Arthrosis is not an acute condition, but slowly progressive destruction of the adversary tissue and a decrease in the amount of synovial fluid in the articulation of the knee. Elastic tissue provides flexibility and mobility of the limbs, but in average and elderly, cartilage sinuses lose this property.
Interesting! You can often hear people with average people talk about "delaying salts". This expression is incorrect, no salt is deposited in the body, on the contrary, there is dystrophy of the synovial membrane.
Gradually, the depreciation between the femur and the berets decreases and they begin to rub against each other. And despite the fact that human bones are very strong and are able to withstand straight pressure up to two hundred pounds, they are wiped out of constant rubbing, osteophytes appear - bone growth in the place of the natural joint.
The post -traumatic form of this disease is found in young people who are fond of strong sports or after a car accident and other serious damage to the limbs.
If we list the main factors contributing to the development of the disease, then the main causes of knee arthrosis can be distinguished:
Age older than forty years, especially for women. Systemic diseases affecting connective tissue - arthritis, red lupus, gout. Diabetes of the first and second type. Overweight, which is why a chronically increased limb load is formed. Finding in a forced position to sit or stand. Post -traumatic leg condition. In the latter case, the disease is usually found as a complication of acute hemarrosis with extensive hemorrhage in the cavity of the knee joints. The upcoming method of treatment or lack of medical intervention under emergency conditions is the cause of the transition to the chronic and more severe phase.
Clinical picture Signs of knee arthrosis in the early stages are most often unnoticed. Very rarely, one pays attention to minor deviations from the norm characteristic of the first stage of the disease. With knee arthrosis, the symptoms can be seen quickly enough. Such discomforts appear:
Slight cut during movements and a sharp change of posture; numbness in the lower leg area; Increased fatigue in the evening or after a long walk. This is especially true for people with ancient years who write down this condition to age and believe it should be. In fact, gonarthrosis, unlike post -traumatic conditions for a long time, does not cause serious discomfort and very rarely people think to prevent such a disease.
In order not to miss the onset of symptoms of a second degree of knee arthrosis, such manifestations should not go unnoticed:
swelling; fatigue and weight in the legs; Difficulties, if necessary, climb a steep staircase. However, often such symptoms remain without proper attention and the disease progresses. Clinically significant signs appear:
Pulling or pressing pain, intensifies in the evening and after waking up. Poor limb mobility. Swelling that does not depend on the condition of the kidneys and the amount of fluid drunk. Gradually increasing the creaking in the joints. The inability to stay in one position sitting or staying for a long time. Sometimes redness occurs around the knees. Such changes are characteristic of chronic gonarthrosis. In the post -traumatic form, the symptoms grow sharply, the clinical picture of the injury itself develops within a few hours or days. Acute, firm -transformed pain prevails, the damaged leg is significantly swollen and hyperemia of the damaged area is observed, one cannot step on the leg. Without treatment after injury, Atroza develops most often rapidly, in rare cases there is a slow development, in which the patient is faced with malaise after 2-7 years.
Important! Despite the very characteristic clinical picture, the final diagnosis is made after a complete examination. Diagnosis methods imply ultrasound or X -ray, full -time for examination by a rheumatologist or traumatologist.
Ultrasound and X -ray photos, internal changes in the synovial sheath and the degree of osteophyte growth will be visible. Depending on the neglect of the pathological process, a course of treatment is prescribed, individual methods are selected.
Types of therapy for gonarthrosis All who are diagnosed will surely ask the question: How to treat knee arthrosis? Medicine offers:
Conservative therapy using drugs; concomitant resort-sanatorium types of treatment; Folk methods for combating disease with proven effectiveness. The ineffectiveness of treatment indicates surgery.
Medication If a person is diagnosed with knee arthrosis, treatment is chosen mainly by a complex of medicines. The traditional list will include different types of medicines, starting with analgesics and chondroprotectors.
The iron is aimed at reducing pain and improving the general condition of the patient. Non -steroidal analgesics are usually used.
Sometimes medicines are administered directly in the affected synovial bag. To relieve the symptoms, prescribed:
Salikates. Oxis. Derivative prolionic acid. Non -steroidal anti -inflammatory and analgesic drugs effectively eliminate unpleasant sensations, even severe pain, but have pronounced side effects, they need to use people with a diseased stomach and liver especially carefully.
Hormonal drugs are prescribed for the third degree of gonarthrosis when the process has gone far and requires serious counteraction. Medicines containing cortisol are introduced directly into the cartilage cavity and have a very quick positive effect, but the side effects adversely affect both the internal organs (liver, heart, vessels) and the endocrine background of the patient. Therefore, they are prescribed only in the absence of pronounced contraindications and only for a short time of treatment.
Chondroprotectors are used to restore damaged joint tissue. They are always prescribed for post -traumatic defartrosis to stimulate the body more actively generate synovial fluid and to regenerate damaged cartilage. Chondroprotectors are taken for a long time due to slow action. Taking them requires accuracy and systematicity. Specific doses have been selected, taking into account the age, the characteristics of the health and tolerance of the patient on certain drugs.
Interesting! The last way of regeneration of cartilage fluid is hyaluronic acid, which is mainly in cosmetology.
Acupuncture in joint pathologies This method of healing has not been accepted for a long time by official medical science. But now acupuncture is occupied by a strong position in the treatment of chronic diseases, including all kinds of pathologies of the lower limbs. Properly selected by an experienced specialist, acupuncture sessions are able to save a person from unpleasant sensations for a very short time and stimulate his body to produce synovial fluid and cells in cartilage - they are regenerated at an accelerated pace.
The technique involves the impact on biologically active areas and the restoration of the proper functioning of all life systems, it is also good for preventing painful conditions. However, certain rules must be followed with acupuncture. Acupuncture is prohibited under the following conditions:
Serious immune changes - immunodeficiency, severe endocrine disorders (Cushing syndrome). Tuberculosis and a tendency to bleed. History of cancer. Mental instability, depression, anxious syndrome. Severe injuries. Intoxication of any genesis, including chronic alcoholism. It is recommended that you visit the first few acupuncture sessions with close relatives or friends, as acupuncture contributes to significant muscle relaxation and help may be needed.
Therapeutic gymnastics and physiotherapy Joint pathologies of any origin are well exposed to physiotherapy and exercise. The concept of physiotherapy usually includes manually, magnet, mud, electrotherapy and other types of gonarthrosis.
Manual therapy is most often combined with the LFK complex. Exercises are used to heat the muscles and joints. The purpose of the manual method:
improving a person's general condition; increase in blood flow to the inflamed area; strengthening the potential for body regeneration; Reducing pain and other symptoms of the disease. A specialist in this type of treatment should know his work well. The right massage is always aimed at the flow of the lymph, any painful or simply uncomfortable sensations are unacceptable. It is always worth clarifying the composition of the ointments used as the patient may have an allergy to separate active components.
Shade! If the patient studies the relevant literature and looks at the necessary photos and videos, then one can learn how to grow friction movements alone.
Folk remedies In the early stages of the disease, folklore remedies justify their use even more than conservative therapy. Unlike steroids or NSAIDs, they are safe for human health and have proven efficiency in the case of low and non -deserted manifestations and are also suitable for preventing pathological changes.
General recipes and methods of influence:
The burdens in the amount of 5-6 pieces are attached to the sore spot, pre-greased with sunflower oil. Tied with a plastic bag and a woolen scarf. The compress is left at night. Birch leaves, necessarily early, gathered in the early April study, in the extreme in May they were placed on an inflamed limb. The compress should not be thinner than 3-4 cm. It is also left overnight. Copper massage. Lubricate the preheated leg with a thin layer of honey and carefully massage for ten to fifteen minutes. Repeat daily for a month. Onion decoction. Boil a large onion with flakes to complete softness. The resulting substance drinks daily in a glass. Salandin. To soak the plant with a bandage from a bandage (or rag), wrap around your feet for half an hour or hour. The course lasts for at least a week, it is advisable to repeat it three times. Folk methods can be combined with each other, using several recipes at the same time. Basic rule: they should not be used as a replacement therapy, but should supplement the medicines of traditional medicine.
Preventive measures for gonarthrosis The approach to the healing changes of cartilage must be complex and systemic. This implies a complete revision of lifestyle and following certain recommendations:
Reduction of body weight. Because overweight has a very negative effect on the condition of the bones and joints, patients are recommended for weight loss. The diet for the disease should be limited in calories, exclude red and fatty meat, fast food, fried foods, sausages, sweets and white bread, butter. Olive oil is recommended by vegetable fats and only as a gas station for salads. It is useful to use seafood and seafood, unsweetened fruits and vegetables. It is necessary to include low diligent colds and fruit jelly, preferably sugar -free in the power plan. Smoking and drinking alcohol - as it works on all organs, including connective tissue, as well as a prolonged experience of smoking, the bones become more thin, causing an accompanying problem - osteoporosis. Dosage physical activity. With limb pathologies, both hypodynamia and increased activity are contraindicated. People who have previously dealt with power and extreme sports will have to abandon their hobbies and replace them with less dangerous to the body. And, on the contrary, if one is used to sitting in the office all day, he or she must organize tourism and jogging, gymnastic exercises from the exercise collection. Pool campaigns are very useful. Periodic rest and accompanying mineral water therapy in specialized resorts are extremely important. Patients have been shown to avoid excessive physical activity, especially lifting weight. For women, oral or injection of hormones is sometimes provided to increase the amount of estrogen in the blood.
Recovery forecast Is it possible to cure knee arthrosis? It will not be possible to completely get rid of the pathology, but it is possible to slow down degenerative processes. It is best to therapy the first and second stage of post -traumatic defartrosis, while in the third stage, with pronounced pathological processes, conservative effects are often not sufficient and surgery is required.
The operation is performed in the most severe cases where the joint is completely destroyed, it is replaced by an analogue of stainless steel or metal -plastic. However, with timely measures, the prognosis remains favorable, complete regeneration of synovial fluid and connective tissues is possible. Observing your health, prevention and proper lifestyle, avoiding injuries - the key to health and flexibility of the feet.
