Arthrosis of the shoulder joint: symptoms and treatment

Arthrosis of the shoulder joint - symptoms and treatment of folk and medicamentous means, degree of illness and gymnastics in diagnosis

Articular cartilage eventually wear out, and a dangerous pathology progresses, which in the absence of intensive therapy can lead to disability.

Among potential diagnoses, doctors do not exclude arthrosis of the shoulder joint - symptoms and treatment are closely are interconnected, and health problems begin with acute pain in the shoulder against the background of depletion of cartilaginous tissues.

Unpleasant feelings continue to disturb the patient day and night, and painkillers without determining the etiology of the pathological process provide only a temporary effect.

What is arthrosis of the shoulder joint

The disease is prone to chronic course, with inaction gives serious complications. To avoid such health problems, patients at risk should carefully study the characteristics of the clinical picture.

Arthrosis of the shoulder joint is a degenerative depletion, where not only cartilaginous, but also bone tissue is involved in the pathological process. Under the influence of pathogenic factors and with age, the cartilage is thinned and cracked, and salt forms penetrates into the formed cracks.

Such salt deposits destroy the bone tissue, deform the bone.

Arthrosis of the shoulder can not disturb the patient for a long time, as the disease develops more than one year. It all starts with an acute attack of pain, which progresses with excessive physical exertion.

With each new attack, the patient's movements are more and more limited, any action brings pain and a feeling of internal discomfort. Other symptoms of a characteristic ailment are presented below:

• limited mobility of the joint;
• characteristic crunch during the movement of the focus of pathology;
• pain, accompanied by severe symptoms of inflammation.

As the impairment of motor function progresses gradually, aggravating the general condition Clinical patient, doctors distinguish several stages of arthrosis, where the focus of pathology becomes the shoulder joint. Unpleasant symptoms increase, contribute to a more accurate diagnosis. So, arthrosis of the shoulder joint of the 1st degree has the following clinical picture:

• slight change in the morphological tissues of the shoulder joint;
• painful sensations only with physical exertion;
• stiffness of movements after a short rest period;
• slight discomfort in the shoulders;
• disturbed muscle tone of the characteristic zone.

2 degrees

The above signs of this disease should alert the patient.

Otherwise, arthrosis of the shoulder joint of the 2nd degree is rapidly developing, in which it is already problematic to restore the broken structure of the cartilaginous tissue.

The operation is not yet required, but for this clinical picture the following clinical features are characteristic:

• change in the structure of the tissues of the shoulder joint;
• crunch when you put your hand to the side;
• limitation of muscle functionality;
• partial atrophy of muscle structures;
• visualization of cartilage defects.

Causes of arthrosis of the shoulder joint

When the disease develops, it is necessary to consult a doctor, to undergo diagnostics and only after that to proceed to conservative treatment for medical reasons.

It is necessary to find out why the joint could be deformed, which preceded this pathological process.

The main causes of arthrosis of the shoulder joint are detailed below:

• vascular disease with a systemic circulation disorder;
• prolonged physical load on the shoulder joint;
• genetic predisposition;
• impaired metabolism;
• chronic diseases of the endocrine system;
• injuries;
• extensive joint disease;
• age-related changes in cartilage and bone tissue;
• autoimmune diseases.

Treatment of arthrosis of the shoulder joint

To start intensive therapy is important immediately, to be observed at the doctor - a long period of time. Treatment of arthrosis of the shoulder joint of 1 and 2 degree is conservative, and in complicated clinical pictures surgical intervention may be required.

Anesthetics should be used to eliminate anxiety symptoms, but also anti-inflammatory, restorative, regenerating agents for use inside.

The productive treatment of brachial arthrosis includes methods of alternative medicine and a therapeutic diet.

Medicines

It is important to determine what can cause pain.

After eliminating the provoking factor, the treatment of arthrosis of the shoulder joint with drugs is particularly productive.

Below are those pharmacological groups that restore the affected areas, enhance tissue regeneration, facilitate the overall well-being of the clinical patient:

1. Chondroprotectors. A plant compound that restores the disturbed nutrition of cells. Such drugs should be used in the stage of relapse and remission, and at an early stage of diagnosing arthrosis in full restore the function of the once damaged shoulder joint. Chondroprotectors include Artra, Dona, Chondroitin, Glucosamine.
2. Non-steroidal anti-inflammatory drugs. With dystrophic processes in the body remove pain, relieve inflammation. These include Nimesulide and Diclofenac. The focus of pathology stops worrying, the patient starts to move normally, does not feel disabled. Well proven Kenalog, Hydrocortisone.
3. Corticosteroids. In the treatment of arthrosis, the representatives of this pharmacological group are distinguished by a stable and anti-inflammatory effect. If these medications are used correctly, the foci of pathology can be markedly reduced, the cartilaginous tissue will cease to collapse.

Ointments

Such drugs are shown rubbed into the affected shoulder joint. The area of ​​pathology temporarily ceases to bother. Therapeutic ointments for arthrosis of the shoulder joint are an additional measure in the complex approach to the problem.

Since the method of application is external, the active components do not penetrate into the systemic bloodstream, and the list of contraindications is minimal. Such medicines are appropriate to use in old age and during pregnancy, in order to obtain a sparing effect.

These are Diclofenac, Orthofen, Voltaren, Naproxen, Indomethacin, Ketoprofen.

Exercises for arthrosis of the shoulder joint

With increased activity of the lesion focus, doctors recommend performing therapeutic gymnastics.

Effective exercises for arthrosis of the shoulder joint are for home use, restore the former mobility, relieve an unbearable attack of pain.

To reproduce them is recommended in the stage of remission in order to significantly reduce the number of dangerous for health attacks. Below is a simple training complex for the affected shoulder joint:

1. Sitting on a chair, put your hands behind your back and fasten them to the lock. Reach back a little, repeat a slow exercise several times.
2. Standing, jerking an institution of elbows behind your back so as to maximally stretch the entire spine.
3. In standing position, close hands in hands over shoulders, after which perform circular movements of the shoulders.
4. With weighting it is recommended to raise your arms to the right and left, while turning the whole body.
5. Increased effectiveness is provided by the exercise "Castle when one hand is behind the back from the shoulder, the other - from the waist. It is necessary to stretch properly.
6. In the sitting position, place your hands on your lap and relax. Perform slow circular movements with shoulders and counterclockwise.
7. Put the chair in front of him in front, retreat a couple of steps. Hold your back with your hands and lean forward as much as possible.

Physiotherapy

Additional exercises allow you to get a quick result, almost instant relief from severe pain in the affected area.

Physiotherapy with arthrosis of the shoulder joint provides not only a massage course, but also exercise therapy, paraffin, exercise therapy, UHF therapy, infrared laser therapy, radon and hydrogen sulphide baths, ultrasound and magnetic fields, electrophoresis.

Constant carrying out of procedures is not required, missing several courses with a time interval on the recommendation of a specialist.

Surgical treatment of shoulder arthrosis

If the affected area does not cease to hurt, and the characteristic damage more and more often reminds itself of itself, there is an urgent need for an urgent operation.

Surgical treatment of arthrosis of the shoulder joint often involves the installation of an endoprosthesis. It is an invasive method that involves the replacement of damaged parts of the joint with artificial elements.

In such a progressive way, you can not only forget about pain for a long time, but also put your arm into motion without the former discomfort.

Treatment of arthrosis of the shoulder joint folk remedies

Time-tested methods of alternative medicine are no less effective in practice, but only supplement the main therapy with medications.

Before treating the shoulder joint at home, it is important to rule out the risk of an allergic reaction organism on plant components, competently choose a reliable prescription with a positive clinical outcome:

1. At night, make a compress of cabbage leaf, which effectively removes inflammation, increases the mobility of the shoulder joint after injury.
2. To cope with the foci of pathology with arthrosis, medicinal decoctions of burdock, chamomile, calendula and nettle are capable. They are recommended to be added to the bath, to perform the procedure before going to bed.
3. A mixture of propolis and pork fat causes the shoulder joint to move without pain, and compresses can be applied more than 2 times a day.
4. Effective treatment of arthrosis of the shoulder joint by folk remedies provides hirudotherapy. The procedure with leeches increases the blood flow of problem areas, removes symptoms.

Prevention of arthrosis

To defeat the shoulder joint a characteristic ailment can at any time, but the disease is more likely to affect adult patients at risk.

To prevent this from happening, it is important not to wear weights, avoid prolonged hypothermia and stressful situations.

Observing simple rules of prevention of arthrosis of the shoulder joint, it is possible to maintain mobility and painlessness of the entire musculoskeletal system. If a person is at risk, it's important to remember:

1. Stay active, regularly walk long distances.
2. The training complex proposed above is performed three times a week, not treated with repetitions of exercises.
3. Control your own weight and strength loads on the body in order to avoid dangerous relapses.
4. It's time to stop smoking forever and completely abandon other bad habits, alcohol.
5. In every possible way to avoid injuries and related diseases, to maintain the musculature of the shoulder girdle in tone.

: How to treat arthrosis of the shoulder joint

A source: http://sovets.net/11051-artroz-plechevogo-sustava-simptomy-i-lechenie.html

Arthrosis of the shoulder joint: symptoms and treatment

arthrosis of the shoulder joint

If the disease is observed wear of cartilage and changes in bone tissue, it is called arthrosis of the shoulder joint, the symptoms and treatment of which directly depend on the degree of manifestation ailment.

With such a pathology do not joke, since it is a question of preserving the motor function of the hand.

The mechanism of development

Under the influence of microtraumas and the inflammatory process, the cartilage gradually thinens, becomes covered with cracks, which are filled with salt deposits, which contribute to the destruction of cartilage tissue.

With the development of the disease lasting for years, there is a change in the structure of the bone, which is compacted and deformed. Initially, a person does not feel anything, but when there is pain in the shoulder joint, you should immediately go to the doctor.

Causes

Pathology can appear on the various occasions listed below.

Injuries

Arthrosis can manifest itself when the shoulder joint hurts because of a single injury or permanent injury to the shoulder during training or physical work. Damage can manifest as dislocation, sprain, bruise, internal fracture. The risk group includes hockey players, tennis players, golfers, boxers.

injuries as a cause of shoulder arthrosis

Diseases of blood vessels

Disturbance of blood flow, characteristic of vascular diseases, reduces blood supply to the joints of the shoulder, leads to their change.

Excessive load

Systematic hard work of people working specialties (loader, builder, blacksmith, cleaner) and increased load on the shoulder at volleyball players, basketball players, throwers and projectile throwers, gymnasts, swimmers provoke joint pain after training or work.

Hormonal failures

The disruption of hormones, which can be caused by psoriasis (skin non-infectious disease), often leads to a weakening, gradual destruction of cartilage. Psoriasis occurs on the basis of stress, metabolic disorders, reduced immunity.

Heredity

In people with a genetic predisposition to joint loosening, the usual load on the hands is perceived by the body as excessive, so it accelerates wearily the cartilaginous tissue.

heredity as the cause of arthrosis of the shoulder joint

Metabolic disease

Cells of the articular bag (protective capsule, in which endings of bones are located) can accumulate intermediates of metabolic metabolites. At the same time the nutrition of the joints worsens, they begin to slowly but inevitably collapse.

Decreased immunity

Lack of useful substances (vitamins, minerals, trace elements) causes weakening of immunity, which can create problems with the bone-cartilage system of the body.

Diseases of the joints

On the background of arthritis (inflammation of the joints), bone necrosis (tissue death), synovitis (inflammation of the joint membrane), favorable conditions for the formation of arthrosis.

Age

Pathology is observed in people older than 50 years, as over time the cartilaginous tissue reduces its functional quality, becoming less elastic. In this case, a gradual replacement of bone tissue occurs.

Congenital or acquired defects of the shoulder joint

This disease is explained by a reduced amount of collagen - protein strands of connective tissue.

https://www.youtube.com/watc? = e391B26KphU

Congenital or acquired defects of the shoulder joint

Overweight

Overeating and physical inactivity (low physical activity), associated with a set of extra kilograms, lead to metabolic disorders, insufficient blood circulation in the joint area, which accelerates the appearance of arthrosis.

Psoriasis

In the absence of treatment, psoriasis (non-infectious skin disease) extends to the joints and other organs.

Gout

Surpluses of uric acid in metabolic disorders accumulate in the body, eventually forming small crystals that cause pain. The disease itself is called gout.

Diabetes

This pathology entails not only arthrosis, but also gout, arthritis, synovitis, as it contributes to the disruption of the nutrition of articular tissues, causing inflammation.

In addition to the indicated reasons for which the joints suffer from arthrosis, smoking, alcohol, the development of inflammatory and infectious processes, a large proportion of bone tissue can be identified.

General symptoms

The initial stages of arthrosis pass unnoticed, but there comes a time when joints after sleep or joint pain disturb uncomfortable sensations not only in the affected area, but also in the neighborhood with it: in the hand, back, elbow. For example, during the development of the disease, you can feel the pain in the joint when bending the elbow.

symptoms of arthrosis

Changing weather, wearing weights, probing the shoulder - all this causes painful feelings. Even in a calm state the inflamed place constantly reminds of itself.

In addition to pain, they indicate arthrosis of the shoulder joint symptoms in the form of:

• impaired motor function;
• crunching, creaking of the joint;
• swelling, redness of the affected area;
• increase in temperature;
• formation on the joint of outgrowths of bone tissue.

Disturbances of motor function

Arthrosis clearly confirms its presence in the body by the fact that a person can hardly comb his hair, perform rotational movements, and take his hand back.

Such manifestations require immediate treatment, otherwise a contracture arises in the joint - restriction of movements, in which it is difficult to completely bend the arm. The next serious stage of the disease is complete immobility of the joint (ankylosis).

Painful crunching and creaking in the joint

When abnormal growths occur on the bone tissue (osteophytes), the patient's joint first creaks softly, and begins to crunch distinctly over time.

Painful crunching and creaking in the joint

Hardening of the joint

The appearance of osteophytes on the surface of the joint characterizes the neglected stage of the disease.

Swelling, redness

Such signs of the patient site against the background of local and general temperature increase indicate the presence of an inflammatory process in the affected joint.

Stages of the disease, their symptoms

There are three phases of the development of arthrosis, on the basis of which it is possible to judge the purpose of treatment for the patient.

First degree

In this case, a person experiences pain, stiffness at the beginning and end of the day, sometimes at night. With a sudden movement with your shoulder or hand, you hear a crunch that does not bother you yet, but after a physical labor, active sweeping movements, a painful feeling arises from the back of your hand.

Although no significant changes in the joint are observed at the first stage, the cartilaginous tissue gradually loses its elasticity, it can not easily cope with the previous loads.

The second stage

Shoulder arthrosis, the symptoms of which are pronounced at this level of development, require immediate treatment, otherwise the disease will progress further.

Disease in the second phase affects cartilage tissue, meniscus, intraarticular ligaments, which leads to spasm, further partial atrophy (loss of movement) of muscles in the next stage. The joint thickens due to the appearance of outgrowths.

The patient has the following symptoms:

• increased pain;
• distinct crunch;
• a marked decrease in the activity of the shoulder movement: it is impossible to raise, lower the hand, to lead it behind the back;
• the hand is in a forced position, not causing pain.

Symptoms of arthrosis

Third degree

If the diseased joint is not loaded, then the disease stops at the second stage. Transition to the next phase is rare, being a neglected state of the patient, and is characterized by considerable deformation of the joint with an ongoing inflammatory process.

The pain becomes permanent, quite strong, there is a partial muscle atrophy, as discussed above.

Degree Four

Diseases of joints, the symptoms of which are described for each stage, can be transformed into complete destruction of the joint tissue and pathological joint of bones. Such signs are usually found in elderly people.

Manifestations of humeroparous periarthritis

Disease of the shoulder joint often leads to a lesion of the subacromial joint that connects the shoulder with the scapula.

Shoulder-scapular periarthritis, the symptoms of which depend on the form of pathology, is an inflammation of the tendons of the shoulder and an articular bag protecting the end of the bones. It occurs mainly after trauma, it develops against the background of the removed mammary gland, some diseases of internal organs.

The pains of the right shoulder joint are the main manifestations of the humeroparous periarthrosis, they start gradually, they tend to develop further. They can disturb at night, concentrate both in the shoulder and in the forearm, reaching the brush.

There are several forms of periarthritis: simple (easy), acute, chronic.

For a simple type of disease characteristic signs:

• slight pain in the shoulder during hand movement;
• limiting the activity of the shoulder joint, in which it is not possible to get a hand behind your back or raise it upward.

Shoulder-flap periarthritis

If you do not treat the humeroparietary periarthritis in the first stage, then it can go into an acute form, in which symptoms are observed:

• frequent sudden pains in the shoulder, passing into the arm and neck;
• increased pain at night;
• it is almost impossible for the arm to move with the help of the scapula: rotation, raising up through the side;
• the patient's arm is most often bent at the elbow and pressed against the chest;
• on the front of the shoulder there is a small swelling;
• in some cases, body temperature rises;
• insomnia, deterioration of well-being.

After removal of acute pain, half of patients have a chronic form of pathology with signs:

• unobtrusive pain in the shoulder;
• acute painful sensations with awkward or abrupt hand movements;
• aching pain in the shoulder at night or early morning.

The chronic form lasts from 2-3 months to several years with different outcomes: it can pass or to develop into severe form - frozen shoulder syndrome, when the motor function is almost lost the joint.

Diagnostics

Severe pain in the joints first need a diagnosis, which is carried out in three stages: examination, a survey patient, laboratory examination (blood test, X-ray, ultrasound, magnetic resonance and computer tomography).

Diagnosis of arthrosis

Survey, patient interview

Definition of the diagnosis begins with the collection of materials on the basis of examination of the shoulder joint and patient complaints. The doctor examines the cervical spine, conducts tests for active and passive hand movements, examines the sore spot, determines the symmetry of the shoulders, shoulder blades, and clavicles.

Radiography

This type of diagnosis allows you to see at an early stage of the disease the expansion of the articular cavity to the oval. With the help of an X-ray, osteophytes (growths), a pathological change in cartilage and muscle tissue in the second and third stages can be detected.

Ultrasound, magnetic resonance imaging (MRI)

It is used for additional research, when it is necessary to clarify the stage and form of arthrosis, the condition of tissues, to identify concomitant diseases of the joint.

Ultrasound

CT scan

This method is used for a more detailed study of the damage.

Blood chemistry

It is prescribed to detect the inflammatory process, which is present during arthrosis.

Consultation of a specialist

The cause of the disease of the shoulder joint is cardiovascular or endocrine pathology, which will find the appropriate specialist.

Consultation of a specialist

Treatment

In order to avoid the destruction of the joint and the loss of elasticity of the cartilage, it is necessary to immediately see a doctor at the slightest suspicion of shoulder arthrosis.

Shoulder-flap periarthritis

To get rid of the disease you need to undergo treatment with a surgeon or neurologist. If there is a violation of blood circulation in the shoulder, medicament preparations are prescribed - angioprotectors, which improve the metabolism in the walls of blood vessels and normalize blood microcirculation.

Pleural shoulder periarthritis, whose symptoms and treatment are interdependent, is eliminated by anti-inflammatory drugs, including number of injections; compresses, laser and hirudotherapy, massages, the method of manual therapy - post-isometric relaxation.

Strengthening the effect of treatment are the recipes of folk medicine with the use of medicinal plants: nettle, St. John's wort, calendula, horseradish root.

Methods of getting rid of arthrosis

For a start, an acute pain in the shoulder joint is removed, the treatment of which has its basic principles: restoration cartilage, protecting it from defeat, eliminating inflammation, renewing the full activity of movement in the joint. Apply medication:

• chondroprotectors for suppressing the development of arthrosis;
• anti-inflammatory, analgesic drugs;
• medicines against muscle spasm and microcirculation disorders;
• BAA as an auxiliary restorative means.

Hondoprotectors for arthrosis

Shoulder arthrosis, the symptoms and treatment of which are observed by the doctor in the process of prescribing exercise therapy, massage, physiotherapy, is weakened with the regular implementation of medical recommendations. To fix the result, you must follow a special diet, lead a healthy lifestyle.

In the case of complete destruction of the joint, a surgical procedure for implanting the prosthesis is indicated.

Arthrosis is eliminated for a long time and not always completely, but with timely treatment there is a reliable guarantee of restoring the health of the shoulder joint.

A source: http://AntiRodinka.ru/artroz-plechevogo-sustava-simptomi-i-lechenie

Symptoms of shoulder arthrosis and treatment at home

Arthrosis of the shoulder joint: treatment and symptoms is a question that is in the field of vision of an orthopedic physician and which worries people who have encountered this problem.

Despite the fact that this type of joint damage occurs less frequently than other types of pathology, it is sufficient is actual because of its painful manifestations, which reduce the capacity for work and simply exhaust the suffering person. rights.

The disease has enough dangerous symptoms, and treatment should be started as early as possible, not leading to a critical condition.

The essence of pathology

What is arthrosis of the shoulder joint? At its core, any arthrosis is a pathology of the joints, developing degenerative-dystrophic mechanism, at which the gradual destruction of the cartilaginous tissue proceeds and other articular elements.

An increasing factor is often arthritis, which manifests itself as an inflammatory process and often accompanies the lesion in question.

In turn, arthrosis of the shoulder joint or brachial arthrosis develops in the joint formed by the humerus and the scapula cavity.

With the problem of arthrosis, to some extent, many older people face. The onset of degenerative age changes in the joints after 50 years is considered the norm.

Another thing is when such violations are observed at a young age or begin to develop intensively. It is these joint manifestations that are meant by the concept of arthrosis.

In general, the pathology is characterized by a chronic course and a fairly rapid progression, with the stages of exacerbation alternating with periods of calm.

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The essence of the disease consists in the accumulation of microscopic lesions in the cartilaginous and bone tissue. Particularly affected cartilage, which is thinned and covered with cracks.

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Defects accumulate salt deposits, which accelerate the destructive process.

As a result, the cartilage ceases to perform its protective and damping functions, and the bone becomes denser, its deformation occurs, osteophytes grow.

In the joint of the shoulder, arthrosis can develop very long, and for a long time does not manifest itself by anything, because changes occur at the molecular level.

This development of the disease is characterized by the fact that the lesion affects not only the cartilaginous tissue, but also the synovial membrane, the joint bag, the bone elements. There are irreversible changes.

In principle, the shoulder joint is characterized by 2 forms of arthrosis: primary and secondary type. The primary variety is due to the age-related gradual development of degenerative aging of tissues. The nature of the secondary form is based on exogenous and endogenous destructive effects.

Etiology of the phenomenon

Arthrosis of the shoulder joint can be safely attributed to polyethological pathology, when provoking causes are numerous factors. In most cases, the secondary form of the disease is fixed.

In the etiological mechanism of pathology, the following generative causes are distinguished:

1. Injuries. Traumatic arthrosis of the shoulder joint can produce such intraarticular mechanical injuries, as fractures, dislocations and bruises. Most often, arthrosis is provoked by dislocations, but the most dangerous causes include fractures.
2. Vascular pathologies. Typically, the effect of atherosclerosis, when the blood supply to the joint is impaired. People who are ill with diabetes and who abuse smoking are at risk. Another factor is varicose veins, which is often due to a sedentary lifestyle. The risk of arthrosis is significantly increased in the presence of obliterating endarteritis.
3. Hormonal and immunological disorders. Often they arise as a result of the development of psoriasis or gout. In addition, in fairly young people, they can be caused by nervous stress, physical overwork, vitamin deficiency, and exchange problems.
4. Bony pathology and other joint diseases. The most characteristic effect of arthritis in acute or chronic form. Infectious lesions of the joints are possible. It is especially necessary to note such an inflammatory disease as synovitis.
5. Physical factor. Excessive physical activity often causes arthrosis. The risk group includes such professions as stevedores, hammers, builders. Danger and constant physical tension, which is common among athletes: volleyball players, tennis players, basketball players, throwers.
6. An hereditary factor, in particular, shows a congenital anomaly in the form of a defect in the collagen gene.
7. Endocrine pathologies and metabolic disorders. An important role in the destruction of the joint tissues is played by phosphorus, calcium, and a number of other minerals.
8. Excessive body weight.

Symptomatic manifestations

When arthrosis of the shoulder joint develops, the symptoms can be divided into 3 groups:

1. Pain syndrome. It is recognized as the main symptom of the disease due to its manifest manifestation. The source of pain can be detected by palpation. The main painful foci are the lower clavicular border and scapula. Irradiation of pain occurs in the shoulder region and throughout the upper limb. The nature of the pain syndrome is different at different stages. If at the initial stage it is felt as a constant discomfort and gradually becomes sharp when moving in the joint, then pains become sufficiently intense and manifest themselves during the period of exacerbation, up to the situation when its urgent blockade.
2. Crunch. The characteristic sound of a crunch and clicks arises at movement in a joint that is caused by salt deposits and bone osteophytes.
3. Restriction of motor ability. At the beginning of the disease, this symptom does not appear. As the pathology progresses, the movements in the shoulder joint become more and more limited: the amplitude of the abduction of the hands decreases, the freedom of rotation in the joint decreases. Aggravation of this phenomenon is caused by seasonal factors, exercise stress, hypothermia. In the advanced stage, this symptom takes the form of an articular dysfunction, blocking the mobility of the joint.

Depending on the nature of tissue damage and severity of manifestation of the main signs of arthrosis of the shoulder joint, it is customary to classify according to the severity:

1. 1 degree: changes in tissues are insignificant and not irreversible. Pain syndrome can occur only with significant physical exertion and prolonged movement in the joint. The cartilage tissue gradually loses its elasticity, but it is still coping with its functions. The question of how to treat arthrosis of the shoulder joint is best solved at this stage, but, unfortunately, often a person writes off the emerging discomfort for temporary signs of physical overload and small stretches, not taking no action.
2. 2 degree: structural changes in articular tissues begin, which causes a noticeable decrease in the thickness of the cartilaginous layer. At this stage there is already a crunch when moving. An inflammatory reaction in the synovial membrane is possible. Pathology of the 2nd degree of severity already affects not only cartilage, but also ligaments with their gradual atrophy. Begin to feel restrictions in the freedom of movement, pain syndrome is felt during exercise.
3. 3 degree: changes in tissue structures acquire a pronounced, irreversible character. Arthrosis is transformed into a deforming form. All signs of the disease become apparent, and periods of exacerbation are frequent. Without adequate treatment, one can expect a gradual increase in the limitation of mobility, up to the complete immobilization of the joint. To block the pain during the period of exacerbation, a blockade is often required.

Diagnostic measures

Before deciding how to treat arthrosis, it must be identified and differentiated from other diseases. The primary diagnosis is based on the analysis of anamnesis and examination of the patient, incl. by palpation of the affected joint.

The main method of diagnosis is the radiography of the shoulder joint, carried out in several planes, and necessarily in the posterior - anterior and lateral planes. Direct signs of deforming form of arthrosis:

• narrowing of the joint space;
• cartilaginous sclerosis;
• micro-cysts;
• osteophytes.

To clarify the diagnosis, instrumental methods are used:

• Ultrasound;
• arthroscopy;
• MRI;
• CT scan;
• scintigraphy;
• thermography.

Laboratory diagnostic methods are needed to differentiate the disease. A common blood and urine test is performed, as well as a biochemical blood test.

Arthrosis in its pure form practically does not change the composition of the blood mass, but laboratory tests allow us to detect the presence of inflammatory processes, incl.

adherence to arthritis.

Principles of treatment of pathology

After diagnosing arthrosis of the shoulder joint, treatment is prescribed as a set of measures, including:

• therapeutic and prophylactic measures (behavioral actions);
• drug therapy;
• physiotherapy.

Important is the special therapeutic exercise, which makes up the whole therapeutic physical culture complex (LFK).

At once it is necessary to consider, that the medical complex is a long process, and which does not bring complete cure in view of irreversibility of the occurred structural changes.

The goal of the treatment is to stop or slow down the destructive process, partial regeneration of tissues, normalization of blood supply and metabolic process, symptomatic treatment, maximum recovery of mobility the joint.

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Treatment-and-prophylactic measures mean optimization of a way of life, exclusion of excessive loads, proper nutrition.

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It is recommended to supplement the food ration with useful products, especially chilli and rich meat broths.

It is necessary to increase the consumption of foods with a high content of calcium (fermented milk products) and vitamin B, C. Alcohol should be significantly limited, as a provoking factor.

Medication Therapy

The basis of treatment of arthrosis of the shoulder joint is medical therapy. It includes both local effects (external agents) and systemic treatment (injections, pills). Depending on the severity of the disease, drugs of such groups are prescribed:

• non-steroidal anti-inflammatory drugs;
• glucocorticosteroids of hormonal type;
• anesthetics (including pain blockade);
• chondroprotectors.

Nonsteroidal agent can be used for local and systemic therapy. Local effects are provided by ointments and creams based on Diclofenac, Ibuprofen.

Widely used lotions solution of Dimethyl Sulfoxide. Systemic therapy has a special role for selective anti-inflammatory drugs.

The doctor may prescribe the drug from the following series: Nimesulide; Meloksikam; Rofecoxib; Etoricoxib; Celecoxib.

Hormonal glucocorticosteroids for arthrosis are prescribed only in the form of external agents or for injection directly into the joint. For systemic therapy they are not used.

The most commonly used ointments based on Dexamethasone, Prednisolone, Hydrocortisone, Betamethasone.

Intra-articular injection is provided by such drugs: Betamethasone, Triamcinolone, Methylprednisolone.

With very serious pain, narcotic (opioid) analgesics are prescribed: Tramadol, Codeine, Oxycodone, Morphine, Promedol. Blockade of the shoulder joint is performed with severe pain during the exacerbation in advanced stages.

The most effective method is a combination of anesthetic with a hormonal glucocorticosteroid. Blockade is provided by the drug with the use of lidocaine or novocaine as an analgesic component.

The injection is carried out directly into the shoulder joint.

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Chondroprotectors are used to restore cartilaginous tissue. The effect of cartilage regeneration is achieved by long-term treatment. As effective agents, such drugs are used: Glucosamine Sulphate, Glucosamine Hydrochloride, Chondroitin Sulfate, Hyaluric Acid Derivatives, Wobenzym.

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Treatment at home is quite effective at an early stage of the disease. When the treatment with folk remedies, arthrosis of the shoulder joint is affected by self-made ointments, infusions, decoctions, lotions from such medicinal plants:

• St. John's wort;
• burdock;
• thyme;
• radish;
• horseradish;
• birch buds;
• dandelion.

Physiotherapy

Effective therapeutic effect is shown by gymnastics with arthrosis of the shoulder joint. LFK includes exercises that strengthen muscles, ligaments, provide massage, stabilize blood supply.

In carrying out such exercises it is important to consider that exercises with excessive load can, on the contrary, cause an exacerbation of the disease. Physical loads should be strictly standardized and take into account the degree of joint damage.

As a rule, they do not exceed 4-6 kg.

In general, all the exercises are divided into 2 stages. At the first stage they are aimed at warming up the muscular system. The duration of preparation is 12-17 minutes. The main exercises are aimed at stretching the muscles, which stimulates the work of the entire shoulder joint.

The following exercises are distinguished which can have a curative effect:

• circular rotation of shoulders: carried out in two directions - forward and backward (for 15-17 movements);
• rotation of arms: arms extended to the side, and rotation with maximum amplitude;
• the retraction of the elbows behind the back at the shoulder level: the diversion is carried out by a jerk;
• movement of hands in the opposite direction;
• Shoulder rotation when hands are clasped behind your back;
• grip hands behind: one hand is located at the top, and the other is below.

Arthrosis of the shoulder joint is a very painful pathology and in a neglected state it can cause a lot of trouble. To avoid complications, it is necessary to begin effective treatment in the early stages of the disease.

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How to treat arthrosis of the shoulder joint?

Arthrosis of the shoulder joint is included in the international classification of diseases according to the ICD code 10 and is considered a common disease - not less than 10% of all pathologies associated with joints.

Treatment of arthrosis of the shoulder joint at home by symptoms can be built only after examination by the doctor and diagnosis, as well as the appointment of appropriate therapy.

It should include a set of measures aimed at eliminating the causes of the disease.

Symptoms of arthrosis

Arthrosis of the shoulder joint disturbs a huge number of people older than 50-55 years, and the sex does not give any "advantages". The way it is necessary to treat arthrosis of the shoulder joint, directly depends on the stage of the disease.

If it could be identified at first, the process of recovery will be more successful.

In the cracks begin to accumulate salt deposits, which accelerate the process of destruction. Bone tissue is gradually deformed.

1. The first stage. Pain syndrome often occurs in the mornings and evenings, as well as in severe weather changes, there is an insignificant limitation of the motor function of the hands. In parallel, there is a small, painless crunch or creak in sharp movements. There is no fever over the joint, redness and swelling at stage 1. X-rays also do not show the first signs of the disease, the joint is still quite mild.
2. The second stage. The pain becomes intense during movement, the amplitude of possible movements is markedly reduced, and the crunch is clearly heard during the change in the position of the joint. Inflammatory processes in the form of redness of the skin, swelling of the joint, increase in temperature in the affected area become evident during the period of exacerbation. X-ray shows signs of deformation and narrowing of the joint space, sometimes hardening is observed.
3. The third stage. The most painful, even at rest, the joint begins to ache. The mobility of the shoulder is sharply limited, the crunch and clicks on the motion are audible to everyone around. The joint seems to be inflamed all the time, noticeably hardening. On the x-ray, there is considerable destruction and deformation of the joint.

If you have a suspicion of developing arthrosis, you should immediately consult a doctor, and only then drink prescribed medications, use folk remedies, go to exercise therapy and do self-massage.

Medications for the treatment of arthrosis

To treat arthrosis of the shoulder joint is necessary in order to eliminate the inflammatory process and pain. For this purpose doctors appoint:

• nonsteroidal anti-inflammatory drugssuch as "Diclofenac" and "Nimesulide they help with inflammation, and also relieve pain;
• corticosteroidsare prescribed for severe pain and are sold in the form of injections - "Kenalog "Hydrocortisone also use ointments with similar names;
• chondroprotectorsare prescribed for the restoration of damaged cartilage, are made from hyaluronic acid, glucosamine, chondroitin sulfate.

Self-medication can be dangerous to health! Most of the serious and potent drugs can be dispensed only by prescription.

At home, the treatment of arthrosis of the shoulder joint by folk remedies is reduced to the use of compresses, rubbing and baths.

Here are the most effective methods for pathology:

1. Compresses. Not bad copes with a more compress of 30 g of oatmeal cooked in, l of boiling water. The mixture should be boiled for 10 minutes after boiling, put on gauze and hold for 30 minutes. The cabbage juice for the night will also be an excellent remedy for restoring the affected joint.
2. Rubbing. Fight with inflammation and pain will be vodka liqueurs. The best of them is 125 ml of vodka and 50 g of the root of elecampane. You need to insist in a dark place for 2 weeks. Use every day for 15-20 minutes. Another good product without vodka - on, 5 liters of boiling water take 15 g of angelica roots and insist 30 minutes. Rubbed up to 5 times a day.
3. Healing baths. For preparation use infusions of herbs - for 2-3 liters of water according to the instructions. Burdock, mustard and mint are best suited, it is possible to use haystrap. Baths are used until the skin is thoroughly rooted. Finish the procedure by grinding, and then - immediately go to bed.

In order for folk methods to show maximum efficiency, the affected joint needs to be provided with normal nutrition. For this, a person adheres to a special diet.

Disease for arthrosis of the shoulder joint

Features of the diet for arthrosis of the shoulder joint are similar to the principles of proper nutrition, but there are several points that are critical for joint health:

• You can not strictly limit your diet and adhere to unbalanced diets. They wash out the liquid, calcium and potassium, which are necessary for the health of bones, and their lack leads to deformation;
• table salt should be eliminated as much as possible from the diet;
• the basis of the dietary table - products rich in calcium, but the protein in them should not be very much. Arthrosis of the shoulder joint can be cured only with a sufficient number of minerals in the body. As the best supplier of calcium are fermented milk products;
• use many products with a high content of collagen, which helps to restore cartilage, - meat and bone broth, gelatin and dishes based on it;
• simple carbohydrates should be a minimum, and complex - a maximum. These include products from wholemeal flour, whole grains, and sugar is replaced by honey, sweet fruit;
• vegetable fats are indispensable for human health with diseased joints, and it is also useful to eat marine fish rich in unsaturated fatty acids;
• fry food can not, choose such cooking methods as steam processing, stewing, baking;
• eat slowly, chew well, preferably 5-6 times a day, but in small portions. Excellent helps to cope with large portions of the method of a small plate - just remove large dishes and eat from salad bowls or saucers.

This helps to charge "100 steps" - walk slowly around the room or take a walk in the street, and then you can start rest. Smoking in any form, including passive, and alcohol are prohibited for arthrosis.

It is important to monitor the daily stool, the intestine should work normally and be emptied once a day after awakening.

With constipation, you need to eat more greens and foods with fiber. The essence of the diet for arthrosis is the elimination of excess weight, the improvement of metabolism, which leads to the regeneration of damaged joints.

Products recommended for arthrosis

The list of products that help restore cartilage tissue, includes a large set of plant and animal Ingredients: chicken, turkey or duck, fish oil and Omega-3-rich fish - mackerel, trout, any salmon, herring.

Food rich in calcium should be in the diet every day - most of it is contained in serum. It is enough to drink it for breakfast to replenish the necessary level of microelement.

Yogurt, kefir, fermented baked milk, snowball will also be useful. Just do not greatly enrich them with sugar.

In plant products, too, contains calcium, especially a lot of it in the green of parsley, lettuce, spinach, dill, celery.

Of fruits and vegetables, preference should be given to what grows in the latitudes of human habitation.

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Pomegranates and oranges are also recommended for consumption, as are foods high in vitamin E - vegetable oils, nuts, sprouted wheat grain.

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Useful and butter, but in small quantities. And from vegetables it is best - carrots, zucchini, broccoli, pumpkin and cabbage.

It is important for arthrosis to include in the diet products in which a lot of B group vitamins. They are contained in bread from whole grains, baked in the uniform of potatoes, peas, eggs, bananas. Contains vitamins and in all products described above.

What should not be in the menu?

The patient with arthrosis of the shoulder joint needs to exclude from the diet harmful sweets, milk desserts and ice cream, chocolate cheese, as well as snacks in the form of chips, wheat flakes, crackers.

Coffee and strong tea are contraindicated in arthrosis, as are carbonated drinks, fatty sauces and seasonings with spicy spices.

Fatty caviar and fish of very fatty varieties such as salmon, halibut, are also prohibited.

Exercises for arthrosis

The complex of exercises within the curative gymnastics with arthrosis of the shoulder joint facilitates the pain and should be applied every day until the onset of remission.

Classes take about 15 minutes a day, and the effect is observed after 1-2 weeks of exercise:

1. Get up in the starting position - feet at shoulder level. Take your right hand behind your back, trying to touch your shoulder with your fingers. Left-click on the elbow (he must look at the ceiling). Repeat the exercise for 8 accounts, change your hand. Do 4 cycles.
2. In the starting position, put your hands down. Left lay on the right shoulder, and the right hand - under the left. Keep your elbows high, move your fingers to the spine. Make 8 approaches with short breaks between them.
3. Take the chair. Stand facing his back at a distance of 40 cm. Spread your legs across the width of your shoulders, bend down to the backrest for 7 bills. Spread the blades to the floor for 7 seconds. Return to the 8th account in the starting position. Repeat exercise is 8-9 times.

Contraindications to exercises

The exercise of exercise therapy is prescribed by a doctor and should develop a painful joint.

But there is a method and contraindications:

• acute pains;
• high temperature and pressure;
• spasms of blood vessels;
• discomfort during class.

To complete the gymnastics you need self-massage with the use of recommended ointments and gels.

Shoulder joint massage with arthrosis

During the shoulder joint massage with arthrosis, the entire shoulder area, neck and collarbone.

Self-massage is performed only after the show to specialists, and restorative procedures should be carried out at all by the doctor:

1. First, the masseur rubs the area of ​​the sore spot, pressing down slightly.
2. He conducts circular motions, studies the front area and the headband of the shoulder.
3. Then the area is warmed from behind.
4. At the end, the joint bag is rubbed on a deeper level.

It is important to pay attention to how carefully the work is done, the patient should not have too many painful sensations.

Sequence, consistency and complexity are the main components of success in the treatment of arthrosis.

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