Is it possible to cure arthrosis? What can be treated with arthrosis of the knee joint?

Is it possible to cure arthrosis of the knee joint?

Osteoarthritis of the knee joint ranks first in the frequency of diseases of arthrosis and arthritis. Patients most often complain of the inefficiency of long-term treatment.

In despair, they begin to think about endoprosthetics, treating it as the last remaining option.

How to treat arthrosis of the knee joint, without resorting to an extreme radical method - we'll talk about this in this article.

Complex treatment of arthrosis of the knee joint

Why it is impossible to refuse conservative treatment

Surgical operation at first glance seems such a simple way out:

The engraftment of an artificial joint will still require the use of medications that prevent inflammation and rejection of an alien object detected by scouts of the immune system.

It means:

• After the operation, it may be necessary to artificially reduce the immunity of the patient, so that the implanted joint is adopted
• Endoprosthesis will have to be developed for a long time, which means that rehabilitation is necessary with the whole complex of exercises on special equipment and simulators

These arguments are aimed not at all against the operation (sometimes it is the only way out), but against premature abandonment of conservative, softer methods of treatment.

Is it possible to cure gonarthrosis?

There is no specific medicine or panacea for arthrosis of the knee joint.

Cure the disease in the first stages can be, if many methods of treatment are used:

• Medication:
  • in / m and / m injections (intramuscular and intravenous injections and droppers)
  • intraarticular injections
  • chondroprotectors
  • external ointments
  • compresses
• Surgery
• Manual therapy
• Physiotherapy
• Physiotherapy
• Sanatorium treatment
• Proper nutrition

: The nature of arthrosis with the example of the knee joint

Medical treatment of gonarthrosis

NSAIDs

The scheme of treatment of arthrosis in the acute stage is conservative, and has not changed since "grandmother" times: only medical preparations used to suppress the inflammatory reaction of pain suppression change.

They are called anti-inflammatory. Medication pain relief is carried out with the help of the following non-steroid preparations:

• diclofenac
• indomethacin
• celebrex
• piroxicam
• ketoprofen, and so on.

The patient needs to spare his joint during this period, trying not to load it. To unload the knee, you can put a tight bandage on it for several days.

The use of NSAIDs brings apparent relief, but they can not stop the process of cartilage destruction, and even vice versa, lead to dehydration of the cartilage, and thus accelerate the degenerative process.

The second detrimental effect of NSAIDs is that all the drugs in this group have many contraindications:

• on the first place - irritation of intestinal mucosa and stomach
• Long-term treatment of pain with NSAIDs is possible only with GI tractors, for example, omeprazole

It is a mistake to think that if you use injections instead of tablets, NSAIDs become harmless to the intestines and stomach.

Intra-articular injections

In a chronic stage with frequent exacerbations often resort to:

• Injections of corticosteroids: hydrocortisone, celeston, diprospan
• The introduction of hyaluronic acid in the joint
• Oxygenotherapy (introduction of oxygen into a diseased joint)

When prescribing medication with corticosteroids, the doctor should remember:

• These are hormonal drugs that are effective in the swelling of the joint caused by the accumulation of synovial fluid
• Without the presence of symptoms of synovitis, their purpose is unreasonable
• An unjustifiably frequent intake of corticosteroids can cause considerable harm, for example, to enhance bone resorption
• You can not inject corticosteroids more often than once every two weeks: too frequent intraarticular injections can injure the joint, infect it, damage the ligaments and muscles
• Prohibited the introduction of drugs for preventive purposes

Hyaluronic acid very favorably affects the surface of the joint, creating a protective film on it:

• Preparations with hyaluronic acid are prescribed for a deficiency of synovial fluid and play the role of lubricant
• Injections with acid also increase the elasticity of the joint and its elasticity
• Virtually have no contraindications
• Treatment is conducted in courses: ri-four injections with an interval of one to two weeks and repetition in six months
• Injections used are: stenil, synviscus, duralan, and others. drugs
• Despite the high cost of the drug, its use is justified, since with proper therapy it avoids surgery
• The preparation of Hyastat of domestic production is cheaper than imported by 30%

Attention:

Oxygenotherapy is prescribed with the following objectives:

• Improve metabolism in the joint
• To extend the period of remission
• The essence of it - in the joint is introduced ozone, irradiated with a laser beam
• Four injections are carried out with an interval between them in two days
• The method is effective in the early stages

Chondroprotectors

Chondroprotectors are called upon to restore cartilaginous tissues of the joint, replacing the deficiency of glucosamine and chondroitin sulfate

Patients often complain about the high cost and ineffectiveness of these funds. Why is this happening?

• The first reason is incorrect advertising, in which "effective and rapid elimination of pain" is promised.

• The second is the use of the drug at the stage when the cartilage itself is completely destroyed, that is, there is nothing more to protect and restore

• And one more reason - the spontaneity and episodicity of treatment:

The patient went through one course, and then not completely or sometimes skipping the drug - and waiting for the result immediately. Meanwhile, treatment with chondroprotectors should be done cyclically, intermittently, and not for one year.

Even more useless are the ointment-chondroprotectors, which first of all begin to use the patient with deforming arthrosis of the late stage

Due to unfair advertising of companies producing similar ointments, and there is a wrong attitude to these good drugs, really able to slow the degenerative process in the joints.

The following preparations-chondroprotectors are used in the treatment:

• Alflutop
• Structum
• Chondroitin
• Don
• Elbon and others.

Ointments for the treatment of arthrosis

To anesthetize with arthrosis apply not only injections, but also external drugs -

• Ointments of irritating and warming action: enovazine, capsoicin, nicoflex
• With synovitis, it is necessary to lubricate the knee with ointments containing LIP: utadion and indomethacin ointment, Fastum-gel, Voltaren

However, the action of ointments is much less effective than injections, because only a small fraction of the drug penetrates through the skin to the joints.

Compresses for the knee joint

Compresses for arthrosis should be used in such cases:

• With swelling and fluid congestion (synovitis)
• To mobilize the joint (improve mobility)

Compresses from dimexide, bischofite, medical bile are used for anesthesia, inflammation and edema removal

Dimexid and bischofite - chemical preparations, bile - natural

Bile can not be used for pustular skin rashes

Surgery

• Knee joint decompressionIt is achieved by:
  • expansion of the synovial membrane, often forming folds around the joint in which pus
  • osteotomy - bone excision with joint reposition (traumatic method)
  • arthrodesis - artificial jamming of the joint (the flexion and extension functions are lost, but the pain is removed)
• Restoring the knee joint:
  • Arthroscopy - minimally invasive surgery to remove diseased sections of the meniscus and cartilage
  • Arthroplasty - replacing part of the cartilage with a graft from its own tissues or artificial material
• Endoprosthetics:
  Replacement of the knee joint is artificial, when the joint function is completely lost and restored by other means

Manual therapy in the treatment of gonarthrosis

However, to cure a knee suffering for more than one year, in one session will not succeed:

• The first session is aimed at revealing the degree of immobility of the joint and partially releasing it
• Then for three to four weeks, chondroprotectors are taken, compresses are made from dimexid and massage is done
• After that - a repeated session of manual therapy with knee stretching and its repositioning (that the joint is unlocked and become in place can be judged by a specific click)
• The following two sessions consolidate the result
• At the end of the course, it is useful to make two intra-articular injections of ostenil
• Twice a year it is necessary to repeat the reception of chondroprotectors

: Manual therapy with gonarthrosis

Physiotherapy with gonarthrosis

In the treatment of gonarthrosis the following physiotherapy is used:

• laser
• magnetic
• shock wave
• ectromyostimulation
• thermal and cryogenic, etc.

Laser therapy for arthrosis of the knee joint well anesthetizes and stimulates healing.

In addition, the laser:

• Accelerates metabolism and intracellular metabolism
• Increases mobility of the joint
• Accelerates the regeneration of cartilaginous tissue
• Improves blood circulation and lowers blood viscosity
• Softens calcium deposits
• Relieves muscle tension

Physiotherapy

How to cure arthrosis of the knee with gymnastics and nutrition - in the following articles.

: Treatment of gonarthrosis

Loading…

A source: https://ZaSpiny.ru/artroz/kak-lechit-artroz-kolennogo-sustava.html

Than you can treat arthrosis of the knee

Can arthrosis be cured? This question does not give rest to everyone who is diagnosed with osteoarthrosis of the hip joints or knee joints and other joints. We must admit that there is no unequivocal answer among medical specialists.

Most doctors say: joint arthrosis is very difficult to cure. Official medical science is completely pessimistic. However, many practicing physicians-arthrologists and patients who are left alone with the disease, say that arthrosis can be cured.

Let's understand what the truth is.

What kind of arthrosis can be cured?

We remember that arthrosis is conditionally divided into three, and some distinguish four degrees of the disease.

The first degree is the easiest, the third is the heaviest, and the fourth is often called aseptic necrosis of the joint head, i.e. complete necrosis of bone tissue.

So, to give an answer to the question whether it is possible to cure arthrosis, it is necessary to understand at what stage there is gonarthrosis, coxarthrosis or spondyloarthrosis.

And at the initial stages, few people pay attention to the first signs: you think, crunched knee, in the morning it's hard to fasten your shirt or go down the stairs, and by the end of the day pulling your lower back, or buzzing knees.

If to address at the first stage of an arthrosis, it is possible to cure a disease of joints!And you do not need as much effort as in subsequent degrees of illness.

Is it possible to cure arthrosis of the 2nd degree?

On an average degree of severity cervical or ulnar arthrosis and other localizations are not easily treated, but this is real.

Yes, arthrosis of the 2nd degree is characterized by a noticeable narrowing of the joint between the joints, the appearance of osteophytes on X-ray pictures, almost constant joint pains, fast fatigue, loss of the amplitude of movements, strong, dry crunching. Getting rid of these symptoms is a difficult task, but feasible.

What does success depend on? To cure arthrosis of 2 degrees can only be engaged in treatment every day, almost every hour for not some months, but several years! On the methods of combating it, we have already examined in detail from different sides in our articles. It is important to say here that laziness is the main friend of arthrosis. Only perseverance and complex treatment will give positive results, after which it will be possible to say: arthrosis of the second degree can be cured.

Another nuance about which doctors do not like to say: self-medication or treatment at home. Conservative medicine is skeptical of treating osteoarthritis on its own.

First, you can damage your body without proper medical education. Secondly, being treated without the help of doctors, you deprive them of their income.

Of course, doctors do not want to admit this, but this is the fact of our capitalist society.

.

We do not impose our position on anyone, but we believe that we need to be treated multifaceted. Yes, and under the supervision of a doctor, if there is one or allow the finances to attend a qualified arthrologist.

.

But if you do not do your own health, no money and the best clinics in the world will save the joint from destruction.

That is why we insist that more attention should be paid to medical gymnastics, physiotherapeutic procedures, proper nutrition, massage and manual therapy, exercises of the doctor Bubnovsky. recommendations Evdokimenko, reviews of patients who successfully cope with arthrosis.

The root of the problem is that many patients sincerely believe: came to the doctor, and he will cure you, and most if you do not have to do anything! Perhaps this is the case with a patient's teeth at a dentist's reception, but with an aching bone with arthrosis this approach will not work.

Is it possible to cure arthrosis of 3 degrees?

A difficult question, but medical practice shows that there is probably no more than yes.

At the last stage the cartilaginous tissue is practically depleted, destroyed, and it can only be grown surgically. But this is only part of the solution.

What caused arthrosis? Will not the hyaline cartilage again be destroyed after the operation? Questions without an answer if the etiology of the disease is unknown.

The joint replacement can help. Let the expensive operation, but gives the person the opportunity to move, if we are talking about the hip, knee or ankle arthrosis.

However, this is a significant relief for a patient suffering from gonarthrosis or coxarthrosis.

At the third degree, it is almost impossible to cure arthrosis. But this does not mean that you need to drop your hands! This is the worst thing. To cure completely it is impossible or extremely difficult, but in fact it is possible to brake illness, to "freeze" the course of arthrosis, to prevent disability due to loss of movement.

What kind of osteoarthritis is easier to treat?

The most frequent localization, arthrosis of the knee joints, can be cured, but difficult enough.

In general, arthrosis of large joints can be treated more difficult than, say, with the defeat of fingers and toes, cervical vertebrae, jaws and other small joints.

This is explained by the fact that the knee, hip joints have a larger lesion area than the same ones of the fingers, and they are further away from the surface of the skin, making it difficult for some procedures. For example, the positive effect of therapeutic baths, physiotherapy, ointments is achieved more quickly in the treatment of hands than with coxarthrosis.

Conclusion

So, what do we have? The position on osteoarthrosis is ambiguous. Cure arthrosis can be, if a person takes seriously the disease, will make maximum efforts to save the joint. Otherwise, as they say, medicine is powerless.

Do not come up with another miracle pill that would save you from knee arthrosis or a shot from coxarthrosis! Therefore, you can save joints, fully engaged in complex treatment and recovery of the whole body, and not only paying attention to the problem joint.

A source: http://sovetydljazdorovja.ru/artroz-kolennyh-sustavov/chem-mozhno-lechit-artroz-kolena.html

How and what to treat arthrosis of the knee joint

Progressive arthrosis of the knee leads to disability, so it is important to know what to treat it and how to do it correctly.

Degenerative processes in the cartilaginous tissue of the joint can not be ignored, since the progression of the problem can lead to disability.

Most often, the knees suffer, so you should consider in more detail the question of how to treat arthrosis of the knee joint. To begin with it is necessary to understand how to identify the disease and its form, as well as find out what causes it provoked.

Diagnostics

Diagnosis of arthrosis is the passage of a comprehensive examination.

The reason for applying to the hospital are such symptoms:

• pain in the knees;
• stiffness of movements;
• clicking in the joint at flexion-extension;
• swelling;
• discomfort during prolonged periods without movement;
• the growth of painful sensations with the load on the legs.

The doctor must examine the patient's legs and ask him about the sensations and their intensity. Laboratory tests are mandatory, in order to identify pathological processes for changing blood composition.

A more detailed picture can be obtained through ultrasound, as well as X-ray photos. Often, such methods of diagnosis are sufficient, but in some cases, MRI or arthroscopy may be required.

"Are joints aching? Does the spine "crunch"? "

Pain - a harbinger of terrible pathologies, which for a year or two can seat in a stroller and make you disabled. Bubnovsky: completely restore the joints and spine simply, most importantly ...

& g; In some cases, an MRI of the joint will be needed to correctly diagnose it.

Clarification of the cause of the disease

In order for the treatment to be most effective and the disease did not return after the end of therapy, it is necessary to find out what causes provoked its development. The main problem with arthrosis is the violation of metabolic processes. However, various factors can influence this pathology, the effect of which should be excluded.

These include:

• injuries;
• sedentary lifestyle;
• obesity;
• heavy loads;
• stress;
• hormonal imbalance;
• malnutrition and bad habits;
• operations on the knee joint;
• age changes;
• problems of the endocrine system;
• violation of blood flow in the lower limbs;
• the effect of other diseases of the musculoskeletal system;
• heredity.

Previously, the doctor must collect a complete history and disassemble the patient's lifestyle. This is especially true for patients younger than 40, since arthrosis mainly affects the older generation.

Features of stages and their treatment

The treatment strategy directly depends on the degree of development of gonarthrosis.

The easiest way is to cope with the disease at the very beginning, while the joint has not undergone irreversible changes.

If the cartilaginous lining has already been damaged, it will not be fully restored, but degenerative processes can be slowed down.

Features of treatment of gonarthrosis depending on the stage of pathology can be presented in the form of a table:

Stage	Pathological processes	Features of treatment
1	Inflammation of the joint, minor cartilage damage	It is necessary to establish nutrition and eliminate the influence of the causes of the disease, health procedures and exercise therapy are prescribed, and hondoprotectors
2	Thinning of the cartilaginous tissue, narrowing of the joint space	In addition, tablets are prescribed for arthrosis of the knee joint, topical agents, physiotherapy
3	Immobilization of the limb, the appearance of bare bones, the formation of osteophytes, deformation	To eliminate symptoms require strong drugs, including. glucocorticoids and analgesics. Restoration of the joint is possible surgically.

Methods of treatment

Until the disease has passed to the stage of irreversible processes, it is necessary to begin to fight with it as soon as possible. Let's consider more in detail than to cure arthrosis of the knee joint.

In modern medical practice, pharmacies as well as home methods, various procedures and exercises are actively used. In advanced cases, the surgeon's assistance is required.

Medicines

To eliminate the symptoms of the disease and slow the degenerative-degenerative processes, all kinds of medications are used.

Their selection and combination depends on the specific situation, therefore it is carried out exclusively by the doctor after carrying out all the necessary diagnostic measures.

For the treatment of knees such groups of medicines are used:

1. NSAIDs. They relieve inflammation and focus on the relief of symptoms of gonarthrosis.
2. Hondoprotectors. Protect the cartilage from destruction, stimulate regenerative processes, improve the nutrition of tissues.
3. Hormonal means. They relieve inflammation and pain, they act faster than NSAIDs, but they are not suitable for long courses.
4. Muscle relaxants. Allow to relax the muscles and relieve tension, spasms, lower the tone.
5. Immunosuppressors. Are necessary in the event that arthrosis is accompanied by autoimmune processes, which is extremely rare.

For complex therapy for knee arthrosis, tablets are used, as well as local agents: injections, ointments and gels with a warming effect.

For a complex effect on the problem, pills are applied against arthrosis of the knee joint.

Folk remedies

If the price of pharmaceuticals does not suit you, in part they can be replaced or supplemented with folk remedies. Most ingredients from such recipes are available to everyone. They can be bought at a pharmacy, collected independently or found at home in the kitchen.

Examples of the most popular folk remedies for gonarthrosis:

1. Sunflower oil. Every day you have to rub unrefined sunflower oil into your knees.
2. Burdock leaves. A few sheets of mug laid on top of each other with a velvety side down. Top with a hot pot. Attach the leaves to the foot and warm the compress.
3. Mokritsa. Grass in a three-liter jar pour, l vodka and insist 1-2 weeks. Top with water and take 1 spoonful before eating.
4. Lemon. It is necessary to eat a few lemon slices daily together with the zest. You can mix it with honey and walnuts.
5. Cabbage. The cabbage leaf is rolled with a rolling pin, smeared with honey and applied to the knee under cellophane. On top warm your feet with a woolen shawl.

Burdock leaves many patients with arthrosis of knee joints are used to reduce swelling and pain in the knees.

Gymnastics

The mandatory component of therapy in the initial stages of gonarthrosis is motor activity.

Exercises help to achieve such results:

• start the processes of regeneration and production of hyaline lubricant;
• improve mobility of limbs;
• strengthen muscles and ligaments;
• relieve pain and tension;
• strengthen blood circulation and improve the nutrition of tissues.

During the execution of each exercise, the instruction must be followed to prevent even greater damage. You can not overload the joint and perform movements through strength and pain.

The following exercises are used in the exercise program:

• Bike - lying on your back perform rotational movements with knees bent, as if twisting the pedals of a bicycle.
• Rises of the legs - sit on a chair, alternately lift your legs up, bending them in your lap.
• Putting your legs back - lie on your stomach, lift straight legs above the floor.
• Lifting the knees - stand straight, use the support for balance. Raise your legs one by one, pulling your knees up. The leg should be bent at right angles.
• Squats - use the pedestal to reduce the load. Heels do not come off the floor, knees do not go beyond socks. Do half-squats or sit-ups, as far as you feel comfortable.

Physiotherapy and procedures

To speed up the effect of drugs and more intensive impact on the pathological process, doctors recommend using different procedures.

The program of treatment of gonarthrosis includes the following measures:

1. Physiotherapy. It involves the use of various hardware techniques to influence the problem area. Physiotherapeutic procedures stimulate the restoration of damaged tissues, improve their nutrition and penetration of drugs. For joints are particularly useful in such areas as electrophoresis, laser therapy, dry heat, ozokeritotherapy, ozone therapy.
2. Manual therapy. Massage has the right to carry out only a certified specialist with medical education. Otherwise, you can only strengthen the damage and provoke even greater deformation.
3. Reflexology. The implication is the impact on biologically active points. Special needles, heat, pressure, etc. are used.
4. Balneological procedures. They are conducted in special medical centers and sanatoriums. These include mineral baths, mud therapy, etc.

Mud cure is used as an auxiliary method in the treatment of gonarthrosis.

Surgical intervention

If conservative therapy has not given significant positive changes, or if the arthrosis has already passed to the last stage, treatment implies the use of more radial methods. Tablets and ointments are no longer able to provide recovery of cartilage tissue, they only temporarily relieve pain in the joints. To solve the problem, an operation is required.

Endoprosthetics is performed to restore the knee. Its essence lies in the partial or complete replacement of the joint articulation elements with artificial prosthesis. Thanks to this procedure, it is possible to improve the patient's quality of life by at least 10 years.

If endoprosthetics can not be performed, arthrodesis is performed. This manipulation immobilizes the knee in one direction, which reduces pain and slows the destruction of the cartilage.

.

If the staging of the endoprosthesis is impossible for any reason, then an arthrodesis is performed as an alternative.

.

What else you can treat arthrosis of the knees you can find out by watching the video in this article.

Do not run the problem, otherwise the pathological processes will become irreversible and it will be impossible to get rid of arthrosis and its painful symptoms.

A source: https://vash-ortoped.ru/lechenie/artroza/chem-lechit-artroz-kolennogo-sustava-30

Osteoarthritis of the knee joint: is it possible to cure a diseased knee?

Premature wear of the movable joint of the bones of the knee, accompanied by their further destruction, is determined by physicians, like arthrosis of the knee joint (gonarthrosis).

Also this disease is called the deposition of salts, and many patients prefer not to take it seriously.

In fact, neglect of this disease can result in serious surgical intervention.

Causes of arthrosis of the knee joint

Most common gonarthrosis in the elderly. He brings great suffering.Arthrosis of the knee joint can cause disability.To provoke this illness are possible such prerequisites as excessive body weight, flat feet or varicose veins.

Today, among the main causes of gonarthrosis, medicine identifies the following factors:

• trauma (in 20-30% of cases). Damage to the cartilaginous lining in the knee joint, as well as dislocations or fractures of the tibia, often lead to loss of the original form of the joint. As a consequence - the joint changes shape and stops fully bending;
• inconsistency of loads to age (5-7% of cases). Some people aged 45-60 years old try to exercise with the same intensity of loads as in 20. Misunderstanding and non-acceptance of obvious age abilities of the organism leads to rapid development of arthrosis. To avoid illness in this case it is possible, if correctly to pick up the sports program and to do an emphasis on slow and smooth exercises;
• excess body weight (not less than 10% of cases). The big weight exerts an additional load on the legs, as a result of which the knees suffer in the first place. Full people are more likely to get meniscus damage. If excess weight is accompanied by a significant varicose veins in the legs, this can lead to progression of gonarthrosis;
• inflammation of the joints (up to 5-7% of cases). Arthritis, which is better known to ordinary people as an inflammatory process in the joints, can cause arthrosis of the knee joint in almost any form. Provocative softening and thinning of the connective layer of the knee are rheumatoid, reactive and psoriatic arthritis, as well as Bechterew's disease, rheumatism and gout;
• congenital weakness of the ligamentous apparatus (3-5% of cases). Superflexibility and the ability to easily occupy the complex position of the lotus or sit down easily without a warm-up, may be harbingers of arthrosis in the future;
• metabolic disorders. If a patient suffers from a metabolic syndrome, then this ailment is often one of the provoking gonarthrosis factors. If you can choose a diet for metabolic disorders, then fighting two serious diseases is much more difficult;
• spasm of the muscles of the anterior surface of the thigh (50% of cases). This factor is the most frequent prerequisite for the development of gonarthrosis. It leads to a state where the articular cartilage is broken, becomes thin, cracked and almost completely loses its working function.

There is in medicine and such a thing as a secondary cause of arthrosis. Most often it is a trauma.

The resulting hemorrhages or thrombi lead to the development of persistent ischemia, that is, oxygen starvation of the tissues of both soft periarticular and bone. The result is destruction of cells of cartilaginous plates.

Symptoms and degrees of illness

Significantly more often than men, diagnosed arthrosis of the knee joint in women.

As is known, the disease develops usually after forty years, but sometimes there are cases of "young" gonarthrosis.

He is due to injuries or professional sports and begins gradually, with weak pain in the knee when walking.

The first stage of arthrosis

Initially, the diagnosis of arthrosis of the knee joint is confirmed by the patient's information about the gradual development of pain symptoms, since such a disease does not occur in one day. The period of intense pain in gonarthrosis is preceded by many months or perennial minor pains in the knee.

There are painful sensations only with such actions as:

• long walking;
• performance of significant loads;
• walking the stairs;
• rising from the sitting position.

In the first stage of gonarthrosis, the internal structure of the knee retains its original shape and almost does not change.

Sometimes the connective tissue looks a little swollen.

The change in the shape of the joint at the initial stage of development of gonarthrosis can be associated with the accumulation of a pathological fluid in the knee.

The second stage of gonarthrosis

A few months after the manifestation of the first symptoms, the pain in the knee becomes stronger. They arise from the minimal load or immediately after it.

In the affected part of the leg, pain is caused by almost any movement. After a fairly long rest, it usually completely passes.

However, the next physical action immediately causes pain.

Approximately at the second stage of the development of the disease, painful sensations are added:

• crunching in the knee joint during movements;
• decreased ability to normally bend the leg in the knee;
• change of joint bones;
• progressive synovitis.

Rough arthritic joint crunch, as a rule, is barely audible at first, but with the course of the disease it becomes very loud and distinct. There is a sharp pain when trying to bend the leg in the knee.

In some cases, this can only be done up to an angle of 90 degrees, and then with difficulty and overcoming the pain.

It also becomes apparent the change in the shape of the joint, which is further aggravated by the accumulation of pathological fluid in it.

The third stage of arthrosis of the knee joint

Unpleasant sensations in the knee in the third stage of the disease are further intensified. There are painful sensations now and at movement, and in a status of rest.

It becomes more difficult for a person to find a comfortable position to arrange an affected knee in such a way that it does not bother.

Only then can the patient manage to rest and sleep.

If the destruction of the joint is accompanied by a violation of blood circulation - a person can feel the "twisting" of the joints and in the middle of the night. Sometimes patients explain this by changing the weather conditions, saying, for example, that the pain is to rain. In reality, such things are pronounced only for complacency.

In the third stage, arthrosis of the knee joint has the following symptoms:

• often the ability to fully extend the leg is lost;
• joints are severely deformed;
• possible development of knee deformation.

In some cases, with gonarthrosis, there is varus or valgus deformity of the legs. These changes are characterized by the fact that the legs acquire an O-shaped or X-shaped shape. With such violations, a person makes unstable steps. Doctors call this phenomenon a "rolling gait."

Methods of treatment of arthrosis of the knee joint

When referring to a doctor many patients are often concerned about the question: is it possible to completely cure gonarthrosis? Timely diagnosis and the appointment of appropriate treatment can suspend the destructive effect of the disease in the early stages. Non-circulation for medical care and violation of prescriptions of a doctor can lead to a complete or partial disability with loss of motor functions.

Medication for arthrosis of the knee joint

Therapeutic therapy for gonarthrosis is based on the prescription of pain and anti-inflammatory drugs by the doctor.

Of course, you should not keep silent about the negative effect of this method on the gastrointestinal tract.

It is important that the patient knows and understands the entire need for this method of healing, since it is he who gives the cartilage the opportunity to recover.

Treatment of arthrosis of the knee with medicinal products involves the use of such drugs:

• nonsteroidal anti-inflammatory drugs;
• Chondroprotectors - substances that feed cartilage tissue;
• intra-articular injection;
• creams and warming ointments.

For each individual patient, the doctor individually selects specific medications and the necessary dosage.

Whatever the cause of the disease of the joints,To treat ailment it is necessary and as soon as possible.It is known that only at the first stage gonarthrosis is amenable to therapy.

In other cases, you will either have to lie down under the scalpel, or take further analgesics.

Surgical method of treatment of arthrosis of the knee joint

At the second and third degree of thinning of cartilage of the knee joint operative intervention is prescribed. The surgical method becomes the only way out, when the connective tissue is completely destroyed and the action of painkillers does not have the proper effect.

With the diagnosis of "arthrosis of the second degree it makes sense to perform the operation. Of course, it does not solve the problem of the disease as a whole, but it can significantly reduce the unpleasant sensation in the affected knee for a sufficiently long period. On average, this period ranges from six months to three years.

Manual and physiotherapy (prevention) in the treatment of arthrosis

Many physicians recommend the use of physio-and manual therapy. In the treatment of arthrosis of the knee joint, these methods will be very effective and will have virtually no side effect. Manual therapy is prescribed by doctors with joint arthrosis of the first and second degree.

Occupation therapeutic gymnastics will strengthen the muscles and walls of blood vessels, resume blood flow. This type of treatment is very economical.

For classes, only a little space in the room and a rug or blanket will be required. Help to cope with the disease special types of exercises that the doctor will recommend.

Before starting a difficult fight with arthrosis of the knee joint, it is necessaryFind a good doctor, take a survey from him and jointly make a treatment plan.

Categorically it is undesirable to establish a diagnosis for yourself. After all, joint damage, similar to arthrosis, can occur with other diseases.

Errors in the diagnosis and correctness of treatment can be too expensive.

A source: http://mirsustava.ru/artroz-kolennogo-sustava/

How to treat arthrosis of the knee joint of 2nd degree

Treatment of arthrosis of the knee joint of the 2nd degree presupposes emergency medical care, because without it a person can lose a joint, which will completely destroy the arthrosis.

What is the peculiarity of this stage of development of pathology? What are the symptoms and why is it so difficult to start treatment earlier? What measures does modern medicine offer? And what do doctors recommend for prevention to those who managed to defeat arthrosis of the 2nd degree, and also to all who do not want to admit even the slightest problems with the knees?

As is known, with arthrosis there is destruction of cartilaginous tissues and deformation of the joint. The reasons for the development of pathology are many, and the main one is a metabolic disorder, which can be caused by both malnutrition and chronic diseases (for example, diabetes).

If at an early stage of gonarthrosis development, negative processes are only started and the cartilage begins to slowly but surely change its structure, and the synovial fluid thickens, then in 2 stages the destructive effect of arthrosis begins to completely damage the joints.

Because of insufficient nutrition, their structure changes, and because of the lack of assistance of a natural shock absorber in the form of cartilaginous tissues, which the disease has already severely destroyed, the joints experience increased loads during movement and begin to shift. The process is accompanied by the formation of osteophytes - bone growths, which the body tries to replace cartilaginous tissues. Such "assistants" for the joint are of little use, while they increase its deformation and provoke an increase in pain.

Studying the arthrosis of the 2nd degree of the knee joint, whose treatment, we recall, should begin urgently, it is important to remember the symptoms that during the development of pathology are intensified and exacerbated.

If at an early stage knee pains appear only at the end of the day after heavy loads (for example, you stood all day behind the counter or the entire shift was relentlessly sheared, dyed, laid her hair, working as a hairdresser), then with gonarthrosis of grade 2, the pains can disturb constantly. Even waking up, a person feels discomfort, pulling sensations in the joints, which seem to have become stale, so it takes 20-30 minutes to "disperse". Towards evening, the pain intensifies so much that for a long time a person can not take a comfortable position to fall asleep, and often wakes up and in the middle of the night from an ache in the knees.

Arthrosis of the knee joint of the 2nd degree is accompanied by the following symptoms:

• pain in the knee area;
• restriction of joint mobility;
• characteristic crunch when moving;
• changes in joint volume - swelling, swelling, redness;
• primary deformation of the knee joint;
• muscle tension;
• changes in the gait.

The physiological relief of the knee changes, so in a standing position, a fold of the skin hanging over the knee may be found, and in the sitting position it can be seen that the knee affected by gonarthrosis has a spherical shape, and its dimensions are much larger healthy.

It is the severe pains associated with arthrosis of the knee joint of the second degree that force patients to seek medical attention although if treatment had been started earlier, it would have been more effective and would have required less time.

Deforming arthrosis of the knee, treatment of the 2nd degree of which involves a complex effect to the affected area, is a chronic disease, so cure it to the end is impossible.However, the negative processes that occur in the body at this stage, you can still slow down and stop, keeping the joint.

Without proper treatment, the 2nd degree will go to the next stage, in which the deformation and destruction of the joint will increase to such an extent that over time The knee will completely lose mobility, and the native joint will have to be replaced with an artificial analogue, because it will not be subject to recovery will be.

As in all other cases, the first stage - diagnostics - is of great importance in the treatment of gonarthrosis.

.

Without it, it is impossible to eliminate the cause that caused the development of pathology, and to choose effective methods of combating the disease.

.

To find out all the features of the doctor's illness, an oral questionnaire is conducted, during which the patient should answer the following questions (the list is approximate).

• Since when did you start to notice the crunch in your joints?
• What kind of pain is fixed during movement and at rest: acute or aching?
• What attempts were made to eliminate the symptoms? Painkillers? Ethnoscience?
• Have there been any similar problems in the family?
• Were there any injuries to the knee joint and how serious were they?

After the oral interrogation, when the first idea of ​​gonarthrosis is formed, the patient is referred for x-ray.

In the 2 stages, all the changes occurring are clearly visible in the photographs: a reduction in the thickness of the cartilaginous tissue, displacement of the joint, and the formation of osteophytes.

If the picture is not clear enough, diagnostics can be used using computed tomography or magnetic resonance imaging.

Delivery of blood for analysis will help to detect the presence of infections that can complicate the course of the disease.

The first steps in the treatment of gonarthrosis of the 2nd degree are aimed at eliminating the pain symptoms, after which all efforts are directed to stop the destructive effect of arthrosis and keep the affected joint.

As medicines in the form of tablets and injections are used:

• painkillers;
• anti-inflammatory non-steroids of the last generation, which fight with inflammation, thereby reducing pain;
• chondroprotectors - drugs, without which it is impossible to treat arthrosis, since they restore the structure of cartilaginous tissue and prevent its further destruction;
• preparations based on hyaluronic acid, restoring the structure of synovial fluid and appearing at certain times as an analogue of it.

Hyaluronic acid can be injected into the joint in the form of injections, if the disease is accompanied by a violation blood circulation, which does not allow the tablet forms of the drug to effectively penetrate into the affected tissue.

In addition, the course of drug treatment may involve the use of auxiliary drugs - vitamins, immunostimulants, biologically active substances based on plant components that help improve cartilage nutrition, accelerate blood circulation and restore metabolism substances.

And gymnastics, and physiotherapy, and massage procedures are used in the treatment of the 2nd stage of gonarthrosis solely as auxiliary agents.

Only with their help to defeat the pathology does not work, while the procedures and exercises of gymnastics are introduced in the course of treatment only after it was possible to remove the main symptomatology - to reduce pain and inflammation.

Among the physiotherapeutic procedures that have proved their effectiveness in the treatment of arthrosis of the knees, the first places are occupied by UHF, magnetotherapy, phonophoresis, ultrasound therapy. They help improve blood circulation in the joint, stabilize its nutrition and accelerate the recovery processes.

The course of massage usually involves 10-15 sessions, while during the procedure the specialist uses ointments (chondroprotectors, anti-inflammatory, analgesic, etc.), the choice of which is performed by the treating doctor.

Therapeutic gymnastics is another effective way to combat gonarthrosis, which is prescribed by the attending physician after evaluating the effective medicamentous effect. The complex of exercises is carefully selected for each patient, taking into account his age, the presence of other diseases and the current state of health.

The first months to engage in physical education is necessary exclusively under the guidance of a physiotherapist, after all improperly performed exercises can increase the load on the joint, which will accelerate its destruction. That's why it is not recommended to choose the sets of exercises on the Internet independently and to intensively master the proposed programs at home without the supervision of a specialist.

In general, it should be understood that how to treat arthrosis of the knee joint of the 2nd degree correctly, only knows The attending physician who thoroughly studied the patient's general medical history and is informed in the current state cases. Without professional help in dealing with a serious ailment can not be avoided, not to mention the fact that self-medication can significantly worsen the condition of the joint and lead to its rapid destruction.

Overweight and malnutrition are factors that also often provoke the development of knee arthrosis.Often the extra pounds and unhealthy foods are interrelated, therefore complex work is also expected in this direction.

.

From the menu all harmful products (fatty meat, smoked meats, coffee, soda, chips, etc.) are excluded, and useful - vegetables, dietary lean meat, dairy products with low fat content are introduced.

.

A good help is jelly and filling, cooked on the bones of animals or using gelatin. They contain components that are highly demanded by cartilage tissues.

Regular meals (5-6 times a day) and small portions, as well as a varied and carefully thought-out menu will allow not only to improve the metabolism and to remove harmful substances from the body in a timely manner, but also to remove unnecessary kg.

Often, in the treatment of stage 2 knee arthrosis, auxiliary means for movement are required. Reeds and crutches help reduce the strain on the affected joint.

The length of a properly selected cane - from the wrist of a person standing to the floor.

Yes, burdock leaves, applied in the form of compresses and cabbage tinctures are able to alleviate the condition of individual patients, but they can not restore the structure of cartilaginous tissues and stop arthrosis.

It is allowed to use auxiliary folk remedies in the treatment of the second stage, but only in consultation with the doctor and exclusively as additional methods to the basic treatment.

In the treatment of grade 2 arthrosis of the knee joints, surgical methods can also be used.

So, during arthroscopy special tools are introduced into the joint cavity, which allow to detect osteophytes and correct joint deformation without global surgery (without joint replacement). With the help of arthroscopy, it is possible to slow down arthrosis and improve the motor functions of the affected joint.

Contraindications for carrying out arthroscopy include a small amplitude of motion of the knee and a violation of blood coagulability.

.

If the complex of the listed methods does not help to stop the destruction of the joint and the disease continues to rapidly progress, then the patient may be offered a surgical operation of endoprosthetics, in which the destroyed joint is replaced by an artificial implant.

.

After the successful completion of the treatment of knee arthrosis should be prepared for the fact that throughout life you will have to control a chronic illness. It will help to do effectively the doctor's recommendations and simple rules.

• Compliance with diet and body weight control.
• Exclusion of excessive loads on the joint, as well as hypothermia and trauma.
• Regular examinations (x-ray of the problem knee) and preventive courses of taking chondroprotectors or drugs with hyaluronic acid.
• Daily exercises in therapeutic gymnastics (breaks in classes can only be done during periods of exacerbations).

The second stage of arthrosis still allows to successfully fight the disease, and although this will take more time and effort, the results can prove to be good under two conditions - high qualification of the doctor and discipline of the patient, who will perform all received recommendations.

A source: https://medeok.ru/artroz/kak-lechit-artroz-kolennogo-sustava-2-stepeni