With aging in the body, a series of degenerative transformations pass.One of the most frequent phenomena is considered the arthrosis of the knee joint, the symptoms and the treatment of this disease are familiar to many people in old age.
Artosis is a condition in which the tissue of the cartilage of the joint is destroyed, which leads to a significant limitation of its functionality and the motor activity of a person as a whole.Medicine offers other names of this disease: knee gonartrosis, osteoarthritis, clay deforming.
What is gonartrosis?As you know, any changes in the body begin with the interaction of the molecules.The violation of the integrity of the cartilage coating changes the physical-chemical properties of the tissue.Symptoms can be clearly examined in the X -ray of the joint affected in the X -ray: in the center of the disease, the area is visible, which has become muddy, indicating the stratification and thinning of the cartilage IALINA on the joint surfaces.
There are known cases of development of the disease in young people.As a rule, these are professional athletes who accidentally wounded during training or competitions, which led to the deformation of the fabric of the cartilage of the joint.In this case, the arthrosis post -traumatic of the knee joint occurs.
As a result of the advanced knee illegal, the cartilage tissue can completely disappear, which will lead to the exposure of the bone surface and the subsequent deformation of the bones included in the structure of the knee joints.
Consider which doctor deals with arthrosis of the joints and what are the basic principles of therapy for this pathology.
How to understand that your gonartrosis is developing?
The first sign of osteoarthritis of the knee or articulation is the aspect of painful sensations of weak intensity in the knee.At the beginning of the disease, they annoy a person only in the walking process, disappearing completely at rest.It becomes difficult for the patient with arthrosis of the knee joint and go down the stairs.Signs of arthrosis of the knee joint occur when a person gets up from the chair: after extending his knees, he hardly gives him his first steps.The symptoms of illegal knee in the early stages of the pathology occur only with the movements of the knee joint;When a person rests, it becomes much easier.
An expert doctor will say that the gonartrosis of the knee joint does not occur "from nothing".The severe pain that accompanies the degeneration of the cartilage IALINA occurs exclusively after a painful intensity syndrome, which has annoyed a person for more than a year.If the patient has developed pain suddenly, abruptly, then this is a manifestation of another pathology.For example, the sudden acute pain in the knee is characteristic of pinching the meniscus, injuries of the synovial layer of the joint or a cartilage fragment in the space between the bone surfaces of the knees.
Symptoms of arthrosis depending on the stage of the disease
Before treating the arthrosis of the knee joint, the frequency specialist should diagnose the stage of the disease in a particular patient.It will depend on what on how it will be possible to help the patient.
Medicine emits 3 degrees of deforming arthrosis.The initial phase, or osteoarthritis of the 1st degree knee joint, as mentioned above, is characterized by periodic pain in the average intensity in the knee cup.After these symptoms, a person should find out which doctor deals with arthrosis and contact him as soon as possible.
At the beginning, the disease leads to a slight deformation of the bone surfaces and the articulation itself increases slightly in size.The latter can be explained by a synovite: the accumulation of a joint bag of pathological liquid in the lumen.An excessive accumulation of fluid can lead to its transition to the back of the knee, in the area of the Poplitea fossa.At the same time, the disease receives a new sign: Baker's cyst so called.
Sometimes, with the arthrosis of the knee joint, a turning point of the baker cyst is possible, which will lead to the spread of the fluid from it in the back of the calf muscle.The treatment of gonartrosis in the case of a baker's cyst should include anti -inflammatory therapy of drugs and hormones.This type of cyst is not managed, because its treatment should take place using conservative methods.
To develop gonartrosis of the 2nd degree, from the beginning of the pathological process, several months should take place.At the same time, a person feels an increase in knee pain: for their appearance, a fairly small motor activity.Pain occurs both during the movement and after it.The particularly bright gonartrosis of the 2nd degree is manifested after long walks or lifting and transferring weights.The patient notes that after a long rest, pain syndrome attenuates itself, but a power of the negligent knee can make a symptom restore.
At this stage of the pathological process, its new sign appears: a distinct creaking in the articulation of the knee that occurs during its movement.It cannot be confused with silent clicks, which periodically occur with active movements in healthy people.The creak in the knee with arthrosis is characterized by a relative volume.If in this phase a person does not turn to a specialist and does not start treating gonartrosis, the creaking in the interested knee intensifies, causing severe pain.
In addition, in the second phase of the progression of the pathology, the patient has problems with the flexion and the inverse trial of the leg in the knee.When trying to completely fold the lower limb, a person can feel severe pain in the knee area.It often happens that in a patient with osteoarthritis of the human tribe he is absent to bend his leg.A partial decline of the limb up to 90 degrees is possible, while further movements cause the patient's pain or even the pain.
Before treating gonartrosis at this stage, the doctor must see the joint of the knee sick on the radiography.In the photo, you can very well consider the destruction of the bone tissue, also a change in the form of bone surfaces.The progression of synovitis is known compared to the initial stage of the disease.
The pathological process of the 3rd degree of knee pain has improved.Now it can occur in a person even during the rest.It is difficult for a person to choose the position of the body and legs in particular, in which the unpleasant sensations were absent or weakly expressed.Due to painful pain, insomnia can develop.The exacerbation of the pain pain syndrome hip joint is observed against the background of a change in weather conditions.This happens if the deformation of nourishing ships of the knee tank or hip joint.
If in the second phase of the disease the patient managed to bend the leg with an effort to bend the knee, then in the last phase of the destruction process, this becomes almost impossible.In a crowd of people, you can recognize approximately a person with arthrosis of the knees or hip joint: his legs are always slightly bent during the pace.There are frequent cases in which the third stage of the pathology takes place with the development of the deformation of the lower ends, following which they visually form an oval deformation (Varus) or a cross (deformation of Valgo).Without a timely treatment of knee arthrosis, the patient acquires a shaky unstable outline.
Various types of gonartrosis
Only in the case of the correct diagnosis of the stadium and the type of pathology, is it possible to be effective treatment of arthrosis of the knee joint.There are several options for the disease.
For etiology, 2 types of arthrosis can be distinguished: fundamental and secondary.Private osteoarthritis develops as an independent disease in humans.The type of secondary disease is called this because it obtains its development against the background of the mechanical trauma of the knee or infection.Minor arthrosis can occur if primary disease is erroneously treated or not treated at all.In this case, the patient should prevent complications in accordance with the doctor's recommendations.
In addition to the etiology of the process, knee arthrosis can be classified in the place of occurrence:
- The type of disease on the right when the deformation occurs in the articulation of the right knee.Very often, the right arthrosis of the knee or hip joint is observed in athletes and removals which, when they lift and transfer weights, focus on the right leg.
- The type on the left, in which the injury of the Ialina cartilage went left.It is common among people involved in sports professionally and wounded the left knee (arthrosis on the left) and fat patients.
- Double side type (Polish arthrosis), in which the disease covers both the knee joints and the hip at the same time.This variety of pathology is considered the most serious, since a person is deprived of the opportunity to transfer weight from a painful limb and brushes to a healthy one.Bilateral gonartrosis often leads to the fact that people with disabled people in a stroller become disabled.
In various localization of the arthrosis of the knee joint, the symptoms, the treatment and the causes are the same.Bilateral gonartrosis can occur clinically brilliantly because the load is immediately subjected to 2 knee or hip joints.
How to treat arthrosis?
First of all, you have to know which doctor to ask for help in case of development of the first signs of pathology.The treatment of gonartrosis is not the simplest task even for an expert doctor.In medicine, there are doctors of a restricted profile, specifically specialized in such diseases.This specialist is a surgical profile that provides assistance exclusively to patients with painful joints.
But not all medical institutions have a similar specialist.So what other doctor treats Gonartrosis in addition to a restricted specialist?The patient should answer this question in those medical institutions in which the arthrosis of the knee joint is treated.In advanced cases, the pathology can help the patient an orthopedist.If the arthrosis poles is in the initial phase, it is necessary to contact a physiotherapist, a masseur, the therapist manual, which also treats the arthrosis of the knee joint.But the specialist must have clear qualifications and experience, attention to scammers who could not only help, but also damage the patient with arthrosis.
Many patients wonder if it is possible to take care of the arthrosis of the knee alone, at home?Remember that to avoid the progression of the disease or the occurrence of complications with the first symptoms of the pathology, it is necessary to consult a qualified doctor.Having conducted the necessary diagnosis, it will tell you how to take care of the arthrosis of the knee joint in a particular case.
It is very important to conduct a differential diagnosis, or to distinguish arthrosis from similar processes of deformation in the cartilage.The arthrosis treatment regime includes a series of methods and effects on the problem.
Drug therapy
The pharmacological treatment of arthrosis of the knee joint does not occupy the main place in the therapy of this pathology.This is due to the fact that the drug in the form of capsules or tablets is effective only in the initial phase of the pathological process, when the Poliarosis is insignificant.The drugs necessary for the patient to treat gonartrosis include the means to improve the structure of the cartilage IALINA - Condroprotectors.They contribute to the formation of collagen fibers and proteoglycans in the body, which make up most of the cartilage tissue.Therefore, the treatment of arthrosis of the knee joint has a positive effect with gelatin, since it acts as a natural chondroprier.
Since one of the signs of the disease is acute knee pain, it is necessary to treat the gonartrosis of the knee joint using painkillers.It is important to prescribe a reception of substances that normalize the microcirculation process of blood and lymph in the cartilage concerned.This will provide the best nutrition and restoration of the fabric, which is very important for the emartrosis of the knee joint, whose treatment is associated with cartilage nutrition.A decrease in pain is also facilitated by anti -inflammatory drugs of a non -sterile nature.
Extension of the lower limbs
Modern methods for the treatment of arthrosis of the knee joint can integrate a rather painful and effective therapy method for gonartrosis - hardware or traction traction.It is used to increase the space between the cartilage surfaces.This procedure can be taken care of by means of a polyalicosis if you pass different sessions (a process of treatment is usually required with a duration of 5-7 procedures).Tractions help to reduce the load on the scoring of the painful knee and relieve unpleasant symptoms.
Laser therapy
Another effective therapeutic method is laser treatment.With its help, it is possible to obtain anesthetic, decongestant, anti -inflammatory healing effects, on the focus of the disease.This method of treatment can be used both in the initial phase and in the late phases of the destructive processes.In addition, the use of the laser provides the microcirculation of biological fluids in the cartilage IALINA, which accelerates the process of gonartrosis of the treatment.
Medicine laser therapy has a series of contraindications that the doctor should consider before treating the arthrosis of the knee joint in a particular patient.Therefore, the performance of laser therapy for the purposes of arthrosis of the articulation of the knee of the treatment is not allowed for chronic and acute infections in an active form, in the presence of cancer, tuberculosis, some heart diseases, cirrhosis, anemia and some other conditions.
Traditional medicine in the fight against the disease
The complex treatment of arthrosis of the knee joint allows the use of non -traditional medicine, but only on the recommendations of the attending physician.
With which plants do we deal with the arthrosis of the knee joint of the house?One of the often used is burdock.This plant has long been affirmed in the treatment of gonartrosis.Burdock's treatment is a safe and relatively effective method.
In the treatment of arthrosis, horseradish and burdock were not the last place.As a rule, with Poliartosi, you can use the green part of the plants.The horseradish leaves and loaded the pain from the knee or from the articulation of the hip affected, reduce the inflammatory process, which takes care of the polyartosis.
If there is osteoarthritis of the knee joint, the treatment at home can be carried out with honey.