. You should also know that they are contraindicated for women in critical days and children.
Ointments based on non-steroidal anti-inflammatory substances( indomethacin , butadone , asdi , voltaren gel , fastum , etc.) are used in cases where the course of arthrosis is aggravated by synovitis. Unfortunately, they do not work as effectively as we would like, because the skin skips no more than 5-7% of the active substance, and this is clearly not enough to develop a full-fledged anti-inflammatory effect. However, these ointments rarely cause those side effects that occur from the internal use of non-steroidal anti-inflammatory drugs.
MEANS FOR COMPRESSES IN TREATMENT OF ARTHROSIS JOINTS.
Compressors have a somewhat greater healing effect compared to ointments.
Of the currently used topical agents, three drugs deserve the greatest attention: dimexide, bischofite and medical bile. Dimexide is a chemical substance, a liquid with colorless crystals, has a good anti-inflammatory and analgesic effect. In this case, unlike many other substances of external application, dimexide is really capable of penetrating through skin barriers. That is, the dimexide applied to the skin is really absorbed by the body and works inside it, reducing inflammation in the source of the disease. In addition, dimexide has a resolving power and improves metabolism in the field of application, which makes it most useful in the treatment of arthrosis occurring with the presence of synovitis, primarily knee and ankle joints. Bishofit is an oil derivative, a brine produced in the drilling of oil wells. Got his fame thanks to the drillers, who first drew attention to its therapeutic effect for arthrosis of the fingers. While working on oil wells from permanent contact with the brine of oil, the drillers underwent resorption of arthritic nodules in their hands. Later it turned out that bischofite has a mild anti-inflammatory and analgesic effect, and also acts warming, causing a feeling of pleasant warmth.
Bischofite is most useful for the treatment of arthrosis of the knee, ankle, shoulder, elbow joints and joints of the big toe - with their moderate deformities and provided that the disease occurs without the symptoms of synovitis. Bile medical is a natural bile extracted from gall bladder of cows or pigs. Bile has a resolving and warming effect and is used in the same cases as bischofite, but it has some contraindications: it can not be used for pustular skin diseases, inflammatory diseases of lymph nodes and ducts, febrile conditions with rising body temperature.
INTRACTION INJECTIONS( INJECTIONS IN THE JOINT) IN TREATMENT OF ARTHROSE.
Intra-articular injections are often used to provide emergency relief for joint diseases. In many cases, intra-articular injection can really alleviate the condition of the patient.
Most commonly, corticosteroid drugs are injected into the joint: Kenalog , diprospan , hydrocortisone , flosteron , celeston , methyred , depot-medrol .Corticosteroids are good because they quickly and effectively suppress pain and inflammation with synovitis( swelling and swelling of the joint).It is the speed with which the therapeutic effect is achieved - the reason that corticosteroid injections have gained special popularity among doctors.
However, the problem is that just the arthrosis itself, corticosteroids are not treated and can not be treated. So, they can not prevent the development of arthrosis! Corticosteroids do not improve the condition of articular cartilage, do not strengthen the bone tissue and do not restore normal blood circulation. All they can do is to reduce the reciprocal inflammatory response of the body to this or that damage in the joint cavity. Therefore, intra-articular injection of hormonal drugs as an independent treatment method is useless: they should be used only in complex therapy of arthrosis.
It is more useful to introduce chondroprotectors( alflutope , chondrolone or homeopathic Objective T ) into the joint affected by arthrosis. These drugs are used in courses for 2-3 years. For the course of treatment, 5 to 15 injections of chondroprotectors per joint are carried out, an average of 2-3 such courses are performed per year. The advantage of these drugs in their ability to influence the cause of the disease: they improve the state of the cartilaginous tissue and normalize the metabolism in the joint. That is, unlike corticosteroids, chondroprotectors not only eliminate the symptoms of the disease, but also treat arthrosis. The question arises: why is intraarticular administration of chondroprotectors less commonly used by doctors? The thing is that these drugs help only 50-70% of patients, and guess what will be the effect of their use or not, it is impossible in advance. In addition, a lot of injections into the joint are required, which, as we have said, increases the risk of needle injury to the joint and increases the risk of complications.
In addition, the effect of these drugs, in contrast to hormones, develops slowly, and, therefore, chondroprotectors make a lesser impression on the patient.
Much more reliable, and most importantly, the derivatives of hyaluronic acid that appeared approximately 5 years ago are acting faster than chondroprotectors - the drug has been ostenil. Ostenil - 1% solution of sodium hyaluronate - is also called a "liquid prosthesis" or "liquid implant".Introduced into a diseased joint, it gradually restores to normal the characteristics of the synovial fluid - a natural "lubricant" for the joint. Ostenil also forms a protective film on the damaged cartilage, which protects its tissue from further destruction and improves the sliding of the contacting cartilaginous surfaces.
In addition, ostenil penetrates into the depth of the cartilage, improving its elasticity and elasticity. Due to ostenil "dried up" and thinned with arthrosis, the cartilage restores its damping properties. As a result of the weakening of mechanical overload, pain in the affected joint decreases and its mobility increases. It is most expedient to introduce ostenil into the supporting joints, which suffer from arthrosis in the first place - knee, hip, and also in the shoulder joints.
Treatment of arthrosis with medicines
Arthrosis is a disease of joints associated with the destruction( chafing) of the cartilage layer( cartilage).What happens with arthrosis, its symptoms and treatment?
Causes and Symptoms of
Arthrosis is divided into two subspecies: primary and secondary. Primary appears:
- is hereditary, the transfer of genetic information can be modified;
- in people whose profession is associated with a constant uneven load on the joints, this is both sedentary and standing work: seamstresses, hairdressers, drivers;
- with strong permanent physical exertion, most often among athletes, loaders, miners;
- in patients with hormonal imbalance, with obesity, diabetes, and also, most often in women, at the time of menopause.
Primary disease occurs in people after 40 years, most often in the weaker sex, women. It is accompanied by increased pressure, arteriosclerosis, manifested in the arms between the phalanges of the fingers. The main symptom is severe pain in the joint area, weak mobility, crunch.
Secondary disease occurs at any age, as a result of certain diseases, injuries, affects the joints of the hands, legs, spine. There is a bone build-up and a decrease in joint cracks. The main symptom is swelling or swelling, inflammation, joint pain with exercise, immobility, if the lower limbs, limp.
If the first signs of joint disease that carry the wear character of cartilage should be consulted a doctor. Which doctor treats arthrosis?
At the initial stage with arthrosis, pulling aching pain, which after rest disappears, you should consult a rheumatologist who will prescribe medications in a timely manner. In case of prolonged illness, when it is difficult to move already, you should consult an orthopedist who examines the lesion and prescribes treatment, effective remedies for arthrosis. There are cases when surgical intervention is necessary, to make a prosthesis or to conduct synthetic lubrication, then it is already to the surgeon.
The main thing to remember always is that you should not self-medicate so as not to start the disease and not use the services of a surgeon. For arthrosis, it is better to consult a doctor right away, he will do the diagnosis( X-ray, laboratory tests, questioning, individual studies) and will prescribe the right treatment.
How can I treat arthrosis? This issue is relevant for the present time. Each doctor has his own approach to this disease, as if we can say that there is no panacea and no quick cure, we need an integrated approach to treatment and a great desire of the patient to recover.
For example, young people( 30 years old) have painful sensations when walking the foot, the cause may be the same disease of the first metatarsophalangeal joint. It can occur as a result of injury or heavy loads on the joint. The swelling of the thumb appears, the size of the joint increases, and inflammation develops. First, X-rays are taken and the treatment of arthrosis of the first metatarsophalangeal joint is prescribed. The doctor prescribes drugs that will relieve inflammation and reduce the sensitive pain threshold, as well as the use of orthopedic footwear, fixed tires. If the cartilage is radically worn out, surgical intervention is used.
How can I still cure arthrosis? There are various methods of treatment:
- physiotherapy, which is aimed at restoring cartilaginous tissue, relieves pain;
- microwave therapy also restores the joint and eliminates pain;
- ultrasound if there is no inflammation;
- electrophoresis with drugs eliminates the symptoms of the disease, if with gray zinc or magnesium, then restores the cartilage tissue, with dimexidum with inflammation of the joints.
- also uses heat to the desired joint.
Is it possible to cure arthrosis? When the first signs appear, you need to use a cane or crutches to reduce the load. Chondroprotectors are also prescribed, which, due to their properties, influence the restoration of cartilage, for the removal of inflammation - nonsteroidal anti-inflammatory drugs. When the disease is applied to the doctor's prescription ointments, gels, infusions of herbs. In combination with prescribed medicines, to promote a good result of recovery, acupuncture, treatment with leeches( hirudotherapy), mud therapy will help. These procedures are prescribed in a sanatorium, as a cure for the treatment of arthrosis.
What are the drugs prescribed for the treatment of arthrosis? Consider the example of gonarthrosis( knee) which medications are used for joint arthrosis.
- Anti-inflammatory: Piroxicam, Diclofenac, Ibuprofen, Indomethacin. They eliminate pain and relieve the inflammatory process, but do not treat the disease itself, the more prolonged use it causes side reactions.
- Chondroprotectors: chondroitin sulfate, glucosamine well influence the regeneration of cartilaginous tissue, they must be used together. For example, a drug for arthrosis of the Don( glucosamine in its pure form) occurs in the form of a powder, it must be made into a solution for ingestion and as injections. The destination statement details how to use it. Arthra and Teraflex are already medicines that are complex( glucosamine, chondroitin sulfate), can be in the form of tablets, ointments from arthrosis.
- Vascular drugs are prescribed to improve blood supply, for example Trental, Xatinol Nicotinate, they are prescribed in parallel with chondroprotectors.
- Anesthetics for arthrosis locally is ointment, gels, compresses. For example, Menovazinum, Nikofleks - warming ointments, Voltaren-gel removes also an inflammation. Compresses with dimexide relieve the inflammatory process, swelling. Intra-articular injections - Betamethasone, Kenalog.
- Natural antibiotics and immunomodulators are prescribed, for example Propolis and lynchings, Codiceps and lynchings, which are prescribed at the initial stage, to eliminate edema, inflammation, pain.
As already mentioned, the medicine for arthrosis can be in the form of tablets, ointments, injections. It is good to always have at home in the treatment of arthrosis ointment, which was prescribed by a doctor. In case of unpleasant sensations, the very first one can be applied to the pain zone. The tablets prescribed for the treatment of this disease give the result of eliminating the pain within an hour or half an hour, they need to be drunk for months to accumulate the necessary substances for the restoration of cartilaginous tissue. Injections prescribed by a doctor are difficult to do by yourself, for this you need a qualified specialist.
It should, always takes care of your health, avoid overloads on the body, hypothermia, exercise, try not to injure the joints, to eat well.