The knee osteoarthrosis (aka gonarthrosis) is a deformed-dystrophic disease characterized by a progressive course of a chronic stable course, all structural elements, synovial shells, a combination of a capsule and combination and often disability.
The disease begins with changes in articular cartilage because of joint surfaces of the bones.Distrofy (thinning) and loss of residence (subtle) and resorption and loss of residence, the bone tissue of articular surfaces, sliding, joint gaps, change joint biomechanics.The merger is irritated by a synovial crust, which produces Astan and Synovial fluids, nourishes the cartilage and plays the role of physiological lubrication), which leads to a combination (synovite).Against the background of a joint cavity, the joint reduction is reduced, synovial fluid, articular capsule is leaving the posterior wall, Becker cyst (reaching large sizes, popiteal fossa).The thin and elegant piece of articular capsule is replaced by a form of rough connective tissue, joint changes.Periocürpital bone tissue is growing, osteophytes (pathological bone growths) are formed.Periodaly tissues are broken into the circulation of blood and develop metabolic products, irritating cotton, continuous pain syndrome.Against the background of a change in the anatomy of the compound, there is a violation of the surrounding muscles, hypothophys and spasm, gait and a gait is broken.There is a continuous limit in the volume of joint (contract) movements, sometimes it is possible not only to have rockings (hardness) or actions (ankylosis).
Gonarthroz is a fairly general disease: suffering from 10% of the planet's overall population and affects every third person at the age of 60.
Causes of gonarthrosis
- The injuries of the bones and joints.
- Inflammatory Joint Diseases (Rheumatoid, Xlamidiya Arthrity, Gut).
- Violation of mineral exchange with various endocrinopathies (diabetes Mellitus, Parathyroid disease, hemochromatosis).
- Muscle devices and neuropathy diseases (Sharkot disease).
In addition to the main reasons, the adverse factor factors in the development of gonarthrosis are different, which covers the following:
- Weight excess weight (pressure on subsections);
- Age (disease is mainly subject to the elderly);
- Women's sex (because of a woman's statistics, more often sick);
- Increased sport and professional physical effort.
Symptoms of osteoarthrosis of knee joints
- Increased pain when walking alone and weakened.
- Familiarity in the compounds, the difficulty of physiological actions.
- A characteristic "crisis" in combinations.
- Increase in joints in the amount and visible deformation.
Stages of gonarthrosis
Clinical stages of the artery of the knee joint
The disease goes through several stages.
- In the first stage a person only feelsA small sense of anxietyor "violence" in the knee, which is worried about or increasing physical strength for a long time.The radiological examination will be informal: it is possible to determine a small contraction of the joint space, there will be no other changes.
- The second stage is characteristicMaterial pains, violence decreases in rest.In the joints, there are a difficulty in joints, while walking, a characteristic "creak" is heard (the patient can hear a conventional expression in everyday life "Knee Crueak").While carrying radiography, a contraction of joint space and single osteophylls is found clearly.
- When gonarthroos is the transition to the next, third stage,Pain will always disturb the patientThere is a violation of the configuration of joints, including recreation, I.E., strengthening deformation due to edema during inflammation.Radio-section determines the narrowing of the joint space of a moderate and large number of osteofitis.In the third stage, many applying for medical care, because life's quality suffers significantly due to pain and difficulty in normal walk.
- The fourth stage is accompaniedSurrounding, tedious pain.When the minimum attempts to move are a difficult test for people, the deformation of joints is extremely difficult, noticeable.X -Ray reveals significant changes Gonarthroos this stage of almost always causes disability.
Who treat the artery of the knee joint?
Therapists can provide qualified medical services for a rheumatic and general practice (family doctor) gonarthrosis (family doctor), but these professionals treat the knee joint with non-weak arthrosis.Sinovit does not give a proper effect of treatment or the treatment designated by the therapist, without the help of an orthopedun.In cases where surgical care is required, the patient is sent to a special orthopedic-traumatological department.
How to treat the arthrosis of the knee joint?
Today's diagnosis of knee joint, which is known today, is divided into conservative, medicinal and surgical way.
The advantage methods
Many patients are surprising: "How can you treat the arthropist of knee joint without pill?"It should be noted that there is a chronic disease of gonarthrosis, regrets him, it is impossible to eliminate it forever.However, many methods available today, especially when used in the early stages of the disease, the patient can significantly slow and increase the quality of the patient.
It is enough to seek a doctor in a timely manner and overcome adverse factors, sometimes motivated by the patient's healing.For example, it is provenReducing churchReduces the manifestation of the main signs of the disease.
Pathologically physically and vice versa,Therapeutic gymnastics classesReduces the intensity of pain with the use of rational physical programs.It is proven to be compared to anti-inflammatory drugs to strengthen the power of four hooded hip muscles.
If we treat the arterry of the knee joint, we have to make an effortproper nutrition: To improve the elastic features of articular cartilage, large quantities of animal collights (dietary range), fresh vegetables and fruits, sweet and poured dishes, sweet and asphalt dishes, sweet and asphalt containers, sweet and asphalt containers, sweets and weight loss in the bodyThe potential to accumulate until the fat.
The complex treatment of the redouble knee joint also covers the effective determination of the disease with advanced forms of the diseasePhisyiot-examination.It proved effectiveness with widespread use in various categories of patients suffering from this diseaseMagnetotherapy: After several procedures, the intensity of pain increases the mobility of the combination as a result of improving blood circulation, reducing the edema and eliminating muscle spasm.The impact of magnetotherapy is especially bright during the development of inflammation of the partners: the violence of edema is significantly reduced, regression of synovite events.It is not so popular, but is such methods of physiotherapy as it is not less effective in treating the knee joint with ArthrosisLaser therapy and kriyapy(Cold exposure) has a pronounced painkiller effect.
Drug treatment
The following medications are used in the effective treatment schemes of the Artrosis of the knee joint.
Non-anti -inflamator medicationsIn the forms of external (various gels, ointments) and systematic use (tablets, candles, solutions), the effectiveness of osteoarthrosis has long been proven and widely widespread by doctors.An enzymatic level prevents inflammation, collaborating pain and swelling slow down the progression of the disease.It is necessary to remember that long-term system equipment can cause the development and exacerbation of ulcerative processes in the gastrointestinal tract and negatively affect the functions of kidneys and liver.Therefore, patients who take the drug for a long time must also determine the medications that regularly protect the stomach mucosa and regularly watch the laboratory indicators of the work of the internal organs.
Glucocorticosteroids (GKS)- Hormonal medications that affect the pronunciation.GCs containing a strong anti-inflammatory agent have certain reflection instructions because they can call a number of important side effects.In system forms for gonarthroose, not practically not appointed.As a rule, the effective treatment of the arthropist, which increases the intensity of GCs, and minimizes the risk of undesirable side effects of the drug covers the Peri -human pain points.With an application of GCs, the impact of use lasts up to 1 month.In accordance with national recommendations for the treatment of osteoarthritis, you should not fulfill more than three drugs in the same playground.
Long -Go, "indifferent" osteoarthritis, a person, lives in rest, disrupting normal sleep, breaking the recipeopioid painkillers.These medications are used in accordance with the recipe of a doctor who thinks the expediency of determining each situation.
Chondroprotants(with literal translation - "protect cartilage").This name is understood as a variety of medications combined by a property - a structural effect, that is, to slow down the degenerative changes in cartilage, and narrow the cavity of the joint.It is manufactured in both forms for oral management (glucosamine, sulfate, piasstalin) and joint ventures (hyaluronates).Of course, these drugs do not perform a miracle and a new cartilage will "grow" but can stop destroying.To make a continuous impact, a long time, a few times a year should be used in regular courses.
Surgical treatment of knee joint artrosis
Is the most popular surgical care type for gonarthrosisEndoprostetics, I.E.The design and design of a metalloposteis is similar to the design and design of a person's knee joint.At the same time, this type is a condition for surgical treatment: the lack of general deformities of the charter, formed "fake joints", muscle contracts and pronunciation muscle atrophy.With strong osteoporosis (significant reduction of bones mineral density), endoprostetics: "Sugar" will not face the application of metal pins, and the rapid renewal of the bone tissue will begin, pathological fractures.Therefore, it is so important to resolve the issue in need of endoprosts in a timely manner - the age and the general situation of the human body should still be accepted.
Despite the widespread dissemination of the endoprosters of knee combination, the results of such transactions are often unsatisfactory and the percentage of complications is high.This is the complexity of endoprotheseses and the complexity of surgical intervention (changing hip joint is more easily).
Artromedullary traffic jam- Contact the pig combination, with a knee joint, using a shunt of the bone marrow canal - an empty metal pipe.Therefore, the oil bone marrow combine from the lower third of the femur is nourishes the cord of the bone, and it is raining, causing the decline in pain.
I would like to conclude the above that the treatment of gonarthrosis is a complex social work.Today, the medication cannot offer an eternal medicine or to treat this disease, to treat a healthy lifestyle, medical care and doctor's recommendations.