Arthrosis - Diseases that have developed for many years with major damage to certain joints.Often, painful changes affect the large joints - the knees, hips, shoulders, and others - the pain and the difficulty of moving in it complicate one's life in physical and emotional plans, and taking into account the fact that arthrosis is often found at a young age, it can intervene in achieving professional and personal goals.That is why it is important to diagnose the disease as soon as possible and begin the treatment of complex arthrosis.
Arthrosis treatment
In the early stages of arthrosis, conservative methods were used that did not involve surgery.Meanwhile, the methods used allow for suspension of disease development, maintain motor activity, reduce the severity of the main symptoms of arthrosis and generally improve human quality.
- Drug
A group of medications used
- NSAIDs;
- GKS;
- Chondroprotectors.
- PRP therapy
- Physical Education Medicine
- Massage and manual therapy
- Advanced therapy (attractiveness)
- Physiotherapy
Physiotherapy methods are widely used for arthrosis:
- Magnetotherapy;
- Uhf;
- Inductothermia;
- Ultrasound therapy;
- Balneotherapy;
- Surgical treatment.
Arthrosis treatment with medication
Among patients, it is common for drug use with analgesic effects (orally in the form of tablets or injections - intramuscular) is the most important method for eliminating pain in arthrosis.In fact, the use of medicines is a rapid method of pain relief, which should be prescribed only in the acute period.In fact, the drugs are widely prescribed for this goal to have serious side effects with prolonged and especially with uncontrolled intake.We talk about the unwanted effects of the digestive system, cardiovascular, nerves, which with high probability can lead the patient to the hospital bed (gastric bleeding, heart rhythm disorders, liver and kidney effects, and more).
Anti -anti -ssteroid drugs
A group of drugs used:
Nsaid -Anti -Anti -Medicine -Ssteroids, mostly released without prescription and widely accepted by the patient himself.The group includes drugs of various chemical structures, the most famous of them are diclofenac, indomethacin, nenproxen (classical NSAID), more modern for meloxicam, nimesulide, ketorolac.The drugs listed have an anti -anti -analgesic and analgesic effect, reducing pain in the joint muscle tissue and adjacent, but does not affect the development of the disease.They are only used to reduce symptoms at all stages of the disease.Effective with similar synovitis (fluid accumulation in joints).
Gks - Glucocorticosteroid drugs (hydrocortisone, triamcinone, betamethasone) have the strongest anti -anti -anti -analgesic effect.It is advisable and effective for their percentage introduction.However, patients are often associated with the use of these drugs in treatment, which is associated with possible side effects: these are infectious complications, deterioration of ligaments, articular surfaces, and cartilage deterioration.But with the risk of the fairy -human being, the risk of this complication is minimal.
Chondroprotectors - Glucosamine and Chondroitin are a natural component of cartilage, which, when administered orally, contributes to the gradual recovery of cartilage, normalizing its density and elasticity.These active components are commonly used in the complex, are part of a variety of drugs and additional products.Chondroprotectors do not have rapid analgesic effects, improvements develop with prolonged use of drugs based on them, which is associated with partial cartilage recovery.Recommended at all stages of the disease.
PRP therapy
One of the most modern methods of recovery drug, used for sports injuries and mono-dystrophic joints, is PRP therapy (PRP-PLATELET plasma) or Mobravitization plase, autoplasmic therapy.
The essence of the procedure It consists of the introduction of plasma enriched by platelets, directly in the place of damage, in this case into the joints.Medications for administration are obtained from the blood of the patient themselves, so the method is considered not only very effective, but also safe for humans.Biologically active growth and material factors (serotonin, bradykinin, prostaglandins, and others) contained in the plasma thrombocus enriched by thrombocytes, contributing to the activation of the regeneration process and the synthesis of their own basic materials.
The resulting plasma, enriched with platelets, was introduced square and directly into the affected joints, where partial tissue recovery was achieved - especially cartilage.
The methodology of 1-2 stage of osteoarthrosis is the most appropriate.It shows good results and allows you to slow down the rapid development of the disease due to the release of platelet growth factors.This method is relatively new, but has proven high efficiency.PRP therapy was first used in surgery, today this technique has been successfully used in many fields of medicine, including in rheumatology and orthopedic, neurology and cosmetology.Handling autoplasmic therapy allows you to improve joint function without any other aggressive intervention.
Growing -the synovial liquid growth - A group of drugs based on hyaluronic acid, which is introduced directly into the joint cavity (injection) and plays a role in knit lubricant in cases where natural synovial fluid is almost absent (it provides the role of articular surface lubrication).They are used in the final stages of arthrosis.
The medical recovery of this group is also known as "synovial fluid prosthesis", "biological substitute for synovial fluid".The effects after drug administration are long - from 6 to 13 months, depending on the medical product used.
Some are used Another group of drugs - antispasmodic, muscle relaxants, vitamin B in therapeutic (high) doses, but all have only additional value in the treatment of arthrosis.
Physical Education Medicine
Special training of therapeutic gymnastics can and should be used even during severity, at all levels of arthrosis.Such steps can reduce pain and prevent clear restrictions in joint movement.However, in patients with arthrosis, this method is not popular, as most of them are mistaken, believing that pain is necessary to limit any movement.The onset of timely physical training, on the other hand, contributes to faster recovery and decreased symptoms, especially pain.
Effective physiotherapy exercises in water, joint movement in a loading position (lying, sitting, in hanging position), walking moderate on a flat surface.If necessary, for example, with clear pain syndrome, special bandages can be applied to the joints, but you need to start physical education as early as possible.
Massage and manual therapy
Methods of mechanical effects on joints, muscles and ligaments allow to reduce the severity of pain, increase mobility, improve blood circulation and metabolism in the affected joint area, relieve muscle cramps, normalize muscle function.
Advanced therapy (attractiveness)
In hospitals or medical sanatoriums, attractiveness therapy is possible - this is a joint traffic (hip, knee) according to a special method using a variety of cargo.The standard attraction scheme is designed for 28 days, with a gradual increase in load and exposure time.Classical techniques are used and more modern using simulators.The effectiveness is almost the same, but the simulator is more comfortable for the patient.
Physiotherapy
The use of various physiotherapy techniques in the early stages of arthrosis allows us to achieve significant pain syndrome and increase mobility in the affected joints.Physiotherapy courses contribute to moisture in the pathological process and extend the period without severity.
Widely used for arthrosis of physiotherapy methodologies
Magnetotherapy - Local effects by continuous or low -alternative magnetic fields.In the joint area of theImpaired, accelerated metabolic processes, blood circulation and delivery of nutrients to the joint structure, the process of regeneration and the synthesis of the materials needed for work together.Magnetotherapy has anti -altitude, analgesic, anti -inflammation from almost the first session, which positively affects the general condition of the patient.Magnetotherapy is successfully used in hospitals and sanatorium, where various medical equipment is used.The great advantage of patients with arthrosis is the possibility of free magnetotherapy courses at home, with the purpose and under the control of the attending physician.Timely use of mobile devices for magnetotherapy allows you to stop suffering from pain, onset of disadvantages or conducting precautions - that is, to maintain normal well -being.A positive moment of magnetotherapy can also be called a profitable effect on the procedure on the condition of the cardiovascular and nervous system.Given the fact that most patients with arthrosis are moderate and advanced people, with existing chronic diseases (arterial hypertension, coronary heart disease, atherosclerosis, etc.), mild sedative effects and stabilizing magnetotherapy will be very useful.
Ultrasound therapy It is used more often with the effects of drugs -anti -inflammation, analgesics, recovery effects (hydrocortisone, chondroitin sulfate, indomethacin, etc. -other) -ultrafonophoresis or phonofhoresis.Ultrasound increases tissue permeability for medicines, so their main action is enhanced.Although without medical components, this method is very effective for arthrosis: ultrasound has mechanical effects on micromassage, activating the immune process and local recovery in the joint muscles and adjacent, analgesic and anti -anti -anti -anti -anti -anti -anti -anti -anti -anti -anti -anti -recovery effects.
Laser therapy - One of the most common and widely used procedures.Therapeutic effects are based on the development of blood vessels reflexes on the focus of the pathological process.This leads to increased local blood flow, activation of metabolism, removal of low metabolism, and decreased pain intensity.Laser therapy due to low penetration depth has a minimal systemic effect, while increasing the therapeutic effect of other procedures.
Shock wave therapy - High exposure method.It is based on piezoelectric effects.The influence of piezoelectric release on pathological focus is achieved with several effects.Cells that cannot be destroyed, leading to the activation of local immunity.Gybernic (inactive) cells are stimulated, which contributes to the regeneration process.At the same time, the intensity of the pain syndrome decreases (though the procedure itself is painful).The advantage of an undeniable method is the use of the method once every 4-7 days.
Sadinamotherapy - Therapeutic effect methods on the body with diadynamic impulses.The diadynamic current used in this method stimulates skin receptors, which indirectly leads to the activation of a decreased physiological mechanism of suppressed pain and causes a decrease in the patient's pain, thus resolving analgesia.Therefore, such procedures are effective for severe pain.
Electromiostimulation - Exposure to electrical current in muscle tissue.With large joint arthrosis, the muscle works around it is interrupted, leading to some atrophy and the burden of others.Gait disruption is growing.When exposed to alternating electrical current according to special programs, the rhythmic muscles decrease, do certain work, leading to recovery of their volume and function.
Cryotherapy - Simple and effective treatment methods, unfortunately, are rarely used.Local low temperatures reduce the sensitivity of pain receptors and the synthesis of biological active ingredients that stimulate the development of inflammation.After cryotherapy, the development of blood vessel reflexes occurs, local blood flow is accelerated, and the recovery process is activated.This method is very effective in combination with shock wave therapy.
Balneotherapy
In sanatorium and resort conditions, hydrogening is taken out of medical baths, among which radonary arthrosis is very effective for arthrosis.The general effects of the body are done by radon radioactive damage products dissolved in water.The most important effect is the activation of the metabolic process.
The same effect, although less obvious are therapeutic mud (peloid), hydrogen sulfide and carbon dioxide.
Surgical
Surgical methods are taken in the final stages of arthrosis, when joint mobility is limited or absent, affecting the quality of life of the patient.Worldwide, a variety of joint endoprostetic methods are used, which allows you to fully restore movement and restore patients to active life at any age.
The tactics and amount of surgical intervention are determined by the attending physician, the choice is based on parameters such as the general condition of the patient, the age and the presence of the joint disease, the weight of the weight and the other.The best results after endoprostetics are obtained in young and secondary patients (almost complete recovery of the number of movements), but the elderly also have a significant improvement in this situation, because after successful surgery and recovery, they can fully provide themselves in the domestic plan and move not only in the apartment, but also to exit, not to limit themselves to communications.
Prevention
Arthrosis belongs to a group of disease that is simple and develops mainly due to age -related changes in the joints, enhanced by the influence of external negative factors.Attention to the condition of the musculoskeletal system, prevention of joint disease and early treatment of arthrosis allows for maintaining motor activity and avoiding large medical intervention -in the future.