Arthrosis is a disease of the joints, the dystrophic and related to the slow destruction of cartilage within the joint.It has been a long time with arthrosis, changes are reconstructed, and inflammatory processes continue, and periodemic tissues are neglected.Something like "Arthrosis" also includes a group of diseases of a degenerative-inflammatory nature of different reasons and similar mechanisms similar to similar mechanisms.
Arthrosia is considered the world's most common disease, according to statistical information, from a degree or to another, from around 80% of the world.The number of this type is common and is in third place after oncology and cardiovascular diseases.
The probability of developing arthrosis is repeatedly increasing.The disease has the same impact on both men and women, but the exclusion is only an arthrosis of interval compounds, because in women in most women.Arthrosis occupies people in the age of work - the number of people from 30 years old and every year is steadily and constantly growing.
Reasons for arthros
Due to the metabolic disorders in the form of arthrosis, which in turn causes losing the elasticity of the cartilage.This can be facilitated with an easy or partial loss of the proteoglycans cartilage with a loss of or partial loss, which is usually a rule due to very deep cracks in the cartilage.The loss of proteoglycans may occur for another reason: due to the fact that it is not produced by joint cells.
The following reasons may affect the formation and development of arthrosis:
- After previously injured.It can be dislocated, bruises, fractures, ligaments and other damage.
- Metabolic disorders.
- The body weight is already causing additional loads in joints.
- The inflammatory process in the compounds is a sharp cotton arthritis.
- Old age.
- Low quality of power.
- Hypothermia.
- OtoimMune Diseases - Red Lupus, Rheumatoid Arthritis.
- The body's general intoxia.
- Often colds.
- Special inflammation - syphilis, tuberculosis, gonorefalit, gonorrhea.
- Thyroid diseases.
- Violation of blood clotting (hemophilia).
- Pertes is a violation of blood supply per femur.
In addition, in the near future, people with an arthrosis, professional people are: Mason, Azerbaijani, fishermen, blacksmith, metallurgist and increased physical labor related activities.
Symptoms of Artrosis
Arcto's symptomThe load of the merger has pain when the rest of the rest;Jointly, reducing the mobility of the crisis, the sense of muscle tension in the joint.Periodically affected by arthrosome, it can be swollen and deformed over time.
The following are the following 4 large arthrosis symptoms:
- Pain.The presence of pain is the first sign of the form of combinations.Any damage, similar feelings can be accepted, but there are some features of pain with Arthrosis.First, this is a sudden pain or significant concern during the actions.This will be localized where the combination of pain is located.When a human being stopped moving and resting in the rest position.In the night, a person is not in the body, if he does not have the optimal position, the patient is calm.Pain appears only in the stage of progression of the disease during rest, and some of the toothpicks are like the tooth shepherds.They show themselves closer in the morning - at 5 o'clock.Thus, in the beginning of the pain, there is no pain in practice, only one person is strengthening, and a person's suffering is strengthened and requires more rest periods in common.Then life turns into torture completely - Ichred in hyalin, the bone is exposed, osteophylls begin to grow.Acute pain suffers almost always stronger in bad weather and full moon.
- The crisis.The same indicative symptom of the arthropist is the fact that the crisis is.The reduction of softness of the bones in the combination of bones, because you rubbed each other, a characteristic sound arises.A crisis with other diseases can be heard and the joints are healthy.However, this is such a crisis, which is distinguished by the "dry".The more the disease moves forward, the sound becomes brighter.Moreover, if a crisis hears, pain will be felt.This is what it is possible to distinguish the sounds made by the usual harmless clicks with arthrosis.
- It is another characteristic symptom of arthrosis to reduce mobility in derives.At the initial stage, this phenomenon does not disturb the patient, but the germination of bone neoplasms with the advancement of the arthropist is almost disappearing and the articular gap.This is the reason for the inactivity of limbs in the destination.
- Joint deformation.Its modification is determined by osteoophyfits growing on the surface of the bones and the arrival of synovial fluids.Although the latest symptoms are one of the latest symptoms, although the deformation is one of the most recent symptoms when arthrosis struck the combination.
The course of the disease is characterized by the stages of the exacerbation and stages of the remission.This only relies on its own feelings significantly complicates the independent diagnosis of arthrosis.Therefore, the doctor is required to clarify the diagnosis.
Arthrosis rate
Arthrosis is characterized by degenerative-dystrophic changes in combinations that will chase a person in the form of a chronic disease.The result of such destruction is a defeat in the unification of cartilage, pathological changes in the capsule and synovial crust, ligaments and bone structures.
It is a customary to distinguish three degrees of characterizing the various severity of the disease and with various symptoms.
1 rate arthrosis
In the first stage of the development of arthrosis, there are no serious changes in the morphology.Only the composition of the synovial liquid is violated.The joint tissue is worse with nutrients, so the cartilage is losing the former resistance to the cargo familiar.This causes inflammation of the cartilage pieces, and there is a person's pain.
The patient can complain of insignificant hardness in joints, but most of this part does not pay attention, this feeling, anxiety in anxiety, and so on.
Sometimes a weak crisis can be heard in the territory of the affected compound.Pain can be pain.If the disease is diagnosed at this stage, then the conservative methods will be able to cope.
2 degree arthrosis
The second stage of the arthropist is accompanied by the destruction of cartilage.Bone growths appear on the edges of the compound.If we tighten the load, the unification piece is stronger.
The human used is constantly experiencing pain.It is already reduced by inflammation, then aggravated.
The muscles covering compounds will lose their past functions, but in most cases such disorders are weak or medium.Therefore, at this stage, a person can refuse to visit the doctor.
After a short load on the legs, a person can experience fatigue.At the same time, painful pain in joints is sharp.During the action, the criscent is intensified by the bone growth.
In the formation of the deformation process, the second degree of Artrosis is the second degree, so you must seek medical care.
3 degree arthrosis
The third degree of Artrosis is the hardest.The joint cartilage of the affected association is not only thinned, but began to collapse, and pathological focuses are already very large.The joint is deformed, which also affects the normal axis of the limb.
Ligaments covering previous partners lose their functional activities, short, affect the mobility of arm or legs.
During this period, a person has a contract and sublux.The muscles of the joint surrounding the muscles are shortened and stretching, it is difficult to conclude.Joint itself and nearby fabrics suffer from sufficient nutrition.
A person suffers by severe pain, sharp and sharp.Even in the rest, the patient is a significant concern.The third rate of Artros is associated with the risk of a full loss of human capacity.
Types of arthros
Depending on the reason for arthrosis, it differs from an illness, which is unknown etiology, that is, idiopathic arthrosis.Most, diagnosed in people over 40 years of age.In detection causes (after injury, endocrine diseases, etc.
The following types of the disease differ if classified as the reason for the formation of the arthropist:
- Knee arithic or gonarthrosis.This is the most common type of disease.At the same time, the knee joints suffer.In the background of a metabolic impairment of pathological, body metabolic impairment, the most diagnosed in people in the background of metabolic impairment in the body.The disease develops over the years, the deceased phase completely loses its mobility.
- Ankle arthrosis.In this disease, the ankle joint is affected.Due to the disease, existing dysplasy, gout and diabetes, develops in the background of injuries with ligaments.Sometimes the cause of pathology is rheumatoid arthritis.Most, ankle arthrosis are diagnosed in people who are related to excessive download in this area: Dancers, athletes, women wearing high-level shoes.
- Shoulder arthrosis.The main cause of pathology is the shoulder combination of congenital defects or excessive loads on.The risk group includes people engaged in carriers, plasters and harsh hand.This also includes archais arthrosis.
- Arthrosis of hip joint or coxarthroos.This is one of the heavy varieties of pathology.The main reason is changing in articular tissues.The risk group includes people over 40.
- Cervical arthrosis.Causes of this pathology can lead to the development of this pathology: a fairly mobility of cervical spine, obesity and injuries.The risk group includes people who are engaged in sitting.In addition to the basic symptoms of the arthropos, the formation of joint mobility and joint mobility, patients have dizziness, headaches and sometimes even a loss of consciousness.This is due to the participation of vertebral artery in a pathological process that feeds the brain.
- Osteoarthrosis of hand and fingers.In this case, the wrist joint was damaged, fingers combinations, etc.The women who entered during the menopause period are suffering from pathology.
- Spondylarthrozrosis, where the combinations and cartilage of the spine.The disease develops the most in people after 65 years of age.Women are mainly suffering from it, it is explained by a decrease in estrogen level after reality.
- In polyosteoarthrosis.This is a disease of a degenerative nature that is suffering from peripheral compounds, ligaments and tendons.The combinations of spine can take part in pathology.
Aggravation of arthrosis
If the arthrosis does not treat the patient in time, it can be completely destroyed by the patient, but it may seem a change in the biomekanics of the spine, and the ruptures may appear on intervertebral disks and arthrosis can begin in other healthy compounds.It is better not to allow the aggravation of arthrosis of combinations.
The following pathologies are different as the main complications of arthrosis:
- The destruction of the compound.
- Joint deformation.
- Impossibility of moving action.
- The patient's disability.
- Breach of biomechanics of spine and other joints.
- The hernias of the intervertebral discs.
- Reduce the patient's life level.
Diagnosis of arthrosis
To diagnose, the doctor should interview and inspect the patient.Then he will appoint an X -Ray of the affected joints.
X -Ray images are implemented in 2 forecasts.Research allows you to damage the dedication changes in tissues, cartilage and adjacent bones.Arthroz patients narrowed the articular gap, the bone area deformed, bone growths, osteophylls can leave it.Sometimes the common is losing stability that causes dislocation.
The first sign of the arthrosis that can be seen in an X -Ray is the presence of osteoophyte.First, the edges of the articular surface are simply sharp.In the future they were thickened and then they grew up and the spikes appear.The joint space is already as pathological progress.
Depending on the radiological view of the doctor, the doctor can diagnose the following (Kellgren-Lawrence classification is taken as basis):
- Arthrosis is suspicious.It is impossible to determine the degree of narrowing the joint void, but small osteophylls appear.
- There are doubts about the soft arthrosis, which is well imaged by osteoophyfits, but the joint cavity narrowing.
- An average arthrosis, joint venture clearly narrowed, and osteophylls are diagnosed when it seems clear.Sometimes bone deformities are found.
- Severe arthrosis is accompanied by a significant contraction of the joint cavity and the formation of large osteophylls.Will be deformed together.
If the doctor needs more information about the situation of the compound, the patient can focus on crossing CT, Arthroscopy or MRI.Articular puncture is made to assess the quality of the synovial fluid.
Treatment methods
It is better to treat painful joints in the early stage, the treatment itself must be pathogenetic and complex.The essence of treatment is to make contributions to the development of this disease, to eliminate inflammation change and restore previously lost functions.
A comprehensive treatment of Arthropist, physiotherapy procedures with anti-inflammatory and analgesic properties should be carried out, which should be an analgesic effect.If treatment is carried out in a spa resort, then in combinations, as well as mineral waters and climatic conditions in use of mud.
Arthosus treatment is based on several basic principles:
- Damaged joints should be removed from overload.If possible, in general should be minimized during treatment.
- Followed by the formed orthopedic regime.
- Classes of physiotherapy exercises.
- The passage of physiotherapy containing a magnetic and electronic, shock wave, as well as laser therapy.
- Sanatorium treatment.To do this, once a year is necessary with a doctor's recommendation, it is subject to course treatment in specialized resorts.
- Saturation of the compound with oxygen or the other jointly.
- Therapy with drugs.
- Inside, the bone blockade, as well as decompression of meters.
- A rational approach to nutrition.
Physiotherapy treatment
You can cope with arthrosis using physiotherapy treatment methods.
These include:
- Uvt.Shocking wave therapy allows you to get rid of osteoophytes with bone processes.Are the main cause of pain.The waves soften these pioneers and absorbed after a while.In parallel, the strength of the joint improvement, metabolic processes are normalized.This procedure is effective only in the first stages of the development of the disease.In addition, there are many opposite instructions because only one doctor can assign it.
- Myostimulation.The method is based on muscle stimulation by electrical impulses.The procedure is shown to treat bed patients who are forced to follow the rest of his bed after injury.This method is not often defined in the artery, although it allows you to normalize blood flow in the problem area and increase muscle tone, which allows you to bring dead dates to restore the joints.
- Phonophorez.In this way of treatment, joint ultrasonic waves and drugs are exposed.The effects of drugs increase, because they will be delivered to the "exact destination" and the cells will learn better.
- Ozonotherapy.This method covers the entry into a combination of a gas mixture.The patient disappears, inflammation decreases, joint mobility is normalizing and improves blood circulation.Treatment is carried out in courses.Their term depends on the severity of the pathological flow.
Surgical types of treatment
If the disease cannot be overcome by the conservative methods, the patient is directed to the operation.
Methods of surgical intervention include:
- Performance of puncture.This is not only a therapeutic, but also a diagnostic method.During the execution, the needle is included in the way by taking a small amount of liquid.Sent for analysis in the future.This method gives the cargo to remove the cargo, as well as medicines for medication, such as corticosteroids.
- Arthroscopy.At the same time, a arthroscope is included in the partners where several small cuts are made on the skin.This procedure allows you to assess the state of the combination inside.During arthroscopy, the doctor can eliminate unnecessary cartilage, thus delivers a person from pain.
- Near the articular osteotomy.The operation boils because the combination is a bit saw and stable in the correct position.This allows reducing the load in the defeat zone, as well as to save a person from pain.Although the procedure is quite effective, they are carried under anesthesia and rarely refer to it because a long recovery period is required.
- To replace your own joint with prosthesis.Endoprostetics, if the joint is a lot of deformation and cannot be restored, accessible.This is a difficult transaction that spends a lot of money.The prosthesis itself is made of materials such as metal, ceramics, plastic.After the intervention, a person is restored for a long time, may suffer from pain.Although it is not possible to help patients with other methods, otherwise a person can be completely immobilized.High - a significantly prosthetic can last 20 years.During this period, a person will not have any problems with the action.
Drug treatment
Consider medication treatment in more detail:
- AntiinFlamator medications.The startup therapy of Arthosus is comprehensive, slow down the course of life and improve the quality of life.It is worth living in a more detailed way in some treatment points.In particular, therapy in medicines includes the initial stage - it is to remove pain, as well as eliminating inflammatory processes.
- Hormonal corticosteroids.When there is a stage of aggravation of arthrosis, hormonal corticosteroids are recommended.Jointly entered.In addition, you can use a special patch, ointment or tincture prepared based on pepper burning.
- Preparations for the restoration of the cartilage and improving a high level of compounds will not exceed.The course lasts a long time until the improvement occurs so long.
If the case is especially difficult, then the admission of drug analgesics can be set.However, when the rest of the part does not bring any effect, it is very rarely used.
Proper nutrition for arthrosis
Separately, it is worth settlement during nutrition during the exacerbation of the disease.There are also certain recommendations - it will not make an excess leap, because it will contribute to the accumulation of additional pounds, but it is impossible to stay hungry, because the cartilage supply is broken with important elements.The priority task facing the patient with excess weight is its reduction.To do this, there are all flour products and sweets from the diet, delete the carbohydrates, and those in sweets.Alcohol falls under the forbid and in the first place beer.
There are no complaints about fish dishes - of course, a reasonable amount of course can be used quite.However, you should not lean in large quantities of fatty, because they have many calories, that is, the additional pounds will not be so long.
The treatment of arthrosis plays an important role in the treatment, is determined to a cold meal.Surprisingly, this dish is recommended to include all doctors in the diet.Such a meal will be a true storage of trace elements for fabrics.The most important component of this meal is a collagen of natural origin.The body is absorbed quite quickly and is the basis of any contact tissue.Thanks to the regular consumption of Jelly, good results can be achieved - joints will be more mobile, the fabrics hanging pieces - elastic and cartilage and bones will gain strength.
Do not forget about the regular setting of vitamins with food.B vitamins for patients with arthrosis are especially relevant
Pyridoksine will help the production of hemoglobin.""Bananas, nuts, cabbage and potatoes" eaten "banoneries and legumes are worth confronting.They will be a source of folic acid.The liver, mushrooms, dairy products, as well as eggs will also be useful.Are rich in riboflavin.
Observing the doctor's treatment regimen, the disease can be retreated and will begin to recover the tissues of damage.