Knee osteoarthritis: treatment and myths

Osteoarthritis of the knee (gonarthrosis) is a complex disease of degenerative nature that affects bone and cartilage Department of the knee. The disease most often affects the knee Department of the lower limbs. Pathological changes in cartilage and periarticular areas, which in most cases develop on the background of injuries, biological aging, disorders of an autoimmune nature, seriously inhibit the locomotor capacity of the legs. The joint becomes dura loses stability, normal motor and cushioning. In the end, he gradually deformed, and in the last stages completely out of order.

osteoarthritis of the knee

Degeneration in the joint tissues occur not only in a physical dysfunction of the lower extremities, and a strong pain in them. In severe pathology causing disability, and in some cases paralysis of the legs. In connection with such a disappointing forecast of the disease is important as early as possible to identify, and immediately proceed to its treatment.

Because pathology tend to progress quickly and not to succumb to conservative therapy, it is often necessary to resort to surgical intervention. Today, the main treatment grade 3-4 of osteoarthritis is joint replacement, or knee replacement endoprosthesis.

Attention! Prosthetics is sometimes advisable to spend and the 2 tbsp. if not marked improvement after using non-surgical treatment, and also when the development of rheumatoid arthritis contributed to the nature of the disease or other systemic disease.

Symptoms

The severity of clinical manifestations depends not only on the pathological features, but also from the factor of individuality. Anyway, pleasant enough in gonarthrosis, is very hard and on the 2nd, and 3-4 tbsp. Into a common list of symptoms includes:

  • pain, mostly mechanical type (dull, aching, sharp, sudden, periodical and permanent);
  • the crunch when moving;
  • stiffness of the joint;
  • limitation of range of motion;
  • muscle weakness of the limbs;
  • hyperthermia of the skin and swelling in the knee area;
  • gait changes, manifested claudius and faenisecium feet;
  • instability or syndrome "drawer";
  • "jamming" of the knee, occurs when a sudden blockage of the movements of bone joints.

Important! Conservative treatment of arthrosis of the knee joint will not help if the disease has a complicated course that can already happen in the worst case, the second stage in the development of bone and cartilage degenerations'. In contrast to the traditional conservative therapy and alternative methods, all without exception, surgery for severe gonarthrosis 2-3-4 degree – the only way for a long period of life helps to visibly improve the quality of life.

the stage of destruction

Overview of the treatment process

Bezoperatsionnye methods of treatment suitable in the initial phase of deforming arthrosis. The principle of non surgical treatment and prevention of progression of osteoarthritis of the knee includes:

  • systematic execution of physical therapy, was developed by a professional individually;
  • the procedures of physiotherapy (electrica myostimulation, magnetic therapy, UHF, laser curatio, etc.);
  • use of painkillers in the form of ointments, tablets, injections, etc.;
  • proper nutrition and following a special diet prescribed by a doctor;
  • compliance with special regime of daily physical activity;
  • a complete rejection of bad habits;
  • unquestioning passage of repeated diagnostic monitoring (frequency between the last and next survey, depending on the specifics of medical problems, can be 3, 6 or 12 months);
  • annual visit to a specialized sanatorium-resort medical facilities.

Now take a look at surgical ways in which often there is a need, because in the early stage, the pathology is often invisible. Mostly have to deal already with osteoarthritis in full "bloom", which covered a large-scale joint structures and affected periarticular matter.

  • Arthroplasty is the gold standard Orthopaedics – helping more than 95% of the cases as fully as possible to restore locomotor and basic functions of the knee Department of the lower extremity. A difficult operation, followed by a difficult rehabilitation, but the effect is worth it. After approximately 3 months after installation of the artificial analogue of the native joint is subjected to irreversible pathological changes, returned full range of motion of the legs completely eliminated the pain.
  • Arthrodesis – non-proliferation, the procedure for the "short" articulation, because of its aggressive impact on biological structures, however, sometimes it is the place to be, for example, if a person has no opportunity to undergo implantation. Its essence lies in removing the articular surfaces and rigid connection of the mating bones (femoral, tibial component and patella) with a special fixing devices in an advantageous position. Over time, there is a natural fusion of these elements. Artificial ankylosis entirely blocks the mobility of the joint, but allows to achieve a good facultatem ad firmamentum limbs and reduction of pain.
  • Osteotomy of the knee is also used in extreme situations for the same reason as arthrodesis, in particular when it is necessary to delay hip replacement for several years. At the time of the operative session, the specialist performs the artificial fracture, the bone rasp and having them at a more correct angle, so that it is advantageous to distribute the load on the cartilage elements. We emphasize that the positive outcome effect persists for a short time, within an average of 5 years.

Exercises Bubnovsky or anyone else irreversible pathogenesis will not fix it, you have to understand it. Newfangled ointments and even drugs from the chondroprotectors', not to mention my grandmother's advice to be treated gelatin, too, a special role will not play. High than they can help in a bad situation is to prepare the musculoskeletal system to the operation, particularly with regard to physical therapy and use of chondroprotectors'. And then to use them to own the video or the reviews on the Internet are unsafe for the health.

Modern knee implants are able to withstand normal everyday loads, with perfectly functioning for at least 15 years, and often 20-25 years. A person can even with the replaced joint to do some sports. Once again, when getting recommendations from a doctor about the necessity of surgical intervention, to think and to pull the implantation of living with unending pain and spending more money each month on non-performing drugs simply does not make sense.

the symptoms of osteoarthritis

Treatment 3rd degree

Stage 3 arthritis surgery, then explain why. Changes in the joint are very pronounced character, in this phase, the disease ultimately reduces the life and health of the patient. Bone and cartilage damage has reached a critical point at which the tissue of the bone connection no functional importance can't imagine. Hyaline cover almost completely destroyed. It is worth noting that it was one of the main structures of the knee, which in a healthy state was responsible for coordinated and painless work of this division of the limb.

Pathogenesis of grade 3-4 – this is a very serious problem which is really only a much more complex reconstructive and plastic operating tactics. Domestic and foreign orthopedic surgeons unanimously agree that today there is no such procedure, which could be compared with endoprosthetic. Knee replacement prosthesis, a fully congeminansque mechanical features, configuration, shapes and sizes of natural authority will give the opportunity to say goodbye as the ill-fated disease, and disability, where she "awarded".

Many, not realizing that the severity of the incident degenerations' are not comparable with conservative and unconventional tactics, trying by all means to circumvent the operation, swallowing a handful of pills, "tons" applying ointment on the sore area. Someone turns to osteopaths, private doctors, practitioners of various alternative methods. Unfortunately, against nature will not go, of healing, after they come, and this fact should humble ourselves. Therefore, flip out the meaningless venture, act wisely.

To worry about surgery is needed, modern technology has leaped forward, and today abroad brilliantly changing knee joints durable implants. After such implantation, implemented in a good clinic, the risk of complications is minimal (1-2 %), and restoration of function of the mobility occurs in more than 95% of cases. After hip replacement will follow a rehabilitation course of 3-4 months, including:

  • physical recovery, through special medical gymnastics;
  • medications (antibiotic, antithrombotic tools, etc.);
  • the program of physiotherapy, including myostimulating, anti-inflammatory, analgesic and wound healing treatments;
  • massages (in the later stages of rehabilitation).

Good to know! On 1 degree the disease can be stopped and prevented conservatively. If nothing is done and start osteoarthritis of the knee, allowing him to move from 1 to 2 degree, the medication will already be much more problematic, but for a certain category of patients is still appropriate non-surgical approach. The last two stages is always surgery.

osteoarthritis traditional methods

Treatment of 2nd degree

When osteoarthritis of moderate severity quality of life is becoming badly tarnished. Sore knee worries stronger, painful syndrome manifests itself more intensively than it was in the beginning of the disease. Especially pronounced pain immediately after morning awakening, during ascent and descent via the stairwell. Often there is a unpleasant feeling of numbness, which appears after a long walk and a long standing in one position. Flexion in the knee region is reduced, the patient is unable to bend the leg, as required by physiology. Man begins to spare his limb, almost trying not to step on her, which causes progressive atrophy of the muscles.

Exacueret attention that the treatment necessarily implies a qualified holistic approach.

  • If the doctor sees no urgent need for surgery, priority is assigned to reducing the burden on the troubled Department. In the presence of excess weight, to ensure good discharge affected by osteoarthritis iuncturam, it is necessary to adjust the body weight with their diet that you recommend your doctor.
  • All patients prescribed the use of special orthopedic devices at the time of movement. This, depending on the existing problem can be the knee the clips, elastic underwear, elastic bandage, cane, crutches, Walker.
  • Additionally, the orthopedic surgeon will prescribe a unique set of exercises that will strengthen and increase endurance of muscles of the affected limb.
  • Recommended treatments and physiotherapy curatio, however, they are used only after disappear all signs of inflammation. Physical sessions, for example, laser, magnet or ultrasound, should take place within medical facilities. Thanks to physical therapy improves nutrition and metabolism in bone, muscle, cartilage. If you bought vibroacoustic device for home use, first ask the expert about the possibility of its application in your diagnosis and features of operation of the device.

We have considered the basic principles on which is based the official the treatment of arthritis, corresponding to the standards of Orthopaedics. Since many people with osteoarthritis of 2nd St. very interested in alternative methods for his salvation, we offer to meet with the most popular ones. Find out on so much if they are unique, as we present them online.

The popular treatment

We all know that people from ancient times turned to folk methods to fight against different diseases. And in this modern age, despite an adequate development of officially recognized medicine, this direction has not lost relevance. But we should not forget that folk remedies are used as ancillary activities that complement basic therapy, but not a replacement to it. Thanks to the popular recipes are really a few to calm the symptoms and enhance the effect of the treatment prescribed for arthritis and arthrosis of the knee. But, again, as we have repeatedly warned, the only early manifestation of adverse morphological changes.

surgery osteoarthritis

What ways did not invent people and traditional healers! Among the great variety of recipes there are tinctures, balms, miracle ointment with vodka and oil, the same gelatin, honey and many other ingredients. One of the recipes even include bear bile, which is of no use to the joint has not. The effectiveness of each method of folk therapy is difficult to judge, individually: someone becomes easier, and someone tried everything, but nothing extraordinary, promised by the authors of developments occurred. And all because from deforming arthrosis just to get rid of in advanced cases, the output of one operation.

26.12.2018