Osteoarthritis of the knee: what is it, the stage, symptoms, and myths about the treatment

Knee osteoarthritis and is a complex disease of degenerative nature that affects the bone, and the Department of knee cartilage. The disease most often affects the knee Department of the lower limbs. Pathological changes in the cartilage and areas periarticular, that in the majority of cases develop on the background of the injuries, biological aging, disorders of an autoimmune nature, seriously locomotor inhibit the ability of the legs. The joint becomes logopedija loses stability, normal force, and damping. In the end, he gradually deformed, and in the last stages completely out of order.

Degeneration in the whole of the tissues are produced not only in a physical of dysfunction lower extremities, and a strong pain in them. Serious disease Ca cause of disability, and in some cases, paralysis of the legs. In connection with a disappointing prognosis of the disease and the important as soon as possible in order to identify, and immediately proceed to its treatment.

Important about the disease

Patients important to investigate the therapeutic tactics read the following material to possess for all of the information about the mechanism and clinical manifestations cause of the disease. Just keep in mind that osteoarthritis and arthritis are closely linked, because the disease and consequently disease arthritic. But there are the unfortunate diseases sense to leave the field to destroy the most important part of the os of the connection? What and the severity of gonarthrosis and I statements it is possible to recognize it?

Causes of osteoarthritis

Pathogenesis Degenerative release, the following factors provocateurs:

• once the trauma – fractures of tibia, dislocated knee, damage to the body of the meniscus, tears and torn ligaments, falling on his knees, all kinds of injuries;
• excessive physical effort;
• sedentary lifestyle;
• the high body mass index;
• systemic pathology of rheumatoid arthritis, gouty, psoriatic type, systemic lupus erythematosus;
• genetically inherited from weakness of ligament-muscular system congenital or of underdevelopment structural elements of joints;
• I violations of the metabolism of the blood flow;
• hormonal failure, diabetes and other endocrine pathologies;
• moved or chronic infectious and inflammatory diseases.

Very often people become authors in order to develop articulate intractable disease. Often, getting injured, ignore the contact, preferring to do the first drug of pain, homemade lotions and the covenant. A few years later, due to the term in the past, inappropriate treatment, they come to the doctor with the already gonarthrosis, in the best of cases, moderate. And there are un-physical prevention and analgesic ointments, such as a first period, which does not have to act often have radically the application of surgical tactics.

The scene of the destruction

Orthopedics In the disease is divided into phases, since most pushes the expert when drawing up the guidelines. The extension of the nature, the location, the nature of the origin of the destruction of the bone of the joints of the knee, revealed through a series of diagnostic procedures, such as raigs x, MRI, CT, ultrasound, different types of blood and of the patient's urine.

Qualitative treatment of the question may not deploy sense information about the state of the knee joint, and the peculiarities of the patient, I sense a visit to the doctor and get him appropriate recommendations therapeutic. Thus, in order to improve the quality of life, without ignoring the visit of the un expert qualified, only he and able to tell you can do if qualified conservative through-or even in your problem effective only will be the surgery.

Pathology has destinations stages of development, according to the classification of four Kellgren just for them. All are characterized by the severity of morphological changes (osteophytes presence of the reduction of the volume of articular cartilage and the degree of thinning, narrowing of the joint space, etc.) I clinical symptoms (limitation of flexion/extension of the rate of support to the capacity of the nature and the intensity of the pain, etc.).

• Osteoarthritis of the first stage and a disease that is in its infancy. Supplements symptoms are mild or non-existent, congruence, and jointly satisfactory. In raigs x or NMR images layout small marginal osteophytes at the edges of the surfaces to articulate, in podsolennom Department mild subchondral osteosclerosis, small cyst bone. The articulation of the space tends to be normal or modified, but does not include essential nominal.
• When the disease of the second degree, in addition to the above indicators, osteosclerotic lesion and more pronounced, clearly visible in the narrowing of the interarticular gap. Starts The patient more and more pain relief at the time of the trek, descending/climbing stairs, always walk, sometimes at night. Develops lameness, the movement in the joint purchase of inferiority, especially when bending.
• The third stage is characterized by a strong progression irreversible degenerations and deformations. Set configuration significantly distorted the distance between the surfaces articulating and greatly reduced bone growth in the form of photos of greater size. The pain becomes prolonged I have spoken, I disturb the man, even in a state of rest, the limp and getting worse. Addicted to devices of support and assistance.
• The fourth stage of degenerative diseases of the pathogenesis when there is bulk osteophyte proliferation, hyaline cartilage, and destroyed completely the joint space disappears or and little, seen, the articles of the epiphyses bone forming the joint, the stronger tension. The articulation of the knee and recognized it as completely unworkable in the musculoskeletal system of the person becomes incapacitated.

Symptoms and complaints

The severity of the clinical manifestations depends not only on the characteristics of pathological, but also the factor of the individuality. Anyway, I nice en enough gonarthrosis, and very hard and in the 2nd, 3-4 I tablespoons. Ca Marta from the list of symptoms include:

• pain, mostly of the mechanical type (dull, aching, acute, sudden, periodical and permanent);
• the crisis at the time of transfer;
• the stiffness of the joint;
• limitation of range of motion;
• muscle weakness of the extremities;
• the hyperthermia of the skin and the swelling in the knee area;
• the gear changes are manifested by the limp, and the harvest of the feet;
• the instability or syndrome "drawer";
• "sabotage" knee, occurs when a sudden blockage of the movements of the bone of the joints.

Important! Conservative treatment of l from the joint to arthrosis of the knee, help not be if the disease has un complicated course as they can in the worst cases, in the second stage in the development of bone and cartilage degradation. In contrast with the traditional conservative therapy and alternative methods, all sense except, the surgery of severe gonarthrosis 2-3-4 degree – the only way for the un throughout the period of the life visibly helps improve the quality of life.

Conservative treatment

Bezoperatsionnye methods of treatment suitable in the initial stage of the deforming arthrosis. The principle of non-surgical treatment consists of:

• systematic execution therapy physics was developed by a professional individually;
• the procedures of physical therapy;
• the use of analgesics in the form of ointments, pills, injections, etc.;
• proper nutrition and following a special diet prescribed by a doctor;
• in accordance with the special regime of physical activity daily;
• the un's complete rejection of bad habits;
• unquestioning step of repeating diagnostic control;
• visit of the un that have been the sanatorium specialized-complex of medical facilities.

For a Surgery of knee osteoarthritis

Now take a look at surgical ways in which there is often a need, because in the first phase, the pathology, an often invisible. The majority have to deal with as osteoarthritis in full "bloom", which covered a large set of structures and affected periarticular matter.

• Arthroplasty – helping more than 95% of the cases as thoroughly as possible to restore locomotor and basic functions of the knee Department of the lower part of the limbs. A difficult operation, followed by a difficult rehabilitation, but the effect is worth it. About original works of art original works of art for 3 months of the instal·instal·lació of the artificial analogue itself of the union and subject to an irreversible pathological changes, it returned the entire range of movement of the legs completely eliminated the pain.
• Introduzione – uncommon procedure for the "short" articulation, because of its aggressive impact on the biological structures, however, sometimes the place to be, for example, if a person has no opportunity to put s in the implementation. We find its essence in the elimination of motion of the surfaces and articulated to the fixed connection with the bone of a special devices that lock in a position advantageous. With time, there is a natural fusion of these elements. Artificial ankylosis completely blocks the mobility of the joint, but enables the achievement of the un good support ability of the limb and reduce the pain.
• Osteotomy of the knee – s also used in extreme situations, the reason for the same as well as interbody fusion, in particular, a necessary when the delay hip replacement for several years. At the time of the operative session, the carried out by the specialist or the artificial fracture, podpilivaya bones and take them to the un a right angle, so that offers to distribute the load on the cartilage elements.

Exercise irreversible pathogenesis't fix it, you need to understand it. Ointments and even drugs from the chondroprotectors, not to speak of my grandmother's advice to be treated gelatin, also of the un role as special without play. High that can help in a bad situation and to prepare the musculoskeletal system l l l operation.

Implants Modern knee replacements are able to withstand normal operating loads, perfectly functioning for at least 15 years, I often 20-25 years. A person can even with the replaced joint to do a bit of sport.

Treatment of grade 3rd

Stage 3 arthritis surgery. The changes in the joint are very pronounced character, in this phase, the disease ultimately reduces the life and health of the patient. Bone and cartilage damage has reached the un critical point in which the tissue of the bone connection and no functional importance can not imagine. Hyaline cover almost completely destroyed.

• Important the cartilage and not restored to itself, including through non-surgical methods.
• Knot and flatten the surface interactive bone ends to exert unnatural pressure on the other, easy money with the'-se l l against one another constantly, seriously perjudicial a proposal of tissue every day cu and the distorted s is even more.
• The person is sent a terrible pain, not to mention lost the ability to walk normally. Patients experience on a daily basis, flour, and just when the dream no and a joy, and a day of pain there is no rest. Relatively tolerant as s observed, only a few people.
• Anti-inflammatory analgesic drugs, in general, have un effect soft, but often do not "work". In chondroprotectors does not make sense, given that the strengthening and fostering the scarce remains of the cartilage, he helps the situation.

The consequences of the'2-3 osteoarthritis of degrees sometimes tries to treat minimally invasive operation (arthroscopy), in which you can remove the marginal osteophytes and also to remove bone loose and cartilage fragments in the joint cavity. This type of manipulation, as evidenced by the comments, several facilitate the patient's condition slightly improved the motor function, but, temporarily. L of the joint to arthrosis of the knee remains active and in the future will manifest.

Pathogenesis of grade 3-4 – this problem, the un, and really very serious that only a much more complex reconstructive and plastic operating in the tactics. To the data, there is no kind of procedure that could be compared with arthroplasty. Knee replacement, prosthesis, repeated mechanical elements, configuration, and sizes of forms of natural authority will give the opportunity to say goodbye, as terrible disease and disability, where it was "prize".

The disease progresses quickly I was able to reach moderate-phase average up to 4 degrees in a matter of months. The surgery and necessary to overcome as soon as possible, while the degenerative processes did not penetrate deeply into the os. Heavily damaged bones can cause difficulties with the production of the prosthesis.

Many, without realizing that the gravity of the incident of degeneration comparable to that of little and with the conservative conventional tactics, trying by all means to prevent examine the examine operation of swallowing bare handful of pills, ointments to apply on the area sore. Someone speaks of an osteopath, private doctors, practitioners of various alternative methods. Unfortunately, against nature not to go, of healing, original works of art come from, and this humble would have done it ourselves. Therefore, in the adventure flip sense sense, to act with prudence.

Your physical and viability depend entirely for their decisions! You can suffering life goes on stiffness and pain, vainly demonstrates the "empty" methods of treatment: drugs and other non-conventional tools that have evidence of effectiveness in their severity of the disease. I can submit un the un surgical treatment I began to live a full life, of past suffering free and the support of devices.

The un worry about the surgery and necessary, the modern technology he has to jump forward, I today in the foreign brilliantly changing of trade unions knees durable implants. Works of art of the implementation of the original implemented in a good clinic, the risk of minimal complications (1-2 %), and the restoration of the function of the mobility that occurs in more than 95% of cases. The Work of art hip Original replacement follow a rehabilitation course 3-4 months, including:

• recovery through physical special medical gymnastics;
• drugs (antibiotics, antithrombotics, etc.);
• the program of physiotherapy, including myostimulating, anti-inflammatory, analgesic and treatment of wound healing;
• massages (in the later stages of rehabilitation).

I good to know! 1 the degree of the disease can be stopped and prevented conservatively. If nothing is done I started the osteoarthritis of the knee, which allows you to move s from 1 to 2 degree, the medication will already be much more problematic, but for a certain category of patients, proper focus, and even non-surgical. The last two stages I always the surgery.

Treatment of 2nd degree

When osteoarthritis moderate severity of quality of life in every badly tarnished. Sore knee concerns more strong, syndrome pain manifests itself more intensively than it was in the beginning of the disease. Especially pronounced pain immediately from the original work of art the morning on waking, during the ascent and descent through the stairwell. Often there is an unpleasant sensation of numbness, which appears original works of art from a long hike and a long standing in one position. The bending region of the knee have reduced the patient and unable to bend the leg as required by the physiology. House begins to save his limb is and, almost trying not to step on her, which causes progressive atrophy of the muscles.

Noted that involves the treatment, necessarily, a focus on qualified holistic.

• If the doctor sees no urgent need for intervention, we assign the priority to the reduction of the burden of the impairment on the Department. In the presence of excess weight for ensure a download good affected by osteoarthritis joint, I need to adjust the weight of the body with its a diet that we recommend the doctor.
• All patients use prescribed l d orthopaedic devices special at the time of movement. This, depending on the existing problem can be the knee clips, elastics underwear, bandage elastic, stick, think, Walk.
• In addition, the surgeon orthopedic set is a unique set of exercises that strengthen and increase endurance of the muscles of the limb is affected.
• Also osteoarthritis treatment in secondary manifestation involves the use of drugs, including the substances present in the tissue cartilages of the knee. These include formulations based on chondroitin sulfate, injections of hyaluronic acid, drugs with glucosamine. You can not rebuild the cartilage, but it is with nutrient-saturated, so that it is possible to achieve remission of the disease.
• It is recommended treatments and physiotherapy treatment, but only used s original artwork disappeared all the signs of inflammation. Physical sessions, for example, laser, magnet or ultrasound, s must take place within medical facilities. Thanks to the improvement of the physical therapy the nutrition and metabolism of the bone, muscle, cartilage. If you are going to buy vibroacoustic device for home use, primer ask the expert about the possibility of its application in the diagnosis and the characteristics of operation of the device.

We have considered the basic principles on which it is based the official the treatment of arthritis, corresponding to the rules of the Orthopedics. Since many people with osteoarthritis of St the 2nd very interested in alternative methods for his salvation, we offer to meet with the most popular. Find if only both are as we present them online.

The cell dl·lules mother for the treatment of knee

We will discuss mesenchymally of autologous cell dl·lules mother in patients with gonarthrosis of the knee, from th of the crest of the pelvis, femoral or bone. Cell therapy, according to the concerned sources, achieving almost self-renewal of the whole due to the activation of regenerative processes of"self-healing damaged segment. Thanks to this technology that I was theoretically possible to achieve the improvement of the units of the legal os and the body of the cartilage. In practice, however, there was no "live" x-ray evidence, which was the original work of art confirm that the introduction of the cell dl·lules mother in the affected area of the union and healthy.

The positive impact of the cell dl·lules mother in the joints and the bones, are not proven and doubtful, because this technique in orthopedics are still not recognised. Your are learning science and experimenting. In addition, there is information about hazardous effects on the human body, the cell dl·lules mother, which, in the opinion of highly qualified specialists, capable of provoking the un cancer. What happens with those people who pay for the procedure that is going to show the result with satisfied? Here we can only say one thing: many patients believe that the money, and in the life eternal, but the placebo effect only jade so long, without forgetting too much.

Mud treatment

Curative mud, sources unique components (magnesium, chromium, iodine, bromine, nitrate, calcium, etc.), contribute to the reduction of painful symptoms and improves the blood flow in the ulcer areas, the stimulation of the metabolism. The greatest value that they represent for people with minor illness or patients who have been subject to a surgery in the leg. Keep the therapy with mud valid and 2 if the doctor is considered UN natural remedy in combination with the basic medical program, it will reduce the aggression of phenomena pathological (stop the progression) and improve the overall clinical picture. Mud therapy is The practice in special medical institutions of health resort type. Natural Healing mud on the basis of peloids s used in the form of applications and in combination with the method of galvanization (electrophoresis).

The use of gelatin

Natural and gelatine of a safe way to support joint structure in good condition. Gelatinous substrate, diluted water ca, we recommend the use of the interior. According to some doctors the gelatin of the un faster and more productive will affect the bone and cartilage muscular-ligamentous elements. Experts point out that this method has no medicinal properties, it helps to prevent osteoarthritis. Therefore, when it is kept in the pathogenesis relationalities absence of ca or of pathology in the early stages should be considered as a measure of preventing the onset or progression of degenerative changes. When the disease is moderate to severe in nature, the approach and prophylactically will not work.

Ayurveda for the cooperatives of

The modern alternative medicine and for many well-known extraordinary advances, among which the treatment according to Ayurveda different parts of the locomotor system. According to this informal flow, the affected joints associated with the excess of toxins accumulated in the body due to the energy of the disharmony. Prejudice By the mechanism of the alterations of energy balance (Wool) main and the weakening of the Agni, or digestive fire, which leads to the accumulation in the intestine undigested food residue (AMA). They produce toxins that the blood transportorul in the joint, about harmful substances are deposited and inhibit the metabolism.

According to Ayurveda osteoarthritis klassificeret in various types, was invented by a each its own system of treatment, the basis of each UN of them are diet, herbal remedies, intake of Ayurvedic pills pulse I breathing exercises of yoga, not traditional massage, auto-training, healing, etc. of Course, this all sounds well and good, but if the arthritis cannot be reversed, even by the scientists of the high-tech, and it is possible to think that the basis of"herbal powder, treatment and thoughts of other tactics Ayurveda cure deformation irreversible?!

Saline compresses

The salt used for the preparation of the solution saturated with salt used for the impregnation of compresses applied to the sore place for a couple of hours. This therapy should not be considered as an independent means, and especially in the care of osteoarthritis. The salt can temporarily relieve the pain, get rid of the swelling of the soft tissue coverage of The bone structure, a sense damage biological structures. But will not cure the disease and not to put the feet of the patient. 'action and its purely symptomatic. A solution that I prepared from the calculation: per 1 liter room temperature of water 100 g pres of salt.

Worth seeing! Sometimes, the salt's used in dry-heated form, which is placed in a bag, I carry out local heating of the knee. Sometimes, as in wet, but the heat dressings. Hot treatments when they are dangerous purulent-inflammatory processes in the joint cavity, which ultimately worsen the only the clinical picture. Therefore, any use of this type of recipes, sense be sure that it is not the submarine accompanied by a similar process.