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.
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 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.
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:
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.
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:
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.
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 deforming osteoarthritis has several aims:
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.
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.
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.
Physiotherapy for osteoarthritis used in the period of remission, it combines several methods:
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.
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.
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.
Treatment of osteoarthritis of the first degree can be made at home using traditional medicine.
Treatment of osteoarthritis in home traditional methods cannot cure the disease, this method only removes the symptoms.
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.
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.