Probably everything is heard of arthritis (deformation of osteoarthrosis).The news is included in the first three most common diseases of the muscle-bone apparatus.However, despite such popularity, not everyone can with confidence cannot say that he owns complete information about this articulated diseases.Since the osteoarthrosis of the lower extremities is most often diagnosed, we will say in detail about knee arthritis and methods of its treatment.
Briefly about the arthrosis of the knee wrist
So what is it - arthrosis of your knees and how much do we know about it?There are several names of this disease in medicine, each of which is characterized by pathology on their part.
Thus, the notion of "gonartrosis" is clear to me where the pathological process develops (from Greek-chained - knees).
Name of "Arthros - joint) means a sick - industrial disease in which degenic tissue atrophy and atrophy is happening.
There is another, most accurate concept - deforming osteoarthrosis.With long current pathology, it does not only affect the surface of the knee wrist, but also nearby ligaments, tendons and muscles.The circulation of blood is worsening, the trophy (nutrition) is upset, and metabolism in periarticular tissues is upset.Laterd sludge quickly and destroyed, bone growth (osteophytes) are formed on the side surfaces of the compound, ligaments thickens and loses elasticity.All this leads to a growing restriction of mobility in common, to the complete absence of movement in it.
The main cause of the disease is an age change.In addition, there are a number of additional factors causing arthrosis development:
- various injuries of lower extremities;
- increased body weight;
- Sedentary lifestyle;
- hereditary predisposition for muscle-bone system diseases;
- Breach of metabolism.
Ailment develops slowly and several years of community protection symptoms are absent.Nevertheless, degenerative changes are gradually taking place in articulated structures.As a result, pain and crumbs appear as they walk, limiting mobility in the knee, atrophy of the nearby muscles of thigh and lower leg develops.
Symptoms of osteoarthritis deforming depend on the degree of damage to the knee joints, becoming more intense and acute because the process is progressing.
So do not postpone a visit to the doctor.It must be borne in mind that it is impossible to finally cure an arthrosis, but it is quite possible to suspend its development.The sooner the therapy begins, the more chances of a successful outcome and reduced the risk of complications.
Methods of treatment of disease
If the patient comes to the doctor with the question: "Doctor, I have a knee wrist arthrosis, tell me how and what to heal" - most likely won't get an unequivocal and concrete answer.Hontrosis therapy is a long process that includes a whole complex of therapeutic measures.The treatment of any pathology always begins with a collection of anamnesis and diagnosis.
When planning treatment tactics, the doctor takes into account the patient's age, disease phase, the degree of damage to the common, presence and severity of pain syndrome.The unique therapy of osteoarthrosis of the knee, as well as one medicine that helps everyone at once, does not exist.The fight against criminal pathology should be complex and involve not only medications, but also physiotherapy procedures, therapeutic exercises and recipes of traditional medicine.With the failure of all conservative measures, surgical intervention is performed.
Drug therapy
All medications used in the fight against osteoarthritis deform can be conditionally divided into two groups:
- Medications that relieve the main symptoms of the disease (non-steroidal anti -infalmaln medications, glucocorticosteroid hormones);
- It means that they return the wrist and prevent further destruction (hondroprotectors, including hyaluronic acid).
The treatment of gonartrosis always begins with the drugs of the first group, which quickly eliminates the pain syndrome.The pain is in the wrist that the patient suffer the patient the most.
Nsaid
Immeasurable anti-inflammatory drugs are used to remove heavy pain, discomfort, edema removal and inflammation and nearby tissues.These medications can be used orally, intramuscularly or locally, directly in the area of the affected joint.
Various oily ointment and gels are used for external use.Anesthetic effect, usually happens fast enough and lasts several hours.Fats are also good for them for them for long use, which coordinated the duration of the course with the attendance of experts.
The course of treatment of non-atleinflamatory drugs taken inward is not more than two weeks, because they have many side effects.
Therefore, the NSAID with caution is prescribed for people with chronic diseases of gastrointestinal tract and older patients.
Corticosteroids
If NSAID treatment is inefficient and painful syndrome, the doctor can prescribe intra -ticular injections of hormonal drugs.Repeated much more efficient than drugs not -steroid group.
Due to many undesirable consequences, glucocorticosteroid hormones were introduced into an intraarticular cavity of the affected knee not more than once every 10-14 days and only in a certain period of exacerbation.
Chondroprotectors
Glucosamine and chondroitine sulfate prevent further destruction of the compound and contribute to the renovation of the surface of the cartilage board.
Chondroprotectors improve intraarticular tissue nutrition, satin fluid with the necessary trace elements, reduce pain, edema and inflammation.They can be used in the form of tablets, fats, intra-mail injections.
The course of treatment of drugs that return the structure of the cartilage lasts at least 4-5 months.The result is a permanent and extended effect for several years.
When we talk about hondroprotectors, III generations cannot be mentioned.These products contain, in addition to hondroprotectors, not-asteroidal anti-inflammatory allowance, which enables the reduction of the amounts of drugs taken and achieving good results.
Hyaluronic acid preparations are almost adequate synovial liquid in their composition.Once hit by a wrist, the substance creates a thin film on the surface of the cartilage plates that protect them during the movement.
Intra -Articular injections of hyaluronic acids are prescribed only during persistent remission.
Surgical treatment
Surgical intervention is used only in extreme cases where conservative treatment does not give positive results.Modern medicine has different ways to conduct operations that differ in the trauma level:
- Arthroscopy- The most important method of surgical intervention.It can be used even in the early stages of the knee joint arthrosis.The procedure is suitable for young people who lead an active lifestyle and can be repeated as needed.
- Osteotomy.The operation is prescribed by patients with strong joint deformation.During the proceedings, the artificial fracture of deformed bones is performed.Then the experts provide it with anatomical and physiologically correct fuses.
- Endoprosthetics.The most radical kind of surgical intervention.During the operation, the wrist replaces the implant.Despite the complexity of the execution and duration of recovery, EndoProsthetics is the best alternative to arthrodeses (joints of joints to complete the immobilization of the compound).
Physiotherapy in the treatment of knee arthrosis
At the initial stages of disease development, physiotherapy procedures are very effective.They quickly eliminate pain, mitigate muscle cramps, prevent the destruction of cartilage and speed up its regeneration.
Using physiotherapy measures, medications can be managed through the skin directly into the affected joint.It is most often, and the arthrosis of the knees are prescribed by the following physiotherapists:
- Magnetotherapy (10-20 sessions);
- Medical baths (radon, blato, bischophical, hydrogen sulfide);
- Medium -volume Ultraviolet radiation (6-7 times);
- UHF therapy;
- Electrophoresis with anti -inflammatory solutions, vascular, analgesic drugs;
- Darsonvalization;
- Laser therapy (at least 10 sessions).
In order to determine what treatment is needed in a particular case, the duration of therapy can only be a specialist, focusing on the degree of damage to the joints, patient's age and presence of concurrent diseases in it.
Practice therapy
Therapeutic gymnastics is one of the components of successful therapy for deforming osteoarthritis.Filling stronger muscles, improves blood circulation, returns to the joints lost flexibility.
Approximate set of exercises
Classes are selected for each patient individually.The LFK must be engaged regularly, gradually increasing the load on the compound.Exercises best work several times a day for 10-15 minutes.
After the evening exercise, it is advisable to shower the comfortable water temperature, after which you need to rub a diseased separate towel and the anti -inflammatory fat massage.
Therapy with folk drugs
Folk treatment methods are very popular among patients who suffer from the arthrosis of the knee joint.All types of compressing, rubbing and fats from medicinal herbs were used widely.Before using recipes for traditional medicine, you must contact your doctor.It must be borne in mind that in no case they can replace the main drug therapy.
With strong pain in the compound, you can prepare compressing 100 grams of honey and food coffee tablespoons.The procedure is done at night.
Among patients, warming compression of salt, sand or cereals are very popular.It is easy to make - it is enough to heat the selected product in the pan, pour it into a bag and hot, but not a burning state and fasten on the wrist.
In addition to these funds, you can use applications from Paraffin to combat the armrose.
Application of recipes for traditional medicine, must be borne in mind that with their help, gonarthrosis cannot be cured.You can only reduce the disease manifestations and improve the quality of human life.
Conclusion
To prevent deformation - deleted associated deformations, it is necessary to play sports regularly, monitor the correct nutrition, avoid injuries and carry comfortable shoes.If discomfort occurs in the knee area, you must immediately contact your doctor.Only a specialist can make a diagnosis and say how to treat the arthrosis of the knee.Self-help will only worsen the disease.