Arthrosis is a severe damage to the joints.It is manifested by constantly progressive dystrophy of cartilage, its thinning and destruction.As a result, bone tissue and ligamentous apparatus join the pathological process.
In this case, the treatment of arthrosis will be aimed at stopping the development of the disease, reducing pain, preventing complications and high -quality restoration of the ability to move the joint.
How does arthrosis manifest?
The disease initially affects the knees, and then applies to the hip joints and joints of the thumb.Much less often the patient can torment arthrosis of the ankle and distal inter -phalanx joints.
The usual sonorous crunch in the joints, which is not accompanied by pain, is completely harmless.It does not indicate the presence of a disease and does not cause it.
Medicine knows 4 symptoms of arthrosis:
- Strong pain in the affected joints during movement.At the initial stages of the disease, they are expressed too weakly and do not bother the patient.Over time, the pain syndrome develops even with minor physical exertion on sore joints, and at the last stage it can hurt even in a stationary state.If the patient suffers from diseases of the heart and blood vessels, then in this case the pain can occur when changing weather conditions;
- Rough and dry crunch in the hip joint, or other parts of the body.Its occurrence is explained by the friction of erased articular surfaces about each other.The second and third stages are characterized by a significant increase in such a crunch;
- A gradual decrease in the ability to move the affected joint.This condition is explained by muscle spasms, a decrease in the size of the joint gap and the occurrence of osteofites (growths from bone tissue in the form of spikes);
- Changing the appearance of sore joints.There is a clear deformation of the articulate bones, the further development of osteophytes with an increase in the volume of synovial fluid, which presses on the joint from the inside.
The main difference between arthrose pain from pain in arthritis is that in the first case it hurts with motor activity and in the daytime, and in the second - regardless of movement and night.Arthritis pain much sharper and more intense.
Treatment of arthrosis of the joints, as a rule, occurs for a long time and requires an integrated approach.
It is impossible to unequivocally answer how to treat arthrosis.The doctor in each case will select the methods of treatment individually.All methods of therapy are conditionally customary to be divided into 4 groups:
- medicinal;
- non -drug;
- surgical;
- Traditional medicine.
Degree of disease of the arthrosis of the joints
There are 3 stages of the disease:
- Stage I.It proceeds almost without symptoms.In some cases, minor pains are possible, but only during movement and with other physical exertion on the affected joints.In this case, the pathological process occurs in the synovial shell and liquid with a change in its composition.The muscles are gradually weakening, but visually this is not yet visible;
- Stage II.At this stage, arthrosis begins to modify the joints, the first osteophytes occur.It hurts pronounced, but quite tolerant.A characteristic crunch in joints affected by the disease is more distinct.Muscle functions are gradually disrupted due to failure in reflex neurotrophic regulation;
- Stage IIIThe most difficult.With it, irreversible pathological deformations of the support sites in sore joints occur, which is manifested by a change in the axis of the limbs.The joint bag at 3 stages is significantly coarse, the ligaments are shortened.The chronic inflammatory process develops, the patient is tormented by constant pain.Motor activity is reduced due to the impossibility of performing the most elementary movements.There is a change in adequate points of connection of the muscular-pursuit and significant deformation of muscle tissue according to the type of contraction and stretching.The ability of muscles is reduced, trophic disorders occur.
Methods for treating arthrosis without drugs
If the patient's condition is normal, and the disease is not running, then it is quite possible to cure the disease without the use of drugs.You can do this with:
- a balanced diet and a healthy way of life.To prevent the subsequent development of arthrosis, you should clearly observe the regime of the day, rest and eat only healthy, natural products;
- Reduce daily load on the affected joints.If a person has excess weight, then to relieve arthrosis it is better to reduce it.This will make it possible to normalize metabolic processes in the body and relieve voltage from the joints;
- Daily engaged in physiotherapy exercises.Exercise therapy is allowed only in a state of remission and is performed in a position lying on the back or sitting on a chair.No less useful will be skiing swimming in the pool;
- The use of physiotherapeutic methods.It is good to influence the affected area with moderate heat.It can be paraffin applications, ultrasound, laser therapy and electrical stimulation of the nerve endings.A special apparatus for the treatment of joints is used;
- Using unloading devices.With arthrosis of the lower extremities, it is recommended to use a cane and backbone wedges.This will help to significantly reduce the load on sore joints and thereby reduce the symptoms of the disease;
- Conducting massage courses.At the same time, blood circulation improves, and joint mobility is restored.
People suffering from arthrosis shows a spa-resort recovery.Rest will have a beneficial effect on the state of the whole organism.Such treatment of arthrosis of the joints should take place in a state of remission and after a thorough examination by the doctor and accounting for his wishes.
Patients should attend special schools, where doctors illuminate the methods of treating arthrosis.Such courses help to quickly adapt to the disease and fight it efficiently.
Medicines for arthrosis
The primary and main method of therapy is drugs.At the moment, the choice is not so great and therefore it is customary to divide them into 2 main groups:
- Symptomatic drugs (affect the manifestation of the disease).This includes painkillers, glucocorticosteroids, non -steroidal agents that remove the inflammatory process.When using them, pain syndrome in the limbs affected by arthrosis disappears for a while;
- Chondroprotectors (restore the damaged cartilage tissue itself).Preparations qualitatively affect metabolic processes due to the activation of blood circulation in the cartilage and stimulation of the formation of new cells.
The doctor prescribes absolutely all symptomatic drugs in the first place, because they are aimed at relieving painful symptoms of the disease.
Chondroprotectors stop further progression of the disease and provide for a long reception.
Symptomatic
Since the main symptom of arthrosis is the pain caused by the inflammatory process, painful and anti -inflammatory drugs are necessary to eliminate it.For the fastest result, arthrosis can be treated with local forms of medicines in the form of gels and ointments, however, the effect on the affected joint is short -term.
Such a disease can be facilitated by removing inflammation.To treat the disease of arthrosis of the joints, it is best to use selective anti -inflammatory drugs, because they mainly affect the affected joints, without affecting the organs located nearby.
Each patient should know that more than one non -steroidal anti -inflammatory drug cannot be used.
If treatment does not give the expected result, then the doctor, after 14 days should replace the medicine more suitable for the patient.A minimum dosage will be recommended that significantly facilitates the manifestation of the disease.
Glucocorticosteroids have a double effect on the body and arthrosis.On the one hand, the cartilage fabric is reliably protected by the hormone, and the inflammation is removed.On the other hand, subject to prolonged use, the same cartilage will be destroyed.It is for this reason that treatment should occur under the strict supervision of the doctor.
It is most effective to use glucocorticosteroids from arthrosis in the form of intraarticular injections.Such therapy gives less adverse reactions.
Chondroprotectors
The therapy scheme using chondroprotectors provides for a delayed effect.As a rule, it occurs 2-8 weeks after the start of treatment.The drugs of this group stimulate cartilage, and they can even slightly quench pain, but do not completely treat arthrosis
Folk medicine for arthrosis
You can supplement treatment with traditional techniques with the help of traditional medicine recipes.Often the positive dynamics of treatment occurs after application:
- tinctures for internal administration.They help remove the inflammatory process;
- local funds in the form of solutions for external use (tinctures, ointments, compresses).They can be made at home.Inflammation occurs and stimulation of the restoration of cartilage.
It is necessary to treat arthrosis recipes for traditional medicine only if preliminary consent with the attending physician.At the same time, drug therapy cannot be excluded.
Surgery
Surgical methods for treating arthrosis should be used in situations where medications did not have the proper effect on the patient's health.
It is customary to distinguish such types of therapy:
- Arthroscopy.Such treatment is low -traumatic and can be used to diagnose joint diseases.Using small cuts (without opening the joints) and special devices, the doctor has the opportunity to perform an operation and visually evaluate the degree of limb damage.It is thanks to arthroscopy that the period of rehabilitation and stay of the patient in the hospital can significantly decrease.In addition, the number of complications is reduced, both in the operating period and after it;
- Arthrodesis.During such an operation, complete immobility of the articular surfaces is ensured.The technique makes it possible to relieve pain if other surgical measures cannot be applied;
- Artroplasty.Such an intervention provides for the replacement of joint cartilage tissue with a gasket.It can be taken from the patient’s own fabrics or made of artificial materials.The operation significantly stops the pain syndrome and relieves the patient's condition.In this case, motor activity will be restored;
- Replacing the affected joints.The technique is necessary for the treatment of arthrosis in its advanced stages.It implies a complete replacement of all parts of the joint.The prosthesis is made on the basis of a special alloy not rejected by the body.The service life of such a transplant is about 10 years.Thanks to the operation, the efficiency of the limb can be completely restored.
Modern medicine develops methods of surgical intervention with transplanting carts of cartilage and tissues.They are primarily aimed at preventing the progression of the disease and removing its symptoms.
Even despite the fact that such a disease cannot be completely cured, subject to the most early comprehensive treatment, it is possible to stop the destructive process and preserve the mobility of the affected joints as much as possible.With the exact observance of all the doctor’s requirements, you can avoid disability and improve the quality of life.