Content
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1Ankle Osteoarthritis: Symptoms and Treatment
- 1.1Causes
- 1.2Symptoms and degrees of illness
- 1.3Treatment
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2Osteoarthritis of the ankles: degrees, symptoms and treatment:
- 2.1Ankle joint - what is it?
- 2.2Age-related causes of the disease
- 2.3Other causes of osteoarthritis
- 2.4The main stages of the development of the disease
- 2.5Symptomatics of each stage
- 2.6How to identify the disease?
- 2.7Initiation of drug treatment
- 2.8Curative gymnastic exercises
- 2.9Pharmacological preparations
- 2.10Recipes of traditional medicine
- 2.11Prevention and prevention measures
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3Osteoarthritis of the ankle joint - signs how to treat medicamentous and folk remedies
- 3.1What is osteoarthritis of the ankle
- 3.2Symptoms
- 3.3Stages of ankle osteoarthritis
- 3.4Diagnosis of osteoarthritis
- 3.5Treatment of ankle osteoarthritis
- 3.6LFK for arthrosis
- 3.7Physiotherapeutic procedures
- 3.8Endoprosthetics
- 3.9Treatment with folk remedies
- 3.10Possible complications and preventive measures
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4Osteoarthrosis of the ankles: causes, diagnosis, prevention, treatment
- 4.1Characteristics of the disease
- 4.2Causes of ailment
- 4.3Stages of pathology
- 4.4Symptoms of ailment
- 4.5Treatment of the disease
- 4.6Folk remedies
- 4.7Prevention of disease
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5Methods of treatment of ankle joint osteoarthritis of various degrees
- 5.1How are post-traumatic forms of the disease treated?
- 5.2Traditional methods of treatment of the disease
- 5.3Traditional methods of treating the disease
Ankle Osteoarthritis: Symptoms and Treatment
Category: Joints, bones, muscles 7865
- Pain in the ankle
- Swelling of the affected joint
- Deformation of the joint
- Violation of gait
- Redness of the skin in the lesion
- Morning pain in joints
- Increased temperature in the affected area
- Deformation of feet
- Stiffness in the joints in the mornings
- Crunch in the affected joint
- Sensitivity of joint to weather change
- Rapid fatigue when walking
- Discomfort in the affected joint
- Limited mobility of the ankle
- Clicks in the affected joint
Osteoarthritis of the ankle is a pathological condition characterized by joint articulation and subsequent disruption of its functioning.
Mostly elderly people suffer from the disease, but those who suffer from excess weight, can get sick of this pathology and at a young age.
This disease affects not only the joint, but also the surrounding tissue - ligaments, cartilage, bones, so the disease is a serious inconvenience to man, because he does not only experiencing pain, but also he still has gait disturbances due to ankle deformity - in this case they say about deforming osteoarthritis of the ankle the joint.
Causes
As already mentioned above, natural wear of the ankle is one of the reasons for the development of this disease.
In addition, contributes to the development of the disease excess weight in a person, because of which the ankle is constantly exercising a large load and, eventually, the tissues of the joint begin to break down.
Other causes of the disease may include:
- ankle injury in the joint area, including fractures, dislocations, subluxations;
- Congenital dysplasia leading to imperfection of the human bone system;
- chronic inflammatory processes in the ankle region, against which secondary osteoarthritis develops;
- permanent micro-traumas that can occur in people engaged in sports (for example, jumps in length or height) or women constantly wearing shoes on their heels.
Of course, not always and not all develop deforming osteoarthritis of the ankle joint.
Therefore, researchers talk about the presence of predisposing factors that can have a direct effect on the probability of a person developing this disease. Such factors include:
- hereditary connective tissue diseases and congenital bone diseases;
- violation of metabolic processes in the body;
- lack of vitamins and some trace elements;
- endocrine disorders in the body, including those that occur in the body of the fair sex during the menopause.
Symptoms and degrees of illness
Symptoms of the disease depend on its degree. But nevertheless a characteristic manifestation of pathology is pain, which is amplified by the load on the ankle, and at rest its intensity decreases.
At the initial degree of the disease, the pain at rest can completely disappear, at the second stage this symptom is constantly present, with the only difference being that when the pain is painful it is painful and at rest it is aching.
Osteoarthrosis of the ankle
This disease is characterized by the so-called starting pain, which a person feels in the morning, getting up from bed.
It is acute and pronounced, lasting several minutes at the first degree of the disease, and a longer time in the development of pathology.
Then the pain subsides, the joint begins to be slowly developed and a person can walk.
With deforming osteoarthritis, there are also other signs of the disease, in addition to pain, this is:
- stiffness in the joint (especially in the morning hours, after rest);
- impaired mobility;
- swelling (with the development of the inflammatory process);
- redness and local fever.
Due to the fact that the bone structure is growing in the affected joint, at times the ankle can "wedge which causes a person not only inconvenience, but also severe pain.
At the third degree of the disease there are significant deformities of the ankle, because of which the foot begins to heel in one direction and the human gait is greatly disturbed. Also at this degree of disease, severe and irreversible changes occur in cartilage, bones and even muscles in the ankle.
As already becomes clear from the above, the degree of development of osteoarthritis can be as follows:
- the first;
- the second;
- the third, or actually deforming osteoarthritis.
When a person has a disease in the first degree, he feels minor discomfort in the affected ankle.
Legs become tired with prolonged walking, but at rest discomfortable sensations quickly disappear. Starting pains are absent.
To this extent, the disease is easily treated by the use of non-steroidal anti-inflammatory and chondroprotectors.
.At the second degree of the disease a person feels pain not only with an ankle load, but also at rest. For example, at night, he can wake up because the joint is noisy, and aching pain can arise as a reaction to changing weather conditions.
.Violated mobility in the joint, sometimes there may be signs of displacement of the bone structures of the joint relative to each other.
In the mornings, a person for a long time can not develop an ankle. There is a crunch and clicks in the joint when moving.
Treatment of this degree of disease is long and is aimed at preventing further destruction of the joint.
At the third degree of destruction in the joint progress, the process involves bones, ligaments, cartilage and muscle.
The foot is bent - on one side the muscles overstretch, on the other hand, on the contrary, spasmodic.
Mobility in the joint is completely absent, the pain is extremely pronounced, both with exercise and at rest.
Treatment
Before appointing the treatment of ankle osteoarthritis, the doctor examines the patient and diagnoses at what stage the process is.
The initial stages require conservative treatment - sometimes it is enough to reduce the load on the affected ankle, for example, lose weight or refuse to wear heels.
Also the doctor can recommend a special therapeutic gymnastics for the ankle, which will allow to develop the joint and improve its blood supply, and, consequently, nutrition.
At the second degree the treatment should be complex, and it consists in taking medications (painkillers, nonsteroidal anti-inflammatory tablets, ointments and gels) and in carrying out physiotherapeutic procedures and Exercise therapy.
The most effective physiotherapy procedures for this pathology are:
- electrophoresis;
- magnetotherapy;
- paraffin therapy;
- UHF-irradiation.
The third degree, that is, progressive osteoarthritis with deformity of the foot, is treated surgically - most often mechanically, remove excess tissue. Prosthetic ankle is used extremely rarely.
Diseases with similar symptoms:
Osteoarthritis of the ankle (coinciding symptoms: 7 of 15)
Arthrosis of the ankle joint is a dystrophic degenerative pathological disorder characterized by gradual destruction cartilage, joint and adjacent bone structures, as well as ligaments and even muscles, which leads to impaired mobility and even disability patient. The cause of the development of such a pathology may be traumatic damage, posttraumatic arthrosis of the ankle, metabolic disorders in the body or some inflammatory diseases.
... Osteoarthritis of the knee joint (coinciding symptoms: 6 of 15)
One of the frequent complaints that a doctor hears from patients is the pain in the knees.
Than it is caused, not always it is possible to tell at once, after all knees can suffer from various diseases, one of which is an arthrosis of a knee joint.
It is also known as gonarthrosis, and is a joint injury that usually non-inflammatory character and promotes destruction of cartilage, deformation of bones and restriction of movements patient.
... Arthrosis of the shoulder joint (coinciding symptoms: 5 of 15)
.Well-known for many people, mostly elderly, are joint pain. They are caused by malnutrition, hypodynamia, stress, high physical stress and other factors.
.Quite often in the elderly and a small percentage of young people there is arthrosis of the shoulder joint - a chronic ailment that causes serious deformations of cartilage, as well as tissues adjacent to it, and bones.
It has a progressive type, and the symptoms may not appear for years, and then sharpen sharply.
The most common signs are pain in the shoulders after a long stay at low temperatures, as well as after lifting objects that have a large mass.
... Arthritis of the shoulder joint (coinciding symptoms: 4 of 15)
Arthritis is a fairly broad group of diseases that affects both small and large joints. They develop an inflammatory process, and the cartilage gradually wears out and ceases to perform its basic functions.
Very often this pathology affects the shoulder joint. Causes Types of Forms Symptoms Diagnosis Treatment Common Recipes Recommendations The shoulder joint is the most mobile joint in the human body. Arthritis can affect both one and two joints at the same time.
As a rule, it is the shoulder joint that is most easily treatable, but the outcome of therapy directly depends on the stage of development of the pathological process that the patient turned to a medical institution.
The shoulder joint is a fairly vulnerable and unprotected place, as it constantly withstands prolonged and increased stresses. This is the area most often traumatized.
.As a result, various complications can occur, resulting in the development of arthritis of the shoulder joint. And it is dangerous in all this that the disease in the chronic stage usually proceeds without a single expressed symptom.
.Therefore, it is very difficult to detect the presence of a pathological process in the first stage. If a person has noticed any changes in the function of the joint, then he should not lose time to see a doctor to make an accurate diagnosis. The success of the treatment of arthritis largely depends on its stage.
... Arthrosis of the elbow joint (coinciding symptoms: 4 of 15)
Arthrosis of the elbow joint is a disease that is degenerative and degenerative, and is a violation of the normal functioning of the elbow. In different sources occurs under the name epicondylosis.
Characteristic features are a decrease in the volume of synovial fluid, which contributes to increased friction, a decrease in the intervals between the joints, as well as the growth of osteophytes.
This, in turn, causes pain and limits mobility.
...
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A source: http://SimptoMer.ru/bolezni/sustavy-kosti/1870-osteoartroz-golenostopnogo-sustava-simptomy
Osteoarthritis of the ankles: degrees, symptoms and treatment:
Osteoarthritis of the ankles is a serious illness, dangerous due to its consequences and complications.
It causes great pain to a person and contributes to the loss of normal independent movement, as it deforms and destroys cartilage and cartilaginous tissue.
Severe changes may occur in ligaments, muscles and even bones.
What is the cause of such a dangerous ailment? How to diagnose and treat it? And are there any ways to prevent it? In this article you will find exhaustive answers to these and many other interesting questions. Also, visual illustrations and photos of an ankle joint osteoarthritis will be given to your attention.
Ankle joint - what is it?
Ankle joint is an unobtrusive but very important organ of the human body. It connects the foot and the shin and is one of the most loaded places of the lower limb.
Ankle joint performs a number of important functions. He is responsible for the smooth movement during walking and running and keeps the body in a straight, upright position. One can only imagine how many inconveniences and troubles can cause deformation of such an important and significant organ.
Age-related causes of the disease
The causes of the appearance of osteoarthritis of the ankles are different, often they do not depend on the patient himself.
Often the pathology of the joint develops due to its natural wear, since the ankle is most often the remaining joints are in motion and subject to mechanical and physical impairments and stresses.
Therefore, many people with this type of osteoarthritis are mostly middle-aged and elderly people, over fifty years of age.
It is noteworthy that osteoarthritis of the ankles is more affected by women of this age category.
Other causes of osteoarthritis
The following reasons for the occurrence of this illness are considered to be:
- Injuries (dislocations, fractures and sprains).
- Chronic inflammation in the ankle.
- Congenital disorders of the formation of the joint and the joint itself.
- Metabolic disorders and lack of useful vitamins and minerals.
- Hereditary diseases of bones and connective tissues.
- Loss of elasticity of cartilaginous tissue.
- Hormonal and endocrine disruptions in the body. This is especially true for women during menopause.
- Overweight.
- Wearing uncomfortable shoes (high heel, narrow heel).
- Unfavorable external conditions (hypothermia, intoxication).
In accordance with different causes of the disease, several stages of its manifestation are distinguished.
The main stages of the development of the disease
The degree of osteoarthritis of the ankle depends on the intensity of its progression. Specialists note such pathological stages of the disease:
- The first degree is the initial one.
- The second degree is neglected.
- The third degree is deforming.
Osteoarthrosis of the ankle joint of the 1st degree is characterized by minor damage to the joints and cartilaginous tissue, during which the access to necessary cartilage is interrupted. Because of this, the process of destruction occurs quickly, but is barely noticeable - there is almost no pain at this stage of the disease.
Osteoarthrosis of the ankle joint of the 2nd degree is accompanied by irreversible internal processes and is caused by a large accumulation of fluid in the joint, as well as a strong growth of bone neoplasms.
Osteoarthrosis of the ankle joint of the third degree is characterized by pathological changes, noticeable to the naked eye, pronounced deformation of the articular bags, ligaments and cartilages.
.Deforming osteoarthritis of the ankle is very dangerous and causes incredible pain, therefore it is necessary to urgently begin treatment and adhere to all the recommendations of the doctor.
.However, what symptoms are accompanied by the above stages of osteoarthritis? Let's find out.
Symptomatics of each stage
Each degree of osteoarthritis of the ankle joint is accompanied by various kinds of symptoms, the deterioration of which can occur every day. Therefore, it is important to identify the disease as early as possible and start treatment.
For example, the initial stage is marked by minor pain and fatigue during walking. At rest, discomfort can quickly disappear, causing the patient not immediately aware of the severity of his illness.
The second stage of the disease is accompanied by a drawing pain at rest. The sick person can wake up at night from the fact that the joint is aching. Similar sensations can occur and on weather change.
Osteoarthrosis of ankle joints of the second degree is marked by a slight crunch and clicks during walking, a slight swelling and redness. In the morning, it is painful to attack the ankle, and it takes a long time to develop it.
The third stage of the disease is characterized by visible changes in the ankle - the foot is curved, swollen and swelling, bone tissue proliferates, the pain becomes unbearable even at rest, the mobility of the joint is completely absent.
As we see, it is very important at an early stage to determine the osteoarthritis of ankle joints and begin treatment in order to avoid irreversible processes.
How can diagnose this disease and proceed with urgent therapeutic intervention?
How to identify the disease?
If you find yourself or your loved ones uncomfortable symptoms - do not despair, but hurry up to A qualified medical institution where the therapist prescribes a check-up and directs you to admission to the narrow specialists.
First of all, it is necessary to pass a general and biochemical blood test, and also make an x-ray of the diseased limb. Then, arthroscopy and the study of synovial articular fluid may be necessary.
Initiation of drug treatment
How to treat osteoarthritis of the ankle? A clear and comprehensive answer to this question will be given only by a medical specialist. However, we can distinguish three features, which will pay attention to the doctor during the appointment of drugs:
- First of all, it is necessary to discover and establish the causes that caused the development of the disease.
- It is necessary to reduce the pain that accompanies a person when moving.
- It is necessary to slow down and prevent the process of destruction in the ankle joint.
The first thing your doctor will pay attention to is reducing the load on the patient's ankle. It will be necessary to get rid of high heels and excess weight, to limit physical activity and, perhaps, even temporarily move to crutches or walking sticks.
Curative gymnastic exercises
At the same time, the doctor may advise to conduct special therapeutic gymnastics, which would help develop an ankle joint and improve its blood circulation, and also can be recommended a medical massage to enhance the flow of nutrients and outflow of venous blood.
What can be remarkable about this gymnastics? Here are some useful exercises that will help to strengthen the ligament apparatus:
- The starting position - lying on the back, legs lie in a relaxed state. Alternately rotate the feet along the clockwise and against it.
- The starting position is sitting on a low stool. Lower and raise the heels and toes of the foot in turn, as if imitating walking.
- The starting position is standing. Shallow squat (the foot completely adjoins to a floor, knees look strictly forward).
- The starting position - standing with socks on a low plank. Lower the heels to the floor, then go back up on the socks (preferably sticking for anything, so as not to lose balance).
Such therapeutic exercises should be performed daily for fifteen minutes three times a day.
Pharmacological preparations
In addition to gymnastics and massage, the patient may be offered anti-inflammatory drugs on a non-steroid basis. However, it is worth remembering that these medications do not treat, but only eliminate pain and signs of inflammation.
Constructive methods for treating osteoarthritis of the ankle joint are the use of therapeutic gels and ointments (Fastum-gel, Revma-gel, "Diclofenac-gel etc.), as well as the use of vitamin and mineral complexes and a visit to the physiotherapy room, where you can be offered such procedures like:
- Magnetotherapy.
- laser irradiation.
- UHF-therapy.
- electrophoresis, etc.
In addition, in accordance with the complexity and stage of the disease, intramuscular injections of "Alflutop" and "Rumalon in addition to injections administered directly into the ankle itself (using drugs that restore the structure of cartilaginous tissue, such as "Traumeel "Target T" and others).
In extreme cases, surgical intervention to eliminate deformed tissues may be suggested.
Recipes of traditional medicine
There are also recipes of traditional medicine that will help you in the fight against osteoarthritis. However, it should be remembered that this type of treatment should be used as an addition to the medication and only after consultation with the attending physician.
Here that it is possible to prepare with own hands from improvised means, in order to add pharmacological treatment of the ankle:
- Ointment. Soak the raw rice in water, chop, mix with petroleum jelly and apply overnight.
- Ointment. Powdered wormwood, glycerin and olive oil heated in a water bath, let it brew for two days and drain. Lubricate daily in the mornings and at night. The stored product should be stored in the refrigerator.
- Cream. Before obtaining a homogeneous mass, mix two spoons of hop, two tablespoons of St. John's wort and fifty grams of lanolin. To rub in the damaged place before a dream.
- Decoction. Boiled cowberries or bay leaves should be consumed in three tablespoons half an hour before each meal (use 10 grams of leaves per liter of water).
- Inside. Pounded garlic with olive oil (proportion: 0) take a teaspoon daily before breakfast.
Prevention and prevention measures
It is better now to take serious and consistent measures in order not to be exposed to the destructive effect of osteoarthritis. What can be done for this?
- Watch for proper nutrition. In the daily diet should always be present vitamins and calcium (vegetables, fruits and dairy products), which are necessary for the proper functioning of bones and cartilaginous tissue of the ankle.
- Use comfortable and quality shoes.
- To engage in moderate physical activity (running and walking alternating with rest and rest). Spend time relaxing in the fresh air.
- Keep track of the weight of your body so that there is no unnecessary strain on the feet and joints.
- Refuse bad habits (smoking, alcohol) and reduce the amount of coffee and salt consumed.
- Try to avoid injuries, mechanical damage and unjustified loads on the ankle.
- Timely (preferably every six months or a year) to visit medical institutions for observation and inspection.
And always remember that your health is in your hands!
A source: https://www.syl.ru/article/327758/osteoartroz-golenostopnyih-sustavov-stepeni-simptomyi-i-lechenie
Osteoarthritis of the ankle joint - signs how to treat medicamentous and folk remedies
Puffiness, pain in the ankle area often indicate problems with the heart, but in some cases it is a rheumatological disease.
Osteoarthritis of the ankle develops due to the biomechanics (deformation) and the ability to erect, that leads to varying degrees of crusatrosis and the need for treatment (selected depending on the degree of pathological violations). The situation is aggravated by the purchase of shoes with very high heels or cheap models on a flat sole.
What is osteoarthritis of the ankle
This pathological condition, characterized by the defeat of the joint articulation and a violation of its functioning.
Mostly, the disease is diagnosed in the elderly, but there is a possibility of development in people at a young age. Pathology affects the joint and surrounding tissues: cartilage, ligaments, bones.
This leads to serious discomfort, the appearance of pain, disruption of the approach due to deformation, which is called deforming osteoarthritis (DOA).
.As a rule, pathology develops due to natural wear of the joint. This is the main factor why the ankle osteoarthritis develops.
.The development of the disease contributes to obesity (excess weight), which forms an additional burden on the musculoskeletal system.
To other reasons for the appearance of pathology include the following factors:
- congenital dysplasia, which leads to imperfection of the bone system;
- ankle injury in the joint region: subluxations, dislocations, fractures;
- regular micro-traumas that occur during sports (jumps in height or length), when wearing shoes with heels;
- chronic inflammation in the joint area, against which secondary osteoarthritis is formed.
The disease develops in people not in 100% of cases. There are certain predisposing factors that contribute, increase the likelihood of problems with the ankle joint. There are the following additional provoking factors:
- violation of metabolic processes;
- hereditary pathologies of connective tissue, congenital bone disease;
- lack of trace elements, vitamins;
- disorders in the endocrine system in the body, for example, arising during menopause.
Symptoms
Clinical manifestations of the disease will depend on the stage, the more it is, the stronger the signs. The primary manifestations that speak of the presence of joint osteoarthritis include:
- After a long load (walking, running, etc.) there is pain, but in a calm state gradually subside;
- there is stiffness in the amplitude of movements of the shank, limitedness;
- there is pain in the shin immediately after awakening, fades after 2-3 hours;
- formation of swelling, edema of the lower leg and lower ankle;
- when the foot movements are heard, clicks and crunches are heard.
Stages of ankle osteoarthritis
Pathology without proper treatment is aggravated and can lead to serious complications.
There are several types of osteoarthritis, it can affect different parts of the body.
Krusartroz ankle - a term that indicates specifically the pathology of the ankle. The following stages of this disease stand out:
- The first is characterized by a mild manifestation of the primary symptoms that were described above. They can manifest separately from each other or all together. Patients rarely pay attention at this stage to manifestations of crusatroza, because they do not create severe discomfort.
- DOA of the ankle joint of the 2nd degree speaks about the progression of pathology, cartilage degeneration, connective tissue. The pain symptoms begin to become sharper, the puffiness, inflammation, and redness are more pronounced. Becomes more difficult to walk, deformation of bone tissue has not only internal, but also external signs: the ankle becomes warm by the touch, and the lower part of the leg is bent.
- The third and last stage is characterized by increased signs of pathology, pain does not go away, strong movement restrictions, the deformation and curvature are clearly visible. The adherent muscles of the lower leg begin to suffer, which causes atrophy. At stage 3 the disease can no longer be stopped or cured and ends with a disability.
Diagnosis of osteoarthritis
There is a certain list of methods that help to confirm and determine the stage of pathology. Based on the research, you may need to consult with other doctors. Assign the following procedures for diagnosis:
- general blood analysis and biochemistry;
- careful study of joint synovial fluid;
- X-ray examination of the affected limb;
- An ultrasound of the joint;
- Arthroscopy.
Treatment of ankle osteoarthritis
The effectiveness of therapy depends on the stage at which the problem has begun to be solved.
The patient should minimize the mechanical stress on the damaged joint as much as possible.
To do this, limited mobility, physical activity, reduced body weight. The main direction in the treatment of pathology implies:
- relief of symptoms;
- elimination of the cause that caused the disease;
- the maximum slowdown in the processes of destruction of bone, cartilaginous tissue.
To eliminate inflammation, pain, improve the state of cartilage, doctors prescribe the use of anti-inflammatory drugs, analgesics and chondroprotectors.
Duration of the course, the dosage is selected by the attending physician on the basis of tests, the stage of pathology, the severity of symptoms and contraindications.
As a rule, drugs help to eliminate the acute process and ensure the remission of the disease so that other methods of therapy can be used. It is highly not recommended to engage in self-medication.
LFK for arthrosis
One of the areas of complex therapy of osteoarthritis is exercise therapy. Exercises are aimed at strengthening the muscles, developing the joint. Here are some exercises that orthopedists recommend:
- Take the position lying on your back, legs should lie, relax them. Without sudden movements, with a minimum amplitude, turn them from and to yourself.
- In the same initial position, rotate the stops against and clockwise.
- Sit on a low chair and perform an imitation walk, alternately raise and lower your heels, socks.
- Stand with your toes on a small elevation, and the heels should be slightly lower (hanging). Do lifts on your toes, with your hands, always stick to something to maintain balance.
- Perform shallow sit-ups, heels and socks do not tear off the floor. Keep your knees straight ahead.
Physiotherapeutic procedures
This area of therapy is used to restore the mobility of the ankle. The procedures help to improve cartilage nutrition, blood supply of tissues. Apply for kruzartroze, as a rule, the following procedures:
- UHF-therapy;
- magnetotherapy;
- massage;
- applications of warm paraffin;
- electrophoresis with analgin, novocaine and other drugs;
- laser irradiation.
Endoprosthetics
In advanced cases, if a late 2 degree of pathology is diagnosed or 3, surgical treatment can be performed: arthrodesis of the ankle, sanation arthroscopy and endoprosthetics.
The latter option is considered to be the most effective, physiologic and is applied even on atherosclerosis of the 3rd degree. During the operation, the damaged articular surfaces are removed and the degeneration sites are replaced by metal, ceramic or plastic prostheses.
The motor capacity of the joint is restored completely, the life of the prosthesis is 20 years.
Treatment with folk remedies
The course of the pathology can help alleviate home remedies only in the first stage.
If you follow all the recommendations and correctly use folk recipes, you can eliminate pain, inflammation, swelling of the diseased limb.
At home, rubs and folk medicated ointments are good, for example:
- Chop the rice, take the Vaseline and mix the chi well. Apply the product to the joint at night.
- Take crushed lanolin, St. John's wort and hops. Stir the ingredients thoroughly to ensure a uniform mass. Rub the prepared ointment every day in the affected part of the foot.
- Make a decoction of cowberry leaf. Use it every day for 30 ml for half an hour before meals.
- Broth of bay leaf helps to ease symptoms. You need to drink 15 minutes before eating.
Possible complications and preventive measures
The most terrible consequence of the disease is the loss of the opportunity to move independently.
This complication develops due to the destruction of bone tissue, cartilage, the pain becomes much stronger, and the motor activity of the shin greatly decreases.
With the implementation of simple rules, you can significantly reduce the likelihood of pathology. Adhere to the following recommendations:
- post-traumatic effects are very dangerous, so you should avoid any ankle injury, cartilage damage in this area;
- excess weight creates an additional burden, so you need to monitor diet, lifestyle and avoid obesity;
- give up smoking, drinking alcohol and other bad habits;
- reduce the consumption of salt, coffee;
- perform regular moderate exercise;
- long walking will benefit your musculoskeletal system;
- after the activity must come peace, do not forget to fully rest;
- regularly visit doctors to notice deviations in health in time.
A source: http://sovets.net/14893-osteoartroz-golenostopnogo-sustava.html
Osteoarthrosis of the ankles: causes, diagnosis, prevention, treatment
The moving bone joint between the foot and lower leg during walking experiences loads exceeding the body weight by 7 times.
Unpleasant impact on him and lifting weights, prolonged being in a standing position, overweight.
These loads can lead to the development of such a serious pathology, as osteoarthritis of the ankles. Consider what kind of ailment, what is provoked and how to deal with it.
Characteristics of the disease
Osteoarthritis of the ankles is a common ailment. According to statistics, this pathology is diagnosed in 80% of people aged 50-60 years.
During a life on joints there are greater or big loads about which the person while joints do not disturb it or him, at all does not reflect. However, they trigger the mechanism of aging. This process destroys the fibers in the joints. In healthy joints, loss is made up by the synthesis of new ones.
But if the balance between destruction and recovery is disturbed, then osteoarthritis begins to develop. The cartilage becomes brittle, it becomes dry.
The ankle joint swells and hurts. He is no longer capable of withstanding loads. Over time, its destruction occurs. However, the changes concern not only the cartilage.
They affect the bone beneath it.
On the edge of the joint, outgrowth begins to grow. They seem to compensate for the loss of cartilage with enlarged articular surfaces. This is how the deforming osteoarthritis of the ankle develops.
Causes of ailment
Pathology can provoke a variety of factors. And most often the disease occurs as a result of a combination of several reasons.
The main factors that provoke osteoarthritis of ankle joints are:
- Aging. The cartilage becomes less elastic with age, it loses its ability to resist loads.
- Congenital pathologies. The weakness of the connective tissue often causes the development of flat feet. If you do not comply with a certain regimen, at a young age you may experience arthrosis.
- Genetic predisposition. This fact is scientifically proven.
- Injuries. Dangerous as one-time severe injuries, as well as permanent micro-traumas. The latter are often provoked by the characteristics of a profession or sports. Thus, dancers often have osteoarthritis of ankle joints.
- Accompanying ailments. Disrupted metabolism, endocrine pathologies can lead to the development of the disease. Most pathology occurs in patients with diabetes mellitus, obese people, atherosclerosis, thyroid disease.
Stages of pathology
According to the progression of the disease, several degrees of ailment are distinguished:
- Osteoarthritis of the 1st degree. This is the beginning of the disease. Significant damage to cartilaginous tissue is not observed. The junction looks quite normal. Visual changes are not visible. However, the process of destruction has already started. Cartilage lacks nutrients. As a result, his cells begin to die off gradually. Suffer and adjacent tissue. The person is experiencing some pain.
- Osteoarthritis of the ankle joint of 2nd degree. In this case, unpleasant manifestations are already more pronounced. The patient experiences severe discomfort. The pain is regular. Sometimes it does not even stop. There is deformation of the joint. X-ray confirms that irreversible processes have occurred. Bone tissues have grown far beyond the joint.
- Osteoarthritis of the third degree - deforming. With this pathology, changes are visible even to the naked eye. Cartilages, ligaments, articular bags are very much struck. As a result, the ankle is deformed.
Symptoms of ailment
All manifestations that occur with this disease depend on the degree of pathology. Over time, such symptoms are aggravated.
For pathology, the following manifestations are characteristic:
- Pain syndrome. The discomfort gradually builds up. Initially, a person experiences pain only while walking, running, playing sports. At rest, unpleasant symptoms completely disappear. With the progression of the disease, discomfort occurs even at night. He is noisy and does not allow a person to rest easy. The ankle joint swells and hurts. In the future, discomfort occurs even in the morning. A man can not step on his foot calmly.
- Limited mobility of the joint, stiffness of movements.
- The limb is clamped in one position.
- Together with the swelling, the temperature in the painful area may increase. This symptomatology characterizes the acute stage of the disease.
- Deformation of articulation.
- A man can not step on his foot. A clear symptom that characterizes this pathology.
Treatment of the disease
Only complex therapy is used to combat such pathology as osteoarthritis of the ankle joint.
Treatment includes the following activities:
- Massage. It allows you to get rid of painful spasms, improves blood circulation, stimulates the transmission of impulses. As a result, cartilage receives better nutrition.
- Physiotherapy. Soft methods are assigned. May be recommended: magnetotherapy, electrophoresis with Dimexide, laser therapy, EHF-therapy.
- LFK training. This is an obligatory condition for comprehensive rehabilitation.
- Orthopedic means. They can significantly reduce the load on the damaged joint. The patient can be recommended wearing orthopedic shoes or a special instep.
Along with such therapy medication is prescribed:
- NSAIDs. To relieve inflammation and reduce pain, drugs are recommended: Diclofenac, Indomethacin, Movalis, Ibuprofen.
- Anti-inflammatory ointments. Benefits will be brought by medicines: Fastum-gel, Dolgit-cream, Diclofenac-gel, Revmagel, Erazon.
- Intra-articular introduction. To quickly relieve the patient's pain, they inject directly into the articulation preparations: Kenalog, Diprospan, Depo-Medrol, Celeston.
- Chondroprotectors. Such drugs can be taken in the form of tablets: "Structum "Don". Medicines for intramuscular injections: Rumalon, Alflutop. For intra-articular injection, medicines "Alflutop "Traumeel "Target T" are used.
Folk remedies
Such treatment is very popular. However, it should be understood that it will benefit only in complex therapy. In addition, its effectiveness can be calculated if the ankle joint is not started osteoarthritis.
Folk remedies are often used as follows:
- Rice must be grinded and pre-soaked. Mix it with petroleum jelly. Such a slurry is recommended to be applied to the affected joint at night.
- Take 10 g of laurel leaves. Pour 1 tbsp. boiling water. Cook the minutes 5. Such a decoction should be drunk all day long in small sips. It excels from toxins, slags and salts. Duration of admission can be from 2 weeks to 1 month. After a break, you can repeat the therapy.
Prevention of disease
To protect your body from the development of pathology, doctors recommend adhering to the recommendations:
- Watch your weight.
- Provide the body with proper nutrition.
- Be sure to perform physical exercises (they should be selected with an orthopedist).
- Choose the right shoes (long walking on high heels is unacceptable).
And most importantly, contact the doctor in a timely manner. After all, the pathology discovered in the early stages can be suspended.
A source: http://.ru/article/210672/osteoartroz-golenostopnyih-sustavov-prichinyi-diagnostika-profilaktika-lechenie
Methods of treatment of ankle joint osteoarthritis of various degrees
Deforming osteoarthritis of the ankle, the treatment of which will be described later, manifests itself with pain and stiffness in the affected area, which intensify in the morning.
In the late stages of the disease, discomfort becomes permanent, getting rid of them becomes more difficult.
For the diagnosis of DOA, X-ray examination and arthroscopy are used.
Treatment of the disease may present certain difficulties. Conservative therapy is aimed at reducing the burden on the affected joint, removing inflammation, eliminating unpleasant sensations. The basis of medicamentous treatment of osteoarthritis of the ankle joint of the 2nd degree is:
- anti-inflammatory drugs;
- painkillers;
- chondroprotectors.
The latter restore the nutrition of cartilaginous tissues, prevent their destruction. One of the most effective ways to return the joint of mobility is exercise therapy.
Exercises should be performed only after the pain syndrome disappears. Regular exercise increases muscle tone, which helps reduce the burden on the affected joint.
Exercises should be performed at least 3 times a day.
In the treatment of osteoarthritis of the ankle joint of the 1st degree, local agents are used:
- warming ointments;
- compresses;
- coniferous baths.
The treatment regimen includes physiotherapy and massage. Facilitation of the patient's condition is facilitated by:
- ultraviolet irradiation;
- laser exposure;
- magnetotherapy;
- electrophoresis.
In the period of remission, sanatorium-and-spa treatment is indicated. What can be treated with osteoarthritis?
How are post-traumatic forms of the disease treated?
Post-traumatic osteoarthritis of the ankle is found in 30% of cases of dislocations, fractures and sprains. Difficulties in treating this form of the disease are associated with anatomical features and significant stress on this part of the musculoskeletal system.
This is a chronic disease, a complete recovery at which it is almost impossible. Treatment helps prevent further development of the pathological process and get rid of unpleasant symptoms.
Moderate exercise should be combined with temporary immobilization of the joint.
.Massage, manual therapy and exercise therapy are the most effective methods of conservative treatment of the disease. It is necessary to carry out these procedures together with taking medications.
.Ankle will be subjected to less stress, if a person gets rid of excess weight. Special diets are used for this.
Treatment of osteoarthritis should be directed not at removing its symptoms, but on eliminating the cause of the disease.
After trauma, it is necessary to apply methods aimed at:
- restoration of neuromuscular regulation;
- removal of foci of necrosis;
- stimulation of blood supply.
Phonation of the affected area helps to reduce the intensity of the pain syndrome, as vibration increases the amount of synovial fluid.
Traditional methods of treatment of the disease
Massage restores blood circulation and provides nourishing cartilage tissue. After several sessions the mobility of the joint is restored, the pain syndrome disappears. In the treatment of ankle injury can not:
- to make sharp movements;
- Expose the joint to high loads;
- to run a run.
To remove the pain, you need to take analgesics and anti-inflammatory drugs. NSAIDs for permanent use are not suitable due to the large number of side effects.
Chondroprotectors contribute to treatment:
- stop the process of destruction of cartilaginous tissue;
- stimulate its recovery;
- protect from injury.
However, positive results can only be achieved with prolonged use.
Treatment of osteoarthritis of the ankle joint of the third degree, at which the complete destruction of the cartilage is observed, is performed surgically.
If there are strict contraindications to the operation, arthrodesis is used. This device reliably fixes the joint in one position, providing it with the required stability.
Endoprosthetics is the most effective method of surgical treatment of osteoarthritis.
The operation returns the mobility of the joint, as a result of which, after a while, the patient returns to the habitual way of life.
Replacement of damaged parts of the musculoskeletal system with prostheses is carried out under general anesthesia under the conditions of a specially equipped operating room.
Traditional methods of treating the disease
The means of alternative medicine supplement traditional therapeutic methods, strengthen immunity, improve the general state of the body.
Folk remedies for osteoarthritis:
- For external use, an ointment based on St. John's wort and hops is used. 2 tbsp. l herbs mixed with 50 g of Vaseline.
- Rice contributes to the removal of salts from the body, because of which the intensity of pain is reduced. Before drinking it should be soaked in cold water.
- 1 tbsp. l. honey is mixed with 200 ml of milk. In the received liquid 10 drops of valerian are added, insist within day and put on an ankle area. A polyethylene film and a woolen fabric are placed on top.
- Decoction of cranberry leaves is used for oral administration. To prepare it you need 1 tbsp. l. dry raw materials and, l boiling water. The remedy is insisted for half an hour and is drunk instead of tea.
- Decoction of cowberries removes salt and removes swelling of the tissues.
- Salt with milk is an effective folk remedy for osteoarthritis. The mixture is used for rubbing deformed joints.
Traditional methods of treatment are effective only in the early stages of the disease, before using them, one should consult a doctor in charge.
A source: https://OrtoCure.ru/kosti-i-sustavy/artroz/osteoartroz-golenostopnogo-sustava-lechenie.html