Who should treat deforming arthrosis

Deforming arthrosis (osteoarthritis) is a polyetiological degenerative-dystrophic disease characterized by primary damage to the articular cartilage with subsequent involvement of the underlying bone, as well as the synovial membrane, ligaments, capsule, muscles, accompanied by the formation of osteophytes and manifested by pain and limitation of movements in the joint.

Osteoarthrosis is the most common joint damage. Deforming arthrosis affects 10-12% of people, and usually their number increases sharply with age. In children and adolescents, deforming arthrosis is a consequence of an injury or an illness of the musculoskeletal system. The progression of deforming arthrosis over several years leads to disability.

Arthrosis of large joints in men and women is equally common, with the exception of arthrosis of the distal interphalangeal joints of the hand, which affects women 10 times more often. By the way, the localization of arthrosis in the interphalangeal joints was first described in 1802 by V. Heberden. Marginal bone growths of small joints of the hand are called “Heberden nodules.”

Deforming arthrosis due to their development are divided into primary and secondary. In most cases, deforming arthrosis develops for no apparent reason – this is the so-called primary, or idiopathic, osteoarthrosis. In its occurrence, genetic factors play a decisive role. Among the factors leading to secondary deforming arthrosis, the most significant are:

1) biomechanical (joint injuries, shock and jerk and torsion loads of high intensity, anomalies in the development of the musculoskeletal system (dysplasia), static skeletal deformities, primary aseptic necrosis of bone tissue, obesity);

2) inflammatory (acute and chronic arthritis of various etiologies, hemophilia);

3) metabolic (gout, hemochromatosis, chondrocalcinosis);

4) endocrine (diabetes mellitus, acromegaly, imbalance of sex hormones, hypo- and hyperparathyroidism);

5) ischemic (varicose disease of the lower extremities, obliterating endarteritis, atherosclerosis of the vessels of the lower extremities).

In the pathogenesis of deforming arthrosis, three partially overlapping stages can be distinguished:

1) alteration of the intercellular matrix – macroscopically represented by softening and superficial cartilage erosion;

2) the reparative response of chondrocytes – macroscopically increase the area and depth of dispersion;

3) failure of compensatory reactions – cracks reach the level of the subchondral bone, the surface layers of the cartilage come off, it becomes thinner.

The basis of the pathogenesis of the degenerative-dystrophic process in the joints is a violation of microcirculation in the subchondral layer, since the articular cartilage does not have its own vascular network, and it is fed osmotically from the bone and intraarticular fluid. Disruption of blood supply associated with the appearance of stasis and, as a result of hypoxia of surrounding tissues, leads to a change in oxidative processes in the cartilage tissue. At the same time, the total number of protein-saccharide complexes and one of its main components, proteoglycans, as the main substance providing a stable structure of the collagen tissue of the cartilage is reduced a second time. At the same time, the hydrophilicity of articular cartilage decreases.

A decrease in the elasticity and strength of the articular cartilage associated with metabolic disorders leads to a decrease in its resistance to mechanical stress (the most loaded parts of the joint are affected first). The proliferation, anabolic and catabolic activity of chondrocytes is compensatingly increasing. However, over time, decompensation of reparative reactions occurs, characterized by a progressive loss of articular cartilage and a sharp decrease in the number and activity of chondrocytes. Macroscopically, the area of ​​cartilage dislocation increases, cracks appear. As they deepen, separation of the surface layers occurs, which leads to a decrease in the thickness of the cartilage. Enzymatic degradation of the matrix also contributes to this.

A decrease in the elasticity and strength of the articular cartilage increases the load on the subchondral layer of the bone, as a result of which it is sclerotized, marginal bone-cartilaginous growths (osteophytes) are formed, which appear along the periphery of the articular surfaces compensatory to increase the area of ​​support. In the metaphysical and subchondral zone, cystic bone cavities can form. Remodeling of bone tissue in combination with the loss of articular cartilage changes the shape of the joint and leads to its deformation and instability.

In the synovial membrane, a complex of cellular and vascular reactions develops as a delayed type of hypersensitivity. The process is accompanied by the accumulation of exudate in the joint cavity and the violation of rheological properties, and consequently, the functions of the synovial fluid: locomotor (lubrication, shock absorption), trophic (cartilage nutrition) and metabolic (antioxidant and antiproteinase activity). Over time, degeneration of the capsule of the joint, ligaments and muscles occurs. Reducing joint use and limiting the range of motion leads to muscle atrophy.

Клиническая картина. Боль в области суставов при деформирующем артрозе вначале имеет ноющий характер, постепенно усиливается с нагрузкой. Интенсивность боли увеличивается с нарастанием тяжести заболевания, она становится более продолжительной.

Complaints about lameness, the need for additional support when walking, difficulty climbing or descending stairs, as well as when lifting from a chair or chair (with damage to the joints of the lower extremities) are characteristic. During movements in the joint, crepitus is heard. Stiffness or limitation of the amplitude of movements (contracture) progresses over time, up to fibrous ankylosis. Later, deformation of the joint and an increase in it appear. Synovitis may develop periodically.

Among domestic orthopedists, the classification of deforming arthrosis proposed by N. S. Kosinskaya (1961), according to which three clinical and radiological stages are distinguished, is most widely used. Common radiological signs are:

Stage I (Fig. 1, a) – uneven narrowing of the joint space compared with a healthy joint and mild osteosclerosis;

Stage II (Fig. 1, b) – the appearance of marginal bone growths (osteophytes), the narrowing of the joint space is 2-3 times more than normal, pronounced subchondral sclerosis;

Stage III (Fig. 1, c) – the almost complete disappearance of the joint space, the expansion of the articular surfaces due to extensive marginal bone growths, joint deformation, sclerosis of the articular surfaces, often their fragmentation and subchondral focal necrosis in the form of cystic enlightenments or cavities.

Fig. 1. Deforming arthrosis of the right knee joint: a – stage I; b – stage II; in – III stage – the joint gap is sharply narrowed

A more detailed clinical and radiological description depending on the localization of deforming arthrosis is given below in the relevant sections.

The course of deforming arthrosis is long, chronic, progressive. It is characterized by an exacerbation of the process and a period of remission.

Conservative treatment of deforming arthrosis should be considered as a pathogenetically substantiated system of therapeutic measures that affects both the pathological process in the tissues of the joint and the whole organism. The goal of conservative treatment is to stabilize the degenerative-dystrophic process and transfer it to the phase of clinical compensation.

The objectives of non-surgical treatment are:

1) reduction of pain;

2) improvement of joint function;

3) reduction of signs of synovitis;

4) slowing progression.

The treatment plan should be individualized taking into account the patient’s comorbidities.

The complex of treatment consists of non-drug and drug therapy, shown in stage I-II of deforming arthrosis.

Non-drug treatment consists in unloading the affected joint, limiting prolonged static loads, wearing shoes with a well-absorbing sole, prescribing bed rest during an exacerbation period, using additional support on a cane or crutches when walking long distances, and reducing body weight (diet therapy). In the presence of joint instability, the use of orthoses is indicated. Compulsory exercises, including in the pool. Electromyostimulation, massage, hydromassage of the thigh and lower leg muscles accelerate the process of muscle strengthening. Physiotherapeutic procedures activate local blood circulation, eliminate muscle spasm, and also have a moderate analgesic effect. Widely used are ozocerite and paraffin applications, cryotherapy, laser therapy, magnetotherapy, UHF, ultrasound, inductothermy, sinusoidal modulated currents, microwave therapy, electrophoresis of drugs (analgin, novocaine, sodium salicylate, chymotrypsin), phonophoresis of hydrocortisone and sulfur sulfide, etc.

Препаратом выбора для терапии первой ступени является парацетамол («Ацетаминофен»), оказывающий преимущественно анальгетическое и антипиретическое действие, по 0,5—1 г per os до 4 раз в сутки. Его эффективность сопоставима с эффективностью нестероидных противовоспалительных препаратов (НПВП), однако частота развития побочных эффектов значительно ниже.

When paracetamol is ineffective, NSAIDs are indicated (Table 1). The clinical efficacy of all NSAIDs is approximately the same, the difference is mainly in the individual patient response to the drug, so his choice is empirical. Since the intensity of pain can vary from day to day, as well as during the day, it is advisable to take medications “as needed”, in the case of severe constant pain, preference should be given to forms with prolonged action.

Table 1. Nonsteroidal anti-inflammatory drugs most commonly used to treat deforming arthrosis

Average doses, mg / day

Type 1 and Type 2 non-selective cyclooxygenase inhibitors

Phenylacetic Acid Derivatives

Diclofenac (Voltaren, Ortofen, Naklofen)

How to treat deforming arthrosis

Deforming arthrosis, also known as osteoarthritis, is an extremely common joint disease in recent years. Moreover, the number of sick people is increasing annually. By itself, deforming arthrosis is a complex anatomical change within the joint caused by impaired function of the articular cartilage.

There are two types: primary and secondary types of arthrosis.

  • Primary arises as a result of metabolic or age-related disorders.
  • The secondary one appears after the disease with non-specific infectious arthritis, and can also occur due to joint injuries.

Also, a sedentary lifestyle or, conversely, a strong load on the joints (usually at work) can become the cause of osteoarthritis.

Not so long ago, WHO said that in the world from 4% to 5% of the total population is sick with deforming arthrosis. This is a very large percentage; it exceeds the number of diseases with diabetes, cancer, tuberculosis and even cardiovascular diseases.

Prevention of deforming arthrosis.

However, even if the whole world falls ill with the same thing as you, it is unlikely to alleviate suffering. But this disease is very unpleasant: the eternal pains of anyone will make you depressed. Therefore, instead of carrying out long-term treatment of deforming arthrosis in the future, it is better to simply take up its prevention now. If, of course, this disease has not yet affected you. But even in this case, you can apply the tips, which will be described below. This will help in the treatment and its easier tolerance.

The very first, main and also completely free method of prevention is an active lifestyle. It’s not without reason that we have been told since childhood that movement is the path to health. Moreover, in this case, it does not matter what kind of osteoarthritis. If the reason is age, then sport is able to defeat and stop age-related changes, and it’s easier to get injured for a person whose body is weak and not trained.

With this type of prevention, it is also important not to overdo it. If we are talking about sports, then this is not a professional sport in which people often leave their health, but the most ordinary, convenient for you. The choice is great: yoga, running, fitness, aerobics, dancing, swimming and much more. With most of them, you forget that these are activities, just having fun and at the same time developing joints.

It is also not recommended to overload yourself, as mentioned above. Even if your work is physically difficult, at least relax the body at home, after it: with a hot bath, massage, possibly with the use of warming ointments.

Symptoms of deforming arthrosis.

The first symptoms, as often happens, can be confused with the manifestations of other diseases. Therefore, in any case, even if the signs coincide and you do not go to the doctors using alternative methods, be sure to visit the clinic with the aim of making an accurate diagnosis. Of course, you can treat deforming arthrosis yourself, but you need to be sure that this is the disease. And better than 2 different clinics, as doctors sometimes make mistakes. The diagnosis is important, since treatment “not from that” will not only not give the desired result, but can also harm.

Shishkevich Vladimir, orthopedic and traumatologistShishkevich Vladimir, orthopedic and traumatologist, project editor-in-chief ExpertNews.

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The first symptoms of deforming arthrosis:

  • Pain during active or abrupt movements;
  • Slight swelling in the affected area, usually just above the joint.

Pulling a visit to a doctor is not worth it. At the initial stage, it is much easier to stop the disease processes, but later you can only slow them down very much. In this, modern medicine is strong, but it is not yet able to completely cure the patient of deforming arthrosis.

Outpatient treatment of osteoarthrosis.

When contacting the clinic, outpatient treatment of deforming arthrosis is most often prescribed. Often a short home bed rest is included in the treatment program. It is not very convenient for many citizens working in production, as a prerequisite is also to reduce the load. But it’s better to agree, find time, take sick leave, leave . In general, do everything possible, but take the course.

The reason for this approach is simple – the sooner you start treatment, the more likely it will be a good result. However, as already mentioned, medicine is able to effectively treat osteoarthrosis, practically stopping its destructive processes in the body. However, earlier treatment will help you to heal less and have time to overcome the disease as soon as possible, without allowing it to cause serious harm to the body. Yes, and constant pain does not contribute to productive work, or career growth, or satisfaction from life.

Consider the principles of treatment of osteoarthritis:

  1. First of all, you reduce the load on the joints. Work is considered to be the load, in particular, overload by it. Easy daily sport does not count, but it should be chosen wisely, for example, weight-lifting is not suitable. It is enough to use elementary logic, but if you still have any doubts, it is best to consult a doctor.
  2. Avoid long sitting in the same position. You may also be advised to purchase orthopedic shoes. Do not dismiss such an offer; as a result, you can ease your pain and contribute to a faster recovery.
  3. Non-steroidal and anti-inflammatory drugs will be prescribed for you. Most often these are diclac, paracetamol, diclofenac, ibuprofen and other fairly common drugs. They are designed to relieve inflammatory processes in the body, in this case, tumors that occur around a diseased joint. With them, treatment of deforming arthrosis is easier and more effective.
  4. Physiotherapy. Held in a hospital, appointed by the attending physician. It is also not very convenient to combine with work, but it is very desirable to find a convenient time.
  5. LFK – medical physical culture. It can either replace or supplement your own chosen sports. As a rule, here exercises are selected individually; they are aimed at ensuring that all muscles work precisely around the diseased joint, which stimulates blood circulation and helps to reduce pain. Nevertheless, one must be prepared for the fact that in the first days the exercises themselves will cause pain. This is because the local muscles are simply weaned from sports movements, and the joints hurt on their own, from osteoarthritis.
  6. It is highly recommended additional sanatorium-resort treatment of deforming arthrosis. Sanatoriums and pensions are built for a reason in the most favorable natural zones. From one residence in such places, immunity rises, health improves, and physical and emotional conditions improve. Add to this a diet, mineral water, healing mud and an individual course of treatment . In short, this is an excellent help to the body.
  7. Also, some doctors prescribe laser therapy. This is a fairly effective way to relieve pain and swelling, as well as stimulate joints and muscles. Appointed at an early stage; prescribe it or not, mainly depends only on the presence or absence of the necessary equipment in the hospital.

To comply with the prescribed or not, to agree to treatment or refuse – this, of course, is your personal business. However, if you choose to leave it as it is, then one day you can really regret it. Do not believe? Chat with those who have reached the third stage of osteoarthritis. Fortunately, in our age of the ubiquitous Internet forums abound.

A complicated disease can be treated longer and more difficult, and pain by that time can become completely unbearable.

Treatment for complications.

There are situations when you can’t get off with a simple approach. These cases are a neglected disease, and treatment of deforming arthrosis in this case becomes more difficult. However, during this period, patients, as usual, are much more willing to go for treatment, as they are driven by constant pain.

If the joints are brought to such a state that they hurt almost constantly and intolerably, then additional treatment is required. As a rule, everything that was listed above is not canceled. But as prescribed by the doctor, other medicines can be used.

With very severe pain, analgesics (painkillers) are prescribed. For starters, strong pills. In case they do not help, they switch to injections: baralgetas, ketans and others. In especially severe cases, local novocaine blockades or even narcotic drugs are made.

Chronomodulators are also prescribed – ointments, creams, gels. They slow down the destructive processes caused by deforming arthrosis, stimulate cell metabolism, reduce inflammation, and activate the growth of cartilage tissue.

In the most severe cases, when the joints are partially destroyed by the disease, the treatment of deforming arthrosis is supplemented by partial prosthetics. This operation is called joint replacement. Hip and knee joints are prosthetics today; This process is not new, operations are quite successful. Of course, this is an extreme case, but if the patient’s condition is deplorable, it’s better to put a prosthesis than to torment yourself with constant pain.

The use of folk remedies in the treatment of deforming arthrosis.

Of course, medicine does not recommend the treatment of deforming arthrosis with folk remedies. Partly, doctors are right in this: traditional medicine is not suitable for everyone. What perfectly helped one person may not affect the health status of the second. On the other hand, the same can be said about our modern medicine: its methods are not always and are not always useful. Therefore, the choice between a hospital and non-standard treatment is always yours.

But one thing must always be remembered: if your folk method does not help, you should not delay a visit to the clinic. And no one will forbid you to be treated with alternative methods. There are many ways, mainly this is the use of tinctures that need to be rubbed into the joint, or do dressings at night.

Symptoms and treatment of deforming arthrosis

Deforming arthrosis is primarily characterized by abnormal cartilage in one or more joints. Moreover, under the influence of a person’s own weight, the edge of the bone begins to deform. This can lead to various problems – from discomfort during a mild illness to complete immobility of the joint.

Stage of the disease

Treatment of deforming arthrosis depends on the severity of the disease. They differ in their manifestations:

  • the first degree is characterized by rapid fatigue of the affected joints and their low mobility;
  • the second is characterized by pain at the beginning of the movement – the so-called starting pains;
  • on the third degree, the joint goes almost immobile.

Of course, the sooner deforming arthrosis was diagnosed, the easier it is to cure it. You can diagnose the disease in the first degree, if you turn to a specialist in time.

However, the first stage of the disease does not cause much trouble, so patients are treated with a disease of the second degree, that is, when the disease causes not just discomfort, but pain.

The sooner deforming arthrosis was diagnosed, the easier it is to cure it. It is necessary to take comprehensive measures to combat it – that is, not limited to any one treatment method.

Since cartilage and bones do not contain nerve endings, the appearance of pain means that the inflammatory prognosis has already affected the surrounding tissue.

Methods of treatment

Deforming arthrosis cannot be cured completely. However, if you take appropriate measures, you can remove most of the symptoms and transfer the disease into remission. Deforming arthrosis involves outpatient treatment. It includes moderate motor loads, physiotherapy, drug treatment, diet. In severe cases, surgical intervention is possible.

Diet or inclusion of nutritional supplements is determined by the presence of anomalies associated with arthrosis or environmental influences. Also, if you are overweight, you must follow a diet to get rid of it. Overweight increases pressure on the joints, which exacerbates deforming arthritis.

To strengthen the joints should include in the menu dishes rich in collagen: jellied meat, jelly, meat broths. In addition, it is advised to use dairy products rich in calcium, as well as vitamins of groups B and C. Or, include appropriate dietary supplements in the diet. And you will have to give up alcohol – there is evidence that it contributes to the exacerbation of seizures.

Medicines

Drug treatment of deforming arthrosis is designed to relieve pain and reduce inflammation. If the patient does not respond to oral medications, they are injected intramuscularly or directly into the joint.

To maintain joint function, chondroprotectors and preparations based on hyaluronic acid are used. Since the treatment takes a long time, it is necessary to monitor whether the patient has become addictive. In this case, it is necessary to replace the drug, since the side effects of the drugs used for arthrosis are quite strong.

Physical education and gymnastics

Physical therapy can give a good effect. The fact is that with arthrosis the patient usually avoids movements affecting the damaged joint. This creates inactivity, which contributes to the further progress of the disease.

Given the complexity of the disease, it is necessary to rationally dose the load: on the one hand, you cannot overload the diseased joint, on the other hand, it is also impossible to leave it without any load. Therefore, therapeutic exercises should be prescribed by a doctor depending on the stage of the disease, its location and the current condition of the patient.

Elizarov’s apparatus

To restore the joints, the Elizarov apparatus can be used. By fixing the limb, the apparatus prevents further deformation of the joints. Of course, in this case, the patient must follow a diet and take medications prescribed by a doctor. You must understand that the device alone does not contribute to the treatment of arthrosis, however, it can suspend the negative effect of the disease.

Prosthetics

If deforming arthrosis has reached the third degree, knee and hip arthroplasty is possible. The prosthesis protects the joint from further destruction, however, after its installation, traditional treatment will be required.

Since deforming arthrosis is difficult to treat, it is necessary to take comprehensive measures to combat it – that is, not be limited to any one treatment method. The entire course should take place under the close supervision of a doctor.

Prevention

To prevent deforming arthrosis, it is necessary to take preventive measures:

  • timely treat joint injuries and any violations of their functions;
  • constantly maintain a high level of motor activity;
  • control your weight, make sure that it does not exceed the norm.

In addition, a variety of inflammatory and infectious diseases are dangerous. Deforming arthrosis can develop against the background of one of them, especially if the inflammation affects the joints.

It is necessary to monitor not only pain, but also various manifestations of discomfort – after all, a disease is easier to prevent or cure when it is at the initial stage of its development. It is also advisable to undergo preventive examinations – and with age this needs to be done more often, as the risk of getting sick increases.

Ointments arthrosis will not be cured. it is better to apply to a surgical method as a last resort. The most effective methods are physiotherapy, exercise therapy and chondroprotectors. These drugs must be selected, they are not always suitable, then the side effects, or even the effect, are not what. Now I stab Elbon with courses, go for a massage by a chiropractor, do exercises every day and the condition of my joints is much better than two years ago

Arthrosis: causes, symptoms, stages of arthrosis. New treatments for arthrosis

What is arthrosis. Types of Arthrosis

Arthrosis (deforming arthrosis, the popular name is salt deposition) is a chronic disease of the joints of a degenerative-dystrophic nature, in which the destruction of the articular cartilage, joint capsule, deformation of the bone itself occurs.

It should be noted that arthrosis is a whole group of joint diseases that have a different origin and similar development mechanisms. The most common arthrosis of large joints:

  • deforming arthrosis of the knee joint (gonarthrosis),
  • deforming arthrosis of the hip joint (coxarthrosis),
  • as well as arthrosis of the shoulder joint.

These are the most severe types of arthrosis.

Arthrosis of small joints is less common. Often there are deforming arthrosis of the interphalangeal joints of the hands, as well as the metacarpophalangeal joints of the thumbs of the hand. Patients note pain in the interphalangeal joints, a decrease in their mobility, the appearance of seals near the joints (Heberden and Bushar nodules). This type of arthrosis is more common in the elderly. Often there is arthrosis of the joints of the foot.

Polyarthrosis, or generalized arthrosis, is characterized by damage to several joints at once.

Arthrosis of the joints of the spine – spondylarthrosis – belongs to the group of diseases of the spine, although it has a development mechanism similar to other arthrosis.

The main clinical symptom of arthrosis is joint pain, a decrease in its mobility. The specific symptoms are determined by the stage of arthrosis and depend on the degree of destructive changes in the joint.

Causes of Arthrosis

Arthrosis is usually divided into primary and secondary. Primary (idiopathic) arthrosis is the result of disturbances in the recovery processes and increased degeneration in the cartilage tissue of the joint without any deviations in the functioning of the whole organism. Secondary arthrosis occurs as a result of other pathological processes in the body, or in a joint already damaged by some external influence, with partial destruction of the articular surfaces.

The mechanism of development of arthrosis

The development of arthrosis begins with the destruction of cartilage. As a result, pain and crunch appear during movements. The width of the joint space is gradually reduced, bone spikes-osteophytes form along the edges of the articular surfaces.

Ultimately, the joint is deformed, the range of motion in it decreases. This is how involutive arthrosis associated with aging of the body develops. The development of this form of arthrosis usually occurs gradually over many years.

There are 3 degrees of arthrosis:

  • I degree of arthrosis – the disease does not interfere with the work, although it complicates it,
  • II degree of arthrosis – a disease prevents the performance of work,
  • III degree of arthrosis – disability.

In the initial stage of the disease in the morning, after rest, stiffness, difficulty in movement in the joints, which gradually disappears some time after the start of movement, are noted.

With the further development of arthrosis, the pain becomes more significant, becomes acute

Osteoarthritis of the 3rd degree is a severe, advanced stage of the disease. At this stage are observed:

  • significant joint deformity
  • sharp restriction of movements,
  • sharp pain not only when moving, but also in a state of complete rest –
  • joint inflammation
  • joint sensitivity to weather changes.
  • the muscles around the knee are spasmodic and atrophied;

Osteoarthritis 4 degrees

The state of complete destruction of the joint with arthrosis, when the joint completely ceases to function. The so-called “blockade of the joint” is observed – an acute pain syndrome

Arthrosis Treatment

Treatment of arthrosis in the initial stage of the disease – as early as possible.

At this stage, drugs are useful – chondroprotectors that improve the structure of cartilage, as well as vitamin and mineral complexes, physiotherapy exercises, proper nutrition, as well as preventive measures

Treatment of arthrosis 2 – 3 degrees:

  • removal or reduction of pain
  • removal of inflammation in the joint.

Treatment of arthrosis of the 4th degree

surgery and replacement of a diseased joint with an endoprosthesis.

Movement is the most important weapon against arthrosis. These include various types of running, swimming, walking. This drives off excess weight, which is the enemy of the joints and the whole body.

All joints do not tolerate cold. Especially sharply react to his knees. The use of special knee pads (preferably from dog hair) can retain heat in the joints. A diet for the prevention of arthrosis is of great importance: it is advisable to remove foods containing a lot of fat from the diet.

Low-fat meat, seafood, vegetables, fruits and steamed dishes should be regular participants in meals. It is very important to control your weight. Extra pounds overload the hip and knees. We must try to prevent falls and bruises.

The correct regimen of the day can be very useful to prevent arthrosis of the shoulder and other joints:

  • sufficient duration of sleep;
  • balanced nutrition;
  • frequent walks in the fresh air;
  • positive emotional background;
  • love for life and for oneself;
  • heels on shoes should be comfortable;
  • Do not sit in the “foot to foot” position;
  • if the day turned out to be difficult, exercise “bicycle” will help relieve static stress from the joints;
  • very well relieves joint fatigue aqua aerobics;

Only frequent, correct prophylaxis can prevent the development of arthrosis. Be healthy.

Doctor traumatologist of the surgical department of the clinic
State Institution “Yelets City Hospital No. 2” N.V. Drummers

State Healthcare Institution “Yelets City Hospital No. 2”

399772, Lipetsk region., City of Yelets, st. Kostenko, d.7

Morozov Georgiy

Georgy Morozov, rheumatologist. For more than 20 years, he has been involved in the diagnosis, treatment and prevention of joint diseases.

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