Arthrosis of the knee joint: what are these phases, symptoms and myths on the treatment

The arthrosis of the knee joint is a complex disease of a degenerative dyeing nature, which affects the section of the bone knee-charry.The disease more often affects the department of the knee of the lower ends.Pathological changes in the areas of cartilage and periuman, which in most cases develop against the background of the lesions, the biological aging of the body, a violation of autoimmune nature, seriously inhibit the musculoskeletal potential of the legs.The joint becomes rigid, it loses stability, normal motor skills and amortization.Consequently, it is gradually deformed and in the last phases it fails completely.

The degeneration in joint tissues occurs not only in the form of physical dysfunction of the lower limbs, but also with strong painful sensations in them.In the serious course, the pathology causes disabilities, in some cases - paralysis of the legs.In relation to such a disappointing prognosis, it is important to identify as soon as possible and immediately start treating it.

Important for the disease

It is important for patients to familiarize yourself with the material in order to master information in complete information on the emergency mechanism and clinical manifestations of the pathology.We immediately notice that arthrosis and arthritis are strictly interconnected, since the disease in question is a consequence of an arthritic disease.But where do the evil disorders come from, who pity the most important bone connection without mercilessly?What is the gravity of Gonartrosis and for what manifestations can you recognize?

The causes of osteoarthritis

Degenerative-driving pathogenesis "launch" the following factors-projectors:

• The wounds once suffered: fractures of the lower part of the leg, knee displaces, damage to the meniscus, tears and ruptures of ligaments, falling on their knees, all types of bruises;
• Excessive physical activity;
• sedentary lifestyle;
• High body weight index;
• Systemic pathologies for rheumatoid, gouty, psoriatic type, systemic lupus erythematosus;
• Genetically inherited weakness of the ligamentous system or congenital underdevelopment of structural elements of the joint;
• metabolic disorders and blood flow;
• hormonal insufficiency, diabetes and other endocrine pathologies;
• Infectious and inflammatory disorders transferred or chronic.

Quite often, people themselves become guilty of the fact that a joint disease develops a joint disease.Often, having received injuries, they ignore the appeal to a specialist, preferring the first preparation of pain, homemade lotions and the like.And a few years later, due to an inadequate treatment spent in the past, they come to see a doctor with gonartrosis, at best, moderate.And here, physical prevention and analgesic ointments, as in the very early course, you cannot do, often you have to act radically, using surgical tactics.

Destruction phase

In orthopedics, this disease is divided into the stadium, from which the specialist is rejected in the future when filling in a treatment regime.The degree, nature, location, the nature of the origin of the destruction of the bone compound in the knee is revealed by a series of diagnostic measures, such as radiography, magnetic resonance imaging, ct, ultrasound, different types of blood tests and urine.

There may be no doubts about qualitative treatment without detailed information, both on the condition of the knee joint, and on the characteristics of the patient's body, and without a visit to the doctor and the reception of adequate therapeutic recommendations on his part.Therefore, wanting to improve the quality of life, do not ignore a visit to an expert specialist, only he is able to tell you if it is possible to do with qualified conservative help or, however, with your problem, only surgery will be effective.

The pathology has several development phases, according to the classification of Kellgren there are only four.Everyone characterizes the gravity of morphological changes (presence of osteophytes, a decrease in the volume of the joint cartilage and its degree of thinning, narrowing of the joint gap, etc.) and clinical signs (limited flexion/extension, indicator of the disorder, nature and intensity of pain, etc.). 

• Arthrosis of the first stage - This is a disease that is born only.The external symptoms are mild or absent, congruence and joint forms are satisfactory.In X -ray photos or in the photos of magnetic resonance imaging, small regional osteophytes are traced along the edges of the joint surfaces, in the problematic department, the slow subcontracting osteosclerosis and the minor bone cysts.The joint gap is generally normal or modified, but not significant.
• In case of ailment Second degreeIn addition to the above indicators, Osteocosclerotic attention is more pronounced, the narrowing of the Inter -mudflow gap is clearly visible.The patient begins to disturb the more heavily and more often the pain at the time of walking, of the descent/climbing on the long -standing stairs, sometimes at night.The combination develops, the movements in the joint are acquired in inferiority, especially during the fold.
• The third phase It is characterized by a strong progression of irreversible degeneration and deformation.The joint configuration is considerably distorted, the distance between the joint surfaces is significantly reduced, the bone growth in the form of an increased peaks.The pain becomes prolonged and pronounced and worries a person even at rest, the lame is aggravated.The dependence on support devices and external help appears. 
• The fourth phaseDegenerative dyenerative pathogenesis, when there are voluminous osteophitic growths, the cartilage IALINA is completely destroyed, the joint gap disappears or traces barely, the epiphyses of the joint bones that form the joints are deformed in the strongest way.The knee joint is recognized as a completely non -vital body of the musculoskeletal system, a person is disabled. 

Symptoms and complaints

The severity of clinical manifestations depends not only on the patomorphological characteristics, but also on the factor of individuality.In any case, there is not very pleasant in Gonartrosis, it is very difficult to transfer both to the 2nd and 3-4 tablespoons.The general list of symptoms includes:

• Pain syndrome, mainly mechanical type (stupid, painful, acute, sudden, periodic and permanent);
• the appearance of the creaking during the movements;
• rigidity of the joint;
• restriction of the amplitude of the movements;
• muscle weakness of the limb;
• Hyperthermia of the skin and swelling in the knee area;
• A change in the pace, manifested by limping and pumping the legs;
• "drawer" instability or syndrome;
• The knee "jam" that occurs with a sudden block of bone connection movements.

Important! The conservative treatment of arthrosis of the knee joint will not help if the disease has a complicated path, which can already happen in the worst case in the second phase of development of bone degeneration.Unlike traditional conservative therapy and alternative techniques, all, without exception, the operation with a serious gonartrosis of 2-3-4 degrees, the only way that for a long period of life helps to significantly improve the quality of life.

Conservative treatment

Non -surgical treatment methods are advisable in the initial phase of the deformation of arthrosis.The principle of non -surgical treatment suggests:

• systematic execution of operating therapy, developed by a professional on an individual basis;
• conduct physiotherapy procedures;
• the use of painkillers in the form of ointments, tablets, injections, etc.;
• adequate diet and following a special diet prescribed by a doctor;
• compliance with a special regime of daily physical activity;
• a complete refusal of bad habits;
• undisputed passage of the Re -Diagnostic control;
• An annual visit to a specialized medical institution of Santorium-resort.

Operation for the arthrosis of the knee joint

Now we will know surgical methods in which the most often need arises, since in the initial phase the pathology often remains unnoticed.Basically, it is already necessary to face arthrosis in the "period of maximum splendor", which largely covered the joint structures and affected the periarticular matter.

• Endoprothetics - helps over 95 % of cases to completely restore the lost locomotor and the support functions of the knee of the lower limb.The operation is not easy, after it follows a complex rehabilitation, but it is worth it.About 3 months after the installation of an artificial analogue, instead of a native articulation, which has undergone irreversible pathological changes, an amplitude full of legs of the legs and pain syndrome is completely eliminated is returned.
• Arthrodesis - The unexplored procedure on the "closure" of the joints, due to its aggressive effect on biological structures, but sometimes it has a place where it is, for example, if a person does not have the opportunity to undergo plants.Its essence is to remove the joint surfaces and the immobile connection of the joint bones with special fixing devices in a favorable position.Over time, a natural fusion of the listed elements occurs.Artificial ankylosis completely blocks the mobility of the joint, but allows to obtain a good limb disorder and the reduction of pain.
• The osteotomy of the knee - It is also used in extreme situations, for the same reason as the arthrodese, in particular, when it is necessary to delay endoprothetics for several years.At the time of the operational session, the specialist performs an artificial fracture, shooting bones and positioning them at a more correct corner, in order to profitably distribute the load on the elements of the cartilage.  

Irreversible pathogenesis cannot be corrected by physical exercises, you have to understand it.Ointments and even drugs from a series of chondroprotectors, not to mention the grandmother's advice to be treated with jelly, will not play even a special role.The maximum that can help in the neglected state is to prepare the bone-muscular apparatus for the imminent operation.

Modern knee systems are able to resist ordinary daily loads, working perfectly for at least 15 years and often 20-25 years.A person can even engage in some sports with a replacement joint.

3 degree treatment

In 3 phases of osteoarthritis, surgery is performed.The changes in the joint are seriously pronounced, at this stage the disease extremely reduces the standard of living and the patient's performance.The damage created by Ossa has reached the critical point in which the tissues of the bone compound do not represent any functional meaning.Ialina coverage is almost completely destroyed. 

• An important cartilage is not restored by itself, also through non -surgical methods.
• The naked and flattened surfaces of the bone ends interacting exert an unnatural pressure on each other, constantly rub each other, seriously injuring the clothesplace tissues near and deforming even more every day.
• A person has terrible pain, not to mention the lost skills of walking normally.Patients experience daily flour, when the dream is not a joy and during the day there is no rest from pain.Only a unit of people notice a relatively tolerable state.
• Anti -inflammatory analgesic drugs, as a rule, have a mild effect, but they do not "work" more often.It makes no sense in the chondroprotectors, since the strengthening and fuel of the expired remains of the cartilage does not save the situation.

The consequences of osteoarthritis of 2-3 degrees are sometimes trying to treat with minimally invasive surgery (arthroscopy), in which it is possible to remove marginal osteophytes, as well as extract the fragments of bone cradle torn from the joint cavity.These manipulations, as evidenced by revisions, slightly relieve the patient's condition, slightly improve the motor function, but temporarily.Osteoarthritis in the knee joint remains active and in the near future it will manifest itself again. 

The 3-4 degree pathogenesis is a very serious problem, which is really possible to solve only reconstructive surgical tactics and much more complex plastics.To date, there is no such procedure that could be compared with endopropostetic.Replace the knee joint with a prosthesis, completely repeating the mechanical characteristics, the configuration of the shapes and dimensions of the natural organ, will allow you to say goodbye to both the sick pathology and the disability, which has "assigned".

The disease is quickly progressing and is able to obtain from a moderately average phase to 4 degrees within a few months.Surgery must be kept as soon as possible, until the degenerative processes have penetrated deep in the bone.Highly damaged bones can cause difficulty with the production of an endoprotesis.

Many, not fully realizing that the gravity of the degeneration that has occurred is not comparable to conservative and non -traditional tactics, try to circumvent the operation with all ways, swallow the tablets with handfuls, applying ointments on the aching area.Someone turns to osteopaths, private doctors who practice all types of alternative methods.Unfortunately, you will not go against nature, healing will not come after them, and this fact must be reconciled.Therefore, throw the insignificant initiatives away, act with prudence.

Your physical vitality depends entirely on your solution!You can continue to suffer from rigidity and pain, in the vain "empty" treatment methods: non -standard drugs and products that do not have efficiency based on evidence in the severity of the disease.And you can undergo surgical care and start living a full life, free yourself from past suffering devices.

It is not necessary to worry about surgery, modern technologies have become far ahead and today abroad they brilliantly change the knee joints with durable plants.After such a system implemented in a good clinic, the risk of complications is minimal (1-2 %) and the restoration of the mobility functions occurs in over 95 % of cases.After replacing the articulation, the rehabilitation course will follow 3-4 months, which provides:

• physical recovery through special therapeutic exercises;
• take drugs (antibiotics, antitrombotic drugs, etc.);
• The physiotherapy program, including myostimulating, anti -inflammatory, pain -relieving and wounds healing procedures;
• Massage sessions (in the subsequent phases of rehabilitation).

It is useful to know! To 1 degree, the disorder can be stopped and prevented conservatively.If you do nothing and start the arthrosis of the knee, allowing it to cross from 1 to 2 degrees, the treatment with the drugs will be much more problematic, but a non -surgical approach is still appropriate for a certain category of patients.The last two phases are always an operation.

2 degree treatment

With medium gravity gonartrosis, the quality of life is already becoming rather spoiled.The cheering of the knee disturbs more, the painful syndrome manifests itself more often and more intense than it was at the beginning of the disease.The pain is particularly pronounced immediately after awakening in the morning, while lifting up and differs on the staircase.Often there is an unpleasant feeling of numbness, which appears after the prolonged walk and the long position in a position.Flexion in the knee region is reduced, the patient is unable to bend the leg, as physiology requires.A person begins to save the limb, trying not to trample it, which is why gradual musclerophy occurs.

We focus on that failure without failure implies a qualified integrated approach.

• If the doctor does not see the urgent need for surgery, a reduction in the load on the problematic department is mainly prescribed.In the presence of excess weight, in order to guarantee a good unloading of the blows from osteoarthritis, it is necessary to adjust the body weight, adhering to the diet that the doctor recommends.
• All patients are prescribed the use of special orthopedic devices at the time of the movement.This, depending on the existing problem, can be fixed to the knee, compression linen, elastic bandage, stick, crutches, walkers.
• In addition, an orthopedic traumatologist will prescribe a sort of series of exercises, which will help to strengthen and increase the resistance of the muscles of the affected limb.
• In addition, arthrosis in the moderately average event involves the use of medicines, which include substances present in the tissues of the knee cartilage.These include compounds based on condroitin sulphate, hyaluronic acid injections, drugs with glucosamine.They cannot restore cartilage, but to saturate it with nutritional components, so that the disease can be reached.
• Fisio procedures are also recommended, however, they are used only after the disappearance of all signs of inflammation.Physical sessions, for example, with a laser, magnet or ultrasound, should be kept inside the medical structure.Thanks to physiotherapy, nutrition and metabolism in bone, muscle and cartilage tissues improve.If you have purchased a Vibro -acoustic device for domestic use, discover first by the specialist on the possibility of its use in the diagnosis and characteristics of the functioning of the device.

We have examined the basic principles on which the official treatment of arthrosis is based on orthopedics standards.Since many people with osteoarthritis 2 tablespoons.They are very interested in alternative methods, in search of their salvation in them, we offer we know the most popular of them.And let's find out if they are unique how they present them on the internet.

Stem cells for knee treatment

We will talk about Mezinhamal stem cell self -transplantation to a patient with knee gonartrosis taken from the combic or femoral bone comb.Cell therapy, according to interested sources, will reach, almost the car -rinnovation of the entire articulation by activating the regenerative car processes -Agnestation in the damaged segment.Thanks to this technology, it is theoretically to obtain an improvement of the components of the organ units that break the bones.However, in practice, there is no single "living" radiographic test which would confirm that after the introduction of stem cells in the place concerned, the articulation has become healthy.

The positive effect of stem cells on the joints and bones has not been shown under great doubt, since this technique has not yet been recognized in orthopedics.Scientists study and experience only.In addition, there is information on the unsafe effect of the stem cells on the human body, which, according to highly complete experts, are able to cause oncology.What about those people who paid the procedure while they were satisfied with the result?Here we can only say one thing: many patients will believe for that type of money and eternal life, but the placebo effect does not work for a long time, they don't even forget.

Mud treatment

Sources of therapeutic mud containing unique components (magnesium, chromium, iodine, bromine, calcium nitrate, etc.) contribute to reducing painful symptoms, increasing the blood flow in the painful areas, the stimulation of the metabolism.They are of the maximum value for people with a slight stadium of illness or for patients who have already undergone an operation on the leg.It is allowed to carry out mud therapy at 2 degrees, if the doctor believes that the natural remedy in combination with the main treatment program will reduce the aggression of pathological phenomena (stop progression) and improve the general clinical picture.Mudley is practiced in special medical institutions of the resort and recreational type.The natural healing mud on the basis of the Peloids is used in the form of applications and in combination with the galvanization method (electrophoresis).

Using the jelly

Natural gelatin is a safe tool that allows the maintenance of joint structures in good condition.It is recommended to consume a gelatin substrate diluted in the water.According to the reviews of some doctors, the jelly is so faster and more productive to influence bone, cartilage and muscle elements.Experts point out that this method has no healing properties, it only promotes arthrosis prevention.Consequently, with the already consistent pathogenesis, gelatinousness, in the event of lack of pathology or in the early stages, can be considered exclusively as a measure of the prevention of appearance or progression of degenerative dyeing changes.When the disease is medium and serious, this approach will not be adopted for preventive purposes.

Ayurveda for the joints

Modern non -traditional medicine is known for many extraordinary trends, including treatment for Ayurveda of various parts of the musculoskeletal system.According to this unofficial path, the damage to the joint is associated with the excess of toxins accumulated in the body due to energy disharmony.The harmful mechanism of the impairment of the energy balance (cotton) is mainly weakening of agni, or digestive fire, which led to the accumulation of unhappy food residues (AMA) in the intestine.They release toxins that the blood transports in the articulation, where harmful substances have established themselves and inhibit the metabolism processes.

According to Ayurveda, Osteoarthritis is classified Into Several Types, and for EACH TYPE, ITS Own Treatment System Has Been Invented, The Basis of Each of Them is Diet, Grass -To -Thelert, Taking Ayurvedic Tablets and Powders, Yoga and Respirator Gymnastics, not-traditional Massage, Auto -training for Healing, etc.Of course, all this sounds tempting, but if arthrosis is not possible turn also through high scientific technologies, can you believe that herbal powders, treatment with thoughts and other Ayurveda tactics will take care of irreversible deformations?!

Compresses salt

The salt is used to prepare a saturated salt solution used to impregnate the compressions, which are applied to the sore point for several hours.This therapy should not be considered an independent remedy, and even more as a panacea for gonartrosis.The salt is able to temporarily reassure pain, save soft tissues from the edema that covers the bone structure without damage to biological structures.But he won't heal the disorder and will not put the patient on the patient's feet!Its action is purely symptomatic.The solution is prepared for the rhythm of: 100 g of salt are taken for 1 liter of water temperature.

It is worth familiarizing! Sometimes the salt is used in a dry -heated shape, which is positioned in a bag, and the local heating of the knee is performed.Sometimes as wet, but hot bandages.The hot procedures are dangerous with the inflammatory purulent processes in the joint cavity, they exacerbate only the clinical picture.Therefore, do not use such recipes without being sure that the defeat is not accompanied by a similar process.