Polyosteoarthritis what is it

Polyosteoarthrosis of the joints (a type of arthrosis) gives a person many inconveniences and a deterioration in the quality of life. Severe pain and loss of ability to move normally leads to limited opportunities.

The initial stages of polyosteoarthrosis can be cured, but early diagnosis is complicated by the smoothness of symptoms. An active lifestyle and proper nutrition will be enough to prevent a disease leading to loss of joint function.

The ability to stay functional and maintain the joy of movement for many years depends on the health of the joints. Unfortunately, after a fifty-year age limit, most people begin to have degenerative changes in the cartilage and bone tissue. Mobile joints of bones, which provide human movement, begin to break down with the development of various pathologies.

Polyosteoarthrosis is an ailment that develops simultaneously in several articular capsules. The process captures every component of the joint, changing the composition and structure of cartilage cells, connective and bone tissue. The fluid contained in the joint thickens and loses its functions, leading to the loss of the ability to reproduce the movement of patients.

The content of the article
  1. Pathogenesis of the disease
  2. Why does multiple joint damage appear?
  3. How is polyosteoarthrosis manifested?
  4. Diagnosis of polyosteoarthrosis
  5. Therapeutic methods
  6. Therapeutic exercise
  7. What is polyosteoarthrosis?
  8. Why does it arise?
  9. Types of joint polyosteoarthrosis
  10. How to recognize: main symptoms
  11. How is the diagnosis?
  12. How to treat?
  13. Effective drugs
  14. Physiotherapeutic measures
  15. Exercise therapy: recovery exercises
  16. How important is diet?
  17. Treatment with folk remedies
  18. Operational methods
  19. Forecasts and Prevention
  20. Polyosteoarthrosis: course of the disease and treatment principles
  21. What is dangerous polyosteoarthrosis
  22. The reasons for the development of polyosteoarthrosis are as follows:
  23. Typical signs of multiple osteoarthritis
  24. Varieties of polyosteoarthrosis
  25. Manifestations of polyosteoarthrosis
  26. Key Treatment Approaches
  27. As agents that facilitate the course of polyosteoarthrosis, apply:
  28. Polyosteoarthrosis. Treatment of polyosteoarthrosis
  29. The physico-chemical properties of cartilage can also change as a result of the following diseases:
  30. The main clinical manifestations of the disease:
  31. Medication
  32. Non-drug treatment
  33. Polyosteoarthrosis: what is it? Reasons, treatment, diagnosis
  34. Pathogenesis of the disease
  35. Why does multiple joint damage appear?
  36. How is polyosteoarthrosis manifested?
  37. Diagnosis of polyosteoarthrosis
  38. Therapeutic methods
  39. Therapeutic exercise
  40. Polyosteoarthrosis. Treatment of polyosteoarthrosis
  41. The physico-chemical properties of cartilage can also change as a result of the following diseases:
  42. The main clinical manifestations of the disease:
  43. Medication
  44. Non-drug treatment

Pathogenesis of the disease

For the joints to function optimally, sufficient production of collagen and other chemical compounds is necessary. Due to age or with concomitant diseases, a person has a disturbance in the nutrition of joint cells, after which polyosteoarthrosis and pathological changes begin to develop.

The articular cartilage, which is a natural shock absorber, loses elasticity and ceases to synthesize cartilage cells to make up for the thinned structure. Such a process may not manifest itself for a long time with severe symptoms in most cases.

Later, when the cartilaginous layer becomes very thin, polyosteoarthrosis spreads to the bones included in the diseased joint. The periosteum thickens and becomes thicker, gradually closing the lumen of the joint space.

Deformation and the appearance of single bone growths occur. At this stage, a person has a characteristic sound of a crunch in the joint during movement and painful sensations during movement.

The synovial fluid changes its composition, becomes more viscous and can no longer cope adequately with its functions, causing inflammation of the synovial membranes. A protracted course leads to severe deformity, contracture or complete immobilization, which threatens disability.

Polyostearthrosis of the joints is complicated by multiple joint damage. With the development of the disease, the whole limb can be “turned off” from work. In case of a disease of one joint, neighboring joints take on the fulfillment of its load, compensating for the link’s inoperability.

The development of polyosteoarthrosis in a number of joints causes greater suffering to the patient, causing additional complications from the musculoskeletal system.

Why does multiple joint damage appear?

Modern medicine cannot give an exact answer to the question of the occurrence of osteoarthrosis in several joints simultaneously. Especially common are lesions of the small joints of the hands or feet. The combination of several unfavorable factors leads to the development of pathology.

The main causes of polyosteoarthrosis of the joints:

  1. Dystrophic processes in the joints begin when the chemical-biological reactions in the body are violated when a person reaches the age of over forty. During this life period, motor activity decreases, sufficient production of collagen stops, and self-healing processes slow down. The joints cease to receive in sufficient quantities the necessary trace elements and nutrients, as a result of which metamorphic changes begin, leading to the development of multiple joint damage.
  2. Genetic congestion, passed on to subsequent generations, plays an important role in the appearance of polyosteoarthrosis. In people with a similar heredity, under the influence of additional external factors, pathological processes start instantly.
  3. Improper nutrition, which leads to metabolic disorders, contributes to the onset of the disease. Failure in metabolic reactions leads to disruption of water-salt metabolism, which in turn triggers processes that act destructively in the connective tissue of which the cartilage consists.
  4. An unbalanced diet, as well as excessive enthusiasm for junk food, fatty and salty foods, is a harbinger of the occurrence of extra pounds for a lover of junk food. Large body weight creates an additional load on the joints, which they are not designed for.
  5. Mechanical damage after extensive injuries involving the entire hand, foot or limb.
  6. The lifestyle in which a person predominantly sits, moves a little, causes stagnation, in which the joints do not receive enough nutrition.
  7. Increased physical activity in professional athletes or workers whose work is associated with heavy loads on the joints.
  8. Internal secretion diseases: diabetes mellitus, thyroid pathology and others. Disruption in the production of hormones invariably leads to a malfunction in natural processes, which are one of the links in ensuring normal functioning.

How is polyosteoarthrosis manifested?

The initial stages of the disease may not bother the patient. The transition of the process to subsequent stages makes itself felt by the gradual development of severe symptoms. In this regard, a person goes to the doctor already when the destructive processes of polyosteoarthrosis are started and lead to irreversible changes that can only be stopped, but not completely cured.

Manifestations characteristic of the defeat of several joints:

  • when moving, a feeling of pain appears, intensifying with increasing load;
  • pain is temporary and stops after a good rest;
  • the sound of a crunch appears in diseased joints with a narrowing of the joint gap after overgrowth of bone tissue;
  • the range of motion is limited, a person cannot take full advantage of the capabilities of the joint;
  • lame gait appears;
  • visual inspection shows slight deformation.

Polyosteoarthrosis of the joints in most cases is accompanied by inflammatory processes in the joint capsule:

  • swelling of the skin over the affected area;
  • redness and local temperature increase;
  • the pain intensifies and takes a pulsating character;
  • severe cases are accompanied by febrile events, which require close attention when prescribing treatment.

Diagnosis of polyosteoarthrosis

An accurate diagnosis for the appointment of effective medical procedures can only be made by a qualified specialist after a series of examinations:

  • visual inspection and medical history;
  • X-ray examination of the joints;
  • computed tomography will provide an opportunity to create the correct picture of the disease;
  • magnetic resonance method;
  • arthroscopy will examine the internal changes in the capsule;
  • biochemical study of synovial fluid.

Therapeutic methods

To treat joint polyosteoarthrosis is a complex of medical procedures that are prescribed by the attending doctor. Not going to the doctor and self-medication leads to sad consequences that cannot be fixed.

Conservative methods for the treatment of polyosteoarthrosis include:

  1. The appointment of non-steroidal anti-inflammatory drugs (Diclofenac, Ibuprofen, Ketoprofen) relieves inflammation and has an analgesic effect.
  2. A corticosteroid pharmacological group is used to eliminate pain and inflammation, the drug is administered directly into the joint: Diprospan, Hydrocortisone.
  3. Chondroprotectors are designed to compensate for the missing elements, thereby stopping the pathological process of destruction with regular use: Don, Teraflex, Arthra.
  4. Intra-articular administration of hyalouranic acid preparations (Fermatron, Alfluton) perfectly supports the joint in a healthy state.

At the last stages of the disease, surgical treatment is carried out with the help of articular endoprosthetics. This method is carried out when changes in the joint have reached a maximum.

Physiotherapeutic procedures are an integral part of the treatment process for joint polyosteoarthrosis:

  • magnetotherapy is prescribed in courses in the absence of contraindications;
  • electric shock treatment;
  • massage;
  • mud baths and paraffin baths;
  • the use of orthopedic products to alleviate the condition of the patient;
  • restriction of the use of food products that can lead to a worsening of condition: salty and spicy dishes, fatty fish and meat, legumes, alcoholic drinks.

Therapeutic exercise

Begin classes in therapeutic therapeutic exercises for polyosteoarthrosis should only be with a physiotherapist. There are many sets of exercises aimed at improving the condition of certain joints. The selection of exercises, the determination of the load and the scheme of classes should be carried out by a specialist.

It is important to remember that it is possible to conduct physical therapy sessions only during a period of persistent remission. To achieve an optimal result, classes should be regular with the correct load distribution. An experienced instructor will teach you the correct technique and will follow the general recommendations to avoid deterioration.

From the foregoing, we can conclude that you should always listen to the alarming signals of your joints, especially with polyosteoarthrosis. If discomfort occurs, consult a doctor for diagnosis and subsequent measures to combat the disease. Self-medication is a crime against one’s own health, as wrong actions will lead to a disabled status.

What is polyosteoarthrosis?

Chronic joint diseases of the hands include polyosteoarthrosis of the joints. In violation, degenerative and dystrophic processes in the structures of the movable joints are noted. Deviation manifests itself gradually and differs in various symptoms depending on the form of the disease. At first, cartilage tissue is damaged, then bones.

If polyosteoarthrosis is not diagnosed in time and treatment is not started, complications and disability arise.

Why does it arise?

Multiple osteoarthritis is manifested by damage to several joints at once. Doctors still have not been able to identify the sources of the pathological disorder. To a greater extent, it is considered to be the cause of the disease increased physical stress on the joints. There are such factors that influence the development of polyosteoarthrosis:

  • physically hard work
  • age-related changes in which joints and cartilage weaken,
  • postclimatic period
  • genetic factor
  • injury
  • arthritis and arthrosis of various types,
  • impaired metabolism in mobile joints and cartilage,
  • diabetes.

Types of joint polyosteoarthrosis

The patient may develop primary or secondary polyosteoarthrosis of the fingers. The first form is associated with increased physical stress on the joints. With a secondary disorder, the disease manifests itself against the background of pathologies with the endocrine or vascular system. The non-nodular and nodular form also stands out. In each patient, polyosteoarthrosis occurs with varying degrees of severity of symptoms, which depends on the variety:

  • Manifest:
    • fast progressing
    • slowly developing.
  • Unsymptomatic.

Degenerative-dystrophic processes affect the joints of the hands, feet, or spine. It is also customary to classify polyosteoarthrosis at the developmental stage, which are presented in the table:

СтепеньНаличие остеофитовСостояние суставной щели
IЕдиничныеНезначительно уменьшена
IIMultipleSignificant decrease
IIINo

How to recognize: main symptoms

Each stage of polyosteoarthrosis is characterized by special clinical signs. If the joints of the foot or other movable joints are damaged, the patient feels severe pain and functional insufficiency of the joints (FTS). Often there is a generalized form in which several large and small joints are damaged at once. In the early stages, polyosteoarthrosis may not show any symptoms. A person can suspect a disease by 2 degrees, when such violations occur:

  • pain attacks, aggravated by physical exertion or in the evening,
  • stiffness in the joints in the morning,
  • deformation processes in which nodules or bumps appear on the arms or legs,
  • impaired motor function,
  • redness and swelling in the affected area,
  • the formation of Bushar nodes in the joints of the middle and main phalanx,
  • Heberden nodules located on the back of the movable joints of the brush,
  • inability to perform minor movements of a damaged upper limb.

If knees are damaged during polyosteoarthrosis, the person is not able to walk for a long time, and he has pain with prolonged standing.

How is the diagnosis?

The doctor can detect polyosteoarthrosis by pathological manifestations and the appearance of the affected area. But in order to confirm the diagnosis, the following diagnostic procedures are performed:

  • Laboratory tests, including urine and blood analysis. Thanks to the results, it is possible to identify an inflammatory reaction and to exclude the autoimmune origin of polyosteoarthrosis.
  • Roentgenography. It is the main examination method by which the severity of the disease is established and the degree of joint damage is determined.
  • CT and MRI. Additional diagnostic procedures required for difficulties in diagnosis.
  • Puncture of synovial fluid. Manipulation eliminates the infectious nature of the disease.
  • Diagnostics by ultrasound. It is considered a subjective diagnostic method that is affordable and inexpensive.

How to treat?

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

I have been treating joints for many years. I can say with confidence that the joints are always treatable, even in the very ripe old age.

Hondrostrong is an innovative drug that is created to combat joint diseases. It helps with arthritis, arthrosis and other diseases. Thanks to the use of cream, joint mobility quickly returns. Damaged cartilage tissue is regenerated, which prevents the further development of the problem.

Hondrostrong gel for joints

Our medical center was the first to receive certified access to the latest drug for osteochondrosis and joint pain - Hondrostrong. I confess to you when I heard about it for the first time, I just laughed, because I did not believe in its high efficiency.

But I was amazed when we completed testing: 4567 people were completely cured of diseases of the organs of the musculoskeletal system, and this is more than 94% of all subjects. 5.6% felt significant improvement, and only 0.4% did not notice any improvement.

Hondrostrong cream allows you to forget about back and joint pain in the shortest possible time, literally from 4 days, and even very difficult cases can be cured within a couple of months. In addition, the manufacturer of this product is now offering a 50% discount of the full cost of Hondrostrong cream.

Effective drugs

Comprehensive treatment of polyosteoarthrosis includes the use of drugs with different effects. Pharmacy drugs act locally and systemically, eliminating pain attacks, an inflammatory reaction, improving blood flow in the affected area. The table shows the popular medicines:

Лекарственная группаНаименование
NSAIDsIbuprofen
Diclofenac
“Indomethacin”
“Nimesulide”
Selective painkillersMeloxicam
Celecoxib
Chondroprotective drugsChondroitin Sulfate
hyaluronic acid

Physiotherapeutic measures

Polyosteoarthrosis of the knee joint is treated through physiotherapy. Such manipulations improve blood circulation in the damaged area, stimulate the flow of nutritious and medicinal drugs to diseased joints. Physiotherapeutic manipulations also normalize the metabolism in tissues and remove toxins and cell breakdown products from the body. With polyosteoarthrosis, the doctor prescribes such procedures:

  • electrophoresis
  • magnetic therapy
  • UHF therapy
  • warming the movable joints,
  • local cryotherapy
  • phonophoresis
  • myostimulation.

Exercise therapy: recovery exercises

Gymnastics is prescribed by a doctor in those cases when the exacerbation of polyosteoarthrosis is eliminated and unpleasant symptoms are stopped.

A set of exercises is assigned to each patient individually and depends on the severity of the disease. Exercise therapy strengthens the muscles and ligaments in the damaged area. Thanks to gymnastics, it is possible to restore motor activity and speed up the recovery process. At first, exercise therapy is performed under medical supervision and with care so as not to provoke complications. In the future, the intensity of the exercises and the amplitude of the movements are increased.

How important is diet?

Patients with primary or secondary polyosteoarthrosis need to follow a special diet that helps to improve the well-being of the patient. Diet is especially necessary for damage to the ankle, hip, or knee joint. First of all, it is important to reduce weight, as a result of which the load on the movable joints will decrease. It is required to add fruits, vegetables, jellied meat and other products containing collagen to the daily diet. The diet for polyosteoarthrosis excludes the use of such products:

  • meat and fish of fatty varieties,
  • sugar and any sweets
  • egg yolks
  • smoked meats and pickled products.

Treatment with folk remedies

It is possible to cope with the symptoms of polyosteoarthrosis with alternative medicine, which is agreed with the doctor. It is important to understand that alternative drugs provide temporary relief and do not affect the cause of polyosteoarthrosis. Popular recipes:

  • Propolis + alcohol. The components are taken in a ratio of 1: 3, mixed and infused for a week. Then use the medicine for the raster.
  • Garlic + honey + alcohol. The products are taken at the rate of 70 g: 50 g: 100 ml. To prepare the tincture, the products are mixed and left in a dark room for 8 days. Then used for compresses.
  • Birch buds. Pour 200 g of the main component with a half liter of alcohol, let stand for 3 weeks. Use orally before meals and topically.
  • Burdock root. Tincture is made on the basis of vodka for a month. The finished medicine is rubbed into the damaged joints.

Operational methods

Running polyosteoarthrosis is treated surgically. Surgery is required in the absence of conservative treatment results. Surgery involves the removal of deformation in the internal articular part. Often, the surgeon establishes an individual prosthesis at the site of the damaged joint. In extreme cases of polyosteoarthrosis, arthrodesis is performed, in which they create immobility in the joint.

Forecasts and Prevention

Running a disease can lead to serious complications and disability. With timely diagnosis, the chances of a cure are favorable. It is possible to prevent polyosteoarthrosis by performing daily simple exercises and taking food additives. It is recommended to consume more products with collagen and often walk in the fresh air.

Polyosteoarthrosis: course of the disease and treatment principles

Official medical terminology often replaces this diagnosis with a more familiar one – polyarthrosis. The essence of this does not change: we are talking about a chronic degenerative-dystrophic disease of the joint system, in which several, from three or more sites, are affected at once. The lack of adequate treatment leads to the rapid progression of the disease and disability.

What is dangerous polyosteoarthrosis

Multiple joint lesions indicate serious disorders in the body. As a rule, the disease develops against the background of other pathological conditions, and does not become the result of accidental trauma, therefore the prognoses are always less favorable than with localized osteoarthritis of the elbow, knee or hip joint.

Among the most common complications is limitation of mobility of the limbs and spinal column. If the disease is not treated at all, the joints wear out to such an extent that each movement brings incredible pain. And since there are multiple lesions, one step remains before disability.

The reasons for the development of polyosteoarthrosis are as follows:

  • hereditary changes in cartilage tissue, which loses elasticity, strength and ceases to withstand dynamic loads;
  • weakness of the ligamentous-muscular apparatus;
  • diabetes;
  • metabolic disorders;
  • diseases of the thyroid, parathyroid and other endocrine glands.

The provoking factors are old age (polyosteoarthrosis develops, usually after 50 years), excessive load on the joints, especially with a sedentary lifestyle. Bad habits and overweight also put a person at risk. Injuries can accelerate the deformation of cartilage, but in this case they are more likely not the main, but the provoking factor.

Polyosteoarthrosis of the fingers is transmitted in some families from generation to generation

Typical signs of multiple osteoarthritis

Regardless of the location of the affected joint, the disease makes itself felt by such symptoms:

  • stiffness in movements;
  • difficulty mobility after sleep (passes within half an hour);
  • pain in the affected joints – first after physical exertion, and then at rest;
  • change in the shape of the joints.

In rare cases, the patient does not even think about the treatment of osteoarthritis, since the symptoms are greatly smoothed out or completely absent. However, over time, the disease, alas, progresses.

Is any joint disease an arthrosis? Can osteoarthritis be cured quickly? Are chondroprotectors effective in the treatment of polyosteoarthrosis? Have I recovered from arthrosis if the pain is gone? A well-known rheumatologist answers these and other questions:

Varieties of polyosteoarthrosis

Depending on the visual condition of the joints, the disease can take the following forms:

  • knotless;
  • nodular (with thickenings on small joints – Bushar or Geberden nodules).

Depending on the nature of the course of the disease, they are classified as follows:

  • malosymptomatic form – characteristic of young patients, rarely accompanied by severe pain, instead of which there are cramps in the calves and nodules on the upper phalanges of the fingers;
  • manifest form.

With the manifest form, the disease progresses slowly or quickly. In the first case, a person may not pay attention to the symptoms for more than five years, after which moderate pain appears – on the weather, when moving, “starting”. Rapidly progressive multiple osteoarthritis is characteristic of young people. There is a rapid defeat of several articular groups with limited movement, muscle atrophy and neurological complications.

In old age, multiple osteoarthritis does not progress as fast as in young

Manifestations of polyosteoarthrosis

The classical treatment of arthrosis is not always suitable with such a diagnosis, since the disease has specific manifestations:

  • with generalized arthrosis, three or more joints are affected, most often symmetrical (knee, hip, interphalangeal), Heberden’s nodules are noticeable;
  • with lesions of the intervertebral joints, pain occurs in different parts of the spine, but secondary symptoms are also possible – dizziness, visual impairment, migraine, indicating compression of the branches of the vertebral artery;
  • if polyosteoarthrosis is accompanied by spondylosis of the lumbar and cervical regions with the growth of osteophytes and degenerative changes in the tissues of the cartilage, numbness of the extremities, “intermittent” lameness, tinnitus and other unpleasant symptoms are possible;
  • sometimes multiple osteoarthritis develops along with periarthritis or tendovaginitis – inflammation of the tissues, swelling of tendons and capsules.

All this rich symptomatology complicates not only the diagnosis of the disease, but also its treatment.

Polyosteoarthrosis may be accompanied by the most unexpected symptoms.

Key Treatment Approaches

It is impossible to diagnose the disease only by clinical examination. We need laboratory tests and an x-ray of the affected joints. Therapy is aimed at reducing the intensity of degenerative processes in the cartilage, restoring the functioning of the affected joints, and relieving pain and inflammation.

  • chondroprotectors – to restore cartilage;
  • anti-inflammatory drugs – non-steroidal and corticosteroids intracapsular;
  • drugs to improve blood circulation.

If the focus of the disease is determined, synovial fluid can be restored by intra-articular injections of Noltrex, a synthetic drug with a prolonged effect. The tool is a liquid endoprosthesis that is well tolerated by the body, does not cause rejection, allergic reactions or infections. After two to three injections with an interval of a week, the damaged joint acquires normal biomechanics, which lasts for a year or longer.

Intra-articular injections quickly restore the biomechanics of a single joint

As agents that facilitate the course of polyosteoarthrosis, apply:

  • physiotherapeutic procedures – to relieve edema, stimulate blood circulation and metabolism, accelerate regeneration;
  • manual therapy – to reduce pain;
  • acupuncture – to restore mobility;
  • other rehabilitation measures (exercise therapy, massage, orthopedic treatment, etc.).

A component of treatment is a proper diet and giving up bad habits

With a timely approach, even such a complex disease as polyosteoarthrosis can be controlled. The disease begins with pain in the spine and hands, and is manifested by the deformation of one of the large joints – the knee or hip. Therefore, do not disregard any pain symptoms or attribute them to physical fatigue every day. It is impossible to completely cure arthrosis, and when it comes to multiple lesions, the future is at stake. Be vigilant and attentive, first of all, to yourself – then the disease will not have a single chance!

Polyosteoarthrosis. Treatment of polyosteoarthrosis

Osteoarthrosis is a degenerative joint disease, at the initial stage of which primary degeneration of the articular cartilage occurs. In the future, the disease is accompanied by changes in the articular surfaces, the development of regional osteophytes begins. In the absence of proper treatment, the disease can lead to joint deformation.

According to studies, osteoarthrosis is the most common form of joint pathology. Rheumatologists from the USA and Europe in 2013 stated that 70% of rheumatic diseases are attributable to osteoarthritis. Multiple joint lesions or polyosteoarthrosis were detected in a certain percentage. Medical practice shows that there are more and more cases of polyosteoarthrosis every year.

One of the main reasons for the development of the disease, doctors call excessive mechanical stress, which does not correspond to the ability of the articular surface of the cartilage to resist the effects exerted on it. Ultimately, a mismatch in mechanical loading can lead first to degenerative damage, and then to cartilage destruction.

A common cause of osteoarthritis is also a violation of the acceptable congruence of the articular surfaces of healthy cartilage. In this case, the load is not distributed evenly over the entire area of ​​the cartilage. The maximum convergence of articular surfaces occurs in a small area. It is at this point that the cartilage begins to degenerate.

It also happens that due to injuries, concussions, impaired subchondral circulation, a change in the physicochemical properties of cartilage tissue occurs. For this reason, even under normal load, the cartilage tissue becomes less resistant to mechanical stress.

The physico-chemical properties of cartilage can also change as a result of the following diseases:

  • Infectious and non-infectious arthritis;
  • Hemarthrosis;
  • Gout
  • Hemochromatosis;
  • Pyrophosphate arthropathy;
  • Hemophilia;
  • Osteonecrosis;
  • Acromegaly;
  • Diabetes and others

It is worth noting that an hereditary factor plays an important role in determining the possibility of developing osteoarthrosis and polyosteoarthrosis.

The first symptoms of the disease are almost not felt. A clear sign of problems is the appearance of crunch in the joints with various movements. Also, after strong physical exertion, periodic pains of an unexpressed nature are possible, which quickly pass. Over time, the intensity and duration of pains change in the direction of increase, and pain sensations begin to appear even after light loads.

Unlike the inflammatory pains that are observed with arthritis, the pain inherent in arthrosis is characterized as mechanical, that is, they appear precisely during physical exertion on the affected joint. Subsequently, the pain syndrome becomes more intense in the evenings and at night, even when the joint is at rest.

The pathogenesis of pain in osteoarthritis is not easy to determine, because depending on various pathogenetic mechanisms that contribute to the onset of pain, pain can manifest itself in different ways. Currently, primary and secondary osteoarthritis is classified.

Primary osteoarthritis, also called genuinic, is a disease that develops on healthy articular cartilage, due to excessive mechanical stress.

Secondary osteoarthritis occurs in cartilage, changed after trauma, arthritis, endocrine and vascular disorders, etc.

It is possible to diagnose osteoarthrosis in the early stages: radiographs show an indistinct narrowing of the joint gap, which suggests the development of initial osteosclerosis. You can also notice the initial osteophytes – some sharpening of the edges of the surfaces of the joints.

The main clinical manifestations of the disease:

  • Joint pain when standing and walking in the daytime, worse in the evening;
  • The presence of “starting pains” – pain at the beginning of the movement, decreasing with “walking”;
  • A slight restriction on joint mobility;
  • Symptom of a blocked joint;
  • The defeat mainly of the joints of the lower extremities and distal interphalangeal joints;

It must be borne in mind that not in all cases there is a correspondence between the clinical and radiological signs of osteoarthritis. A frequent phenomenon is the presence of characteristic pain sensations of a mechanical nature in the absence of a narrowing of the joint gap on the radiograph.

At the early stages of the development of the disease, before obtaining a characteristic radiograph, diagnosing osteoarthritis is a difficult task, for the implementation of which data from the following research methods are necessary:

  • Tomography, which allows you to identify the degree of osteophytosis, the presence of osteosclerosis and cysts, damage to the musculo-ligamentous apparatus of the joint;
  • A contrast x-ray study showing the onset of cartilage changes;
  • Scintigraphy of the articular surfaces – the method that most accurately determines the metabolic disorder in the tissues of the joints.

The work of experienced doctors, the use of the latest equipment in the diagnosis of polyosteoarthrosis and the use of drug and non-drug methods of treatment can prevent the further development of the disease.

In the treatment of polyosteoarthrosis, the experts consider reducing the load on the affected joints a priority. The choice of conservative therapy depends on the cause of the disease. However, the most common treatment for polyosteoarthrosis is physiotherapy. Compliance with an individually selected diet (diet) also plays an important role, since it is overweight that often provokes the onset of the disease.

Medication

To reduce joint pain in the absence of contraindications, it is recommended to take analgesics. The dosage of the drugs is determined by the doctor. An important role in the treatment of polyosteoarthrosis is played by chondroprotectors – drugs that improve the nutrition of cartilage, slow down the process of its further destruction.

Non-drug treatment

Polyosteoarthrosis is a disease that can be treated with the following physiotherapy methods:

The use of these techniques helps to reduce pain and reduce the inflammatory process in the joints.

In the case of polyosteoarthrosis, one of the therapeutic recommendations is also exercise. The study of the gymnastic complex should take place under the supervision of a specialist. It is recommended to switch to independent training no earlier than after a month of joint training with an instructor. Daily exercise is recommended to spend at least half an hour.

To achieve a successful result of treatment of polyosteoarthrosis, it is necessary to establish a specific cause of its occurrence, since the choice of treatment regimen depends on the factors that provoked the disease.

To prevent polyosteoarthrosis, experts primarily recommend controlling body weight relative to height. Persons older than 40 years, especially those with a hereditary predisposition to the development of the disease, the following recommendations should be observed:

  • exclude high-calorie foods from the diet;
  • alternate load and unload joints;
  • Avoid fixed poses
  • do gymnastics;
  • visit the pool.

Finnish rheumatologists released data showing that over the past ten years, disability due to polyosteoarthrosis has increased 5 times. As a rule, clinical indicators of the disease appear at the age of 45-50 years.

Polyosteoarthrosis: what is it? Reasons, treatment, diagnosis

Polyosteoarthrosis of the joints (a type of arthrosis) gives a person many inconveniences and a deterioration in the quality of life. Severe pain and loss of ability to move normally leads to limited opportunities.

The initial stages of polyosteoarthrosis can be cured, but early diagnosis is complicated by the smoothness of symptoms. An active lifestyle and proper nutrition will be enough to prevent a disease leading to loss of joint function.

The ability to stay functional and maintain the joy of movement for many years depends on the health of the joints. Unfortunately, after a fifty-year age limit, most people begin to have degenerative changes in the cartilage and bone tissue. Mobile joints of bones, which provide human movement, begin to break down with the development of various pathologies.

Polyosteoarthrosis is an ailment that develops simultaneously in several articular capsules. The process captures every component of the joint, changing the composition and structure of cartilage cells, connective and bone tissue. The fluid contained in the joint thickens and loses its functions, leading to the loss of the ability to reproduce the movement of patients.

Pathogenesis of the disease

For the joints to function optimally, sufficient production of collagen and other chemical compounds is necessary. Due to age or with concomitant diseases, a person has a disturbance in the nutrition of joint cells, after which polyosteoarthrosis and pathological changes begin to develop.

The articular cartilage, which is a natural shock absorber, loses elasticity and ceases to synthesize cartilage cells to make up for the thinned structure. Such a process may not manifest itself for a long time with severe symptoms in most cases.

Later, when the cartilaginous layer becomes very thin, polyosteoarthrosis spreads to the bones included in the diseased joint. The periosteum thickens and becomes thicker, gradually closing the lumen of the joint space.

Deformation and the appearance of single bone growths occur. At this stage, a person has a characteristic sound of a crunch in the joint during movement and painful sensations during movement.

The synovial fluid changes its composition, becomes more viscous and can no longer cope adequately with its functions, causing inflammation of the synovial membranes. A protracted course leads to severe deformity, contracture or complete immobilization, which threatens disability.

Polyostearthrosis of the joints is complicated by multiple joint damage. With the development of the disease, the whole limb can be “turned off” from work. In case of a disease of one joint, neighboring joints take on the fulfillment of its load, compensating for the link’s inoperability.

The development of polyosteoarthrosis in a number of joints causes greater suffering to the patient, causing additional complications from the musculoskeletal system.

Why does multiple joint damage appear?

Modern medicine cannot give an exact answer to the question of the occurrence of osteoarthrosis in several joints simultaneously. Especially common are lesions of the small joints of the hands or feet. The combination of several unfavorable factors leads to the development of pathology.

The main causes of polyosteoarthrosis of the joints:

  1. Dystrophic processes in the joints begin when the chemical-biological reactions in the body are violated when a person reaches the age of over forty. During this life period, motor activity decreases, sufficient production of collagen stops, and self-healing processes slow down. The joints cease to receive in sufficient quantities the necessary trace elements and nutrients, as a result of which metamorphic changes begin, leading to the development of multiple joint damage.
  2. Genetic congestion, passed on to subsequent generations, plays an important role in the appearance of polyosteoarthrosis. In people with a similar heredity, under the influence of additional external factors, pathological processes start instantly.
  3. Improper nutrition, which leads to metabolic disorders, contributes to the onset of the disease. Failure in metabolic reactions leads to disruption of water-salt metabolism, which in turn triggers processes that act destructively in the connective tissue of which the cartilage consists.
  4. An unbalanced diet, as well as excessive enthusiasm for junk food, fatty and salty foods, is a harbinger of the occurrence of extra pounds for a lover of junk food. Large body weight creates an additional load on the joints, which they are not designed for.
  5. Mechanical damage after extensive injuries involving the entire hand, foot or limb.
  6. The lifestyle in which a person predominantly sits, moves a little, causes stagnation, in which the joints do not receive enough nutrition.
  7. Increased physical activity in professional athletes or workers whose work is associated with heavy loads on the joints.
  8. Internal secretion diseases: diabetes mellitus, thyroid pathology and others. Disruption in the production of hormones invariably leads to a malfunction in natural processes, which are one of the links in ensuring normal functioning.

How is polyosteoarthrosis manifested?

The initial stages of the disease may not bother the patient. The transition of the process to subsequent stages makes itself felt by the gradual development of severe symptoms. In this regard, a person goes to the doctor already when the destructive processes of polyosteoarthrosis are started and lead to irreversible changes that can only be stopped, but not completely cured.

Manifestations characteristic of the defeat of several joints:

  • when moving, a feeling of pain appears, intensifying with increasing load;
  • pain is temporary and stops after a good rest;
  • the sound of a crunch appears in diseased joints with a narrowing of the joint gap after overgrowth of bone tissue;
  • the range of motion is limited, a person cannot take full advantage of the capabilities of the joint;
  • lame gait appears;
  • visual inspection shows slight deformation.

Polyosteoarthrosis of the joints in most cases is accompanied by inflammatory processes in the joint capsule:

  • swelling of the skin over the affected area;
  • redness and local temperature increase;
  • the pain intensifies and takes a pulsating character;
  • severe cases are accompanied by febrile events, which require close attention when prescribing treatment.

Diagnosis of polyosteoarthrosis

An accurate diagnosis for the appointment of effective medical procedures can only be made by a qualified specialist after a series of examinations:

  • visual inspection and medical history;
  • X-ray examination of the joints;
  • computed tomography will provide an opportunity to create the correct picture of the disease;
  • magnetic resonance method;
  • arthroscopy will examine the internal changes in the capsule;
  • biochemical study of synovial fluid.

Therapeutic methods

To treat joint polyosteoarthrosis is a complex of medical procedures that are prescribed by the attending doctor. Not going to the doctor and self-medication leads to sad consequences that cannot be fixed.

Conservative methods for the treatment of polyosteoarthrosis include:

  1. The appointment of non-steroidal anti-inflammatory drugs (Diclofenac, Ibuprofen, Ketoprofen) relieves inflammation and has an analgesic effect.
  2. A corticosteroid pharmacological group is used to eliminate pain and inflammation, the drug is administered directly into the joint: Diprospan, Hydrocortisone.
  3. Chondroprotectors are designed to compensate for the missing elements, thereby stopping the pathological process of destruction with regular use: Don, Teraflex, Arthra.
  4. Intra-articular administration of hyalouranic acid preparations (Fermatron, Alfluton) perfectly supports the joint in a healthy state.

At the last stages of the disease, surgical treatment is carried out with the help of articular endoprosthetics. This method is carried out when changes in the joint have reached a maximum.

Physiotherapeutic procedures are an integral part of the treatment process for joint polyosteoarthrosis:

  • magnetotherapy is prescribed in courses in the absence of contraindications;
  • electric shock treatment;
  • massage;
  • mud baths and paraffin baths;
  • the use of orthopedic products to alleviate the condition of the patient;
  • restriction of the use of food products that can lead to a worsening of condition: salty and spicy dishes, fatty fish and meat, legumes, alcoholic drinks.

Therapeutic exercise

Begin classes in therapeutic therapeutic exercises for polyosteoarthrosis should only be with a physiotherapist. There are many sets of exercises aimed at improving the condition of certain joints. The selection of exercises, the determination of the load and the scheme of classes should be carried out by a specialist.

It is important to remember that it is possible to conduct physical therapy sessions only during a period of persistent remission. To achieve an optimal result, classes should be regular with the correct load distribution. An experienced instructor will teach you the correct technique and will follow the general recommendations to avoid deterioration.

From the foregoing, we can conclude that you should always listen to the alarming signals of your joints, especially with polyosteoarthrosis. If discomfort occurs, consult a doctor for diagnosis and subsequent measures to combat the disease. Self-medication is a crime against one’s own health, as wrong actions will lead to a disabled status.

Polyosteoarthrosis. Treatment of polyosteoarthrosis

Osteoarthrosis is a degenerative joint disease, at the initial stage of which primary degeneration of the articular cartilage occurs. In the future, the disease is accompanied by changes in the articular surfaces, the development of regional osteophytes begins. In the absence of proper treatment, the disease can lead to joint deformation.

According to studies, osteoarthrosis is the most common form of joint pathology. Rheumatologists from the USA and Europe in 2013 stated that 70% of rheumatic diseases are attributable to osteoarthritis. Multiple joint lesions or polyosteoarthrosis were detected in a certain percentage. Medical practice shows that there are more and more cases of polyosteoarthrosis every year.

One of the main reasons for the development of the disease, doctors call excessive mechanical stress, which does not correspond to the ability of the articular surface of the cartilage to resist the effects exerted on it. Ultimately, a mismatch in mechanical loading can lead first to degenerative damage, and then to cartilage destruction.

A common cause of osteoarthritis is also a violation of the acceptable congruence of the articular surfaces of healthy cartilage. In this case, the load is not distributed evenly over the entire area of ​​the cartilage. The maximum convergence of articular surfaces occurs in a small area. It is at this point that the cartilage begins to degenerate.

It also happens that due to injuries, concussions, impaired subchondral circulation, a change in the physicochemical properties of cartilage tissue occurs. For this reason, even under normal load, the cartilage tissue becomes less resistant to mechanical stress.

The physico-chemical properties of cartilage can also change as a result of the following diseases:

  • Infectious and non-infectious arthritis;
  • Hemarthrosis;
  • Gout
  • Hemochromatosis;
  • Pyrophosphate arthropathy;
  • Hemophilia;
  • Osteonecrosis;
  • Acromegaly;
  • Diabetes and others

It is worth noting that an hereditary factor plays an important role in determining the possibility of developing osteoarthrosis and polyosteoarthrosis.

The first symptoms of the disease are almost not felt. A clear sign of problems is the appearance of crunch in the joints with various movements. Also, after strong physical exertion, periodic pains of an unexpressed nature are possible, which quickly pass. Over time, the intensity and duration of pains change in the direction of increase, and pain sensations begin to appear even after light loads.

Unlike the inflammatory pains that are observed with arthritis, the pain inherent in arthrosis is characterized as mechanical, that is, they appear precisely during physical exertion on the affected joint. Subsequently, the pain syndrome becomes more intense in the evenings and at night, even when the joint is at rest.

The pathogenesis of pain in osteoarthritis is not easy to determine, because depending on various pathogenetic mechanisms that contribute to the onset of pain, pain can manifest itself in different ways. Currently, primary and secondary osteoarthritis is classified.

Primary osteoarthritis, also called genuinic, is a disease that develops on healthy articular cartilage, due to excessive mechanical stress.

Secondary osteoarthritis occurs in cartilage, changed after trauma, arthritis, endocrine and vascular disorders, etc.

It is possible to diagnose osteoarthrosis in the early stages: radiographs show an indistinct narrowing of the joint gap, which suggests the development of initial osteosclerosis. You can also notice the initial osteophytes – some sharpening of the edges of the surfaces of the joints.

The main clinical manifestations of the disease:

  • Joint pain when standing and walking in the daytime, worse in the evening;
  • The presence of “starting pains” – pain at the beginning of the movement, decreasing with “walking”;
  • A slight restriction on joint mobility;
  • Symptom of a blocked joint;
  • The defeat mainly of the joints of the lower extremities and distal interphalangeal joints;

It must be borne in mind that not in all cases there is a correspondence between the clinical and radiological signs of osteoarthritis. A frequent phenomenon is the presence of characteristic pain sensations of a mechanical nature in the absence of a narrowing of the joint gap on the radiograph.

At the early stages of the development of the disease, before obtaining a characteristic radiograph, diagnosing osteoarthritis is a difficult task, for the implementation of which data from the following research methods are necessary:

  • Tomography, which allows you to identify the degree of osteophytosis, the presence of osteosclerosis and cysts, damage to the musculo-ligamentous apparatus of the joint;
  • A contrast x-ray study showing the onset of cartilage changes;
  • Scintigraphy of the articular surfaces – the method that most accurately determines the metabolic disorder in the tissues of the joints.

The work of experienced doctors, the use of the latest equipment in the diagnosis of polyosteoarthrosis and the use of drug and non-drug methods of treatment can prevent the further development of the disease.

In the treatment of polyosteoarthrosis, the experts consider reducing the load on the affected joints a priority. The choice of conservative therapy depends on the cause of the disease. However, the most common treatment for polyosteoarthrosis is physiotherapy. Compliance with an individually selected diet (diet) also plays an important role, since it is overweight that often provokes the onset of the disease.

Medication

To reduce joint pain in the absence of contraindications, it is recommended to take analgesics. The dosage of the drugs is determined by the doctor. An important role in the treatment of polyosteoarthrosis is played by chondroprotectors – drugs that improve the nutrition of cartilage, slow down the process of its further destruction.

Non-drug treatment

Polyosteoarthrosis is a disease that can be treated with the following physiotherapy methods:

The use of these techniques helps to reduce pain and reduce the inflammatory process in the joints.

In the case of polyosteoarthrosis, one of the therapeutic recommendations is also exercise. The study of the gymnastic complex should take place under the supervision of a specialist. It is recommended to switch to independent training no earlier than after a month of joint training with an instructor. Daily exercise is recommended to spend at least half an hour.

To achieve a successful result of treatment of polyosteoarthrosis, it is necessary to establish a specific cause of its occurrence, since the choice of treatment regimen depends on the factors that provoked the disease.

To prevent polyosteoarthrosis, experts primarily recommend controlling body weight relative to height. Persons older than 40 years, especially those with a hereditary predisposition to the development of the disease, the following recommendations should be observed:

  • exclude high-calorie foods from the diet;
  • alternate load and unload joints;
  • Avoid fixed poses
  • do gymnastics;
  • visit the pool.

Finnish rheumatologists released data showing that over the past ten years, disability due to polyosteoarthrosis has increased 5 times. As a rule, clinical indicators of the disease appear at the age of 45-50 years.

Shishkevich Vladimir

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

Expertnews