Treatment and symptoms of osteoarthritis of 1 degree of the knee joint

What is knee osteoarthritis? Osteoarthritis is a disease that is manifested by cartilage degeneration, its thinning and replacement of chondrocytes in bone tissue. In women, this condition occurs much more often than men.

Gonarthrosis in the first degree is the most favorable in terms of prognosis and treatment. Used both traditional methods and folk. The basic principle of treatment is a holistic approach.

osteoarthritis of the knee

The clinical picture

The first degree of the disease usually do not bother the patient, ask for help to the doctor in the later stages. Patients complain of pain in the joint that occurs during the day, during ascent or descent the stairs and during exercise. Also symptoms of osteoarthritis include:

  • crunch during flexion;
  • muscle weakness in the affected limb;
  • discomfort during prolonged sitting in one position.

Local manifestations of osteoarthritis of the knee joint in the first degree is swelling and edema.

With progression of the disease to the above symptoms joins a violation of the mobility. The second and third stage to perform the usual movement becomes difficult, forming contractures.

Classification

Gonarthrosis depending on the cause divided into primary and secondary. The first occurs due to congenital abnormalities, the second of a number of different factors.

There are several classifications of the disease. Depending on the manifestation of symptoms is divided into degrees of severity – mild, moderate and severe. Adrift distinguish acute and remission period.

Osteoarthritis of 1 degree of the knee joint is divided into 4 stages depending on degree of deformation on the radiograph:

  • Stage 1 – slight narrowing of the gap, an isolated knot;
  • Stage 2 — slight narrowing of the gap, several growths;
  • Stage 3 – narrowing the gap becomes pronounced growths becomes greater, the initial symptoms of bone deformation;
  • Stage 4 – the gap is extremely narrowed, determined by multiple growths, expressed deformation of bones.

The causes of the disease

The main cause of osteoarthritis is age-related changes in cartilage associated with its natural wear.

In addition, risk factors are:

  • injuries – sprains, subluxations and fractures;
  • postoperative complications;
  • weight;
  • diseases of the endocrine system;
  • pathology of musculoskeletal system;
  • sports, ballet;
  • genetic predisposition;
  • orthopedic pathology;
  • autoimmune diseases;
  • wearing uncomfortable shoes – flat shoes or high heels.

Prevention

changes in the joint

To prevent deformation of the joints should:

  • to control weight;
  • gymnastics and exercise;
  • to follow the diet;
  • to wear orthopedic shoes;
  • locking the knee under load;
  • promptly seek help from professionals.

With the existing pathology in order to slow down its progression should be regularly engaged in physiotherapy to go for a massage, follow the diet and body weight.

Healthy joint walking, yoga, Cycling. Some experts recommend swimming.

You should avoid trauma during sports wearing knee braces to protect the joints.

It is recommended prophylactically to take drugs for your joints and undergo a course of physiotherapy.

Diagnosis

Diagnosis involves collecting complaints, medical history (injuries, surgeries, comorbidities, etc.), inspection of the joint. For the differential diagnosis is carried out x-ray. In the picture is determined by the degree of narrowing of the joint space, presence of osteophytes – bony outgrowths. It is performed in two projections.

In addition to the instrumental methods of imaging include ultrasound investigation of the joint, CT, MRI.

To the instrumental method of examination includes arthroscopy. Through a small hole in the articular cavity entered the endoscope. The advantage of this study is that it is possible to take tissue for histological examination.

Tests

Osteoarthritis refers to a chronic disease. In acute laboratory tests revealed signs of inflammation. In the General analysis of blood:

  • leukocytosis;
  • the increase of band neutrophils;
  • lymphocytosis;
  • increase in ESR.

Urinalysis is performed to detect the presence of pathology of the kidney. With the combination of arthritis and of renal disease can be suspected autoimmune disease.

Biochemical analysis of blood is done to detect concomitant pathology of the liver, kidney, studies of markers of inflammation (C-reactive protein), antibodies to rheumatoid factor. This study is conducted for differential diagnosis.

Traditional methods of treatment

How to treat arthrosis of the knee joint of 1 degree? In the period of exacerbation all therapeutic measures aimed at the removal of symptoms and restoration of normal structure of cartilage. Prescribers for joints, medicines from the group of NSAIDs, corticosteroids.

treatment and diagnosis

Drug

NSAIDs reduce inflammation by blocking cyclooxygenase, which is responsible for prostaglandin synthesis. This group has a number of contraindications such as asthma, gastric ulcer. Assigns the elderly. Ointments are more safe to use than the oral form.

The choice of drug, duration of treatment and method of application is determined by the attending doctor.

The joint Supplement – drugs that restore the structure of cartilage. They apply long course – up to 3 months. The composition includes glucosamine, chondroitin.

Doctors prescribe intravenous injection in case of pain syndrome. Most often in the later stages. The first and the second stage is treated with oral and local drugs.

Corticosteroids are prescribed place in the form of ointments. Duration of treatment averages 10 days. High therapeutic effect is achieved by intraarticular injection of hormones.

Is there a cure for arthritis of the knee joint of 1 degree? It is a chronic pathology. Early treatment slows the progress does not stop.

Surgical

In the first stage of gonarthrosis surgical treatment is not applied. The indication for surgery is 3 degree. In such a case is joint replacement – joint replacement. Before the operation occurs manufacturer of the prosthesis, the compensation of comorbidity.

The intervention is performed under General anesthesia. The rehabilitation period lasts several weeks and includes physical therapy, massage and physiotherapy.

At the second degree shows endoscopic removal of osteophytes during arthroscopy.

Physiotherapy

Exercises for osteoarthritis of the knee joint of 1 degree is contraindicated in patients in the period of exacerbation. It is administered during remission. Exercises should be performed daily. First comes the warm-up and strengthening of the muscles around the affected joint, then stretch that increases mobility and prevents the development of contractures. The first time gymnastics is performed under the supervision of a specialist.

Physical therapy for osteoarthritis of the knee joint of 1 degree is not less than 30 minutes. Warm up with running in place, rolling from heel to toe, jumping. Stretching exercises includes pleated standing and lying, the two legs, alternately to each.

Physical therapy

Therapy of the knee for osteoarthritis of 1 degree includes not only medication, but also physical therapy.

  • Electrophoresis may be performed with drugs and without them. Is based on the creation of a constant electric field. This method allows the drugs to penetrate into the deeper layers. Used analgesics and preparations of chlorine.
  • Laser treatment – on the joint influences of a narrow beam of light that enhances the metabolism in tissues and causes inflammation.
  • Infrared irradiation. Under its action is the heating of the joint, which contributes to the activation of regeneration processes at the cellular level.
  • Magnetotherapy. It creates a magnetic field with high frequency, which increases metabolism in the affected tissues and triggers the the regeneration process.
  • Cryotherapy. This low temperature to start compensatory processes of adaptation to new conditions and the inclusion of protective mechanisms.
food

Food

Diet can reduce body weight and as a consequence stress on the joints. Sufficient amount of foods rich in micronutrients, will speed up the recovery of cartilage.

Exclude from the diet of fatty, fried food, fast-digesting carbs, sweets, sodas, meats, alcohol.

Natural medications for the joints are jelly and jelly. They strengthen the structure of cartilage. Such are the qualities of ginger, as in the acute phase it serves as a systemic anti-inflammatory agent.

The meals include fresh vegetables and fruits, greens, milk and milk products, hard-to-digest carbohydrates, freshly squeezed juices. Be sure to observe the drinking regime – 33 ml / kg of body weight. Food must be fractional 4-6 times a day.

To prevent salt deposits in the tissues refuse salt, pickled foods, fast food.

The popular treatment

Even folk remedies can not be cured gonarthrosis, local remedies will relieve symptoms and slow the progression of degenerative processes.

Ointments and baths

Ointment with extract of ficus. Take the leaves of medium size, wash them under running water and ground in a meat grinder. The resulting slurry pour vodka so that the vodka level was higher in plants of minimum 1 cm to leave for 20 days in a cool dark place. Before using drain. Further, the infusion stored in the refrigerator. Before applying the joint it is advisable to steam. The tool is used as grinding is preheated. After the procedure, the joint is wrapped up in a warm scarf or blanket. A course of 10 treatments.

Salt bathrooms. Sea salt is used for foot baths and for General. They have anti-inflammatory and antiedemic effect, improves the metabolism in the affected tissues. For the preparation of a bath calculated to 100 grams of salt per 10 liters of water.

Infusions and decoctions

The infusion from the arthritis. For preparation will need:

traditional methods
  • lemon – 3 PCs.;
  • garlic – 100 gr.;
  • celery 250 grams.

All components of mince and mix. The mixture is placed in a jar volume of 3 liters and pour boiling water. Leave overnight, wrapped the jar with a blanket. Drink half an hour before meals of 50 grams. 3 times a day. The course is 3 months.

Compresses

Apple cider vinegar and honey. Products are taken in the ratio of 3 tablespoons of vinegar 1 teaspoon of honey. After thorough mixing, is applied to the joint, is covered with cabbage leaf. Then the joint wrapped with polythene or cling film and a warm scarf. Left for the night. The procedure is performed daily for 1 month.

17.07.2019