Knee osteoarthritis is a complex disease, a degenerative nature, which affect bone, cartilage Class to a knee. The disease often affects the knee in the lower Class limbs. Pathological changes in cartilage and in the periarticular areas, which in most cases develop on the background of a injuries, a biological off diseases, autoimmune in nature, seriously inhibits the locomotor capacity of the leg. A common becomes logopedija lose stability, standard motor damping. In the end, will gradually distorted, will in the final stage it completely out of the order.
![so astroscope in the knee joint osteoarthritis of the 3. grade](/images/article/106/so%20astroscope%20in%20the%20knee%20joint%20osteoarthritis%20of%20the%203.%20grade.png)
Degeneration is a common tissue occurs not only in a body of dysfunction of the lower extremities, severe pain in them. A severe as the disease disability-causing, in some cases, paralysis of a leg. A relationship is such a disappointing forecast of a disease it is important that as soon as possible to identify and immediately proceed to the treatment.
It is important that the disease
The patients, it is important to examine a therapeutic tactic, read the following material that you have a complete information, a mechanism of origin and clinical manifestations of pathology. Note Only, that arthrosis and arthritis are closely linked, since a disease is a result of joint disease. But where are the unfortunate diseases, ruthlessly destroys the most important bone connection? What a severe gonarthrosis and manifestations how can you recognize?
Causes of osteoarthritis
Degenerative pathogenesis launch the following factors provocateurs:
![The completeness of the cause of osteoarthritis](/images/article/106/The%20completeness%20of%20the%20cause%20of%20osteoarthritis.png)
- if an injury – fracture of a shin bone, a dislocated knee, damage to the test is a meniscus tears, torn ligaments, falls to his knees, all sorts of injury;
- the excessive physical exertion;
- sedentary lifestyle;
- high body mass index;
- systemic pathology of rheumatic, gouty arthritis types systemic lupus erythematosus;
- genetically inherited weakness of the muscle system, or congenital underdevelopment, the structural elements of joints;
- violation of metabolism in the blood circulation;
- hormonal insufficiency, diabetes mellitus, and other endocrine diseases;
- moved or chronic infectious, inflammatory diseases.
Quite often, the people themselves become perpetrators in order to develop articulate stubborn disease. Often injured, they ignore the relationship, rather, that the first drug for the pain, homemade creams, etc. A few years later, as held in the past, a treatment is not high, they come to the doctor a gonarthrosis, in the best case – moderate. But there is a physical prevention, and analgesic ointments, mint a very early period, it's not a fog thing, often radically applying a surgical tactic.
The stage of a destruction
In orthopedics, a disease is divided into stage where you continue to push the expert when drawing up the order. To the extent, a take nature, a place, a got nature, the origin, the destruction, of the bone-joint is a knee, it turns out, a series of diagnostic procedures, such as x-ray, MRI, CT, ultrasound, different types of blood, urine, a patient.
Quality management, a install information is not without question, the state of the knee joint, a peculiarities of the patient, without having to visit a doctor and obtain her high therapeutic recommendations. Thus, in order to improve the quality of life, the don't ignore to visit to a trained professional, only he can tell you to know if training in a conservative-or is it still the problem is effective then it may be just the surgery.
Pathology more developmental section, the classification of Kellgren's only four. Mind characteristics of a severe morphological changes (presence of joints, reduces the volume of the articular cartilage to the teacher's thinning, narrowing of the joint space, etc.) and the clinical symptoms (limitation of flexion/extension, the ratio of a support ability of the buy nature, the intensity of the pain, etc.).
- Osteoarthritis section in the first they are a disease, which is still in its infancy. External symptoms are mild or missing, congruency, in the shape of a joint is satisfactory. The x-rays, or MRI images can be traced little marginal joint at the edges of the articular surfaces, a podsolennom Class mild subchondral osteosclerosis, bone-cyst. A common space usually are normal, as amended, but is not essential.
- When a disease is a quadratic, in addition to the above indicators, osteosclerotic lesions more pronounced, clearly visible narrowing of an inter-articularis gap. The patients start increasing the time of pain for a walk, descending/climbing stairs, for a long time, sometimes night. Develops lameness, the movement, the joint purchase of the minority, especially when bending.
- The third stage is a characterized by a sharp progression to irreversible degeneration and lesions. A common configuration is significantly distorted, the distance between the joint surfaces significantly reduced bone growth in the form of spikes in a larger size. The pain will be persistent, pronounced and disturbing, but still the people of the state to the other, a limp is getting worse. Addicted to support tools and assistance.
- The fourth stage of a degenerative pathogenesis, when mass osteophyte proliferation, üvegporc completely destroyed, a joint space disappear, or barely seen, a hinged bone growth is a common constituent, the strongest tribe. The knee joint is recognized completely viable in the musculoskeletal system of a person becomes incapacitated.
Symptoms, complaints
The severity of clinical manifestations depends on not only a pathological feature, but the factor of individuality. Anyway, that's pretty nice of gonarthrosis, it is very difficult, and a 2., and then 3-4 tbsp. A common list of symptoms includes:
![the image of the surface of the knee joint](/images/article/106/the%20image%20of%20the%20surface%20of%20the%20knee%20joint.png)
- pain, mostly mechanical type (dull, aching, sharp, sudden, temporary, permanent);
- in a crunch, when moving;
- stiffness of a joint;
- the limitation of range of motion;
- muscle weakness of the limbs;
- hyperthermia of the skin, swelling of the knee area;
- gait changes manifested lame, mowing, a foot;
- instability or syndrome "account";
- "bother" on the knee, occurs when all of a sudden a blockage, the movements of the joints.
Important! Conservative a treatment for arthrosis of the knee joint will not help if an illness is complicated of course, maybe that already happened in the worst case, the second stage in the development of bone and cartilage degeneration. In contrast, a traditional, conservative therapy, alternative methods, all without exception, surgery, severe gonarthrosis 2-3-4 extent that it is the only way for a long period of life helps to visibly improve quality of life.
Conservative treatment
Bezoperatsionnye methods of treatment high the profile section of a deforming arthrosis. The principle that a surgical treatment includes:
- systematic implementation of physical therapy, was developed by a professional individually;
- the procedures of physical therapy;
- use the painkillers in the form of ointments, tablets, injection, etc.;
- a high nutrition and following a special diet, prescribed by your doctor;
- compliance with a special system of daily physical activity;
- a complete rejection of bad habits;
- unconditional passage of repeated diagnostic checks;
- annual visit to a special sanatorium-resort health facilities.
A surgery, a knee with osteoarthritis
![Arthroplasty](/images/article/106/Arthroplasty.png)
Most of the take a look at surgical methods, which often are required, because in the early stages, the pathology is often invisible. Especially that whole deal with osteoarthritis bloom, which covered a large-scale community structures, as well as the matter concerned the periarticular.
- Arthroplasty – the more than 95% of the time, to the fullest extent possible to restore musculoskeletal, as well as the essential features of the knee in the lower Class limbs. Difficult operation and a difficult rehabilitation, but there is an impact. Approximately 3 works After installation after an artificial analogue of a native joint is subjected to irreversible pathological changes, back a full range of motion to complete one leg the pain is gone.
- Introduzione – procedure is not common to have a "short" articulation, because of the aggressive impact on biological structures, however, sometimes a place, for example, if a person is not to be subjected to implantation. The essence lies in the fact that it removes the articular surfaces, and the stationary articulated connection of a bone, a special securing devices in a more favourable situation. Over time, there is a natural fusion of these elements. Artificial ankylosis completely block the mobility of a joint, but allows you to have a good reach support ability of a limb, and reduce the pain.
- Osteotomy knee – this can be used in extreme situations for the same reason as arthrodesis, especially if it is necessary that several-year delay hip replacement. At the time of the operative session, a specialist performed an artificial rupture, podpilivaya bones, which are them to the right angle, it is therefore advantageous to divide the load on the cartilage elements.
![doctor arthritis](/images/article/106/doctor%20arthritis.png)
Irreversible in the pathogenesis of Exercise will not solve, you need to understand. Ointments and medicines a chondroprotectors, not to mention the grandmother's advice should be treated gelatin, the special role does not play. Tall, mint they can help a bad situation is to have a system prepared musculoskeletal an operation.
Modern knee implants are able to withstand normal, everyday burdens, perfectly functioning, at least 15, often 20 to 25 years. A person, who is replaced by common, to have a little sport.
Treatment 3. grade
3. section of arthritis surgery. Changes in the community are very pronounced character, in this phase, the disease ultimately reduces the life of the fajbiológia, a patient. Bone, cartilage damage reaches a critical point where the tissues of the connection is not bone, functional significance, I can't even imagine. Transparent lid is almost completely destroyed.
- It is important that the cartilage is not restored by itself, including the non-surgical methods.
- Bare, flat surface interactive bone over exert unnatural pressure on each other, RUB against each other constantly, severely damaging nearby soft tissue, every day, to be distorted even more.
- A person feels a terrible pain, to mention lost your ability to walk properly. The patient's day-to-day of flour, and if not for a series of joy, a day, a pain, no rest. A relatively tolerant, mint notes, just a few embers.
- Anti-inflammatory analgesic drugs, usually mild effects, but often do not "work". A chondroprotectors doesn't make sense, because the strengthening and care of a small remnants of a cartilage, it doesn't help the situation.
![so astroscope completely healthy surfaces](/images/article/106/so%20astroscope%20completely%20healthy%20surfaces.png)
A consequences of arthrosis of 2-3 degrees try sometimes to treat minimally invasive surgery (arthroscopy), which can help remove the marginal joint, as well as to remove the loose bone, cartilage fragments in a joint cavity. Such manipulations, as evidenced by the reviews, more to facilitate the patient's condition slightly improves the motor function, but only temporarily. Osteoarthritis in a knee joint remains active, but in the near future again appear.
Pathogenesis of grade 3-4 – this is a very serious problem, which is actually just a more complex restorative cosmetic operating tactics. To this day, they don't have a procedure, which can be compared with arthroplasty. Knee joint replacement, repeated mechanical characteristics, configuration, shape, size, natural authority give you the opportunity to say goodbye, as the ill-fated illness, disability, where he is "there".
The disease progresses quickly able to reach moderate-middle stage of up to 4 degrees, months. Surgery is necessary to pass as soon as possible, while the degenerative processes did not penetrate deep into the bone. Heavily damaged bones can cause difficulties in the production of a prosthesis.
Many people don't realize that a severe case degeneration similar to that of a conservative, not a problem, an unusual tactic with a try by all means to have an operation to bypass, swallowing a handful of pills, ointments applied to the sore area. Someone talking to an osteopath, private doctors, specialists in different alternative methods. Unfortunately, the bought natural no fog to go to, a healing, after they come, and this is a fact, in my humble ourselves. Therefore, flip out the pointless undertaking, be smart.
![a damaged part of the joint](/images/article/106/a%20damaged%20part%20of%20the%20joint.png)
A physical viability is dependent on the decisions! You can still here the life is suffering from a stiffness, pain, in vain examination of the "empty" methods of treatment: drugs, unconventional assets that there is no evidence of efficacy for a serious disease. Can be surgical treatment, you start to live a full life, free from past suffering, as well as a support devices.
Worry surgery is needed, modern technology has jumped, too, and today abroad brilliantly variable knee joint durable silicone. After the implantation, finally, a good clinic, the risk of complications is minimal (1-2 %), and the restoration of function of the mobility occurs in more than 95% of the time. A hip replacement followed by a rehabilitation course for 3-4 months, including:
- advanced physical recovery through physiotherapy;
- drugs (antibiotics, antithrombotics, etc.);
- a program is a physiotherapy, including myostimulating, anti-inflammatory, analgesic, wound healing treatments;
- massage (at a later stage in the rehabilitation).
It's good to know! 1 degree of the disease can be stopped and prevented conservative. If sammi didn't, and then start the knee osteoarthritis, which allows him to move the 1 2 a degree a drug problem much, but a certain category of patients is still not high-surgical approach. The last two stages of each surgery.
Treatment of 2 degrees
When osteoarthritis, medium quality of life is getting hurt. My knee problem is stronger, painful syndrome manifests itself more intensively than it was at the beginning of a disease. Particularly pronounced pain immediately after morning awakening during ascent and descent through a stairwell. Is unpleasant is Often a feeling of numbness, which appears after a long walk, and then a long, standing in one position. Bending the knee region is reduced, the patient cannot bend his leg required physiology. Starts The man, to spare a limb, you almost want to don't step on it, due to which the muscles with progressive atrophy of.
![the pool is recommended to always](/images/article/106/the%20pool%20is%20recommended%20to%20always.png)
Stress, a treatment necessarily that means that training is a holistic approach.
- If the doctor sees that it's not an urgent surgery, is a priority in order to reduce the burden on a troubled Class. The presence of the overweight to have a good secure discharge affected by osteoarthritis joint, it is necessary to adjust the weight a diet to recommended by medical professionals.
- All patients prescribed a special orthopedic devices for the time of the move. That is, depending on a may be the problem existing knee a clips, lingerie elastic, elastic bandage, cane, crutches, Walker.
- Furthermore, the orthopedic surgeon will prescribe a unique set of exercises that will strengthen and increase the endurance of the muscles of the affected limb.
- Osteoarthritis is a moderate secondary manifestation involves the use of drugs, including the substances present in a cartilage tissue in a knee. Ezek include a preparations based on chondroitin sulfate, hyaluronic acid injection, drug is a glucosamine. They can't rebuild a cartilage, but saturated with nutrients, so you can achieve that symptoms of the disease.
- Recommended treatments, physiotherapy treatment, but there are used to it, just after missing all the signs of inflammation. Physical occupations, such as a magnetic or ultra sound, within be conducted to health facilities. Thanks to physical therapy improves the nutrition, metabolism, bone, muscle, cartilage. If you bought vibroacoustic device for home use, ask first, a expert, a possibility that its application to the diagnosis functions a multi-function.
We have considered the principles, which the official on the basis of a treatment for arthritis, which meets the standards of Orthopaedics. Since many people with osteoarthritis 2. St. I'm very interested in alternative methods of the salvation we offer to meet with a most popular. Find out if they are unique to them, mint is presented on the internet.
The stem cells for a treatment of a knee
![The stem cells in the treatment of knee](/images/article/106/The%20stem%20cells%20in%20the%20treatment%20of%20knee.png)
We will talk about mesenchym ally autologous stem cells in patients with gonarthrosis knee, which is a crest of a pelvic or thigh bone. Cell therapy relevant sources, thus almost achieving self-renewal of the whole community due to the activation of a regeneration process of self-healing a damaged segment. Thank you, this is a possible technology to theoretically achieve improvement of a legal units, bone, cartilage, a test. Speak up, however, was not "live" x-ray evidence, which confirmed that the introduction after the stem cells are affected in a common area healthy.
The positive effect of the stem cells joints, the bones are not proven, but it's doubtful because this is the technical orthopedics still not recognized. Scientists are just learning a experiments. In addition, information is dangerous to the human body impact on stem cells, which, in the opinion of a highly qualified professionals, which is capable to trigger a cancer. What's the situation with those people, who the procedure is paid for, not satisfied with the results? There's only one thing: a lot of patients think the money is in eternal life, but the placebo effect is not astringent forever, don't forget.
Sludge treatment
Healing mud sources unique components (magnesium, chromium, iodine, bromine, calcium nitrate, etc.), contribute to reducing painful symptoms, improving the blood flow to the sore areas, stimulation of the metabolism. The biggest value they represent, who the disease is mild, or patients who have undergone surgery on the leg. Keep the mud wrap is valid, the doctor 2 if it is considered a natural remedy in combination with the basic medical program, reduces the aggression of the pathological phenomena (not the progression) and in general improves the clinical picture. Therapy Mud exercise a specialized health institutions, the health resort type. Natural healing mud peloids are used on the basis of the applications in the form of, or in combination with a method of galvanization (electrophoresis).
The use of gelatin
![Gelatin is a good Supplement to the diet to maintain healthy joints](/images/article/106/Gelatin%20is%20a%20good%20Supplement%20to%20the%20diet%20to%20maintain%20healthy%20joints.png)
Natural gelatin safe way to support joint structure is in good condition. Gelatinous substrate, diluted with water, may be recommended. According to some doctors, the gelatin is a faster, more efficient will affect the bone, cartilage and muscular-ligamentous elements. The experts emphasize that this method does not have medicinal properties, just to help prevent osteoarthritis. That's why when he said it to a in the pathogenesis of relationalities in the absence of pathology, or an early stage should be considered as a measure of prevention, the occurrence or the progression of a degenerative changes to. When a disease is moderate to severe in nature, an approach, and not fog prevention work.
Ayurveda joints
Modern and alternative medicine, a number of known extreme developments, among which a treatment condition according to the Ayurveda in different parts of the musculoskeletal system. According to this, the informal flow of the affected joints associated with excess toxins in the body accumulated due to the energy of a disharmony. A harmful mechanism of disturbed energy balance (Wool) is the primary to a weakening of the Agni, or digestive fire, which is accumulation in the intestine undigested food residue (AMA). They produce toxins that the blood transportorul to a community where harmful substances are deposited, and inhibits the metabolism.
Ayurveda, according to The osteoarthritis klassificeret the several kinds, all invented their own system of treatment, the basis of each of them nutrition, herbal supplements, intake of Ayurvedic, pills, powders, yoga, breathing exercises and traditional massage, auto-training a healer, etc. Of course, this is a great mind, but if it's not going to be arthritis back, even in a scientific high technology, it is possible to think that a vegetable powder, treatment, thoughts of a tactic, another Ayurvedic healing discrimination deformation?!
Salt compress
The salt in the preparation of the saturated salt solution used for impregnation of a poultice to apply to a sore spot, hours a few. This is not an independent therapy, considered, especially, mint a cure for osteoarthritis. A salt temporarily ease the pain, get rid of a swelling, a soft tissue, which the bone structure, without any damage to biological structures. But not a disease cure, but not kill did a leg of the patient. An action is merely symptomatic. Solution One van made a calculation: per 1 liter of room temperature water to 100 g of salt.
It's worth a look! Sometimes salt is used in set-heated form, which will be a sachet, and carry out the local heating to a knee. Sometimes, as wet, but a hot dressings. Warm treatments are dangerous when purulent-inflammatory processes, a joint cavity, then ultimately exacerbate the clinical picture. Therefore, do not use this recipe without making sure that it's not a defeat accompanied by a process similar to one.