Treatment Arthrosis Knee joint

Knee wrist arthrosis- This is a degenerative-dystrophic disease of cartilage, leading to bone head exposure and damaged mobility in the wrist.The disease has a non-coal nature and slowly advanced - the transition from the initial phase in a disability takes from several years for several decades.The osteoarthrosis of the knee joint is included in the 5 most common causes of disability and disability worldwide.

Over 20% of people over 55 are subject to knee arthrosis (gonartrosis), but the disease is quickly young - more and more symptoms are manifested at the age of 25.

Over time, the treatment of the arthrosis of the knee joint will help avoid complications and destruction of cartilage.

Signs Arthrosis knee joint

Wearing articulated cartilage is accompanied by characteristic characteristics, whose intensity depends on the disease phase.Most often patients complain about:

• Morning stiffness and reduction in mobility in common (awakening is required);
• Pain and discomfort in the knees, which are improved after physical effort (long walking, running or standing) and are in the fall when resting;
• In the second phase - thus-wereked initial pain that occurs after a long stay in one position;
• Increased fatigue, which is often written off in old age - deleted changes;
• Dry rough crippling, which is regularly repeated when kneeling and bending;
• Edema and other symptoms of inflammation that occur in the second phase of the disease due to trauma of Periodary Tissue;
• METE -Sensility, increased symptoms in the cold season.

When you try to bend your knee affected by gonartrosis, sharp pain and feeling of physical obstacles.In the later stages, even in the presence of the treatment of arthrosis of the knee joints, patients (becomes enjoyment, patients walk in a rigid leg), "o" or "x".

The influence of the disease lies in the fact that it may occur in hidden forms for years, and the first significant symptoms often appear only in 2. phase - when the complete reconstruction of the Sinovian cartilage is already impossible.
It is therefore important to consult a doctor at the first signs of the discomfort in the knees - for example, weak, as if withdrawing the pain that appear with insufficient production of sinovial fluid.Remember: The pain in the knee is not the norm regardless of age.Timely overview and treatment of knee arthrosis 1. Degree can fully protect you from painful pain in the joints in old age.

What will happen if the arthrosis of the knee does not heal?

In the case of self-medication, disrespect for doctor's recommendations or treatment, osteoarthrosis of common knees are progressing on average 3-8 times faster than with complex therapy.If gonarthrossist appears aggressively, the patient can lose the ability to move normally before pension ages.

Effective treatment of the elbow arthrosis is especially important in the drive phase.Raw weather, physical or emotional stress, allergies, poisoning, transition to the other climate - in words, any body shakes can provoke it.Deterioration of arthrosis continues to destroy a large amount of hondrocytes.In response to this, the body produces enzymes that are designed to process and remove dead cells.However, if their concentration is too high, healthy areas of cartilage are suffering - cell membranes become thinner, erosion foci in the synovial confusion of the wrist appear.This procedure, if it does not stop with the treatment of knee characters, can flow within a few weeks, and with chronic stress, sleeping sleep or insufficient nutrition, constantly.

Finally, without treatment, the osteoarthrosis of the knee leads to a complete reduction in the Lumen Jaza due to the growth of osteophytes.The gap required for a normal movement is closed, and the patient cannot bend a leg even at 30-45 °.Difficulty represents not only to climb stairs, but also an attempt to get up from a sofa or plain movement.This condition is accompanied by the pain from which ordinary analgesics do not help.In such cases, one option for treating the arthrosis of common knees remains - surgical, with a complete substitution of art architecture with prosthesis and subsequent long-term rehabilitation.But in this case, most patients cannot return to a completely normal life.

Treatment of osteoarthrosis knee joint

Depending on the stage of diseases and the state of common, conservative or surgical treatment arthrosis knee joint.

Treatment of arthrosis of knee joints in 1. The degree is always done with conservative methods - in the case of success combination of circumstances and good self-disciplation, the patient can be obtained or permanent remission.

Treatment of knee arthrosis in the degree, as a rule, is generally built on the use of all methods of conservative effects, but the doctor may decide on smaller surgical interventions in the compound if the disease develops aggressively or complications.

Treatment Arthrosis of knee joint 3 degrees almost always implies surgery.

Combined conservative treatment Arthrosis knee joint involves removing pain and inflammation, cartilage restoration and increasing the volume of the joint movement.For this patient is prescribed by orthopedic regime of cargo and rest, systems and local medications (hormonal and non-hormonal anti-inflammatory, analgesics, hondroprotects and others).Innovative biological methods are also spread - injections of drugs to treat the wrist's joint arthrosis directly into the articulated bag.At the same time, PRP infections (blood plasma, enriched by platelets), as well as injections of stem cells obtained from the patient's material tissue.Paralene, auxiliary and rehabilitation methods are connected - physiotherapy, massage, hand therapy, therapeutic gymnastics.

The surgical treatment of osteoarthrosis of the knee joint is done in cases when medications are powerless.With this pathology, the doctor can prescribe the following interventions:

• Arthroscopy knee joint.Collective name for a group of minimal invasive operations focused on removing a broken area of artistic fabric or osteofi, or partial excision of the common shell.It allows you to delay or exclude prosthetics, as well as eliminate discomfort in early stages of the disease.It is used mainly for treating the knee arthrosis in patients under 60 years of age.
• Osteotomy.Section of the cutting of the bone and correction of the load axis on a painful knee, which allows you to slow down changes in degenerative changes.It is usually carried out in the treatment of the arthrosis of the knee coupling 2. Degree.
• EndoProsthetics.Partial or complete replacement of knee joint with titanium implant, which serves 15-20 years.This technique is an extreme measure because it carries certain risks.It is recommended for patients over 55 years of age.

All these operations require a recovery period and have a number of contraindications, so the best option remains prevention (exercise, hondroprotectors) and treatment of the arthrosis of the knee joint.

In addition to major therapeutic techniques, dietary therapy is used and other methods of lowering body weight.To unload the painful compound, bandages and other orthoses (walking shrimp, orthopedic roles, etc.).

Treatment of the arthrosis of the knee prescribes a-rohumologist or orthopedic.At the first reception he has a compound, makes the motor tests, then directs the patient on tomography or radiography.

Therapeutic gymnastics for knee arthrosis

Medical physical education for the limbs of the lower belt is considered the most efficient method of reducing pain and treatment of knee joint arthritis in 1. Degree.The first results of therapeutic gymnastics appear after 2-4 weeks of continuous classes.Continuity in treatment The arthrosis of the knee joint is one of the main factors that affect the efficiency of exercise therapy.The complete lesson is done once a day, it is recommended and at least 3-4 warming during the day.

Therapeutic gymnastics for knee arthritis in periods of remission will help mitigate pain syndrome.

The main task of physical exercise in the treatment of osteoarthrosis of the common knee is to strengthen the muscles of thighs and lower legs, maintaining the elasticity of ligaments and tendons, as well as the fight against muscle atrophy, which is characteristic of arthrosis.This allows you to carry the load from the joint to periarticular structures - and thus slow the mechanical abrasion of cartilage, reduce inflammation.

Exercises for treating the knee arthrosis are performed for both legs!When sharp pain appears, the lesson needs to stop or resume in a gentle pace.

1. Beginner position - lying on your back.One leg is expanded on the floor, and the other is grown bent for 90 ° (the lower leg is parallel from the floor).We carry out movements to the lower leg above and down, as far as the amplitude of the movement in the joint is concerned.
2. Beginner position - lying on your back.We perform the exercise "bike".
3. Beginner position - lying on the stomach.In return, we hang your feet, trying to pull the heels as close as possible.
4. The starting position lies on the side, the hand bends under the head or extends over the head along one line with the body.The other hand rests on the side.Let's make swings upside down.Let's change the side.
5. Beginner position - lying on your back.Let's get legs forward on the floor in front of the heel (of yourself), the socks look "with you."
6. Beginner position - lying on the stomach.We do the "ship" exercise.If physical preparation does not allow, put their palms on both sides of the chest and take turns to take your legs, experiencing stress on the back surface of thighs and lower legs.
7. Beginner position - lying on your back.In turn, we turn into your legs, trying to describe the socks the most complete circle.
8. Beginning position - stands against the wall.Slowly and smoothly squat without looking at the back from the wall to distribute the load.When the legs are bent in the knees for 90 °, we start smooth movement.
9. The starting position stands.Alternately, swing legs forward, back and to the side.

Please note: Therapeutic gymnastics after the operation on the wrist has its own specifics and changes depending on how many days have passed since the time of surgery.Prescribed by a surgeon or rehabilitologist.

Massage with knee arthrosis

The therapy massage for the knee arthrosis is done on both legs.Atleast is at least 10-12 sessions required for rehabilitologists or equipment for hydromassage equipment, but simply generally can be strengthened by massage at home.Includes the following types of motion:

• superficial hitting and rubbing (up and down, software, and in the counterclockwise direction);
• sounding and stretching with the tops of deeper fabrics;
• Tighten and tap on the skin.

Massage with knee arthrosis should be performed with a specialist who will not harm the sick joints.

Self-consideration can be combined with treatment with drugs wrist with drugs: will not be redundant to use heating or heating balm before or during the session.You can also take a warm bath before the procedure.

IMPORTANT: Massage is contraindicated by patients with the symptoms of inflammation (osteoarthritis or aggravation of arthrosis).In this case, the acute phase therapy needs.

Dietotherapy for arthrosis

Standard power protocol in treatment The knee joint arthrosis requires:

• Limit products and utensils rich in simple carbohydrates (white bread, confectionery, snacks, sweets, potatoes, sugar);
• To turn off (ready to use) and rich dishes - fast food, semi-refined products, sausages;
• Refuse alcohol, decoderized coffee and greasy meat.

Instead, you should include in me:

• dishes and entire cereals;
• Fatty fish north sea and diet poultry meat;
• cartilage (ears, nyushki, legs and other parts rich in collagen), cold men and jelly;
• Vegetables and fruits rich in vitamins and antioxidants (especially vitamins A, B12, C, E);
• NUTS and other sources of thick omega acids and valuable minerals.

The diet with the arthrosis of the knee joint provides a balanced diet that helps restore cartilage tissues.

It is also recommended to treat the arthrosis of the knee joint with drugs - vitamin -mineral complexes (2 courses per year).

Physiotherapy for the treatment of osteoarthrosis knees

The following physiotherapy procedures are used for efficient treatment of knee arthrosis and improving drugs:

• Magnetotherapy;
• Laser therapy;
• UHF;
• Ultrasonic therapy;
• amplipulse;
• Electrophoresis (including medicine);
• Ozorite and paraffin applications;
• Thermotherapy (cryotherapy, inductermia);
• phonoporesis;
• Balneological therapy (sulfur, hydrogen sulfide bath).

Acupuncture in the treatment of the knee arthrosis at two degrees is generally not used 2 degrees.

Before visiting procedures, it is necessary to advise with the doctor - many types of physiotherapy are contraindicated in the deterioration of the disease.

Drugs for treatment Arthrosis knee joint

Treatment Arthrosis joints with drugs with drugs is performed symptoms and takes into account the individual patient reaction to selected medications.Drug therapy - injection, fats or tablets for treating a shared knee arthrosis - are usually prescribed by courses or as needed.

To choose the right medicine to treat the knee joint arthrosis, contact a doctor who will select the necessary medication after the study.

In the treatment of the wrist's joint arthrosis, there are several directions: mitigation of the patient's life, improving the nutiling nutrition, cartilage regeneration and maintenance of the muscle device norm.

Not -steroidal anti-inflammatory drugs

To mitigate the deterioration of NSAIDs in tablets or capsules, they lay courses (about 12 days) or as needed, depending on the intensity of pain syndrome.An uncontrolled reception of NSAIDs with damaged instructions or doctor's recommendations are crowded with the ulcer or intestine.They should be extremely cautious to take them in a combination with glucocorticosteroids and medications that affect blood coagulation.Additional risk factors - age older than 65 years, smoking, alcohol entry during the course.In these cases, doctors usually recommend the drug injection bypassing the gastrointestinal tract.Together with the NSAID, it is recommended to take gastroprotectors.

The maximum effect can be achieved by a combination of system NSAIDs (for internal administration) and external-shaped fat, creams or gels.The second option provides calm to a hit connection and at the same time minimally affects digestion.

Corticosteroids (steroid medications for treatment Arthrosis knee joint)

Hormonal medicines (civic code) are usually used for thus - the corrected generated knees blockades in cases where the NSAID is not enough to calm pain and inflammation.

Glucocorticoid injections are considered an extreme measure in the treatment of the arthrosis of the knee knee with drugs.They provide relief 20 minutes after administration, but hormonal disorders and impaired tissues in violation of the management rules can lead.Due to side effects, many orthopedics prefer the operation on the knee longer than CC therapy.

Hondroprotectors in treatment Arthrosis knee joint

ChondroProtective agents based on core extracts and cartilage of cattle, sea fish and molluscs contribute to the restoration of the Sinovian cartilage, and are therefore irreplaceable for efficient treatment of the knee arthrosis.Chondroprotectors contain a large number of glycosamogogs - natural polymers from which cartilage is built.Therefore, they make chondrocities (imperial bilagines) more stable, contribute to their growth, enrich the Sinovian liquid.

In contrast to anti-Famatory drugs, hondroprotectors are practically no contraindications.They provide a cumulative, extended effect - the first improvements occur after 1-3 months of reception, and the duration of the course is 3-6 months.

Skin funds

External preparations for treating knee arthritis with locally growing effect improve blood circulation and joint diet, and also distracts the patient from pain.To this end, fats, gels, creams and balm based on natural ingredients - bee or snake poison, burning peppers.

In the presence of allergic reaction (persistent redness and skin in the skin, a rash), as well as in the presence of other contraindices, it is better to avoid heating the arthrosis of knee joints, and is limited to warm baths, applications and external anti-inflammatory.

Sinovian fluids of prostheses

If Sinovi fluid in the compound is too small, the disorder of the hinged surfaces is disturbed.And most importantly, the starving of cartilage begins, because the articular fluid, which only drinks like a sponge, usually delivers nutrients to grow and maintain cartilage tissues.In order to prevent the destruction of cells and mechanical abrasion of the knee cartilage, the doctor can prescribe the injections of high molecular harnesses of Hyaluron.The injections of the drug in the treatment of joint knee arthrosis (viskostering) are made directly into the articulated bag, which leads to the rapid relief, which lasts from 3 to 12 months at the end of the course.However, with the introduction of prostheses there is a risk of necrotic changes or ankle infections.

Antispasmodics, analges, muscular relaxants

In cases where cramps and muscle tensions prevent the patient from falling asleep, create pain during the movement, the doctor prescribes antispasodics and muscle relaxants.

Simple analgesics are not used in the treatment of knee joint arthrosis, because they mask pain but do not relieve inflammation.You can use or affordable NSAIDs without a doctor without a prescription for up to 10 days, after which the examination requires.

Form of release of drugs to treat Arthrosis knee joint

For patient convenience, medications for treatment The knee joint arthrosis is released in various forms.Is there a difference between them and which one would you choose?

Preparations for treatment of knee arthritis have several forms of release: Sasha, injections, fats, tablets.Choose what is most suitable for you.

Capsules, Sasha and Treatment Tablets Arthrosis Knee

Non-steroidal anti -infalmator drugs, corticosteroids, hondroprotectors and muscle relaxants are made in patterns for oral administration.In this case, they are easy to dose, the reception is possible without participating in a medical worker, it is easy to control which part of the course has already passed.When taking ChondroProtekers and NSAIDs, they have quite high bioavailability (especially in the form of SASH).When taking hydroprotecters in the periartilar region, more than 95% of useful substances from the drug are obtained.

Injection solutions

In the form of injections, you can download the already mentioned NSAIDs, civil code, hondroprotectors and muscle relaxants, as well as sinovious dentures.This method of treatment of arthrosis knee joint shows maximum bioavailability.

This method of treating the knees is safe for digestion, but it is desirable that injections (intravenous, intramuscularly in joints or intraunticular) placed qualified medical staff.Intramuscular injections in buttocks or thighs can be done independently.

External use

Locally grows, anti -infalmatory and hondroprotective fats are exterior used to treat your knee joint arthrosis.The advantage of such medications is to level the effects on the affected tissue.But on the path of active substances, the skin barrier is growing, often only 5% of active ingredients reach the desired layers of tissues.

We hope we have managed to help.Griz is confident!