The knee joint arthrosis combines two processes: destruction of cartilage and grow osteophytes or bones.The process phase is determined by the radiograph.Arthrosis is believed to be destroying knee joints with age, the natural aging process.Causes are weakening muscles and poor blood supply in the tissue.How to treat yourself without surgery?Eliminate factors that reduced the muscle tone.
Causes
The causes of arthrosis are still not determined by the drug,Only risk factors are called:Age over 45 years old, knee injuries and excess weight.Almost 50% of the adult population ever complained about the common knee.
In addition to arthrosis, the lining of the cartilage of the edge of the bones are abrasion or completely absent.Damaged tissue is not a source of pain because there are no receptors.Inflammation in nearby structures causes characteristic symptoms.
The body continues the regeneration of damaged tissues, but the cartilage grows unevenly.As a result, irregularities that hurt other joint elements are formed.The nature of osteophytes is explained by a fee for the smooth wrist cartilage.The second version indicates the growth of "Spurs"It is associated with an attempt to jointly or laterally stabilize jointly or laterally due to muscle weakening.
What is the chronic arthrosis of the knee wrist?Pain occurs in tendons and ligaments only when muscle forces stop keeping bones and control them.Therefore, the biomechanical causes of pain and arthrosis are different:
- Against the background of a long seatThere is a compression between inguinal ligament and sound that lasts the muscle of femur and nerves, which weakens the front of the thigh and leads to the appearance of tensions in the tendon.
- The long-term session of clenching a fly of gluteal musclesWeakening them.Instead, muscles-muscles starting pears begin to work, under which the scythe nervous passes through.During their compression, the double head muscle weakens, the angle of thigh and lower changes of the leg changes.The knee was injured.
- Walking fifthCauses tension of the calf muscles, the pelvis takes place, weakening the average glutel muscle muscles.The femoral bone is converted inside, the ligaments are loaded along the interior of the knee, medial meniscus, osteophytes grow.
- Flat feetRelated to carrying unpleasant shoes, weakening leading muscles and increased lordoses, separate the table bone outward, which leads to knee pain for violating biomechanics, bakery cyst development.
Pathological chains that affect the knee are associated with the fall of the childhood door, scoliosis caused by the diseases of the internal organs.People who have a different shoulder height,Time they start complaining about the knee, Since the fascinine chains on the front of the body include the extensor of this compound - the rectus of the thigh muscles.
Symptoms
The degenerative process violates the function of the compound, leads to pain and stiffness.It is believed to beFrom cartilage and bone begins an impact on the muscles.Practice shows the opposite -knee joint pain occurs in tendon places- Fasteners of weakened muscles of extensors, flexors and stabilizers of the knee.
Main signs of threat to the wear of cartilage:
- From time to time, discomfort associated with a walk, the feeling "is not so placed with a leg."
- The appearance of pain directly load on the joints and muscles, bending and extension - squat, climb the stairs.
- Pain in knee and stiffness after prolonged inactivity or rest, for example, when it comes out of bed in the morning, which is connected to stagnation of venous blood.
The main signs of arthrosis are caused by a load on weakened muscles:
- The knees in the knees are connected to the fact that gluteal and double-glossy muscle that wider thighs do not function, and the rectus of the Bedrino muscle is excessive, creating discomfort in the knee.
- The pain when bending the wrist is associated with the weakness of the flexor - double main muscles and the tendon of quadriceps.
Swelling is caused by a soft tissue injury, a tendon inflammation and common bags.The appearance of heat in the knee, swelling indicates an accumulation of inflammatory exudate -Arthrosis often accompanies burrows, sons, tendinitis.
Crunch in the knee is painless and traumatic.Clinkles and other sounds do not say that Abrasion bones are.Signs of knee stability breach -Weakness of one of the muscle control.
Moving caused by the bone friction on the bone does not happen at the beginning and end of the movement amplitude, but in the middle,Even with a passive flexion of the compound.Joint blocking is caused by wearing cartilage and tendons, which creates a feeling of fixation.Bones with any movement control muscle.Their premature reduction leads to the changing direction of bones, blocking.
1 degree
Determining the degree of arthrosis occurs from X -RayDetering participation in the pathological process of bone structures.Their change indicates that the muscle system is in imbalance for 5-10 years.As a rule of peopleThey experience pain in pain for several years.
In the first phase of arthrosis, which is revealed by accident, a slight increase in bones appear.Growth appear in the places of the greatest instability of the wrist.Usually patients rarely experience pain or discomfort during the movement.
The weakness of some muscles is compensated by the functions of others without causing heavy cramps and overloads.Running and weight training cause symptoms because weakened muscles are loaded.The weakness (hypotension) of muscle is associated with impaired blood supply and innervation.
2 degrees
The second phase of arthrosis is considered easy.The radiograph detects significant bones, but the cartilage is not affected.The amount of sinovial fluid is reduced, but symptoms of pain appeared after long walking and running, stiffness in the joints and pain when bending and in the knee position.
Early X -Ray Characteristics of the second phase of the knee arthrosis:
- Striking edges of Inter -Crib tubercles on tibia, where the ligament being transmitted is attached;
- narrowing the joint gap on the medial side;
- Sponsed edges of the consile bones on medial sides, less often in lateral - depending on the development of the deformation of common valgus or variation.
For the second phase in LarsenThe narrowing of a common gap for more than 50% is characteristic, but this can only be checked in dynamics or comparison, with a difference from the separated compound.
3 degrees
In the third phase of arthrosisPain during the flexion and the extension of the wrist becomes constant.During worsening, common blushes and swelling, painful pain do not stop at rest.Over the knees appears the swelling, noticeable deformation of joint joints.
Signs of moderate arthrosis knee joint in the third phase:
- The shared gap is significantly narrowed;
- Presence of subhondral sclerosis in loaded sections;
- Numerous osteophytes on edges;
- rare look of subhondral cysts;
- Synovits, the appearance of a bakery cyst under the knee;
- Uneven surfaces of femoral and tibia, loss of joint joints;
- a change in the form of a suffer;
- Chalcification and hondromation foci;
Rarely Fourth Phase completes Necrotic Lesions.Why is the arthrosis dangerous?The disease violates the ability to relocate, creates addiction to others.
Diagnostics
Orthopedist is studying the signs of edema, palpats pains compound, studying active and passive range of movements.Necessarily inspects the lumbar spine, becauseIt is there to cross nerves, which provides the function of the thigh muscles.
The radiograph shows the presence of osteophytes, change the space between the bones of ljernje and tibia, which indicates the loss of cartilage in the knee.Sometimes X -raj's knee joint shows significant signs of cartilage spending, but patients do not experience significant pain.On the contrary, the first phase arthrosis may disrupt the knee function, As the cause of pain is hypothonic muscles.
If X -Ray does not show big changes, thenThe doctor prescribes the MRI of shared knees and lumbar.Diagnostics visualizes ligaments, tendons and muscles, meniscus to find other sources of pain.
Laboratory diagnosis is necessaryIf you suspect the contagious damage on the compound or gout.
Treatment
Arthrosis therapy should be comprehensivefocused on the cause of the disease.With endocrine dysfunction that can affect the connective tissues, appropriate treatment is performed.Overweight patients are recommendedGo to the correct nutrition.Wors are removed with medications.
Medicine treatment
Treatment of medicine pain consists of inPrescribing anti-alflammatory drugs.Not -steroidal anti -infalmal medications with long lasting useNegatively affects the stomach function.
Treatment mode includes hondroprotectors, which help only when taking long items during3-6 months.Pharmacies represent a large number of drugs of this group.
The components of these drugs are believed to help regenerate the cartilage structure, have an analgesic effect.
Controlled studies spent little, and they are concerned with complex treatment - arthroplasty, physiotherapy, diet.
Attention!ChondroProtekters are drunk in courses - you can drink one cure course, and another course - others and compare the effect.However, uncontrollable medications are not the best idea.Before you start taking drugs, please contact your doctor who attend.
How and what to mitigate pain and swelling?Intra -Articular injections are more popular:
- Steroid medicationsInhibiting inflammatory reactions at the level of immune cells, removing acute pain, joints of joints and swelling.
- Hyaluronic acidIncreases the viscosity of shared fluid, reducing friction of articulated surfaces.
Important!The effect of medications is sufficient in 6-12 months, but at the same time degenerative processes do not stop.
Surgical treatment
With low drug efficiency, patients are offered by arthroscopy- Minimum invasive procedure for removing bone growth, wrist audits.If necessary, surgeons are implementing ligaments and carcilysis, remove a hot pressure fabric.
Osteotomy bone aims to change the load axis on the wrist.The doctor cuts poor or berets to change the area of contact of the hinged surfaces.Operation is often done in young patients.
Total wrist replacement of knee or arthroplastyIt is necessary in a difficult stage of arthrosis (third or fourth degree).Surgical treatment does not always solve the problem, because it requires diligent and daily rehabilitation, strengthening muscles.
Changes in the knee can be compensatory in relation to carlir, therefore, without renewing muscle balance, the hip joint suffers on.
Physiotherapy treatment
Mud, phonopholes and magnetic therapy are used in the physiotherapy environment.The action of external factors is directed atViolence of blood supply and tissue regeneration, inflammation and swelling mitigation.
Treatment of folk and nontraditional methods
Recipes of folk remedies for treatment arthrosis knee joints at home usuallyfocused on removing swelling and pain removal.The shuffles and potatoes are most often used, a mix and vodka for compresses are sometimes mixed.
It is impossible to completely stop degeneration.You can influence the exchange in the kidneys using celery juice.The kidneys are associated with ILIAC-luxury muscles, which is connected to the hip joint patholoms.Normalization of bile bladder function and liver improves knee condition.
Methods of treatment The initial phase of the initial phase of the knee arthrosis includes decodes of anti -inflammatory herbs:Chamomile, St.John's Wort, Immortality.Ground trash, sea salt and kerosene are used.The coupe is used magnesium salt, used pine infusions.
Hand therapy and massage
Hand therapy for osteoarthrosis of a shared knee helps, if the specialist understands the only-muscular imbalance.Muscle tests help find the weakened muscles that stabilize the knee, determine the cause of dysfunction and eliminate.
Source cannot be just a joint block in the lumbar area,But also dysfunction at the level of blood supply, internal bodies, endocrine and biochemical failure.Therefore, the handheld therapist must have osteopathy skills, applied kinesiology to influence many factors.
Massage is a utility tool for manual therapy, independently.Patient with knee joint arthrosis can independently enter muscle tendons that control the movement of the limbs:
- area around a large glutel-muscle;
- lines on the front surface of the thigh - from Pelvice to Patela;
- The side surface of the thigh from a large swing to the bundle of thighs;
- The area of the groin along the inguinal ligament;
- The inner surface of the thigh (along with the line of the leading channel).
The massage is performed by a place, without a lot of pressure.
Therapeutic gymnastics
The cause of arthrosis is the weakening of muscles caused by the problems in the lower back, sink, the abdominal cavity.Execute exercises to prevent arthritis and armrose of knee joints for older peopleIt is possible to increase strength but not tone.
Without working on the factors of their weakening with the help of hand therapy, it is difficult to achieve a complete reconstruction of biomechanics.Yoga further deprives of stability compounds.Among the treatment methods, it is better to preferPilates and Scandinavian walking.
Diet
The food is first adjusted, for combating excessive weight.It is important to leave sugar and simple carbohydrates, Add products with fibers, magnesium, group B and calcium vitamins with the arthrosis of the knee joint, which are important for muscle activity.TryTurn off the milk products, because almost 80% of the population has an intolerance on lactose.
Prevention of knee joint arthrosis
Miscle strengthening attempts don't always help, As inervation and blood supply is not renovated.The hip muscle function depends on the lumbar plexus.
Changes in the lower back associated with the weakness of abdominal muscles also affect the knees.Therefore, in men with "beer belly", arthrosis is more common, as in women after the multistleo, several generals with diastases - weakening muscles of the abdominal wall.
Operations in pelvis and internal bodies are adhesions that affect the spine of the lumbar region, violating the innervation of the muscles around the knees.
What is the doctor to contact with a knee wrist arthrosis?The diagnosis will help make an orthopedicWho will insist on surgery.The best results give the work of multidisciplinary teams in rehabilitation centers.
The best thing that can be done for compounds:Eat the right, watch weight, walk more, visit a massage therapist or osteopath once in three months.
Reviews of Treatment
Positive examinations can only provide a comprehensive treatment of deforming the arthrosis of common knee or gonartrosis.Anesthesia, intra -Articular injections temporarily act, suppressing a natural inflammatory reaction.
Conclusion
The problem of arthrosis is that drug therapy temporarily eliminates only pain syndrome.The reasons left without identification and influence.Ergotherapists who teach how to live with the wrist's wrist arthrosis can seek help and how to use the reed properly.But the service is only available in private clinics that implement rehabilitation.