Knee joint treatment

Arthrosis of knee joints-ID is a degenerative degenerative disease of cartilage, leading to the exposure of the bone tip and the movement of weakness in the joints.The disease has a non -inflammatory nature and progresses slowly - the process of changing from the initial stage to disability from a few years to several decades.Osteoarthritis fibrosis is included in the 5 most common causes of defects and defects worldwide.

More than 20% of people over 55 years of age suffered from knee arthritis (Gonartrosis), but the disease was quickly young - more and more of its symptoms were manifested at the age of 25.

Over time, the treatment of knee joints will help avoid complications and destroy cartilage.

Signs of the knee joint

The wear and tear of articular cartilage is accompanied by specific characteristics, intensity depending on the stage of the disease.Usually, the patient complains about:

• Morning hardness and mobility in joint mobility (necessary as necessary);
• Pain and discomfort in the knee, enhanced after physical exertion (long walking, running or standing) and is decreasing during rest;
• In phase 2 - the pain began to be given so after a long time in a position;
• Increasing fatigue, often written in changes related to age;
• The crisis is dry, often repeated when kneeling and bending;
• Edema and other inflammatory symptoms occur in the second stage of the disease due to trauma of the Perioster tissues;
• Mete -sensitivity, increased symptoms in the cold season.

When trying to bend your knees by Gonartrosis, a sharp pain and a feeling of physical obstacles occur.In the following stages, even when the treatment of knee joints, the patient is disturbed in the patient (enjoyed, the patient walks on hard legs), the deformation of the limbs in the form of letters.

The implicitness of the disease is that it can occur in a hidden form for many years and the first important symptoms usually only appear in phase 2 - when the complete recovery of cartilage is impossible.
Therefore, it is important to consult a doctor at the first uncomfortable signs in the knee - for example, weak, as if causing pain occurring with the production of discharge liquids is not enough.Remember: knee pain is not the standard regardless of age.Timely check and treat the knee arthritis of level 1 can completely protect you from pain in the joints in old age.

What will happen if the knee joint is not treated?

In the case of self-use, not complying with the doctor's recommendations or no treatment, knee osteoarthritis progresses an average of 3-8 times faster than complex therapy.If Gonarthrosis occurs strongly, the patient may lose the ability to move normally before retirement age.

Especially important is the effective treatment of knee arthritis in severe phase.The weather is rough, physically stressed or emotional, allergic, poisoning, moving to the area with another climate - in one word, any vibration for the body can incite it.Exacerbing arthritis disease destroying a large amount of chondrocytes.In response to this, the body produces enzymes designed to treat and remove dead cells.However, if their concentration is too high, healthy cartilage areas are affected - cell membranes become thinner, the erosion appears on the seizures of the joints.This process, if it does not stop by treating knee disease with medicine, can flow for a few weeks and with chronic stress, lack of sleep or not enough diet, continuous.

Finally, without treatment, knee osteoarthritis leads to a complete decrease in the general gap due to the growth of bone cells.The necessary distance for normal motion is closed and the patient cannot bend even at 30-45 °.Difficulties representing not only climb the stairs, but also an effort to stand up from the sofa or normal motion.This condition is accompanied by pains from which common painkillers do not help.In such cases, an option for the treatment of knee joints is still - surgery, with a complete replacement of architecture matching the prosthetic leg and the long -term rehabilitation.But in this case, most patients cannot return to a completely normal life.

Treatment of knee osteoarthritis

Depending on the stage of the disease and the condition of the joint, conservative treatment or surgery of the knee is used.

The treatment of knee joints of level 1 is always done by conservative methods - In case of success in the combination of circumstances and good ones, the patient may be relieved or persistent.

Treatment of knee muscle disease of level 2, as prescribed, is built based on the use of all methods of conservative effects, but the doctor may decide on small surgical interventions in the joints if the disease thrives or suffers from complications.

Treatment of knee joints 3 -degree almost always implies surgery.

Complex treatment of arthritis of knee joints associated with elimination of pain and inflammation, restoring cartilage and an increase in the mass of movement in the joint.For this, the patient is prescribed an orthopedic mode of load and rest, systems and local drugs (hormones and non -inflammatory, painkillers, chondroprotorors and others).Innovative biological methods are also spread - injecting drugs to treat knee joints directly into the joint bag.At the same time, PRP infection (plasma, enriched by platelets), as well as stem cell injection obtained from the patient's fat tissue used.In parallel, auxiliary and rehabilitation methods are connected - physical therapy, massage, manual therapy, gymnastics.

Treatment of osteoarthritis surgery is performed in case of helpless drugs.With this pathology, the doctor may prescribe the following interventions:

• Endoscopy of the knee joint.The collective name gives a group of minimally invasive activities to eliminate the broken area of the joint or bone, or remove a part of the joint.It allows you to delay or eliminate fake legs, as well as eliminate discomfort in the early stages of the disease.It is mainly used to treat knee arthritis in patients under 60 years old.
• Cut bone.Operating to cut part of the bone and adjust the load on the knee, allowing you to slow down the degenerative changes.It is usually done in the treatment of the knee joint of level 2.
• Endoprosthetic.Partial or completely replaced the knee joint with titanium implant, serving 15-20 years.This technique is an extreme measure, because it has certain risks.Proposal for patients over 55 years old.

All of these activities require recovery time and have some contraindications, so the best option is to prevent (exercise therapy, chondroprotector) and treat knee joints in the early stages.

In addition to the main therapeutic techniques, dietary therapy and other body weight reduction methods are used.To unload the painful joints, bandages and other orthopedes used (walking, orthopedic base, etc.).

Treatment of knee arthritis is prescribed by A-Rhumatiative or orthopedic expert.During the first reception, he touched the joints, performed the exercise tests, and then directed the patient to the cutting or X -ray.

Exercise for knee joint therapy

Medical physical education for lower spans of the belt is considered the most effective method to relieve pain and treat the knee joint of level 1. The first result from the gymnastics occurs after 2-4 weeks of continuous classes.The continuity in the treatment of knee arthritis is one of the main factors that affect the effectiveness of exercise therapy.A full lesson is done once a day, should also be done at least 3-4 times of the day.

Exercise for knee joint treatment during the remission will help reduce pain syndrome.

The main task of physical exercises in the treatment of osteoarthritis is to enhance the muscles of the thighs and lower legs, maintain the elasticity of the ligament and tendon, as well as the war against muscles, which is the characteristic of Arthrosis.This allows you to convey from the joints to perpendicular structures - and thus, slow down the mechanical abrasion of cartilage, reduce inflammation.

Exercises for knee joint treatment are done for both legs!When a sharp pain appears, the lesson should be stopped or continued at a softer speed.

1. The starting position - lying on your back.One leg is expanded on the floor, two legs are raised to 90 ° (lower legs parallel to the floor).We perform the movements with the lower foot up and down, as the amplitude of the movements in the joints allowed.
2. The starting position - lying on your back.We do bicycle exercises.
3. The starting position - lying on the stomach.In return, we dangled our feet, trying to carry the heel as close as possible.
4. The starting position is on the side, the hand is bent under the head or stretching on the head along a line with the body.On the other hand, rest at the side.We make the upside down.We change the side.
5. The starting position - lying on your back.We pulled our legs forward on the floor in front of the heel (from our own), socks looking at ourselves.
6. The starting position - lying on the stomach.We perform a boat exercise.If the physical preparation does not allow, we place our palms on both sides of the chest and take turns bringing our legs back, facing stress on the back of the thighs and lower legs.
7. The starting position - lying on your back.We turn to the foot in turn, trying to describe with the most complete circle.
8. The starting position - standing on the wall.Square slowly and smoothly, without looking up with the back from the wall to distribute the load.When the foot is bent on the knee 90 °, we start moving smoothly.
9. The starting position is standing.In turn, we were swinging our feet forward, back and horizontal.

Please note: Gymnastics for treatment after joint activities with specific details and changes depending on the number of days have passed since the time of surgery.It is prescribed by a surgeon or a rehabilitation doctor.

Massage with knee joint disease

Massage treatment for knee joint disease is performed on both legs.At first, it takes at least 10-12 sessions for a rehabilitation doctor or device for Hydromassage device, but can perform a simple general strengthening massage at home.It includes the following types of motion:

• Swiping and rubbing superficially (up and down, software and clockwise);
• Exploration and extended with the fingertips of deeper fabrics;
• Tighten and knock on the skin.

Massage with muscle disease of the knee should be performed by an expert who will not harm the disease.

You can be combined with the treatment of knee joints with drugs: will not be able to acknowledge hot ointment or backpack before or during sessions.You can also bathe warm before doing the procedure.

Important: Massage is contraindicated for patients with symptoms of inflammation (osteoarthritis or more serious of arthritis).In this case, the therapy for the acute phase is mandatory.

Diet therapy for muscle disease

Standard power protocol in the treatment of knee joint disease requires:

• Limit products and dishes rich in simple carbohydrates (white bread, confectionery, snacks, sweets, potatoes, sugar);
• To eliminate processing (ready for use) and rich dishes - fast food, complete selling products, sausages;
• Refuse of wine and coffee is decoded and fat meat.

Instead, you should put in the menu:

• dishes of sprouts and whole grains;
• Fatty fish in the northern sea and poultry meat;
• Cartilage (ears, nyushki, legs and other parts rich in collagen), cold men and jelly;
• Vegetables and fruits rich in vitamins and antioxidants (especially vitamins A, B12, C, E);
• The nuts and sources of fat and minerals are valuable.

Diet with knee joints provides a balanced diet, helping to restore cartilage tissue.

The treatment of knee muscle disease with drugs - Vitamin -mineral complex (2 annual courses) is also recommended.

Physiotherapy for treatment of knee osteoarthritis

The following physical therapy processes are used to effectively treat knee arthritis and enhance the activity of the drug:

• Magnetic therapy;
• laser therapy;
• Uhf;
• Ultrasound therapy;
• amplitude;
• Electricity (including drugs);
• Ozokerite and paraffin applications;
• Thermal therapy (refrigerated therapy, thermal induction);
• Phonophoresis;
• Balneological therapy (sulfur, hydrogen sulfide).

Acupuncture in the treatment of 2 -degree knee arthritis, as prescribed, is not used.

Before visiting the procedures, it is necessary to consult a doctor - many types of physiotherapy are contraindicated in the serious condition of the disease.

Drugs to treat knee joints

Treatment of knee joints with drugs is performed with symptoms and takes into account the patient's personal reaction to the selected drugs.Treatment with drugs - injection, ointment or tablet to treat knee joints - often prescribed courses or when necessary.

To choose the right drug to treat knee joints, consult a doctor, after research, will choose the necessary drugs.

In the treatment of knee joint disease, there are several directions: Reduce the life of the patient, improve cartilage nutrition, cartilage regeneration and maintain the norms of the muscle tractor.

Anti -inflammatory drugs do not change

To reduce the seriousness of NSAID in tablets or capsules, they take the courses (about 12 days) or if necessary, depending on the intensity of the pain syndrome.The reception of NSAIDs is not controlled with the instructions or recommendations of the weakened stomach or intestinal field.They should be extremely careful to use them in combination with glucocorticosteroids and drugs that affect blood clotting.Additional risk factors - age over 65 years old, smoking, drinking alcohol throughout the course.In these cases, doctors often recommend injecting drugs by skipping gastrointestinal tract.Along with NSAID, should use Gastroprotor.

The maximum effect can be achieved with the combination of NSAIDs (for internal management) and outside - in the form of ointment, cream or gel.The second option provides the point effect on the joints and at the same time the minimum effect on digestion.

Corticosteroid (steroids to treat knee arthritis)

Hormonal drugs (civil code) are often used for the blockade of the knee steroids in case NSAIDs are not enough to ease the pain and inflammation.

Glucocorticoids injection is considered an extreme measure in the treatment of knee joints with drugs.They provide relief 20 minutes after use, but hormonal disorders and cartilage tissue damage violate governance rules may lead to.Due to side effects, many orthopedicians prefer an activity on the knee of prolonged CC therapy.

Chondroprotector in treating knee arthritis

Chondroprotection agents are based on the core and cartilage extract of cattle, sea fish and soft body, contributing to the restoration of cartilage, and therefore irrevocable to effectively treat knee joints.Chondroprotector contains a large amount of glycosaminoglycans - natural polymers, from which cartilage is manufactured.Therefore, they make Chondrocytes (cartilage cells) more stable, contributing to their growth, enriching fluid fluid.

Unlike anti -inflammatory drugs, Chondroprotector actually has no contraindications.They offer a cumulative effect, prolonged the first improvements that occurred after 1-3 months of admission and the course's time was 3-6 months.

Dealer generates skin

External preparations to treat knee joints with local development effects improve the blood circulation and nutrition of the joints, and also cause patients to distract.For this purpose, ointment, gel, cream and lip balm based on natural ingredients used - venom or snake, burning pepper.

With the presence of an allergic reaction (persistent red and painful, rash), during pregnancy and lactation, as well as the presence of other contraindications, it is better to avoid warming ointment to treat knee joints and limit warm shower, application and anti -inflammatory.

Synovial liquid

If the fluid fluid is too small, the sliding of the joints is disturbed.And most importantly, the death of cartilage begins, because joint liquid, only drinking it is like a sponge, often providing nutrients for the development and maintenance of cartilage tissue.To prevent cell destruction and mechanical abrasion of the knee cartilage, the doctor may prescribe the injection of high molecular weight derivatives of Hyaluron.Injecting drugs in the treatment of knee arthritis (internal organs) is carried out directly into the joint bag, resulting in a rapid decline, lasting from 3 to 12 months at the end of the course.However, with the introduction of fake parts, there is a risk of changing necrosis or an infection in the joint.

Anti -spasms, painkillers, muscle relaxants

In the case of spasms and muscles to prevent the patient falling asleep, creating pain during the movement, the doctor prescribes anti -spasms and muscle relaxants.

Simple painkillers in the treatment of knee joint disease are not used, because they hide the pain, but do not reduce inflammation.You can use them or NSAID at an affordable price without prescribing a doctor for up to 10 days, then need to check.

The form of drug release to treat knee joints

To facilitate patients, drugs to treat knee joints are released in many different forms.Is there a difference between them and what to choose?

Preparations for the treatment of knee arthritis have some forms of release: sasha, injection, ointment, tablets.Choose what is best for you.

Capsules, sasha and tablets to treat knee joints

Non -steroid anti -inflammatory drugs, corticosteroids, chondroprotector and muscle relaxants are produced in the form of mouth use.In this case, they are easy to receive risks, reception is possible without the participation of a medical staff, it is easy to control the part of the course.When taking the chondroprotector and NSAID inside, they have high biological available (especially in the form of sasha).When using chondroprotector in perpendicular areas, more than 95% of beneficial substances from the drug obtained.

Injection solution

In the form of injection, you can use NSAID mentioned, civil code, chondroprotors and muscle relaxants, as well as the translator parts.The joint treatment of the knee joint shows the maximum biological comfort.

This treatment of knee disease is safe for digestion, but the desire to be injected (intravenously, intramuscularly or intracellular) places a qualified medical staff.Injecting intramuscular injection in the buttocks or thighs can be performed independently.

Use outside

Local development, anti -inflammatory and chondroprotection ointment is used outside to treat knee muscle disease.The advantage of such a drug is that directly affects the affected tissue.But on the path of active substances, an increased skin fence - alas, usually only 5% of the active ingredient reaches the desired tissue layers.

We hope that we can help.Grits is confident with you!