Osteoarthritis is serious damage to the joints.It manifests itself in constant dystrophy of cartilage, slimming and destruction.Consequently, bone tissues and ligament devices join the pathological process.
In this case, the treatment of osteoarthritis will aim to stop the development of the disease, to reduce pain, to prevent complications and to restore the capacity of the ability to move the joint.
How does osteoarthritis manifest?
The disease initially affects the knees, then applies to hip joints and thumb joints.Much less often, the patient can torment osteoarthritis of the ankle and the distal inter-shalanx joints.
The usual crunchy lourant sound in the joints, which is not accompanied by pain, is completely harmless.It does not indicate the presence of a disease and does not cause it.
Medicine knows 4 arthritis symptoms:
- Strong pain in the affected joints during movement.At the initial stages of the disease, they are expressed too weakly and do not disturb the patient.Over time, pain syndrome is developing even with a minor physical effort on painful joints, and in the last stage, it can hurt even in a stationary state.If the patient suffers from heart disease and blood vessels, then in this case, the pain can occur during the modification of weather conditions;
- Rocky and dry crunch in the hip joint, or other parts of the body.Its occurrence is explained by the friction of the joint surfaces erased on each other.The second and third stages are characterized by a significant increase in such a crunch;
- A gradual decrease in the ability to move the affected joint.This condition is explained by muscle spasms, a decrease in the size of the joint difference and the occurrence of osteofites (growth of bone tissue in the form of points);
- Change the appearance of painful joints.There is a clear deformation of the articulated bones, the subsequent development of osteophytes with an increase in the volume of synovial fluid, which puts pressure on the interior joint.
The main difference between arotic pain against pain in arthritis is that in the first case, it hurts motor activity and during the day, and in the second - regardless of movement and night.Much clearer and more intense arthritis pain.
The treatment of arthritis of the joints, as a rule, occurs for a long time and requires an integrated approach.
It is impossible to respond unequivocally to the management of osteoarthritis.The doctor in each case will select the treatment methods individually.All therapy methods are conditionally customary to be divided into 4 groups:
- medicinal;
- Non-Drug;
- surgical;
- Traditional medicine.
Degree of arthritis disease of joints
There are 3 steps in the disease:
- Step I.It takes place almost without symptoms.In some cases, minor pains are possible, but only during movement and with other physical efforts on the affected joints.In this case, the pathological process occurs in the synovial shell and the liquid with a change in its composition.The muscles are gradually weakening, but visually this is not yet visible;
- STEP II.At this stage, osteoarthritis begins to modify the joints, the first osteophytes occur.It hurts, but quite tolerant.A characteristic crunch in the joints affected by the disease is more distinct.Muscle functions are gradually disturbed due to the failure of reflex neurotrophic regulation;
- Stadium IIIThe most difficult.With him, irreversible pathological deformations of support sites in painful joints occur, which manifests itself in a change in the axis of the members.The 3 -step joint bag is considerably coarse, the ligaments are shortened.The chronic inflammatory process develops, the patient is tormented by constant pain.Motor activity is reduced due to the impossibility of carrying out the most basic movements.There is a change in adequate connection points of the muscle combination and a significant deformation of the muscle tissue as a function of the type of contraction and stretching.The capacity of the muscles is reduced, trophic disorders occur.
Methods of treatment of arthritis without medication
If the patient's condition is normal and the disease does not work, it is quite possible to cure the disease without the use of drugs.You can do it with:
- A balanced diet and a healthy lifestyle.To avoid the subsequent development of osteoarthritis, you should clearly observe the diet of the day, rest and eat only natural and natural products;
- Reduce the daily load on affected joints.If a person has an excess weight, then to relieve osteoarthritis, it is better to reduce it.This will normalize metabolic processes in the body and relieve the tension of the joints;
- Daily engaged in physiotherapy exercises.Exercise therapy is only authorized in a state of remission and is carried out in an elongated position on the back or sitting on a chair.No less useful, ski swimming in the pool;
- The use of physiotherapeutic methods.It is good to influence the affected area with moderate heat.It can be paraffin, ultrasound, laser therapy and electrical stimulating applications of nerve endings.A special device for joint treatment is used;
- Use of unloading devices.With osteoarthritis of the lower limbs, it is recommended to use a cane and skeleton lap.This will help to considerably reduce the load on painful joints and thus reduce the symptoms of the disease;
- Perform massage lessons.At the same time, blood circulation improves and joint mobility is restored.
People with osteoarthritis show a Spa-Résort recovery.The rest will have a beneficial effect on the state of the whole organism.Such treatment of arthritis of the joints should take place in a state of remission and after an in -depth examination by the doctor and taking into account his wishes.
Patients must frequent special schools, where doctors illuminate osteoarthritis treatment methods.These courses help to adapt quickly to the disease and to fight it effectively.
Drugs for osteoarthritis
The main and main method of therapy is drugs.For the moment, the choice is not so big and therefore it is usual to divide them into 2 main groups:
- Symptomatic drugs (affect the manifestation of the disease).This includes pain relievers, glucocorticosteroids, non -steroidal agents that eliminate the inflammatory process.When you use them, pain syndrome in members affected by osteoarthritis disappears for a while;
- Chondroprotectors (restore the damaged cartilage fabric itself).Preparations qualitatively affect metabolic processes due to activation of blood circulation in cartilage and stimulation of new cells.
The doctor prescribes absolutely all symptomatic drugs in the first place because they aim to relieve the painful symptoms of the disease.
Chondroprotectors stop a more in -depth progression of the disease and provide for a long reception.
Symptomatic
Since the main symptom of osteoarthritis is the pain caused by the inflammatory process, painful and anti-inflammatory drugs are necessary to eliminate it.For the fastest result, osteoarthritis can be treated with local forms of drugs in the form of gels and ointments, however, the effect on the affected joint is in the short term.
Such a disease can be facilitated by eliminating inflammation.To treat joint osteoarthritis disease, it is preferable to use selective anti-inflammatory drugs, as they mainly affect affected joints, without affecting the nearby organs.
Each patient should know that more than one non-steroidal anti-inflammatory drug cannot be used.
If the treatment does not give the expected result, the doctor, after 14 days, should replace the drug more suited to the patient.A minimum dosage will be recommended which considerably facilitates the manifestation of the disease.
Glucocorticosteroids have a double effect on the body and osteoarthritis.On the one hand, the cartilage fabric is reliably protected by hormone and inflammation is removed.On the other hand, subject to prolonged use, the same cartilage will be destroyed.It is for this reason that the treatment should occur under the strict supervision of the doctor.
It is more effective to use glucocorticosteroids of osteoarthritis in the form of intra-articular injections.Such therapy gives fewer side effects.
Chondroprotector
The therapy scheme using chondroprotectors provides for a delayed effect.As a rule, it occurs 2 to 8 weeks after the start of treatment.The drugs in this group stimulate cartilage, and they can even turn pain slightly, but do not completely treat osteoarthritis
Popular medicine for osteoarthritis
You can complete treatment with traditional techniques using traditional medicine recipes.Often the positive dynamics of treatment occurs after application:
- Dyes for internal administration.They help eliminate the inflammatory process;
- Local funds in the form of solutions for external use (dyes, ointments, compresses).They can be made at home.Inflammation occurs and stimulating cartilage restoration.
It is necessary to treat osteoarthritis recipes for traditional medicine only if preliminary consent with the attending physician.At the same time, the drug cannot be excluded.
Surgery
Surgical methods for the treatment of osteoarthritis should be used in situations where drugs have not had the right effect on the patient's health.
It is usual to distinguish these types of therapy:
- Arthroscopy.Such treatment is low-traumatic and can be used to diagnose joint diseases.Using small cuts (without opening the joints) and special devices, the doctor has the possibility of carrying out an operation and visually assessing the degree of members' damage.It is thanks to arthroscopy that the rehabilitation period and the patient's stay in hospital can decrease considerably.In addition, the number of complications is reduced, both in the operating period and after him;
- Arthrodesis.During such an operation, the complete immobility of joint surfaces is ensured.The technique relieves pain if other surgical measures cannot be applied;
- Artroplasty.Such an intervention provides for the replacement of the tissue of the articular cartilage with a seal.It can be taken from the patient's tissues or in artificial materials.The operation considerably stops pain syndrome and relieves the patient's condition.In this case, motor activity will be restored;
- Replace the affected joints.The technique is necessary for the treatment of osteoarthritis at its advanced steps.This implies a complete replacement of all parts of the joint.The prosthesis is made on the basis of a special alloy not rejected by the body.The lifespan of such a transplant is around 10 years.Thanks to the operation, the efficiency of the member can be completely restored.
Modern medicine develops surgical intervention methods with cartilage and tissue transplantation trolleys.They mainly aim to prevent the progression of the disease and to eliminate its symptoms.
Even despite the fact that such a disease cannot be completely healed, subject to the earliest treatment, it is possible to stop the destructive process and preserve the mobility of the affected joints as much as possible.With the exact respect of all the doctor's requirements, you can avoid disability and improve the quality of life.