Post-traumatic arthrosis of the ankle

What is post-traumatic arthrosis and what is its danger?

posttraumatic arthrosis To date, arthrosis is the most common disease of the musculoskeletal system.

It develops at any age and is accompanied by acute pain, restriction of movement, and in neglected and severe form - complete deformation of the joint.

Posttraumatic arthrosis has a separate designation according to the ICD-10 classification, - M19.1.ICD 10 has statistical data and detailed characteristics of all diseases.

Causes of a violation of

The main causes of post-traumatic arthrosis:

  • injury of joint tissues, fractures or tears that lead to inflammation;
  • development of viral or infectious diseases in the body;
  • problems with metabolism;
  • disease of the endocrine system;
  • untimely treatment, which resulted in anatomical disruption of the joint.

The form of posttraumatic arthrosis most often occurs after fractures inside the joint itself and with its further displacement.

The risk of developing severe form of arthrosis occurs when untimely referral to the doctor and improper treatment. As a result, it is very difficult to correct anatomy defects in the future.

For example, if you change the position in the ankle by at least one millimeter, the load will already be distributed not over the entire articular cartilage, but only 30% or 40% of its surface, thus the post-traumatic arthrosis of the ankle

will occur., that there will be a constant load on its certain sites, in consequence will be fraught with complete destruction of cartilage.

Development of the disease

Osteoarthritis is a pathology that, as a result, can lead to the destruction of the cartilaginous tissue in the joint. The development of this disease occurs in several stages:

posttraumatic arthrosis
  1. With great physical exertion, discomfort may manifest, but it immediately passes after their discontinuation. Movement in the joint itself is not limited. In this case, only minimal signs of its damage are observed.
  2. Pains can occur not only with physical exertion, but also with small movements. It can also not pass during rest. On the x-ray it will be seen that the deformation of the joint occurs, the bones will expand, the joint gap will narrow.
  3. At this stage, any movement is accompanied by unbearable acute pain. There is complete immobility of the joints( ankylosis).In this case, the patient should avoid any load on the joint, for this, crutches or wheelchairs are good.

Features of the clinical picture

Post-traumatic arthrosis of all joints, can occur without any symptoms. Sometimes it is for this reason that it is not possible to identify it on its own. This can only be done with a full medical examination.

Sometimes, posttraumatic arthrosis may result in minor pain in the joint area that has been affected. As a rule, it will be dull and aching, in rare cases - rather sharp.

What joints in the

risk zone Most often posttraumatic arthrosis affects large joints in the lower extremities, namely:

  1. Ankle joint .At the initial stages, there is discomfort and minor pain in the joint, the last patient needs to carefully guard the leg, and try not to make excess movements ankle.
  2. of the Knee Joint .The initial stages are characterized by aching pain in the knee, which can occur with prolonged walking. At the last stages there can be a complete loss of mobility of the joint itself.
  3. of the Hip Joint .If the treatment of the disease is not started on time, the violation threatens with serious complications up to disability.

Post-traumatic arthrosis of the ankle is not a verdict, and this video proves this:

Diagnostic Methods

To more accurately diagnose the disease, you need to see a doctor.

With the help of a comprehensive examination, which necessarily includes x-rays, ultrasound and arthroscopy, you can determine at what stage the disorder is found and choose the appropriate treatment.

Approach to the treatment of

Physical exercises will help to significantly strengthen the muscles that surround the joint and provide it with full stabilization and a slight discharge. And if the exercises supplement massage and physiotherapy, then the body will be more adapted to the load on the joint.

To stop the pain syndrome doctors prescribe painkillers and anti-inflammatory drugs. And in order to fully saturate the cartilaginous tissue, chondroprotectors can be prescribed.

Also effective is the treatment of posttraumatic arthrosis with the help of hydrogen sulphide, radon and mud baths. After completing the full course of balneotherapy, the pain may decrease for a long period of time.

Conservative treatment can be effective only in the initial stages, if the disease is in a neglected stage, then it is necessary to do without surgical intervention.

The disease must be treated in a comprehensive manner. A number of measures are also assigned, which are aimed at significantly reducing oxygen starvation of tissues.

This gives a good activation of blood circulation, both local and general, and as a result, the swelling of the tissue itself is removed, the venous stat is reduced.

If blood circulation is improved, it will lead to a complete recovery of water-salt metabolism and normalization in the cartilage of metabolism.

Traditional medicine to help

The treatment of post-traumatic arthritis in the initial stages can be carried out with folk remedies.

There are many effective recipes, one of them are:

  1. The decoction of is prepared from the leaves of cowberry. For this, take 2 teaspoons of herbs, pour a glass of boiling water, bring to a boil and cook for 15 minutes. Chilled broth is taken in small sips. Also from it you can prepare Decoctions of cowberries tincture. You need 20 grams of grass to pour boiling water, simmer in a water bath for 20 minutes, and take 1 tbsp.spoon 4 times a day.
  2. Black currant can also be made with tincture. To do this, you need to put 4-5 grams of leaves in a jar and pour boiling water. Then to torment for 15 minutes. Take 1 tbsp.spoon, three times a day.
  3. From corn stigmas it is possible to prepare a decoction or infusion of , which can be useful not only for arthrosis, but also for rheumatism and arthritis. To do this, it will be necessary to pour 200 ml of boiling water for 1.5 hours. After cooling down the medicine, you need to drink 1 tablespoon, 3 times a day, before eating.
  4. Tincture from the root of the sabelnik .Fresh roots must be chopped, put in a small container and pour all its contents with vodka. To insist it is necessary within a week, only periodically it is necessary to stir. You can use as inside, 30 minutes before eating 1 tbsp.l. And rubbing the place of pain.

Recovery after disease

To completely recover after arthrosis, you need to gradually increase the mobility and flexibility of joints and muscles.

It is not recommended to immediately give a big load to the damaged joint, you need to engage in general physical education. This will help to strengthen well the general tone and quickly return active life.

To ease the load, you need to try to get rid of excess weight, you also need to balance your diet well, avoid flour and sweet.

With this help to reduce the mechanical stress on the joints themselves. That as a result will give an excellent result in conjunction with the treatment of ointments and gels.

It's really dangerous!

If the time does not begin therapy of the disease, it threatens not only complete destruction of the joint, but also a violation of the biomechanics of the spine.

As a result, it can provoke intervertebral hernia and arthrosis of other joints.

Preventive measures

To maintain the health of the joints and spine, it is necessary: ​​

Charging
  • to lead an active lifestyle;
  • avoid hypothermia;
  • eat right;
  • observe the regime of the day;
  • correctly perform exercises in sports;
  • to fight overweight.

Also, in order not to provoke the development of secondary arthrosis, even after minor trauma it is necessary to consult a doctor.

Thus, arthrosis occurs when the joint is not able to withstand the usual for him loads. The process of destruction begins with cartilage and ends with a joint.

The sooner the disease is diagnosed, the more likely it is to completely defeat the disease.

osteocure.ru

Arthrosis of the ankle - what you need to know

Arthrosis of the ankle

If you often turn your legs, do not think that this will pass without a trace. After a while, these injuries, which seem random and frivolous, lead to serious problems. What happens to our ankles? Is there an effective treatment or can all end up in disability?

This joint connects the lower leg and the talus of the foot. The articular parts of the bones are covered with cartilage. The ankle allows us to bend the foot up and down, for lateral movements it is not intended, so when the legs are tucked and damaged. The joint is strengthened by muscles and ligaments, which also suffer from trauma. The ankle joint is a very heavy load - the weight of our whole body. And despite the fact that all these factors often provoke arthrosis of the ankle - treatment is very successful when the patient starts it on time and faithfully fulfills all the doctor's prescriptions.

Source sustavzdorov.ru

Symptoms of

There are three main stages of arthrosis that differ in symptomatology and in the degree of joint damage.

In the initial stage of the disease, pronounced symptoms of the disease are not observed. There is soreness after a heavy load on the joint, its rapid fatigue. If you pay due attention to your body, call for medical help on time and undergo a number of diagnostic tests, such as X-ray and magnetic resonance imaging, you can avoid the sad consequences that arthrosis of the ankle in the late stages.

As the disease progresses, a pronounced tenderness arises in the joint region, which is enhanced by the movement, and later has a permanent character with a tendency to increase, even at night.

In addition to pain, there is a progressive restriction of mobility, in some cases there is complete loss of mobility. Over time, the joint increases in volume, swells, signs of deformity, such as a crunch and various other extraneous sounds, appear when making movements in the joint. After a while, the deformation becomes pronounced, various curvatures in the foot area are observed. For movement, patients are forced to use a crutch or walking stick.

Source bolsustav.ru

Symptoms of arthritis of the elbow joint by reference.

Gymnastics for arthrosis of the elbow joint http: //sustavprof.ru/bolezni/ar/ artroz-loktevogo-sustava.html.

Symptoms of

The first signs of arthrosis, most often, pass completely unnoticed. Symptomatology in every person can be different, and the degree of expression of inflammatory reactions depends on the stage of the disease. The signs of arthrosis of the ankle can be recognized by the following symptoms:

when moving, you can hear a rough crunch that appears due to uneven articular surfaces;

with physical exertion a pain, which then disappears, it costs a person to rest. The nature of pain, as a rule, is dull and unstable, increasing in wet weather and when the foot is in the water;

shows morning stiffness and ankle stiffness during the day and muscle tension in this area;

gradual deformation of joints with bony growths, which entails gait disturbance and change in body position, due to the fact that the person seeks to relieve the diseased joint;

over the affected joints there is periodic swelling, swelling and redness of the skin;

is a general increase in body temperature, but this symptom can indicate any lesions in the joints;

arthrosis of the foot is characterized by the appearance of specific calluses, a person quickly becomes fatigued, there is a decrease in working capacity;

deforming arthrosis of the ankle in the later stages is manifested in the violation of the functions of the joints, their thickening, bony proliferation( Geberden's nodules), which eventually "flow" outward.

Source artrit-artroz.com

Reasons for

Arthrosis of the ankle, the causes of which are directly related to premature aging and the gradual destruction of joint tissues, is the process in which the cartilage of the joint becomes more vulnerable, thin, brittle. Bunches lose their elasticity, and the surfaces of the joint, which should slide smoothly when moving, begin to rub. In the tissues of the joint, small cracks and tears appear, and calcium salts are deposited in them. The joint is deformed, arthrosis deforms.

Source artrosustavit.ru

Deforming

At the earliest stages of the disease, it is necessary to carry out medical treatment on time. As usual, chondroprotectors and analgesics are used. A wide application of therapeutic physical training physiotherapy and massage. In the later stages, various surgical interventions may be indicated. These operations are divided into reconstructive - endoprosthetics of the ankle joint or plastic joint and operations designed to stabilize the joint - arthrodesis.

Carrying out treatment, try to work on the whole body and on the tissues of an individual joint. One purposeful local effect on the joint is indispensable. In this much will depend on the stage of the disease.

The main task is to limit the intensification of pathological processes in the cartilaginous tissue, and also to reduce pain and to stabilize the work of the affected joint. The treatment is very help preparations made from cartilage animals. In the composition of these organic preparations are biologically active elements that contribute to the speedy regeneration of tissues in the diseased cartilage.

Effectively used in treatment and biostimulants. Balneotherapy and various methods of physiotherapy improve blood circulation. The injured joint is provided with maximum rest, a ban is introduced for long walking and a long standing on the legs. Means that improve intra-ocular circulation, pain medications and drugs whose purpose to relieve inflammation without the use of steroids - all these drugs are included in the range of medications for mandatory use in arthrosis of the ankle.

Short walks, moderate sports during recovery, specialized sanatorium treatment will help patients to cure arthrosis of the ankle joint.

Source gryzha-lechenie.ru

Phases of arthrosis of the ankle

Arthrosis of the ankle is a pathology that is represented by two phases:

The primary phase of the disease occurs when the inflammatory process develops on healthy cartilage( as a rule, it occurs with a heavy load).The secondary phase of the disease is characteristic of the articular cartilage already broken after a trauma or fracture.

Post-traumatic arthrosis of the ankle arises from the inability of the joint to withstand the heavy load that "falls" on him due to trauma.

Symptoms of post-traumatic arthrosis

At the onset of the disease, symptoms are almost not manifested, which is why patients can not always tell when and under what circumstances the disease has occurred.

Articular pain and a characteristic crunch appear after physical exertion. With the passage of time, painful sensations increase, but after a long rest, they almost always retreat.

The mobility of the joint is limited, subsequently it begins to deform, there is a swelling and a local increase in the temperature of the affected area.

There are pains when descending and climbing the stairs.

In the advanced form of the disease, nearby muscles can atrophy.

Treatment of posttraumatic arthrosis of the ankle

The nature of treatment of the disease entirely depends on the stage of development of pathology. The complex therapeutic method of treatment of posttraumatic arthrosis is aimed at alleviating pain in the joint and improving its motor functions.

The main task of a specialist in anti-arthritis therapy is to prevent the development of a degenerative process in the cartilaginous tissue.

The most popular methods are physiotherapy and balneotherapy( massage, electrophoresis, phonophoresis, magnetotherapy, exercise therapy, laser therapy, thermal procedures, etc.).To improve the function of blood circulation, biostimulators, glycosaminoglycans obtained from an extract of animal cartilage and containing all substances necessary for restoring the functions of the affected joint are prescribed, as well as anti-inflammatory and analgesic drugs.

For maximum unloading of the injured joint, a diet is prescribed for weight loss and spa treatment is recommended.

Source srost.com

1st degree

The first degree of arthrosis is manifested by tension in the joint, periodic pains, fatigue, but does not interfere with the basic functions, only slightly complicates them. Osteoarthritis of the 2nd degree of the ankle joint, according to Nesterov's classification, "prevents the performance of work in the specialty", causing serious inconvenience to the patient.3 degree of disease causes loss of efficiency.

Source teamhelp.ru

2nd degree

In arthrosis of the ankle joint of the 2nd degree, the disease develops on the cartilage already deformed and has more severe symptoms. In general, the disease has the following series of symptoms:

Crunch, creak and other unnatural sounds in the ankle when moving. Frequent dislocations occurring on the basis of weakened joints. Stiffness of movements, especially in the morning. In the morning, pain intensifies. Also, with heavy loads, there is a lot of pain, depending on the degree and form of the disease. The muscles nearest to the ankle are partially or completely atrophied. Also, in the presence of the inflammatory process, the ankle joints can be swollen and even hot. The shank axis can warp, assuming an X-shape or an O-shape. Pain occurs when you go from a state of rest to a state of motion.

Source sustavy-svyazki.ru

3 degrees

In the 3rd stage, the pains are intense, permanent. The ankle joint and the lower third of the shin are sharply edematous, the deformation is more pronounced, only swinging movements in the joint are possible. The gait changes, for movement, patients use an additional support in the form of a cane. Because of the decreased load on the affected limb, the muscles surrounding the ankle are atrophied. On the radiographs there is a significant narrowing of the articular fissure, down to its complete disappearance, massive bone overgrowth along the whole surface of the joint. In conservative treatment of ankle joint osteoarthrosis, a complex approach is used that implies a combination of unloading of the joint - walking with a cane, medical therapy, physiotherapy treatment, physiotherapy exercises and has the following goals: to stop painful cider, increase the amount of movements in the joint, to prevent further progressiondiseases and destruction of articular cartilage. Drug therapy includes painkillers and anti-inflammatory drugs, as well as courses that improve the microcirculation and circulation in the articular cartilage( such as trental, pentoxifylline).

Source lechenie-sustavov.ru

At this stage of arthrosis, the patient has a significant and clearly visible deformation of the first metatarsophalangeal joint, and movement becomes practically impossible. The thumb of the patient's foot is lowered downwards, and only minor movements are possible, and only in the plantar side.

Source osustavah.ru

In any case, if arthrosis of the ankle has developed, the treatment should be directed to:

Anesthesia Expansion of the volume of movements in the joint Improvement of metabolism in the joint and adjacent anatomical areas( shin and foot).

These tasks are solved by using:

Medications

Source moyaspina.ru

Medication

All medications used in this disease are divided into two large groups: fast-acting medications and time-delayed drugs.

Representatives of these groups have different effects on the disease and benefit the body. So, fast-acting drugs treat only the symptoms of the disease - reduce pain in the ankle joint. Slow-acting drugs restrain the progression of ankle arthrosis, i.e.partially stop the further course of the disease.

Rapid action drugs

Most drugs that reduce pain with deforming osteoarthritis of the ankle joint belong to the group of nonsteroidal anti-inflammatory drugs( NSAIDs).These include drugs such as diclofenac, ibuprofen, aceclofenac, naproxen, acetaminophen, nimesudide and other drugs.

These medicines quite well help to remove pain in the joints, but their use has its drawbacks, and very significant. The fact is that NSAIDs have a very negative effect on the gastric mucosa. With long-term administration of such drugs, gastritis may occur, and in some cases even ulcer, which in the future may not respond well to treatment.

It is for these reasons that non-steroidal pain relievers should be taken only in short courses and be prescribed by the attending physician: self-medication can result in bad consequences. This is particularly true for elderly patients, as well as for people who have or have had problems with the stomach in the past.

Source artrozamnet.ru

Ointments

The most pronounced symptom for arthrosis is pain. To eliminate it, prescribe analgesics. Also, ointments that have analgesic properties - finalgon, fastum-gel or diclac. If the pain is too intense and begins to progress, intraarticular administration of corticosteroids is indicated. It should be remembered that such manipulation brings only a short-term relief and does not affect the pathogenesis of the disease, but only removes pain.

Source infmedserv.ru

Treatment of arthrosis of the ankle is aimed at removing pain, reducing inflammation and restoring normal mobility of the joint. At the first stages of the disease, the patient only needs to correct his weight correctly( most often, the patients suffer from excess weight) to choose a special and comfortable footwear. These measures can significantly reduce the burden on the joint, thereby speeding up the whole process of recovery. During the exacerbation of the disease, doctors prescribe painkillers for patients. With minor pain, patients are strongly recommended to use therapeutic gels and ointments. After all, it is ointments that can significantly improve the mobility and function of the affected joint, due to its analgesic properties. If the treatment of arthrosis of the ankle joint is not started in time, then there is a possibility of deforming arthrosis of the ankle joint.

Source doctornevrolog.ru

Nutrition

Proper nutrition is also a must for arthrosis. Since the joints receive a large number of nutrients, which helps them to cope more easily with the disease.

In general, diets and exercises prescribe for the prevention of arthrosis, for treatment other than them, doctors prescribe the necessary drugs listed above. All the above listed methods of treatment, you can get by conducting treatment in special medical sanatoria, which include all effective methods of treating arthrosis of the ankle.

Source spina-sustav.ru

Diet

In the beginning of the disease it is enough to reduce the weight of patients and to choose the right shoes. Already these factors reduce the burden on the affected joint. However, conservative therapy is prescribed only by the attending physician. When diagnosed - arthrosis of the ankle joint treatment should be carried out in a complex.

Most likely, the doctor will prescribe a course of drugs. At the same time, you need to switch to a salt-free diet to take diuretic and anti-inflammatory drugs that will get rid of swelling. After all, an excessive amount of moisture in tissues only contributes to the development of the disease.

However, you should not reduce fluid intake, as they wash away toxic products from the body, including with arthrosis. With severe swelling, it is good to keep your legs elevated. It is also recommended to tightly bandage the ankles.

Source tvoelechenie.ru

As we recall, in the treatment it is best to get rid of excess weight, tk.our whole body presses on the ankle joint. Each extra kilogram separates us from a successful recovery. There are several simple activities that will help you lose weight.

Portions of food should be small to lose kilograms, you need less to eat - it will tell you any mom or grandmother. It is worth taking note. Stop taking alcohol. Any alcoholic drink burns nutrients, which increases our appetite. Remember the rule: get up from the table you need with a slight sense of hunger. Saturation occurs 20 minutes after eating. Never overeat. You can deceive your perception by serving food in small plates. You will think that there are more servings. Never eat "duty" when you do not want to. Eat slowly, as thoroughly as possible chewing each piece. No need to hurry. Thoroughly chew while thinking about something good. Good thoughts always help to become healthy. When you go, walk along the street, take a walk. Do not eat after 18:00 - this is already a classic.

Of course, the diet does not help cure arthrosis, but you will reduce the burden on the joint, and just become even more beautiful. Be healthy!

Source kiberlekar.ru

Physiotherapy

Physiotherapy and physiotherapy for arthrosis in general, and osteoarthritis of the ankle joint, in particular, is scheduled for 4-5 days, which contributes to the preservation of the volume of movements in the articulation.

Source medkrug.ru

One of the most common and "proven" methods of physiotherapy is electrophoresis. It can be carried out with various medicines. Electrophoresis with dimexidum is indicated for inflammation and severe pain syndrome. Calcium, zinc, sulfur or magnesium, delivered to the joints with the help of electrophoresis, improve the metabolism in them. Thanks to this, the organism accelerates the recovery processes. Osteoarthritis of the cervical spine is one of the indications for the use of electrophoresis.

A good effect with joint pain is treated with ultrasound. Most often, people undergoing ultrasound treatment in old age. But they may have heart disease, which is a contraindication for such treatment. In these cases, you can apply another method - microwave therapy. Microwaves deeply penetrate into the tissues of the joint and have a beneficial effect on it.

Physiotherapy for arthrosis One of the most popular methods of physiotherapeutic treatment for joint diseases is the application of heat carriers. Due to the increase in temperature in the patient's joint, metabolism is intensified, the cartilage tissue is restored. Thermal procedures are compresses with the use of ozocerite, sacs with salt or sand, paraffin therapy. Arthrosis of the fingers can be treated with this method and at home. However, one should know that the use of thermal procedures can be contraindicated in some other joint diseases, as well as in the third stage of arthrosis.

Treatment by magnetic fields is based on anti-inflammatory, anti-edema, analgesic, sedative effects on the body. An alternating magnetic field of low frequency affects the whole organism or part of it, informing the magnetic properties of water and the elements of blood contained in it. Magnetotherapy is often used in polyclinics and hospitals for the treatment of arthrosis of the knee and ankle joints. The influence of the magnetic field has an electro stimulating effect on the muscles. Magnetotherapy for arthrosis relieves pain, improves the general condition of the body, increases the mobility of joints, slows down their destruction. This is a gentle type of treatment, it is well tolerated by weakened patients, elderly people. Contraindications are oncological diseases, acute myocardial infarction and stroke, inflammatory diseases with fever, pregnancy.

Treatment with various baths, mud is most often practiced in sanatoriums, but it is quite possible to conduct these procedures at home. In addition to these and the above thermal procedures, home-use devices are used for personal use.

Medical practice today has a rich arsenal of methods for treating such a widespread disease as arthrosis. Do not forget that physiotherapy with arthrosis - this is the treatment, and it should be appointed by the doctor, and not by the patient to himself. Only a doctor can take into account many nuances and contraindications.

Source opozvonochnike.ru

LFK

Treatment of ankle arthrosis should be comprehensive, and always under the supervision of a doctor. Only a doctor can determine the degree of the disease, prescribe the right treatment. There are drugs that eliminate pain syndromes, restore joint mobility, and drugs that improve blood circulation. For the treatment of ankle arthrosis, physiotherapy, massages, and exercise therapy can be used.

Exercises for arthrosis are very effective, but only those that do not carry a big load on the joints. For example, it can be swimming, gymnastics in the water. Proper nutrition is also an integral part in the treatment of arthrosis.

Source narodmed-na.ru

Physiotherapy exercises for arthrosis of the foot joints are performed against the background of physiotherapy procedures( magnetotherapy, UHF, low-frequency laser, phonophoresis with hydrocortisone) and massage. Massage is carried out leisurely smooth movements, reminiscent of kneading, tapping and stroking. Self-massage is also possible provided that the patient is consulted by an experienced masseur.

LFK with this pathology begins with minimal stress. In the beginning, the exercises are carried out lying on a hard surface - the patient alternately withdraws the toe and heel, performs rotational movements in stops. Then in the sitting position, without taking the soles from the floor, they make movements that resemble walking. In the future, with the expansion of the volume of movements and strengthening of the muscular framework, exercises are resorted to with the load on special devices.

For the big toes with arthrosis of the 1st metatarsophalangeal joint, there are also their own exercises - the rotation of the fingers, the diversion to the side. An effective exercise in this case is to tie the thumbs near the standing feet with a rubber band. Slightly dissolve the feet, while trying to squeeze the thumbs to the rest on the same foot. Keep this position for at least 10 seconds.

Source moyaspina.ru

Exercises

Exercise 1.

Position - lying on the back, legs stretched. Turn the foot towards yourself and away from yourself. Exercise is performed completely relaxed and with minimal amplitude of movements.

Exercise 2.

In the same position, rotate the stops alternately in one direction and the other.

Exercise 3.

Sit on a low chair. The feet are fully pressed to the floor."Walk", lifting and lowering one by one the heels and socks.

Exercises should be performed several times a day, starting with a few minutes and gradually increasing the time. The total time of the session is from 1 to 3 hours per day.

Do exercises slowly, without muscle strain. The combination of the duration of movements with a minimum load on the joints gives a persistent therapeutic effect.

Source nanoplast-forte.ru

sustavprof.ru

Arthrosis of the Ankle: Treatment of

Treatment of arthrosis of the ankle is not an easy task, as the disease is quite difficult to treat. The cause of this ailment is the wrong rhythm of life, wearing high-heeled shoes, hypothermia and trauma, and excessive load on the feet. All this causes the development of degenerative processes in the joints and provokes the development of arthrosis.

Scheme for the treatment of arthrosis of the ankle

Immediately I must say that the therapy of lesions of the foot joints is carried out according to the general scheme for all arthrosis:

  • pain relief;
  • restoration of the motor function of the affected joints;
  • improvement of trophic processes and blood supply in the diseased limb.

At the initial stages of the disease it is sufficient to pick up comfortable shoes and reduce weight( often patients with arthrosis have problems with excess kilograms).This reduces the burden on joints and improves metabolic and recovery processes.

If you have severe symptoms of the disease, self-medication is not recommended. It is better to turn to a professional who will choose the best conservative therapy, and if necessary, determine the amount of surgical intervention.

Features of drug treatment

For exacerbations of arthrosis, non-steroidal anti-inflammatory drugs such as voltaren, diclofenac, movalis, and indomethacin are indicated. If the patient has concomitant pathologies of the digestive organs, then for oral administration it is better to use nimesulide or celecoxib, since these agents have less pronounced irritant effect on the mucosa of the gastrointestinal tract. In the treatment of arthrosis, anti-inflammatory drugs can be applied externally, applying to the area of ​​the affected joint.

The most pronounced symptom for arthrosis is pain. To eliminate it, prescribe analgesics. Also, ointments that have analgesic properties - finalgon, fastum-gel or diclac. If the pain is too intense and begins to progress, intraarticular administration of corticosteroids is indicated. It should be remembered that such manipulation brings only a short-term relief and does not affect the pathogenesis of the disease, but only removes pain.

Treatment must include chondro-modulating therapy, especially when developing deforming arthrosis of the ankle joint. In this case, chondroprotectors are used, which are available in the form of gels and creams for topical application, as well as in the form of food additives that should be taken orally.

Often preparations of the chondroprotective group contain collagen hydrolyzate and glucosamine. These substances prevent further destruction of the joint, stimulate the restoration of cartilaginous tissue, reduce inflammation, and also activate the synthesis of its own collagen.

For arthrosis of the ankle joint, drugs that affect the condition of the vessels( nicotinic acid, trental or agapurin) are also used. They are needed to improve blood supply and enhance metabolic processes in patients with joints.

Treatment of posttraumatic arthrosis of the ankle

In medical practice, rather often posttraumatic arthrosis of the ankle joint is diagnosed. After injury, the surface of the bone becomes uneven, swelling of the lower legs can develop, which simulates cardiovascular pathologies. In the case of such arthrosis treatment should be comprehensive and include medical therapy, exercise therapy, acupuncture and folk methods of treatment.

In modern medicine, the introduction of a synovial fluid prosthesis into the joint is becoming popular. It is a synthetic polymer that reduces friction between the articular surfaces. This technique is one of the simplest methods of surgical treatment.

Electromagnetic therapy

It should be noted that arthrosis in different patients manifests itself in different ways, therefore requires an individual approach to therapy. Pharmacological treatment is carried out taking into account the stage of the disease and the intensity of the symptoms, but there are methods that can be used regardless of the etiology or type of joint damage.

These methods include electromagnetic therapy, which allows you to reduce pain, has an anti-inflammatory effect and inhibits degenerative processes in the affected joint. With the action of electromagnetic waves, patients do not experience side effects. In addition, this technique can be used for preventive purposes.

In the therapy of arthrosis of the ankle joint, other physiotherapy procedures and massage are used. Often appoint sessions of phonophoresis, magnetotherapy, as well as UHF procedures. Laser treatment can be performed. If the volume of movements in the joint can not be restored, surgery is performed with implantation of the artificial joint.

infmedserv.ru

Treatment of arthrosis of the ankle

Arthrosis of the ankle is one of the diseases of the musculoskeletal system, as a result of which the joint tissues are destroyed. In the course of the disease, the bones become rougher, losing their smoothness, the lumen of the joint gap decreases, and the bones formed in the bones help to change the shape of the joint, as a result, the tibia deviates to the side. Symptomatology in all diseases of the musculoskeletal system as a whole is almost the same, whether symptoms of polyarthritis of the joints of the fingers of the hands or arthrosis of the ankle joint - pain, inflammation, limitation of mobility, degeneration. Therefore, the treatment of arthrosis of the ankle joint should be started as soon as possible.

Types of arthrosis of the ankle

There are 4 types of arthrosis of the ankle:

  • Primary
  • Deforming
  • Post-traumatic

Primary arthrosis of the ankle can result from any injury. The secondary develops on the cartilage, which is already susceptible to deformation. With deforming arthrosis things are different. As a rule, it forms against the background of serious injuries and fractures. For posttraumatic arthrosis is characterized by severe pain in the joint, swelling, gait disturbance. The patient can not overcome even insignificant distances, constantly experiences discomfort, periodically suffers from insomnia due to pain.

Treatment of deforming arthrosis of the ankle

Each of the species has its own symptomatology and stages, but a more serious approach and treatment is necessary for deforming and posttraumatic arthrosis - in these cases, conventional medication is not always appropriate.

To cure deforming arthrosis of the ankle, treatment should be comprehensive. Each stage requires a certain approach, but we must not forget about the elementary things that block the progression of the disease. The patient should adhere to a certain diet, obesity is the main enemy of arthrosis, since the damaged joint should not receive additional stress. However, physical therapy is necessary for the patient, so as not to lose the mobility of the joint. It is necessary to pay attention to the fact that the exercises are performed in a sitting or lying position in order to avoid excessive loads.

In modern medicine, there are effective methods of arresting deforming arthrosis , one of them involves prosthetics of synovial fluid, which allows to prolong the joint capacity. Full joint work involves the constant production of synovial fluid, designed to lubricate the joints, which rub against each other during movement.

With arthrosis, an inflammatory process begins, during which the synovial fluid loses its properties, becoming viscous and too thick. It can not fully lubricate the joint, resulting in severe pain and inflammation. A prosthetic synovial fluid is a synthetic polymer substance. These substances have the viscosity and biocompatibility required for lubrication. They are administered intra-articularly and are able to settle down in the joint and provide him with a full-fledged work.

Treatment of posttraumatic arthrosis of the ankle

When medication that can relieve pain and block inflammation does not help and the disease continues to progress, then the treatment should contain surgical intervention in order to cure posttraumatic arthrosis.

There are various methods of surgical treatment. The method of arthroscopy is a process of joint research using a video camera and micro instruments that are inserted into the joint by means of small incisions( not more than 1 cm).During the operation, the doctor rinses the joint cavity, removes the destroyed cartilage, adhesions, outgrowths of bone tissue, which limit mobility and cause pain. Small incisions quickly heal, the functionality of the joint is restored. As a result of the operation, the joint can again fully move.

Today, the treatment of arthritis, arthrosis and other diseases of the musculoskeletal system is possible using the latest technologies. Full wear of joints with arthrosis requires endoprosthetics joint. This high-tech operation is a complete replacement of the ankle joint on the prosthesis. In the course of surgery, the articular surfaces of the tibial and talus bones are removed surgically and replaced with metal implants, which are coated with a polymer material having a low coefficient of friction. Thanks to this, a full sliding of the surfaces of the joints is ensured. As a result of this operation the patient can forget about problems with joints, constant pain for many years.

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How to treat arthrosis of the ankle joint?

Everyone at least once in his life encountered foot podvorachivaniya and dislocations, it can be considered a consequence of accident or own clumsiness. If the number of such unpleasant accidents has increased significantly after reaching the age of 40, then this can be a reason for serious reflection, because frequent subluxations indicate a weakening of the muscles supporting the ankle joint. As a result, this can lead to a fairly serious disease, which is called arthrosis of the ankle.

Symptoms of the disease

Arthrosis of the ankle, the symptoms of which the patient usually takes for a malaise or temporary problems, most often manifests unpleasant pain. Even if the pain appears after a load, then the cause of this pain is not the load, but still a disease. That is why taking medications aimed at eliminating the pain syndrome is not a way out of the situation, but only postpones the transition to serious measures of treatment. Only a doctor can suggest how to treat this disease, since the methods of therapy fully depend on the cause of the disease.

The appearance of the symptoms of this disease is directly related to the pathological degenerative processes occurring in the joint - its cartilage becomes thinner, becomes brittle, and the ligaments lose elasticity. Over time, there are microcracks in which salts are deposited, and as a result, the deforming arthrosis of the ankle joint develops.

Deforming and posttraumatic arthrosis of the ankle

This pathology is a fairly serious disease of the musculoskeletal system, which significantly reduces the patient's ability to work and leads to his disability. Degeneration and degeneration of the joint disrupt the process of sliding its surface. As a result, there are violations of gait, crunching in the joints, limiting their mobility, lack of opportunity to go long distances. Deforming arthrosis of the ankle, the treatment of which is recommended individually for each patient, requires a serious examination, only according to which you can talk about the beginning of therapy and rehabilitation.

In the event that a posttraumatic arthrosis of the ankle is diagnosed, the main cause of it is severe trauma to the ankle, talus or tibia. After any damage, the surface of the bone becomes uneven, a swelling appears, which can sometimes be confused with symptoms of the cardiovascular pathology.

Treating the pathology of

It is not possible to understand independently how to treat arthrosis of the ankle joint, since the appointment of any therapy requires careful diagnosis in order to identify the causes of the development of pathology. Treatment of this disease requires a comprehensive approach, which involves the use of medicines, exercise therapy, folk methods, acupuncture and balneotherapy. In addition, the use of special supportive insoles, which can be found in orthopedic salons, helps.

If we talk about modern therapies, then the intra-articular introduction of synovial fluid prostheses is often recommended. As a result of this procedure, a synthetic substance is injected into the joint cavity, which should provide lubrication of rubbing joint surfaces and protect them from mutual destruction. This is one of the most simple and effective methods of treating arthrosis.

Arthrosis of the ankle, the reasons of which can develop depending on the type of activity and lifestyle of a person, requires long-term treatment, and rehabilitation can sometimes last for years. The difficulty of treating a disease such as arthrosis of the ankle joint of the 1st degree is that a remedy that can be effective in one case will not have any effect in the other, so it will sometimes take months and years to select the right treatment method. Nevertheless, there are those methods that are effective enough for any form and severity of arthrosis.

One such method is electromagnetic therapy. Due to the action of electromagnetic waves, patients with arthrosis of the ankle joint of the 2nd degree feel relief, because the waves have an anesthetic, anti-inflammatory and anti-degenerative effect. There were no special side effects when using this method, but still only a specialist can prescribe it, because there may be individual contraindications. Do not stop therapy after the first relief, because the absence of pain during therapy does not indicate that the problem has already been eliminated.

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Posttraumatic arthrosis develops as a result of mechanical damage to the joints. This disease is a real barrier to free movement, which requires treatment. It can occur in people of all ages, and can be obtained in everyday life, at work, during an accident and in many other cases. This problem is especially relevant for those involved in sports.

The most common types of this disease: posttraumatic arthrosis of the ankle and knee joint. To understand how to treat both forms, you first need to understand the symptoms.

Symptoms of

Arthrosis of the ankle is characterized by blunt aching pains. The longer the disease lasts, the sharper and stronger the pains in the joints become. First they appear at physical loads, but then go to a constant state. It is more difficult to get down from the ladder, the risk of getting additional injuries, which, in turn, aggravate the state of the inflammation process, increases.

The joint affected by arthrosis starts to deform, swell, its movement becomes constrained. A typical sign of this is a crunch when moving. After some time, the result of deformation becomes noticeable to the naked eye: strong curvatures in the vicinity of the feet will be noticeable.

Post-traumatic arthrosis of the knee joint is manifested by pain in the knee that occurs after a long walk and other loads on it. In addition to pain, there is also a feeling of stiffness and tightness. Near the affected area may appear swelling.

In later stages, posttraumatic arthrosis is characterized by strong, persistent pain. During sharp movements, a crunch in the kneecap is heard. If you do not receive adequate treatment on time, the latest stage will come, leading not only to the curvature of the legs, but also to a strong restriction of movements. As a consequence - atrophy of the musculoskeletal system.

Treatment of

Ankle arthrosis is treated in a complex and versatile manner. The goal of the treatment is to relieve pain and restore joint function. To begin with, you need to ensure the peace of the joints. After that the doctor will prescribe to you individual treatment with the help of drugs, which can be supplemented with electromagnetic therapy. Already during recovery, it is desirable to resort and sanatorium treatment, as well as balneotherapy. Effective use of massage and acupuncture at the same time.

The composition of drug treatment, which will appoint you a doctor, includes painkillers and anti-inflammatory drugs. Chondroprotectors and biostimulants will help improve blood circulation.

Post-traumatic arthrosis of the knee joint is treated approximately the same. At the initial stages, doctors recommend using medication and health gymnastics.

Preparations for this form of the disease are prescribed the same - anti-inflammatory and pain medications, plus injections to this list. Favorable effect will be ointments and creams, which, first, will help to eliminate the pain, and secondly, improve blood circulation in the damaged area. Menovazine, Gevkon and Espol have proved themselves well.

When starting knee arthrosis, often the only possible option is surgical treatment. In fact, such a method will significantly improve the patient's quality of life, in contrast to conservative treatments, sometimes even in the last stages. There are several types of operations: osteotomy, arthroplasty, arthrodesis.

The latter, as a rule, is chosen by those who for some reason are contraindicated in any other form of surgical intervention. This form allows to restore the stability of the joint, limiting its function.

Osteotomy is a technique of the most recent. It is carried out when it is impossible to endoprosthetize the joint. During the operation, dissect or break the bone, after which the surgeon sets it in the correct position, which is necessary for normal functioning.

Arthroplasty is the solution for those who have almost completely lost their motor abilities due to the disease. During the operation, new articular surfaces are created, between which a special plate is inserted. It can be made from either artificial materials or from the patient's tissues themselves. Arthroplasty can also be performed partially. In this case, the treatment involves the replacement of only a part of the joint.

Prevention

Posttraumatic arthrosis can be avoided through its prevention. His treatment, of course, is not as complex as in some other joint diseases, but it is better not to let the condition when it is needed.

Basic rules of prevention:

  • nutrition;
  • avoiding joint injuries.

The most important rule is to exercise when the joints are healthy. And these exercises should be directed to the motor load, and not to the static load. The first, necessary to us, include running, swimming, walking, skis and the like.

It is equally important to keep the joints warm. Being on the street in cold weather dressed out of season, let alone supercooling some parts of the body is impossible.

The next item is food. There are no special instructions on what you need to eat. The main thing is not to bring your condition to obesity. Excess weight is the main enemy of bones. It increases the load on the joints and increases the risk of getting arthrosis. I must say that if the arthrosis has already begun, then excess weight will only aggravate it. In any case, you need to get rid of it.

It is worth remembering that joint injuries should not be tolerated. Arthrosis is the most popular disease among athletes, especially the former ones. Giant physical exertion, a lot of microtraumas, ruptures of ligaments - these are all causes of arthrosis. When the muscles allow you to fix the joint in the right position, these problems are invisible. But when a person leaves the sport, thereby significantly reducing the load, the effects of all injuries become noticeable: the muscle frame weakens, the joints themselves become loose.

Observing a few of these simple rules, you can avoid post-traumatic arthritis in the future.

Author of the article:

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