From the ancient Greek language "Arthrosis" pole is a disease ("Arth -" - Joint, "-Dizease". Sometimes called osteoarthrosis or deformed osteoarthrosis (ancient Greek "Osteon" - bone).
It will be wrong to call arthrosis disease - this is the name of the whole group of all States, which includes many diagnoses.
Any averages can be called arthrosis, no matter, but this will not give a doctor or patient to a doctor or patient: "Arthrosis" is not related to the disease or treatment, but not associated with some symptoms.
The word "Arthrosis" is very similar to another term - "This arthritis. " They both damage joints, often both are associated with common pain, but there are significant differences.
Typically, it is a disease related to inflammation in the form of an arthritis: infection, inherited or autoimmune diseases cause arthritis. The main manifestations include swelling in the territory of pain, color change, inflammatory combination.
With Arthrosis, manifestations are less noticeable and the reasons are completely different.
In the muskuloskeletal system, space needs a person for active actions in space. The bones are a stiff frame, muscles - driving force and joints - a mobile connection of bones.
In the structure of the muscle, the help of the muscles in the structure is always two ends of the neighboring bones with the help of muscles and a small cavity between each other. This articular gap is filled with a special lubricant - synovial liquid. The cartilage is needed for feeding: there are no ships in the inside, so it takes all nutrients from synovia.
The end of each bone is covered with cartilage to protect the bone texture without friction. The cartilage also helps "turn off the sharp manual cargo: for example, put the lot of energy on the knees and joints of the foot during a walk.
The restoration of this cartilage is a long and complex process that is not always successful.
All joints are limited by a capsule - a film containing articular fluid does not allow to spread. Almost all joints are supported by ligaments that do not allow neighboring bones to move in the direction.
There are many reasons for the start of arthrosis, in some cases this is a combination of these factors, and sometimes it is impossible to create a reason.
There are three basic causes and more than it. The most popular:
- joint injury;
- congenital joint abnormalities (dysplasia);
- The result of inflammation (arthritis) for any reason;
- Age (usually more than 50 years);
- Violation of metabolism (trace elements), obesity;
- Overload over play.
The development of osteoarthritis is divided into three stages:
- Initial. There are no clear signs, it is difficult to find it. The content of the synovial liquid is changing, its function is deteriorating.
- Pain. Complaints and structural changes appear in the form of bone growth - osteophytes.
- Fierce arthrosis. A significant reduction in the joint function is added: the actions decrease or completely disappear; Joint deformed and the view of the extremity.
First, the structure of the cartilage is broken: It was thickened due to a change in Sinovia or for another reason. The swelling of the piece of cartilage worsens nutrition, so cartilage begins to be thin.
Then, in the most loaded parts of the compound, the cartilage almost disappears or is very tight. In return, the growth of bones begins - the appearance of osteophyte (bone "spikes).
At the end of the disease, the growth of the bone is so pronounced that the movement is limited to ankylosia - the full inaction of the compound.
Preliminary manifestations: Periodic pain after significant physical activity. Then the stiffness of the morning - after waking up for a few minutes (up to 30), it looks like a joint elastic bandage: actions are possible, but difficult.
Symptoms later:
- Pain in the palpation of the compound;
- The thickening of the bone together;
- Restriction of action;
- increased pain during less significant physical activity;
- The deformation of the limb.
Most, Artosis feet (knees, hip) and are a disease of large combinations of hands (shoulders). The joints of the foot are less common.
Joint degenerative processes may still be revealed in the form of unusual sounds during movement: crisis, cracking, shock.
As in any other disease, it starts with a collection of an Anamnesis - the history of the disease.
It is especially important to find out whether the doctor's risk factors are (injuries, arthritis, congenital defects, chronic diseases).
Additional methods will be needed after reading and jointly: tests and instrumental examination.
The main research in the diagnosis of Arthososis is a radiograph.
The picture will clearly see the main changes in the shared: joint space, bone growths, reducing deformation. In the early stages, small osteophylls may appear on the edge of the joint, and in the end of the bone in the whole joint, the unequal growth is noticeably.
Ultrasound examination (ultrasound) is an additional method to help determine the thickness of cartilage in the earliest stages of Artrosis. Arthroscopy is less common: a surgeon puts a small camera directly into the shawl of a joint and takes the cartilage image.
It is not possible to treat arthrosis completely and return the play to the original situation. The correct combination of several methods will only slow down the development of osteoarthritis, but will not work "to return past youth. "
The main responsibilities of the treatment of deformable osteoarthrosis of the knee or hip joint:
- average physical activity (escape, walking, sitting position);
- Special exercises, training therapy (physiotherapy exercises);
- Diet;
- drug treatment;
- Surgical treatment.
The principles do not change, except for the reduction of a special combination, with the arthrobis of the shoulder joint or other localization.
In any case, physical activity and training are selected by an orthopedist-traumatologist by the doctor. The diet usually includes the enrichment of the diet with unsaturated fatty acids, various proteins, moderately restrictions (especially simple ones, they are "fast").
The rejection of bad habits (smoking, taking alcohol in each quantity) significantly slows the development of arthrosis. Diet depends on chronic diseases due to the disease. There is no need to get dietary supplements.
Drug therapy - painkillers. NSAIDs - Non-terminal antiencams medications are more common. The election option depends on the presence of chronic diseases and the planned management period. Corticosteeroids (glucocorticoids, steroid drugs).
Most of the time, doctors appoint aircrossers - drugs with some molecules that are important for the cartilage. In the vast majority of the work, such drugs are not affected by the forms of tablets, especially the forms and ointments.
It is very rare that such medicines can be really necessary and will have a true result: Intrat-A will test their quantity, and you can check their quantity and check them with a shortcoming (non-paraatiljualized injection).
Arthroz is a degenerative joint disease associated with the growth of cartilage and bone tissue. Usually in people over 50, joint injuries or long-term loads are already developed.
After the load, pain shows itself in the morning stiffness and crisis.