Deforming arthrosis: causes and treatment

Deforming arthrosis: symptoms and treatment

Category: Joints, bones, muscles 16030

• Swelling of the affected joint
• Deformation of the joint
• Redness of the skin in the lesion
• Pain in the affected joint
• Restriction of joint mobility

Deforming arthrosis is a dystrophic disease, as a result of which the cartilaginous tissue of the joint surface is destroyed.

According to statistics, this disease affects about 5 percent of the entire population of the planet. The disease has a progressive character. As a consequence, the structure of the joint, its function, is broken.

Each stage is accompanied by a pronounced pain syndrome.

In the main risk group, the elderly. However, young people (from 25 years old) fall into the category of predisposition to the disease. The latter may be due to heavy physical exertion, professional sports injuries, a way of life.

Factors contributing to the development of the disease

the reason that the process of destruction begins is a violation of the supply of articular (hyaline) cartilage. However, such a cause can not arise by itself. The beginning of this process is facilitated by the following:

• circulatory disturbance;
• infectious diseases of the joints;
• diseases associated with metabolic disorders, hormonal background;
• injuries and overload of joints, prolonged lifting of weights;
• obesity;
• age changes in the body.

General symptomatology of the disease

At the first degree of development, the disease itself does not manifest itself in any way. In some cases, short-term pain is possible. When moving to the second stage, you can observe the following:

• increased pain, even at rest;
• redness of the joint, swelling;
• deformation;
• limitation of motor function.

The higher the degree of damage, the brighter the pain syndrome becomes and the deformation is more pronounced.

Degrees of defeat

There are three degrees of damage:

• first degree- Insignificant pain, fast "fatigue" of the joint;
• second degree- "starting pain
• third degree- complete enslavement of the joint, a person can walk only with a supporting element and a short time.

It is worth noting that the treatment of folk recipes may be appropriate only at the initial degree of joint damage ailment.

Subtypes of deforming arthrosis

Deforming arthrosis can affect:

• the knee joint;
• feet;
• the shoulder joint;
• of the hip joint.

According to statistics, this disease affects men more often than women.

Gonarthrosis (knee joint deformity)

Deforming arthrosis of the knee joint is characterized as an acute inflammatory process, which is accompanied by pronounced pain during exercise or walking. As a rule, in the early stages of rest, the pain of a person does not bother. Symptoms of this subtype of the disease are as follows:

• a sharp pain that tends to intensify;
• the joint begins to "react" to wet weather;
• stiffness in movements in the morning, a person needs to "disperse
• creaking, crunching in the joint;
• knee swells, becomes red.

Please note that as the deforming arthrosis of the knee develops, the pain will only increase. Over time, the patient can no longer walk without support, his motor activity is significantly reduced. As a consequence, muscle hypertrophy develops, the formation of contractures.

Methods of treatment

When impaired mobility of the knee joint endoprosthetics is used. A timely operation makes it possible to completely restore it. However, this will require rehabilitation, a course of exercise therapy. To reduce pain before surgery, physiotherapy is prescribed:

• phonophoresis;
• magnetic and laser therapy;
• UHF.

The use of anti-inflammatory drugs, folk remedies, will allow only a short time to reduce pain. However, the problem is not solved. On the contrary, the disease will only develop, although the pain symptoms will become less.

More about the symptoms and treatment of gonarthrosis.

Deforming arthrosis of foot

Deforming arthrosis of the foot is almost not curable. As medical practice shows, almost always an ailment ends with ankylosis. As a consequence, the patient is given a disability.

Surgical intervention is practiced only if the physiotherapy course and medication do not give positive dynamics. The prognosis of treatment depends on the extent of the lesion. Symptoms are almost the same as with knee arthrosis.

However, deformity of the ankle is also observed.

With regard to treatment, the course is prescribed depending on the degree of development of the disease. It is worth noting that in this case, the emphasis is on special shoes. If surgical intervention is unavoidable, then the application of the following is possible:

• endoprosthetics;
• arthroscopic sanitation;
• arthrodesis.

Deforming arthrosis of the shoulder joint

Ostearthrosis or deforming arthrosis of the shoulder joint is most often a consequence of trauma and rarely leads to significant deformation.

Such pathology practically does not affect the ability to work, since the focus of the disorder is in the inactive part of the body.

Deforming arthrosis of the shoulder joint can develop in people from different age groups.

The deforming arthrosis of the shoulder joint is the most "harmless" subtype of arthrosis, since it deforms and destroys the joint to a lesser extent.

However, this does not mean that symptoms can be ignored, and it is not necessary to treat it.

If untimely access to a specialist can develop various complications, which will be much more difficult to treat.

Deforming arthrosis of the hip joint

Coxarthrosis

Deforming changes in the hip joint in medicine are often called coxarthrosis.

Deforming arthrosis of the hip joint is diagnosed in almost 50% of all types of joint diseases.

This is due to the fact that this zone is subjected to constant physical stress throughout the life of a person.

Symptoms:

• inguinal pain with the transition to the buttocks, especially with loads;
• weakening muscles, increasing pain;
• The constant nature of pain, which does not decrease even when taking an anesthetic;
• atrophy of the muscle group and almost complete immobility of the joint.

If the disease is diagnosed at an early stage, then you can get by the drug treatment and physiotherapy procedures. But with a third degree of damage (late stage), surgical intervention is mandatory - endoprosthetics.

Osteoarthritis of the fingers

In addition to the abovementioned subtypes of the disease, arthrosis of the hands is distinguished. This subtype, as a rule, is typical for women from 40 years old and for the elderly.

Arthrosis of the hands manifests itself in the form of nodules Bouchard and Geberden. Most often they are formed on the lateral surface of the joint. Itching or flaking is not observed.

Gradually, the phalanx of fingers begins to curl.

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Brushes become less mobile, in some cases synovitis is observed, with a throbbing pain.

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If the treatment is not started in time, the mobility of the fingers and the hand itself almost completely disappears. In other words, minor motor skills are disrupted.

You can not start a disease. The immobility of the hands and fingers can lead to a loss of efficiency. The result of this arrangement is one - disability. To prevent this is quite realistic if you seek medical help in a timely manner.

In this case, the mobility of the hands can be completely restored. The course of treatment is prescribed standard. By the way, at an early stage to achieve success in the treatment of arthrosis of the hands can be and through traditional medicine.

However, treatment with such drugs is better coordinated with the doctor.

Fingers deformed with arthrosis

General treatment of deforming arthrosis

The methods used depend on the degree of damage to the joints and the parts involved in the pathology. In any case, conservative therapy is used, even if it's hands. In the compulsory program the following:

• weight loss (if required);
• reduction of joint loads;
• application of growth factors for cartilage tissue;
• use of metabolites;
• use of quinolone preparations.

Also for the removal of pain and slowing down the inflammatory process, anti-inflammatory therapy is prescribed.

Treatment with folk methods

It is worth taking into account that treatment with folk remedies is not always advisable.

Most often, it can be considered as an effective remedy if the disease is at the primary stage.

Then, with the help of folk remedies, it is still possible to partially remove the inflammatory process, pain sensations. As a rule, these are the following means:

• ointments based on herbs, tinctures, fat (in the manufacture of such folk remedies should clearly comply with the recipe);
• compresses for the joints (especially they are effective when the ailment has hit the hands);
• lotion based on alcohol (effective folk remedy);
• bandages with herbs.

However, it is worth paying special attention to the fact that treatment with folk remedies is possible only if it is combined with conservative therapy.

Folk remedies can only be considered as an alternative method of treatment, but not the main one.

Applying them without prescribing a doctor is still not recommended, because you can only worsen the situation.

Forecast

Without proper treatment, the disease leads to the fact that the mobility of the joint is almost completely lost. As a consequence, you can lose efficiency.

Especially, it is important in the pathology of the hands, the hip joint. If you start a course of conservative therapy and physiotherapy in a timely manner, which can be backed up with folk remedies, then a complete recovery is possible.

On average, the course of treatment, without taking into account the surgical intervention, lasts 1-2 months.

Prevention of deforming arthrosis

Prevention is appropriate only if the disease has not yet begun to develop. The most effective methods are as follows:

• moderate load (especially for those involved in sports and dancing);
• playing sports;
• proper nutrition;
• should be protected from injuries, infectious and inflammatory processes.

If the symptoms have arisen, then do not go immediately for advice on the Internet, resort to treatment people's means, independently develop affected joints (hands, knee, foot and other). So you can only worsen the situation.

Diseases with similar symptoms:

Osteoarthritis of the knee joint (coinciding symptoms: 4 of 5)

One of the frequent complaints that a doctor hears from patients is the pain in the knees.

Than it is caused, not always it is possible to tell at once, after all knees can suffer from various diseases, one of which is an arthrosis of a knee joint.

It is also known as gonarthrosis, and is a joint injury that usually non-inflammatory character and promotes destruction of cartilage, deformation of bones and restriction of movements patient.

... Infectious arthritis (coinciding symptoms: 3 of 5)

Modern medicine offers many treatments for this disease, but in spite of their diversity and effectiveness, every third patient, the infection causes irreversible violations in the joints, which lead to a complete loss of all of them functions.

... Arthritis (coinciding symptoms: 3 of 5)

Inflammatory ailments, which are accompanied by the manifestation of permanent pain in the joints, are called arthritis.

In fact, arthritis is a disease that contributes to the thinning of the cartilage of the joints, the change in ligaments and the joint capsule.

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If the disease is not treated, then there is an aggravation of the process, leading to deformation of the joints.

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... Arthritis of the fingers (coinciding symptoms: 3 of 5)

Hands are the most important part of the human body, because it is with their help that a person can implement the most a variety of activities: writing, drawing, making various instruments and products, managing transport means, etc.

And if there are any problems with the fingers, this greatly affects the quality of human life. One of the most unpleasant diseases that can touch the fingers is arthritis.

With arthritis, the tissue, which is the basis for the joints, becomes inflamed, becomes very thin, and later completely destroyed.

... Reactive arthritis (coinciding symptoms: 3 of 5)

Often, inflammation of the joints occurs due to infection with infections of the genitals, urinary system or even GIT.

After infection of the body with infections in the second or fourth week, development of reactive arthritis can occur.

...

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A source: http://SimptoMer.ru/bolezni/sustavy-kosti/924-deformiruyushchiy-artroz-simptomy

Deforming arthrosis: causes, symptoms, treatment

Today, this illness has become a real disaster for our time.

Despite the fact that the painful joints burden mainly the life of older people, the statistics of this disease at a young age also, unfortunately, are not encouraging.

Deforming arthrosis modifies the joints, deprives them of mobility and brings a lot of torment.

Causes, degrees and treatment of deforming arthrosis

First, we will immediately define the terms.

Medical international classification

In the medical classification the following definitions are recognized as synonyms:

• Osteoarthritis
• Osteoarthritis
• Deforming arthrosis
• Osteoarthritis

Despite the fact that all these concepts mean one - a pathology in the joints, each nevertheless has a different semantic coloring.

• So, arthrosis is a general definition of the dystrophic process in the joints, regardless of its degree and position. Even in the first, invisible to the eye stage, we ascertain the pathology of the degenerative changes in the cartilage tissue
• Osteoarthritis is a formidable disease that involves the bone of the joint itself and the synovial capsule, ligaments, tendons and nearby muscles
• Deforming arthrosis is the same as normal, this term is simply emphasized by the properties of pathology to change the very form and structure of all periarticular components. This term is more suitable for the second and third degree of the disease
• Osteoarthritis - an inflammatory process in all tissues of the joint due to the fault of deformities, hypothermia, systemic and infectious diseases. Often combined with osteoarthritis

Local types of arthrosis

Our SLM has a huge number of joints, each of which can be hit.

The most common types of arthrosis:

Less common pathology is striking:

• Shoulder and elbow joint
• Breast-clavicular and acromioclavicular joints

Causes and factors of deforming arthrosis

The disease can be caused by:

• Age-related disorders in the regeneration of connective tissue
• Hereditary predisposition
• Congenital dysplasia
• Exchange and hormonal dysfunctions
• Injuries (fractures, dislocations, subluxations)
• Postponed in the past operation on the joint

Promoting the development of arthrosis can:

• Increased weight
• Professional activity with reloading of joints
• Constant hypothermia
• Prolonged use of certain medications (eg, corticosteroids)
• Depleted, without important trace elements, food
• Stress

Most often, it is difficult to say exactly what caused this disease.

Only in three cases with certainty it can be said that arthrosis was their consequence - if in anamnesis there are:

• Trauma or surgery in the past
• Congenital defects of the joints (dysplasia of TBS, valgus deformation of the foot, flat feet, etc.)
• Inflammatory chronic process in joints

Degrees of deforming arthrosis

Deforming arthrosis passes through three stages of development, each characterized by its own symptoms.

At the first degree are observed:

• disorders in the structure of the cartilage and the composition of the synovial fluid
• the joint loses its amortization functions
• Due to poor lubrication of surfaces, friction increases, which contributes to inflammation

At the second degree of the disease:

• The beginning of the destruction in
  • cartilage
  • meniscus knee and clavicle joints
• Formation of individual osteophytes along the edges
• The narrowing of the gap between the joint and its support area

In the third degree:

• Bone deformation due to complete destruction of cartilage
• Osteophytes along the entire support surface
• Almost complete closure of the interarticular gap
• Disturbances in concentricity of the composition and limb
• Shortening of ligaments
• Cementation and hardening of ligaments, synovial bag and periarticular muscles

Clinical symptoms of arthrosis

Deforming arthrosis has growing symptoms.

In the first stage

• There is a periodic pain, tied to the following movements:
  • climbing stairs or squats
  • wide amplitude movements with hands and feet
  • long walking or standing work, etc.
• After rest, the pain symptoms fade away

In the second stage

• The pains occur even under non-prolonged loads, mainly at the end of the day, and pass longer
• Limbs bend not to the stop
• Thickening and knots are probed
• The first symptoms of muscular atrophy

In the third stage

• Contractures and misalignment lead to a sharp limitation of the amplitude of movements
• Deformations and curvatures are pronounced, the muscles are shortened or stretched
• There are neuro-trophic disorders: trophia, sensitivity disorders, hyperemia of the skin

Diagnosis of deforming arthrosis

Currently, the diagnosis is carried out by:

• Radiography
• The test summary score scale for symptoms
• Laboratory instrumental methods

Radiography

Recently, in orthopedics, according to the results of X-ray diagnostics, not three, but four stages of the disease are considered:

1. The first is questionable:

   Both osteophytes and constriction are possible, but the signs of this are implicit

2. The second one is soft:

   Growth and reduction of the gap begin to be determined visually on the x-ray

3. The third is moderate:

   Modified in size osteophytes and crevices

4. Fourth (severe):

   Large osteophytes, sharp narrowing of the gap, deformation and destruction of bones

Evaluation of the stage of arthrosis on the test scale

To assess the degree of pain and stiffness in the morning, a 10-point analogue scale was developed.

Diagnosis of arthrosis of TBS and knee joint

According to the test table, the Leken index is calculated, on the basis of which the functionality of the joints is evaluated.

Definition of the function of the lower limbs

Also, using the patient's questionnaire, the average logarithmic index of the functionality of the lower extremities is determined by six characteristics.

Depending on the degree of disruption of the functions determined in percent, a disability group is appointed and the amount of work load allowed for a possible job placement.

Treatment of deforming arthrosis

Treatment of joint arthrosis is very long and difficult.

Its main directions are as follows:

• Observance of the basic orthopedic condition - restriction of mobility during an exacerbation
• Prevent contractions and restrict mobility
• Reduction of pain symptoms
• Restoration of the joint
• Prevention of arthrosis

Preparations for the treatment of deforming arthrosis

Medication for arthrosis often comes to the fore because of pain. To moderate her use of such drugs:

• Non-steroidal anti-inflammatory drugs (NSAIDs) diclofenac, ketoprofen, ibuprofen, nimesil, etc.
• Corticosteroid: idrocortisone, diprospan, triamcinolone

Of fundamental importance are the following drugs:

• Chondroprotectors, restoring the structure of cartilaginous tissue in the first stages of the disease Chondroitin sulfate, Glucosamine, Alflutop, Structum, Dona, etc.
• Hyaluronic acid preparations for the treatment of arthrosis, restoring the lubrication of joints at a late stage: ermatron, Synvisc, Duralan, Ostenil

Decompression and bone blockade

In this way, injections into the bone, acting on the epiphysis zone, eliminate the pressure in the diseased joint and significantly reduce the pain.

Decompression can be subjected to:

• large spit TBS
• condyle hip
• shin and inner ankle
• heel bone

Physiotherapy in the treatment of joint arthrosis

The methods of treatment of arthrosis are very diverse and include

Hardware impact:

• laser, magnetic therapy
• electromyostimulation
• electrophoresis
• UHT

Treatment by heat and cold:

• thermal compresses (dimexide, bischofite)
• applications (ozocerite, paraffin)
• cryotherapy

Natural factors:

• Thalassotherapy
• Mud Treatment

Kinesitherapy (motion treatment)

• Therapeutic gymnastics
• Mechanotherapy (exercises on simulators and special adaptations)
• Aerobics
• Water exercises
• Massage and manual therapy

Therapeutic gymnast with arthrosis

If you feel sorry for yourself and do not engage in exercise therapy, protecting the joints from pain, the result can only be disability.

The methods of treatment of arthrosis with the help of exercise therapy, in turn, are divided into many varieties:

• Isometric relaxation
• Static exercises (including yoga)
• Dynamic exercises
• Exercise for the return of sensitivity (proprioception)
• Gymnastics Qigong, etc.

Surgical methods for the treatment of joint arthrosis

For joint arthrosis, the following methods are used:

• Endothesis is a complete replacement of the joint with a prosthesis, one part of which is screwed into the bone, and the other is fixed in the bone articular cavity for heavy-duty cement: after this operation, a long-term rehabilitation with the help of exercise therapy and mechanotherapy
• Arthroscopy is a minimally invasive operation to restore the destroyed sections of the meniscus and cartilage: the most commonly used method is on the knee joint

Complete recovery with deforming arthrosis

Complete recovery, if deforming arthrosis is in the third stage, is impossible.

However, a significant recovery and lengthening of the period of remission is possible, if an attack on arthrosis is carried out on all fronts.

• Some drugs, especially if they are used at an early stage and as prescribed, and not as they please the patient, can stop the development of the disease and restore the joints completely. These include chondroprotectors. However, they need to be used for a long time, for several courses
• Diet for arthrosis, withstood constantly, also inhibits the disease:
• Annual sanatorium treatment has a positive effect on joint condition
• Home methods of treatment of arthrosis should be kept constantly

Prophylaxis of the deforming joint

Is it possible to prevent deforming arthrosis? Completely!

1. Reduce your weight if it is redundant
2. Avoid injury, and if it does occur, treat it to the end with a long rehabilitation
3. Keep your physical shape and movement active
4. Conduct timely correction of flat feet, congenital dislocations and other defects

Treatment of joint arthrosis is possible with simultaneous exposure to it by intellect and strong-willed effort.

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What is deforming arthrosis: treatment, causes and symptoms

Deforming arthrosis (deforming osteoarthritis) is a degenerative-dystrophic joint disease. It is characterized by a protracted chronic course and irreversible changes that do not lend themselves to treatment and cause disability.

About 15 percent of people suffer from osteoarthritis and the number of patients is growing. The pathological process can develop in any joint of a person, but most of all the knee (gonarthrosis) and hip (coxarthrosis) are affected.

The disease affects men and women equally, with the exception of arthrosis of small joints of the hands, characteristic only for women.

Sometimes the problem is diagnosed in children and adolescents.

In this case, we are talking about deforming arthrosis, which resulted from a suffered joint injury or other disturbance.

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Initially, degenerative and dystrophic changes occur in the tissues of the articular cartilage, and then cover:

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1. adjacent area of ​​bone;
2. shell;
3. ligaments and capsule of the joint.

Why there is a deforming arthrosis?

Physicians until today can not distinguish one specific cause of the development of the disease deforming osteoarthritis, because to degenerative change of articular cartilage often leads a number of factors.

Depending on the premise of the disease distinguish:

• primary arthrosis (idiopathic, genuine);
• secondary arthrosis (caused by ligament injuries, broken bones forming the joint).

When there is no apparent cause of arthrosis, it is customary to talk about idiopathic or primary osteoarthritis. It is generally believed that in this case the main role is played by the genetic predisposition, namely: improper development of the components of articular cartilage, its membrane and biochemical structure.

With secondary osteoarthritis, in most cases only one joint is affected. Two or at once several joints suffer extremely seldom. There are the following reasons, which entailed the active development of secondary arthrosis:

1. mechanical. These are any injuries of the joints and fractures of the bone inside the joint, which provoke a violation of the natural structure. Impact on the process can be systematic injury and excessive stress on the joint (typical for athletes). All kinds of anomalies in the development of the skeleton cause uneven loads, as a result, individual areas of the articular surfaces undergo exorbitant pressure and are destroyed. The situation is aggravated if the patient suffers from excessive body weight;
2. diseases of joints. Deforming arthrosis leads to inflammation, both acute and chronic. If a person suffers from hemophilia, even with minor injuries, hemarthrosis of the knee joint develops (blood flows into the joint cavity), primary aseptic necrosis of the bone;
3. failures in metabolic processes. Deforming osteoarthritis develops as a complication of other pathologies: gout, psoriasis, hemochromatosis, rheumatoid arthritis, chondrocalcinosis;
4. thyroid disease. This is a violation of calcium metabolism in hypoparathyroidism, hyperparathyroidism, diabetes mellitus of any degree, failures in the production of somatostatin (growth hormone), secretion of sex hormones;
5. diseases that are accompanied by insufficient blood supply of the joint tissues. It can be varicose veins, atherosclerosis of the vessels of the legs, obliterating endarteritis.

Clinical picture of the disease

Deforming arthrosis develops gradually. The process begins with a violation of blood circulation in the subclaviated layer of the periosteum. In the cartilage itself there are no vessels, and its nutrition is due to the receipt of nutrients from the synovial fluid (joint) and the adjacent bone.

Due to reduced nutrition of the joint, biochemical changes occur in it.

There is a decrease in the volume of proteoglycans (special substances that make up the basis of the structure of collagen cartilage tissues), the amount of water.

This causes a decrease in the elasticity and strength of the cartilage. With frequent mechanical stress, the cartilage tissue undergoes destruction.

At the very beginning, these processes are compensated for by the increased work of chondrocytes (cartilaginous cells), but soon food supplies are depleted, the amount of chondrocytes is reduced, the cartilaginous tissue is thinned, broken, formed cracks.

When there is a crack, it eventually deepens, and the cartilage fibers dissolve.

There is a decrease in the elasticity of the cartilage, its thickness, increasing the load on adjacent bones.

As the deforming arthrosis of the joints develops, bone tissue continues to proliferate, and osteophytes, osteochondral growths, appear more and more along the edge of the articular surfaces. This happens because the body tries to expand the area of ​​the articular surfaces with all its forces for normal redistribution of the load on them.

Osteophytes cause joint deformation of varying degrees. Due to the thinning of the cartilage, a change in the shape of the joints occurs and their stability is lost. In the joint cavity:

• develops a reactive inflammatory process;
• the volume of synovial fluid increases;
• its composition changes, and functions decrease.

Treatment of deforming arthrosis (1, 2, 3 degrees)

Getting rid of osteoarthritis is a long process. Patients are usually treated as outpatients.

The principles of therapy are reduced to the restriction of the load on the affected joints, the compulsory observance of the orthopedic regimen, physiotherapy exercises, and physiotherapy.

the purpose of therapeutic measures is inhibition of progression of arthrosis, prevention of contracture development, improvement of joint motor function. An important stage of therapy will be sanatorium and health improvement.

Medication, instrumental treatment, physiotherapy

Even a person without medical education knows how to treat deforming joint arthrosis, if pain is concerned.

First and foremost, the doctor recommends that the symptoms be removed with the help of non-steroidal anti-inflammatory drugs. Usually, Paracetamol is used (up to 4 g per day).

Such medicine is an excellent analgesic for the treatment of mild and moderate pain. If you can not get an adequate response or the symptoms are too severe, you will need to consider alternative methods to relieve inflammation and pain. In this case it is necessary to take into account:

1. presence of concomitant diseases;
2. reception of other drugs.

Patients with a manifestation of the initial degree of arthrosis of large joints are prohibited from taking anti-inflammatory drugs for a long time, even in minimal doses. If the phase of the disease is acute, and the deforming arthrosis is complicated by a synovitis, the doctor will write out the corticosteroids inside the joint:

• Kenalog;
• Hydrocortisone;
• Diprospan.

Such drugs will relieve pain and inflammation.

Supplement therapy can be treated with a laser. This basic method of physiotherapy will have analgesic, stimulating and anti-inflammatory effect on the body.

Especially it will be useful in the pathology of the joints of the initial degree. Laser therapy can reduce the likelihood of using corticosteroid hormones and manipulation on the joints, bones with deforming arthrosis of the 3rd degree.

Sometimes decompression of metaepiphysis and intraosseous blockade is required. The success of the procedures ranges from 40 to 90 percent.

The effectiveness of treatment will significantly increase if the available and low-traumatic method of tunneling of metaepiphysis with the implementation of a therapeutic blockade and decompression of bones is applied. The latter is produced in the zone:

• large spit;
• heel bone;
• condyles of the leg and thigh;
• inner ankle.

If the deforming arthrosis reached the third degree, then there are indications for an operative intervention. The optimal option for such treatment is endoprosthetics. Today, the replacement of the knee joint and hip joint has been developed and is successfully practiced.

With arthrosis, the intervention is performed by constructions based on cement fasteners.

Exercise, diet

The tasks of therapeutic physical training in an integrated approach to getting rid of joint arthrosis will be:

• restoration of joint mobility;
• Preservation of the usual amplitude of movements;
• increased endurance and strength;
• aerobic exercise.

As the bone loses its cartilaginous protection, the patient begins to feel pain during physical exertion, for example, standing or walking.

This becomes the cause of hypodynamia, because a person subconsciously spares his joint, trying to prevent pain.

Absence of movements provokes local muscle atrophy and weakness of ligaments, with which LPC cures with arthrosis of knee joints.

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When exacerbated, the affected joint is provided with a neutral position for rest and maximum discharge. Return to the movements after the pain and inflammation are stopped (no later than 5 days later).

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In case of a disease, arthrosis deformans of joints of any degree should adhere to dietary nutrition and eat nutritional supplements. A clear and special diet for osteoarthritis does not exist, as much as biologically active additives (BAD).

The principles of nutrition and drug use are determined by the doctor on an individual basis, taking into account age of the patient, his professional needs, concomitant diseases, body weight and conditions accommodation.

Preventive maintenance and sanatorium treatment

Sanatorium and health resort rehabilitation will allow to carry out complex restoration, which includes beneficial effects of therapeutic mud, massage, exercise therapy, sauna, physiotherapy. No less important:

• a change of scenery;
• frequent stay in the open air;
• the prevention of stressful situations.

Such treatment is carried out in a state of persistent remission.

To prevent the development of arthrosis, you must observe the necessary motor activity all your life, maintain normal weight indices, and timely treat joint injuries.

Provided that the acquired and congenital disorders of the biomechanics of the joints are adequately corrected, osteoarthritis will be avoided. It is important to treat hip dislocations, flat feet, traumatic deformations of the extremity axes of various degrees in time.

A source: http://sustav.info/bolezni/arthrosis/deformiruyushhij-artroz.html

Causes of deforming arthrosis, diagnosis and treatment tactics

Among multiple diseases of the musculoskeletal system, deforming arthrosis is considered the most insidious. It progresses in people aged 55-60 years and older, not immediately showing their signs and symptoms.

Pathology occurs against the background of chronic ailments of the bone system and a number of concomitant favorable factors.

Developing, arthrosis causes deformation of the joints, cartilage dystrophy, and at the final stages of development - its complete destruction.

Causes

Medicine has not yet revealed the true causes that affect the rapid development of deforming arthrosis.

However, experts identified a number of factors that provoke the emergence of pathology.

One of these concerns the general aging of all organs, including the bone system of man. The rest are divided into two categories:

• Internal changes in the body. These are diseases of the osseous and musculoskeletal system that develop at the genetic level, the birth of joint degeneration. Such ailments as vascular dystonia, sprained ligament and muscle weakness, pathologies caused by menopause, impaired blood flow in tissues and cartilage, overweight.
• External factors. Influence of excessive load and mechanical effects on joints associated with professional or sports activity, hypothermia.

Varieties

Progressing pathology can deform almost all the joints of a person, but the most common include the elbows and knees, ankle joints and feet. Rarely arthrosis of the wrist and spine may occur.

Diagnose three degrees of the disease:

1. The first stage, in which there are no visible deformations and cartilage lesions. Deforming arthroses of the 1st degree are diagnosed by the modified composition of the cartilaginous fluid. The main symptoms of this stage are: rapid fatigue with increased loads, minor aches in the area of ​​the affected joint, stiffness of the muscles during movement.
2. The second stage of development is characterized by increased pain syndrome. At movements it is possible to hear a small crunch. In addition, deforming arthroses of the 2nd degree have obvious signs: puffiness and inflammation of the tissues in the area of ​​the degrading joint, a slight increase in it. If the pathology is localized in the legs or the hip joint, then a clear symptom of this stage is mild lameness.
3. The third degree of development of deforming arthrosis, in which a person begins to feel long aching pain, can not practically move without a cane. This stage, when the cartilage is thinned, and then completely destroyed. Treatment of deforming arthrosis of the third degree does not give results, eventually leading to disability.

It is well amenable to complex therapy deforming arthrosis of 1 degree. With the support of chondroprotectors, physiotherapy exercises and physiotherapy are carried out with patients.

Symptoms

Signs of development of deforming arthritis are the following:

• the affected joints cease to be symmetrical over time;
• In the field of thinning of cartilaginous tissue inflammation begins;
• visually an increase in the joint;
• pain, depending on the stage of the disease, can be felt, both during movements and in a calm state.

If the pathology of deforming arthrosis of large joints progresses and degrades, painful sensations on movement become unbearable. This is because pieces of cartilaginous tissue enter the joint cavity.

Symptoms of the disease on the phalanx are small solid nodules on the surface of the joint. In the second stage, the muscles do not atrophy, the mobility remains.

Osteoarthritis of the wrist joint is often accompanied by the formation of contracture.

In its manifestations the disease is similar to rheumatoid arthritis, therefore, before giving any recommendations on how to treat deforming arthrosis, the doctor will conduct a thorough diagnostic examination.

Diagnostics

Treatment of deforming arthrosis is impossible without a thorough examination, including the drawing up of a common clinical picture on the basis of anamnesis and the latest laboratory data.

As such, typical signs and symptoms for a disease such as arthrosis does not exist.

The doctor directs the referral to the examination by such criteria as the general health of the patient, increasing pain sensations during movement, the formation of nodules in the area of ​​affected joints, numerous complaints of impaired motor function.

The main diagnostic methods for deformed arthritis are as follows:

• CT scan. With the help of X-rays, you can view the deformed joint with the smallest details. The picture shows the development of the disease even at the earliest stages.
• Radiography. Determines the possible proliferation or thinning of stern tissues. With high probability it makes it possible to identify the source of joint damage, determine the internal or external causes of the appearance of pathology.
• Ultrasound diagnostics. With the help of this survey, you can determine the extent and nature of progressive deforming arthrosis.

To the main examinations, laboratory diagnostics of blood is added, the indices of which should indicate the absence of inflammatory processes in the body, and arthroscopy.

The latter is an invasion of the joint by surgical intervention.

At the same time, on the screen of the monitor the specialist is able to see a detailed picture of the affected joint.

Treatment

For deforming arthrosis treatment is a set of measures aimed at removing pain and stopping the process of joint depletion.

In addition, deforming the tissue, arthrosis causes stiffness of the muscles and restriction of human movements.

This symptom is also removed when necessary therapeutic measures are taken.

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An orthopedic or traumatologist can answer the question of how to cure arthrosis. Treatment is fully within the competence of these specialists.

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Doctors identify the causes that affect the development of the disease, determine its degree, and only after that develop a specific treatment regimen with the following recommendations:

• Weight reduction, with reduced load on the affected joint.
• Use of stimulant preparations, for the restoration of deformed cartilage tissues.
• The use of metabolites and quinolone drugs.
• Therapy with anti-inflammatory and analgesic drugs.

In the third stage, when the abovementioned methods of therapy become powerless, the patient may be offered joint replacement.

After the operation, it is necessary to undergo a course of rehabilitation, including sanatorium treatment, medical baths, mud, a complex of massages and other physiotherapy procedures.

Non-traditional methods of treatment

As an additional treatment, you can use ointments, creams or tinctures made at home based on natural ingredients.

1. In equal proportions, mix olive, sesame and corn oil. In the mixture, add ½ teaspoon salt and red hot pepper, 1 tablespoon ground ginger and chopped birch buds. All components are kept in a water bath for 10 minutes. You can use the ointment by preheating it to body temperature.
2. Tincture on walnut. Pour its septums with pure alcohol and let it brew for three weeks. Take 1 teaspoon each morning and evening.
3. In a glass of sunflower oil, add 1 tablespoon of barberry, thyme, saber, nettle and ginger. All carefully mix, soak in a water bath for 5-7 minutes, cool. Ointment rub at night, wrapped tightly with a warm scarf.

Any traditional medicine can be used only after consultation with a specialist and with his approval. Home prescriptions should be considered only as an addition to the basic therapy prescribed by the doctor.

Osteoarthritis as a disease of the musculoskeletal system must be treated at the initial stages.

If treatment is not performed on time, or is not carried out according to all the prescriber's appointments, a rapidly developing pathology can lead to impairment of motor functions, joint destruction, and then to complete immobilization and disability.

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