Chondrosis of the knee

In the second half of life, the vast majority of people are concerned about chondrosis of the knee joint, the symptoms of which are severe pain and limited mobility. The process is caused by the natural deterioration of the musculoskeletal system, it has no reverse development. Treatment provides temporary improvement; prevention consists of moderate physical activity and periods of rest.

Symptoms of chondrosis of the knee – severe pain and limitation of mobility

Insidious chondrosis: where does what come from

This is a collective term that includes both known and poorly understood processes. It is thoroughly known that the disease develops in the articular cartilage, in which there are dystrophic processes. Cartilage loses elasticity, wrinkles, becomes thinner.

The most likely theory of the onset of the disease is considered non-inflammatory degenerative-dystrophic. It is argued that toxic metabolic products accumulate in the cartilage, and the process can take decades to manifest.

In favor of this theory can serve the fact that cerebrospinal fluid or cerebrospinal fluid in chemical composition resembles ocean water. Many neurologists say that we all left the ocean, but continue to carry a part of it in ourselves. The synovial fluid washing all joints also has a similar composition.

If this is so, then it is logical that toxic metabolic products that are constantly formed in any organism need to be “hidden” somewhere in order to get them out of the game. The body wins as a biological unit, but joints suffer.

This theory is also supported by the fact that the case is not limited to cartilage defeat. When cartilage is “stuffed to the brim” with unsuitable metabolic products, ligaments, joint bags, pineal glands and even muscles are destroyed.

Knee joints are most prone to chondrosis

Chondrosis can affect any joint of the human body, but those places that are constantly exposed to stress are always more affected: the spine, knees and pelvis. Decades ago, chondrosis was considered a senile disease, but today it is sometimes found in 30-year-olds. Living conditions change, and a natural transformation or pathomorphism of diseases occurs.

People suffering from chondrosis have much in common:

  1. Diseases that occur with metabolic disorders – diabetes, renal and hepatic insufficiency, a variety of endocrine disorders, neoplasms.
  2. Excessive and erratic nutrition. The stomach of some resembles a garbage container, wherever it lands. The consequence of unreasonable nutrition is obesity with all the risks. This is extremely disappointing, because one normalization of nutrition, the choice of natural products can improve the course of many diseases.
  3. Abnormal physical activity is either a deficiency or an excess. Both endless lying and work of the “weekend soldier” type, when the weekly load is carried out during daylight hours, are equally harmful. In women, chondrosis provokes pregnancy, in which the center of gravity of the body shifts and the lower limbs are overloaded.
  4. Barren moral torment, plunging into hopeless depression.

A disease is a signal that you need to change something. If a person listens to himself, seeks and finds a reason, tries to correct the situation, then he can count on a long subsidence of the process.

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

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Symptoms and classification

Manifestations of chondrosis are primarily a pain of a dull and unclear nature. The joints ache “on the weather” and after a long walk. At first, good rest calms the pain, but over time this becomes insufficient.

The appearance of pain suggests that changes in the articular cartilage have already occurred. Unfortunately, the beginning of the destruction process does not reveal itself in any way. Asymptomatic course leads to the fact that all therapeutic measures are “in the wake” of the disease, trying to slow down further progression.

Isolated pain can be troubling for several years, subsequently mobility restriction up to ankylosis or bone fusion joins it.

There are 2 main types of disease: primary or genuin and secondary.

Primary – it is also called idiopathic – occurs at any age on a completely healthy joint for no apparent reason. This type is considered genetically determined, because it is impossible to explain the appearance of chondrosis by any other factors.

Secondary occurs in people over 55 years old, joining existing diseases: arthritis, chronic injuries, congenital dislocations, tuberculous bone lesions, menopause. Women are twice as likely to have secondary chondrosis as men.

During the disease, 4 stages are distinguished, they are distinguished not only by the clinical picture, but also by the thickness of the cartilage and the accompanying damage to the joints, ligaments, bones and muscles. The condition of the tissues is studied using X-ray, CT, ultrasound and MRI.

Chondrosis can affect any joint in the human body.

According to the severity, 4 stages of the development of chondrosis are distinguished. At the initial stages, only thinning of the cartilage is detected, later on, areas of degeneration, razvlechenie until the cartilage tissue as such disappears completely. The final stage is the complete disappearance of the articular lumen, the formation of bone outgrowths, ossification or ossification of the synovial bags and ligaments, fusion of the pineal glands. Joint destruction is complicated by compression of the adjacent neurovascular bundle.

Hip Chondrosis

It proceeds according to the same laws as damage to the knee joint, but has its own characteristics.

The pain is severe because the area of ​​the articular surfaces is large. Gradually, the pain becomes so intense that it calms down only at rest. The large muscles attached to the joint – gluteal and quadriceps – undergo atrophy. This does not happen quickly, sometimes it takes decades.

Hip joints are also prone to chondrosis

Lameness appears, the affected leg is shortened. This is a sign that the hip head has collapsed and a subluxation has occurred. The spine bends forward and sideways to compensate for the displacement of the center of gravity.

When a person has experienced all this suffering and the bones in the joint have grown together irrevocably, the pain leaves him. Shortening of the limb, curvature of the spine and lameness remain forever.

Disorders of internal organs, especially the intestines, due to their displacement can join.

Principles of diagnosis

Clinical data is compared – complaints, the development of the disease, life circumstances and the results of additional studies. With chondrosis, all symptoms develop gradually, worsening from year to year. The intensity of pain and limitation of mobility increase.

A joint radiography is required to determine the safety of the synovial gap and the appearance of additional pathological formations. MRI is considered the gold standard of the study, on which absolutely all available abnormalities can be visualized.

How can I help you?

Radically – so far nothing, because all the links of the pathological process have not been studied. But there are many proven auxiliary treatment methods that bring relief and stop the process for many years.

In the period of exacerbation, a variety of painkillers and anti-inflammatory drugs are used internally, intramuscularly and externally in the form of ointments, gels and plasters. The active phase of the treatment process can last up to three months.

Well established physiotherapy. In addition to the usual magnetic and laser, iontophoresis is often used.

Properly selected physiotherapy can stop the process without medication.

With this method, the medicine is applied to the skin directly above the joint, the site of exposure is treated with a weak electric current. Through intact skin, the medicine enters the general flow of blood and lymph at a maximum concentration near the diseased joint. The total drug load on the body is much reduced.

The use of ozone is promising, it is administered intraarticularly, combining with a chondroprotector. The advantages of this procedure are instant pain relief, the minuses are punctures of the synovial bag, which can become foci of new inflammation or calcifications.

Ultrasonic exposure is used for micromassage, warming up tissues and accelerating blood flow, improving lymph outflow. This is a painless and effective procedure.

Physiotherapy helps to significantly improve the condition of the joints.

Shock wave therapy has many contraindications, but it can significantly improve the condition in 3-5 procedures.

Massage relieves muscle cramps, improves local blood circulation.

At home, pain can be relieved by compresses with a decoction of burdock root, vodka and grated horseradish root, decoctions of dandelion root, burdock and St. John’s wort.

Chondrosis of the knee joint refers to those diseases, the course of which cannot be reversed. However, persistent and consistent treatment can significantly slow down the development of the process.

Treatment of osteochondrosis of the knee

Osteochondrosis of the knee joint (hereinafter – ACS) is distinguished by degenerative as well as degenerative deformities that develop in this area. The disease is characterized by three nosological types, which are more often manifested in adolescents, and are also distinguished by long-term but benign characteristics. If in due time to cure ACS, the disease will not make itself felt in the future.


Aseptic necrosis of the bone area is a sudden onset for the development of the disease. ACS is excreted by severe pain that appears after excessive physical exertion. After a few months or weeks, swelling appears, the body temperature and redness on the skin in the joints rises. After treatment of the disease, dead bone tissue is resorbed and replaced by scar deformed tissues.


  • Osgood Schlatter – is distinguished by pathological deformities, the appearance of tubercles on the tibia. A painful bump appears on the knee joint (bottom). It appears in adolescents who are engaged in active physical activity, for example: running, playing football, as well as basketball or enrolling in figure skating;
  • Koenig’s – ACS in which the connective tissue becomes inflamed, and it exfoliates from the bone, as a result of which the articular muscle begins to separate. In this case, cartilage moves easily in the area of ​​the articular bags, which impede movement. It is diagnosed in young people or the elderly, the teenage form is localized on both knees, but it is easier and faster to cure it than in an adult;
  • Larens -Yuhansson – The patella begins to turn into bone, when pressed, the patient feels pain, swelling appears and frequent hydrarthrosis in this area. The disease manifests itself in adolescents more often than in older people.
  • The youthful form of ACS lasts about ten years, then a person heals by the age of 30, at the time of completion of the growth process of all systems.

Severity of ACS

Chondrosis of the knee joint is conditionally divided into three stages. Each of them is based on its form and severity of the lesion. At stage 1, ACS begins to collapse of the cartilage and its degeneration occurs. This is accompanied by the following symptoms:

  1. Feeling of inconvenience;
  2. Minor pain during sports loads;
  3. Limited mobility;
  4. A person begins to limp, and his limbs crunch;
  5. Pain during touch and swelling.

At the second stage, the symptoms almost duplicate the first. The only difference is the intensity of the symptoms and the complexity of the choice of treatment. Attention is focused on frequent dull and aching pains, as well as on the destruction of connective tissues.

At the third stage, the disease is distinguished by manifestations of praise, destruction and cartilage deformities, accompanied by prolonged manifestations of pain and atrophy of the quadriceps femoris. At this stage, pathological deformation processes cannot be reversed.


ACS is manifested as a result of daily increased stress on the body, injuries in the knee, as well as hormonal dysfunctions and metabolic disorders. An important role in the predisposition to the disease is played by heredity.

The complexity and duration of the course of treatment depends on the causes of the disease. Treatment of ACS is necessary under the supervision of a doctor and only with special drugs, self-medication, regardless of the stage, will not be appropriate.

Not enough vitamins

Vitaminosis can also become an impetus for the appearance of ACS and the fact that the necessary minerals are sorely lacking. This deficiency is investigated only through biochemical laboratory blood tests. If the doctor confirms it, then the patient will be prescribed a whole range of special vitamin supplements that will quickly eliminate such gaps. Ca stock is replenished and the prescribed nutrition plan, the course of treatment is a nutritionist.

During the diet, a person eats exclusively fresh vegetables, as well as foods rich in protein. Fiber will help Ca, Fe, as well as other elements and vitamins, be fully absorbed at the time of entry into the body. Cucumber, carrots, tomatoes, as well as cabbage should be included in the daily diet for everyone suffering from ACS. Green vegetables also positively affect the course of the disease, they cleanse the body from slagging and toxic effects. Casein-rich foods will enrich the body of Ca, Fe. Especially if you take cheese and cottage cheese.

Most people find it difficult to imagine their life without fatty, high-calorie, smoked and fried foods. Of course, it is difficult to deny their selection among analogues by taste, despite the harmfulness. With ACS, it is necessary to refrain from such food, because it will significantly aggravate the situation. Moreover, junk food significantly reduce the process of assimilation of vitamins, they will be excreted from the body, not having time to assimilate or even enter.

Fish and other and marine delicacies – the desired food for patients with ACS. It can be consumed only boiled or baked. The protein and Ca contained in this meal have a positive effect on the restoration of cartilage and connective tissue.

Pharmacological treatment

If the treatment is drawn up correctly, it will certainly become the basis for the development of beneficial dynamics. Modern pharmacological preparations have long demonstrated that ACS can be quickly cured. There are such types of pharmacological drugs that are used for this purpose:

  • Chondroprotector. This group acts on the deformed cartilaginous tissue and actively accelerates its recovery. Treatment must necessarily include the use of this drug group, since only they can completely eliminate ACS.
  • Treatment of ACS also means the elimination of inflammatory processes. Non-steroidal anti-inflammatory drugs are ideal for this task. They are taken on a course. The doctor often chooses intramuscular injections. Illiterate or excessively long use of these drugs will certainly lead to exacerbations of diseases in the stomach, so doctors do not prescribe non-steroidal anti-inflammatory drugs for ulcers, as well as gastritis.
  • Vitamin complexes are also prescribed for ACS, because, in 90 cases out of 10, there is a lack of Ca and other elements from the group.
  • Painkillers are needed to control the degree of pain. They are necessary for ACS, because the pain of frequencies worries the patient for several weeks, and this negatively affects the disorder of the psychoemotional background, the person does not sleep well, his coordination is impaired.
  • Psychotropic drugs are prescribed in exceptional cases, when classical analgesics cannot eliminate pain.

Using traditional medicine

Treatment of ACS with this method is considered the most common and effective. To achieve a better effect, it must be comprehensive. Do not forget that the wrong combination of herbs can harm the body, this is the basis for drawing up the right treatment. To do this, you need to arm yourself with the support of a qualified neurologist. On your own, you should not make up treatment if there is no special medical knowledge behind you. Most drugs are difficult to combine. The same can be said about herbs, so it is necessary to draw up a course responsibly.

For folk therapy, conifers and oak bark are often used. It is such natural components that will remove from the body all the negative elements that provoked pain, neutralize all processes with traces of praise. The use of alternative methods is considered effective when the disease is in the first stage.

How to cure osteochondrosis of the knee

Osteochondrosis of the knee joint (dissecting osteochondrosis) causes permanent discomfort in the knee and, if untreated, can lead to disability.


  • the occurrence of dull aching pain in the knee joint during movement. Running and walking up the stairs provokes pain;
  • lameness appears;
  • when moving, clicks or crunching are heard;
  • frequent swelling, swelling around the damaged knee;
  • touching the affected knee, its feeling cause severe discomfort.

Gradually, with the development of the disease, the quadriceps femoris begins to atrophy. In this case, the pain does not stop even when the body is in a state of complete rest.

In addition to the symptoms characteristic of the pathology, osteochondrosis in the knee joint is often accompanied by morning numbness of the legs and stiffness of movements.

Forms of pathology

The brightness of symptoms in dissecting osteochondrosis is affected not only by the place of development of the pathology, but also by the volume of damage to the cartilage and bone tissue of the knee. So, at the place of occurrence of the deformation process, these forms of the disease are distinguished:

  • Koenig’s disease. It is characterized by cartilage damage in the joint;
  • Larsen-Johansson’s disease. Pathology is characterized by destructive processes in the patella and on the knee itself;
  • pathology of Osgood-Schlatter. The destructive process of the tibia belongs to it.
  1. The disease of the first degree is characterized only by the periodic appearance of pain and slight discomfort in the knee when walking, running.
  2. The pathology developed to the second degree is accompanied by a noticeable stiffness of movements and a frequent feeling of weakness. At this stage, the active destruction of cartilage begins.
  3. The defeat of the knee joint with osteochondrosis of the third degree is accompanied by constant pain. In addition, the inflammatory process is intensively developing in the muscle tissue around the damaged area. Bone and cartilage tissue are deformed and destroyed.

In the absence of treatment, other pathologies are added to dissecting osteochondrosis. It becomes increasingly difficult for the patient to move around; he has to use crutches or walkers.

Causes of pathology

Prerequisites for development are:

  • old age of the patient. After 60 years, there is a deficiency of trace elements and persistent metabolic disorders. Cartilage and bone tissue do not receive proper nutrition, gradually thinning. Moreover, any mechanical damage can provoke the onset of destructive processes in the knee;
  • overweight problem. The phenomenon is accompanied by impaired metabolism, an increased load on the movable knee bumps;
  • exorbitant and frequent physical exertion;
  • sports, mechanical injuries;
  • genetic predisposition. Even in young patients with ideal weight and the absence of injuries, dissecting osteochondrosis may develop if his relatives also suffered from this pathology;
  • surgery of the knee joint and nearby tissues. Even after a successful surgical intervention for several years, a violation of the blood circulation of tissues, displacement of the loams is possible.

Methods of diagnosis

For diagnosis, use:

  • X-ray
  • Ultrasound;
  • computed tomography (CT);
  • magnetic resonance imaging (MRI).

The most accurate results are shown by an MRI machine. However, due to the high cost of the procedure, initially almost all examinations are carried out using x-rays of the knee joints made in different projections.


Knee treatment is possible conservatively or surgically.


Conservative treatment of osteochondrosis of the knee involves several measures at once. This is a mandatory intake of medications for the pain group, the use of chondroprotectors (Don, Khodroksid or Struktum), vitamin B. And with the development of the inflammatory process, the doctor may prescribe anti-inflammatory non-steroid drugs.

Anesthetize the injured knee with drugs can be 1-5 days. Most often, Diclofenac, Ibuprofen, Dicloberl or Movalis is used for this.

Also, conservative treatment may include visits to physical therapy rooms, radiation, laser therapy, electrophoresis and phonophoresis. In the absence of contraindications, swimming is beneficial.

Usually, the entire treatment period takes about 4 weeks. The knee joint of the patient should be subjected to minimal stress. To do this, the patient must walk with crutches until complete recovery.


Often, after surgery, various complications arise, including limited movement in the loam or sensitivity of the area around the knee. However, this treatment regimen must be applied to patients with the third stage of development of osteochondrosis and those who are not helped by conservative treatment.

The surgical treatment consists of minimally invasive surgery, during which the damaged cartilage is removed. With significant damage, an implant is installed in its place. Implantation of the patient’s own cartilaginous tissues or mosaic arthroplasty is also possible. The advantages of the method are the reliability of fixation of all elements.

With minor damage and the absence of inflammatory processes, individual deformed sections of the cartilage can be drilled with a laser. And if it is necessary to prosthetics the floor of the moving part of the loam, the implants are attached to the bone tissue with special cannulated Herbert screws.

Of course, the treatment of osteochondrosis of the knee joint is safer to carry out conservatively. However, for the effectiveness of therapy, the patient needs to seek medical advice in a timely manner.

Treatment of osteochondrosis of the knee

Osteochondrosis is a disease that causes degenerative processes in the tissues. Aseptic necrosis of the bone region indicates the onset of the disease. Osteochondrosis of the knee joint has 3 forms of development and 3 stages. The disease is characteristic of young people. Her symptoms bring discomfort and obstruct movement.

Treatment of osteochondrosis of the knee


The main causes of osteochondrosis of the knee joint:

  • Age. With movements of the tissue of the knee joints gradually age and wear out. The disease of cartilage in the legs appears in most people after 60 years. Constant walking stimulates the development of pathology.
  • Overweight. The more the person’s weight, the faster the development of osteochondrosis of the knee joints. The risk of disease in overweight people is several times higher. The main load when walking goes to his feet. Extra pounds strengthen it. Also, with excess weight, metabolic and hormonal function disorders are characteristic, which contributes to the appearance of pathology.
  • Heredity. The appearance of osteochondrosis of the knee on the background of birth defects is characteristic of young people.
  • Constant physical activity. The formation of osteochondrosis of the knee joint is characteristic of athletes whose activity is associated with loads on the legs. Pathologists also develop in people whose work is associated with constant physical activity. Osteochondrosis of the knee joint is a professional disease of athletes.

Additional reasons

The appearance of osteochondrosis of the knee is associated with joint inflammation. The disease is also affected by metabolic disorders and hormonal imbalances.

The risk of disease is increased by knee surgery and trauma. This leads to deformation of the knee joint, which affects mobility and blood circulation.


The main symptom of osteochondrosis of the knee joint is pain. At the first stages of the disease, it manifests itself with running and long walking. In the later stages, discomfort is present constantly. The ICD disease code is 10.

Other symptoms of pathology:

  • constant lameness;
  • stiff joints in the morning;
  • headache;
  • vision and hearing problems;
  • numbness of the legs;
  • cracking joints during movement;
  • swelling and bulge in the joint area.

Forms of the disease

The following varieties of osteochondrosis of the knee joint are:

  • Osgood-Schlatter disease. It is characterized by pathological formation in the tibia, which manifests itself in the form of a tubercle near the knee joint. When pressing on a bump, the patient feels pain. This is typical for adolescents up to 14 years of age who engage in active sports: football, hockey, and basketball.
  • Koenig’s disease. This is a form of knee osteochondrosis, which is characterized by dissecting cartilage inflammation. This results in tissue exfoliation from the bones. With the free movement of the joint ins >

The disease is best treated at the initial stage.

Osteochondrosis of the knee has 3 stages. The initial stage 1 is characterized by destruction and degenerative processes in the cartilage tissues.

Symptoms of osteochondrosis of the knee joint of the 1st degree:

  • crunch in the knees with sudden movements;
  • mild pain when walking and physical exertion;
  • muscle weakness;
  • swelling with palpation.

Grade 2 osteochondrosis has similar symptoms. The difference is the constancy of uncomfortable manifestations. At stage 2, the pain becomes dull and aching, which indicates a strong destruction of the cartilage tissue.

At the 3 stages of the disease, foci of inflammation appear. Pathology destroys cartilage tissue and changes their structure. Severe pain and atrophy of the femoral quadriceps appears. At the last stage, the results of destructive processes cannot be reversed.


In the first degree, a conservative technique is used to treat osteochondrosis of the knee joint. In the later stages, surgical intervention is necessary.

Conservative therapy is used for diseases of children and adolescents. In such patients, growth zones are open, and bone-cartilage formations are fixed. The goal of therapy is to eliminate the pathology before the end of growth in the pineal gland. The effect of treatment will be after the closure of the zone, but only in the period of 12 months after.

Doctors do not immobilize the legs. With conservative therapy, patients lead an active lifestyle. Walking is prohibited for patients with exacerbation. For 2 months, patients are prescribed crutches until the constant pain disappears. Joint spacers are also used for gentle walking for the knee.


Treatment of osteochondrosis of the knee joint is carried out by such means:

  • painkillers;
  • anti-inflammatory non-steroidal drugs;
  • chondroprotectors;
  • muscle relaxants;

Analgesics and anti-inflammatory drugs are prescribed for severe pain syndromes at stages 2 and 3. Their action relieves inflammation and muscle cramps.

Chondroprotectors are designed to stimulate the regeneration of cartilage tissue. The preparations contain bioactive components such as glucosamine and chondroitin. Their action improves tissue nutrition, stimulates the production of synovial fluid and slows down destructive processes.

Muscle relaxants relieve muscle tension and improve tone. Effective remedies are Midokalm and Sirdalud.

Additional medicines

Hormones will help relieve inflammation

With a strong inflammatory process, hormones containing glucocorticosteroid substances are prescribed. Effective in this regard are “Diprospan”, “Kenalog” and “Hydrocotisone”.

In the case of a decrease in the amount of synovial fluid in the joints, its analogues are used. They are used in the form of injections. The substance is injected into the knee.

The chemical composition of the product:

Surgical intervention

Surgical intervention is prescribed in the absence of the effect of conservative methods and drug therapy. Also, the operation is carried out for people with closed areas of pineal gland growth.

The purpose of the surgery is to fix the bone-cartilaginous formations and preserve knee mobility. Depending on the mobility of the joint, there are 3 methods of intervention.

Methods of surgical intervention:

  • Fragment stillness. Arthroscopic drilling of the affected areas is carried out. The condition is the absence of active foci of tissue inflammation. With an open growth zone, the efficiency of the procedure is 90%.
  • Partial mobility of fragments. Fix the compounds. For this, the Herbert technique is used. The operation is carried out using cannulated screws. The disadvantage is a strong risk of complications.
  • Large size fragments. It is possible to treat such a pathology by all methods, as well as using autotransplantation of bone-cartilaginous compounds. In addition, mosaic arthroplasty, violation of the surface surface tissue concurrency and removal of chondrocytes from them are performed.


In the initial stages of the disease, therapeutic exercises give a positive effect. Exercise allows you to maintain muscle tone and strengthen them. It is better to start a gymnastics complex only after consulting a doctor. Exercise is daily, morning and evening.

List of effective exercises:

  • Walking on the spot. Put your hands on your belt and march without raising your knees high, 5 min.
  • Flexion in the knee. Holding on to the support, the patient raises his legs from the floor and bends them at the knee. Repeat 12 times on each leg.
  • Stand on the heels. The patient rises on his toes and, without taking his feet off the surface, stands on his heel and holds in this position for as long as possible.
  • Scissors. The patient lies on his back, raises his legs and alternately crosses them. Repeat 10 times.
  • Bike. Lying on his back, the patient bends his legs and slowly simulates the movement of a bicycle ride. Exercise spend 30 seconds.
  • Mahi’s knees. The patient lies on his back and alternately performs swings. 8 exercises are performed on each leg.
  • Squats Repeat 20 times.

Folk remedies

At home, knee osteochondrosis is treated with folk remedies. For this, natural components with anesthetic effect are used. To relieve pain, the knee is treated with lemon. A lobule is used for rubbing in the affected area for a month. This leads to resorption of salts.

Mummy allows you to relieve inflammation. To do this, prepare a product from a substance with the addition of honey. For 50 g of beekeeping product take 2 g of mummy. The components are mixed into the gruel and rubbed into a sore spot. Treatment should not exceed a week.

Osteochondrosis of the knee

Unpleasant sensations in the knees are most often associated with such a common disease as arthritis. However, such a self-diagnosis is in most cases erroneous. In fact, they can be caused by other diseases, including osteochondrosis. Both men and women suffer from it, more often young (aged 15 to 30 years), less often elderly. There are many reasons for this, among them are obesity, and excessive physical exertion, and a hereditary predisposition, and injuries, and metabolic disorders.

clinical picture

Three forms of this disease are distinguished, each of which is characterized by a certain set of changes in the condition of the knee joint, including:

  1. Koenig’s disease. One of the conditions for the normal functioning of the joint is the integrity of the cartilage tissue. The development of this disease is associated with the death of a certain number of its cells (necrosis). Completely losing their vital functions, such pieces of cartilage are separated from the joint. They cause the symptoms that become more pronounced as the disease progresses.
  2. Ostud-Schlatter disease. Pathology is associated with a large load on the tendon, attached to the still immature tuberosity of the tibia. It is mainly observed in adolescents during a period of accelerated growth. Constant overstrain leads to the appearance of bone growths and thickening of the cartilaginous layer, which causes various unpleasant phenomena, signaling the development of this disease.
  3. Larsen-Johansson Syndrome. It is expressed in violation of the density and structure of the patella bone (its ossification). It is accompanied by the so-called recurrent dropsy of the joint (accumulation of fluid in its cavity).

Despite the differences regarding the specified location and mechanism of development, the symptoms of this disease are the same for all its forms.


The first thing that can talk about the possibility of a person developing a disease such as knee osteochondrosis is pain. Its intensity depends on various reasons, including the stage of the disease (the more it progresses, the stronger the pain syndrome becomes). It all starts with a slight sense of discomfort, accompanied by minor pain, which can be described as “spilled” along the front surface, intensifying during exercise (first stage). Further destruction of the cartilage tissue leads to more pronounced manifestations of them (second stage). In the final, dull aching pains become unbearable and in most cases degenerative-dystrophic changes in the condition of the knee elements are irreversible (third stage).

Pain syndrome accompanies most diseases of the musculoskeletal system and cannot become the basis for suspicion specifically for this ailment. Such a more precise diagnosis can only be said when it is supported by other manifestations of the disease, including:

  • swelling, swelling of the knee joint;
  • crunching during flexion, extension, walking;
  • lameness caused by a protective response to pain;
  • restriction of motor activity (a significant decrease in the amplitude of motion).

Such symptoms should definitely lead a person to the doctor’s office, who can accurately determine the diagnosis and prescribe an effective treatment program. And the faster the patient “falls into the hands of a competent specialist”, the faster and easier he will get rid of the disease attacking his body.


After the mandatory medical examination is completed, which includes a number of procedures (prescribed at the discretion of the doctor) that allow you to accurately establish the diagnosis and see a complete picture of the condition of the person who has applied for help, the doctor will be able to choose one of two possible options for recovery, namely:

  1. Conservative treatment. It is based on the use of methods that can change the situation for the better without surgery. Positive dynamics can be achieved with the help of drug therapy, which implies the use of drugs, which are part of different groups according to their pharmacological properties, namely:
    • analgesics (stop pain, temporarily ease the general condition of the patient);
    • NSAIDs (eliminate the inflammatory process, have a less pronounced analgesic effect);
    • chondroprotectors (contribute to the restoration of destroyed cells of cartilage tissue, prevent further negative changes);
    • vitamin complexes (activate the protective properties of the body, increase immunity).

In addition to this, specialists often prescribe gymnastics (exercise therapy) and physiotherapy. They are designed to accelerate the healing process by means of enhancing the effect of taking medications and strengthening the muscular and ligamentous apparatus of the legs.
Surgical treatment. It is used when the above method d >

Osteochondrosis of the knee joint is an unpleasant disease, but in the first stages it is completely reversible. In 90% of cases, it is possible to get rid of it without the participation of a surgeon. The main thing is not to be late, turn to a specialist in time, carefully listen to his recommendations and obediently follow his instructions.

Osteochondrosis in the knee joint

The knee is the largest and most complex joint. It has a huge amount of physical exertion. Osteochondrosis of the knee joint is the result of constant trauma and significantly reduces the quality of human life.

Consider the main causes and symptoms of osteochondrosis of the knee joint, methods for its treatment and prevention.

The essence of the problem

The disease is a degenerative-dystrophic change in the knee. A favorable outcome can only be provided that the person turned to the doctor for treatment in the early stages of the development of the disease. With a far-reaching pathological process, surgical treatment is possible.

There is a high probability of disability of the patient if he is not treated. Some varieties of osteochondrosis have a positive prognosis.

Depending on where the degenerative dystrophic process is located, these forms of the disease are distinguished:

  • Koenig’s disease – damage to the cartilage of the knee joint;
  • Larsen-Johansson’s disease – damage to the articular surface in the patella;
  • Osgood-Schlatter disease – a disease of the tibial tuberosity.

The following degrees of the disease are distinguished:

  • with 1 degree of osteochondrosis, only minor knee pains are observed;
  • at 2 degrees, cartilage destruction is diagnosed, with movements, stiffness and a decrease in amplitude are noted;
  • at 3 degrees, severe pain is noted, irreversible deformation of the knee occurs, it is destroyed.

The result of treatment for such a disease depends on when it was started.

Mostly overweight elderly people suffer from this disease. It is proved that the greater the patient’s mass, the more severe the severity of the pathology. In people of advanced years, osteochondrosis of the knee joint is diagnosed much more often, since worn cartilage does not cope with physical activity.

At a young age, the disease occurs in people who are engaged in hard work or suffered knee injuries. Idiopathic osteochondrosis is spoken when its cause cannot be determined.

Why does the disease develop?

The leading cause of the development of knee osteochondrosis is a similar pathology of the lumbar spine. Most patients who develop lameness and soreness in the knee develop dystrophic phenomena in the lumbosacral region. The trigger element for the development of such osteochondrosis is an intervertebral hernia in the above section.

Due to the fact that the thigh muscles are in a constant state of stress, the load on the knee increases. Due to muscle spasms, the diameter of the vessels supplying the knee gradually narrows. For this reason, the cartilage fragment of the joint is thinning.

Subsequently, the underlying tissues of the bone pineal gland, condyle of the bones are involved in the inflammatory process. Contributing factors for the progression of osteochondrosis of the knee are:

  • metabolic disorders;
  • hormonal failures;
  • weight gain;
  • intense exercise;
  • adverse heredity;
  • frequent injuries of the knee joint.

What happens in the body

The development of degenerative-degenerative changes in the knee begins with thinning of the cartilage. Initially, these processes are not accompanied by severe violations. In the future, the flow of nutrients into the tissue of the cartilage decreases, because of which its death occurs.

The disease affects the tissue of the cartilage, the latter becomes covered with ulcers and becomes thin. There is a narrowing of the joint space, due to which friction of the bone surfaces increases. The production of synovial fluid is reduced, and the secretion of exudate is increased.

The accumulation of inflammatory exudate gradually stretches the capsule of the joint, which leads to the restriction of active movements in it. Further restriction of motor activity contributes to the fact that growths occur on the bones. The less physical activity on the knee, the less synovial fluid is produced.

In the last stages of the disease, necrosis of affected tissues occurs. The joint practically does not fulfill its functions.

Symptoms of the disease

Symptoms of this pathology depend on its degree. Most often, patients have knees hurt (especially in the morning), a crunch occurs in them, and active movements are difficult. It is noteworthy that such symptoms appear even when significant changes have occurred in the body.

The 1st degree of pathology is characterized by the following symptoms:

  • discomfort in the joint after a long walk;
  • pain syndrome during increased physical exertion;
  • movement restriction (they are detected only during diagnosis);
  • fatigue even after minor exertion;
  • slight narrowing of the joint space (found on x-ray).

At this time, the disease is detected at a routine examination.

2nd degree is more pronounced. Her symptoms are:

  • constant pain in the morning (it decreases at rest and becomes stronger during and after intense exertion);
  • impaired gait (sometimes patients are forced to use a cane);
  • sharp pain occurs during palpation;
  • deformation (this can be seen without special studies);
  • when the inflammatory process joins, edema occurs;
  • X-rays show noticeable changes in the joint.

Due to impaired walking, the quality of human life is significantly reduced.

Stage 3 indicates that the joint deformity is very pronounced, which is often the cause of disability. Symptoms of this stage are as follows:

  • constant and sharp pain in the knee;
  • a crunch is heard during the movements;
  • the knee is deformed, movement in it is difficult or impossible;
  • there is a spasm of the muscles surrounding the knee;
  • the joint is enlarged;
  • legs bend;
  • the cartilage is completely abraded, the image shows a replacement of the cartilage tissue of the connective tissue).

Disability at this stage can be prevented only by a surgical method of therapy – joint prosthetics.

Symptoms of some forms of the disease

Signs of osteochondrosis of the knee differ depending on what form of pathology is diagnosed in the patient.

Koenig’s disease affects mainly men under 30 years old. There is a defeat of the knee and hip joint. A limited area of ​​the articular cartilage dies, subsequently it comes off and forms the so-called articular mouse. The causes of this pathology have not been established.

Symptoms of the lesion are as follows:

  • periodic pain in the joint;
  • the affected area swells;
  • significantly reduces the amount of active movement in the joint;
  • pinching of the articular mouse occurs.

A conservative treatment is useless. The damaged cartilage is removed. Recently, minimally invasive methods of intervention have been used.

Larsen-Johansson’s disease is common in boys from 10 to 14 years old. It is a hereditary violation of the normal process of ossification of the patella. Patients complain of pain during extension of the knee joint. An x-ray is usually normal. On examination, a swelling of the patella and pain during pressure are detected.

The treatment is usually conservative: salicylates are used while maintaining physical rest.

Osgood-Schlatter disease is observed mainly in young men. The main risk factors are sports related to knee injuries. Boys of this age have pain during severe flexion or extension of the knee. The joint swells, becomes dense. Inflammation is weak. The prognosis of the course of the syndrome is favorable.

This osteochondrosis of the knee is treated with rest; in some cases, the application of a plaster cast is recommended. With a pronounced clinical picture, immobilization is ineffective, the operation is indicated in case of constant pain and fragmentation.

Principles of treatment of pathology

The main goal of therapy is the elimination of pain, inflammation, and restoration of cartilage. If you start it in a timely manner, then you can stop the development of the disease.

From medications are shown:

  • non-steroidal anti-inflammatory drugs (Butadion, Ibuprofen tablets, etc.);
  • chondroprotectors (chondroxide, etc. in the form of tablets or ointments);
  • vitamin complexes;
  • preparations containing bee venom.

These and other medicines can only be used as prescribed by your doctor. Intra-articular injections of chondroprotectors and painkillers are used for severe pain and cartilage deformities.

Physiotherapeutic methods of treatment include:

  • electrophoresis;
  • ultrasound therapy;
  • magnetotherapy.

Contraindications for such treatment are malignant neoplasms, decompensated hypertension, heart failure.

Folk remedies can only be used in combination therapy. In their effectiveness, they are significantly inferior to the methods of classical medicine. Tinctures, infusions, decoctions are used. With their help, you can prevent the further development of the disease.

Celandine tincture, burdock compress, birch bud tincture, etc. proved to be effective. Severe violations are treated with the help of a mummy (a 3% mixture of this resin and honey is rubbed into a sore knee at night).

The consequences of osteochondrosis of the knee are serious. If you do not start treatment, the person becomes disabled.

That is why it is necessary to pay attention to the early manifestations of such a disease and in case of pain immediately visit a doctor. This will help to avoid surgical intervention and maintain the joy of movement for a long time. Self-treatment of such a disease is fraught with further progression and development of disability.

Shishkevich Vladimir

Shishkevich Vladimir, orthopedic and traumatologist, project editor-in-chief ExpertNews. It specializes in the treatment of diseases in orthopedic, traumatological, vertebrological profiles