The arthrosis of the joints is a degenerative (or metabolic) disease, ie not anti -inflammatory.However, the causes of the osteoarthritis of the joints are not completely examined by official medicine.The versions are presented that obesity, age, metabolic disorders in tissues (muscles) and joints, premature wear of the cartilage, small loads, large loads, etc., genetics and so on contribute to arthrosis.This means that it is not clear what influence to treat and prevent the osteoarthritis of the knee joint.
In fact (and this is confirmed by the medical literature and experience of evidence) arthrosis is a result of the interested disease (muscles that spread through a certain joint muscles).The sick muscles in a state of constant compression carry excess pressure on the joint, which leads to increased wear.
Osteoarthritis of the knee joint - what is it?
The arthrosis of the knee (like any other) Joint is different deforming osteo arthrosis (that is, the degeneration of cartilage and bone) is the progressive degegener -dystrophic lesion of the cartilaginous and bone (near carti position) tissue, its erasure and reds to theDysfunction of the joint (limiting mobility in the joint) and Causes Mobility) Sensations of different intensity levels.
This is the wear of the joint, this means that the wear of the cartilaginous fabric, which should ensure a smooth sliding of the articular surfaces relative to each other and the bone structures on which the cartilage is located.This entire process is accompanied by a narrowing of the mediation space and the loss of the elasticity of the band apparatus.
Arthrosis of the knee joint: symptoms
Very often the disease goes asymptomatic and can only be detected on an MRI.In its "mature" stage of the disease, it can feel itself by improving the pain in the problem area and the motor restrictions on the joint.At the same time, arthrosis is a common problem and occurs in 70% of all common lesions.It is impossible to describe the cause of the development of the disease, but there are certain factors that most often become a catalyst for osteoarthritis.
The main symptoms of the arthrosis of the knee joint are:
- Pain in the knee joint of different intensity and duration
- The stiffness of the knee joint is the inability to completely smooth or bend the leg in the knee joint (sometimes it is impossible to crouch down)
- Clicks and Knire in the knee joint.It is assumed that the joint loses the liquid and the joint surfaces slide relatively relatively relatively.This can be accompanied by a characteristic sound
Arthrosis of the knee joint: reasons
Experts narrow profiles, however, believe that the main cause of arthrosis of the joints is the myofascial syndrome, which manifests itself through a muscle disease that overlaps through an interest (trigger points).
The trigger is a voltage focus in muscle fibers, which is activated under certain conditions and manifests itself by acute pain.Myofascial syndrome is recognized exactly by trigger points.In the case of trigger points, the elasticity of the muscle is lost, with the mobility of the joint decreasing.They arise due to injuries and with intensive or chronic muscle overload, a longer stay in an immobilized state.
The muscles are in a contractual state (constant compression), and this excess compression is on the interested connection (in our case the knee joint).
Osteoarthritis of the knee joint and arthritis, what is the difference?
In order to understand the cause and type of the course of the disease, it is very important to determine the difference between osteoarthritis and arthritis.Their main difference is that the type of osteoarthritis is not inflammatory, while arthritis is an inflammatory pathology.At the same time, inflammatory processes are systemic and spread over the entire organism.
Arthrosis 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 removal of trigger points means that recovery does not lead to a significant improvement in the general condition.
The main criterion of arthritis of the knee joint is the presence of an inflammatory means - ie the virus, infection, fungus, bacteria.In addition, there can be any place to localize an infectious agent.Often gonorrhea or other sexual infections can get into a chronic form and give the joints complications.
With arthritis of the knee joint, the reddening of the skin around the joints, swelling and the increase in volumes are observed, an increase in the temperature of the entire body and the local joint is observed.With osteoarthritis of the knee joint, these symptoms are usually not.However, arthrosis and arthritis can be found combined.
4 arthrosis arthrosis of the knee joint
When arthrosis is determined that the disease does not begin over time at the beginning of its extensive treatment and the symptoms worsen.A timely diagnosis and proper therapy that effectively improves the general condition of the patient with other treatment methods and will prevent longer, painful and expensive treatment.
The 3 (4) stages of the development of the arthrosis of the knee joint are officially differentiated:
- 1 degree.This is a period from the appearance of the first symptoms of osteoarthritis to its visible manifestations, which can already be determined during the first 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 symptoms and pain at low loads.Human movements can be accompanied by a crunch when walking, walking, squating, etc.It is possible to reduce the mobility of the knee joint.The area affected by arthrosis sees visually deformed and increases.
- 3 degrees.There is practically no cartilage tissue in the joint.With a particularly advanced form, the limbs can be completely immobilized.It is difficult for the patient to take a situation in which he would feel comfortable, and it becomes almost impossible to move without auxiliary agents.
- In addition, the 4th stage of the arthrosis of the knee joint can be distinguished separately.This condition is a complete destruction, which means that the joint loses its functionality completely.At the same time, the patient experiences the "blockade of the joint" acute pain syndrome.
Diagnosis of the arthrosis of the knee joint
Arthrosis is a chronic disease whose treatment is comprehensive and regular.A timely diagnosis and proper therapy enable the patient to minimize the damage to the joint of the knee joint.
The diagnosis of osteoarthritis is also difficult by the fact that the disease can very often be asymptomatic.In the presence of painful sensations, however, the doctor can prescribe radiography after the examination.And although its results cannot always be an indicate, they give a general idea of how much the disease "progresses".
Thanks to modern diagnostic methods, more detailed data can be obtained - ultrasound, MRI etc.
Changes in the MRI not always determined correspond to the patient's sensations and symptoms.It happens that in the picture of the knee joint degenerative dystrophic changes are available both in the cartilage itself and in the meniscus and ligaments, but there are no complaints at all.And vice versa there is pain and other symptoms, and everything is normal on the examination sheet.
Remember that it is important with osteoarthritis of the knee joint to diagnose the hip muscles (muscles of the lower leg, the quadriceps of the thigh) for the presence of Myofascial trigger points, which cause pain in 80% of the cases and lead to changes in the images of the joint.
Important: If the patient has psoriasis, arthrosis can be psoriatic formation.
Ineffective methods for the treatment of the arthrosis of the knee joint
All official methods for the treatment of osteoarthritis are divided into:
- not -pharmacological;
- Pharmacological;
- Surgical.
Surgical intervention is a measure that is necessary in the advanced stage of the disease.The operation is carried out to replace the destroyed joint with a synthetic analogue.
As a rule, doctors prescribe various physiotherapists and sports therapy (physiotherapy sports lessons) to treat the osteoarthritis of the knee joint.However, strength exercises only aggravate the course of the disease, activate trigger points, increased pain, etc. So this therapy method is ineffective.
Khondroprotectors deserve special attention.It is believed that drugs in this class restore the cartilage.First, the evidence base of these drugs is doubtful, since these studies of these expensive medication are carried out by the manufacturers themselves.Second, it is symptomatic treatment, ie it is aimed at the examination, not to the bottom.The reason is muscle disease.
Osteoarthritis of the joints is a degenerative disease, i.e. not inflammatory.However, the causes of the osteoarthritis of the joints are not completely examined by official medicine.
The versions are presented that obesity, age, metabolic disorders in tissues (muscles) and joints, premature wear of the cartilage, small loads, large loads, etc., genetics and so on contribute to arthrosis.This means that it is not clear what influence to treat and prevent the osteoarthritis of the knee joint.
In fact (and this is confirmed by the medical literature and experience of evidence) arthrosis is a consequence of the disease (muscles that are thrown through a certain joint muscles).The sick muscles in a state of constant compression carry excess pressure on the joint, which leads to increased wear.
Effective treatment of osteoarthritis of the knee joint
A proper therapy of osteoarthritis of the knee joint should be systemic and complex.It is based exactly on the treatment of muscles and includes drugs (to adapt more difficult and harmful factors for MfS) and properly selected physiotherapy of the knee joint and hip muscles) and of course myofascial massage.
The most effective methods for the treatment of TT are:
- deep stroking massage;
- Glating trigger points
- Shock wave therapy
- Postisometric relaxation.
In addition to the front thigh muscle, the muscles are also made by synergists and antagonists massage.At the same time, the patella itself is not massaged - the massage specialist puts the main focus on the muscles.
The main massage "device" is the master's hands.Various devices are used for the self -massage that contribute to increasing the effectiveness of the procedure.
Training therapy for the arthrosis of the knee joint
The last phase of the therapy is the execution of exercises to stretch the upper (front) surface of the thigh.It is important that you feel the tension in the place where you massage.
When prescribing and implementing physiotherapy exercises with arthrosis of the knee joint, it is important to understand the basic principle - ie why these exercises are carried out (for what purpose).The main goal is to stretch all abbreviated muscle fibers (cramps) so that the muscle can completely extend in its anatomical movement volume.
Prevention of the arthrosis of the knee joint
When treating the disease, it is important to observe preventive measures that contain the following measures:
- Compilation of the right nutrition: Your daily menu should be balanced and rich in trace elements, protein and vitamins.Finally, the lack of trace elements such as calcium, magnesium, zinc leads to the deterioration of the myofascial syndrome.
- Moderate physical activity: try not to load the knee joint unnecessarily and to avoid its traumatic damage.If the muscle is in a static position for a long time, this contributes to the formation of triggers;
- Rejection of bad habits: If you run a healthy lifestyle, follow your weight.
- Complex therapy: combine popular treatment methods with auxiliary.
Auxiliary methods for the treatment of osteoarthritis of the knee joint
The treatment of the arthrosis of the knee joint will be particularly effective if it is combined with auxiliary methods of therapy.Look at the most popular of you.
- Laser therapy.This procedure is considered the most popular and most common in patients with osteoarthritis of the knee joint.The therapeutic effect is achieved due to the reflex extension 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, osteoarthritis is a metabolic disease) and helps to reduce pain syndrome.
- Cryotherapy.This method is not as popular as the previous one.However, its effectiveness is quite high.Due to the local exposure to low temperatures, the problem in the problem area is significantly reduced and the formation of biologically active substances is slowing down, which leads to the deterioration of the disease.Cryotherapy methods contribute to the activation of blood flow and recovery processes in the joint.
- Balneotherapy.It is carried out under conditions in the sanatorium resort.The aquarius of osteoarthritis implies the use of medical baths - with this disease, radon baths are considered the most effective.The therapeutic effect of methods is an improvement in metabolic processes in the joint.
The complex therapy in combination with self -massage improves the general state with osteoarthritis and minimizes the possible risks of complete destruction of the joint.The main thing is to adhere to the recommendations of experts, to follow the preventive measures and to combine main therapy with other treatment methods.