The use of ointment for osteoarthritis can reduce pain, reduce inflammation and swelling. Means stimulate blood flow to the affected area, have a warming effect and are able to nourish the joints with useful substances, stop deformation and improve synovial fluid production. In order to prevent the further development of the disease, it must be treated comprehensively, with the help of chondroprotectors, analgesics, vitamin injections to the site of inflammation.
- Indications for medical treatment
- What drugs are needed for osteoarthritis?
- Structurally modifying drugs
- Biologically active additives
- Anti-inflammatory and analgesic
- Symptom-modifying drugs
- Selective Androgen Receptor Modulators
- Local media
- Hormonal preparations
- A review of medications for treating osteoarthrosis
- Features of the disease
- Effective treatments
- Review of effective pain medications
- What activities can enhance the effect of drugs
- At what stages is the drug effective?
- How to treat osteoarthritis
- Drug treatment of osteoarthrosis
- Symptomatic preparations
- Modifying agents
- Diet and diet
- Therapeutic exercises for osteoarthritis
- Physiotherapy and massage
- Alternative treatment methods
- Treatment of arthrosis (osteoarthrosis) of joints in Moscow
- IT IS FAVORABLE TO TREAT WITH US
- Keeping of
- What causes joint arthrosis?
- The degree of development of arthrosis
- Who is treating?
- Than to treat?
- Treatment of osteoarthritis: symptoms, causes and treatment methods
- What is osteoarthritis?
- Symptoms of osteoarthrosis – clinical manifestations
- Causes of osteoarthrosis
- Joint osteoarthritis treatment
- Drug treatment of osteoarthritis of the joints
- Treatment of osteoarthrosis of the knee
- Treatment of osteoarthrosis of the hip joint
- Treatment of osteoarthrosis of the hands
- Lifestyle in the treatment of osteoarthrosis
- What pills for arthrosis are the most effective and safe in treatment
- Briefly about arthrosis and its treatment
- Types of pills
- List of pills for joint arthrosis
- Anti-inflammatory drugs
- Preparations for the local treatment of arthrosis
- The Best Safe Arthrosis Medications
Indications for medical treatment
Osteoarthrosis is a deviation in which the cartilage connecting the joints of the musculoskeletal system is gradually destroyed. Over time and under the influence of factors, the cells in the cartilage tissues change: they soften, become thinner, the fluid ceases to be produced, which works as a “lubricant” of the joints during movement. Most often, osteoarthritis is diagnosed in athletes, people over 50 years old, in those who are overweight, have injuries. Hormonal changes in women also provoke pathology. The initial symptoms of the disease are:
- soreness after exercise and sleep;
- “Crunching” of the joint in the morning;
- limited limb mobility;
- temperature increase;
- violation of sensitivity.
With the appearance of pain in one of the joints, the deformation gradually spreads to neighboring ones. Over time, osteoarthritis can lead to disability. It is necessary to start treatment at the first sign. More often the disease affects the hip, knee, shoulder and intervertebral joints.
What drugs are needed for osteoarthritis?
It is completely impossible to cure osteoarthrosis, but stopping degenerative changes is real. This requires comprehensive treatment and lifestyle changes. Accepted drugs should have an analgesic effect, relieve inflammation, increase the content of nutrients in the cartilage. Each of the drugs has certain contraindications. Before taking them, you need to consult a doctor and carefully study the instructions.
Shishkevich Vladimir, orthopedic and traumatologist, project editor-in-chief ExpertNews.
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Structurally modifying drugs
These drugs against deforming osteoarthritis can strengthen cartilage tissue, stop its destruction and reduce inflammation. These include mainly medications containing glucosamine, one of the components of cartilage that stimulates the production of synovial fluid. Over time, it becomes smaller in the body, so the “lubricant” thickens or ceases to be produced at all. Pills or glucosamine injections normalize calcium deposits in tissues, suppress the destruction of cartilage, nourish it with collagen necessary for joint elasticity. Modifying drugs include Arthru and drugs such as:
Biologically active additives
Homeopathic remedies consist of natural ingredients, do not have large side effects and help saturate the cartilage with vitamins, glucosamine, chondroitin, and also activate metabolism in the cells and stimulate local immunity. They are recommended for use not only when osteochondrosis has already begun to develop, but also as a prophylaxis for people at risk. The most common and effective supplements:
Anti-inflammatory and analgesic
Nonsteroidal anti-inflammatory drugs for osteoarthritis help relieve pain and relieve inflammation in the joint. They exist in the form of gels, ointments, tablets, plasters and injections. The instruction prohibits the prolonged use of funds, since this way they will negatively affect the body. Pain relievers include:
These are painkillers of the NSAID series, they are used in the late stages of the development of the disease, since the drugs have strong analgesic properties, relieve pain. Among the local remedies are Deep Reelif, Diclac, Diclofenac Gel, Fastum. The tablet and injection form include:
Chondroitin-containing preparations made from the cartilage of fish and animals are absorbed by the body by 98% because they have a cellular composition similar to that of human cartilage. They help the joint to produce synovial fluid, regenerate and saturate tissues with vitamins. They exist in various forms – from tablets to local injections. To have the effect of their use, drinking chondroprotectors for the treatment of osteoarthritis is necessary for a long time. The basic course of taking the tablets is up to 3 months. The most effective action is provided by such protectors:
Selective Androgen Receptor Modulators
This type of medication has a positive effect on the muscles and musculoskeletal system. They stop the deformation of tissues and help muscles regenerate faster, do not affect the liver, stomach and heart, are equally prescribed for use by men and women. For the treatment of osteoarthritis, only one drug-polymodulator is known – this is Ostarin. The medicine is in clinical trials.
Local medicines for osteoarthritis of the knee include drugs that act externally. These are ointments, creams, gels, rubbing. They have warming properties, provide blood flow to the affected area and thereby stimulate the production of joint fluid. Improve oxygen metabolism in tissues, contribute to their recovery. Also, such drugs relieve inflammation, remove swelling at the site of the disease, normalize lymph outflow. Most often for the treatment of osteoarthritis use:
For the treatment of acute pain, the spread of deformation in the musculoskeletal system or if other methods do not give the desired effect, medications containing corticosteroids are used. These are injections that are injected directly into the focus of inflammation. Hormones help restore water balance, local immunity. Steroid medicines include:
Improving the quality of life in the diagnosis of osteoarthritis is possible only by acting on the disease comprehensively. Along with medications, modern treatment includes massage, warming, therapeutic mud wraps, compresses and electrophoresis. And you can also use non-traditional methods of treatment that can enhance the effect of tablets and rubbing. But before using them, you need to consult a doctor.
A review of medications for treating osteoarthrosis
Osteoarthritis is a common disease of the joints and spine. Often age-related, but affects young able-bodied people. Long-term pain affects the quality of life of a person, can lead to disability. To increase the effectiveness of therapy, doctors prescribe drugs for the treatment of osteoarthrosis.
Features of the disease
Osteoatrosis is a chronic and progressive disease. It affects the joints, gradually destroying the cartilage, bone tissue around. They become inflamed, ligaments, muscles suffer, a change in cartilage – the main shock absorber – turns its smooth surface into a rough one. Over time, the elastic connective tissue loses its elasticity, and can wear to the bone.
Osteoarthrosis leads to joint deformation, it is accompanied by severe pain, limits the functionality of a person. It all starts with a single focus, after which the compounds are involved that have taken on the compensatory load. The tendency to the disease can be inherited.
In modern medicine, there is no single effective treatment for arthrosis. For rheumatology and orthopedics – this is the number one problem. The goal of therapy is to alleviate the general condition, reduce pain. The operation is not able to completely cure the disease.
In the classification of diseases distinguish:
- Osteoarthritis (primary) – the cause of temporary disability, first appears in adolescence.
- Osteoarthrosis – pathological changes in the cartilage with age.
- cervical, thoracic, lumbar spine;
- metatarsophalangeal joints of the first toe, interphalangeal joints of the hands;
- knee, hip, ankle, shoulder, elbow, wrist joints.
Detection of the disease at an early stage, the timely appointment of complex therapy can not only stop the development of DOA, but also cause restoration of the functions of deformed joints. Osteoarthritis is treated with drugs, a healthy lifestyle, and a balanced diet.
Medicines prescribed by a doctor have an analgesic effect, slow down the process of further development of the disease. The group of drugs for osteoarthritis include:
- anti-inflammatory (Apizartron, Viprosal, Nicoflex, Panthenol, Menthol);
- glucocorticoids (Hydrocortisone, Phlosterone, Diprospan, Kenalog);
- non-steroidal agents (Orthofen);
- analgesics (Sirdalud, Midokalm);
Drug treatment is prescribed during the period of exacerbation of pain, short-term courses of admission are compiled. This is due to an abundance of contraindications, side effects. Uncontrolled intake of medical devices is dangerous.
In addition, medications stimulating metabolic processes (nicotinic acid, chimes, trental) are also used to enrich the cartilage with the necessary substances, oxygen.
By injecting chondroprotectors (Chondroxide, Elbon, Alflutop, Teraflex) into the joint or muscle, the connective tissue is provided with chondroitin sulfate and glucosamine (don) – the main “building material”. With osteochondrosis, these elements are in short supply due to which pathology progresses. Chondroprotectors do not eliminate pain and inflammation instantly. But with prolonged, systematic use, the functions of the damaged joint significantly improve.
Painkillers for osteoarthritis: menthol contained in the ointment (Deep Rilif, Fastum, Diklak) irritates the skin, heats the treated area, and relieves inflammation. Expanded pores stimulate tissue oxygen saturation.
Review of effective pain medications
Pain-relieving drugs are available from various companies in any convenient form (tablets, capsules, plasters, gels, ointments, injections, and injections). Active substances are:
Some contain calcium.
It is difficult to understand which remedy for osteoarthrosis is the most effective. For the relief of pain, lowering the heat, analgesics and anesthetics are prescribed:
Doctors can prescribe a list of homeopathic medicines, which must be purchased at a pharmacy.
What activities can enhance the effect of drugs
A pharmacy cure for osteoarthritis is not always the most effective. The patient needs to limit the load on the affected joint: you can not stand or walk for a long time, for a long time repeat the same movements with the hands. Need a course of daily physiotherapy exercises, special devices for walking, bed rest can be prescribed. The patient’s diet should be enriched with products with a high content of vitamins and minerals.
Physiotherapy is designed to strengthen the muscle frame around the diseased joints to reduce the load on the cartilage. The health complex is selected individually by a specialist based on:
- stage of the disease;
- physical preparation of the patient.
- movements should not be sharp;
- load, duration, amplitude should increase gradually;
- Do not exercise too intensely;
- if there is a feeling of discomfort or pain – classes stop immediately.
An important part of treatment is physiotherapy, massage. Effective will be:
- therapeutic, mud baths;
- magnetotherapy, electrophonophoresis;
- UHF therapy.
All these procedures are designed to relieve exacerbation of arthrosis: spasm, pain, swelling, improve microcirculation, muscle tone.
Alternative treatments are also popular:
- Folk remedies – various recipes for traditional medicine. Before use, you should consult your doctor.
- Apitherapy – the use of bee venom. It is strictly contraindicated for allergies to bees.
- Hirudotherapy – a procedure with medical leeches. Contraindicated with increased bleeding, allergies to hirudin, hemophilia, pregnancy.
At what stages is the drug effective?
The result of taking medications depends on the stage and symptoms of the disease:
- the occurrence of systematic pain;
- limited mobility;
- stiffness of movements in the morning;
- crunch in the joint during movement;
- swelling, body area;
- elevated temperature.
In severe osteochondrosis, when it is not possible to get rid of the pain syndrome medically, an operation is prescribed. Most often, the joint is corrected and maintained, sometimes it needs to be replaced with an artificial implant.
When a characteristic pain occurs, therapy should be started immediately. The basis of treatment is painkillers. Medications are prescribed depending on the type of lesion, form, stage, degree of ailment, localization of pain, as well as associated diseases of the patient. It is important to observe the daily routine and prescribed diet.
How to treat osteoarthritis
Osteoarthritis is a chronic progressive degenerative-dystrophic disease of the joints of the body, which is characterized by a gradual destruction of the articular cartilage and a change in the underlying bone tissue. This is the most common form of articular pathology, which affects mainly people of an older and older age, but the development of the disease is also possible among people of a young age group.
Osteoarthrosis not only worsens the quality of life of a sick person, causing constant pain in the joints, but also contributes to functional limitations, which sometimes even leads to disability. Arthritic changes in large joints are a common cause of surgery such as knee and hip arthroplasty.
The number one problem in modern rheumatology and orthopedics is the question of how to treat osteoarthritis so that therapy is effective and eliminates the need for traumatic and risky surgery. Unfortunately, today there are no methods that can cure osteoarthritis, but if a diagnosis is established at an early stage of the pathology with the help of complex therapy, it is possible to achieve not only stabilization of the process, but also its regression. This article will discuss the main methods of treating osteoarthritis, as well as recommendations for lifestyle correction in order to prevent further disease progression.
Drug treatment of osteoarthrosis
Standards for the treatment of osteoarthritis without fail include the use of various groups of medicines. They can reduce the symptoms of the disease, in particular, pain, which improves the quality of life of sick people, and also slow down the development of joint damage.
All drugs for the treatment of osteoarthritis can be divided into 2 large groups:
- Symptoms with a quick effect that affect the symptoms of the disease and eliminate pain, swelling, inflammation.
- Modifying agents with a slow effect, the effect of which develops gradually, but continues for a long time after cancellation.
This group includes analgesics, non-steroidal anti-inflammatory drugs and glucocorticoid drugs.
It’s important to know! All of these medications do not affect the course of the pathological process, they only save a person from painful symptoms of osteoarthritis for a while. As a rule, they are prescribed in short courses during exacerbations, outside of which their use is undesirable, since these drugs have many contraindications and side effects, especially with prolonged and uncontrolled administration.
From the group of analgesics, both non-narcotic (paracetamol, ketans, analgin, dexalgin) and narcotic drugs are used. The former are often prescribed for exacerbation of the disease in combination with NSAIDs for better relief of pain. Second-line drugs (tramadol, nalbuphine, morphine) are used strictly according to the doctor’s testimony in case of persistent pain syndrome that cannot be stopped by other means. Typically, such a need arises in the last stage of arthrosis. These drugs are prescribed in a short course as a transitional stage to surgical treatment.
The most common medications for treating pain and other symptoms of joint arthrosis are non-steroidal anti-inflammatory drugs. The most commonly used diclofenac, aceclofenac, ibuprofen, meloxicam, indomethacin, naproxen, celecoxib, etoricoxib, nimesulide, ketoprofen. All these substances exist in various dosage forms (tablets, ointments, capsules, plasters, gels, solutions for injection). This allows a combined and effective elimination of pain, inflammation and swelling.
As a supplement to the main drug treatment, drugs that improve the microcirculation processes in the body are often used. Thus, specialists are trying to improve the metabolism and the supply of oxygen and nutrients to the hyaline cartilage of the joints. This group includes chimes, trental, nicotinic acid.
Sometimes the treatment regimen includes the use of drugs that eliminate skeletal muscle spasm. This is especially true with the defeat of large joints, for example, hip. The fact is that the aggravation of the process is accompanied by a protective mechanism – a spasm of skeletal muscle. But this only intensifies the pain, because such a “protection” has to be removed with medication. For this purpose, use Midokalm, Sirdalud.
In some cases, glucocorticoid drugs are introduced into the treatment complex, which have a powerful anti-inflammatory and decongestant effect, perfectly eliminate pain. But their use, especially systemic administration, is associated with great risks of severe side effects, therefore, drugs from this group are used in short courses and, mainly, for intraarticular injections. Most often used Kenalog, Diprospan, Phlosterone, Hydrocortisone.
This group of medicines includes chondroprotectors. These are drugs without which effective treatment of osteoarthritis is impossible. They are the main components of the cartilage tissue of the joints (glucosamine and chondroitin sulfate). With arthrosis, the formation of these substances in the body is slowed down, their lack is observed. By introducing it from the outside (orally or by means of intramuscular and intraarticular injections), cartilage can be provided with the basic “building material” and slow down or stop the progression of the pathology.
The most popular representatives of chondroprotectors:
It’s important to know! Chondroprotectors do not have analgesic strength and will not be able to quickly eliminate pain and inflammation. But with prolonged use, these drugs will reduce the number of exacerbations of the pathology, improve the function of the diseased joint.
Diet and diet
All patients with arthrosis of the joints, especially with its exacerbation, are shown compliance with a special regime. Its essence lies in the unloading of diseased joints. Prohibited long standing, walking, with damage to the joints of the hands – long stereotypical movements. A person is assigned a bed rest. It is necessary to temporarily suspend physical activity, exercise physiotherapy exercises. In especially severe cases, traction is used to unload the joints, and the use of special orthopedic appliances, such as a walking stick, splint and orthoses, is also prescribed.
A special diet for osteoarthritis of the joints is not required. You need to enrich your diet with foods high in vitamins and trace elements. In the case of excess kilograms, nutrition should be low in calories to normalize the body mass index, as each extra kilogram increases the load on the diseased joints.
Therapeutic exercises for osteoarthritis
The basic rule for performing exercise therapy at home is that you can only train without exacerbation. In the presence of pain, any physical activity is excluded.
The complex of exercises should be selected in each case by a specialist, based on the stage of the disease, localization of lesions, age and lifestyle of a person, his physical fitness.
The basic principles of exercise therapy for osteoarthritis:
- any movement should not be too intense and cause pain or discomfort;
- the amplitude of physical exercises, as well as their duration, must be increased gradually;
- sharp and jerky movements are contraindicated;
- if during training there is pain, then the classes stop.
Physiotherapy exercises can strengthen the muscles of the body, in particular, the muscular frame of the diseased joints, which is an excellent supporting device and perfectly reduces the load on the damaged articular cartilage.
Physiotherapy and massage
Various physiotherapeutic procedures are an integral part of the comprehensive treatment of arthrosis. They improve microcirculation, relieve pathological muscle spasm, eliminate inflammation, pain and swelling, and contribute to the restoration of the damaged structure of cartilage tissue.
The most effective physical procedures:
- drug electrophoresis
- paraffin and ozokerite applications,
- amplipulse therapy,
- laser treatment
- healing mud wraps,
Therapeutic and restorative massage is also carried out only without exacerbation of arthrosis. It helps to improve the tone of the muscles supporting the damaged joints, establish blood flow in them, eliminate pathological muscle spasm.
Alternative treatment methods
Alternative or unconventional methods of treating osteoarthritis are very popular among the population, despite the lack of clinical evidence of their effectiveness. Nevertheless, such techniques have helped more than one thousand patients.
The most popular methods of alternative treatment of joints:
- Treatment with folk remedies. There are many recipes for traditional medicine for both internal and external use. When choosing the right product for you, be sure to consult your doctor about this. Perhaps you have contraindications to the use of a particular recipe.
- Apitherapy. This is a treatment with bee products and bee venom. Apply both stinging by bees, and treatment with bee subpestion. The main caution – all apitherapy methods are contraindicated in case of bee allergy.
- Hirudotherapy. This is a treatment technique with medical leeches. Animals secrete a substance called hirudin into the bloodstream. It improves microcirculation and rheological properties of blood, eliminates inflammation, swelling and pain, and improves metabolic processes. Hirudotherapy is contraindicated for people with increased bleeding, hemophilia, pregnant women, with increased sensitivity to hirudin.
It is indicated for patients with severe form of the disease in the absence of the effect of conservative therapy. The main indications for surgery are pain, which does not stop with medication, and functional limitations of a person’s physical activity.
Operations are organ-preserving, or arthroplastic, when the joint itself is preserved, and only correction of its anatomical shape is carried out, for example, removal of osteophytes. Endoprosthetics are also distinguished when a damaged joint is replaced with an artificial endoprosthesis.
Sometimes only such an operation can relieve a person of pain and return to him a feeling of joy of free movement.
Treatment of arthrosis (osteoarthrosis) of joints in Moscow
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The onset of the disease proceeds without pronounced symptoms, so patients rarely seek the help of a specialist and write off the initial signs of arthrosis as a usual malaise, overstrain or fatigue.
At 1 degree, deforming arthrosis of the joints is manifested by pain that occurs after exercise. At rest, symptoms quickly go away. The so-called “starting pains” are also noted, they are expressed in impaired mobility and unpleasant sensations after rest, for example, the first steps after sleep. The symptom disappears after short-term activity, patients say so – it is necessary to diverge. Clicking and crunching in joints are additional complaints.
Grade 2 is characterized by more severe symptoms. By this time, pain in arthrosis begins to intensify and become permanent. Limited mobility appears in the diseased joint, sometimes a local increase in temperature is observed (the joint is hot to the touch). At this stage, arthrosis of the joints is accompanied by vivid symptoms of inflammation, swelling and swelling. There is a decrease in muscle mass of the affected limb – malnutrition.
If the disease affects the joints of the lower extremities, the gait changes, lameness appears. With damage to the joints of the upper extremities, the function of the shoulder, elbow joints and hand is impaired. Hand manipulations that were previously given easily become difficult.
The disease at this stage is characterized by periodic exacerbation, which may be accompanied by accumulation of fluid in the joint (synovitis) and muscle pain. The acute period of the disease provokes joint overload and hypothermia.
By 3-4 degrees, the pain intensifies, they acquire a constant aching character even at rest. Symptoms of osteoarthritis are supplemented by loss of mobility in the affected joint. Painkillers do not relieve the condition. With damage to the joints of the legs, the patient almost completely loses the ability to move independently.
What causes joint arthrosis?
Arthrosis disease is the most common articular pathology. According to statistics, up to 40% of the population suffers from the disease, women get sick more often than men, which is associated with hormonal changes in the body after 45-50 years. Moreover, at a young age, the disease is more often recorded in the stronger sex.
In some cases, the causes of arthrosis cannot be determined, and this form is called idiopathic or primary. There is also a secondary form of the disease, which develops against the background of other diseases affecting the joints. The reasons why osteoarthritis occurs include:
Dysplasia. Dysplastic osteoarthrosis develops due to abnormal development of articular tissues (congenital inferiority). More often affects the hip joint.
Injuries and consequences of their improper treatment. These include ligamentous tears, fractures, meniscus damage, dislocations. Post-traumatic osteoarthrosis.
Acute suppurative arthritis. It causes inflammation, which can turn into osteoarthritis.
Diseases associated with hormonal disorders (e.g., diabetes mellitus).
Infectious processes caused by a specific pathogen (tuberculosis, syphilis, gonorrhea, encephalitis).
Diseases associated with ligament weakness – joint hypermobility and hypermobility.
The main risk factors why osteoarthrosis of joints occurs or may develop:
Excess weight. Overweight gives constant overload of the joints of the legs, this can cause thinning of the cartilage. Also, patients with obesity often develop bilateral osteoarthrosis (symmetrical damage to the joints of the same name).
The age of the patient. With age, the regeneration processes in the body slow down, the production of collagen, which is necessary for the construction of cartilage cells, decreases.
Constant load on the joints. Work associated with hard physical work can trigger a disease.
Professional athletes are sports where there are excessive loads on the joints.
Operations. Failure to comply with the regime during the rehabilitation period may adversely affect health in the future and lead to osteoarthritis.
Bad ecology and the effects of toxic substances on the body.
Change in hormonal levels before menopause in women.
The degree of development of arthrosis
At the heart of the pathogenesis (development mechanism) of the disease is a violation of the structure and function of articular cartilage. There are three degrees of deforming osteoarthrosis:
At the initial stage of arthrosis, the thickness of the cartilage tissue remains almost unchanged (normally 2,5-3,0 mm), then it begins to gradually thin out. On x-rays at this time, you can consider a barely noticeable decrease in the articular lumen and the initial signs of the formation of osteophytes (bone growths). More significant changes become visible on the ultrasound diagnosis of the joint.
With arthrosis of stage 2, the destruction of the cartilaginous cover and the growth of osteophytes continue. This leads to a gradual loss of mobility, stiffness of the joint appears. The joint gap is noticeably narrowed, inflammation of the bone and cartilage tissue progresses. Cartilage thickness in the range 1,4-2,0 mm.
Arthrosis of the third degree is characterized by almost complete destruction of the cartilage. The process goes to bone tissue. Osteophytes are visible to the naked eye. The joint gains a pronounced deforming contour, the joint space is sharply narrowed. Subluxations, curvature of the axis of the limb (in the affected joint) are observed. Muscles and ligaments atrophy. The thickness of the cartilage does not exceed 1-1,2 mm
In some sources, you can find the fourth stage of the disease, it is characterized by the complete destruction of the joint and its structures.
Who is treating?
When identifying a disease in patients, the question arises, who treats arthrosis? Who can I contact with this problem?
Since the problem is complex, a whole team of specialists works:
An orthopedic doctor, is the main specialist in the treatment of joint diseases, he is familiar with the symptoms of the disease, he diagnoses and treats arthrosis.
Physiotherapist. It specializes in physiotherapy therapeutic procedures, monitors the course of treatment, can evaluate its effectiveness and provide additional information to an arthrosis specialist orthopedist. Physiotherapy treats diseases with the help of various physical factors affecting the body. This includes sound, magnetic, infrared, ultraviolet waves, etc. Also, a physiotherapist specializes in physiotherapy.
Masseur. With osteoarthritis, it normalizes muscle tone, helps to cope with atrophy of muscles and ligaments. Also, massage services help stimulate blood circulation in the affected area, and improve metabolism.
Rehabilitologist. The doctor is engaged in the provision of medical and psychological assistance to patients who have had serious illnesses that have lost some physical functions. It helps patients, and if necessary family members, adjust life to reflect changes. The doctor can also coordinate the treatment of massage, physiotherapy and physical therapy.
Nutritionist. It will help to reduce weight, choose the right diet to strengthen joints.
|Anatomical scheme of arthrosis of the knee|
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- Ultrasound diagnostics
Non-invasive examination of muscles, ligaments, tendons, joints using ultrasonic waves.
It is used for bone injuries – dislocations and fractures, arthrosis of the joints, osteochondrosis of the spine.
General analysis of blood and urine, blood biochemistry. They help to eliminate concomitant diseases.
Magnetic resonance imaging
High-precision diagnostic method for joints and spine with information content of up to 99%.
Than to treat?
Before treating arthrosis, the doctor collects a medical history, conducts an examination and diagnosis. This is necessary to draw up a treatment program. Main goals:
Eliminate pain and inflammation;
Joint protection from further destruction;
Restoration of joint function;
Dosing and load protection.
Arthrosis treatment begins with the elimination of pain and inflammation, medications, injection therapy, and physiotherapy methods are used:
Nonsteroidal anti-inflammatory drugs and pain medications help reduce pain and inflammation;
With severe attacks of pain, drug blockades with glucocorticoids, for example with diprospan or hydrocortisone, are used. For this, the medicine is administered directly into the joint cavity. These drugs have only a symptomatic effect, help to quickly relieve pain and exacerbation, and then proceed to the rehabilitation treatment of arthrosis of the joints.
Chondroprotectors. The medicine makes up for the missing substances and activates the restoration processes in the cartilage tissue, stimulates the formation of synovial fluid, improves metabolism.
Hyaluronic acid based preparations. They are injected into the joint using intraarticular injections. They play the role of artificial lubrication, eliminate the deficiency of synovial fluid, restore its viscosity, cover the cartilage with a protective film, preventing further tissue destruction and improving gliding. More drugs help retain water inside the cartilage and increase the shock absorbing properties.
New methods include plasmolifting of joints. Its peculiarity lies in the use for the treatment of the patient’s own blood plasma. Thus, it is possible to obtain a drug that is fully compatible with the patient’s body and has no side effects. Plasma stimulates the restoration of cartilage cells and the synthesis of joint synovial fluid, eliminates pain, restores the structure of cartilage, and hence mobility.
Ozone Therapy The method is based on the anti-inflammatory effects of ozone (the active form of oxygen), is aimed at eliminating pain, relieves inflammation, helps to destroy harmful bacteria and provides stimulation of the blood supply to the diseased joint.
Shock wave therapy is widely used in the treatment of osteoarthritis. The principle of the method is the effect of sound waves on the affected tissue. This leads to the destruction of calcium crystals, scar tissue. Stimulation of the growth of small vessels, helps to improve blood supply to the joint. The method allows you to significantly get rid of pain or reduce them.
In treatment, methods of physiotherapeutic treatment are actively used, which increases blood supply to tissues, helps to eliminate pain, improves nutrition of affected tissues, and applies:
Phonophoresis with drugs – hydrocortisone, dolgit;
Treatment of osteoarthritis: symptoms, causes and treatment methods
Treatment of osteoarthritis should be started immediately when the first signs appear, in order to prevent the development of this disease and to avoid disability. But be prepared that, most likely, after making this diagnosis, you will have to change your habits and lifestyle. How to treat osteoarthritis to prevent joint destruction? You will find this answer below, but for now, first things first.
What is osteoarthritis?
Treatment of osteoarthritis should begin in a timely manner, when the first pain occurs
Osteoarthrosis is a common disease characterized by damage to the joints and decay of cartilage. Unfortunately, every year the disease not only becomes more common, but also “rejuvenates”. Increasingly, the disease occurs in young people. Joint pathologies now occupy the third place in prevalence in the world and are most often found in women. As a rule, the disease develops gradually and in the first stages it can be invisible or manifest during sports or excessive stress, and is detected at a time when serious joint deforming processes are already underway, so treatment of osteoarthritis may not always start on time.
Symptoms of osteoarthrosis – clinical manifestations
To start treatment for osteoarthritis, you need to replace in time that something is wrong with you and consult a doctor to confirm the diagnosis. So, you may have osteoarthritis if:
- • You feel pain in the joints (in the first stages, it occurs only in case of exertion),
- • You are seeing swelling in the joint area,
- • You notice that your joints are strangely crunching,
- • you feel stiff in the joint,
- • You feel that you need to “disperse” in the morning to regain your usual mobility.
Over time, all these symptoms begin to intensify, and the interval of the absence of manifestations begins to decrease.
Causes of osteoarthrosis
The causes of osteoarthritis are many, consider the most common:
- • age-related changes in the joints,
- • genetic predisposition,
- • injuries: dislocations, fractures,
- • infection
- • excessive physical activity,
- • subcooling,
- • overweight.
The chance of developing osteoarthritis in athletes grows significantly, due to constant loads on the joints. The joint tissue wears out and wears out, and there is not enough time to recover itself, therefore the use of special preparations is required.
Joint osteoarthritis treatment
Drug treatment is mandatory for osteoarthritis of the joints
The treatment of osteoarthritis of the joints is a laborious and systematic process that cannot be abandoned at the first sign of improvement. Most often, an inpatient treatment for osteoarthritis includes:
- • drug treatment,
- • diet
- • medical gymnastics,
- • massage
- • physiotherapy,
- • operation (in extreme cases).
Treatment is always prescribed by a doctor and in no case independently. You need to understand that the effect of treatment will not occur in the very first days. For a faster result, you must follow all the recommendations for nutrition and physiotherapy.
If you are overweight, the patient will have to deal with excess pounds. It will be necessary to exclude physical activity and use devices to reduce the load on the joints.
Drug treatment of osteoarthritis of the joints
Medication for joint diseases is mandatory. As a rule, the doctor prescribes drugs in three categories:
- • Pain medications.
Due to the fact that patients go to the doctor at the stage of severe pain in the joints, the primary task in the appointment of treatment is the removal of pain. To eliminate pronounced pain, psychotropic substances are prescribed, which will definitely require a prescription from a doctor.
- • Anti-inflammatory non-steroidal drugs (NSAIDs)
This group of drugs has anti-inflammatory and analgesic drugs. Due to the fact that such a group of medicines adversely affects the mucous membranes and the stomach, their long-term use is impossible. NSAIDs, of course, quickly relieve pain, but have too many side effects.
- • Chondroprotectors
Chondroprotectors are designed for long-term use and serve to protect and restore cartilage tissue. They need to be taken in long courses and on an ongoing basis. In recent years, numerous studies and trials have proven their effectiveness. One of the most effective chondroprotectors is glucosamine. For example, on the basis of glucosamine, the drug Arthracam was developed, which not only relieves symptoms, but also slows the progression of joint disease. Thanks to chondroprotectors, joint fluid improves and the surface of the cartilage is restored. The first effect of joint treatment with glucosamine-based drugs will be noticeable in 2-3 weeks.
This type of drug is required for administration, with large sports loads.
Treatment of osteoarthrosis of the knee
Osteoarthritis of the knee affects 30% of the population
The knee joint undergoes osteoarthritis more often than others, due to the heavy load. With 1 degree of osteoarthrosis of the knee, only minor knee pains are observed. At 2, cartilage destruction is already diagnosed, and stiffness is observed during movement. Grade 3 is accompanied by irreversible knee deformation and its destruction. For the treatment of osteoarthritis of the knee, NSAIDs are prescribed to reduce acute pain, chondroprotectors to restore cartilage, vitamins, electrophoresis, ultrasound and magnetotherapy.
Treatment of osteoarthrosis of the hip joint
Hip osteoarthritis is considered an age-related disease.
At the 1st stage of the disease, crunching and discomfort with prolonged activity appear. At 2, the head of the hip deforms, the gait may change and lameness may appear. At stage 3, cartilage tissue is completely destroyed. A doctor usually treats novocaine blockade, vitamins, chondroprotectors, and warming ointments to treat osteoarthritis of the hip joint; in extreme cases, surgery is required.
Treatment of osteoarthrosis of the hands
Osteoarthritis of the hands occurs in 60% of cases after 65 years
The hand is a unique tool of the human body that allows you to accurately capture objects, regulate the use of force and much more. But if your hands are sick, then your usual way of life is broken. Increasingly, people turn to doctors complaining of numbness, pain, crunch even at rest, not even suspecting that most often this means that they have long been developing osteoarthritis. Unfortunately, the disease is not completely curable, but to stop and slow down with the right treatment is real. Typically, NSAIDs, vitamin injections, electrophoresis, physiotherapy exercises and of course chondroprotectors, which will become the main assistant in the fight against the disease, are used to treat osteoarthritis of the hands.
Lifestyle in the treatment of osteoarthrosis
Ostearthrosis requires a review of their habits and the strict implementation of the doctor’s prescriptions
In order to prolong the life of the joints, patients need to change their lives and develop new habits.
- 1) First of all, it is required to reduce the load on the joints. Running, jumping and squatting is too much for already injured joints. Try to use the elevator instead of stairs. Do not go on long walks. Forget about carrying heavy objects.
- 2) Reimburse the lack of habitual activity with special exercises that do not load the articular cartilage, but make the muscles surrounding the joint work.
- 3) Wear special insoles and knee pads, for osteoarthritis of the lower extremities.
- 4) Now you should not sit on your knees.
- 5) Do not sit on low chairs and armchairs.
- 6) Normalize your diet. Excess weight will adversely affect the course of the disease.
- 7) Do not sit long in one position.
- You can start using the walking stick.
- 9) Forget about the heels on your shoes.
Do not allow the development of the disease to grade 3, consult a doctor at the first manifestations and signs. Remember, caring for joints in everyday life is the key to a successful treatment for osteoarthritis.
What pills for arthrosis are the most effective and safe in treatment
Arthrosis refers to joint diseases. When it occurs, the destruction of cartilage, degenerative-dystrophic processes in the articulation and adjacent tissues occur. In the process of treatment, they take pills for arthrosis, and also resort to other methods – physiotherapy, drug injections and other therapeutic measures. With severe damage to the tissues of the joint, surgery is performed.
Briefly about arthrosis and its treatment
The disease can develop in any articular joint of the body. The most common are arthrosis of the knee, hip (coxarthrosis) joints, arthrosis of the hands. The causes of the pathology are most often trauma, metabolic disorders in the body, excess weight or excessive physical activity, chronic infections with frequent relapses. When arthrosis occurs pain of varying severity, stiffness, limitation of the amplitude of motion.
In the process of diagnosis, it is required to find out all the causes that provoked the disease. To do this, do an ultrasound of the joint, an X-ray of the affected area, a synovial fluid intake for analysis of the cellular and biochemical composition, and other types of studies.
Conservative treatment is often used, in which drugs of various directions are used. Antibiotics, anti-inflammatory drugs, medications that help restore cartilage (chondroprotectors), painkillers, vasodilators, muscle relaxants are prescribed.
Types of pills
William Upjohn invented the form of medicine and began to produce it in 1880-1886. The main advantage of tablets over powders, granules, tinctures (until they came up with capsules, measuring spoons, other dispensers) was the high accuracy of dosing of active substances.
Get the form by pressing the prepared medicinal mixture. The tablets may be coated with a protective coating that prevents the drug from dissolving ahead of time, for example, in the mouth or esophagus. For the filler take one or more active substances, for example, talc, magnesium stearate, starch, titanium oxide (IV).
Types of tablets according to the dosage and effect of the main substance:
- forte – a potent agent with a high content of active ingredient;
- seven – the average dosage and severity of action;
- mite – the minimum allowable dosage having a clinical effect.
Today, tablets are packaged and stored in hermetically sealed vials (glass, plastic), as well as convolutes – aluminum, plastic or paper blisters with cells.
Always pay attention to the integrity of the packaging and the information on the label. They must necessarily indicate the composition, name, information about the manufacturer, date of manufacture, expiration date.
The drug is stored in a dry place away from light at room temperature no more than + 25 ° C. At the end of the expiration date, the medicine is discarded, since all its medicinal properties disappear. When using expired medications, there is a high probability of poisoning, allergies, and with untimely intake of high-quality active substances into the body, the progression of pathology and the inefficiency of therapy.
List of pills for joint arthrosis
Pharmacotherapy offers many solid (tablet) and liquid forms of medicines for the treatment of arthrosis, however, the attending physician should choose them. First, experts always relieve acute inflammation and eliminate pain with the help of analgesics and non-steroidal drugs, then they conduct a comprehensive examination of the patient, and medications are prescribed for general and local therapy.
Chondroprotectors are intended for the treatment of stage I – II arthrosis. The principle of action of these drugs is the restoration of cartilage and metabolism in the tissues of the damaged articular joint. Compounds of this group include substances such as chondroitin sulfate, glucosamine or hyaluronic ac />
The first results of treatment with chondoprotectors appear after 60-150 days. The full course lasts up to 6 months, then a break is made and a new course of treatment is prescribed. The duration of the drug and the pause between treatment courses is determined by the attending doctor. With arthrosis of the third degree, there is no sense in prescribing chondroprotectors, therefore, they resort to surgery (arthroscopy, osteotomy, endoprosthetics).
In addition to chondroprotectors, non-stero />
The group includes Aertal, Etodolak, Sulindak, Piroxicam, Rofecoxib, Meloxicam, thiaprofenic acid, and other drugs with a similar type of action. The main purpose of the appointment is symptomatic therapy, including the removal of pain, swelling, lowering the temperature and other manifestations of inflammation.
Nonsteroidal anti-inflammatory drugs can not be taken for a long time, because they have strong side effects – irritating effect on the mucous membranes of the stomach and intestines, metabolic disorders, blood coagulation mechanism, arterial hypertension, heart and / or kidney failure.
NSAIDs have different degrees of action – in some patients, even aspirin can eliminate inflammation and relieve pain, and for others, even Diclofenac or another potent drug will not immediately bring relief. The reason for this is the individual sensitivity and degree of neglect of the disease.
Effective drugs are chondoprotectors with a combined effect. They have multicomponent compositions and can simultaneously restore cartilage, relieve inflammation, reduce pain and swelling. However, people with individual intolerance to any component of the drug are recommended to use single-component means of targeted action. Before starting the course, people with an allergic mood are recommended to conduct tolerance tests.
Tablets for the treatment of arthrosis:
- Chondroitin Forte;
- Source Naturals complex;
- Structin (Chondroitin);
- Boron Boron (capsules);
- Arthron-Triaktiv Forte;
- Osteoartisi Max (Osteoarteaze Max capsules);
Chondroprotectors and NSAIDs, intended for oral administration, affect all large and small joints of the body. In the pathology of the knee, hip joints, small joints of the hands, feet or other joints, local exposure is required. It is necessary to carry out intra-articular injections of anti-inflammatory drugs, physiotherapy using massage, UHF, exposure to shock waves, laser beams, cold, ozone.
Preparations for the local treatment of arthrosis
Gels, patches, ointments are used externally, less often – solutions of Mumiye tablets or liquids for compresses. Local remedies are used only in combination with essential medicines. They increase their effectiveness, accelerate the disappearance of symptoms.
Effective honey drugs for the treatment of joint arthrosis:
- Revmalgon (gel balm);
- Medical bile;
- Chondroitin ointment;
- Dimex />
With osteoarthritis, a diet with a predominance of protein products, intake of vitamin and mineral complexes, weight correction, physiotherapy exercises, and physiotherapy are also recommended.
Anti-inflammatory and analgesic drugs for mild pain:
You can relieve severe pain with Indomethacin, Diclofenac, Ketoprofen, Phenylbutazone or corticosteroid hormones.
The Best Safe Arthrosis Medications
If you need long-term NSAIDs, pay attention to second-generation drugs – COX-2 inhibitors (selective anti-inflammatory drugs). They are safe, with prolonged use do not give complications to the heart, kidneys, hematopoietic system. The best remedy from the group is tablets or Movalis suppositories. With severe pain, intramuscular injections of the drug are prescribed.
Chondroprotectors, which include only glucosamine, hyaluronic acid or chondroitin sulfate, are also considered safe for the body.
With extreme caution, drugs are used externally, which include substances that irritate the skin (bee or snake venom, bile). They can cause a burn and an allergic reaction.
An alternative treatment for arthrosis is to use Mumiye externally, orally, or as an additive to therapeutic baths. Mumiye is safe, gives good results judging by user reviews on forums in 2015 and 2016. Doctors confirm the feasibility of its use only in combination with essential drugs.
Tablets from arthrosis should be taken only as directed by the doctor, after a thorough examination and examination. The patient himself cannot adjust the dosage or duration of the course. Joint diseases are a very complex pathology that requires long-term treatment. Inadequate therapy, ignoring medical advice, as well as self-medication, may result in surgery at best, and disability at worst. Be mindful of your health.