Artroos of knee combination (gonarthrosis, osteoarthrosis) is the deformation and destruction of cartilage accompanied by pain.This situation can cause functionality and even a loss of disability.The disease affects women more than 40 years of age, especially in full.At a young age, arthrosis occurs due to injuries taken during sports or tough physical work.The disease may be illness or bilateral if affected by both legs.The patriology should be treated thoroughly.
Causes of development
Depending on the reasons for the disease, there are two forms of two forms of knee joint artrosis:
- Primary;
- Average.
The main form is developing in childhood and is associated with the correct establishment of more deformed ligaments or joints during physical activity.
The second-class form arises from the reasons described in the table:
| Reasons | Description |
| Injury | Fractures, dislocations, meniscus damage.These are these factors contributing to the development of arthrosis at this age.With the participation of injuries, it is impossible to bend and bend.The treatment consists of temporary stability of the leg that worsens the blood circulation process.This is the reason for the formation of arthrosis.When a meniscus is removed, the diseases are developing in 9 of 10 |
| Increased loads | They must match a person's age.Excessive loads, microtraima and stretch do not always feel, but significant damage to the situation of joints.All actions should be smooth during sports.Knee joints are most impressed during runways and squats |
| Weight loss | This factor leads to meniscus damage.In full people, the restoration of the knee joint is longer, because additional loads in addition are accurate in the knees.Due to obesity, the severe form of arthrosis arises along with varicose veins |
| The weakness of the Ligamame apparatus | This situation is often combined with so many mobile joints.In this case, a person has a flexible body and can sit in a hot-twine that leads to microtra to microtra to when there is a flexible body and without warm water.Mobility of compounds can also be associated with impaired foot sensitivity, so a person does not feel pain in harm |
| Joint diseases | Arthrois often occurs with the presence of arthritis (rheumatoid, jet or psoria).In this case, the collection of Synovial fluid in the joint cavity causes the destruction of tissue and arthrosis |
| Violation of metabolic processes | If the riots in the piece occur, do not buy the necessary minerals and items.Calcium deficiency has a negative impact on the condition of cartilage.This situation also leads to salt collapse |
| Emphasis | The circulation of blood in the feet with continuous frustration and mood change is deteriorated, swelling and inflammation |
The disease may occur in each other (right or to the right) or in a bilateral form:
- Injury is the cause of one's arthery;
- Obesity - bilateral.
Symptoms
The symptoms of the knee joint arthropists are different depending on the stage of the disease.The classic procedure for their formation is described in the table:
| Symptom | Description |
| Click and click on combinations | This symptom often remains out of attention, although the crisis shows the beginning of the process.To determine its existence you need to bathe your hand and slowly bend your hand and open the knee.Crunch or clicks are feeling quite easy |
| Pain | At the beginning of degenerative changes, it is almost noticeable and strengthened after static loads (weight lifting).Dynamic cargo, on the contrary, improves the nutrition of cartilage.Pain is associated with exposure to nerve endings when wiping cartilage tissue.With the advancement of the disease, pain is inflamed, because the inflammation process and edema occurred.The development of proper inflammation is even a seeming signal pain in the rest |
| Carriers station | This situation usually occurs after night's sleep and lasts 30-60 minutes.Fibrin movie occurs during the inaction of the compound and prevents his action until partially deleted after sleep.The stiffness of the actions that lasts more than an hour indicates another disease |
| Reduce the amplitude of the actions | It shows itself in the impossibility of bending foot on the knee.Trying to minimize pain trying to move the sick leg less.Ligaments were corrected and shortened in a small volume of action over time |
| Increase in the volume of the compound | The swelling of soft tissues covering the combination occurs due to spikes along the edge of a series of merging together with the progress of the disease |
| Joint joint in a position | In this case, the joint is blocked in a particular position and causes pain with any displacement.This occurs due to changes on the surface, where the natural boards of the bones inside the domestic ligaments are.The joint can be fixed in a particular situation and only returns to the beginning with the reverse ligament of the ligament.In rare cases, compression foreign bodies (eg meniscus parts) occur due to joint space |
| Dislocation and subluxation | These conditions are found with advanced arthrosis.With a dislocation, the legs change to the side of the legs are very difficult to enter the side.Sublance is associated with partial displacement of the joint surface than the normal situation.In this case, the pain is pronounced, but the slaughter of the lower leg to a slight side |
The degree and type of disease
There is 3 degree disease depending on the severity of symptoms.
First
Rank 1 arthrosis continues almost asymptomatic.In this case, they are characterized by:
- Fatigue in the legs;
- A little pain after the load passing through the rest;
- a slight decrease in mobility after sleep;
- Seldom - Synovial liquid accumulation that causes a baker's cyst;
Externally, joint deformation is not noticeable.X -Ray does not look at the disease either, or minor laws show himself on the surface of cartilage tissue and bone.Additional studies are required without failure.
The second one
In this case, symptoms will be clearer:
- The pain occurs at a minimum load, but after resting;
- A crisis occurs during movement;
- It becomes impossible to bend the leg;
- Bones of joint change;
- Sinovit is progressing;
- The form of joint changes related to liquid accumulation.
X -Rayda bone growth is noticeable.
Third
Characteristic Features for Her 3rd grade arthrosis:
- Download Related pain (even the playful of the joints at night);
- mobility that fully disturbed;
- Sensitivity of a combination to change in the weather.
Shows the radiographic, the cartilage and surface of the compound.The curvature of the legs causes disability.
Deforming Arthrosis (DOA) causes bones to collapse.Most, women who have already weight are suffering from them.The main symptoms are joint pain and crisis.The treatment should begin in the starting stage - in this case the chance to protect the cartilage tissue is very high.
Depending on localization, arthrosis can be:
- knee;
- Hip (coksartrous);
- cervical;
- shoulder;
- Lotar;
- ankle;
- the vertebrates.
Thorough treatment
The therapy of this disease is quite long.There are 3 main stages of treatment depending on the degree of disease in medicine:
| Arthrosis rate | Therapeutic measures |
| 1st |
|
| 2nd |
|
| 3rd |
|
The drugs
The drug is based on 3 groups of drugs:
- Non-meter anti -inflamator medications.
- Glucocorticosteroids.
- Chondroprotants.
Nsaid
This is an anti -inflamational, antipiretic and a group of medicines that affect analgesic.Are divided into two groups:
- Is nonconceptionless.The antiesthillery effect of the drug shows itself in all the tissues of the body, including healthy.
- Selective.Move directly in the focus of inflammation.
The most commonly seen effects of these drugs are the formation of gastric and 12 canopy of intestinal ulcers and erosion.In addition, it is recommended to get funds to protect the mucosa.At the same time, local NSAIDs do not cause such negative consequences, so it can be used for a long time.
Instructs in intramuscular injections with NSAID to achieve a fast painkiller and anti-inflammatory effect.
Glucocorticosteroids
These drugs are determined when the effects of NSAIDs are insufficient.
Hormonal compounds for arthrosis are used only in the form of local - ointment or non-terminal intexion.Ointments with glomokorticosteroids cannot be used more than 7-10 days in a row.A longer course causes skin's atrophy in the application site.
The effects of antitectinization effects of the ointment with painkillers and ointment hormones from NSAID and Ointment are not enough.
The effects of joint injections occur very quickly: the patient feels comfort in the first half hour.The duration of the injection depends on how much the medication will be the gap.This is affected by two factors - the volume of medicines and consumption.If the damage to the cartilage is stronger, the drug is consumed a lot.
Chondroprotants
This group is based on the delivery of medicinal movements, the necessary substances for the restoration of articular cartilage.During therapy with chondroprotants:
- Does not have anti-inflammatory and analgesic effects;
- The therapeutic effect is gradually happening;
- Prevention is due to the prevention of further destruction of cartilage.
These medications include the incrupts of the compound include:
- construction item of cartilage necessary to protect its structure;
- The basis of intraarticular fluid production.
Drugs need to get a long time (3-5 months).
Physiotherapy
The physiotherapy of arthropists is a physical impact method that affects the situation of the knee joint.The main condition for a positive result is the correct selection of the necessary procedures.
Physiotherapy is only a helper tool.
The table describes the procedures used for knee shared arthrosis:
| Name | Effect | Duration of treatment |
| Electrophorehesis using drugs | Some medications under the influence of a direct electric current may be delivered to the deep texture of the combination.Anesthesia and chlorine drugs are mostly appointed | Every day is half an hour 2 weeks |
| Ultravonophores | Using ultraviolet waves, the active ingredients of drugs are deep penetrated.Hormonal, antiinflamatory and painkillers are used together | No more than 10 minutes per day in 10-14 days |
| Laser radiation | Under the influence of a light radiation package, special molecules are activated, contributes to the restoration of metabolic and restorative processes | 7-10 minutes daily for 2 weeks |
| Infrared radiation | Deep warming of textures occurs, as a result of the start of recovery reactions in the joint | 10 minutes.Treatment course - 1 week |
| Impulsive magnetotherapy | Changes are taking place in cells and tissues under the influence of a high-level magnetic field - membranes are intensified, metabolic processes are normalized | The head of the joint - for 7 days for 5-8 minutes |
| Local kryerotherapy | Under the influence of low temperatures (up to 30 degrees in 30 degrees), there is an increase in the functions of all major systems that stimulate tissue recovery | 10 minutes in 10 days |
Some methods can aggravate the condition of the knee joint when the correct destination.
Surgical intervention
The medical method of treatment treatment, the only way to therapy is aimed at a maximum delay when changing the patient combination with one artificial.Most, this decision is made in the final stage of arthrosis.
The main methods of surgical intervention are:
- Arthroscopy.A special needle is applied through a puncture that eliminates bone growth that causes both pain and fragments.
- The prosthesis.In this case, the damaged combination is deleted and replaced by an artificial person.Modern prostheses are rarely rejected by the body.
Therapy
A number of exercises for osteoarthritis help to restore and strengthen the joint function.They should be performed slowly to avoid extending the ligaments.
Description:
- Lift the legs as an alternative until the right corner occurs in the stomach.The main emphasis is in the muscles of the hips and lower leg.The stress in the back should not be allowed.
- Lift up straight legs as possible on the stomach.In this case, reduce and grow alternately.The press needs the training of trained muscles because this exercise is not suitable for everyone.It is not recommended to carry it to people who do high.
- While sleeping on the side, twist the leg located below.Lift the upper leg up and stretches a few seconds at the top point.
- Climb the socks by holding the chair.Stretching above when strained the muscles of the legs.
- Move a foot smoothly from the heel to foot.The other leg is to fulfill the opposite movements - from the finger to Dabana.
- Wash the chair and stand on the heels, grew up socks and gradually growing.
- Stop standing, focus your feet in the direction from the knee to the thigh.
Diet
There is no special diet for Arthrosis.Power correction is aimed at reducing body weight, reducing the inflammatory process and strengthening articular structures.
The diet must be balanced in high amounts of high amounts of vitamins and minerals.
Basic Principles:
- Restriction of salt consumption (up to 5-8 g per day) and any salt product (canned food, chips, salt).
- Exclusion of fried foods.It is recommended to cook, boil, cook or evaporate.
- Increase in liquid consumption (water to 2-2.5 liters per day).
- Switch to faction nutrition.
- Use of 2-3 fruits daily.
Recommended to use the following meals:
- fish and seafood;
- nuts;
- Sunflower, olive and linen oil;
- down - meat and chicken;
- Fresh berries and fruits;
- Vegetables - beets, tomatoes, carrots, cabbage;
- All grain bread;
- Milk and dairy products.
People's methods
It is recommended to clarify the diagnosis before using any folk treatment and consult a doctor.The most effective recipes are described in the table:
| Composition | Method of application |
| Nettle leaves and juniper berries equal amounts, honey 1: 3 honey |
|
| Roots, flowers or black elder departments |
|
| Bay leaf - 10 g, 250 ml of water |
|
| Dry mustard and honey (2 tbsp), eggs |
|
| Cabbage |
|
| Chamomile, calendula, equal amounts, oil jelly |
|
The arterry of the knee joint is a serious disease that cannot be treated completely.If the first symptoms occur, it is recommended to consult a doctor and follow all the recommendations to prevent disease to the final stage.