What physiotherapy for arthrosis

Physiotherapy for arthrosis of the knee involves various procedures that affect the joint joints affected by the disease. The purpose of the treatment is to use the laser, magnetic waves, ultraviolet radiation, currents to accelerate the metabolism and blood flow in the affected tissues, to help restore cartilage and bones.

On the medical market you can find apparatus for physiotherapy at home. Before practicing self-medication, it is necessary to consult an orthopedist who will tell you which device for physiotherapy at home will give a positive effect and will not cause harm.

general description

Physiotherapeutic methods of treatment are effective in the initial stages of arthrosis of the knee joints. If the disease is started, and the cartilage is destroyed, doctors resort to surgical intervention.

With arthrosis 1 and 2 degrees of physiotherapy help:

  • stop the inflammatory process;
  • relieve pain and swelling;
  • activate metabolism and blood circulation in the articular joint.

Before prescribing physiotherapy, for example, laser therapy, a person must undergo a full examination for contraindications. If the patient has a history of diseases of the cardiovascular system, laser treatment can aggravate health conditions.

Important. Each physiotherapeutic method has its own indications and contraindications, about which the attending physician and orthopedist will notify the person.

Laser therapy

It has a positive effect:

  • reduces pain;
  • relieves inflammation;
  • relieves swelling.

Laser exposure restores motor function to the knee joint. It is most often used for arthrosis of the 1st degree. Physiotherapeutic procedures accelerate the metabolism and stimulate the healing and regeneration of the cartilage tissue of the joints.

The optimal number of procedures is 10-15, each of which lasts no more than a quarter of an hour.

It is worth refraining from using a laser if a person has:

  • oncological diseases;
  • acute infection;
  • diseases of the heart and blood vessels;
  • tuberculosis;
  • liver disease.

On a note. Procedures can be performed only on the recommendation of the attending physician.

Magnetotherapy

The effect of a magnetic field on the affected joint is similar to laser therapy. The physiotherapeutic method enhances the effect of drugs, ointments or gels that are applied to diseased articular joints immediately before the procedure.

Magnetotherapy has a number of contraindications, which include:

  • oncology;
  • problems with blood coagulability;
  • cardiovascular diseases;
  • infectious diseases;
  • an increase in temperature that accompanies acute inflammatory processes;
  • hypotension;
  • pregnancy at any time;
  • mental illness.

For home use, you can buy the Almag 01 device, but it can be used only with the permission of the attending physician.

This device has a therapeutic effect on the affected knee with a pulsed magnetic field. According to the manufacturer’s instructions Almag:

  • effectively eliminates pain;
  • stops inflammatory processes;
  • promotes restoration of the articular apparatus;
  • can be used as a prophylaxis of arthrosis or with a disease of 1 degree.

The device consists of a power supply and 4 inductors, which are connected in the form of a tape, which wraps around the diseased knee. The first procedure should last no more than 10 minutes. Session time is increased gradually, reaching 20 minutes. Use Almag twice a day for 10-20 days.


Another device for home use, the Ultraton device, has an effect on electromagnetic radiation. Tones up blood vessels and speeds up metabolism in affected tissues. Ultraton can not be used for people with cancer, cardiovascular pathologies, any infectious diseases in the acute phase.

Shock wave therapy

The bone and cartilage tissue of the affected articular joint is affected by acoustic low-frequency pulses of significant amplitude. Shock wave therapy helps to speed up the metabolism in the affected area, promotes the healing of damaged cartilage tissue. Procedures are prescribed in the initial stages of arthrosis of the knee joints.

Contraindications to the use of shock wave therapy are:

  • children’s, adolescence;
  • pregnancy;
  • acute infection accompanied by fever;
  • joint deformation.

Exposure to acoustic waves is prohibited if a person has a history of cancer, cardiovascular disease, and also problems with the nervous system.

The device vibroacoustic exposure Vitafon can be used at home, after consulting with your doctor. The device improves microcirculation in the tissues of the joint and accelerates the regeneration of cartilage.


It consists of a timer and vibrophones that are mounted in the knee area. The duration of the procedure should not exceed 15 minutes. At the expiration of the time set on the timer, the Vitafon disconnects itself.

Electrophoresis

Exposure to an affected knee by electric shock helps relieve inflammation and swelling of the tissues. Electrophoresis with hydrocortisone delivers the drug inside the articular joint, effectively eliminates the symptoms of arthrosis and restores mobility to a person.

Contraindications – cardiovascular disease, pacemaker, allergy to medications.

Acupuncture

There is no scientific evidence that the alternative medicine method helps eliminate the symptoms of knee arthrosis, and doctors doubt the effectiveness of acupuncture. However, according to patients who have tried this treatment, the procedure:

  • gives a persistent analgesic effect;
  • relieves muscle spasm;
  • improves metabolism.

To achieve relief, the procedure should be carried out by an experienced specialist.

Acupuncture is contraindicated in cancer, acute infections, rheumatism of the joints. You can not conduct a session if a person is excited or drunk, is under the influence of drugs.

Ozone therapy

Intra-articular ozone injections have recently been used as a treatment for arthrosis. Gas accelerates metabolic processes and has a general strengthening effect on the body.

2-3 injections are performed per week. The course of treatment lasts 21 days.

Ozone therapy is contraindicated in case of an allergic reaction to gas, a tendency to convulsions, heart attacks, strokes, and other cardiovascular diseases.

Ultrasound

The combined physiotherapeutic method is the impact on the affected knee joints with ultrasound with hydrocortisone. This way:

  • effectively relieves pain;
  • relieves inflammation;
  • reduces swelling of the tissues around the affected knee joint.

Ultrasound is contraindicated if a person is diagnosed with an acute infectious disease, and there are abscesses on the body. Other contraindications include:

  • oncological diseases;
  • cardiovascular pathologies;
  • bronchial asthma;
  • pregnancy.

Important. Do not carry out the procedure if there are wounds, scratches, abrasions in the area where the sensors are applied.

Applicator Kuznetsova

It can be used at home for needle massage, which stimulates the affected area, warms the skin and accelerates blood flow in the knee.

Kuznetsov’s applicator represents a fabric strip on which plastic small needles are attached.

Before using the applicator, rub the knee joint area with your hands. Then press the strip with a needle surface to the articular joint, hold for 1-2 minutes, lift and move, thus working out the joint and the knee area.

Bioptron

Polarized light also relieves the symptoms of arthrosis. To do this, you can use the Bioptron apparatus. To relieve pain and inflammation, it is necessary to illuminate the joint space from the sides, and then transfer the light source to the popliteal fossa. The total duration of the procedure should not exceed 20 minutes. Apply Bioptron 2 times a day.

Pressotherapy

Beneficial effect on the lymphatic system, improves fluid outflow, relieves swelling. It is produced with the help of lymphoma, which has a gentle effect on the body. Pressotherapy can be prescribed if the patient has contraindications to other types of physiotherapy.

Contraindications – inflammatory processes on the skin, benign and malignant tumors.

Radon baths

Radon is a gas that dissolves well in water and settles on the skin in the form of a specific reactive coating. Radon baths trigger antioxidant processes in the body and increase immunity. The procedure helps relieve pain and swelling, dilates blood vessels and stops the inflammatory process.

During the treatment course, which is carried out in a clinic or sanatorium, a person should give up smoking and drinking alcohol. Contraindication is individual hypersensitivity to radon.


Physiotherapeutic treatment of arthrosis of the knee joint is an opportunity to accelerate recovery. It is necessary to complete the full course recommended by the doctor and in no case to interrupt it, feeling relief.

Physiotherapy for arthrosis

Physiotherapeutic methods of treatment are widely used in the complex treatment of arthrosis, due to the pronounced therapeutic effect. Physiotherapy regimens are selected taking into account the stage of the pathological process, the leading severe symptom, the age of the patient, the presence of concomitant diseases.

Most of the prescribed physiotherapeutic techniques are characterized by proven efficacy in arthrosis, have been used in practice for many years, and allow to maintain the quality of life of patients, range of motion and performance. A number of methods have been improved, due to which medical devices for home use (magnetotherapy) have been created, which allow patients to undergo physiotherapy courses on their own. The classification of physiotherapy is based on the physical characteristics of the acting factor.

I. Exposure to direct electric current (continuous and pulsed)

Galvanization – exposure to a constant continuous electric current, which causes electrolysis, activation of ion transport, polarization in tissues. During galvanization in the tissues, local blood flow is activated, the synthesis of biologically active substances that cause relaxation of blood vessels increases, which leads to the development of anti-inflammatory, analgesic, draining and other effects.

Medicinal electrophoresis – the introduction into the patient’s body of drugs using galvanization. The main condition is the polarity of the drug, i.e., the opposite charge of its particles. They are introduced into the body from the pole of the same name, the charge of which corresponds to the sign of the active part of the drug. The advantage of the method is the combination and mutual enhancement of the effects of galvanization and the drug.

Electrical stimulation – the use of pulsed currents, under the influence of which a number of biological effects occur. Sensitivity of the nerve and contractility of muscle fibers is restored, the concentration of high-energy compounds in the cells increases, and the rate of oxygen utilization increases. This leads to improved blood circulation and metabolism. The method is used to restore atrophied periarticular muscles.

Diadynamic therapy – the use of diadynamic currents. Under their action, selective inhibition of pain sensitivity occurs, increased muscle tension decreases, smooth muscles of blood vessels are rhythmically reduced. A pronounced analgesic effect develops, which allows you to apply this technique directly to the affected joint.

II. Magnetic field exposure

Permanent magnetotherapy – exposure to a constant magnetic field. It causes a restructuring of the structures of cell membranes, which leads to a change in the enzymatic and metabolic activity of cells, enhances the activity of cellular immunity and weakens allergic reactions. The vascular permeability of the microvasculature increases, and metabolism in the tissues increases. Thus, trophic, vasodilating, immunomodulatory effects are formed.

Pulse magnetotherapy is the therapeutic use of low and very low frequency magnetic field pulses. A distinctive feature is the high threshold sensitivity of the body to such impulses (0,1 mT) and good penetration (more than 5 cm). Under their action, there is an increase in the excitability of the neuromuscular apparatus, blocking of nerve impulses from the focus of pain, and an increase in local blood flow. Improving microcirculation helps to reduce edema, remove cell breakdown products from the pathological focus, and stimulates the processes of restoration of damaged tissues. Therapeutic effects: analgesic, vasoactive, neurostimulating, trophic, anti-inflammatory. Magnetotherapy can be distinguished as one of the most actively used methods for the treatment of arthrosis, it is applicable at any stage of the disease. The effect of magnetotherapy is cumulative, prolonged, but in the latter case, the development in time of the therapeutic effect does not occur due to the cumulation of the drug in the tissues of the body, but is the result of a direct effect on the cells and tissues and the positive changes that occur in them. So, for low-frequency magnetotherapy, the development of therapeutic aftereffect is confirmed within 3-6 months after the end of the course of physiotherapy. The results of home magnetotherapy, carried out with the participation of special medical equipment, are comparable with the data obtained after a course of physiotherapy in a hospital or sanatorium. Magnetotherapeutic devices are easy to use and allow a chronic patient with arthrosis to stop the pain syndrome in a timely manner, to remove the manifestations of inflammation in the affected joint. The only condition for highly effective treatment is medical monitoring of the course of physiotherapy.

III. Laser exposure

Laser therapy is characterized by a wide range of photobiological processes. Under its action, the blood vessels of the microvasculature expand, local blood flow normalizes, tissue edema decreases, the cell walls of infection pathogens are destroyed, and cellular immunity is activated. Therapeutic effects: anti-inflammatory, analgesic, metabolic, bactericidal, immunomodulating.

Among other modern techniques, cryotherapy, oxygen therapy, and ozone therapy can be distinguished. The relative drawback of these methods is their limited availability: only in specialized departments of hospitals or outpatient clinics, in sanatorium-resort conditions.

Cryotherapy (exposure to low temperatures) is carried out locally on the affected joint, the temperature of the dry air mixture is about minus 30 ° C. The primary effect here is analgesic, after the procedure improves blood circulation, anti-inflammatory, anti-edematous effects.

Oxygen therapy (exposure to oxygen under high atmospheric pressure) is prescribed in order to quickly anesthetize, maintain or increase the range of motion in the affected joint. The method gives good results in patients with arthrosis of the knee, hip joints at different stages.

Ozone therapy (the introduction of ozonized physiological solution intravenously) has a pronounced stimulating effect on metabolism and tissue trophism. The method helps to prevent the further development of arthrosis, improves the condition of cartilage tissue.

In the complex treatment of arthrosis, climatotherapy methods are used – hydrotherapy (hydrogen sulfide, mineral baths), mud therapy and naphthalan therapy, massage and kinesiotherapy, but they have an auxiliary value. The leading methods, according to the majority of medical experts, in the treatment of arthrosis are physiotherapeutic – magnetotherapy, magnetolaser therapy, electrotherapy. In combination with orthopedic aids, medicinal regimens, physiotherapy slows down the pathological progress in the joints, preserves the mobility and working capacity of patients with arthrosis.

Physiotherapy options for arthrosis of the knee joint

What are physiotherapy procedures for with arthrosis of the knee joint? The fact is that the disease has a devastating effect on cartilage. The joints need to be restored as soon as possible, and medications alone are not enough for a complete cure. Physiotherapy is also carried out to prevent the development of arthrosis. In the process of heat exposure, blood flow to the damaged area increases, thereby enhancing the effect of drugs.

Arthrosis is a serious disease that requires long-term medication. But since the recovery period after an exacerbation lasts quite a long time, physiotherapy is usually prescribed as auxiliary procedures.

The main symptoms of arthrosis

Distinguish the signs of arthrosis from the manifestations of other diseases can only be done after examination by a specialist. However, an exacerbation and development of the disease can be assumed if:

  • pain occurs in the knees, hips, or fingers during movement, exercise, and exertion;
  • clicks are heard when the knee is bent or in the hip area when the limb is raised;
  • swelling of the joint, the appearance of bumps or other external changes;
  • loss of flexibility, limbs bend and move worse than before.

The danger of joint disease is that the disease can become irreversible. The joints will begin to break down, and it will be impossible to stop this process by any means. Preventive actions and timely treatment for exacerbation of the disease are extremely important.

Physiotherapy for arthrosis of the shoulder joint, hip or knee can serve as both prevention and treatment of the disease. Specialists prescribe physiotherapy as an accompanying therapy during an exacerbation of the disease. They should not be neglected, since such manipulations are very important and speed up the recovery process many times over.

What procedures are indicated for exacerbation of the disease

Physiotherapy for arthrosis of the knee, arthritis and osteoporosis is prescribed by a doctor after a thorough examination. It should be understood that this disease is quite serious, and if you do not treat it, you can start a process that is fraught with serious complications. Influencing them in the future will be quite difficult.

With arthrosis of the hip joint, warming is often prescribed, such as ultra-high-frequency exposure to the affected area.

The process involves an electromagnetic field that affects the diseased joint. After several sessions of UHF, the pain in the joint of the limb calms down, the inflammation goes away.

Shock wave therapy is another way to alleviate the course of joint diseases. This physiotherapy is aimed at normalizing metabolism, relieving internal inflammation and relieving pain.

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

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Electrophoresis

The big plus of this physiotherapy is that it does not cause any pain. In addition, the effect of microcurrents on the body is very favorable. Electrophoresis treats many diseases. Including arthrosis, arthritis and rheumatism.

The essence of this process is to enhance the effect of the drug on the affected joint. A tissue moistened with a special composition is applied to the damaged area and, with the help of electrical stimulation, the medicine penetrates deeper, and the healing is more effective.

Magnetotherapy

This procedure is used for the speedy restoration of the joint. Specially designed devices that provide the effect of a magnetic field on the affected area allow physiotherapy to be carried out both at home and in the hospital.

Magnetic flux enhances blood flow to the affected joint, thereby ensuring the healing of cartilage, improve metabolism, relieve pain and swelling.

Ultrasound therapy

One of the most popular methods in the treatment of arthrosis of the knee joint. When using the device, a special composition is applied to the knee, after which the effect of ultrasound promotes a deeper penetration of the drug into the joint tissue.

Healing occurs several times faster with regular physiotherapy data. Ultrasound, as a rule, is used in the process of recovering a patient after an exacerbation.

Laser treatments

Laser physiotherapy is necessary if the disease is started, or the process is intense and painful. Ultraviolet and infrared radiation is sent directly to the inflamed area. The impact of the laser provides increased blood flow and, as a result, the restoration of destroyed cartilage.

After a complex of similar procedures, joint mobility resumes, pain subsides, and the inflammatory process weakens. Laser treatment is contraindicated in people with epilepsy, cardiovascular disease and hypertension.

Paraffin wraps

Warming with paraffin is a very effective and popular way to prevent knee arthrosis. With knee deformation, paraffin is indispensable: it is applied in a heated state to the affected area and, gradually cooling down, fixes the joint, allowing cartilage to recover during the procedure.

Ozone therapy

Physiotherapy for arthrosis of the knee is a continuation of the drug effect on the body. The use of ozone contributes to the process of partial restoration of cartilage.

Using a thin needle, the substance is injected directly under the patella, thereby healing the affected area, relieving pain and stopping the focus of inflammation

Cryotherapy

Such procedures are used for rheumatoid arthritis. In fact, it is a physiotherapy procedure at low temperatures, at which the body mobilizes forces and self-restores.

The regeneration is enhanced, which entails the restoration of the damaged joint. Most often, physiotherapy for rheumatoid arthritis (in particular, cryoprocedures) is carried out in such a way as to affect the actual area affected by the disease.

With exacerbations of rheumatoid arthritis or arthrosis of the joints, the specialist often prescribes all kinds of baths – mud and salt, all kinds of applications and massage.

The main goal of physiotherapy is to reduce the activity of the course of the disease, suppress pain and restore joint mobility.

What determines the choice of physiotherapy

First of all, the specialist focuses on the intensity of the process and the period of the disease. In the acute development of the disease, the following procedures are prescribed:

  • UHF, UVD, electrophoresis – in combination with the main treatment procedures allow you to quickly restore a damaged or damaged joint;
  • magnetic and cryotherapy is prescribed during the rehabilitation period, when the body needs support;
  • all kinds of applications – paraffin, mud and others – are recommended by specialists for the prevention of development and in the process of joint restoration for arthrosis, rheumato >

Physiotherapy Reviews

After intensive treatment of knee arthrosis, I was prescribed magnetotherapy. I really liked the procedure. Firstly, during such manipulations you just relax. You are placed on a bed, wrapped in a soft cloth and wrapped in a wire that emits magnetic waves. 15 minutes of complete relaxation. Absolutely painless. Sometimes it was possible to doze off – it is not forbidden. In general, I also enjoyed the physiotherapy.

This is not the first time I have been going through physiotherapy – electrophoresis with hydrocortisone. Rheumatoid arthritis is difficult to treat, I undergo a course of physiotherapy regularly. Electrophoresis helps me a lot, after the full program that my doctor appoints, there comes a long period of rest, when the pain does not remind of itself. In addition to electrophoresis, paraffin is also done on the hands. Pretty nice thermal procedure. You dip your hands in liquid paraffin and a shell that resembles gloves forms. The joints are restored in the process.

In fact, physiotherapy is the most enjoyable period of treatment after another exacerbation of arthritis. I tried everything – and UHF, and electrophoresis, and cryo, and ultrasound. All well help in combination with medicines. Particularly pleasant warming, diseased joints require heat. Physiotherapy for arthritis is indispensable, I know for sure.

If you have been diagnosed with arthritis, arthrosis or rheumatism, you need to contact a specialist every six months for detailed consultation and examination, since it is extremely dangerous to let these diseases drift. The treatment system and the sequence of procedures should be carefully observed, since they can be prescribed in combination. A full course of physiotherapy will ease the course of the disease, relieve pain and accelerate the recovery process. As a rule, physiotherapy is quite pleasant and helps to relax and rest.

Physiotherapy for arthrosis

Physiotherapeutic methods of treatment are widely used in the complex treatment of arthrosis, due to the pronounced therapeutic effect. Physiotherapy regimens are selected taking into account the stage of the pathological process, the leading severe symptom, the age of the patient, the presence of concomitant diseases.

Most of the prescribed physiotherapeutic techniques are characterized by proven efficacy in arthrosis, have been used in practice for many years, and allow to maintain the quality of life of patients, range of motion and performance. A number of methods have been improved, due to which medical devices for home use (magnetotherapy) have been created, which allow patients to undergo physiotherapy courses on their own. The classification of physiotherapy is based on the physical characteristics of the acting factor.

I. Exposure to direct electric current (continuous and pulsed)

Galvanization – exposure to a constant continuous electric current, which causes electrolysis, activation of ion transport, polarization in tissues. During galvanization in the tissues, local blood flow is activated, the synthesis of biologically active substances that cause relaxation of blood vessels increases, which leads to the development of anti-inflammatory, analgesic, draining and other effects.

Medicinal electrophoresis – the introduction into the patient’s body of drugs using galvanization. The main condition is the polarity of the drug, i.e., the opposite charge of its particles. They are introduced into the body from the pole of the same name, the charge of which corresponds to the sign of the active part of the drug. The advantage of the method is the combination and mutual enhancement of the effects of galvanization and the drug.

Electrical stimulation – the use of pulsed currents, under the influence of which a number of biological effects occur. Sensitivity of the nerve and contractility of muscle fibers is restored, the concentration of high-energy compounds in the cells increases, and the rate of oxygen utilization increases. This leads to improved blood circulation and metabolism. The method is used to restore atrophied periarticular muscles.

Diadynamic therapy – the use of diadynamic currents. Under their action, selective inhibition of pain sensitivity occurs, increased muscle tension decreases, smooth muscles of blood vessels are rhythmically reduced. A pronounced analgesic effect develops, which allows you to apply this technique directly to the affected joint.

II. Magnetic field exposure

Permanent magnetotherapy – exposure to a constant magnetic field. It causes a restructuring of the structures of cell membranes, which leads to a change in the enzymatic and metabolic activity of cells, enhances the activity of cellular immunity and weakens allergic reactions. The vascular permeability of the microvasculature increases, and metabolism in the tissues increases. Thus, trophic, vasodilating, immunomodulatory effects are formed.

Pulse magnetotherapy is the therapeutic use of low and very low frequency magnetic field pulses. A distinctive feature is the high threshold sensitivity of the body to such impulses (0,1 mT) and good penetration (more than 5 cm). Under their action, there is an increase in the excitability of the neuromuscular apparatus, blocking of nerve impulses from the focus of pain, and an increase in local blood flow. Improving microcirculation helps to reduce edema, remove cell breakdown products from the pathological focus, and stimulates the processes of restoration of damaged tissues. Therapeutic effects: analgesic, vasoactive, neurostimulating, trophic, anti-inflammatory. Magnetotherapy can be distinguished as one of the most actively used methods for the treatment of arthrosis, it is applicable at any stage of the disease. The effect of magnetotherapy is cumulative, prolonged, but in the latter case, the development in time of the therapeutic effect does not occur due to the cumulation of the drug in the tissues of the body, but is the result of a direct effect on the cells and tissues and the positive changes that occur in them. So, for low-frequency magnetotherapy, the development of therapeutic aftereffect is confirmed within 3-6 months after the end of the course of physiotherapy. The results of home magnetotherapy, carried out with the participation of special medical equipment, are comparable with the data obtained after a course of physiotherapy in a hospital or sanatorium. Magnetotherapeutic devices are easy to use and allow a chronic patient with arthrosis to stop the pain syndrome in a timely manner, to remove the manifestations of inflammation in the affected joint. The only condition for highly effective treatment is medical monitoring of the course of physiotherapy.

III. Laser exposure

Laser therapy is characterized by a wide range of photobiological processes. Under its action, the blood vessels of the microvasculature expand, local blood flow normalizes, tissue edema decreases, the cell walls of infection pathogens are destroyed, and cellular immunity is activated. Therapeutic effects: anti-inflammatory, analgesic, metabolic, bactericidal, immunomodulating.

Among other modern techniques, cryotherapy, oxygen therapy, and ozone therapy can be distinguished. The relative drawback of these methods is their limited availability: only in specialized departments of hospitals or outpatient clinics, in sanatorium-resort conditions.

Cryotherapy (exposure to low temperatures) is carried out locally on the affected joint, the temperature of the dry air mixture is about minus 30 ° C. The primary effect here is analgesic, after the procedure improves blood circulation, anti-inflammatory, anti-edematous effects.

Oxygen therapy (exposure to oxygen under high atmospheric pressure) is prescribed in order to quickly anesthetize, maintain or increase the range of motion in the affected joint. The method gives good results in patients with arthrosis of the knee, hip joints at different stages.

Ozone therapy (the introduction of ozonized physiological solution intravenously) has a pronounced stimulating effect on metabolism and tissue trophism. The method helps to prevent the further development of arthrosis, improves the condition of cartilage tissue.

In the complex treatment of arthrosis, climatotherapy methods are used – hydrotherapy (hydrogen sulfide, mineral baths), mud therapy and naphthalan therapy, massage and kinesiotherapy, but they have an auxiliary value. The leading methods, according to the majority of medical experts, in the treatment of arthrosis are physiotherapeutic – magnetotherapy, magnetolaser therapy, electrotherapy. In combination with orthopedic aids, medicinal regimens, physiotherapy slows down the pathological progress in the joints, preserves the mobility and working capacity of patients with arthrosis.

Physiotherapy options for arthrosis of the knee joint

What are physiotherapy procedures for with arthrosis of the knee joint? The fact is that the disease has a devastating effect on cartilage. The joints need to be restored as soon as possible, and medications alone are not enough for a complete cure. Physiotherapy is also carried out to prevent the development of arthrosis. In the process of heat exposure, blood flow to the damaged area increases, thereby enhancing the effect of drugs.

Arthrosis is a serious disease that requires long-term medication. But since the recovery period after an exacerbation lasts quite a long time, physiotherapy is usually prescribed as auxiliary procedures.

The main symptoms of arthrosis

Distinguish the signs of arthrosis from the manifestations of other diseases can only be done after examination by a specialist. However, an exacerbation and development of the disease can be assumed if:

  • pain occurs in the knees, hips, or fingers during movement, exercise, and exertion;
  • clicks are heard when the knee is bent or in the hip area when the limb is raised;
  • swelling of the joint, the appearance of bumps or other external changes;
  • loss of flexibility, limbs bend and move worse than before.

The danger of joint disease is that the disease can become irreversible. The joints will begin to break down, and it will be impossible to stop this process by any means. Preventive actions and timely treatment for exacerbation of the disease are extremely important.

Physiotherapy for arthrosis of the shoulder joint, hip or knee can serve as both prevention and treatment of the disease. Specialists prescribe physiotherapy as an accompanying therapy during an exacerbation of the disease. They should not be neglected, since such manipulations are very important and speed up the recovery process many times over.

What procedures are indicated for exacerbation of the disease

Physiotherapy for arthrosis of the knee, arthritis and osteoporosis is prescribed by a doctor after a thorough examination. It should be understood that this disease is quite serious, and if you do not treat it, you can start a process that is fraught with serious complications. Influencing them in the future will be quite difficult.

With arthrosis of the hip joint, warming is often prescribed, such as ultra-high-frequency exposure to the affected area.

The process involves an electromagnetic field that affects the diseased joint. After several sessions of UHF, the pain in the joint of the limb calms down, the inflammation goes away.

Shock wave therapy is another way to alleviate the course of joint diseases. This physiotherapy is aimed at normalizing metabolism, relieving internal inflammation and relieving pain.

Electrophoresis

The big plus of this physiotherapy is that it does not cause any pain. In addition, the effect of microcurrents on the body is very favorable. Electrophoresis treats many diseases. Including arthrosis, arthritis and rheumatism.

The essence of this process is to enhance the effect of the drug on the affected joint. A tissue moistened with a special composition is applied to the damaged area and, with the help of electrical stimulation, the medicine penetrates deeper, and the healing is more effective.

Magnetotherapy

This procedure is used for the speedy restoration of the joint. Specially designed devices that provide the effect of a magnetic field on the affected area allow physiotherapy to be carried out both at home and in the hospital.

Magnetic flux enhances blood flow to the affected joint, thereby ensuring the healing of cartilage, improve metabolism, relieve pain and swelling.

Ultrasound therapy

One of the most popular methods in the treatment of arthrosis of the knee joint. When using the device, a special composition is applied to the knee, after which the effect of ultrasound promotes a deeper penetration of the drug into the joint tissue.

Healing occurs several times faster with regular physiotherapy data. Ultrasound, as a rule, is used in the process of recovering a patient after an exacerbation.

Laser treatments

Laser physiotherapy is necessary if the disease is started, or the process is intense and painful. Ultraviolet and infrared radiation is sent directly to the inflamed area. The impact of the laser provides increased blood flow and, as a result, the restoration of destroyed cartilage.

After a complex of similar procedures, joint mobility resumes, pain subsides, and the inflammatory process weakens. Laser treatment is contraindicated in people with epilepsy, cardiovascular disease and hypertension.

Paraffin wraps

Warming with paraffin is a very effective and popular way to prevent knee arthrosis. With knee deformation, paraffin is indispensable: it is applied in a heated state to the affected area and, gradually cooling down, fixes the joint, allowing cartilage to recover during the procedure.

Ozone therapy

Physiotherapy for arthrosis of the knee is a continuation of the drug effect on the body. The use of ozone contributes to the process of partial restoration of cartilage.

Using a thin needle, the substance is injected directly under the patella, thereby healing the affected area, relieving pain and stopping the focus of inflammation

Cryotherapy

Such procedures are used for rheumatoid arthritis. In fact, it is a physiotherapy procedure at low temperatures, at which the body mobilizes forces and self-restores.

The regeneration is enhanced, which entails the restoration of the damaged joint. Most often, physiotherapy for rheumatoid arthritis (in particular, cryoprocedures) is carried out in such a way as to affect the actual area affected by the disease.

With exacerbations of rheumatoid arthritis or arthrosis of the joints, the specialist often prescribes all kinds of baths – mud and salt, all kinds of applications and massage.

The main goal of physiotherapy is to reduce the activity of the course of the disease, suppress pain and restore joint mobility.

What determines the choice of physiotherapy

First of all, the specialist focuses on the intensity of the process and the period of the disease. In the acute development of the disease, the following procedures are prescribed:

  • UHF, UVD, electrophoresis – in combination with the main treatment procedures allow you to quickly restore a damaged or damaged joint;
  • magnetic and cryotherapy is prescribed during the rehabilitation period, when the body needs support;
  • all kinds of applications – paraffin, mud and others – are recommended by specialists for the prevention of development and in the process of joint restoration for arthrosis, rheumato >

Physiotherapy Reviews

After intensive treatment of knee arthrosis, I was prescribed magnetotherapy. I really liked the procedure. Firstly, during such manipulations you just relax. You are placed on a bed, wrapped in a soft cloth and wrapped in a wire that emits magnetic waves. 15 minutes of complete relaxation. Absolutely painless. Sometimes it was possible to doze off – it is not forbidden. In general, I also enjoyed the physiotherapy.

This is not the first time I have been going through physiotherapy – electrophoresis with hydrocortisone. Rheumatoid arthritis is difficult to treat, I undergo a course of physiotherapy regularly. Electrophoresis helps me a lot, after the full program that my doctor appoints, there comes a long period of rest, when the pain does not remind of itself. In addition to electrophoresis, paraffin is also done on the hands. Pretty nice thermal procedure. You dip your hands in liquid paraffin and a shell that resembles gloves forms. The joints are restored in the process.

In fact, physiotherapy is the most enjoyable period of treatment after another exacerbation of arthritis. I tried everything – and UHF, and electrophoresis, and cryo, and ultrasound. All well help in combination with medicines. Particularly pleasant warming, diseased joints require heat. Physiotherapy for arthritis is indispensable, I know for sure.

If you have been diagnosed with arthritis, arthrosis or rheumatism, you need to contact a specialist every six months for detailed consultation and examination, since it is extremely dangerous to let these diseases drift. The treatment system and the sequence of procedures should be carefully observed, since they can be prescribed in combination. A full course of physiotherapy will ease the course of the disease, relieve pain and accelerate the recovery process. As a rule, physiotherapy is quite pleasant and helps to relax and rest.

The clinical effectiveness of physiotherapy for arthrosis of the knee joint, symptoms of the disease, types of procedures, contraindications and side effects

Osteoarthrosis of the knee joint (synonym: gonarthrosis) is the most common degenerative disease of the joints, which leads to deformation and subsequent loss of mobility in the knee. In the article, we will examine whether physiotherapy helps with arthrosis of the knee joint.

Osteoarthritis

Attention! In the international classification of diseases of the 10th (ICD-10) revision, gonarthrosis is indicated by code M17.

Features of the disease

Gonarthrosis is a common disease of the knee joint (CS), which, together with osteoarthritis of the hip joint, is one of the most common forms of osteoarthritis in humans. Due to the increasing sedentary lifestyle, the incidence continues to grow.

Gonarthrosis is often not recognized for many years before it usually leads to prolonged pain and limited mobility of COP in adulthood after 50 years.

Gonarthrosis is the most common cause of implantation of artificial CS. Each year, about 175 people in Russia receive a prosthetic joint for osteoarthritis. However, the use of an artificial joint is only the latest treatment option and is not indicated for all patients. Conservative procedures used to be used.

CS is the largest joint of a person. There is a shin head and femur. The patella is located in front of the CS and is used, in particular, to protect it. The articular surfaces of the femur are covered with cartilage, which serves as a shock absorber between the two bones and evenly distributes the pressure.

Cartilage does not have its own blood supply. It feeds on the so-called synovial fluid that surrounds it. Knee movements stimulate the formation of synovial fluid and provide better penetration into the cartilage. This mixing improves the supply of nutrients to the cartilage cells, while the cartilage layer remains elastic. This makes it less prone to wear. Without movement, the cartilage gradually dies.

For various reasons, including lack of exercise, cartilage may wear out prematurely. As a result, parts of the bone structures of the joint are rubbed into each other and cause discomfort.

Depending on which part of the COP is damaged, the following forms of the disease are distinguished:

  • Medial gonarthrosis: wear mainly in the inner region of the knee joint on the medial side (i.e. towards the middle of the body);
  • Pain osteoarthritis KS: mainly on the outer surface of the knee joint;
  • Retropatellar osteoarthritis: damage to the cartilage layer on the back of the patella;
  • Pangonarthrosis: damage to all knee joints;
  • Osteoarthritis of the tibia.

Arthritis in the knee (gonarthrosis) occurs due to various reasons. In medicine, primary and secondary gonarthrosis are distinguished. Primary gonarthrosis is the result of knee cartilage wear for no apparent reason. The most important risk factors:

  • Elderly age;
  • Hypodynamia;
  • Genetic predisposition;

Hypodynamia

Secondary gonarthrosis is usually caused by external (exogenous) factors:

  • Multiple injuries and broken bones: Accidents can result in CS injuries or broken bones in the immediate vicinity of the CS. The result is changes in the shape of the joint, which reduce its function and lead to faster wear of the knee cartilage and, consequently, to gonarthrosis;
  • Excessive load: if certain movements are performed daily for many years, CS can be overloaded, which leads to the development of gonarthrosis;
  • Overweight: excessive body weight increases pressure on the knee joints, accelerating cartilage wear and the development of gonarthrosis;
  • Inflammatory joint diseases: inflammation of the COP, such as bacterial arthritis or rheumatoid arthritis, damages the knee cartilage and thereby contributes to the development of the disease;
  • Rheumatic, metabolic diseases or bone deformities caused by bone diseases such as osteoporosis.

In many cases, the cause of disease is a combination of several factors. The exact cause of the disease has not been established.

Manifestation of knee arthrosis

Osteoarthritis in the knee is characterized by many different symptoms that become more intense with the progress of cartilage wear. Early symptoms indicating the onset of gonarthrosis include pain:

  • After long periods of rest;
  • When climbing stairs;
  • Behind the knee after a long sitting;
  • When carrying heavy items;
  • Sudden movements.

Later, pain occurs more often and faster, for example, at night and even at rest. Depending on the position of gonarthrosis, this pain can occur only inside, outside or under the patella and be dull or burning. The result of gonarthrosis is a gradual decrease in knee mobility. In the case of anterior gonarthrosis, inflammation of the knee joint (arthritis) can also occur, which manifests itself as swelling, redness and overheating of the affected area.

Purpose and effect of physiotherapy

Physiotherapy helps prevent osteoarthritis and delay the progression of the disease. Cartilage is naturally supported and protected by movements of the knee joint. Unsharp movements that do not overload the ligaments are especially suitable for this. Physiotherapy also builds up the muscles that surround the joint. Well-trained muscles support and facilitate the movement of the knee.

The following sports have a positive effect on patients with arthrosis:

  • A ride on the bicycle;
  • Swimming;
  • Water aerobics;
  • Skiing;
  • Norwegian walking.

Even in the event of problems with arthrosis, these exercises help make cartilage more flexible and slow the progression of the disorder. Avoiding exercise due to pain is the wrong treatment. It is recommended to start moving more and playing sports.

Water sports

It is necessary to gradually increase the amount of physical activity:

  • Use a ladder instead of an elevator;
  • If the patient sits for a long time, for example, in the office, charging is required;
  • It is not recommended to immediately get into the car after office. The patient needs a little walk;
  • From time to time, it is recommended to “kick” under the table, as movements increase the release of fluid;
  • Being overweight creates an additional burden on the knee joint, therefore it is recommended to reduce body weight.

Long periods of squatting or cross-legged exert tremendous pressure on the joints. It is required to get up and warm up. Some physiotherapeutic exercises, effective therapeutic complexes of exercise therapy, gymnastics can be performed at home. Some types of therapy must be performed under the supervision of a physiotherapist in a specialized clinic.

Obesity

Medication Therapy

In medical practice, painkillers are used – acetaminophen, non-steroidal anti-inflammatory drugs (NSAIDs) and opiates. NSAIDs have analgesic and anti-inflammatory effects. However, the side effects of NSAIDs in relation to the gastrointestinal tract should not be underestimated. Long-term use can lead to gastric ulcer, in rare cases, to bleeding. Paracetamol has fewer side effects on the stomach, but is less effective due to the lack of anti-inflammatory properties.

Acetaminophen

Hydrocortisone has proven strong analgesic and anti-inflammatory effectiveness. The effect lasts up to three weeks. It is used to treat uncontrolled pain, either alone or in addition to systemic painkillers. Long-term treatment with hydrocortisone at any stage or degree of the disease is not recommended, since it has a wide range of adverse reactions.

Another treatment option is the administration of hyaluronic acid (HA). HA is the main component of synovial fluid. Therefore, it is believed that HA has a lubricating effect and, therefore, has the function of a shock absorber. In clinical conditions, an analgesic and anti-irritant effect was detected.

Dietary supplements such as glucosamine sulfate and chondroitin sulfate are similarly used. They have a chondroprotective effect. However, the effectiveness of other substances – diacerin, avocado, collagen, wild rose – has not been clinically confirmed.

Glucosamine

Advice! Before using any medication, you should consult your doctor. Some drugs are contraindicated in certain diseases. Prudent use of drugs can lead to unpredictable consequences. In case of an overdose, it is recommended to call an ambulance immediately.

Anatoly Kudravets

Anatoly Kudravets, Orthopedic Traumatologist. He works with severe cases, practices operative methods of treating connective tissues

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