The arthrosis of the joints is a degenerative (or metabolic), that is, non -inflammatory disease.But the causes of arthrosis of the joints are not completely studied by official medicine.The versions are advanced that in excess weight, age, metabolic disorders in the tissues (muscles) and joints, premature wear of the cartilage, small loads, large loads and so on, genetics and so on contribute to arthrosis.That is, it is not clear what to influence to treat and effectively prevent the arthrosis of the knee joint.
In fact, (and this is confirmed by literature and medical experience based on evidence), arthrosis is a consequence of the disease of the interested parties (muscles that spread through a specific articulation).The sick muscles in a constant compression state bring excess pressure on the articulation, causing greater wear.
Osteoarthritis of the knee joint - What is it?
The Arthrosis of the Knee (like Any Other) Joint is differently Called Deforming Osteo Arthrosis (that is, The Degeneration of Cartilage and Bone) is the progressive degenerative -Dystrophic lesion of the cartilaginous and bone (Near cartilage) Tissue, Its Erase and Reduction,Which Leads to the Dysfunction of the joint (limiting mobility in the joint) and causes mobility) sensations of various degrees of intensity.
For simple, this is the wear of the joint, it means that the wear of the cartilage tissue, which should guarantee a smooth slide of the joint surfaces with respect to the other and the bone structures on which the cartilage is located.The entire process is accompanied by a narrowing of the intermediate space and the loss of elasticity of the binding apparatus.
Arthrosis of the knee joint: symptoms
Very often, the disease proceeds asymptomatic and can only be detected on a magnetic resonance imaging.In its "mature" phase of the disease, it can be felt by improving pains in the problematic area and motor restrictions in the articulation.At the same time, arthrosis is a common problem and occurs in 70% of all joint lesions.It is impossible to call the cause of the development of the disease, but there are some factors that most often become a catalyst for arthrosis.
The main symptoms of arthrosis of the knee joint include:
- Pain in the knee joint of different intensity and duration
- The rigidity of the knee joint is the inability to completely straighten or fold the leg in the knee joint (sometimes it is impossible to crouch)
- Click and creak in the knee joint.The joint is believed to lose the liquid and the joint surfaces slide relatively relatively with each other, this can be accompanied by a characteristic sound
Arthrosis of the knee joint: reasons
However, the profile profile experts believe that the main cause of arthrosis of the joints is the myofascial syndrome, which manifests itself from a muscles disease that overlap through an affected joint (triggering points).
The triggering point is a tension focus in muscle fibers, which is activated under certain conditions and is manifested by acute pain.It is precisely to trigger points that myofasciale syndrome is recognized.In case of snowy points, the elasticity of the muscle is lost, due to which the mobility of the joint decreases.They present themselves due to injuries, as well as with overload of intense or chronic muscles, a prolonged stay in a immobilized state.
The muscles are in a state of contract (constant compression) and this excess compression is on the joint interested (in our case, the knee joint).
Arthrosis of the joint of the knee and arthritis, what is the difference?
To understand the cause and nature of the course of the disease, it is very important to determine the difference between arthrosis and arthritis.Their main difference is that the nature of arthrosis is not inflammatory, while arthritis is an inflammatory pathology.At the same time, inflammatory processes are systemic in nature and spread to the entire body.
Arthosis is a metabolic pathology caused by metabolic disorders in the body.Pain syndrome in arthrosis occurs in combined conditions: trigger points and various joint disorders.The elimination of the trigger points will bring, if not to complete the recovery, therefore to a significant improvement of the general condition.
The main criterion of arthritis of the knee joint is the presence of an inflammation agent, that is, the virus, the infection, the mushrooms, the bacteria.In addition, there may be any place of location of an infectious agent.Gonorrhea or other sexual infections can often go to a chronic form and give complications to the joints.
With the arthritis of the knee joint, the redness of the skin is observed around the joints, the swelling and the increase in the joints in the volumes, an increase in the temperature of the whole body and the joint locally.With the arthrosis of the knee joint, these symptoms are usually not.However, arthrosis and arthritis are available combined.
4 phases of the arthrosis of the knee joint
If, if arthrosis is detected, not to start its complete treatment, over time the disease will begin to progress and the symptoms will aggravate.The timely diagnosis and correct therapy, which combines effectively with other treatment methods, will significantly improve the patient's general conditions and prevent prolonged, painful and expensive treatment.
The 3 (4) phases of the development of arthrosis of the knee joint are officially distinct:
- 1 degree.This is a period of time from the appearance of the first symptoms of arthrosis to its visible events, which can already be detected during the initial examination or in an X ray. The patient's condition is characterized by painful sensations of different intensity that occur during the movement.
- 2 degrees.The patient experiences discomfort and "shoot" with even minor load pains.Human movements can be accompanied by a creaking in the knee when walking, squats, etc.It is possible to reduce the mobility of the knee joint.The area affected by arthrosis seems visually deformed and increased size.
- 3 degrees.There is practically no cartilage fabric within the joint.With a particularly advanced form, complete immobilization of the limb can occur.It is difficult for the patient to take a situation in which he would be at ease, moving without auxiliary means becomes almost impossible.
- In addition, the 4th phase of the arthrosis of the knee joint can be distinguished separately.This condition is a complete destruction, which leads to the fact that the joint completely loses its functionality.At the same time, the patient experiences the "block of joint" - acute pain syndrome.
Diagnosis of arthrosis of the knee joint
Arthosis is a chronic disease, whose treatment is complete and regular.Therefore, a timely diagnosis and adequate therapy will allow the patient to minimize damage to the articulation of the knee joint.
The diagnosis of arthrosis is also complicated by the fact that the disease can very often be asymptomatic.However, in the presence of painful sensations, the doctor after the exam can prescribe the X -ray.And although its results cannot always be indicative, they give a general idea of how much the disease has "advanced forward".
It is possible to obtain more accurate data, thanks to modern diagnostic methods: ultrasound, magnetic resonance imaging, etc.
However, they have not always found changes in magnetic resonance imaging correspond to the patient's sensations and complaints.It happens that in the photo of the knee joint there are degenerative dystrophic changes both in the cartilage itself and in the meniscus and ligaments, but there are no complaints at all.And vice versa, there are pain and other symptoms and on the exam sheet everything is normal.
We remind you that with the arthrosis of the knee joint, it is important to diagnose the hip muscles (muscles of the lower part of the leg, the quadriceps of the thigh) for the presence of myofasciale trigger points, which in 80% of cases give pain and lead to changes in the images of the joint.
Important: if the patient has psoriasis, then arthrosis can be psoriatic genesis.
Ineffective methods for the treatment of arthrosis of the knee joint
All official methods for the treatment of arthrosis are divided into:
- non -pharmacological;
- pharmacological;
- Surgical.
Surgery is a necessary measure in the advanced phase of the disease.The operation is performed to replace the destroyed joint with a synthetic analogue.
Practicing doctors, as a rule, prescribe various physiotherapists and operating therapy (physical physiotherapy education) to treat the arthrosis of the knee joint.However, the resistance exercises exacerbate only the course of the disease, the activation of trigger points, the increase in pain, etc.Therefore, this method of therapy is ineffective.
The Khondrotectors deserve special attention.The drugs of this class is believed to restore cartilage.Firstly, the basis of evidence of these drugs is of a doubtful nature, because these studies of these expensive drugs are conducted by the producers themselves.Secondly, it is a symptomatic treatment, that is, aimed at the investigation, not the reason.The reason is muscle disease.
The arthrosis of the joints is a degenerative disease, that is, non -inflammatory.But the causes of arthrosis of the joints are not completely studied by official medicine.
The versions are advanced that in excess weight, age, metabolic disorders in the tissues (muscles) and joints, premature wear of the cartilage, small loads, large loads and so on, genetics and so on contribute to arthrosis.That is, it is not clear what to influence to treat and effectively prevent the arthrosis of the knee joint.
In fact, (and this is confirmed by literature and medical experience based on tests), arthrosis is a consequence of the disease of the interested parties (muscles that are launched through a specific joint).The sick muscles in a constant compression state bring excess pressure on the articulation, causing greater wear.
Effective treatment of arthrosis of the knee joint
The correct therapy of arthrosis of the knee joint should be systemic and complex.It is based exactly on the treatment of muscles and includes the intake of drugs (to regulate aggravating and harmful factors for the MF) and the adequately selected physiotherapy of the knee and hip muscles) and, of course, myophaska massage.
The most effective methods for TT treatment are:
- Deep deficient massage;
- Gasket trigger points
- Shock waves therapy
- Postisometric relaxation.
In addition to the front thigh muscle, a massage is also made on the muscles in synergists and antagonists.At the same time, the patella itself is not massaged: the massage specialist makes the main emphasis on the muscles.
The "main massage" is the master's hands.For the car -massage, various devices are used which contribute to increasing the effectiveness of the procedure.
Physical exercise therapy for the arthrosis of the knee joint
The final phase of the therapy is the performance of the exercises to extend the higher (front) surface of the thigh.It is important to feel the tension in the place where it massages.
When prescribing and performing physiotherapy exercises with arthrosis of the knee joint, it is important to understand the basic principle, that is, the reason why these exercises are performed (for what purpose).The main objective is to stretch all abbreviated muscle fibers (cramps) so that the muscle can completely extend in its anatomical movement of movement.
Prevention of arthrosis of the knee joint
In the treatment of the disease, it is important to observe preventive measures that include the following actions:
- Compilation of the correct diet: the daily menu should be balanced and rich in trace elements, proteins and vitamins.After all, the lack of trace elements such as calcium, magnesium, zinc brings to the aggravation of myofasciar syndrome;
- Moderate physical activity: try not to use the knee joint unnecessarily and avoid its traumatic damage.If the muscle is in a static position for a long time, this contributes to the formation of Trigger;
- Refusal of bad habits: conduct a healthy lifestyle, follow your weight;
- Complex therapy: combine popular treatment methods with auxiliary.
Auxiliary methods for the treatment of arthrosis of the knee joint
The treatment of arthrosis of the knee joint will be particularly effective if it is combined with auxiliary therapy methods.Consider the most popular of them.
- Laser therapy.This procedure is considered the most popular and common among patients suffering from arthrosis of the knee joint.The therapeutic effect is obtained due to the reflected expansion of the blood vessels above the focus of the pathological process in the muscle.This contributes to the normalization of the metabolism (do not forget, arthrosis is a metabolic disease) and helps to reduce pain syndrome.
- Criotherapy.This method is not as popular as the previous one.However, its effectiveness is quite high.Due to the local exposure at low temperatures, the pain in the area of the problem is significantly reduced and the formation of biologically active substances slows down, leading to the aggravation of the disease.Cyotherapy procedures contribute to the activation of the bloodstream and the recovery processes in the articulation.
- Balnetherapy.It is carried out in sanatorium-resort conditions.The clay aquarium implies the use of medical baths - with this disease, radon baths are considered the most effective.The therapeutic effect of procedures is an improvement in metabolic processes in the articulation.
Complex therapy in combination with the car -massage will improve the general condition with arthrosis and minimize the possible risks of complete destruction of the joint.The main thing is to adhere to expert recommendations, follow preventive measures and combine the main therapy with other treatment methods.