Arthrosis of the shoulder joint: symptoms and treatment

Arthrosis of the shoulder joint refers to a chronic disease. The disease develops slowly lead to degeneration of the cartilage, roughness of their surfaces and formation of bone growths. This localization takes the second place after the knee. The first stage may be asymptomatic, patients usually seek care when the deformity of the shoulder pronounced.

arthrosis of the shoulder joint

Description of pathology

What is arthrosis and how to treat it? Osteoarthritis is a change in the structure of cartilage, thinning followed by replacement with bone. The process is invoked because of a violation of the metabolism of collagen and elastin, lack of nutrition of the chondrocytes. In the future damaged areas of cartilage are replaced by bone tissue cells. Treatment of the joint is a comprehensive approach that includes medications, massage, exercise therapy, physiotherapy. In the later stages a surgical intervention is performed.

Osteoarthritis of the shoulder is caused by a number of different reasons – injuries, connective tissue diseases, disorders of metabolism, etc. This process is physiological, if it is age-related wear of the joints.

The first symptom that allows you to suspect arthritis is pain when movement of an arm back and to the side. On examination, the pain is noted in the region of the clavicle and scapula.

The symptoms of osteoarthritis of the shoulder joint can occur if heavy physical load, lifting, after hypothermia, if untreated, the pain will begin to appear alone. Especially true of her appearance in the morning, patients reported weather sensitivity of the joints.

With the progression of the disease increases the movement in the joint, the patient complains of difficulty in performing routine tasks, rotational movements. Gradually develop contractures, and movement becomes impossible.

Crepitus during movement is a sign of the appearance of osteophytes.

Osteoarthritis of the shoulder demonstrated by local changes in the form of swelling, redness of the skin. On palpation of the joints marked local increase in temperature.

The extent of the disease

The degree of osteoarthritis are clinical and radiological. Clinically allocated 3 stages.

Deforming arthrosis of 1 degree is characterized by a mild clinical picture. The pain occurs when a strong physical exertion, when weather changes. Movements are in full volume, discomfort during abduction of the shoulder. Osteoarthritis of 1 degree is not accompanied by local changes, the crunch is not accompanied by subjective sensations.

Osteoarthritis of the shoulder 2 degrees accompanied by pain with any movement, decreasing their volume. Audible crepitus on any movement. Displays periods of exacerbation, during which is added to the local symptoms. On the x-ray this stage is divided into 2, the first single is accompanied by osteophytes and narrowing of the joint space. Second – multiple osteophytes and a large contraction.

At 3 degrees the pain bothers the patient at rest, movement limited to, the limb is fixed in a forced position. All movements are accompanied by a sound resembling a click. Attached to the arthritis clinic arthritis. Visual and x-ray findings show pronounced deformation.

diagnosis

Diagnosis

The diagnosis of post-traumatic osteoarthritis is based on history of previous injury.

Shoulder joint arthrosis is diagnosed by x-ray studies. Conducted a study in two projections. The main symptoms of strain:

  • narrowing of the joint space;
  • the presence of osteophytes;
  • the study is conducted in two projections;
  • sclerosis of the bone surfaces.

Ultrasound of the joints is assigned to measure the thickness of the cartilage, assessment of soft tissues.

Arthroscopy – invasive research. The endoscope is introduced into the cavity of the joint. In addition to diagnosis, this procedure is performed to remove the bone growths. Shown in the second stage of the disease.

MRI is the most informative method. It allows you to assess the condition of soft tissues, bone surfaces of the cartilage matrix.

In addition to the instrumental methods are the General analysis of blood and urine to detect inflammation the blood, the kidneys.

The reasons for the development of the disease

Arthrosis of the shoulder joint, depending on the causes are divided into primary and secondary. To the primary are age-related changes, congenital features of the structure of the joint. Secondary degeneration develops as a result of injuries, chronic diseases, etc.

Degenerative changes of the shoulder joints causes:

  • fractures, dislocations, contusions;
  • endocrine pathology, most often diabetes mellitus;
  • sport – exercise with dumbbells, barbells, Boxing, wrestling;
  • vascular disease;
  • occupational hazards – builders;
  • hormonal disorders;
  • autoimmune diseases;
  • diseases of the musculoskeletal system.

Prevention

Osteoarthritis of the shoulder requires timely intervention. Early diagnosis and treatment allow to slow down the degeneration process, save function.

Patients are recommended health procedures – a walk in the fresh air, contrast showers, proper nutrition. In sports should be to protect the joints from injury, to include warm-up exercises strengthen the muscles of the shoulder, stretching. Useful swimming lessons – a minimum of 2 classes per week.

In the presence of associated chronic diseases should be timely to conduct therapy against relapse.

To restore cartilage is assigned a course of preventive medications for your joints. Usually 2 times a year.

Lifestyle and rehabilitation

For rehabilitation, patients have to change lifestyle is to eat right, to do gymnastics, to develop the right habits.

Diet for osteoarthritis should be directed to the normalization of the normal body weight. As one of the risk factors for the development of deformation processes in the cartilage are vascular disorders such as atherosclerosis, it is important to bring your weight back to normal.

The basic principles of the diet for osteoarthritis is to choose healthy foods containing antioxidants, omega-3 fatty acids, amino acids, minerals. The diet includes vegetables, fruits, cereals, meat low-fat varieties, cereals, fish, oil, nuts.

treatment of osteoarthritis

Traditional treatment

Treatment of deforming osteoarthritis has several aims:

  • to stop pain;
  • to restore mobility;
  • to increase the range of motion in the affected location.

Treatment should be comprehensive and include a long rehabilitation. The treatment of the first stages of osteoarthritis is carried out with medication from the group of NSAIDs, medicines for joints.

Drug

Injections in the shoulder joint arthrosis applied when the pain from which you cannot get rid of, used drugs from the group of corticosteroids.

NSAIDs are a large group of drugs whose main function is to inhibit the synthesis of mediators of inflammation. They are used systemically and topically. The duration of treatment determined by the doctor.

Injections of hydrocortisone are used in the absence of effect from NSAIDs. The effect after intra-articular injection are visible immediately.

The joint Supplement for osteoarthritis are used to restore the structure of cartilage. They contain chondroitin and glucosamine, some products include hyaluronic acid. They are available in the form of tablets, injection. Injections of drugs to the joints more effectively than oral form and course them short. The tool is introduced into the shoulder joint.

Surgical

The first stage of disease does not require surgery. As mentioned above, when deforming arthrosis of 2nd degree treatment is carried out with removal of osteophytes during arthroscopy.

At the last stage of the disease shows the endoprosthesis.

Therapy and treatment

Physiotherapy for osteoarthritis used in the period of remission, it combines several methods:

  1. Electrophoresis – influence of a direct current to the joint. Used for delivery of required medicinal substances into deep tissues. One course of treatment is 10-15 sessions.
  2. UV radiation is irritating to the skin electromagnetic waves. Reduces pain syndrome. Assigned 5-6 procedures.
  3. Infrared radiation reduces sensitivity of nerve endings, improves blood circulation in the affected tissues, stimulates regeneration processes. The course consists of 15 procedures.
  4. UHF – the influence of ultrasonic wave of high frequency. An effective method in the early stages of the disease, it reduces inflammation, improves blood circulation. The rate of 12-15 times.
  5. Magnetotherapy – creation around the defeat of a magnetic field. Can be conducted locally or affect the whole body. Allows you to reduce the discomfort and pain and to activate the repair process in the cartilage. On the course applied for 5 sessions.
  6. Radiation therapy is carried out using ionizing radiation. The course is chosen individually, between procedures, make a break in 1 day.

For the treatment of destructive diseases of the musculoskeletal apparatus used therapeutic baths. Their effectiveness is proven when used in the early stages of the disease. Used hydrogen sulfide, nitrogen and radon baths.

Therapeutic exercises physical therapy

To restore motor function to patients with arthrosis of the shoulder joint it is recommended to perform daily exercises. The charge should last at least 30 minutes. Contraindicated exercises during exacerbations.

Arthrosis of the shoulder joint in the early stages is not a contraindication to sports. It is allowed, but only gentle, no sudden movements and high loads.

The first sessions can be conducted under the supervision of a physical therapist. If you experience any pain or discomfort, the exercise should be discontinued. The complex must be present static and dynamic load. All movements should be calm and slow, be performed standing or sitting.

exercises for osteoarthritis

Exercises:

  1. In the sitting position to lean about knees, shoulders relax, perform smooth movements with elbows in and out. The amplitude should not be large. The number of repetitions up to 15 times.
  2. Original position also. Shoulder rotational exercise movement forward and backward. Only up to 20 times.
  3. Standing one arm raised, bent at the elbow so that the brush touched the interscapular region. The second hand pull the arm over the elbow behind your head. Count to 10. To change hands. Just 2-3 sets.
  4. Also original position. The patient hugs her arms trying to get to the shoulder blades. To stay in this position for 10 seconds. Only 3 of the approach.
  5. The same position. Connect your hands behind you back to the castle and try to raise arms up to shoulder blades.

Massage

Massage for osteoarthritis used in the period of remission. This procedure improves joint mobility, improves nutrition, prevents the formation of osteophytes. Before working the joints massage the neck area on both sides. Also involved the elbow and forearm.

The procedure is performed in the sitting position. Specialist is located behind or to the side. Occur first stroking, then rubbing and kneading.

In case of arthrosis of the shoulder joint can use both oils and healing ointments.

Folk remedies and recipes

Treatment of osteoarthritis of the first degree can be made at home using traditional medicine.

  • Compresses – local method of treatment of osteoarthritis of 1 degree. To do this, take the cabbage leaves, put on them a layer of honey. Applied to the affected area at night. You can use a bow. First it is cleaned, crushed and mixed with honey. Also be applied at night. The course is 10 days.
  • Rubbing. They use infusions on alcohol for warming effect. Suitable elecampane tincture. Procedures are performed up to 5 times a day. The course is 10-14 days.
  • Homemade ointment is another effective way of dealing with destructive processes in the musculoskeletal apparatus. Taken 50 grams of butter or pork fat, mixed with 5 grams of propolis. Rubbed daily into the shoulder joint for 10-14 days.
  • Home treatment of osteoarthritis folk remedies also include therapeutic baths. For this purpose, common salt, herbal teas, infusions. Apply a decoction of nettle, mint, burdock. To prepare in the ratio 1:3 flood the grass with water, put on fire, bring to a boil. Then reduce the fire and boil for 15 minutes. Leave for 30 minutes to cool. You can then strain and add bathroom. It is best to perform this procedure before bed.

Treatment of osteoarthritis in home traditional methods cannot cure the disease, this method only removes the symptoms.

nutrition with osteoarthritis

Food

Diet for osteoarthritis of the shoulder joint during an exacerbation should include jelly and jelly. It is a natural sources of chondroitin and glucosamine. To replace these dishes medications to the joints is impossible, but you can speed up the regeneration process.

Diet at the time of treatment should avoid fatty, fried foods, smoked foods, weakly carbonated beverages, alcohol. Also limit the amount of salt.

Contraindications

Arthrosis of the shoulder joint requires correction of lifestyle. When working with heavy lifting for example a loader, you should change the occupation. When shopping you should use a cart. Contraindicated bodybuilding, Boxing and wrestling.

04.09.2019