Osteoarthrosis of the shoulder joint: degrees, symptoms and treatment

Treatment of osteoarthrosis of the shoulder joint of 1, 2 and 3 degrees

Osteoarthrosis of the shoulder joint is a disease that affects the joint itself, cartilage and periarticular bags.

Degenerative osteoarthritis - DOA of the shoulder joint is one of the serious and dangerous varieties of osteochondrosis.

Therefore, first you need to understand what osteochondrosis is, and how it manifests itself.

Pathology occurs in people of any age, in which case 4 and 5 vertebrae are affected. In this case, shoulder joints begin to suffer. The processes that occur as a result of osteochondrosis lead to the fact that the muscles of the shoulder and neck are atrophied, so the disease must be treated seriously and in time.

Osteochondrosis is an inflammatory process in the cartilage of the joint, without appropriate treatment, inflammation can sweep other organs.

When the disease passes to the cervical region, it is possible to completely immobilize the neck, in chronic form the disease can lead to a partial loss of hearing, impaired vision, dizziness.

A person may experience sharp changes in blood pressure.

The facial and cervical regions suffer from a decrease in sensitivity, in particularly severe cases, this can threaten even tissue necrosis.

Causes of osteochondrosis

The causes of osteochondrosis of the shoulder joint are few. The most important of these are incorrect posture and lack of physical activity.

When squeezing 4 and 5 vertebral discs, the so-called shoulder syndrome develops, the signs of which are associated with dystrophic disorders in the cartilage.

Paradoxically, increased physical activity can also be the cause of the disease: osteochondrosis of the shoulder joint is often diagnosed in athletes.

Contribute to the development of the disease old injuries - dislocations, fractures, stretch both the shoulder and back, infectious diseases - tuberculosis, chlamydia, streptococcal infection and even thrush. Pain in the cervical and brachial regions appears after a nerve pinched.

Symptoms of the disease

Symptoms of osteoarthritis of the shoulder joint are manifested as follows:

1. There are painful sensations in the shoulder and neck area, even at the moment when the person is at rest. The pain becomes worse if you try to take your shoulder to the side.
2. The patient begins to notice that he is very quickly tired of a small physical and mental activity.
3. The movements of the shoulder become limited, this is due to the fact that the muscles of the forearm are shortened.
4. Pain can spread to the whole arm.
5. There may be a crunch in the joint of the shoulder.
6. The intensity of pain sensations increases with physical exertion, and in severe cases, even with sneezing and coughing.

The essence of DOA

Deforming osteoarthrosis of the shoulder joint is one of the forms of osteochondrosis, in which degenerative-dystrophic phenomena are observed in the shoulder joint.

In this case, the function of the joint is severely impaired. The disease is characterized by a chronic course that destroys bone and cartilage tissue.

As a rule, pathological changes in the joint are irreversible.

Most often there is a DOA of the right shoulder joint, since the right arm is working and it has more workload. In left-handers, respectively, the pathology of the left shoulder joint develops more often. According to statistics, after 45 years, 16% of the population of the world suffers from the DOA of the shoulder joint.

The causes of the disease are several factors - these are trauma, and congenital pathologies of the joint, and a sedentary lifestyle, and too much stress on the joint, and dysplasia (both congenital and purchased). In addition, the causes may be the presence of infectious diseases, diseases of the endocrine system, metabolic disorders in the bones, rheumatism and other ailments.

Symptoms and treatment of osteoarthritis of the shoulder joint is the same as in osteochondrosis, with the disease divided into 3 degrees, in which the symptoms are somewhat different.

Degrees of osteoarthritis

The disease can be conditionally divided into 4 degrees:

1. The earliest stage of the disease is characterized by the limitation of joint mobility, the area of ​​the shoulder can swell from time to time.
2. Osteoarthrosis of the shoulder joint of the 1st degree - complaints of pain in the shoulder with physical activity (at the same time, pain does not disturb at rest). With regard to the limitation of mobility, it is the difficulty of leaning the shoulder back.
3. At 2 degrees - the pain becomes constant, and its intensity is increased. Periodically there is a crunch in the joint when moving. With the progression of the disease, muscle atrophy develops, which affects the shoulder girdle. The joint deforms, its configuration changes. The mobility becomes even more limited.
4. And at 3 degrees - the pain is strong and constant. Mobility is almost completely limited, the patient becomes difficult to perform daily activities, joint deformity is visible to the naked eye.

Diagnosis of the disease

In order to make the correct diagnosis, it is necessary to undergo hardware and laboratory studies:

• radiography;
• MRI;
• CT;
• a blood test to exclude or confirm the infectious origin of the disease.

After collecting all the tests, the doctor will select a treatment regimen based on the general condition of the patient, which should be started immediately.

Treatment of DOA shoulder joint

How to treat osteoarthritis of the shoulder joint, the doctor-arthrologist knows, however, unfortunately, not in all clinics there is this narrow specialist, so this problem can be addressed to a rheumatologist, orthopedist or the surgeon.

Cure osteoarthritis can be conservative or surgical. The choice of method depends on the stage of the disease and the general condition of the patient. With a conservative approach to treatment, medicines, physiotherapy, massage, exercise therapy are used.

Medicamentous treatment is based on the admission of such drugs:

1. Chondroprotectors are used to improve the structure of cartilage. These drugs can partially repair the damaged cartilage: Alflutop, Glucosamine, Structum, Arthra.
2. To stop the pain and remove the inflammatory process, non-steroidal anti-inflammatory drugs are used: Naklofen, Diclofenac, Nimesulide, Indomethacin, Aceclofenac, Naproxen.
3. To relieve spasm of the shoulder muscles and restore motor activity, muscle relaxants of the central action are used: Sirdalud, Midokalm.
4. Various medicines are used that improve blood circulation in the tissues of the damaged joint: No-shpa, Trental, Actovegin, Nikospan.

An important role in conservative treatment is played by physiotherapy procedures - massage, laser and cryotherapy, etc.

DOA of the shoulder joint of the 1st degree, as a rule, is treated medically. With DOA of the 2nd degree, the treatment can be both medicamental and surgical.

If medical treatment remains ineffective, as well as for osteoarthritis of grade 3, surgical intervention is prescribed.

During the operation, partial or complete replacement of the shoulder joint can be performed.

With DOA 1 degree, medication treatment can be effective, and the ailment even ceases to develop further, the motor function of the joint improves, and the pain syndrome does not disturb the patient. However, in later stages of the disease, medicine can not always help, so doctors are so urgently asked to seek help with the first symptoms of the disease.

Traditional methods of treatment

Traditional medicine can be used as an auxiliary method for conservative treatment, as well as rehabilitation after surgery:

1. It is necessary to mix beeswax with melted lard before obtaining a uniform consistency. The agent should be rubbed into the joint of the shoulder, especially recommended after exercise therapy.
2. A leaf of white cabbage not only removes the inflammatory process, but also successfully fights against pain. Warm cabbage leaf should be applied to the shoulder in the place where the intensity of pain is the brightest. It is advisable to wrap at night, when the joint will be at rest. On top of the sheet should be put a warm cloth and pribintovat.
3. When osteoarthritis is very useful decoction of cowberry. Berries (2 hours. l.) must be washed under running water and pour a glass of boiling water. Hold under the lid for 15-20 minutes, and then strain and take a pair of Art. l. during the day.
4. Almost all anti-inflammatory gatherings are hay. 1 tbsp. l. dry raw materials are brewed with a glass of boiling water, after cooling, the filter is filtered and the glass is drunk at night for a quarter.
5. To cook a decoction of corn stigmas, it takes 2 hours. l. Herbs first stir in a glass of cold water, then boil for 5 minutes. Cool, strain and drink 1 tbsp. l. 4-5 times a day.
6. Prepare a pack of horseradish roots. Roots must be grated and roasted in a water bath. It is important not to bring water to a boil: the roots must languish, but not boil. The finished liquid is applied to the tissue and applied to the sore spot all night.
7. To treat the disease use rubbers. A glass of vodka should take 100 grams of root elecampane. The remedy should be insisted for 2 weeks in a dark place, then applied to the inflamed place daily until the pain in the shoulder goes away.

Preventive actions

People who fall into the risk group must necessarily take chondroprotectors, as they improve the development of synovial fluid and metabolic processes, and also have a positive effect on the structure joints. However, appoint a doctor should be a doctor, only an expert will choose the device and dosage correctly.

The risk group includes people:

• with excess weight;
• the elderly;
• with diabetes mellitus;
• having a hereditary predisposition;
• injured joints;
• with congenital deformity of the joints;
• professional athletes.

For the prevention, you should eat foods that contain calcium and strong, rich meat broths.

A source: https://OrtoCure.ru/kosti-i-sustavy/artroz/osteoartroz-plechevogo-sustava.html

Upper arm joint: the main symptoms of the disease

The DOA of the shoulder joint is characterized by a slow, prolonged development.

DOA of the shoulder joint (that is, deforming osteoarthritis) is a serious chronic disease, diagnosed in about seven percent of the world's population. In this pathology, hyaline cartilage undergoes degenerative changes.

It is thinned, loses its elasticity, and then collapses.

As a consequence - bones are exposed, build-ups (osteophytes) are formed, deformed and loses the ability to function the joint, and, hence, the arm.

The disease is characterized by slow development. Her remissions are usually long, and acute periods are short.

Degrees and types of pathology

There are DOL of the left humerus, right or both. In addition, the disease is primary - in this case, it develops regardless of other pathologies, or secondary, when the impetus starts the destruction of cartilage becomes some kind of ailment.

There are several stages of osteoarthritis:

1. DOA of the first degree of the shoulder joint.There are small cystic changes in bone tissue. The joint gap is narrowed slightly. Tiny osteophytes can be present.
2. Osteoarthrosis of the shoulder joint of the 2nd degree. Osteophytes are still small, but they can be traced clearly. The joint gap is narrowed slightly.
3. Osteoarthrosis of the shoulder joint of the third degree. Deformation of bones begins. Osteophytes are average. The gap is narrowed considerably.
4. Osteoarthrosis of the shoulder joint of the 4th degree. The osteophytes are large in size. The joint gap is absent. Bones are significantly deformed.

To determine the degree only by symptoms is impossible, because each organism is individual, and much depends on the pain threshold of a person. To diagnose this or that stage, it is necessary to undergo a survey. The sooner this is done, the better.

Causes and provoking factors

the cause of osteoarthritis is the wear of the joint. The latter can become a natural consequence of age-related changes or other factors. There are several categories of people who are at risk.

These are the persons:

• overweight;
• the elderly;
• suffering from endocrine diseases, metabolic disorders, dysfunctions of the musculoskeletal system;
• professional athletes;
• having a history of shoulder injury;
• genetically predisposed to the development of DOA;
• with congenital deformity of the joint.

People who work hard with the hands are also susceptible to the disease. For example, builders, loaders, etc. If a person is at the same time a right-hander, he risks "earning" the DOA of the right shoulder joint, and if the left-hander is left-handed.

Symptomatology of pathology

At the initial stage, the disease may not manifest itself. One of the first signs is the pain that occurs in the shoulder when moving.

It is especially pronounced if physical activity is significant. Passes at rest after rest. With the development of pathology takes a permanent character, is increasing.

Pain in the joint is one of the main symptoms of shoulder osteoarthritis.

Another symptom of osteoarthritis is clicks in the joint, because of which it becomes difficult to move the limb.

There is also a stiffness, reaching to the fact that it is impossible to move the arm forward, backward or upward. There may be swelling of the affected area.

Diagnosis and treatment of pathology

There is a simple test that allows you to suspect the onset of osteoarthritis. It is necessary to stand with your hands behind your back while standing, as if trying to tie the ribbon of the kitchen apron on the waist. If there is pain in the shoulders, the problem may be.

However, only a professional doctor can make an accurate diagnosis. After a visual inspection and conversation with the patient, he will send the latter to a survey, which includes the following methods:

X-ray	The main method of diagnosing osteoarthritis, which allows you to see the deformation of the joint in a photo taken with the help of the device.
Lab tests	Analyzes of blood and synovial fluid filling the joint.
MRI	It is used in isolated, rare cases.

X-ray helps identify pathologyLaboratory studies will help clarify the diagnosisMethod of Magnetic Resonance Therapy is used in particularly difficult cases

The information obtained during the research will allow to determine the stage of the disease. Based on it, the doctor chooses the treatment tactics. It can be conservative and operative. The more the ailment is launched, the more radical measures are taken.

Medication Therapy

Treatment of osteoarthritis of the shoulder joint is based on medical therapy.

It provides for the following drugs:

• Non-steroids that stop inflammation and relieve pain;
• hondoprotectors, which improve the quality of the articular cartilage structure;
• muscle relaxants, removing muscle spasms and normalizing the motor activity of the joint;
• drugs that activate blood circulation;
• hormonal corticosteroids, which are useful in case of severe inflammation (they are injected).

When using medicines, the reference for the patient should be not only the instruction that is attached to them, but also (necessarily!) The doctor's recommendations. Self-medication is categorically prohibited.

Widely used in the treatment of osteoarthritis, various ointments and local action gels. In combination with other drugs, as well as physiotherapy methods, including laser exposure, cold and massage, they give good results.

Gymnastics and folk treatment

Arthrosis of the shoulder joint provides for moderate loads on the affected area. It is possible and necessary to do therapeutic gymnastics, but it must be done cautiously (cf. How to properly perform and what exercises fit for the shoulder joint with arthrosis).

It is advisable to perform exercises under the guidance of a specialist. in this article introduces one of the most effective complexes. These exercises will help improve blood flow, tone muscles, stimulate the regeneration of the affected joint.

There are many folk remedies that can alleviate the condition of the patient with osteoarthritis. This and ointments, and compresses, and rubbers, and broths of herbs and other natural components for oral administration (see. Alternative therapy: how to use herbs for joints).

Here are some effective recipes:

• 50 g of pork fat melted mixed with 3 g of bee propolis and rubbed the shoulder with this ointment daily after gymnastic exercises, treatment course 21 laziness, 1 week break and if necessary repeat;
• attach to the affected area a cabbage leaf for the night, wrapping the shoulder with a plastic wrap, and on top of something warm (this will relieve the pain), the procedure will be performed within two weeks and after 7 days repeat;
• a tablespoon of red bilberry berries pour boiling water, and when the liquid has cooled to room temperature, strain infusion and drink a little bit, stretching for the whole day, a month, then a 30-day break and repeat.

Pork fat with propolis will help relieve tenderness and swelling of the shoulder. Cabbage leaves will relieve swelling and inflammation of the joints. The abundance of cranberry berries will help improve immunity and trigger the restoration of joint fabrics

Before using any prescription, it is best to consult your doctor. This will help avoid unpleasant "surprises" and maximize the benefits of "people's treatment".

Surgery

Surgical intervention for shoulder osteoarthritis is advisable when conservative methods have not produced a result. It is also used in case of an initially neglected disease (when the patient turned too late). Usually practice total or partial arthroplasty of the joint.

Artificial elements are able to restore motor activity and remove symptoms for a maximum of two decades. But then they will have to be replaced with a new prosthesis. In addition, the price of such operations is not small. Therefore, before surgery it is better not to bring.

It is important for people at risk to take preventive measures. This includes a special diet (more products containing collagen, vitamins and minerals) and drinking regimen (at least 2 liters of clean water per day).

Also, as a preventive measure, one should lead a healthy lifestyle. At an older age, it is good to take chondroprotectors and special supplements that will keep the joint in working condition and prevent the development of osteoarthritis.

A source: https://vash-ortoped.ru/bolezni-sustavov/artrozy/doa-plechevogo-sustava-464

Osteoarthrosis of the shoulder joint. Causes, treatment, prevention

Our joints have been subjected to enormous loads for a lifetime. Cartilage needs constant nourishment. Even minor violations can lead to the development of a pathology such as osteoarthrosis of the shoulder joint. What it is?

Description of the disease

Under the osteoarthrosis of the shoulder joint is meant a chronic degenerative disease characterized by the gradual destruction of the cartilage and the development of the inflammatory process. As a result of such changes, the hand can not perform its primary functions.

Modern medicine is not in a position to offer a medicine that could permanently cure a patient with a similar diagnosis.

However, there are effective drugs, the competent use of which allows you to suspend the course of the disease, reduce pain and disability and prevent disability.

The main causes of the disease

Osteoarthrosis of the shoulder joint is not diagnosed as often as similar processes in the lower extremities. The thing is that the static load of body weight in this case is not so important. Only the features of the functions performed play a decisive role in the formation of pathology.

The humerus of the human being differs in a spherical configuration, all movements are realized in three planes.

That is why the joint capsule is usually loose, the ligaments weak. All this creates a favorable ground for various kinds of injuries (dislocations, tears, stretching).

Such mechanical damage is the main cause of the development of the disease.

Due to the continuous degenerative processes, the first articular cartilage suffers. It gradually thinens, loses moisture, and eventually becomes less elastic.

Then the pathological process extends to the subchondral bone of the head of the shoulder. To stabilize the affected area, the cartilaginous ring thickens, and the so-called osteophytes form on the subchondral surface.

These are special bony growths, which are perceived by many as salt deposits.

What signs indicate brachial osteoarthritis

Symptoms of the disease in each case may differ.

Usually patients complain of stiffness of movements after a dream or long stay in one position.

They also note painful discomfort in the joint area after physical exertion. In the morning, there may be swelling and a slight swelling.

Pain discomfort and movement disorders in medical practice are called simply "frozen shoulder". The intensity of the clinical picture is not the same and may increase with time.

If any of the above symptoms appear, it is recommended that you seek advice from the appropriate specialist. Only a doctor can prescribe a treatment and confirm the diagnosis of "shoulder osteoarthritis".

Degrees of disease

• The first degree of lesion is characterized by a short pain in the shoulder joint. The elasticity of cartilaginous tissue decreases, and its surface becomes loose.
• The second degree of lesion is characterized by prolonged pain discomfort and a short-term restriction in the mobility of the humerus. The fibers of the cartilage surface are gradually stratified, the tissues become thinner.
• The third degree of defeat in its symptoms is similar to the previous stage, but the pain becomes sharp, and any movements are accompanied by a crunch. Some patients note temporary limb numbness. When moving, additional support may be required. During the diagnosis, doctors identify the beginning of the formation of deep cracks, deformation of the joint, partial atrophy of the muscles.
• The fourth stage is characterized by endless pain in the affected area, a prolonged restriction in movement. During the examination, there are extensive sprawl on the bones and atrophy of the muscles.

Diagnosis of the disease

Only a doctor after the collection of anamnesis and examination of the patient can diagnose "osteoarthritis". Symptoms of pathology play an important role in the confirmation of the disease.

To determine its nature and purpose of treatment, a complex examination is usually required.

By means of MRI and CT it is possible to determine the localization of the inflammation focus, the stage of the disease.

Medication Therapy

Patients with this diagnosis after a full examination are usually prescribed non-steroidal anti-inflammatory medications (Naproxen, Nimesulide, Diclofenac).

These funds remove the existing inflammation, as well as reduce pain discomfort.

It is important to note that such medications should be prescribed exclusively by the doctor in view of possible negative effects on metabolic processes directly in the cartilaginous tissue.

In addition, anti-inflammatory drugs should be taken with extreme caution to people who have problems with the gastrointestinal tract. Ingredients that make up their composition, badly affect the gastric mucosa, and sometimes contribute to the development of ulcers.

In particularly serious cases, with high disease activity, other joint treatment is required. For the therapy of inflammation, a procedure called intraarticular blockade is usually prescribed.

Injections of drugs (corticosteroids) are carried out directly into the affected area. The use of these drugs in the form of tablets can adversely affect the work of the entire body.

If hormones act locally on the joint, it is often possible to achieve an excellent anti-inflammatory effect without serious side effects.

In the early stages of the disease, when a patient is diagnosed with "grade 1 osteoarthritis doctors recommend non-invasive treatment options. These include the use of local hormonal and non-hormonal drugs in the form of ointments and gels (Butadion, Relief, Bystrumgel).

Physiotherapy and therapeutic gymnastics

The use of physiotherapy can significantly slow the progression of the disease. With this pathology, the following procedures are usually prescribed: medical baths, infrared laser therapy, ultrasound use.

Taking into account the fact that the osteoarthritis of the shoulder joint develops due to increased physical exertion, therapeutic gymnastics can have a beneficial effect on the affected area. Let's notice, absence of sports in a life of the person is not the decision of this problem.

In the course of training muscles get stimulation, and the humeral girdle begins to gradually recover.

When surgical intervention is required

In particularly serious cases, when the cartilages are almost completely destroyed, and the anti-inflammatory treatment of the joints is ineffective, the doctor decides on the surgical intervention. As a rule, we are talking about endoprosthetics.

During this operation, part of the joint is replaced by a plastic, ceramic or metal prosthesis. Its service life is at least 15 years.

Undoubtedly, the cost of this operation is usually high, and rehabilitation can last several months. That is why doctors strongly recommend that when the first symptoms of the disease are applied, they should seek qualified help.

Preventive actions

If the patient is diagnosed with osteoarthritis of joints, the treatment should be prescribed exclusively by a doctor. The choice of a specific therapeutic tactic depends on many parameters.

If the disease is at an early stage of development, usually prescribed anti-inflammatory drugs. In particularly serious cases, an operation is required to replace the joint.

Is it possible to prevent this disease?

First and foremost, experts recommend to join in a healthy lifestyle, try to eat right and promptly treat all disorders.

Particular attention in the prevention of osteoarthritis is given to sports. Dosed physical exertion has not harmed anyone. It is important to use sports equipment to avoid injuries and dislocations.

In addition, exercises are best performed under the supervision of the coach.

Experts note the need to consume a large number of calcium-rich foods, because they contain important for the body's components. From the diet it is better to take out sausages, confectionery and flour products.

With all of the above recommendations, many can not only reduce the mass index body, but also to regulate daily physical activity and enrich the body with vitamins and microelements.

A source: https://www.syl.ru/article/201772/new_osteoartroz-plechevogo-sustava-prichinyi-lechenie-profilaktika

Osteoarthrosis of the shoulder joint - symptoms and degree of disease, surgical and folk methods of treatment

The danger of pathology of the musculoskeletal system lies in the possibility of the appearance of restriction of movements and even the onset of disability.

It is important to recognize in time the deforming osteoarthritis of the shoulder joint (DOA), to correctly determine the degree the severity of the disease and start treatment on time to prevent the onset of complications (osteoporosis and other).

What is osteoarthritis of the shoulder joint

This disease of the joints, which is caused by the defeat of the articular cartilaginous tissue. Inflammation develops as a response to changes in the cartilage.

With progression, the pathology affects the entire joint: bone, ligaments, muscles, articular capsule, synovial membrane, deformation occurs, impaired motor function of the joint, may develop osteoporosis of bones.

The disease develops when the formation of cartilaginous tissue cells is disturbed, resulting in changes in the structure of the articular cartilage: softening, thinning, the appearance of growths (osteophytes).

There are primary and secondary osteoarthritis.The primary is determined in the case where it was not possible to establish what caused the disease.

The cause of secondary arthrosis of the shoulder joint may be:

• injuries;
• joint dysplasia (congenital defects);
• inflammations caused by other diseases (rheumatoid arthritis, encephalitis, etc.).

The internal and external risk factors can contribute to the development of deforming arthrosis in the joint:

• heredity;
• elderly age;
• obesity;
• metabolic and endocrine disorders;
• beriberi and micronutrient deficiencies;
• shoulder-scapular periarthritis;
• supercooling;
• harmful working conditions;
• excessive prolonged exercise or inactivity;

Symptoms

The clinical picture depends on the severity of the joint disease, but the pain symptom always appears first and does not disappear before the treatment begins. The initial stage of the disease is characterized by the signs:

• the appearance of joint pain by the end of the day;
• swelling of the left or right shoulder after sleep;
• stiffness of movements after rest.

Gradually, other symptoms join the initial signs:

• there is a crunch when moving;
• impaired motor functions of the left or right limb;
• there is deformation of the affected joint.

Degrees of osteoarthritis

The basis for determining the stages of the development of the disease are external manifestations and the severity of degenerative changes. Deforming arthrosis of the shoulder joint includes the following degrees of the disease:

1. Osteoarthritis of the shoulder joint of the 1st degree. There is a change in the composition of the synovial fluid, inflammation develops, pain appears. At roentgenological examination, the articular cavity resembles an oval ring.
2. Arthrosis 2 degrees of the shoulder joint. The pain intensifies, with movements, a crunch is heard in the affected left or right shoulder. There is destruction of cartilage, deformation of bones, change in limb axis, shortening of ligaments, narrowing of joint gap, restriction of limb mobility is observed.
3. The third degree is characterized by stretching or shortening of the muscle. Movement limbs are severely limited. Bony growths are observed. With the development of osteoporosis, the structure of bone tissue changes.

Diagnostics

Suspect a patient for a disease - DOA of the shoulder joint - the doctor can after his examination.A characteristic sign of such a disease is the impossibility of the patient to put his hands in the lock behind his back.The diagnosis is confirmed on the basis of studies:

• X-rays (the degree of bone proliferation, the reduction of the joint gap is determined);
• magnetic resonance tomography;
• synovial fluid analysis;
• ultrasonic measurement of the thickness of cartilage;
• densitometry (determination of bone tissue condition).

Treatment of osteoarthritis of the shoulder joint

With secondary osteoarthritis, therapeutic measures are aimed at eliminating the influence of factors that caused pathology (correction of birth defects, improvement of metabolic processes, etc.).

Recovering the patient is possible with strict adherence to the principles of treatment: limiting physical exertion, but not completely eliminating the movements.

It is necessary to increase the consumption of products containing natural collagen (berries, fruits, poultry, beef, red fish) and limit consumption of fried, excessively salty foods. Conservative therapy for osteoarthritis is aimed at:

• relief of pain and inflammation;
• restoration of cartilaginous tissue;
• improvement of mobility of the shoulder joint;
• normalization of metabolic processes in the joint.

Treatment of pathology is carried out on an outpatient basis and includes complex measures:

• drug therapy;
• therapeutic massage and gymnastics;
• physiotherapeutic procedures.

When exacerbating osteoarthritis, a fixative bandage is recommended to limit movements, warming the ointments. Compresses are used to relieve swelling. From medicines appoint:

• non-steroidal analgesic anti-inflammatory drugs-Diclofenac, Ibuprofen;
• chondroprotectors, improving the structure of cartilage - Arthra, Structum;
• muscle relaxants for the removal of muscle spasm - Mydocalm, Sirdalud;
• drugs that improve the blood supply to the affected area -Trental, Theonikol.

In especially severe cases, corticosteroids are used to eliminate pain and relieve inflammation. A greater effect is achieved with blockade of the shoulder joint (introduction of the drug into the joint cavity). Representatives of the above groups of drugs are:

1. Naproxen.It is used for osteoarthritis to relieve pain, inflammation, lowering of body temperature. Tablets are taken with food and washed down with water. The maximum daily dose is 5 mg. Taking medication can cause headache, rash, nausea, vomiting, ulcerative lesions of the digestive tract, impaired renal function, liver. The drug is contraindicated: children under one year, pregnant, during lactation, with blood, liver, kidney, gastrointestinal.
2. Chondroitin.Refers to preparations of chondroprotective action. The active substance stimulates the synthesis of collagen, proteoglycans and hyaluron, necessary for cartilage tissue. When osteoarthritis take one capsule 30 minutes before meals 2 times a day for at least 2 months. The drug is well tolerated. From contraindications are known: the age of up to 15 years, the period of pregnancy and lactation, violations of kidney function, a tendency to bleeding.

Physiotherapy

With arthrosis, to avoid pain, sparing the joint. This forced limitation of movements causes muscle atrophy, so after the removal of pain and inflammation, therapeutic gymnastics is needed. Such exercises can help:

• in a position sitting on a chair to hang and relax your hands, do movements forward and back (pendulum) 10 times;
• sitting on a chair alternately raise and lower his shoulders, repeat 10 times;
• do rotational movements of the shoulders 10 times first forward, and then - back.

Physiotherapy methods

Increase the effectiveness of treatment can be with the help of physiotherapy procedures. To improve the patient's condition, appoint:

1. Shock wave therapy. Acoustic impulses, issued by the applicator, are sent to the area of ​​the lesion. There is an improvement in metabolic processes, a reduction in pain, an increase in the mobility of the shoulder.
2. Laser therapy. The laser beam acts on the cartilaginous tissue, which improves metabolic processes, blood circulation, excretion of calcium salts, removal of arthrosis cones.
3. Electrostimulation. Assigned to the possibility of independent movement. Electrical impulses are sent to improve blood circulation in the affected area.
4. Phonophoresis. The skin is applied a therapeutic ointment or gel and affects the area of ​​damage by ultrasound, which improves the penetration of active substances inside.

Surgery

In cases where it is impossible to remove pain and eliminate the inflammatory process, with significant degenerative changes, surgical intervention is prescribed. To improve the condition of the patient apply:

• puncture of the joint (removal of the altered synovial fluid from the joint cavity and administration of the drug);
• arthroscopy (gentle operation through punctures with a video camera);
• endoprosthetics of the shoulder joint (replacement of the shoulder joint with a bioprosthesis).

Traditional methods of treatment

To enhance the effect of drug therapy with changes in the joint of the shoulder, the healing properties of plants are used. The following recipes are known:

1. 3 grams of propolis mixed with 50 grams of melted pork fat to a homogeneous consistency. Lubricate the shoulder every day.
2. At night, you need to attach a cabbage leaf with honey to the joint of the shoulder, and fix it with a woolen handkerchief on top.
3. Apply a compress of fried raw onions to the shoulder for half an hour 3 times a day.

Preventive measures

To prevent the development of joint arthrosis, the following rules should be observed:

• timely treatment of diseases;
• eat right, do not drink alcohol;
• avoid injury;
• correct existing birth defects;
• to plan the rest;
• daily exercise to strengthen the muscles of the motor apparatus.

A source: http://sovets.net/15169-osteoartroz-plechevogo-sustava.html

Osteoarthrosis of the shoulder joint: symptoms and treatment

Our shoulders carry a significant load every day. It is difficult to predict the limit of their durability. Even car dampers will wear out over time.

Fragile joints performing similar functions, the matter is less durable. Osteoarthritis of the shoulder joint is a clear indicator of wear and fatigue of the body.

We will try to understand who is susceptible to the disease, to know the determining symptoms, the methods of cure.

Causes

According to medical research, half of the people who stepped over the 55-year threshold encountered a diagnosis of osteoarthritis. Acquired joint disease is a younger age category. The appearance of a shoulder ailment is associated with injuries and malnutrition of cartilaginous tissues.

The affected joint becomes unusable, the cartilaginous tissue degenerates, becomes thinner. Untimely medical intervention leads to the formation of a chronic form of osteoarthritis. Similar consequences await people who are addicted to self-healing, without confirmation of diagnosis and medical recommendations.

Proper treatment begins with the detection of symptoms, determining the degree of joint damage in the shoulder area.

"Overheard" Symptoms

The osteoarthrosis of the shoulder joint, found at the first turns of development, is quickly surrendered under the influence of a medical attack. Assuming the formation of a problem in the shoulder region, you can "hear" the following symptoms:

• stiffness of movements after sleep or long stay in one position;
• painful joint aches at the end of the day, after physical exertion;
• morning swelling, swelling of the humerus;
• light crisp clicks when moving the joint.

Each next turn of the osteoarthritis of the shoulder joint meets with complications, an expansion of the list of symptoms.

Four degrees of osteoarthritis

The first stage of defeat

Signs: short pain of the shoulder joint, small swelling in the lesion.

Changes: the surface of the cartilaginous tissue becomes loose, the elasticity decreases.

The second stage of defeat

Symptoms: prolonged painful sensations, giving up from the joint to other organs, short-term restrictions in the movement of the humerus, rapid fatigue in the affected area.

Changes: stratification of fibers of a surface of a cartilage, thinning of a tissue, occurrence of microcracks.

The third stage of defeat

Symptoms: the symptoms are similar to the previous stage, the pain becomes more severe, prolonged, in movement accompanied by a sharp crunch, temporary numbness of the limbs, requires additional support during movement (cane).

Changes: the erosion of the surface of the cartilaginous tissue, the formation of deep cracks, affecting the bones, deformation of the joint, partial atrophy of the muscles of the humerus.

Fourth stage

Symptoms: strong, persistent pain, joint crunching, prolonged restriction of movement of the damaged area, difficult movement without support.

Changes: extensive bone growths, significant cartilage defects, complete thinning of the tissue surface, muscle atrophy.

Methods of treatment

Treatment involves medical support. Physicians diagnose, having studied the symptoms, having conducted an X-ray examination of the patient. Pictures help to more accurately determine the stage of osteoarthritis and the degree of joint damage. Arising doubts permit examination on a tomograph.

Treatment of the affected shoulder joint will have an effect in the framework of compliance with all prescriptions of the doctor. To accelerate the process, improve the result will help the traditional medicine.

What the doctor ordered

In fact, in any course of treatment of osteoporosis, there are several techniques. In the complex are:

• medications;
• physiotherapeutic procedures;
• therapeutic and physical training.

Anesthetic ointments and pills are used in the early stages of the disease, with acute pain. Medicinal products with anti-inflammatory properties are prescribed by the course. The launched osteoarthritis requires blockade, injection into the shoulder region with a damaged joint.

Physiotherapy offers exposure to microwaves and ultrasound. Effective electrophoresis, thermal applications that relieve the symptoms of the first stage, relieve pain, inhibit inflammatory processes in difficult situations.

The illness limits the patient's physical load. The therapeutic series of gymnastic exercises contributes to the development, rehabilitation of the joint. In the complex, medics are recommended to include a health massage.

People's assistants

Nature was stocked with useful gifts. Make compresses with a decoction of hay, from mustard and honey, attach a cabbage leaf. Osteoarthrosis of the shoulder joint will quickly recede. Take note, the use of folk remedies is better coordinated with the doctor.

Surgical manipulation is an emergency measure. Avoid operation on the joint will help early treatment to doctors, prevention, a healthy moderate diet and lack of habits that harm the body.

A source: http://pozvonochnikok.ru/bolezni/osteoartroz/osteoartroz-plechevogo-sustava/