Knee osteoarthritis: what is it, stage, symptoms, and myths about treatment

Knee osteoarthritis is a complex disease of degenerative nature, which reach the bone and cartilage Department of the knee. The disease most often affects the knee Department of the lower limbs. Pathological changes in cartilage and periarticular areas, which in most cases develop on the background of injuries, biological aging, disorders of an autoimmune nature, seriously Esna inhibit locomotor capacity of the legs. The joint becomes logopedija loses stability, normal motor and cushioning. As a result, it gradually deforms, and in the last stages completely out of order.

Degeneration in the joint tissues occur not only in a physical dysfunction of the lower extremities, and a strong pain in them. In severe pathology causing disability, and in some cases paralysis of the legs. In connection with such a disappointing forecast of the disease is important as a mage earlier, and immediately get her treatment.

Important about the disease

Patients important before you investigate the therapeutic tactics read the following material to possess full information regarding the mechanism of origin and clinical manifestations of pathology. Just note that arthrosis and arthritis are closely linked, since the disease phenomenon is a consequence of arthritic disease. But where the phenomena are the unfortunate diseases that ruthlessly destroy the most important bone connection? What severity google + gonarthrosis and what manifestations it is possible to recognize it?

Causes of osteoarthritis

Degenerative pathogenesis launch the following factors provocateurs:

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

Quite often, people themselves become perpetrators in order to develop articulate intractable disease. Often, getting injured, they ignore the appeal and of a specialist, preferring to do the first drug hell pain, homemade lotions and the like. A few years later, as a result of in the past, inadequate treatment, they come for an appointment and the doctor already with gonarthrosis, in the best case – moderate. And there is one physical prevention and analgesic ointments, both in the early period, no cost, to act often have radically applying surgical tactics.

The stage of destruction

In orthopedics, the disease is divided into stage from which further pushes the expert when drawing up the regimens. The extent, the nature, the location, the nature of the origin of the destruction of the bone joints in the knee are expressed through a series of diagnostic procedures such as x-rays, MRI, CT, ultrasound, different types of blood and urine of the patient.

Qualitative treatment of the question can not be deployed without the information, how AB mill of the knee joint, and the peculiarities of the patient, and without seeing the doctor and getting his adequate therapeutic recommendations. Thus, in order to improve the quality of life, do not ignore visiting and experienced, only he is able to tell you, or you can get help from a qualified conservative or still in your problem will be effective only surgery.

Pathology may several stages of development, according to the classification of Kellgren's only four of them. They all characterize the severity of morphological changes (presence of osteophytes, reduction AB the pit of the articular cartilage and the degree of its exquisite, narrowing of the joint space, etc.). and clinical symptoms (limitation of flexion/extension, the rate of supporting ability, the nature and intensity of pain, etc.).

• Osteoarthritis of the first stage is a disease that is in its infancy. External symptoms are mild or absent, congruence, and shape of joint is satisfactory. On x-rays or MRI pictures traced small marginal osteophytes at the edges of the articular surfaces, in podsolennom Department mild subchondral osteosclerosis, small bone cyst. The joint space is usually normal or modified, but not essential.
• When the disease lesser extent, in addition to the above indicators, osteosclerotic fireplace is more pronounced, clearly shows the narrowing of the interarticular gap. The patient begins more and more pain relief at the time of the walk, descending/climbing stairs, standing long hours in the night. Develops lameness, movement in the joint purchase of inferiority, especially when bending.
• The third stage is characterized by a sharp progression of irreversible degenerations and deformations. Joint configuration significantly distorted, the distance between the articular surfaces is greatly reduced, bone growths in the form of spikes of increased size. The pain is continuous and blatant, and to stir up a person even at rest, the limp is getting worse. Phenomenon is the dependency hell of the supporting devices and assistance.
• The fourth stage of degenerative pathogenesis, when there are bulk osteophyte proliferation, hyaline cartilage is completely destroyed, the joint space disappears or barely traceable, the epiphyses of the mating bones which form a joint, the strongest strain. The knee joint is recognized as completely non-viable on the musculoskeletal system of the person becomes incapacitated.

Symptoms and complaints

The severity of clinical manifestations depends not only on the pathological characteristics of ad, but the ad factor of individuality. In any case, a pleasant small in gonarthrosis, is very hard and on the 2nd, and 3-4 V. In General, the list of symptoms included:

• pain, mostly mechanical type (dull, aching, sharp, sudden, periodical and permanent);
• phenomena the crunch when moving;
• stiffness of the joint;
• limitation of range of motion;
• muscle weakness of the limbs;
• hyperthermia of the skin and swelling in the knee area;
• gait changes, which is manifested by lameness and mowing of the feet;
• instability or syndrome "drawer";
• "jamming" of the knee, what happens when a sudden blockage of the movements of bone joints.

Important! Conservative treatment of arthrosis of the knee joint will not help if the disease may complicated course that can already happen in the worst case, the second stage in the development of bone and cartilage degeneration. Unlike traditional ad conservative therapy and alternative methods, all without exception, surgery for seriously significant gonarthrosis 2-3-4 extent of a single app, which for a long period of life helps to visibly improve the quality of life.

Conservative treatment

Bezoperatsionnye appropriate methods of treatment in the initial phase of deforming arthrosis. The principle of non-surgical treatment includes:

• systematic execution of physical therapy, was developed by a professional individually;
• the procedures of physical therapy;
• use of painkillers in the form of ointments, tablets, injections, etc.;
• proper nutrition and follow a special diet prescribed by a doctor;
• compliance with special regime of daily physical activity;
• a complete rejection of bad habits;
• unquestioning passage of repeated diagnostic control;
• annual visit to a specialized sanatorium-resort medical facilities.

Surgery for osteoarthritis of the knee

Now take a look at surgical ways in which often there is a need, because in the early stage, the pathology often remains unnoticed. Basically you have to have to deal with osteoarthritis in full "bloom", which covered a large-scale joint structures and periarticular touched matter.

• Arthroplasty – helping more than 95% of the cases as fully as possible to restore the lost locomotive and load-bearing functions of the knee Department of the lower extremity. The operation is difficult after it is a difficult rehabilitation, but the effect is worth it. After approximately 3 months after installation of the artificial analogue of the native joint is subjected to irreversible pathological changes, returned full range of motion of the legs completely eliminated the pain.
• Introduzione – uncommon procedure for "lockout" of the joint, because of its aggressive impact on biological structures, however the hour and it may the place to be, Yes example, if a person is not able to undergo implantation. Its essence lies in removing the articular surfaces and the fixed connection of bones articulated together by special locking devices in an advantageous position. With hours there is a natural fusion of these elements. Artificial ankylosis completely blocks the mobility of the joint, but allows to achieve a good support ability of the limb and reduce pain.
• Osteotomy of the knee – also used in extreme situations for the same reason as fusion, in particular if you want to delay joint replacement for several years. At the time of the operative session, the specialist performs the artificial fracture, podpilivaya bones and placing them under the more correct angle to advantageously distribute the load on the cartilage elements.

Exercise irreversible pathogenesis will not fix it, you have to understand it. Ointments, and even medications from the series of chondroprotectors, not to mention my grandmother's advice to be treated gelatin, a special role will not play. High than they can help in a bad situation is to prepare the musculoskeletal system and the future operation.

Modern knee implants are able to withstand normal everyday loads, with perfectly functioning for at least 15 years, and often 20-25 years. A person can even with the replaced joint to do some sports.

Treatment 3rd degree

Stage 3 arthritis surgery. Changes in the joint are very pronounced character, in this phase, the disease ultimately reduces the level of life and disability of the patient. Bone and cartilage damage has reached a critical point at which the tissue of the bone connection no functional importance can't imagine. Hyaline cover almost completely destroyed.

• Important the cartilage is not restored by itself, including using non-surgical methods.
• Nude and interact flattened surface of bone ends exert an unnatural pressure on each other constantly RUB against each other, seriously Esna damaging nearby soft tissue and skin day even more deformed.
• The person experiences terrible pain, not to mention lost ability to walk normally. Patients experience daily of flour, and when the dream is not a joy, and hell is pain there is no rest. Relatively tolerant camp say only a few people.
• Anti-inflammatory analgesic drugs, usually have a mild effect, but often does not "work". In chondroprotectors makes no sense, since the strengthening and nurturing the meager remnants of the cartilage, does not help the situation.

The consequences of arthrosis of 2-3 degrees hours trying to treat minimally invasive operation (arthroscopy), in which you can remove the marginal osteophytes and also to loose bone and cartilage fragments from the joint cavity. Such manipulations, as evidenced by the reviews, several facilitate the patient's condition slightly improves the motor function, but temporarily. Osteoarthritis in the knee joint remains active and in the near future again to prove himself.

Pathogenesis of grade 3-4 is serious Esna the problem which is really only a much more complex reconstructive and plastic operating tactics. To date, there is no such procedure, which could be compared with arthroplasty. Knee replacement prosthesis, repeats mechanical features, configuration, shapes and sizes of natural authority will give the opportunity to say goodbye to the ill-fated disease, and disability, where she "awarded".

The disease progresses rapidly and can reach a moderately hell-average phase and 4 degrees in a matter of months. Surgery should take place as a magician before, while the degenerative processes did not penetrate deeply into bone. Heavily damaged bones can cause difficulties with the production of the prosthesis.

Many, not realizing that the severity of the incident degeneration comparable with conservative and unconventional tactics, trying by all means to circumvent the operation, swallowing a handful of pills, applying ointments on the sore area. Someone turns and osteopaths, private doctors, practitioners of various alternative methods. Unfortunately, against nature will not go, of healing, after they come, and this fact should be accepted. So drop the meaningless venture, act judiciously.

Your physical viability depends entirely on the ad of your decision! You can life continue to suffer the hell of stiffness and pain, vainly testing of "empty" methods of treatment: drugs and unconventional tools that have evidence of effectiveness in your the severity of the disease. And can undergo surgical treatment and start living a full life, to escape the hell of former suffering and supporting devices.

To worry about surgery is needed, modern technology has leaped forward, and today abroad brilliantly changing knee joints durable implants. After such implantation, implemented in a good clinic, the risk of complications is minimal (1-2 %), and restoration of function of the mobility occurs in more than 95% of cases. After hip replacement to follow a rehabilitation course of 3-4 months, which provides:

• physical rehabilitation with a special medical gymnastics;
• medications (antibiotics, antithrombotics, etc.);
• the program of physical therapy, which includes myostimulating, anti-inflammatory, analgesic and wound healing treatments;
• massages (in the later stages of rehabilitation).

Good to know! On 1 degree the disease can be stopped and prevented conservatively. If you do nothing and run the osteoarthritis of the knee, allowing him to move from 1 to 2 stage, the medication is considerably more problematic, but for a certain category of patients is still appropriate non-surgical approach. The last two stages is always surgery.

Treatment of 2nd degree

When osteoarthritis of moderate severity quality of life is becoming badly tarnished. Sore knee worries stronger, painful syndrome manifests more frequently and more intensively than it was at the beginning of the disease. Especially pronounced pain immediately after morning awakening, during ascent and descent the stairs. Often there is a unpleasant feeling of numbness, which phenomenon is after a lengthy walk and prolonged standing in one position. Flexion in the knee region is reduced, the patient is unable to bend the leg, as required by physiology. Man begins to spare his limb, Amal trying not to step on her, which causes progressive atrophy of the muscles.

Emphasize that treatment is mandatory may mean a qualified holistic approach.

• If the doctor sees no urgent need for surgery, priority is assigned to reducing the burden on the troubled Department. If you have excess weight to ensure a good discharge to the victim hell arthrosis articulation, it is necessary to adjust the weight of the whole, a diet that you can recommend a doctor.
• All patients prescribed the use of special orthopedic devices at the time of movement. It's based on the hell of the problem can be the knee the clips, elastic underwear, elastic bandage, cane, crutches, Walker.
• Additionally, the orthopedic surgeon will prescribe a unique set of exercises that will strengthen and increase endurance of muscles of the affected limb.
• Also osteoarthritis in temperate secondary manifestation may mean the use of drugs, including the substances present in the cartilage tissues of the knee. Yes, they include compositions based on chondroitin sulfate, hyaluronic acid injections, medicines with glucosamine. They can't rebuild the cartilage, Hello saturate its nutritional components, making it possible to achieve remission of the disease.
• Recommended treatments and physiotherapy treatment, but they are used only after disappear all signs of inflammation. Physical sessions, for example, lasers, magnet or ultrasound, should take place within medical facilities. Thanks to physical therapy improves nutrition and metabolism in bone, muscle, cartilage. If you bought vibroacoustic device for home use, first ask the expert about the possibility of its application in your diagnosis and features of operation of the device.

We have considered the basic principles on which is based the official the treatment of arthritis, corresponding to the standards of Orthopaedics. As many people from hell osteoartroza 2nd St. very interested in alternative methods for his salvation, we offer to meet with the most popular ones. And find out, so they are unique as you fall them to us online.

Stem cells for the treatment of knee

We will focus on mesenchymally of autologous stem cells in patients with gonarthrosis of the knee, taken from the crest of the pelvic or femoral bone. Cell therapy, according to concerned sources, thus achieving almost total self renewal of the joint due to the activation of regenerative processes of self-healing in the damaged segment. Thanks to this technology it is theoretically possible to achieve improvement of the legal units of bone and cartilage of the body. In practice, however, there was no "live" x-ray evidence, which confirmed that after introduction of stem cells into the affected area of the joint is healthy.

The positive impact of stem cells on the joints and bones are not proven and doubtful, because this technique in orthopedics is still not recognized. Its scientists are just learning and experimenting. Moreover, there is information regarding hazardous effects on the human body stem cells, which, in the opinion of highly qualified specialists, capable to provoke a cancer. What about those people who paid for the procedure, it was satisfied with the result? Here you can only say one thing: many patients believe for the money, and in eternal life, but the placebo effect only lasts so long, don't forget about it, too.

Mud treatment

Curative mud sources unique components (magnesium, chromium, iodine, bromine, calcium nitrate, etc.), reduce painful symptoms, strengthen blood flow and diseased zones, the stimulation of metabolism. The greatest value they represent for people with mild disease or patients who already underwent an operation on his leg. Hold therapy with mud valid and 2 if the doctor thinks a natural remedy in combination with the basic medical program will reduce aggression ate pathological phenomena (stop the progression) and improve the overall clinical picture. Mud therapy is practised in special medical institutions of health resort type. Natural healing mud on the basis of peloids are used in the form of applications and in combination with the method of galvanization (electrophoresis).

The use of gelatin

Natural gelatin is a safe tool that allows you to maintain joint structures in good condition. Gelatinous substrate, diluted in water, it is recommended to apply inside. According to some doctors, the gelatin it's faster and more productive will affect the bone, bone and musculo-ligamentous elements. Experts emphasize that this app has no medicinal properties, it only helps prevent osteoarthritis. Thus, when held to the pathogenesis relationalities in the absence of pathology or in the early stages should be considered as a measure of prevention of the phenomenon of emergence or progression of degenerative changes. If the disease is moderate and severe in nature, the approach and prophylactically will not need.

Ayurveda for joints

Modern alternative medicine is known by many extraordinary developments, among which the treatment according to Ayurveda different parts of the musculoskeletal system. According to these unofficial currents, lesions of the joints associated with the excess of toxins accumulated in the body due to the energy of disharmony. The damaging mechanism of disturbed energy balance (Wool) primary is the weakening of Agni, or digestive fire, which led to accumulation in the intestine undigested food residue (AMA). They produce toxins that the blood transportorul Yes articulation, where harmful substances are deposited and inhibit metabolism.

According to Ayurveda osteoarthritis klassificeret into several types, and for each invented pile treatment system, the basis of each of them are diet, herbal medicine, intake of Ayurvedic pills and powders, yoga and breathing exercises, non-traditional massage, auto-trainings on healing, etc. of Course, all this sounds great, but when osteoarthritis cannot be reversed, even using high scientific technology, is it possible to believe that herbal powders, treatment ideas and other tactics Ayurveda cure irreversible deformation?!

Saline compresses

Salt is used for preparation of saturated salt solution used for impregnation of compresses, applied Yes the sore spot for a few hours. This therapy should not be considered as independent means, and especially as a panacea for the hell of gonarthrosis. Salt is able to temporarily ease the pain, to rid hell of the swelling of the soft tissues that cover the bone structure, without damage to biological structures. But it will not cure the disease and not to cure the patient! Its action is purely symptomatic. A solution is prepared from the calculation: per 1 liter room temperature of water taken 100 g of salt.

Worth to see! Hours of salt used in the dry-heated form, which is placed in a pouch, and carry out local heating of the knee. Hours as wet, hot Hello dressings. Hot treatments are dangerous when purulent-inflammatory processes in the joint cavity, they will ultimately only worsen the clinical picture. Therefore, do not use such recipes without being sure that the defeat is not accompanied by a similar process.