Arthrosis is not a sharp state, but a slowly progressive destruction of shock absorbent tissue and a decrease in the amount of synovial fluid in the knee joint. Elastic fabric provides limb flexibility and mobility, however, in medium and elderly people, the cartilage breasts lose this property.
Interesting! Many times you can hear how sockbeat people talk about the "salts testimony. "This expression is incorrect, no salt in the body is deposited, on the contrary, there is a dystrophy of the synovial membrane.
Gradually, the depreciation between the femoral and the berets decreases, and they start rubbing each other. And although the fact that human bones are very strong and capable of supporting direct pressure to two hundred pounds, they are erased from constant friction, osteophytes appear - bone growth in place of the natural articulation.
The post -traumatic form of this disease occurs in young people who like strength sports or after car accidents and other serious damage to the limbs.
If we list the main factors that contribute to the development of the disease, the main causes of knee joint arthrosis can be distinguished:
- Older age than forty years, especially in women.
- Systemic diseases that affect connective tissue - arthritis, red lupus, gout.
- Diabetes of the first and second type.
- Overweight, because the increased chronic load in the limbs is formed.
- Find in a forced position sitting or standing.
- The post -traumatic state of the legs.
In the latter case, the disease usually occurs as a complication of acute hemarthrosis with extensive hemorrhage in the knee joint cavity. The imminent method of treatment or the absence of medical intervention under emergency conditions is the cause of the transition to the chronic and heavier phase.
Clinical image
The signs of knee joint arthrosis in the early stages are usually unnoticed. Very rarely, one person draws attention to small deviations from the characteristic of the first stage of the disease. With knee joint arthrosis, symptoms can be seen quickly sufficiently. Such diseases appear:
- Light cultivation during movements and a clear change of posture;
- numbness in the leg area;
- Increased fatigue at night or after a long walk.
This is especially true for middle -aged people who write down this condition to grow old and believe it should be so. In fact, gonarthrosis, unlike post -traumatic conditions for a long time, does not cause severe discomfort and very rarely people think of preventing such a disease.
In order not to lose the occurrence of second degree symptoms of knee arthrosis, these manifestations should not go unnoticed:
- swelling;
- fatigue and weight on the legs;
- Difficulties, if necessary, climb a steep staircase.
However, these symptoms are often without proper attention and the disease progresses. Clinically significant signals appear:
- Pull or press pain, intensifies at night and after awakening.
- Low limb mobility.
- Swelling that does not depend on the condition of the kidneys and the amount of drunk fluid.
- Gradually increasing rangers in the joints.
- The inability to remain in a position seated or standing for a long time.
- Sometimes redness occurs around the knees.
Such changes are characteristics of chronic gonarthrosis. In post -traumatic form, symptoms grow markedly, a clinical image of the lesion itself develops within a few hours or days. The acute and hard pain -transformed predominates, the damaged leg is significantly swollen and the damaged area hyperemia is observed, a person cannot step on the leg. Without treatment after an injury, the atroca develops faster, in rare cases, there is slow development, in which the patient faces discomfort after 2-7 years.
Important! Despite the very characteristic clinical image, the final diagnosis is made after a complete exam. Diagnostic methods imply an ultrasound or radius, a complete time exam by a rheumatologist or traumatologist.
In the photos of ultrasound and radius -x, internal changes in the synovial shell and the degree of osteophytic growth will be visible. Depending on the neglect of the pathological process, a treatment course is prescribed, individual methods are selected.
Types of gonarthrosis therapy
Everyone who has been made a corresponding diagnosis will necessarily ask the question: How to treat knee joint arthrosis? Medical offers:
- Conservative therapy using medicines;
- concomitant types of resort-sanatory treatment;
- Folk methods to combat the disease with proven effectiveness.
With the ineffectiveness of treatment, surgical intervention is indicated.
Medicine
If a person was diagnosed with knee joint arthrosis, the treatment is selected mainly from a drug complex. The traditional list will include various types of medicines from painkillers and chondroprotectors.
Ointments aim to reduce pain and improve the patient's overall condition. Non -esteroid analgesics are usually used.
Sometimes drugs are administered directly to the affected synovial bag. To relieve symptoms are prescribed:
- Salipated.
- Oxicos.
- Derived prolion acid.
Anti -inflammatory drugs and non -esteroids effectively remove unpleasant sensations, even intense pain, however, pronounced side effects, they should especially use people with sick stomach and liver.
Hormonal drugs are prescribed for the third degree of gonarthrosis, when the process has gone away and requires a serious against -reaction. Cortisol -containing medications are introduced directly into the cartilage cavity and have a very fast positive effect, but side effects negatively affect the internal organs (liver, heart, vessels) and the patient's endocrine background. Therefore, they are prescribed only in the absence of pronounced contrasts and only for a short period of treatment.
To restore damaged joint tissue, chondoprotectors are used. They are always prescribed for post -trimming lowness in order to stimulate the body, more actively generating synovial fluid and will regenerate damaged cartilage. Condroprotectors are accepted for a long time due to slow action. Its reception requires accuracy and systematic. Specific dosages are selected taking into account the age, characteristics of the health status and tolerance to the patients of certain medications.
Interesting! The last way of cartilage fluid regeneration is hyaluronic acid, which is mainly in cosmetology.
Acupuncture in articular pathologies
This method of healing has not been accepted for a long time for official medical science. But now acupuncture is occupied by a strong position in the treatment of chronic diseases, including any types of pathologies from the lower extremities. Properly selected by an experienced expert, acupuncture sessions are able to save a person from unpleasant sensations at a very short time and stimulate their body to produce synovial liquid and cartilage cells - regenerate at a rapid pace.
The technique involves the impact on biologically active zones and the restoration of the correct functioning of all life systems, it is also good for preventing painful conditions. However, with acupuncture, certain rules must be followed. Acupuncture is prohibited under the following conditions:
- Severe immunological changes - immunodeficiency, strong endocrine disorders (Kushing's syndrome).
- Tuberculosis and tendency to bleed.
- History of cancer diseases.
- Mental instability, depression, anxious syndrome.
- Serious injuries.
- Intoxications of any genesis, including chronic alcoholism.
It is recommended to visit the first acupuncture sessions with close relatives or friends, because acupuncture contributes to significant muscle relaxation, and help may be required.
Therapeutic Gymnastics and Physiotherapy
Articular pathologies of any origin are well exposed to physical therapy and exercise therapy. The concept of physiotherapy usually includes manual, magneto, mud, electrotherapy and other types of combat to gonarthrosis.
Manual therapy is more often combined with the LFK complex. Exercises are used to heat muscles and joints. The objective of the manual method:
- improve a person's overall condition;
- an increase in blood flow to the painful point;
- Strengthen the potential of body regeneration;
- Reducing pain and other symptoms of the disease.
An expert in this type of treatment should know your work well. Proper massage is always directed to lymphatic flow, any painful or simply uncomfortable sensations are unacceptable. It is always worth clarifying the composition of the frictions and ointments used, as the patient may have an allergy to separate active components.
Nuance! If the patient studies relevant literature and observing the necessary photos and videos, he can learn to cultivate his own friction movements.
Popular remedies
In the early stages of the disease, popular remedies justify their use even more than conservative therapy. Unlike steroids or NSAIDs, they are safe for human health and have proven effectiveness in case of low and unmistakable manifestations and are also suitable for preventing pathological changes.
Common recipes and methods of influence:
- Fambels in the amount of 5 to 6 pieces are attached to the painful point, previously lubricated with sunflower oil. They are tied with a plastic bag and a wool scarf. The compress is left at night.
- The birch leaves necessarily collected in the early invention of April, in extreme cases in May, are placed in a painful member. The compress should not be thinner than 3-4 cm. Also left overnight.
- Massage with honey. Lubricate the pre -placed leg with a thin layer of honey and gently massage for ten to fifteen minutes. Repeat every day for a month.
- Onion decoction. Boil a large bark onion until complete smoothness. The resulting substance drinks every day in a glass.
- Celandine. To absorb the plant with a dressing of a dressing (or a cloth), wrap the leg for half an hour or an hour. The course lasts at least a week, it is advisable to repeat it three times.
Folk models can be combined with each other, use multiple recipes at the same time. Basic Rule: They should not be used as a replacement therapy, but should complement the drugs of traditional medicine.
Preventive measures for gonarthrosis
The approach to cure cartilage changes should be complex and systemic. This implies a complete lifestyle review and following certain recommendations:
- Reducing body weight. Since overweight extremely negatively affects bone and joint condition, patients are recommended for weight loss.
- The diet in the disease should be limited in calories, exclude red and greasy meat, fast food, fried foods, sausages, sweets and white bread, butter. Oil is recommended from vegetable fats and only as a gas station for salads. It is useful to use fish and seafood, fruits and vegetables without sugar. It is necessary to include low fat colds and fruit jelly, preferably without sugar in the energy plane.
- The refusal of smoking and drinking alcohol - both acts devastating in all organs, including connective tissue and, with prolonged experience to smoke, bones become thinner, causing a problem that accompanies it - osteoporosis.
- Dosaded physical activity. With pathologies of the limbs, both hypodinâmia and increased activity are against -indicated. The people who have previously got involved in power and extreme sports will have to abandon their hobbies and replace them with less dangerous to the body. And, on the contrary, if a person is used to sitting in the office all day, he must organize walking and running, gym exercises from the exercise collection collection. The pool campaigns are very useful.
- Periodic rest and escort therapy with mineral waters in specialized resorts are extremely important.
Patients are shown to avoid excessive physical activity, especially weight lifting. For women, sometimes oral or injectable hormone administration is provided to increase the amount of estrogen in the blood.
Forecast for recovery
Is it possible to cure knee articulation arthrosis? It will not be possible to completely get rid of the pathology, but it is possible to slow down degenerative processes. The first and second stage of the post -traumatic department is better, while at the third stage, with pronounced pathological processes, often conservative effects are not enough and surgical intervention is required.
The operation is performed in the most severe cases when the joint is completely destroyed, replaced by an analog of stainless steel or metal plastic. However, with timely measures taken, the prognosis remains favorable, complete regeneration of synovial fluid and connective tissues is possible. Observation of your health, prevention and lifestyle right, avoiding injuries - the key to health and leg flexibility.