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Arthritis arthrosis clinic treatment

12 Apr 18

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Treatment of arthritis, symptoms, signs, causes, full analysis of the disease

There are a number of diseases known in medicine, the causes, psychosomatics and etiology of which have so far been practically unstudied or studied extremely poorly. Among them there is a disease of large and small joints - arthritis.

The causes of the pathology can be completely different.

It is important to know! Doctors are shocked: “An effective and affordable remedy for ARTHRITIS exists. " Read more.

Arthritis is a collective name for a joint disease characterized by single (monoarthritis) or massive (polyarthritis) damage to joints, which is a thinning of cartilage tissue.

Pathological changes are caused by disturbances in intra-articular metabolic processes, which result in an increase in the synovial membrane, leading to tissue proliferation with the destruction of cartilage. Excess fluid leads to inflammation, pain and fever. Such a disease is not uncommon in the practice of doctors: only in the Russian Federation the number of cases is growing every year, every sixth patient becomes disabled.

The reasons for the appearance are not only external, but also internal factors:

  • Depression.
  • Experiences.
  • Bad mood.
  • Psychical deviations.
  • Feeling lonely.
  • However, psychosomatics is not the only cause of inflammation. Provoking factors:

    • drinking alcohol;
    • poor nutrition;
    • elderly age;
    • overweight;
    • insufficiently active or, conversely, too active lifestyle;
    • elevated uric acid levels.

    Causes of joint disease

    The following are the causes of arthritis:

  • Heredity.
  • Weak immunity.
  • Infectious diseases.
  • The causes of arthritis and its psychosomatics are still poorly understood. One thing is clear: the disease seeks out a person who is weak in spirit. Those people who cannot be called stress-resistant are at risk.

    The disease is dangerous because when there is multiple damage to the joints, their deformation begins, and movement is completely disrupted. If treatment is not started on time, a person will become disabled within 5-10 years.

  • Pain in the joint area that occurs during movement and at rest.
  • Difficulty in movement caused by deformation, swelling.
  • Swelling of the joint, which looks like an overgrown lump.
  • Deformation of small joints (for example, fingers).
  • Redness of the sore spot, increased temperature.
  • Fever during an exacerbation, aching in the limbs. In such cases, the person “shakes”; he cannot warm up even under a very warm blanket.
  • Changes in the structure of articular tissues, lesions, and the degree of thinning of cartilage tissue are visible on x-rays.
  • Signs of arthritis can appear gradually: the pathology first manifests itself as sensations of mild swelling, discomfort when bending a joint or in the phalanges of the fingers, and then acute pain occurs.

    Arthritis, the symptoms of which are very similar to arthrosis, has two distinctive signs - pain even at rest (arthrosis only hurts when the joint moves) and fever, which is not observed with arthrosis.

    Signs of pathology appear in different ways, but not always immediately. Symptoms appear depending on what specific type of lesion is diagnosed in the patient.

    Divided into two groups:

  • primary;
  • appearing simultaneously with other diseases.
  • Primary arthritis occurs spontaneously, and inflammation is not provoked by any extraneous signs.

    This group includes several types of cartilage inflammation:

    The second group is inflammation in the area of ​​​​the cartilage tissue of the joint after an infectious disease. These include:

    For a more clear example, let's take brucellosis arthritis. Brucellosis is a disease transmitted to humans through animal products (milk, meat). When infected, almost all organs and systems are affected, including joints. The source of infection is Brucella bacteria. Thus, brucellosis arthritis is arthritis resulting from brucellosis.

    Even “advanced” ARTHRITIS can be cured at home! Just remember to apply this once a day.

    To make a correct diagnosis, correct diagnosis is necessary. Its difficulties are due to the fact that the causes, etiology, and psychosomatics of the disease have not been sufficiently studied.

    Primary diagnosis consists of finding out the causes of inflammation, the location of the lesion, and the intensity of pain. The patient is asked in detail about lifestyle, nutrition, presence/absence of allergies, previous infectious diseases, and hereditary diseases.

    Secondary diagnosis - prescribing the necessary tests to confirm the diagnosis:

  • Make a detailed medical history (so that not a single detail is missed).
  • Establish a preliminary diagnosis, identify its “union” with other diseases (infectious/non-infectious).
  • Draw up a characteristic clinical picture of the appearance of inflammation.
  • Determine research methods (laboratory, instrumental).
  • Examine synovial fluid.
  • This variety of methods is explained by insufficient knowledge of adequate treatment. Methods traditionally used to make a correct diagnosis are not always accurate in determining the cause of pain in order to prescribe treatment.

    How to treat arthritis? The choice of method depends on the type of disease, the causes of inflammation, the degree of its neglect, and how long the disease has been progressing.

    Main stages of treatment:

  • Relieve inflammation.
  • Reduce pain.
  • Taking corticosteroids to prevent the disease from returning.
  • Sometimes a course of antibiotics is prescribed.
  • Course of therapeutic massage, therapeutic gymnastics.
  • Taking non-steroidal anti-inflammatory drugs is mandatory for the treatment of any diseases associated with the musculoskeletal system. Usually prescribed:

    The choice of drugs depends on the individual characteristics of the patient, age, type of disease, and the presence of diseases that prohibit the use of non-steroidal drugs. NSAIDs are excellent for relieving pain, but if the pain syndrome is severe, then strong painkillers are additionally prescribed.

    Corticosteroids are prescribed only in the most extreme cases, when it was not possible to relieve the inflammatory process with non-steroidal drugs. Since this is a group of hormone-containing drugs, the doses and timing of administration are minimal, prescribed strictly by a doctor and taken under his watchful supervision.

    A course of antibiotics is indicated in case of surgical interventions to prevent the development of gangrene, infections, etc.

    Treatment of arthritis with folk remedies is possible only under the supervision of a physician.

    A rehabilitation course is carried out only after it has been possible to relieve inflammation, pain, eliminate joint deformation, fever, and the disease has subsided.

    The rehabilitation course includes:

  • Physiotherapy.
  • Massotherapy.
  • Physical therapy.
  • Swimming.
  • Special diet.
  • The presence of positive emotions.
  • Maintaining a healthy lifestyle.
  • Arthritis is the collective name for all lesions of the joint tissue. Its psychosomatics have not been sufficiently studied, but it is believed that the psychological state affects both the occurrence of inflammation and the speed of recovery. Diagnostics involves a complex set of studies; it is needed to confirm the diagnosis and determine the type of disease.

    Treatment is aimed at relieving inflammation, relieving pain, and only then restoring the structure of the cartilage and eliminating other symptoms. If, in addition to changes in tissue, there is an infection in the body, all actions should be aimed at suppressing it. The sooner the patient complains and a diagnosis is carried out, the greater the chance of restoring cartilage tissue without further complications.

    To treat and prevent ARTHRITIS, our readers use a method of quick and non-surgical treatment recommended by leading rheumatologists in Russia, who decided to speak out against pharmaceutical lawlessness and presented a medicine that REALLY TREATS! We have become familiar with this technique and decided to bring it to your attention. Read more.

    Treatment should be started comprehensively and as quickly as possible.

    How to forget about joint pain and arthritis?

    • Joint pain limits your movements and full life...
    • You are worried about discomfort, crunching and systematic pain...
    • You may have tried a bunch of medications, creams and ointments...
    • But judging by the fact that you are reading these lines, they did not help you much...
    • But orthopedist Valentin Dikul claims that a truly effective remedy for ARTHRITIS exists! Read more >>>

      If you want to get the same treatment, ask us how?

      Arthritis symptoms, treatment and folk remedies

      Arthritis is a disease of the joints, accompanied by inflammation, the symptoms and treatment of which are most clearly described in the medical literature. The name of the disease comes from the word “athron”, which translated from Greek means joint.

      During arthritis, inflammatory changes occur in the inner synovium of the joint. In this place, synovitis develops, and often an inflammatory effusion - exudate - begins to accumulate.

      Modern medicine understands arthritis as a whole group of diseases, united by common signs and characteristics. The main clinical manifestations of the disease are swelling and pain. Such problems indicate that the cartilage tissue is affected, which is accompanied by changes in the joint capsule. In this case, the person experiences pain in them and there is a restriction in movement.

      The symptoms of different types of arthritis are more or less similar. Signs of arthritis include pain in the inflamed area, redness, heat over the inflamed joint, stiffness, and difficulty moving. You may have to deal with other troubles, such as fatigue, weight loss, swollen lymph nodes, and fever. In some cases, patients may encounter difficulties with walking and household self-care.

      Although the disease is common among adults, in some cases young people are also susceptible to arthritis. In the United States alone, more than 42 million people suffer from arthritis, and one in six are disabled as a result of the disease. It should be noted that among the causes of disability in this country, arthritis ranks first.

      Various anti-inflammatory drugs are used to reduce inflammation and pain. It is best to combine drug therapy and therapeutic exercises during treatment. Therapeutic massage can reduce pain, swelling and inflammation. According to statistics, arthritis shortens life by about 10 years, but is rarely a direct cause of death. To date, unfortunately, there are no drugs that can completely cure rheumatoid arthritis.

      How does arthritis develop and what is it? The disease can occur due to various factors, including wear and tear on the joint that occurs over time.

      Also, the development of pathology is facilitated by joint infections and previous injuries, allergies and autoimmune processes with the formation of antibodies that destroy the body’s own tissues – components of the joint. Often arthritis occurs after an upper respiratory tract infection - sore throat, influenza, acute respiratory viral infection, etc.

      Arthritis and arthrosis - what's the difference?

      The names of these joint diseases are similar, but the accompanying symptoms, pathological process and treatment are different. So what is the difference, let's figure it out:

    • Arthrosis, or deforming osteoarthritis (DOA) is a chronic degenerative disease that occurs in waves. One of the main characteristics of this disease is damage to the cartilage tissue in the joint.
    • Arthritis, on the other hand, is an inflammatory disease of the entire body; and inflammation of the joints during arthritis is only the “tip of the iceberg”, under which some other processes are hidden inside the body.
    • Osteoarthritis and arthritis differ in the nature of pain and discomfort during movements, accompanying symptoms and the age of the patients.

      In modern medicine, it is customary to divide the disease into several types, the symptoms and treatment methods of which will directly depend on the type of arthritis and the cause that caused it.

    • Rheumatoid - it accounts for more than 45% of diseases in which the causative agent is a staphylococcal infection.
    • Gouty – aka “gout”. A fairly common type of disease associated with the deposition of salts and uric acid in the body.
    • Reactive - develops after illness and is accompanied by severe pain.
    • Rheumatic – inflammation of the joints caused by rheumatism. In this case, the temperature rises, the elbow, knee and hip joints swell and turn red.
    • Traumatic - affects the largest joints, which bear the greatest load: shoulders, elbows, knees, ankles.
    • Infectious - most often caused by intestinal infections (typhoid fever, salmonellosis, dysentery).
    • Psoriatic is a chronic joint disease caused by psoriasis.
    • Chlamydial - caused by chlamydial infection after suffering urethritis, pneumonia, prostatitis and other inflammatory processes.
    • Arthritis can often lead to disability. If the first manifestations of the disease occur, you should immediately consult a doctor.

      Arthritis, the first symptoms of which are most often felt in small joints, such as fingers or toes. Many experts believe that this disease was initially aimed at them.

      Symptoms of arthritis can include redness, swelling and changes in joint structure, which can lead to damage, pain and loss of joint function.

      The main signs of arthritis that should alert an adult:

    • joint pain;
    • swelling in the joint area;
    • swelling of the joints;
    • stiffness and limitation of movements in the joint area;
    • redness of the skin around the joint;
    • numbness of the joints, especially in the morning;
    • local temperature increase.
    • A person with arthritis gets tired quickly, and the pain intensifies when the patient is exposed to physical activity, sometimes the joints “crunch.” The test results show an increase in the number of leukocytes and ESR, and the presence of c-reactive protein may also be observed. Unfortunately, the uniformity of symptoms for different causes of the disease makes it difficult to make an accurate and timely diagnosis.

      In the dynamics of the pathological process in arthritis, four stages are distinguished:

    • The disease does not manifest itself clinically, but X-rays of the joints show the first signs of inflammation. Sometimes there is a slight stiffness of movement and periodic pain during physical activity.
    • The progressive inflammatory process leads to thinning of the tissues of the articular structures and erosion of the heads of the bones. Swelling appears in the area of ​​the affected joints; A local increase in temperature and redness of the skin are often observed, movements are accompanied by crunching.
    • The gradual destruction of articular structures leads to significant deformation of the joints, limited mobility, constant pain and partial loss of joint function, which is partly compensated by muscle tension.
    • Pathological changes in articular tissues become irreversible; the diseased joint is completely immobilized. When the knee joints are damaged, contractures form, and ankylosis develops in the hip joints - fusion of the heads of the articular bones due to the filling of the articular capsule with replacement bone or fibrous tissue.
    • How does an exacerbation manifest itself?

      Rheumatoid arthritis has two phases. Remission is a period of relative well-being when the symptoms of the disease become less pronounced or disappear completely. On the contrary, during an exacerbation, not only signs of joint inflammation appear, but also general reactions.

      Exacerbation of rheumatoid arthritis is manifested by the following symptoms:

    • Loss of appetite;
    • Increasing the temperature to 37-38.5 o C
    • Severe weakness and apathy;
    • Severe pain in the affected joints. It becomes constant and does not depend on the time of day. NSAIDs most often do not have any effect;
    • Chest pain, difficulty breathing, discomfort in the eye area, and decreased vision may occur.
    • It is important to recognize an exacerbation of arthritis as early as possible, since during this period all the patient’s organs suffer. Special treatment is required to relieve all symptoms and return the disease to remission.

      Diagnosing arthritis is quite challenging. This is due to the fact that the causes of inflammation in the joints can be different. Some types of arthritis are widespread and easy to diagnose, but there are those for which only an experienced doctor can make a correct diagnosis after a thorough examination of the patient.

      The cause of the development of arthritis can be any infectious process (local or general), joint injury, allergies, autoimmune diseases, metabolic disorders. There are also inflammatory diseases of the joints, the etiology of which is still not clear enough; an example of such a pathology is “Rheumatoid Arthritis.” To select therapy for the treatment of arthritis, it is necessary to make a diagnosis and determine which factor led to the development of the pathological process.

      Diagnosis of arthritis consists of the following data:

      1. A thorough medical history.
      2. Identification of its connection with allergic, infectious diseases, trauma.
      3. Characteristic clinical picture of arthritis.
      4. Laboratory examination method (when examining a patient, signs of inflammation, increased uric acid levels, the presence of antibodies to group A hemolytic streptococcus, etc. are revealed).
      5. Instrumental diagnostics (radiography, ultrasound, computed tomography or magnetic resonance imaging).
      6. Synovial fluid studies.
      7. In recent years, for a more accurate diagnosis of arthritis, arthroscopy has been used, which allows for a thorough examination of the joint cavity and collection of synovial fluid for its subsequent analysis. The main method of instrumental diagnosis for arthritis is radiography. It is usually carried out in two projections; according to indications, x-rays can be taken in additional projections, allowing a more detailed identification of local changes occurring in the affected joints.

        To clarify changes in articular tissues that are usually poorly distinguishable during X-ray examination, for example, areas of the epiphyses, computed tomography or magnetic resonance imaging is used. The main difficulty in diagnosing arthritis is that none of the methods of laboratory or instrumental diagnosis of the disease allows an unambiguous and accurate diagnosis to be made. To diagnose arthritis, identify its cause, and therefore choose the correct treatment, a comprehensive examination of the patient is necessary. All data obtained during the examination must then be associated with the clinical picture of the disease.

        Complications from arthritis can be early and late. Early complications include phlegmon, panarthritis (acute purulent arthritis). Late complications include osteomyelitis, sepsis, contractures and pathological dislocations.

        The sooner you start treating arthritis, the more effective it will be. This is due to the fact that the first and second stages of the disease are not characterized by a pronounced degree of joint deformation. First of all, the treatment of the disease depends on the nature and causes that caused it. Treatment of arthritis is mainly aimed at reducing pain, eliminating inflammation and preventing the progression of the disease.

        So, how to treat arthritis and what principles of therapy are the most important? The following main components are mainly used:

      8. Pharmacological methods of treatment: use of anti-inflammatory non-steroidal ointments, creams and gels; intra-articular administration of glucocorticosteroids.
      9. Vitamin therapy, intake of macro- and microelements, diet therapy, intake of amino acids (methionine, arginine) necessary for the construction of new tissues.
      10. Non-drug treatment methods: selection of orthopedic shoes, reducing stress on joints, getting rid of bad habits, therapeutic exercises, massage, hydrotherapy, acupuncture and electrical pulse stimulation of muscles.
      11. Surgical treatments or joint replacement are used only for the most advanced forms of arthritis.
      12. In the case of complicated forms, the introduction of stem cells can be used.
      13. For patients with arthritis, specialized exercise therapy complexes have been developed that are aimed at developing flexibility and strength. They are necessarily supplemented with aerobic exercises. Some patients may feel that such a load is too great for a person with sore joints. However, this is not quite true. Firstly, you should start exercising during remission, and secondly, the complex is selected individually, taking into account the degree of damage to the joints. Regular exercise gives an amazing effect.

        In addition, they need to adhere to a special diet, which we will talk about below.

        The following methods are highly effective:

      14. Galvanic currents;
      15. Irradiation of the joint with ultraviolet waves;
      16. Diathermy is the application of low-frequency current to the joint area in order to warm it up;
      17. Electrical stimulation according to Gerasimov is a new method of physiotherapy, the principle of which is to stimulate the tissues around the joint with low-frequency current. The course of treatment is 3-6 procedures, and the effect lasts for several years. After therapy, patients note a decrease in the severity of pain, stiffness and signs of inflammation (swelling and redness of the joints).
      18. It should be noted that physiotherapy does not replace drug treatment, but only complements it. Otherwise, rheumatoid arthritis will steadily progress and lead to damage and curvature of the joints.

        Modern drugs

        The latest generation of drugs against rheumatoid arthritis are drugs that selectively reduce the activity of inflammatory substances in the body: interleukins, tumor necrosis factor (TNF) and others. They have proven their effectiveness not only in pharmacological trials, but also in real clinical practice. Another advantage is the rare occurrence of adverse reactions.

        The main representatives of this group of drugs:

      19. Infliximab (synonyms: Remicade, Flammegis);
      20. Etanercept (synonym: Enbrel);
      21. Adalimumab.
      22. Why are these drugs not widely used? It's a matter of price. The cost of 20 ml of the drug, on average, is 45,000-50,000 thousand rubles. Not every hospital or patient can afford this.

        How to treat arthritis with folk remedies

        In addition to traditional methods, the treatment of arthritis can be supplemented with folk remedies. There are a great many recipes in the arsenal of traditional healers. However, when starting home treatment, you need to be patient.

      23. Take 1 tbsp. l. salt and dissolve in a glass of boiled water. In a small mold, freeze in the freezer. Place the resulting ice on the sore joint and hold until completely thawed. Without rinsing, wrap the joint with a woolen scarf (shawl) for 3-4 hours.
      24. Treatment with a mixture of juices - chop one medium beet, one large apple and 2 carrots. Squeeze the juice from the pulp, add a third of a teaspoon of ginger powder, mix all the ingredients thoroughly and drink 3 servings of this mixture during the day.
      25. Twenty cyclamen tubers must be boiled in 10 liters of water. For one procedure, 1 - 2 liters of decoction is enough. Such therapeutic baths for hands and feet must be done daily for 30 minutes until the condition improves.
      26. Take a package of bay leaves and place half of them in a saucepan. Pour 300 ml of boiling water and boil for 5 minutes. Then wrap it up better and let it sit for three hours. After 3 hours, strain and drink before bed. And so on for 3 days in a row. In a week you need to repeat the course.
      27. Take black elderberry flowers - 1 part. Birch leaves – 4 parts. Willow bark – 5 parts. The crushed ingredients are mixed, 1 tablespoon of the mixture is poured with a glass of boiling water. The infusion is wrapped up. After half an hour the product is ready. You need to take half a glass of infusion 4 times a day before meals.
      28. This method involves applying mustard plasters to the sore spot to warm the joints, thereby relieving the patient of pain.
      29. Adults suffering from various forms of arthritis are recommended to follow a special diet that helps reduce acidity.

        It is recommended to include in your diet:

      30. fresh vegetables and fruits;
      31. fresh juices;
      32. mackerel, trout, salmon;
      33. fish fat;
      34. mineral water;
      35. dairy products.
      36. A balanced diet for arthritis should be rich in polyunsaturated fatty acids from the Omega 3 group and have an anti-inflammatory effect.

        You should remove strong tea and coffee from your diet, and reduce alcohol consumption. Avoid eating meat, mushroom and fish broths; all types of smoked meats; salted and fried fish; caviar; all varieties of legumes. Fans of baked goods, chips and jams will have to choose between their health and their food preferences.

        The main thing to remember is that the diet for arthrosis and arthritis should be balanced, low in calories, and also contain vitamins and minerals.

        For comprehensive prevention of arthritis, the following rules must be followed:

      37. Monitor your weight, as excess weight increases wear and tear on your joints;
      38. Do not smoke or drink alcohol - this also negatively affects the joints;
      39. Maintain correct posture, which reduces stress on the joints;
      40. Lift weights correctly, without bending the spine left or right, avoiding injuries and unnecessary stress on joints and muscles;
      41. Exercise regularly, as a well-developed “muscle corset” reduces the load on the joints;
      42. Reduce your intake of sugar and other easily digestible carbohydrates from carbonated drinks;
      43. Take breaks from work that involves prolonged sitting/standing. Do light exercises during breaks;
      44. Properly organize your workplace so that you can sit comfortably, without having to lean forward, throw your head back, or strain your back and neck.
      45. It is also worth eating a balanced diet, including polyunsaturated fatty acids (fatty fish, fish oil) and calcium (dairy products, fish), eliminating animal fats (a source of “bad” cholesterol), eating more vegetables and fruits. Omega-3 unsaturated fatty acids alleviate the symptoms of arthritis (in particular, due to the synthesis of anti-inflammatory molecules - resolvins). A study of 2112 patients with radiographically confirmed osteoarthritis of the knee found that higher magnesium intake corresponded to a significant reduction in the risk of osteoarthritis (P=0.03)

        In the early stages, acute infectious arthritis responds well to treatment until complete restoration of joint function.

        If the development of the inflammatory process is associated with endogenous factors, it is more difficult to achieve recovery, but it is possible to slow down the rate of progression of the disease, prevent the development of complications and avoid disability.

        Arthrosis is a pathology characterized by degenerative changes in cartilage tissue in joints. In a normal healthy state, joints are mobile and elastic, due to which the load on them is distributed evenly. When arthrosis develops, the cartilage is affected, the tissue becomes thinner and loses its properties. The structure changes and this in turn leads to the development of pain and joint dysfunction.

        Pain during movement is caused by changes in the quality and quantity of joint fluid. Treatment of pathology includes a set of measures to eliminate pain and restore cartilage tissue and joint functions. At the Omega-Kyiv medical center, patients can expect medical care from the best specialists in the field of vertebrology. They will tell you what arthrosis is, select an individual treatment regimen, and help you get the affected joints in order. The medical center has everything necessary to conduct comprehensive diagnostics and effective treatment.

        Symptoms of pathology

        Arthrosis is diagnosed in 15% of the world's population, so the pathology is one of the most common. This also has its own advantages, since doctors know what arthrosis is and know how to treat it effectively. The disease most often affects the body of adults and is diagnosed in patients 50 years of age and older. However, today arthrosis has become younger and can often be found in young people.

        Pathology can develop as a result of injury, when age is not the main factor. Arthrosis is accompanied by a decrease in the amount of joint fluid, which provokes the development of severe pain. In the first stages of the disease, pain occurs as a result of physical activity and quickly passes. And when the load is repeated, the pain syndrome returns. Symptoms of arthrosis cannot be ignored, since it is better to treat the pathology in the early stages. Another sign of arthrosis is the development of inflammation in the joint area. The soft tissues around the joint become inflamed, and fluid accumulates inside, swelling occurs, and swelling occurs. At subsequent stages of development of the pathology, the cartilage tissue is modified, it is rejected, and an autoimmune process may begin when the body’s defense systems begin to attack its own tissues.

        Symptoms of arthrosis may be as follows:

        In no case should you ignore the symptoms; if negative signs develop, you should visit a vertebrologist or therapist, who will refer you to a specialist with a narrow specialization.

        Types of joint arthrosis

        Arthrosis varies by type. Arthrosis affecting joints can be primary or secondary. The primary type of pathology occurs in older people, whose cartilage tissue over time, due to stress and gradual aging, begins to lose its elasticity. This is where the first symptoms of arthrosis appear. Secondary arthrosis develops as a result of injury, extreme physical activity and is diagnosed mainly in professional athletes. Also, a disease affecting the joints can be classified as follows:

      46. Deforming arthrosis.
      47. Generalized arthrosis or polyarthrosis.
      48. Arthrosis of the distal interphalangeal joints.
      49. Arthrosis of the proximal interphalangeal joints.

      Deforming arthrosis or osteoarthritis is a progressive disease that leads to dystrophy and degeneration of joints, affecting cartilage, up to its complete destruction in the articular area. Typically, osteoarthritis is diagnosed in old age and retirement, in the presence of a number of factors and pathologies, which are often detected at the examination stage and do not manifest themselves clinically. The cause of the development of the pathology is not precisely known, but factors influencing the progression of the disease include injuries, overstrain of the joints, poor circulation, and heredity. Also, pathology often develops in women during menopause and those diagnosed with ovarian dysfunction. Arthrosis deformans is the most commonly diagnosed joint disease. It is diagnosed in 70% of all joint diseases.

      Generalized arthrosis or polyarthrosis is a group of dystrophic joint pathologies. A feature of the disease is its slow progression. A sick person may not even notice the presence of polyarthrosis in its first stages. These are pathologies that affect the joint membranes, the cartilage itself and the capsule. Polyarthrosis is diagnosed not only in pensioners, but also in representatives of the younger generation. Of course, in young people the disease is not as severe as in older patients. The reasons for the development of pathology are excessive stress on the joints, injuries, obesity, heredity and others.

      Arthrosis of the distal interphalangeal joints is a degenerative disease of the distal joints of the hands and feet. Every 5th case of osteoarthritis provokes this type of complication. Among the fairer sex, the pathology occurs 10 times more often than among men. Women suffer from disease of the interphalangeal joints during menopause, that is, at approximately 50 years old; in men it is diagnosed after the onset of 55. Pathology develops due to aging, infections, metabolic disorders, heredity, injury or overload of the joints of the hands and feet. There is damage to the interphalangeal joints. Over time, specific formations are formed, the so-called Heberden's nodes, which bend the joint. These nodules can be very small or can reach the size of a pea.

      Arthrosis can also be classified according to the degree of development, according to the location (hip, knee, hands, feet, spinal column), according to the form of localization (localized, generalized), according to the type of localization (gonarthrosis, coxarthrosis, elbow joint, shoulder joint, ankle joint) , cervical arthrosis). Uncoarthrosis, hypoarthrosis, defarthrosis, rheumatoid arthrosis, patellofemoral arthrosis, synarthrosis, diarthrosis, neoarthrosis, crusarthrosis, pathology of the TMJ, metatarsal joint and rhizarthrosis are rare. All of these types of diseases require drug treatment, so it is very important to consult a doctor if negative symptoms develop.

      Arthritis in the hands: symptoms, treatment and photos of joints

      Arthritis in the hands is an inflammatory process that is localized in the joints of the upper extremities. A similar disease on the hands and fingers is quite common.

      According to statistics, hand arthritis is diagnosed in every seventh patient. Typically, this joint disease occurs in women; it is detected in them five times more often than in men.

      This is primarily due to the fact that women's professional work is most often associated with manual activities. Arthritis is most often detected in the area of ​​the maculophalangeal and interphalangeal joints of the hands.

      This type of disease is directly related to inflammatory changes and has a secondary role, that is, it develops on the basis of existing diseases. In particular, arthritis can appear as a result of rheumatic, infectious and metabolic disorders.

      Since this disease can lead to loss of ability to work and self-care, arthritis in the hands is considered a socially significant problem.

      Symptoms of the disease

      Signs of hand arthritis vary depending on the cause of the disease. However, there are main symptoms characteristic of this hand disease, which can be seen in the photo.

      The patient experiences pain with any movement of the hands.

      At the initial stage of development, the disease may be mildly expressed, but as it develops, the pain intensifies.

    • At first, the pain manifests itself in the morning, when the person has been immobile for a long period. After half an hour, the discomfort usually disappears. The pain is breaking in nature. In some cases, an additional burning and tingling sensation is felt in the joint area.
    • Joints react acutely to changes in weather and changes in atmospheric pressure.
    • The hands remain constrained for a long time, and it is difficult for the patient to move his fingers, especially in the morning, after the person has woken up. Sometimes, to perform basic movements, the development of the hands and fingers is required.
    • The skin in the area of ​​the knuckles becomes red, hot and as if stretched.
    • Swelling and puffiness develop in the joint area. As a result, the fingers become thicker.
    • At the site of joint damage, body temperature rises. In cases where rheumatoid or infectious arthritis is detected, the overall body temperature may increase.
    • Arthritis affects the joints symmetrically.
    • When you move your fingers, you can hear characteristic joint creaks or crepitus. This sound should not be confused with standard clicks, which are considered normal.
    • Peculiar nodules may form under the skin, which must be treated.
    • With an inflammatory process, fatigue and weakness, the patient can quickly lose weight.

      Such symptoms often symbolize the development of rheumatoid arthritis. The upper limbs take on a spindle-like shape.

      Why is the problem developing?

      This disease of the hand joints can develop for several reasons. The main reason why a patient develops symptoms of arthritis may be age.

      As you grow older, your joints wear out, causing mechanical damage to appear on your hands, which can be seen on an X-ray.

      Also, at an older age, metabolism slows down, blood circulation is impaired, which is why cartilage does not receive the necessary nutrients in the right quantity.

      Women are diagnosed with the disease during menopause, when hormonal changes occur in the body. This condition affects the joints and bone tissue and is called menopausal arthritis.

      Often the cause of the disease is injury in the form of bruises, fractures, cracks. After some time, the injury heals, but damage remains in the joint area, which in the future can develop into arthritis. Therefore, it is important to undergo complete treatment to avoid complications.

      Disease of the hand joints is an occupational disease among jewelers, tennis players, seamstresses and other people whose activities are directly related to manual work. Including symptoms of the disease can be found in people with a hereditary predisposition. As doctors note, if someone among your relatives had arthritis, this disease will most likely appear in their descendants.

      Small joints can become inflamed when immunity decreases. Infectious diseases can also cause arthritis of the upper extremities. So, joints are often affected after a sore throat, especially if the disease is not completely cured. Including ARVI or hypothermia can lead to disturbances in the body.

      With psoriasis, rheumatism, sexually transmitted infections, lupus erythematosus, diabetes mellitus, gout, tuberculosis, there is a high risk of the disease. Arthritis can also cause allergic reactions, stressful situations and psychological stress.

      If the first symptoms of joint disease appear, arthritis must be treated immediately. You should not self-medicate; all methods of therapy must be agreed upon with your doctor.

    • It is important to reduce the load on sore hand joints as much as possible. If the cause of the disease is professional activity, treatment must begin with going on sick leave, so as not to put stress on the joints, at least during the period of exacerbation. Household duties should be entrusted to relatives or friends.
    • In addition to medications, the disease must be treated with special therapeutic exercises. It is done under the guidance of a doctor, during the period of remission, and it is important not to make any effort when performing the exercises.
    • It is important to follow all recommendations of your doctor. Lifting heavy objects and making sudden movements with your hands is prohibited. It is necessary to get adequate rest at night, which should be at least eight hours.
    • If you experience severe pain, your doctor may recommend using an orthopedic arm brace. It is also necessary to regularly follow a special diet, consume the right amount of fluid and undergo treatment with medications.
    • Treatment with drugs

      During an exacerbation of the disease, the doctor prescribes non-steroidal anti-inflammatory drugs, which include:

      They relieve inflammation, swelling, and reduce pain.

      Medicines based on chondroitin sulfate and glucosamine are taken for at least three months. The duration of treatment is due to the fact that the hyaline cartilage on the fingers and hands takes a very long time to recover. After this period, treatment with the drug can be continued if the patient's condition has not improved.

      To ensure adequate nutrition of cartilage, it is necessary to improve blood circulation. For this purpose, medications are taken that dilate blood vessels. These include Actovegil, Teonicol, Trental, which are produced in the form of an injection and administered intravenously or intramuscularly. The disease must be treated in this way for ten sessions.

      For the bacterial form of the disease, treatment is carried out by taking antibiotics in the form of penicillin and macrolides.

      We must remember to include the required amount of vitamins and minerals in our diet. To relieve pain, ointments and gels are used that do not irritate the stomach and help stop inflammation.

      Treatment with medications is effectively complemented by physiotherapy in the form of ultrasound therapy and electrophoresis. Also, in some cases, acupuncture is used, which relieves pain and restores joints.

      Treatment of arthrosis and arthritis: medications and folk remedies

      In most cases, turning to specialists for joint diseases is not considered a priority by patients. This irresponsible attitude leads to the fact that doctors are engaged in the diagnosis and treatment of already advanced and chronic forms. Treatment of arthrosis and arthritis must begin in the early stages of the onset of symptoms to obtain a favorable result.

      Difference between major joint diseases

      Let's look at the difference between arthritis and arthrosis. The appearance of inflammatory processes in the joints, the main clinical sign of which is a painful syndrome, is called arthritis. In such cases, the pain intensifies when changing body position, sudden movement, physical activity, or even just walking.

      Wear and tear of articular cartilage can occur for many reasons:

    • diseases of infectious origin;
    • injuries;
    • patient's age;
    • prolonged physical activity.
    • Due to the loss of cartilage, the bones that form the joint begin to touch each other. The result of this is pathological changes, pain and inflammation. Such inflammatory processes can occur in any joint or group of joints.

      What is the difference between arthritis and arthrosis? During the development of arthrosis, all structures of the joint are involved in the pathological process, starting from the articular membrane, bones, cartilage and ending with the periarticular muscular system. Deforming arthrosis, the symptoms and treatment of which will be discussed below, can even lead to disability.

      The main factors in the etiology of arthrosis are obesity, physical activity for a long time, congenital pathology in the form of dysplasia, traumatic injuries, osteoporosis, age-related and hormonal changes.

      Clinical picture of arthritis

      Symptoms of inflammatory joint disease will manifest themselves depending on its form and each specific case of the disease:

    • Rheumatoid arthritis - the lesion is symmetrical in nature, the first swelling and inflammation appear on the small joints of the hands. The pain syndrome is paroxysmal in nature and often appears at night and in the first half of the day. Patients complain of stiffness and a feeling that parts of the body are numb.
    • Infectious arthritis - in parallel with pain in the joints, an increase in body temperature and signs of intoxication appear. The skin over the joints is hot, swollen, and red.
    • Gouty arthritis - symptoms are short-lived, pain, swelling, swelling appear. Symptoms occur due to diet violations.
    • Psoriatic arthritis is a pathological process that most often occurs in the small joints of the fingers. Stiffness of movement, pain, swelling, red flaky spots on the skin appear.
    • Features of the manifestation of arthrosis

      Unlike inflammatory processes, the clinical picture of arthrosis is not accompanied by severe pain in the early stages. At first, there is a feeling that the movement of the joint is accompanied by a crunching sound. Slight pain and discomfort are present after sleep, but these symptoms quickly disappear when walking. Subsequently, the pain becomes dull, aching and begins to bother the person even at rest.

      A deforming process develops in the joints. At the same time, stiffness progresses, the range of possible movements decreases. The disease becomes chronic. Periods of exacerbations alternate with periods of remission.

      General concepts of arthritis therapy

      Treatment of arthrosis and arthritis is based on the use of drug therapy, physiotherapy, folk remedies and therapeutic exercises. Next, we will consider each of these types in more detail.

      To treat inflammatory processes, medications are used in various forms of release - injections, oral medications, suppositories, ointments and gels. First of all, broad-spectrum antibacterial drugs are prescribed. They can reduce inflammatory manifestations and eliminate the possible cause of the disease. Fluoroquinolones, tetracycline drugs, macrolides, and cephalosporins are used.

      Analgesics used in the form of tablets or injections (Analgin, Ketanov, Dexalgin, Naproxen, Ketorol) will help reduce pain. Nonsteroidal anti-inflammatory drugs are the next group of drugs to choose for the treatment of arthritis. Among these drugs, the most popular are Diclofenac, Indomethacin, Meloxicam, Movalis, and Revmoxicam.

      In addition, combination drugs are used that combine an anti-inflammatory active substance and an antispasmodic: Spazmalgon, Baralgetas, as well as glucocorticoids - Prednisolone, Hydrocortisone, Diprospan.

      Arthrosis and the fight against them

      Treatment of arthrosis and arthritis is similar with some groups of drugs used:

    • Non-steroidal anti-inflammatory drugs - these drugs relieve pain, reduce swelling, but are used only for symptomatic therapy, since they are not able to eliminate the cause of the disease (Ibuprofen, Dicloberl, Indomethacin).
    • Painkillers are medications used in the form of tablets or injections. They contain analgesics.
    • Chondroprotectors are the main group of drugs for the treatment of arthrosis. The active substances included in their composition can influence the restoration of cartilage tissue (Teraflex, Dona, Arthra).
    • Vascular drugs are used to restore local blood circulation at the sites of pathology (Trental, nicotinic acid).
    • Each group of drugs cannot be prescribed separately, but is combined for each individual treatment regimen.

      Arthritis and arthrosis of the joints require the use of ointments and gels for local treatment. Local exposure to drugs at the site of pathology accelerates the process of recovery, restoration and elimination of symptoms.

      "Diclofenac" is a drug for external use for joint diseases. Belongs to the group of non-steroidal anti-inflammatory drugs. Its use is contraindicated during pregnancy and breastfeeding.

      "Ortofen" is available in the form of gel and cream. Eliminates pain, reduces signs of swelling and hyperemia. It is an analogue of Diclofenac.

      "Ketorol" is a local drug. Used to relieve pain. “Ketorol” does not eliminate the cause of the disease.

      "Nise" is a fairly effective remedy. Treatment of arthrosis and arthritis is based on the local action of active substances - steroids that reduce inflammatory processes.

      Physiotherapy for joint diseases

      Any joint disease usually requires drug therapy. Arthritis and arthrosis, however, can also be treated with the help of physiotherapeutic procedures. The use of magnetic therapy, electrophoresis, UHF therapy, massage, therapeutic baths, paraffin therapy accelerates the processes of regeneration of cartilage tissue, enhances local blood microcirculation and the penetration of medicinal substances.

      Magnet treatment is one of the most common types of physiotherapy. The main goal of the procedure is to reduce discomfort and pain. It is also possible to reduce the inflammatory process. Magnet treatment has the following positive aspects:

    • increases mobility in joints;
    • removes stiffness;
    • restores the functioning of the nerves and lymphatic system;
    • absorbs infiltrated tissue.
    • Paraffin therapy is one of the most affordable procedures for doing at home. Applications or baths with paraffin help warm tissues, improve microcirculation, and improve joint mobility.

      The use of therapeutic elements of physical education also has a positive effect on the body as a whole and those areas that are targeted.

      Use of folk remedies

      Traditional treatment of arthritis and arthrosis is a fairly common method of treating joint diseases. Baths and compresses are widely used.

      Choose a wide cabbage leaf and make many small cuts on it. Heat the sheet and apply a thin layer of honey to its surface. Apply the cabbage to the sore joint, secure it and wrap it in a warm scarf. The procedure should be carried out at night.

      Boil a few potatoes. Crush the potatoes in the same water in which they were boiled. Let it stand. A medicinal infusion forms on top, which must be drunk several times a day.

      Take 0.5 kg of celery and lemons, mince and add the same amount of honey. Leave in the refrigerator for 5 days. Use the resulting mixture one tablespoon 3 times a day until it is completely gone. After half a month, repeat the course of treatment.

      Pour a tablespoon of nettle into a glass of boiling water. After infusion, strain the resulting solution and take a tablespoon several times a day.

      Arthritis or arthrosis, the symptoms and treatment of which are known to every rheumatologist, require immediate contact with a specialist for help. This will allow you to achieve a favorable result, as well as prevent the occurrence of possible complications from the musculoskeletal system.

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