It is necessary to treat polyarthritis at the initial stage. When the disease is at the last stage, then surgical intervention cannot be avoided.
At stages 1 and 2, drug treatment of carpal arthritis is effective. The choice of medication depends on the cause of the inflammation.
More often in the complex are prescribed such drugs:
- NSAIDs – Diclofenac, Ibuprofen, Nimesulide, Movalis;
- antibacterial drugs – Amoxicillin, Cefazolin, Erythromycin;
- local remedies with anti-inflammatory and analgesic effects – Fastem gel, Dolgit;
- multivitamin complexes and dietary supplements – Calcemin, Milona.
Treatment of arthritis of the wrist joint of the 3rd degree is necessarily carried out by chondroprotectors. Structum, Don or Teraflex is suitable. To eliminate severe pain (if other drugs are inactive), glucocorticosteroids, for example, prednisolone, are prescribed.
During the treatment, the hand is immobilized, any load on the wrists and even on the forearm is limited. After the inflammation subsides, massage, exercise therapy and physiotherapeutic procedures are used, namely electrophoresis, magnetotherapy and UHF.
With a purulent form, one can not do without arthrotomy. During the manipulation, a drainage is installed to pump out purulent contents. Further treatment is with antibiotics.
To prevent the development of the acute form and the appearance of exacerbations of chronic arthritis, the following recommendations must be observed:
- eat balanced, fresh vegetables and fruits, as well as foods with a high collagen content should prevail in the diet;
- take physical therapy courses and physiotherapeutic procedures;
- Do not overexert the sore wrist, use orthoses;
- avoid hypothermia;
- to refuse from bad habits;
- do exercises for the hands in the morning and during breaks when working at the computer;
- drink chondroprotectors.
It is also important to strengthen the immune system, timely treat ARVI and other infectious diseases.
The treatment and recovery period will be faster if arthritis is recognized in the initial stages. The disease is not harmless, can significantly impair the patient’s quality of life.
Shishkevich Vladimir, orthopedic and traumatologist, project editor-in-chief ExpertNews.
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