Deformed osteoarthritis of the knee joint (aka sexual or abbreviated as doa) is a degenerative disease of the knee joint characterized by a chronic stable gradual process, with the damage of all structural elements, the damage to all structural elements (transparent bone structure, transparent bone, uniform bone shell), is a synthetic lens and has been reintroduced.Exercise and frequent disability.
The disease begins with changes in the articular cartilage, and therefore the joint surface of the bone occurs.The destruction and loss of elasticity leads to its malnutrition (thinning) and absorption, while the bone tissue on the surface of the joint is exposed, sliding is disturbed, joint space is narrow, and joint biomechanical changes.The synovium that linings the joints and produces synovial fluid is irritating (nourishing the cartilage and exerts a physiological lubrication), resulting in an increase in its amount in the joint (synovitis).In the context of narrow joint space, the volume of the joint decreases, and synovial fluid extends out of the posterior wall of the joint capsule, forming a Baker cyst (to reach a large size, which may cause popliteal fossa pain).The thin and delicate fabric of the joint capsule is replaced by rough connective tissue, i.e. the shape of the joints.Periosteal bone tissue is growing, forming bone plants (pathological bone growth).Blood circulation in the surrounding tissue is disturbed, underestimated metabolites, and irritating chemoreceptors develop persistent pain syndrome.Against the background of changes in joint anatomy, the work of surrounding muscles, atrophy and spasm invasion, and the gait was disturbed.Continuously limits the volume of joint movement (contracting), sometimes so obvious that there is only shaking motion (stiffness) or no movement at all (Ankylos).
Contribution is a fairly common disease: they account for 10% of the planet's total population, and at ages over 60 will affect every three people.
Causes of adenotropic cancer
- Injuries of bones and joints.
- Inflammatory joint diseases (rheumatoid, chlamydia arthritis, gout).
- Invade mineral metabolism of various endocrine diseases (diabetes, parathyroid diseases, hemoglobinism).
- Diseases of muscle equipment and neuropathy (charcot disease).
In addition to the main reasons, there are also differences in the adverse background factors for the development of adenotropic cancer, including:
- overweight (literally putting pressure on the lower limbs);
- Age (the disease is mainly subject to the elderly);
- women’s gender (according to women’s statistics, they get sick more frequently);
- Increase physical fatigue with exercise and professionalism.
Symptoms of knee osteoarthritis
- Pain increases when walking alone and weak.
- Difficulties in familiar physiological movements in joints.
- Characteristics in joints "tighten".
- Increased joint volume and visible deformation.
The stage of pro-adrenitis
Clinical stages of knee joint joints
The disease goes through several stages.
- In the first stage, a person will only feelA small discomfortor "severity" in the knees, troubles when walking long distances or increasing physical fatigue.Radiological examinations will be informative: only narrow stenosis in the joint space will be identified, and there will be no other changes.
- The second stage is the characteristicsPhysical pain, its severity is reduced during rest.Joints in joints are difficult, and when walking, you hear a characteristic "squeak" (from the patient, you can hear the traditional phrase in daily life - "knee squeak").During radiographing, it was found that the distinction between joint space and monobone plants was significantly narrowed.
- When adenotropic cancer transitions to the next, stage 3Pain will keep disturbing the patientIncluding rest, the configuration of the joint is violated, i.e., the deformation is exacerbated due to edema during inflammatory connections.X-rays identified moderate and narrowing of joint spaces in multiple bone plants.In the third phase, many people are already applying for medical help because the quality of life is greatly affected due to pain and the difficulty of normal walking.
- The fourth stage accompaniedAround, painful pain.Minimum attempts become difficult tests for humans, deformation of joints is visually obvious and walking is very difficult.X-rays reveal significant changes: the joint gap in the picture is not actually determined, multiple rude bone plants, "joint mice" (fragments of destructive bones falling into the joint cavity).The contribution phase almost always requires disability.
Who treats arthritis in the knee joint?
Therapists, rheumatologists and general practitioners (family doctors) can provide qualified medical services for the Konte Sixth Therapy (family doctors), but these experts are treating the knee with simple arthritis.When synovitis occurs or treatment prescribed by the therapist does not have the appropriate effect, it cannot be done without the help of an orthopedic.In case of surgical care, send the patient to a dedicated orthopedic-technology department.
How and how to treat knee arthritis?
The methods of articulation of knee joints known today are divided into non-pharmaceutical conservative, drug and surgery.
Non-drug methods
Many patients want to know: "How to cure knee joint articulation without pills?" In response to his response, it is sadly necessary to point out that provocative disease is a chronic disease and therefore it is impossible to eliminate it forever.However, many methods that exist today can greatly slow their progress and improve the quality of patients, especially when used in early stages of the disease.
As the doctor is sought in time, and the patient is motivated to recover, it is sometimes enough to eliminate the negative factors.For example, proveReduce overweightReduces the manifestations of the main symptoms of the disease.
Exclude pathological physical fatigue, on the contrary,Gymnastics therapyBy using reasonable physical procedures, they reduce the intensity of the pain.It turns out that exercises to strengthen the strength of the four hip muscles with anti-inflammatory drugs are effective.
If we deal with arthritis in the knee joint, then we have to work hardProper nutrition: to improve the elastic properties of artistic cartilage will help products containing a large amount of animal collagen (diery variety of meat and fish) and chondroitin (shrimp, crabs, kril), saturated with vegetable collagen and antioxidants, fresh vegetables and fruits, and password for smoked meenas, conservatives, sweet and perechen dishes, sweet and paved dishes, sweet and paved dishes OnThe contrary, it violates the metabolic process in the body and the accumulation of over-obesity and excessive weight.
Complex treatment of knee joints also involves appointments that are very effective forms of diseasePhysics - Manufacturing.Its widespread use in different categories of patients with the disease proves its effectivenessMagnetic therapy: After multiple procedures, the intensity of the pain is reduced due to improved blood circulation, reduced edema and eliminated muscle spasms, which increases joint mobility.The effect of magnetic therapy is particularly vivid in the development of effective inflammation in the joints: the severity of edema is greatly reduced, and the phenomenon of synovitis will subside.Not so popular, but equally effective in treating knee joints is this physical therapyLaser therapy and cryotherapy(cold exposure), with obvious painkiller effects.
Drug treatment
In an effective treatment plan for effective treatment of knee joints, the following drugs were used.
Nonsteroid anti-inflammatory drugsManufactured in external (various gels, ointments) and systemic use (tablets, candles, solutions), they have long proven their effectiveness in the treatment of osteoarthritis and have been widely prescribed by doctors.Blocking enzymatic levels of inflammation eliminates joint pain and swelling, slowing down the disease progression.It must be remembered that extended systemic techniques can lead to the development and intensification of the gastrointestinal ulcer process and can also have a negative impact on kidney and liver function.Therefore, patients who have been taking this drug for a long time should also prescribe drugs that protect the gastric mucosa and regularly monitor laboratory indicators for internal organ work.
Glucocorticoids (GKS)- Hormonal drugs with obvious anti-inflammatory effects.As a powerful anti-inflammatory drug, GC has certain contraindications because they can call many important side effects.In the systemic form of adenotropic cancer, they are not actually prescribed.Typically, effective treatment of joints involves injecting GC into human pain points, which increases the intensity of the fight against inflammation and minimizes the risk of adverse drug side effects.With a introduction to GCS, its use effect lasts for up to 1 month.According to the national recommendations for the treatment of osteoarthritis, you should not give three injections of medications in the same joint each year.
Since a person suffers unbearable pain that does not even subside during rest, violating normal sleep, prescriptions are possibleOpioid pain relievers.These drugs are used only according to a doctor's prescription, which in each case considers the feasibility of their appointment.
Cartilage Protectant(with literal translation - "protecting cartilage").The name is understood as a combination of a variety of drugs—a structural modification effect, namely the ability to slow down cartilage changes and narrow joint spaces.They are both forms used for oral administration (glucosamine, chondroitin sulfate, thyroxine) and introduce the articular cavity (hyaluronate).Of course, these drugs will not perform miracles and will not "grow" a new cartilage, but can pause its destruction.To achieve continuous results, they must be used for a long time, with regular courses several times a year.
Knee joint surgery treatment
The most popular surgical care for gongdi cancer surgery isOpthetics, i.e., by simultaneously installing metalloprotein to replace it, its design is similar to the anatomical structure of a human knee joint.At the same time, the prerequisite for this type of surgical treatment is: no serious deformation of the charter, forming "false joints", muscle staining and obvious muscle atrophy.With severe osteoporosis (the mineral density of the bone is significantly reduced), the inner main heart will not show: the “sugar” bone cannot withstand the introduction of metal pins, and in the installation position, rapid renewal (absorption) of bone tissue will begin, and pathological fractures may occur.Therefore, it is so important to solve the problem of installing premixes in a timely manner - it should be accepted when the age and general condition of the human body still allows you to perform surgery.
Despite the prevalence of primary plants within the knee joint, the results of this procedure are usually unsatisfactory and the percentage of complications is high.This is due to the design characteristics of the endoparasitics and the complexity of the surgical intervention itself (it is easier to replace the hip in technical terms).
Artromedullary diversion- Using a shunt - The connection of the femoral bone marrow canal of hollow metal canal to the knee joint cavity.Therefore, one-third of the fatty bone marrow in the lower third of the femur enters the knee joint, nourishing the cartilage and lubricing it, thereby significantly reducing pain.
Summarizing the above, I would like to point out that the treatment of progenitor arthritis is a complex social task.Although today's medicine cannot provide drugs that will eliminate it forever, or other methods of curing the disease completely, a healthy lifestyle, prompt seeking medical help and doctor-suggested implementation can pause its progress.