Perhaps everything was heard about arthrosis (deformity of osteozarosis).The disease enters the top three of the most common diseases of the musculoskeletal apparatus.However, despite such popularity, not everyone can say with certainty that it has complete information about this articular disease.Because osteoarthritis of the lower extremities is most commonly diagnosed, we are in detail about knee arthrosis and methods of treatment.
Briefly on the arthrosis of the knee joint
What is this - knee arthrosis and how much do we know about it?In medicine, there are several names of this disease, each of which has a pathology.
So the term "gonarthrosis" reveals where the abnormal process develops (from the Greek lever to the knee).
The name "arthrosis" (arthrosis - joint) means a disease of the disease in which cartilage tissue degenerates and atrophy.
There is another, the most accurate concept - deformation of osteozarosis.Long flows through the pathology, not only the surface of the knee joint is affected, but also nearby ligaments, tendons and muscles.Deterioration of blood circulation, trophy (nutrition) is outraged and metabolism in periarticular tissues is disrupted.The cartilage cartilage is rapidly decreased and destroyed, bone growth (osteophytes) is formed on the lateral surfaces of the joint, the ligaments are thickened and elasticity.All of this results in a growing limit to the mobility of the joint, until it is in complete absence of movements.
The main cause of the disease is age -related changes.In addition, there are many additional factors that provoke the development of arthrosis:
- Various lesions of the lower extremities;
- Body weight gain;
- Sedentary lifestyle;
- Hereditary predisposition to diseases of the musculoskeletal system;
- Disruption of metabolism.
The disease develops slowly and there are no symptoms of joint damage for several years.Nevertheless, degenerative changes gradually occur in articular structures.As a result, pain and crunchy arise while walking, restriction of knee mobility, atrophy of nearby thigh and lower legs.
Symptoms of osteoarthritis deformity depend on the degree of damage to the knee joint, becoming more intense and severe as the process develops.
Therefore, do not postpone your visit to your doctor.It should be remembered that it is impossible to finally cure arthrosis, but it is quite possible to stop its development.The sooner the therapy begins, the more chances for a successful outcome and reduce the risk of complications.
Methods for the treatment of the disease
If the patient goes to the doctor, "Doctor, I have a knee joint arthrosis, tell me how and what to do"Royalty therapy is a long process that includes a whole complex of therapeutic measures.Treatment of any pathology always begins with the collection of anamnesis and diagnosis.
When planning treatment tactics, the physician prescribes the patient's age, stage of the disease, the degree of joint injury, the presence of pain syndrome and the severity.There is no unified therapy for knee osteoarosis, as well as one drug that helps everyone at once.Fighting articular pathology should be difficult and include not only drugs but also physiotherapeutic procedures, therapeutic exercises and traditional medicine prescriptions.With all conservative measures, surgical intervention is performed.
Drug therapy
All drugs used in the fight against deformation osteoarthritis can be conditionally divided into two groups:
- Medications that relieve the main symptoms of the disease (unwanted antiniflemia, glucocorticosteroid hormones);
- It means recovery of the joint and prevents its further destruction (chondroprotectors, including hyaluronic acid).
Treatment of gonarthrosis always begins with the first group of medications that quickly eliminate pain syndrome.There is pain in the joint that the patient is most affected by the patient.
Nsaid
Non -anti -anti -anti -anti -anti -anti -anti -anti -anti -anti -remedies are used to eliminate inflammation of severe pain, discomfort, edema and articular and nearby tissues.These drugs can be used orally, intramuscularly or locally, directly in the area of the affected joint.
Different ointments and gels are used for external use.Usually, the anesthetic effect occurs enough quickly and lasts for several hours.Ointments are also good for their use for a long time, which is coordinated with the duration of the course with the attending specialist.
The treatment with non -anti -legal anti -anti -anti -anti -anti -anti -anti -anti -anti -anti -anti -anti -anti -anti -anti -anti -anti -anti -anti -anti -legal anti -anti -anti -legal anti -legal anti -legal anti -legal remedies are because they have many side effects.
Thus, NSIDs are cautious for people with chronic gastrointestinal diseases and older patients.
Corticosteroids
If the treatment of NSAIDs is an ineffective and painful syndrome, your doctor may prescribe intracular injections of hormonal medications.They act much more effective than non -group drugs.
Due to many undesirable consequences, glucocorticosteroid hormones are inserted into the injured knee intra-cardiac cavity for no more than once every 10-14 days and only during the pronounced exacerbation.
Chondroprotectors
Glucosamine and chondroitin sulfate prevent the joint from further destroying and promotes the surface of the cartilage plates.
Chondroprotectors improve nutrition of intra -drug tissue, evaluate synovial fluid with the necessary trace elements, reduce pain, swelling and inflammation.They can be used in the form of tablets, ointments, intracellular injections.
The course of treatment with drugs that restore the cartilage structure is at least 4-5 months.The result is a permanent and prolonged effect for several years.
Speaking of chondroprotectors, you cannot hear the III generation.These products contain, in addition to a chondroprotector, in addition to a non -non -anti -anti -anti -anti -anti -anti -anti -anti -anti -anti -anti -anti -anti -anti -anti -anti -anti -anti -anti -anti -anti -anti -anti -anti -anti -anti -anti -anti -medication supplement and achieve good results.
Hyaluronic acid preparations are almost adequate to synovial fluid in its composition.When the joint reaches, the substance forms a thin film on the surface of the cartilage plates that protects them during movements.
Intracular injections of hyaluronic acid are prescribed only during persistent remission.
Surgical treatment
Surgery is used only in extreme cases where conservative treatment does not produce a positive result.Modern medicine has different ways to perform operations that differ at the level of trauma:
- Arthroscopy- The most gentle method of surgical intervention.It can be used in the early stages of knee joint arthrosis.The procedure is suitable for young people who lead an active lifestyle and can be repeated if necessary.
- Osteotomy.Surgery is prescribed for patients with severe joint deformity.During the procedure, an artificial fracture of the deformed bone is performed.Then the experts provide him with anatomically and physiologically correctly.
- Endoprosthetics.The most radical type of surgical intervention.During surgery, the joint is replaced by implant.Despite the complexity and duration of enforcement, endoprosthetics are the best alternative to arthrodesis (joints of the joints to finish the joint).
Physiotherapy in the treatment of knee arthrosis
At the initial stage of disease development, physiotherapeutic procedures are very effective.They quickly eliminate pain, relieve muscle spasms, prevent cartilage destruction, and accelerate its regeneration.
Using physiotherapeutic measures, medicines can be taken directly through the skin affected by the skin.Most often, with knee arthrosis, the following physiotherapists are prescribed:
- Magnetotherapy (10-20 sessions);
- Medical baths (radon, mud, bishopian, hydrogen sulfide);
- Ultraviolet irradiation of the middle -6-7 times);
- UHF-therapy;
- Electrophoresis with antipheramic, vascular, analgesic solutions;
- Darsonvalization;
- Laser therapy (at least 10 sessions).
To determine what treatment is needed in a particular case, the duration of the course of therapy can only be a specialist, focusing on the degree of joint damage, the age of the patient, and the presence of concomitant diseases.
Exercise therapy
One of the components of successful therapy in therapeutic gymnastics is to deform osteoarosis.Charging strengthens muscles, improves blood circulation, returns from flexibility to the joints.
Estimated kit of exercises
Classes are selected for each patient individually.LFK should be involved regularly, gradually increasing the joint load.Exercises are best done several times a day for 10-15 minutes.
After the evening workout, it is advisable to take a shower with a comfortable temperature of water, after which you should extend it with a sick towel and anti -massage ointments.
Therapy with folk remedies
Folk treatments are very popular in patients with knee arthrosis.All kinds of compresses, garbage and medicinal herbs were widely used.Before using traditional medicine prescriptions, you should consult your doctor.It should be remembered that in no case can the basic drug therapy be changed.
With severe pain in the joint, you can prepare a compression with 100 grams of honey and a tablespoon of food salt.The procedure is done at night.
Patients are very popular with salt, sand or cereal compresses.It is easy to make - it is enough to heat the selected product in the panel, pour it into the bag and hot but not in a burning state and attach it to the joint.
In addition to these remedies, you can use programs from paraffin, cabbage or bardock leaves to combat arthrosis.
Using traditional medicine recipes, keep in mind that with their help, gonarthrosis cannot be cured.You can only reduce the manifestations of the disease and improve the quality of human life.
Conclusion
To prevent age -related joint deformation, it is necessary to regularly play sports, proper nutrition, to prevent injuries, and to wear comfortable shoes.If discomfort occurs in the knee area, you should contact your doctor immediately.Only a specialist can diagnose and say how to treat knee arthrosis.Self -government only exacerbates the disease.