With aging in the body, several degenerative transformations pass.One of the most frequent phenomena is considered the osteoarthritis of the knee joint, the symptoms and treatment of this disease are family for many elderly people.
Arthrosis 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 gonarrosis, osteoarthrosis, deforming osteoarthritis.
What is gonarrosis?As you know, any change in the body begins with the interaction of the molecules.The violation of the integrity of the cartilaginous coating changes the physicochemical properties of the tissue.The symptoms can be clearly examined in the X line of the affected joint in the X -rays: in the disease approach, the area is visible, which has become muddy, indicating the stratification and thinning of the hyaline cartilage on the articular surfaces.
Cases of the development of the disease in young people are known.As a general rule, these are professional athletes that were accidentally injured during training or competitions, which implied the deformation of the cartilage tissue of the joint.In this case, post -traumatic osteoarthritis of the knee joint occurs.
As a result of the advanced osteoarthritis of the knee, the cartilage tissue can disappear completely, which will lead to the exposure of the bone surface and the subsequent deformation of the bones that are included in the structure of the knee joints.
Consider what doctor is the arthrosis of the joints and what are the basic principles of therapy for this pathology.
How to understand that your gonarrosis is developing?
The first sign of knee osteoarthritis or joint is the appearance of painful sensations of weak intensity in the knee.At the beginning of the disease, they bother a person alone in the process of walking, disappearing completely at rest.It becomes difficult for the patient with osteoarthritis of the knee joint and lower the stairs.The signs of osteoarthritis of the knee joint manifest when a person rises from the chair: after extending his knees, he barely takes the first steps.The symptoms of osteoarthritis of the 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 experienced doctor will say that the knee joint gonarrosis does not happen "out of nowhere."The strong pain that accompanies the degeneration of the hyaline cartilage occurs exclusively after the painful intensity syndrome, which bothered a person for more than a year.If the patient suddenly developed pain, then, this is a manifestation of another pathology.For example, the sudden acute pain in the knee is characteristic of pinching the meniscus, the injuries of the synovial layer of the joint or a cartilaginous fragment in the space between the bone surfaces of the knees.
Symptoms of osteoarthritis depending on the stage of the disease
Before treating the osteoarthritis of the knee joint, the attendance specialist must diagnose the stage of the disease in a particular patient.It will depend on this and how it will be possible to help the patient.
Medicine emits 3 degrees of deforming osteoarthritis.The initial stage or the osteoarthritis of the first grade knee joint, as mentioned above, is characterized by periodic pain in the average intensity in the knee cup.After these symptoms, a person must find out which doctor treats osteoarthritis and contact him as soon as possible.
At first, the disease leads to a slight deformation of bone surfaces, and the joint itself increases slightly in size.The latter can be explained by a synovitis: the accumulation of an articular bag of pathological fluid in the light.Excessive fluid accumulation can lead to its transition to the back of the knee, to the popliteal pit area.At the same time, the disease receives a new sign: Baker's cyst, called.
Sometimes, with the osteoarthritis of the knee joint, an advance of the baker's cyst is possible, which will lead to the spread of the liquid from the back of the calf muscle.The treatment of gonarrosis in the case of a baker cyst must include an anti -inflammatory therapy of drugs and hormones.This type of cyst is not operated, because their treatment must take place using conservative methods.
To develop second degree gonarrosis, since the beginning of the pathological process, several months should take place.At the same time, a person feels an increase in knee pain: for his appearance, a rather small motor activity.Pain occurs both during movement and later.The particularly brilliant gonarrosis of the second degree is manifested after long walks or lifting and transfer of weights.The patient points out that after a long break, pain syndrome decreases, but a careless rotation of the knee can give a symptom again.
At this stage of the pathological process, its new sign appears: a different crunch in the knee joint that occurs during its movement.It cannot be confused with quiet clicks, which periodically occur with active movements in healthy people.The knee crunch with osteoarthritis is characterized by a relative volume.If at this stage a person does not resort to a specialist and does not begin to treat gonarrosis, the crunch in the affected knee intensifies, causing severe pain.
In addition, in the second stage of progression of the pathology, the patient has problems with flexion and the reverse process of the leg in the knee.When trying to completely fold the lower limb, a person can feel acute pain in the knee area.It often happens that in a patient with osteoarthrosis of the human tribe it is absent to bend the leg.The partial flexion of the limb of up to 90 degrees is possible, while the additional movement causes the discomfort of the patient or even the pain.
Before treating gonarrosis at this stage, the doctor should see the sick knee joint on the radiography.In the image, the destruction of bone tissue can be considered well, even a change in the shape of bone surfaces.The progression of synovitis is observed compared to the initial stage of the disease.
The pathological process of the third degree of knee pain is improved.Now it can happen in a person even for 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 expressed weakly.Due to painful pain, insomnia can be developed.The exacerbation of the hip joint pain syndrome is observed at the bottom of a change in climatic conditions.This happens if the deformation of the tank nurtured the knee vessels or the hip joint.
If in the second stage of the disease, the patient managed to fold the leg with an effort to bend his knee, then in the last stage of the destruction process, this becomes almost impossible.In a multitude of people, you can recognize approximately a person with osteoarthritis of the knees or the hip joint: their legs are always slightly folded during the march.There are frequent cases in which the third stage of the pathology takes place with the development of the deformation of the lower extremities, as a result of which they visually form an oval (deformation of varo) or a cross (valgo deformation).Without timely treatment of knee osteoarthritis, the patient acquires an unstable unstable march.
Various types of gonarrosis
Only in the case of the correct diagnosis of the stage and the type of pathology, an effective treatment of the osteoarthritis of the knee joint is possible.There are several options for the disease.
By etiology, 2 types of osteoarthritis can be distinguished: primordial and secondary.Private osteoarthrosis develops as an independent disease in humans.The secondary type of disease is called this because it obtains its development in the context of the mechanical trauma of the knee or infection.Minor osteoarthritis may occur if primary disease is incorrectly or is not treated at all.In this case, the patient must prevent complications according to the doctor's recommendations.
In addition to the etiology of the process, knee osteoarthritis can be classified in the place of occurrence:
- The type of right track disease when deformation in the right knee joint occurs.Most of the time, the osteoarthritis of the right route of the knee joint or hip is observed in athletes and engines that, when raising and transferring weights, focus on the right leg.
- The type of left sides, in which the injury of the hyalino cartilage was left.It is common among the people involved in sports professionally and injure the left knee (osteoarthritis on the left side) and patients with fat.
- Type of smooth double (Polish osteoarthritis), in which the disease covers the knee or hip joints at the same time.Such a variety of pathology is considered the most severe, since a person is deprived of the opportunity to transfer weight of a sore limb and brushes to a healthy.Often, bilateral gonarrosis leads to the fact that people with people with disabilities in a stroller are disabled.
In various location of the osteoarthritis of the knee joint, the symptoms, the treatment and the causes are the same.Bilateral gonarrosis can manifest clinically intensively because the load is immediately subjected to 2 knee or hip joints.
How to treat osteoarthritis?
First, you should know which doctor seeks in case of development of the first signs of pathology.The treatment of gonarrosis is not the simplest task even for an experienced doctor.In medicine, there are doctors of a narrow profile, specifically specialized in such diseases.Such a specialist is a surgical profile that provides assistance exclusively to patients with joint pain.
But not all medical institutions have a similar specialist.So what another doctor is about gonarrosis in addition to a narrow specialist?The patient must answer this question in those medical institutions where the osteoarthritis of the knee joint is treated.In advanced cases, the pathology can help the patient to an orthopedist.If Poly osteoarthritis is in the initial stage, it must communicate with a physiotherapist, massage therapist, manual therapist, which also treats the osteoarthritis of the knee joint.But the specialist must have clear qualifications and experience, be careful with the scammers who can not only help, but also damage the patient with osteoarthritis.
Many patients wonder if it is possible to cure knee osteoarthritis on their own, at home.Remember that to avoid the progression of the disease or the appearance of complications with the first symptoms of pathology, you should consult a qualified doctor.Having made the necessary diagnosis, he will tell you how to cure the osteoarthritis of the knee joint in a particular case.
It is very important to make a differential diagnosis, that is, distinguish the osteoarthritis of similar processes of deformation in the cartilage.The osteoarthritic treatment regime includes a set of methods and effects on the problem.
Drug therapy
The pharmacological treatment of the osteoarthritis 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 at the early stage of the pathological process, when polyartrosis is insignificant.The necessary medications for the patient to heal gonarrosis include means to improve the structure of the hyaline cartilage - Condroprotectors.They contribute to the formation of collagen fibers and proteoglycans in the body, which constitute most of the cartilage tissue.Therefore, the treatment of the osteoarthritis of the knee joint has a positive effect with the gelatin, since it acts as a natural condroprotector.
Since one of the signs of the disease is acute pain in the knee, it is necessary to treat the gaard of the knee joint with analgesics.It is important to prescribe a reception of substances that normalize the blood and lymph microcirculation process in the affected cartilage.This will provide the best nutrition and restoration of the tissue, which is very important for the hemartrosis of the knee joint, whose treatment is associated with cartilage nutrition.A decrease in pain is also facilitated by anti -inflammatory medications of non -steroidal nature.
Extension of the lower extremities
Modern methods to treat the osteoarthritis of the knee joint can complement a fairly painful but effective therapy method for gonarrosis: traction or hardware traction.It is used to increase the space between cartilage surfaces.Such procedure can be cured by polyartrosis if it passes several sessions (a treatment course with a dura of 5 to 7 procedures is required).The tractions help reduce the load in the joint knee joint and relieve unpleasant symptoms.
Laser therapy
Another effective therapeutic method is laser treatment.With your help, you can achieve anesthetic, decongestant, anti -inflammatory and healing healing effects on the disease approach.This treatment method can be used both at the early stage and in the last stages of destructive processes.In addition, the use of the laser provides the microcirculation of biological fluids in the hyaline cartilage, which accelerates the process of treatment gonarrosis.
Laser therapy in medicine has a series of contraindications that the doctor should take into account before treating the osteoarthritis of the knee joint in a particular patient.Therefore, the realization of laser therapy with the purpose of the osteoarthritis of the treatment of the treatment knee is not allowed for chronic and acute infections in an active way, in the presence of cancer, tuberculosis, some cardiac pathologies, cirrhosis, anemia and other conditions.
Traditional medicine in the fight against disease
The complex treatment of the osteoarthritis of the knee joint allows the use of non -traditional medicine, but only in the recommendations of the attending physician.
With what plants do we treat the osteoarthritis of the knee joint of the house?One of the used is often Burdock.This plant has long been established in the treatment of gonarrosis.Buro treatment is a safe and relatively effective method.
In the treatment of osteoarthritis, the spicy radish and the gross were not the last place.As a general rule, with polyartrosis, the green part of the plants can be used.The spicy and burdock radish leaves relieve the pain of the affected knee or the hip joint, reduce the inflammatory process, which heals polyarters.
If there is osteoarthrosis of the knee joint, home treatment can be carried out with honey.