Artrosis of knee joint- This is a degenerative-dystrophic disease of the cartilage, which causes the bone leaders of the bone leaders and violations of inaction.Non-metallive nature of the disease and slowly progress - the transition from the initial stage to disability has been lasting until several decades.Osteoarthrosis of the knee joint has been included in the 5th most common cause of the world and due to the disability.
More than 20% of people aged 55 are subordinate to the knee arithe (Gonarthrosis), but the disease is fast - increasingly symptoms show itself at the age of 25.
Over time, the treatment of the artery of the knee joint will help prevent the complication of cartilage and not destroying.
Signs of arthrosis of knee joint
The dress of articular cartilage is accompanied by characteristic features of intensity depending on the stage of the disease.Often patients complain:
- Morning stiffness and mobility reduction (waking required);
- Pain and anxiety after strengthening after physical force (long walking, running or standing) and reduced during rest;
- In the 2nd stage - the starting pain that occurs after a long period of time;
- Frequently rising fatigue to the age of fatigue;
- dry coarse crisis on a regular basis while kneeling and bending;
- Other symptoms of inflammation visible in the second stage of the disease due to the trauma of the perioster tissues;
- Mete -Sensitivity has increased symptoms in the cold season.
Gonarthrosis occurs a sharp pain and physical barriers when trying to bend the knees.In the next stages, even the treatment of the treatment of a knee combination, patients are worried in patients (enjoy the patients' deformations in the form of "o" or "x".
The insecurity of the disease may occur in a secret form for years and the first important symptoms of the first important symptoms - the first important symptoms of Synovial cartilage are not possible.
Therefore, it is important to consult a doctor in the signs of anxiety in the knees - for example, as suffered weak, as if the pain caused by synovial liquid production.Remember: No need for knee pain regardless of age.The timely examination and treatment of the origin of the 1st degree can protect you completely from painful pain in old age.
What will happen if the knee does not treat arthrosis?
When you are medications, the lack of doctor's recommendations or treatment, knee common osteoarthrosis, moving 3-8 times faster than complex therapy.If gonarthroos is aggressively, the patient may lose the ability to move normally before retirement age.
Especially in an important stage, it is an effective treatment of knee arthrosis.In short, any shake for the body can provoke any shake for the body - a word, which is moving with other climate in raw weather, physical or emotional stress, allergies, poisoning, region.The exacerbation of arthrosis continues with a large amount of chondrocit.In response to this, the body produces enzymes designed to process and remove dead cells.However, if their concentration is very high, healthy areas of the cartilage - the screen focus is in synovial hands of the combination of the screen.This period can be stated in a few weeks and without chronic stress, sleep or inadequate diet, if not suspended by treating the knee arthropons with drugs.
As a result, without treatment, osteoarthrosis of the knee causes a complete decrease in the lumen of the joint venture due to growth of osteoophyte.The space needed for normal movement is closed and the patient cannot twist the legs even 30-45 °.The difficulty represents only one attempt of a couch or an ordinary action that does not climb the stairs.This situation is accompanied by the pain that ordinary analgesic does not help.In such cases, an option for treatment of arthrosis in the middle of the knee - with the full change of articular architecture with surgical, prosthetics and later rehabilitation.However, in this case, most patients cannot return to a completely normal life.
Treatment of osteoarthrosis of knee combination
Depending on the stage of the disease and the common situation, the conservative or surgical treatment of the knee joint is used.
The treatment of arthrosis of knee combination of 1st degree is always carried out by conservative methods - in the event of a successful combination of good self--Discipline, patient can be obtained or remission.
As a rule, as a rule, as a rule, it is usually based on the use of all methods of conservative effects, but if the disease develops with aggressive or complications, it can decide the junior surgical interventions.
The treatment of arthrosis of the 3 degree knee joint is almost always in operation.
The complex treatment of the arthrosis of the Artrosis of the knee, covers the increase in pain and inflammation, increases in the voltage recovery and combination.To do this, a orthopedic mode of patient cargo and recreation, system and local drugs (hormonal and non-infunflamation, analjemology, chondens and others) have been set.Innovative biological methods are also spread - the injection of drugs for the treatment of arthropons of direct knee joint.At the same time, PRP-infections (enriched with blood plasma, plasma, platelets), as well as the patient's injections of stem cells taken from their oil tissue are used.In parallel, auxiliary and rehabilitation methods are closed - physiotherapy, massage, hand therapy, therapeutic gymnastics.
Surgical treatment of osteoarthrosis of the knee joint is carried out in cases where drugs are weak.The doctor with this pathology can determine the following interventions:
- Arthroscopy of knee joint.Collective name for a group of minimally invasive operations aimed at removing the broken area or osteofayt's broken area, or partial discipline of the joint crust.This allows you to delay or exclude the prostheses, as well as eliminate anxiety in the early stages of the disease.Basically, patients under the age of 60 are used for treatment of knee arthrosis.
- Osteotomy.Operation for cutting part of the bone and repair the load axis, it allows you to slow down the degenerative changes.It is usually carried out in the treatment of arthrosis of 2nd grade knee joint.
- Endoprostetics.Partial or complete change of knee joint, with titanium implant that serves for 15-20 years.This method is an extreme measure because of certain risks.Recommended for patients over 55 years of age.
All these transactions require a recovery period and have a number of opposite hints, so the best choice prevention (exercise therapontactors, chondrontractions) and the treatment of knee joint arthrosis in early stages.
In addition to basic therapeutic techniques, dietary therapy and other methods of reduction of body weight are used.To discharge pain, bandage and other orto (walking boxes, orthopedic tracks, etc.).
Treatment of the directory of the directory is determined by A-rumatologist or orthopedist.At the first banquet, he wards the merger, makes motor tests and then focuses on the patient to tomography or x-ray.
Therapeutic gymnastics for knee arithic
Medical physics education for low-pipeline expression is the most effective way of increasing pain and treatment of arthrosis of the 1st degree knee joint.The first results of therapeutic gymnastics occur after 2-4 weeks of durable lessons.Sustainability in the treatment of arthrosis of knee joint is one of the main factors affecting the effectiveness of training therapy.One time a day is a full lesson once a day, it is also recommended to do at least 3-4 warmings during the day.
During the remissions, therapeutic gymnastics for the knee arthropist will help relax pain syndrome.
The main task of physical exercise in the treatment of osteoarthrosis of knee combination is to strengthen the muscles of the thigh and the lower leg, and protect the fight against the muscle surplus of the arthropist.This reduces the burden to the joint to transfer the cargo to periodicular structures, and thus slowting the mechanic wear of the cartilage.
Exercises for the treatment of Arthroz knee are carried for both feet!When a sharp pain seems, the lesson should be stopped or continued at a more elegant pace.
- Starting position - stretches on your back.One leg stretches to the ground, and the other is bent 90 ° (parallel to the ground in the lower leg).When it comes to the amplitude of joint actions, we perform the movements with the upper and lower leg.
- Starting position - stretches on your back.We carry out the "bike" exercise.
- Starting position - stretches in the stomach.In turn, we are creeping our feet by trying to bring the heels closer to the hip as much as possible.
- The starting position stretches on the side, the hand lies on the head along a line that is bent or the body with a body.Rests on the side of the side.We're upside down the roads.We change the side.
- Starting position - stretches on your back.We are looking for the feet in front of the heel (from ourselves), socks "in ourselves".
- Starting position - stretches in the stomach.We are doing the "boat" exercise.If physical preparation does not allow our palms to both sides of the chest and lifts stress on the posterior surface of the bud and the lower leg.
- Starting position - stretches on your back.We turn the legs in turn, trying to describe the most complete circle with socks.
- Starting position - to stand against the wall.Slowly and smoothly out of the wall to spread the load from the wall slowly and smoothly.When the feet are bent on knees 90 °, we start moving smoothly.
- Starting position stands.Alternatively, we swing our leg forward, back and side by side.
Caution: After joint operations, therapeutic gymnastics, during the operation, have their own characteristics and changes.Assigned by a surgeon or rehabilitator.
Massage with knee arithic
The therapeutic massage for arthrosis of the knee is carried on both legs.Initially, for a rehabilitation or equipment for hydromingage equipment, at least 10-12 sessions are required, but can be made a simple common amplifier massage at home.This includes the following types of actions:
- Surface strokes and rubbing (up and down, in the opposite of the program and clockwise);
- Test and extend deeper pieces with the end of your fingers;
- Squeeze and hit the skin.
Massage with the artos of the knee should be made by a specialist who does not harm the patient.
Self -Massage can be combined with medication with the treatment of knee joint arthropons: Before or before the session, the warm-up ointment or balm will not be applied.You can get a hot bath before the procedure.
Important: Massage is controlled by patients with signs of inflammatory (osteoarthritis or arthrosis) patients.In this case, therapy is required for acute phase.
Dietaryaotherapy for Arthrosis
Default power protocol requires the treatment of artery of knee joint:
- Limit the rich products and dishes rich in hydrocarbohydrates (White bread, confectionery, snacks, sweets, potatoes, sugar);
- processed (ready for use) and rich dishes - fast food, semi-arm products, sausages;
- Refuse alcohol, decoderated coffee and oiled meat.
Instead you should enter the menu:
- Germans and all grain food;
- oil fish of the northern seas and poultry diet;
- cartilage (other parts of the ears, nyushki, legs and collagen), cold men and jelly;
- Vitamins and fruits rich in vitamins and antioxidants (especially A, B12, C, E);
- Hazelnuts and other fat Omega acids and precious minerals.
The diet, which is a diet, which is arthrosis of the knee joint, provides a balanced diet that helps to restore cartilage tissue.
Treatment of the Artrosis of the knee joint with drugs - Vitamin-minute complexes (2 courses each year) are also recommended.
Physiotherapy for the treatment of osteoarthrosis of the knee
The following physiotherapy procedures are used to increase the effective treatment and medication of the knee arithe:
- magnetotherapy;
- Laser therapy;
- Uhf;
- ultrasonic therapy;
- amplipulse;
- Electrophorehez (including drugs);
- ozokeritis and paraffin applications;
- Termerotherapy (Kriyapya, Inductorymia);
- phonophoresis;
- Balneological therapy (sulfur, hydrogen sulfide baths).
As a rule, acupuncture is not used in the treatment of two degree arthers.
Before visiting the procedures, you need to consult a doctor - many physiotherapy type reflectively in the exacerbation of the disease.
Medications for treatment of knee joint arthrosis
Artopic treatment of arthrosis of knee combination is carried out symptoms and taking into account the individual reaction to the patient's selected drugs.Medicinal therapy - needle, ointments or tablets for the treatment of the artery of the knee joint are usually determined or necessary.
To choose the right medication for the treatment of a knee combination, please contact a doctor who will choose the necessary medications.
There are several directions in the treatment of a knee combination: the relief of the patient's life, to improve the cartilage, improve the regeneration of cartilage and maintain the norm of the muscle liner.
Non-anti -inflamator medications
Courses (about 12 days) or are necessary, depending on the intensity of pain syndrome to eliminate the Tablets or capsules in tablets or capsules.The reception of NSAIDs with NSi-recommended admission or doctor's recommendations is full of stomach or guts.They must be very careful for combining them with glucocorticosteroids and drugs affecting blood clotting.Additional risk factors - age 65 years old, cigarette, in alcohol setting.In these cases, doctors usually recommend the injection management of drugs by burning the gastrointestinal tract.Together with the NSAID, it is advisable to accept the stomach.
Maximum effects can be achieved with a combination in the form of system NSAIDS (for internal management) and external - ointments, creams or gels.The second option gives a point effect of the affected compound, and at the same time the digestion has a minimal effect.
Corticosteroids (steroid drugs for the treatment of arthrosis of knee joint)
Hormonal medicines (Civil Code) are usually used for steroids of steroids when NSAID is not enough to calm the pain and inflammation.
The injections of the metrookorticoids are considered to be excessive in the treatment of arthrosis of knee joint with drugs.They provide relief 20 minutes after management, but can cause damage to hormonal disorders and cartilage tissue.According to side effects, many orthopedists prefer a long orthoped, long-term CC therapy directly.
Chondroprotants in the treatment of arterry of knee joint
The chondropelic substances based on extract from Cores and Livestock, Seafish and Mollusks, contribute to the recovery of synovial cartilage, so it is invaluable for the effective treatment of the knee art.Chondroprotants are a large number of glycosaminoglycans - there are natural polymers of cartilage.Therefore, chondrocites (cartilage cells) enrich the synovial liquid, contribute to more stable, growth.
Unlike anti-inflammatory drugs, the chondroprotants do not practically do not have contrary.They give an aggregate, an extended effect - first progress occurs after 1-3 months of reception and the course is 3-6 months.
Spring agents of the skin
Foreign drugs for the treatment of a knee-growing effect on the local growing effect improves blood circulation and combination feeding and distracted the patient.For this purpose, natural substances are used in oil, gels, creams and balm - the bee or snake venom, pepper extract is burned.
It is better to prevent an allergic reaction in the presence of pregnancy and lactation (skin-sustained redness and pain), as well as to prevent hot baths, applications, applications and external antienclamation.
Synovial liquid prostheses
If the joint synovial liquid is very small, the slip of articular surfaces is broken.Most importantly, the hunger of the cartilage begins, because only he drinks it like a sponge, because it only drinks a sponge, provides foods for growth normally and keeps cartilage tissue.To prevent cell destruction and mechanical wear of knee cartilage, the doctor can determine the injections of high molecular weight derivatives.Injection of the medication in the treatment of the knee joint (viscostering) arts is carried out directly into an article, which leads to a rapid relief, which lasts from 3 to 12 months at the end of the course.However, the introduction of prostheses has a risk of necrotic changes or infections in connections.
Antispasmodika, analgesic, muscle discharges
When the patient's spasms and muscle tensions prevent the patient falling asleep, the doctor determines the relaxations of the antispasmodicas and muscle.
Simple analgesics are not used in the treatment of knee joint arthropons, because it does not mask pain, but does not relieve inflammation.You can use them from them to 10 days without a doctor's prescription, and the exam is required after which.
The form of release of drugs for the treatment of arthrosis of knee combination
For the convenience of patients, medications are released in various forms for the treatment of arthrosis of knee joint.There is a difference between them and which one should you choose?
Preparations for the treatment of the directory of the directory have several forms of release: Sasha, Injections, Ointments, Tablets.Choose what is most suitable for you.
Capsules, Sasha and Tablets Tablets for the treatment of arthrosis of knee joint
Nonsteroidal anti -inflamator medications, corticosteroids, chondroprotants and musclestairs are produced in oral management forms.In this case, the dose is easy to make, the setting is possible without the presence of a medical worker, which makes it easier to manage which part of the course.While taking the chondroprotter and nsaids inside, there is a very high bioavailability (especially in the form of Sasha).When taking a chondroprotector in the realiardaly region, more than 95% of the drugs are obtained from the drug.
Injection solutions
Injection can be already marked in the form of NSAIDs, civil codes, chondens and muscle streams, as well as synovial liquid prostheses.This method of treatment of knee joint arthropists demonstrates maximum bioavailability.
The treatment of knee arithe is safe to digest, but injecting or intradus, intravoid, intramuscular or intramuscularly) puts a qualified medical worker.Intramuscular needles in the floor or thighs can be made independently.
External use
Local growing, anti-inflammatory and chondropelective ointments are used outside in the treatment of arthrosis of knee joint.The advantage of such a drug is to influence the affected texture.However, a skin barrier rises in the way of active ingredients - unfortunately, only 5% of active ingredients reach only the desired layers of any tissue.
We hope we were able to help.It is confident to you!