Physiotherapy on the knee

Osteoarthritis of the knee joint is a non-inflammatory lesion of the joints, which is characterized by cartilage pathology, deformation and a decrease in the range of motion in the affected joint. The disease can be symmetrical or one-sided.

More often the disease is diagnosed in women after forty years. The causes of arthrosis of the knee joint are numerous. These include improper formation of joint surfaces since youth, trauma, excessive load on the joints, metabolic disorders, surgical treatment of a joint history, etc.

Osteoarthritis of the knee progresses slowly. At an early stage, clinical signs are not pronounced or completely absent. Over time, not intense pain and / or discomfort in the knee joints appears. In the second stage of knee arthrosis, pain and discomfort are aggravated by any additional load, movements, weather changes, etc. Movement in the knee joint is limited and may be accompanied by a “crunch”. Further progression of the disease is characterized by the appearance of pain and at rest. Pain syndrome is pronounced and intense. The course changes, movements in the joints are sharply limited, discomfort is constant.

If the cause of the development of knee arthrosis was a traumatic lesion, the disease progresses faster, and the symptoms are more pronounced.

Diagnostic data provides an x-ray method of investigation and magnetic resonance imaging.

The treatment for knee arthrosis depends on the stage. But surgical, medical and physiotherapy is used for arthrosis of the knee joint. Therapy may not be aimed at treating arthrosis, but at stopping the symptoms.

Complications of arthrosis of the knee joint can be inflammatory diseases, deformities, degeneration, etc.

At the Yusupov Hospital, doctors are diagnosed and treated daily for a variety of diseases. The wide profile of the Yusupov hospital is connected with the desire to help everyone and everyone. Osteoarthritis of the knee joints is a fairly common disease, but delayed diagnosis and treatment leads to worsening of the joints and aggravation of symptoms.

For diagnosis, the Yusupov hospital has all the necessary equipment. And the treatment at the highest level is carried out in comfortable conditions. The chambers of the Yusupov hospital are single, two, three and four local. Physiotherapy for arthritis of the knee joint is carried out under the supervision of an experienced specialist, using high-quality equipment, modern simulators, etc.

Consultation with a specialist at the Yusupov Hospital will help patients understand the etiology and pathogenesis of the disease. Doctors will answer all questions and develop a patient management plan that includes diagnostic procedures, treatment tactics and management of the recovery period. Recording for consultation by phone or online is carried out around the clock.

Physiotherapy of the knee

Physiotherapy of the knee joint allows you to get a positive effect. Physiotherapy for arthritis of the knee joint is aimed at stopping the pain syndrome, achieving long-term remission, etc.

Physiotherapy methods that are used for arthrosis of the knee joint:

  • Medium-wave ultraviolet irradiation. At the site of exposure, erythema occurs. The method allows to lower the sensitivity threshold in the irradiation zone, which affects the center of pain in the brain. Sessions of medium-wave ultraviolet radiation are carried out daily or every other day.
  • Laser infrared therapy. This method allows you to reduce sensitivity, improve nutrition and blood flow, reduce stress. Sessions are held daily.
  • Ultra-high-frequency therapy of low intensity, which makes it possible to reduce pain and does not allow the process to spread to nearby tissues. This method allows you to improve the nutrition of the joint, regenerate tissue, reduces swelling.
  • High intensity centimetro wave therapy. The method allows to establish blood supply, improve the nutrition of cartilage.
  • Ultrasound therapy. Reduces the inflammatory process, improves trophism, shows an excellent regenerative effect.
  • Magnetotherapy. Reduces edema, activates the regenerative abilities of cartilage, trophism normalizes.

A course of physiotherapy for the convenience of the patient is most often carried out during a stay in a hospital.

Indications and contraindications for physiotherapy of the knee joint

Indications for physiotherapy are arthrosis of the knee joint of the 1st, 2nd, 3rd degree without exacerbation, because this type of treatment in the acute phase can cause accumulation of pus or fluid.

Physiotherapy of arthrosis of the knee joint is contraindicated in:

  • Malignant disease of any localization;
  • The active phase of tuberculosis infection;
  • The presence of epilepsy;
  • The third stage of hypertension;
  • The terminal stages of heart, liver, renal failure;
  • Hyperthermia;
  • Anorexia, etc.

In any case, before starting treatment, the patient should be examined for contraindications.

Ultrasound treatment, magnetotherapy and electrophoresis of the knee

The most common methods of physiotherapeutic treatment are ultrasound treatment, magnetotherapy and electrophoresis of the knee joint. Electrophoresis is a treatment method in which drugs act as positively charged particles and move with the participation of an electromagnetic field created between the electrodes. The passage of current promotes the penetration of a drug substance deep into the pathological area, creating a concentration of the drug there. This treatment method allows you to get an almost instant effect. The positive aspects of the use of electrophoresis are the preservation of the integrity of the skin and the effect only at the point of exposure.

Ultrasound therapy also has many positive characteristics. A feature of ultrasound is the improvement of trophism and activation of metabolism, while the joint becomes resistant to external influences. The purpose of ultrasound therapy is to preserve the disease at this stage, preventing the progression of the disease.

Magnetotherapy, as a type of physiotherapy, is increasingly used in the treatment of arthrosis of the knee joints, as it has a lot of advantages and positive effects. These include a beneficial effect on the rheological properties of blood, improving vascular tone, lymph and blood, repair is activated, etc. This type of physiotherapy can be applied locally and throughout the body.

Some physiotherapy methods can be combined, some should be carried out alternately. Physiotherapeutic treatment should be prescribed by a specialist.

The best specialists of Moscow work in the Yusupov hospital. Yusupov Hospital operates twenty-four hours a day, seven days a week. The hospital is equipped with all necessary equipment for the provision of diagnostic and treatment services at the highest level. Appointment by telephone and online.

Physiotherapy methods for the knee

The knees endure enormous loads throughout their lives, which is why they are susceptible to various degenerative diseases. For the treatment of arthritis, arthrosis and other pathologies of connective tissues, complex therapy is used, which includes taking medications, dieting and maintaining a healthy lifestyle. Physiotherapy of the knee helps to slow the destruction of cartilage and relieve pain.

UVT therapy (IVT)

During shock wave therapy, the knee joint is exposed to acoustic shock waves with supersonic frequency. This is a relatively new method of treating diseases of the musculoskeletal system, it enhances the permeability of cell membranes, stimulating the metabolism in affected tissues, and breaks down calcium deposits by a pulsed shock.

UVT effectively treats:

  • Артроз;
  • Damage to ligaments and joints;
  • Tendonitis;
  • Tendinosis;
  • Pain after joint replacement.

Oncological neoplasms, the presence of a pacemaker, problems with blood coagulation, infections and exacerbations of chronic diseases and pregnancy are contraindications for physiotherapy of the knee joint.

Pulse-wave therapy for joints is not performed for children under 18 years old, so as not to negatively affect the formation of the skeleton.

As a result of physiotherapy, small bruises, hematomas, as well as swelling and redness, may appear. This is not a contraindication for further treatment. After the first procedures, the patient feels relief of symptoms.

Therapy is carried out in a course of 5-10 procedures. First, the doctor determines the affected area by palpation, applies a special gel over the entire area for smooth and continuous transmission of waves. Depending on the initial condition of the patient, the frequency and time of exposure to the waves are adjusted, the applicator is brought to the affected part of the body, and the exposure time is turned on for 10-15 minutes.

The cost of one procedure differs in different hospitals and resorts, the average price is about 500 rubles.

SUV therapy

Medium-wave ultraviolet radiation is indicated for osteoarthritis, arthritis and gout. Physiotherapy helps to accelerate cellular metabolism and relieve pain, increase blood circulation in the affected limb.

The essence of therapy: the knee is exposed to an ultraviolet lamp from a distance of 15-20 cm, the wavelength is 280-320 nm, healthy tissues are protected with a towel, the course of treatment consists of 4-6 procedures. After irradiation, the treated area turns red for several days.

Contraindications for SUV-therapy:

  • Photodermatosis;
  • Pathology of the k >

Electrophoresis and Galvanization

This method of physiotherapy is prescribed primarily for the diagnosis of arthrosis of the knee joint. The essence of the method is simple: under the influence of an electric current, drugs are introduced into the affected tissues that relieve pain and inflammation, blood circulation improves, and joint tissues receive more useful substances with blood flow.

Indications for galvanophoresis:

The procedure is not carried out for pregnant women, with inflammation and allergies, skin diseases and a violation of the integrity of the epithelium in the area of ​​application of the electrodes. Also a contraindication is the individual intolerance of drugs for electrophoresis.

The duration of the procedure is 20-30 minutes, during which the supplied current is gradually reduced. The patient should not feel discomfort and burning in the knee.

Electrophoresis with hydrocortisone on the knee joint is used to treat arthrosis and after prosthetics of the joint.

Enzyme preparations – electrophoresis with karipazim effectively remove inflammation. The product is sold in the form of a powder, it is advisable to mix it with dimexide and apply it on the knee – this will help strengthen the effect of the drug. Treatment should be prescribed by a physiotherapist. The course of treatment of joints with current consists of 15-20 sessions.

Ultra High Frequency Therapy

This method of physiotherapy involves exposure to a diseased knee joint with an electric field. UHF therapy is used for synovitis, arthritis and arthrosis. Treatment relieves swelling, activates tissue regeneration, enhances blood flow.

Exposure to a sore joint can occur even through clothing.

Before the procedure, the patient sits on a wooden couch, stretches his legs. From two sides, a felt or felt pad 2-4 cm thick is applied to the knee and electrodes are placed on top. Then they adjust the device, focusing on the patient’s sensations — pleasant warmth should be felt. The duration of the session is 5-12 minutes, they are carried out daily for 1-2 weeks. Treatment can be combined with hormonal intra-articular injections, therefore, UHF therapy is prohibited for pregnant women, with mental disorders and low blood pressure.

Magnetotherapy

Magnetic currents have a positive effect on arthritis and arthrosis of the knee joint. During the procedure, metabolic processes are stimulated, and the destruction of connective tissue slows down. Thanks to a pleasant warming, swelling and pain go away.

Manipulations can take place at home or in a hospital. The knee joint is wrapped with a towel, and the apparatus itself is applied from above, the joint is turned on and warmed up at the required power. A session lasts 15 minutes, in total there should be 12 for the entire treatment course.

It is forbidden to carry out magnetotherapy during pregnancy, diseases of the nervous system and a pacemaker set for the patient.

Laser therapy

The positive effects of infrared radiation are noticeable in the treatment of synovitis, arthrosis, arthritis and pathological changes in the joints. When passing through the skin, the laser beam is converted into heat, due to which blood circulation and tissue regeneration are activated, the pain syndrome disappears.

The patient lies down or sits down and stretches his legs, the applicator is applied to biologically active points on the legs: they are located along the side of the knee and in the popliteal cavity. Each point is irradiated for 5 minutes, the procedure itself lasts about half an hour.

Infrared laser treatment is contraindicated in patients with diabetes mellitus, with oncology and tuberculosis. It is also forbidden to undergo the procedure for pregnant women.

For prevention, laser therapy is carried out twice a year, the course of treatment consists of 10-15 sessions.

Ultrasound Exposure

Ultrasound therapy is prescribed for patients with arthritis and arthrosis, gout, inflammation of the synovial membranes, as well as with injuries of the knee joint. After the procedure, swelling noticeably decreases, cellular metabolism is activated, due to which tissue repair is faster.

Using a special apparatus, ultrasonic waves are generated that act on the joint, causing slight vibration. The manipulation lasts only 12 minutes, 10-12 procedures are enough for a stable effect.

It is forbidden to use ultrasound therapy with low blood pressure, osteoporosis, with the deposition of stones in the kidneys and gall bladder, as well as diseases of the nervous system.

Ozokerite Applications

To alleviate the symptoms of degenerative joint diseases, ozocerite applications and compresses are performed. Ozokerite is enriched with minerals and useful trace elements, so its effect improves the nutrition of cartilage, activates blood flow, warms the knee, relieving pain.

The procedure can not be performed in the presence of inflammation in the joint bag. Thermal exposure can aggravate the patient’s condition.

Reviews

There are various reviews on knee physiotherapy. It is proved that the most effective procedures are in the complex treatment.

It has long bothered the knee, but did not pay attention until the pain became unbearable. I had to run to the doctor. After examining and taking a picture, the doctor said that I have deforming arthrosis of the 2nd degree and that treatment should be started immediately. I was prescribed a lot of pills, from which I felt better for a very short time. Then I was advised to consult a physiotherapist. He said that physiotherapy helps to stop the course of the disease and eliminate inflammation and pain. The choice fell on electrophoresis with painkillers, after the first procedure, I noticed that the discomfort became less, and after 5 sessions it completely disappeared. In total, 15 procedures were performed and for 4 months, as I forgot about the pain, soon I will have to take a course for prevention so that the knee does not suffer.

Eugene, 64 years old, Gelendzhik.

From my youth I was tormented with knees, and after 50 they generally constantly ache. As it turned out – arthritis. Due to sore legs, I could not lead a habitual life, a long walk was exhausting and frustrating. Recently, a friend of mine suggested that there are special apparatus for physiotherapy used at home. I decided to try magnetotherapy and did not regret it. Finally, the pain did not disappear, but the condition became much better. Now I can withstand longer walks with almost no discomfort.

Boris, 57 years old, Kaliningarad.

Physiotherapy for the knee joint is necessary for the complex treatment of degenerative diseases of the musculoskeletal system. There are different ways to eliminate unpleasant symptoms and slow down the processes of tissue destruction. It uses infrared, ultrasonic effects on the joint, as well as electric and magnetic currents, thermal effects – all in order to restore a person’s ability to lead an active lifestyle.

Types of physiotherapy for arthrosis of the knee: do they help and how do they go?

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 of the knee

A recognized method of treating diseases of the knee joint is physiotherapy. Various techniques have been used since ancient times, and today the latest achievements in the field of medicine make it possible to achieve recovery or alleviation of the patient’s condition as soon as possible. Physiotherapy of the knee joint is carried out based on the recommendations of the doctor.

Procedures are prescribed only during the period of remission of the disease. The doctor individually selects a method of treatment. Before physiotherapy, the patient must undergo all examinations prescribed by a specialist. On an empty stomach, procedures are not performed. The optimal time is 40 minutes after eating, and 1,5 hours before the next dose. You cannot leave the treatment room right away. The patient should rest for half an hour. We offer you to get acquainted with the most common methods of physiotherapy of the knee joint.

Medium-wave type ultraviolet irradiation is used to alleviate the patient’s condition with gout, arthrosis, rheumatoid or infectious arthritis.

  • The impact on the damaged area is carried out from a distance of 15-20 cm.
  • Using a diaper or towel, a healthy part of the leg is protected.
  • Treatment begins with the use of 5-6 biodoses of radiation. After 2 days, if the doctor permits, then the dose increases by one.
  • The course of treatment is up to 6 procedures.

Using SUF, biochemical processes in the knee joint are activated, which leads to relief of pain and improved blood supply. Please note that after 10 hours, redness may occur at the site of exposure, but it will disappear after 72 hours.

Contraindications: heart and kidney failure, liver disease, pregnancy, photodermatosis.

Electrophoresis

It is prescribed for the successful treatment of arthrosis of the deforming type, periarthritis and chronic arthritis.

  • Flange gaskets are applied to the joint area. Previously, a drug is applied to them (in extreme cases, water).
  • From above, electrodes on the plate are connected, which conduct current at a low voltage.
  • During the session, you should monitor the patient’s condition.
  • If the patient feels a strong burning sensation or tingling of the skin, an urgent need to stop the procedure.
  • During treatment, the current strength gradually decreases and disappears.
  • The course is individual – a maximum of 20 procedures.

Thanks to electrophoresis, the vessels expand, the blood flow of the joint tissue improves, and the toxins are rapidly eliminated from the body.

It is forbidden to come to electrophoresis: for purulent infectious diseases, with dermatological problems, if the integrity of the skin at the place of attachment of the plate is damaged, an allergy to the prescribed medications.

Ultra-high-frequency treatment is recommended for osteoarthritis of a deforming nature, arthritis and mild synovitis of the knee joint.

  • The affected area is affected by electric field pulses, which have an oscillation frequency of 20,12 or 40,68 MHz.
  • The patient sits on a wooden bed and extends his limbs forward.
  • Two electrodes are attached to the sides of the knee.
  • Be sure to leave a gap of up to 4 cm between the plate and the skin. Felt or felt (perforated) is placed in this place.
  • The dose is selected, guided by the sensations of the patient.
  • The session lasts up to 12 minutes.
  • A course of 8-12 manipulations.

As a result, the patient is swollen, the regenerative processes in the joint are accelerated, and the blood supply to the affected area also improves. The use of UHF leads to remission, which lasts several years.

Contraindications: mental problems, the period of bearing a child, low blood pressure.

Centimeter microwave

Specialists prescribe for arthritis, injuries, rupture of ligaments and osteoarthritis.

  • An electromagnetic field affects the knee joint, the wave has a length of 12,6 cm.
  • The patient is placed on the couch and stretches his legs forward.
  • Use a hospital or portable device.
  • If the session is conducted in a hospital office, the distance between the skin and the emitter should be from 5 to 7 cm. In the case of using a portable device, the sensor is attached to the joint.
  • The dosage is adjusted based on the patient’s feelings.
  • Duration up to 20 minutes.
  • Physiotherapy consists of 12-15 procedures. If the doctor insists, then the treatment is repeated every 3 months.

The thermal effect allows you to increase blood circulation in the knee joint, which leads to the removal of edema and the inflammatory process quickly passes. It is forbidden to carry out treatment in any trimester of pregnancy, and if the current causes an allergy in the patient.

Infrared

Infrared laser treatment

Laser therapy is prescribed for synovitis, arthrosis, arthritis, bruises, pathological processes in tendons and injuries.

  • Clothes are removed from the legs.
  • The patient lies down or sits on the couch, his legs should lie flat.
  • A laser applicator is applied to special points.
  • Irradiated 1 point of the order of 5 minutes.
  • The session lasts half an hour. In order for the treatment to give a result, 15 procedures should be performed.

After the session, blood circulation increases, pain is eliminated and metabolism improves. As a result, the regeneration process is enhanced several times.

Inductothermy

It is prescribed to stimulate recovery processes in the joint after injuries and with such diagnoses as arthritis and arthrosis.

  • The knee is wrapped in a terry sheet or towel. Thickness should be 1,5 cm.
  • 3 turns of cable are wound on top.
  • Power is adjusted based on the well-being of the patient.
  • During the session, deep warmth is felt.
  • This treatment lasts 15 minutes.
  • The course of therapy is 12 days.

Magnetic currents improve metabolism in the knee joint and stop pathological changes in the cartilage. Local heating of the affected area leads to the removal of pain and eliminates edema.

Physiotherapy is prohibited: if the patient has a pacemaker, while bearing a child, with chronic diseases of the nervous system, if intolerance to electricity is detected.

Ultrasound

Indications for the appointment of ultrasound therapy are traumatic arthrosis, arthritis, gout, trauma, synovitis or sprain.

  • A special healing gel is applied.
  • Ultrasound is pressed to the affected knee.
  • Circular movements are made.
  • The patient feels vibration in the joint.
  • The session lasts 12 minutes.
  • For treatment, 12 procedures are required.

As a result, biochemical processes in the joint improve, metabolism is accelerated and edema decreases.

Contraindications: cholelithiasis and urolithiasis, low blood pressure, chronic diseases of the nervous system, osteoporosis.

Arthrosis of the knee

Osteoarthritis of the knee joint is a non-inflammatory lesion of the joints, which is characterized by cartilage pathology, deformation and a decrease in the range of motion in the affected joint. The disease can be symmetrical or one-sided.

More often the disease is diagnosed in women after forty years. The causes of arthrosis of the knee joint are numerous. These include improper formation of joint surfaces since youth, trauma, excessive load on the joints, metabolic disorders, surgical treatment of a joint history, etc.

Osteoarthritis of the knee progresses slowly. At an early stage, clinical signs are not pronounced or completely absent. Over time, not intense pain and / or discomfort in the knee joints appears. In the second stage of knee arthrosis, pain and discomfort are aggravated by any additional load, movements, weather changes, etc. Movement in the knee joint is limited and may be accompanied by a “crunch”. Further progression of the disease is characterized by the appearance of pain and at rest. Pain syndrome is pronounced and intense. The course changes, movements in the joints are sharply limited, discomfort is constant.

If the cause of the development of knee arthrosis was a traumatic lesion, the disease progresses faster, and the symptoms are more pronounced.

Diagnostic data provides an x-ray method of investigation and magnetic resonance imaging.

The treatment for knee arthrosis depends on the stage. But surgical, medical and physiotherapy is used for arthrosis of the knee joint. Therapy may not be aimed at treating arthrosis, but at stopping the symptoms.

Complications of arthrosis of the knee joint can be inflammatory diseases, deformities, degeneration, etc.

At the Yusupov Hospital, doctors are diagnosed and treated daily for a variety of diseases. The wide profile of the Yusupov hospital is connected with the desire to help everyone and everyone. Osteoarthritis of the knee joints is a fairly common disease, but delayed diagnosis and treatment leads to worsening of the joints and aggravation of symptoms.

For diagnosis, the Yusupov hospital has all the necessary equipment. And the treatment at the highest level is carried out in comfortable conditions. The chambers of the Yusupov hospital are single, two, three and four local. Physiotherapy for arthritis of the knee joint is carried out under the supervision of an experienced specialist, using high-quality equipment, modern simulators, etc.

Consultation with a specialist at the Yusupov Hospital will help patients understand the etiology and pathogenesis of the disease. Doctors will answer all questions and develop a patient management plan that includes diagnostic procedures, treatment tactics and management of the recovery period. Recording for consultation by phone or online is carried out around the clock.

Physiotherapy of the knee

Physiotherapy of the knee joint allows you to get a positive effect. Physiotherapy for arthritis of the knee joint is aimed at stopping the pain syndrome, achieving long-term remission, etc.

Physiotherapy methods that are used for arthrosis of the knee joint:

  • Medium-wave ultraviolet irradiation. At the site of exposure, erythema occurs. The method allows to lower the sensitivity threshold in the irradiation zone, which affects the center of pain in the brain. Sessions of medium-wave ultraviolet radiation are carried out daily or every other day.
  • Laser infrared therapy. This method allows you to reduce sensitivity, improve nutrition and blood flow, reduce stress. Sessions are held daily.
  • Ultra-high-frequency therapy of low intensity, which makes it possible to reduce pain and does not allow the process to spread to nearby tissues. This method allows you to improve the nutrition of the joint, regenerate tissue, reduces swelling.
  • High intensity centimetro wave therapy. The method allows to establish blood supply, improve the nutrition of cartilage.
  • Ultrasound therapy. Reduces the inflammatory process, improves trophism, shows an excellent regenerative effect.
  • Magnetotherapy. Reduces edema, activates the regenerative abilities of cartilage, trophism normalizes.

A course of physiotherapy for the convenience of the patient is most often carried out during a stay in a hospital.

Indications and contraindications for physiotherapy of the knee joint

Indications for physiotherapy are arthrosis of the knee joint of the 1st, 2nd, 3rd degree without exacerbation, because this type of treatment in the acute phase can cause accumulation of pus or fluid.

Physiotherapy of arthrosis of the knee joint is contraindicated in:

  • Malignant disease of any localization;
  • The active phase of tuberculosis infection;
  • The presence of epilepsy;
  • The third stage of hypertension;
  • The terminal stages of heart, liver, renal failure;
  • Hyperthermia;
  • Anorexia, etc.

In any case, before starting treatment, the patient should be examined for contraindications.

Ultrasound treatment, magnetotherapy and electrophoresis of the knee

The most common methods of physiotherapeutic treatment are ultrasound treatment, magnetotherapy and electrophoresis of the knee joint. Electrophoresis is a treatment method in which drugs act as positively charged particles and move with the participation of an electromagnetic field created between the electrodes. The passage of current promotes the penetration of a drug substance deep into the pathological area, creating a concentration of the drug there. This treatment method allows you to get an almost instant effect. The positive aspects of the use of electrophoresis are the preservation of the integrity of the skin and the effect only at the point of exposure.

Ultrasound therapy also has many positive characteristics. A feature of ultrasound is the improvement of trophism and activation of metabolism, while the joint becomes resistant to external influences. The purpose of ultrasound therapy is to preserve the disease at this stage, preventing the progression of the disease.

Magnetotherapy, as a type of physiotherapy, is increasingly used in the treatment of arthrosis of the knee joints, as it has a lot of advantages and positive effects. These include a beneficial effect on the rheological properties of blood, improving vascular tone, lymph and blood, repair is activated, etc. This type of physiotherapy can be applied locally and throughout the body.

Some physiotherapy methods can be combined, some should be carried out alternately. Physiotherapeutic treatment should be prescribed by a specialist.

The best specialists of Moscow work in the Yusupov hospital. Yusupov Hospital operates twenty-four hours a day, seven days a week. The hospital is equipped with all necessary equipment for the provision of diagnostic and treatment services at the highest level. Appointment by telephone and online.

Physiotherapy for knee gonarthrosis

One of the main methods of treating knee gonarthrosis is physiotherapy. Procedures are prescribed both in the form of independent methods of getting rid of the disease, and in combination with other methods of conservative treatment, for example, massage and medications. Manipulations can improve blood circulation in the affected joint, restore its former mobility.

What is physiotherapy good for?

Physiotherapy during gonarthrosis of the knee joint perfectly complements drug therapy, makes it possible to prevent exacerbation of the disease in the chronic stage. Doctors say that after the procedure does not occur any side effects. Thanks to the manipulations, it is possible to normalize metabolic processes, improve blood circulation, and get rid of swelling and swelling. In addition, since arthrosis of the knee joint causes severe pain, physiotherapy makes it possible to stop the pain syndrome. Procedures allow you to eliminate crunch in the knee, restore the structure of damaged surfaces of the joints. In the process of manipulation, the mobility of the affected limb improves, its functioning is restored.

Before prescribing physiotherapeutic manipulations, the patient is sent for examinations that show a complete picture of the work of organs and systems. This is done in order to diagnose possible pathologies that are contraindications to physiotherapeutic procedures, and can also cause a general deterioration in health.

When not appointed?

Physiotherapeutic procedures are not used if the following conditions are found in a patient suffering from gonarthrosis:

  • tuberculosis,
  • pregnancy,
  • lactation period
  • cancers
  • diseases of the blood forming organs,
  • purulent lesions of the skin,
  • bleeding disorder,
  • diseases of the cardiovascular system,
  • atherosclerosis,
  • persistent increase in blood pressure,
  • colds, during which body temperature rises,
  • severe illnesses of the central nervous system,
  • epilepsy.

Physiotherapy methods for knee gonarthrosis

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

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Mud therapy

The technique is based on accelerating the restoration of a damaged joint due to gonarthrosis. Before proceeding with the manipulation, the patient is laid on his back, after which therapeutic mud is applied to the knee. From above, the limb is wrapped with polyethylene and insulated with a blanket or a warm cloth. After half an hour, a person will need to take a shower, and then remain at rest for 30 minutes.

Mud therapy does not give results immediately; improvement is mainly observed after 15 sessions of the technique.

Laser therapy

In the process of manipulation, the affected knee joint is affected by a laser beam. This technique favorably affects the restoration of damaged tissues. If a high-frequency laser apparatus is used, then it is possible to save the patient from pain, reduce the sensitivity of the limbs. The number of procedures and their duration is set for each individual patient individually. In this case, the physician takes into account the characteristics of the human body and the severity of the course of gonarthrosis.

Magnetotherapy

With arthrosis of the 2nd degree, this procedure improves vascular tone and speeds up the process of repairing a damaged joint. In addition, with the help of magnetotherapy it is possible to improve metabolism. During the manipulation, they resort to the help of special magnetic devices that many medical institutions are equipped with. A noticeable improvement is observed after at least 15 procedures of magnetotherapy.

Cryotherapy

This technique, in comparison with the others, is quite new. Its essence lies in the fact that during the procedure the affected knee joint is affected with the help of cold gas, which eliminates the inflammatory process. In the process of manipulation, pain receptors are blocked and muscle tone decreases, due to which the lower extremity is relieved of spasms.

Ultra High Frequency Inductothermy (UHF)

A high-frequency electromagnetic field acts on the affected limb, which has a high frequency of electromagnetic waves. In the process of manipulating the patient sit on the couch and stretch their legs. Special electrodes that supply current are attached to the affected joint. It should be noted that the procedure practically does not cause pain. With the help of UHF-therapy, it is possible to improve tissue regeneration, to stop the pain syndrome.

Ozokerite therapy

Ozokerite is a component that contains a large amount of mineral oils. They have a beneficial effect on the affected joint, which affected gonarthrosis. This substance is used in various compresses, as well as applications that are applied to the knee joint. The tool has a warming property, and can reduce pain.

Electrophoresis

The technique of this physiotherapy is the introduction of drugs into the subcutaneous integument. For these purposes, an electric current is used, which makes it easy to introduce pharmaceuticals into the affected knee joint. The main advantage of electrophoresis is that after the 10th session, patients note an improvement in knee functioning and a decrease in pain. Mostly, at least 20 procedures are required.

Healing baths

If the patient is diagnosed with gonarthrosis of the knee joint, he is prescribed radon or hydrogen sulfide baths. In this case, the procedure can be used both in the initial stages of the course of the disease, and in quite neglected ones. Manipulations make it possible to get rid of inflammatory processes and improve the regeneration of the affected knee joint. The patient will need to visit at least 10 procedures.

Shishkevich Vladimir

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

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