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Arthritis of the wrist joint treatment drugs

07 Sep 18

The wrist joint is a complex and multifunctional joint connecting the wrist and the radius bone. It provides hand movement in several planes. The performance of the hand depends on the health of this joint. Another peculiarity of the wrist is that the synovial membrane is fed by a large number of vessels; many nerves pass through it, providing sensitivity to the hand. Therefore, this place reacts sharply to any pathological processes.

Arthritis of the wrist joint often develops after injury, overexertion, pinched nerves, or infection. The disease does not occur very often, but usually occurs with severe pain and limited mobility of the arm. Therefore, it is necessary to start treatment on time, then performance can be restored.

Very rarely, arthritis of the wrist joint occurs on its own. Most often it develops after injury or is a complication of the following diseases:

  • tuberculosis, venereal diseases;
  • rheumatoid arthritis, systemic lupus erythematosus;
  • influenza, ARVI.
  • But inflammation can also occur for other reasons. Statistics show that wrist arthritis is an occupational disease. Builders, athletes, and people who work at computers are susceptible to it. With constant physical stress on the joint, microtraumas of muscles, tendons and cartilage tissue occur. People who move little, eat poorly, smoke and drink alcohol are also predisposed to inflammation of the wrist joint.

    Depending on what caused the inflammation, the disease is divided into the following types:

  • infectious arthritis is caused by pathogens of serious diseases: tuberculosis, syphilis, gonorrhea, brucellosis or dysentery;
  • if pyogenic bacteria from a source of infection in the body (caries, furunculosis, osteomyelitis or others) enter the joint cavity, nonspecific purulent arthritis develops;
  • the disease can also be caused by metabolic disorders, for example, gout;
  • rheumatoid arthritis is caused by autoimmune pathologies;
  • There is also reactive arthritis, when inflammation develops as a reaction to vaccination.
  • Often inflammation occurs due to prolonged strain on the hand, for example, when working at a computer.

    Arthritis of the wrist joint can occur acutely or be chronic. In addition, three stages are distinguished depending on the severity of the pathological processes.

  • 1st degree, mild – arm mobility is preserved, only mild pain is observed during exercise;
  • 2nd degree – moderate, characterized by severe pain even at rest, difficulty moving and a noticeable inflammatory process in the wrist area;
  • Stage 3 is a severe course of the disease, which is manifested by complete limitation of mobility, severe pain and severe inflammatory processes in some internal organs.
  • Signs of the disease

    In infectious or purulent acute arthritis, inflammation occurs suddenly. The patient experiences the following sensations:

  • severe pain in the wrist, which intensifies with movement, at night, and also when pressing;
  • the wrist becomes red, hot and swollen;
  • after rest, severe limitation of mobility is felt.
  • Other signs of the disease may differ depending on its type and nature of its course.

  • With purulent arthritis, a high temperature rises, chills and symptoms of intoxication appear.
  • During rheumatoid arthritis, both joints are affected and the temperature rises slightly. But you feel weakness, sweating, and sleep disturbances. Rheumatoid arthritis is characterized by the onset of pain in the morning - about 4-5 hours.
  • With metabolic arthritis, the entire hand is affected. Gouty nodules are visible on the wrist, and the destruction of bone tissue begins.
  • Chronic arthritis can be completely asymptomatic. To prevent the development of the disease, you can check for its presence with a simple test: when you try to connect the little finger with the thumb, pain occurs, and it is impossible to clench your fingers into a fist at a fast pace.
  • During the examination and examination, the doctor will help determine why pain appears in the wrist.

    Features of chronic wrist arthritis

    This form of the disease is not so acute, the pain is not severe and worsens in the presence of provoking factors: hypothermia, increased stress, decreased immunity. Often the disease proceeds completely unnoticed. Therefore, patients with chronic arthritis of the wrist joint need to follow some rules to reduce the frequency of exacerbations:

  • adhere to a special diet with the obligatory presence of collagen and vitamin E; the diet should include a lot of vegetables, fruits, jellied meat;
  • regularly perform physical therapy exercises, rub your wrist with your healthy hand;
  • periodically undergo courses of massage and physiotherapy: mud therapy, paraffin;
  • do not overload the joint, because chronic arthritis of the wrist occurs most often in people who constantly work at a computer; a special orthosis can be used to reduce the load;
  • do not get too cold, be sure to wear warm mittens in winter;
  • take chondroprotectors prescribed by your doctor.
  • Physiotherapy is very effective during remission of the disease

    How to treat the disease

    The earlier treatment is started, the better the prognosis. In the initial stages, inflammation can be quickly relieved and hand mobility can be restored. At the last stage of joint damage, surgical treatment is mainly used. It is very effective for arthritis of the wrist. But basically, the disease is treated using non-surgical methods.

  • Arthrotomy - drainage of purulent contents from the joint cavity and washing it with antiseptic solutions.
  • Immobilization of the joint with orthoses is necessary to reduce pain. This method is not used for purulent arthritis.
  • Drug treatment is effective at any stage of the disease.
  • After reducing the inflammatory process, massage, physical therapy and physiotherapy are used - UHF, electrophoresis, magnetic therapy.
  • As an auxiliary treatment, it is permissible to use traditional medicine: cold or vodka compresses, baths with sea salt, rubbing with turpentine.
  • The compress will help relieve pain and reduce inflammation

    Drug treatment for wrist arthritis

    The acute course of the disease requires immediate use of non-steroidal anti-inflammatory and painkillers. The most effective for arthritis are Diclofenac, Ibuprofen, Metindol, Ketoprofen, Nimesulide and others. There are more modern drugs that cause almost no side effects and can be taken for a long time: Movalis, Celecoxib, Arcoxia.

    When the disease is purulent, antibiotics are necessary. If inflammation appears as a complication of respiratory tract infections, penicillins are used: Ampicillin or Amoxicillin. Often, for arthritis, fluoroquinolones are prescribed - "Ofloxacin", macrolides - "Erythromycin", "Azithromycin" or cephalosporins - "Cefazolin", "Cefotaxime".

    To relieve pain and inflammation, ointments or other external agents are used. The most popular are: “Voltaren”, “Dolgit”, “Indomethacin”, “Fastum”.

    For arthritis of the wrist, multivitamin preparations must be prescribed. For example, “Artromivit” or “Kalcemin”. The following plant-based dietary supplements are effective: “Milona”, “Matrix”, “Urisan”, “Shark cartilage” and others.

    At the last stage of the disease, treatment is carried out with glucocorticosteroids; there is no other way to relieve the pain. The most commonly used are Prednisone or Betamethasone.

    There is still debate among doctors whether it is necessary to prescribe chondroprotectors for wrist arthritis. But at the 3rd stage they are still used to restore cartilage tissue. This could be Teraflex, Dona, Movex or Structum.

    Wrist arthritis is easy to treat in its early stages. But for this you need to be attentive to your health and consult a doctor at the first suspicion of pathological processes. After all, the disease develops in this joint very quickly, and after some time it can lead to a complete loss of hand functionality.

    Causes and treatment of wrist arthritis

    A disease such as arthritis of the wrist joint (ICD-10 code: M13) can occur under the influence of various factors. The main ones are considered to be constant physical activity on the wrist, which results in microtrauma to the muscles. Such inflammation also occurs in people who lead a sedentary lifestyle, eat poorly, and have a tendency to smoke or drink alcoholic beverages.

    Reasons for the development of the disease

    Very rarely, arthritis of the wrist joint is an independent disease. The main reason for its development is various injuries, bruises or complications of such diseases:

  • tuberculosis;
  • lupus erythematosus;
  • sexually transmitted diseases;
  • rheumatoid arthritis;
  • penetration of pathogenic microorganisms from the purulent area through the bloodstream;
  • ARVI or flu.
  • Return to contents

    Signs and symptoms of manifestation

    With purulent acute arthritis of the wrist joint, severe inflammation suddenly occurs, pain appears in the wrist, which intensifies at night while moving or pressing the hand. The hands become red, swollen and inflamed, and after a calm state they become weakly mobile. Purulent arthritis is accompanied by fever, chills and even intoxication of the body.

    The pain can be either constant or intermittent. The symptoms of the right and left wrist are similar and have no differences.

    Other signs of arthritis vary depending on the nature of the disease. With rheumatoid arthritis, a low temperature rises, but damage to two joints occurs. The patient feels weakness, sweating and pain sensitivity most often early in the morning. Metabolic arthritis is accompanied by damage to the entire hand. Bone tissue is destroyed and gouty nodules appear. With chronic arthritis, symptoms may not occur.

    Diagnosis of the disease

    The etiological form of arthritis of the wrist joint is determined by performing a rheumatological examination and clinical blood tests - from a finger and rheumatic tests - from a vein. The doctor determines how arthritis is related to acute or chronic human diseases, assesses the number of affected areas, determines the degree of pain and other signs of the disease. For a correct diagnosis, an analysis is performed to study the contents of the joint, and then a suitable antibiotic is prescribed. Only after all the tests have been completed, the doctor confirms the diagnosis. If necessary, additional studies are prescribed to confirm the pathology:

    Methods for treating wrist arthritis

    To prescribe the correct therapy for the wrist joint, the doctor must determine the causes and stage of development of the disease. To treat acute purulent arthritis, you will need to install a special drainage to drain the pus. In acute stage 2 disease, it is necessary to take anti-inflammatory drugs.

    If a chronic disease has worsened, it must be treated with antibacterial therapy. When the patient is recovering, he needs to perform physical therapy and massage. At the last stage of the disease, in order to reduce pain and increase motor activity of the fingers, it is necessary to intervene with surgery.

    Exacerbation of the disease

    When arthritis of the wrist joint worsens, treatment is carried out with antibacterial and anti-inflammatory drugs. But this is a temporary treatment that reduces pain for a short period of time. After some time, the sensations return. The specialist must find out the cause of the disease by prescribing a diagnosis and then appropriate treatment. Seeing a specialist in the early stages of the disease promotes rapid recovery and prevention of complications.

    During the remission stage, it is good to use ointments, especially for people suffering from gastrointestinal disorders. The ointment can alleviate the condition and promote recovery.

    Antibiotics are indicated for the bacterial nature of the disease.

    Treatment of arthritis of the wrist joint is carried out over a long period. For each patient, in accordance with the degree of his disease, therapy is prescribed individually. In the remission phase, treatment with glucosamines and chondroitins is prescribed for 3 months. At the same time, they provide blood supply to the joints with vasodilators. For bacteriological arthritis, antibiotics are prescribed. Vitamin and mineral complex therapy has a positive effect on the recovery of the body.

    Treatment with folk remedies

    Traditional methods of therapy can improve the patient’s well-being. They, unlike drugs, do not create side effects. It is impossible to be completely cured using traditional methods, but the patient’s condition can be alleviated. The most common and effective treatment for arthritis is bee products. For many years, people have been using propolis tinctures and honey compresses.

    Another common method of treating the disease with folk remedies is the use of teas and herbal decoctions. Sage has an anti-inflammatory and softening effect. A decoction of birch leaves is used for inflammation of small joints of the hands. For children and pregnant women, for whom many medications are contraindicated, traditional methods of treatment are the best way to prevent the disease. To carry out proper treatment, consultation with a specialist is necessary.

    Physiotherapeutic procedures

    They are used to relieve pain and reduce inflammation in the affected joint area. It is good to combine physical therapy and drug treatment at the same time. Electrophoresis is one of the physiotherapeutic methods. The procedure involves applying an electric current to the diseased part of the body and injecting the medicine under the skin.

    Exposure to ultrasound helps reduce pain and prevents inflammation in neighboring areas of the body. Acupuncture is considered the safest and most effective procedure. With its help, pain is controlled and vital energy is imparted, which helps the body fight the disease. If wrist arthritis is in remission, the use of massage and therapeutic exercises is effective.

    When arthritis of the wrist joint develops, an important point is the organization of proper nutrition. If you do not follow a healthy diet, it is harmful for treatment, the disease may become more complicated and it may recur.

    The diet involves reducing the amount of carbohydrates. They are replaced by foods containing fats and proteins. Fish dishes contain essential vitamins and nutrients that activate bone tissue growth. It is recommended to limit salt intake. It is better to avoid spicy foods, fatty foods and alcohol. During the acute stage, you should not eat sorrel, rhubarb and onions.

    Arthritis of the wrist joint

    Arthritis of the wrist joint is a collective term for various diseases of the wrist joint.

    Based on the causes of occurrence, arthritis of the wrist joints is divided into the following groups:

    • Specific arthritis, the causative agents of which are tuberculosis, gonorrhea, syphilis.
    • Nonspecific purulent arthritis, the cause of which is pyogenic microbial flora that enters the joint cavity from the source of infection through the flow of lymph or blood.
    • Infectious-allergic arthritis, developing as a complication after an infectious disease such as dysentery, measles, brucellosis.
    • Arthritis associated with systemic connective tissue diseases (after systemic lupus erythematosus, rheumatoid arthritis).
    • Arthritis that develops due to metabolic disorders in the body, for example, gout.
    • 1. Waking up at night between three and five o’clock in the morning with severe pain in the wrists and hands is a symptom of an inflammatory, rheumatic disease - arthritis of the wrist joint, which is characterized by increased pain at this time of day. But this is true if pain occurs precisely against the background of rest. If you toss and turn in your sleep and this causes pain.

      2. If there is inflammation of both wrist joints at the same time, we can assume the development of arthritis, because such symptoms are 99% indicative of this disease.

      3. Stiffness of the whole body and joints in the morning, when waking up, should be alarming. It lasts until lunch, and sometimes faster. This stiffness is characteristic of arthritis of the wrist joints.

      4. Attacks of severe pain in the wrist joints, accompanied by redness and swelling, occurring for no apparent reason and also suddenly disappearing after about 3-7 days. Repeated systematically at certain, almost equal intervals of time, these symptoms are 90% indicative of arthritis of the wrist joints.

      5. In cases where, after intense, active movements, pain in the wrist joints decreases significantly, there is a possibility of arthritis of the wrist joints, since in other joint diseases of non-inflammatory origin, on the contrary, vigorous movements lead to increased pain in the damaged joints.

      6. The formation of dense pea-sized nodules under the skin in the area of ​​the inflamed wrist joints should suggest arthritis; this may be caused by rheumatoid arthritis. Sometimes these symptoms are also accompanied by the formation of gouty tophi on the fingers.

      7. A sign of rheumatoid or reactive arthritis of the wrist joints are chills and “drenching sweat” that accompany inflammation of the joints for a long time. One should not confuse those cases when a woman in menopause experiences so-called “hot flashes” - sweat and chills.

      When starting treatment for arthritis of the wrist joints, you need to take into account the stage of the disease and the causes of its occurrence. In cases of purulent acute course of the disease, doctors perform a so-called arthrotomy - this is drainage for the outflow of purulent discharge from the joint cavity.

      Followed by a bacteriological study of the fluid in the joint. To determine the type of pathogen, as well as its sensitivity to antibiotics and other medications.

      For exacerbations of chronic wrist arthritis and treatment of other types of acute arthritis, doctors immobilize the joints, after which they prescribe antibacterial therapy or anti-inflammatory drugs. As the inflammatory process subsides, physical therapy, massage and physiotherapeutic procedures are recommended.

      Drug treatment

      To relieve inflammatory processes in the affected joints, non-steroidal drugs are prescribed. Analgesics - painkillers - are also actively used in treatment. In parallel, physiotherapeutic treatment is used. And to restore the functionality of the affected joints, physical therapy is prescribed.

      All treatment is aimed not so much at the complete restoration of all joint functions, but at putting the disease into remission. In extreme cases, when drug, therapeutic and physical therapy treatment is ineffective, surgical intervention is used. Compared to other types of disease, for arthritis of the wrist joints, this method brings the greatest effect.

      Arthritis of the wrist joint - methods of diagnosis and treatment of the disease.

      Clinical picture of the disease

      Arthritis of the wrist joint is a group of diseases of the hands, accompanied by inflammation, pain, and changes in the appearance of the hands. Unlike arthrosis, the inflammatory process in arthritis is not localized only in the joint, but covers the entire body.

      Reasons contributing to the development of the disease

      Based on the causes of the disease, there are several types of arthritis of the wrist joint:

    • Specific (caused by bacterial pathogens).
    • Nonspecific (occurring as a concomitant disease).
    • Infectious-allergic (proceeds as an infectious disease in the complication stage).
    • Autoimmune (rheumatoid arthritis).
    • Arthritis that develops due to metabolic disorders in the body.
    • In addition, arthritis can occur due to injuries and hypothermia of the joints. It often becomes an occupational disease of builders, athletes, and office workers. Due to overload of the wrist joint, microtraumas occur, which contribute to the development of the disease.

      When working at a computer for a long time, inflammation of the wrist joint may occur due to incorrect hand position. To avoid this, it is recommended to use a silicone pad to support the wrist in the bend area.

      Degrees of manifestation and main symptoms of the disease

      The development of arthritis can be acute or chronic. Pain is the main symptom. Based on the severity of pain, there are 3 degrees of development of the disease:

      I degree – mild. At this stage, the disease does not cause severe discomfort; pain appears in the morning, after long work, or overload of the wrist joint.

      II degree – average. Noticeable signs of inflammation appear, mobility becomes difficult, pain becomes more constant than in grade I.

      III degree – severe. A complete lack of mobility of the hands, pain and inflammation affect not only the wrist joint, but also other joints and internal organs. The same manifestations are observed during the acute stage, or during periods of exacerbation of the chronic.

      For all stages of the disease there are common, basic symptoms of arthritis:

    • Pain in the wrist joint;
    • Inflammation, redness of the hands;
    • Edema, swelling;
    • Limited movement;
    • Increased core body temperature;
    • Symptoms of other inflammatory diseases (conjunctivitis, cystitis).
    • Diagnosis of wrist arthritis

      Depending on the etiology of the disease (cause), various examination methods are carried out. After the initial examination and questioning of the patient, the doctor prescribes the necessary diagnostic methods:

      Magneto-resonance tomography of the wrist.

      The main signs of arthritis (regardless of the type) on ultrasound:

    • Unevenness of the synovial membrane of the cartilage tissue of the joint;
    • The presence of inflammatory exudate (liquid);
    • Presence of cartilage degradation residues in the intraarticular fluid.
    • X-ray shows a narrowing of the joint space, a change in the bone structures of the joint.

      The blood test contains all the signs of an inflammatory process throughout the body - an increase in ESR, an increase in globulin proteins, the appearance of immune protein complexes and C-reactive protein. With gouty arthritis, uric acid and its salts are found in the blood.

      Arthritis of the hands should be treated comprehensively. The doctor faces several tasks at once:

    • Relieving inflammation and reducing pain.
    • Restoration and protection of joint cartilage tissue.
    • Returning mobility to the hands.
    • When treating, the cause of the disease and the degree of development of arthritis of the wrist joint should be taken into account.

      Effective methods of treating arthritis of the hands

      To relieve inflammation and pain in the joints of the hands, non-steroidal anti-inflammatory drugs (diclofenac, ibuprofen, indomethacin) are prescribed. Depending on the pathogen (virus, bacteria, fungus), specific treatment with antiviral, antifungal drugs and antibiotics is prescribed. Courses of treatment last no more than 10 days.

      You can also watch detailed information about the treatment of arthritis in this video:

      After the inflammation and pain are relieved, courses of chondroprotectors are prescribed. Such preparations contain those necessary for the synthesis and regeneration of cartilage tissue. They increase blood circulation in the area of ​​the affected arm, trigger metabolic processes in the tissue, thereby protecting and preventing degradation of the cartilage of the joint.

      In addition to drug treatment, courses of physiotherapy, massage, and physical therapy are provided.

      Treatment of an acute attack.

      Severe, unbearable pain and complete lack of mobility in the joint are the main manifestations of an acute attack of the disease. In this case, it is necessary to relieve pain as quickly as possible. Cold compresses are applied to the hands, and corticosteroid injections are injected into the capsule. Phenylbutazone, a non-steroidal anti-inflammatory drug with a very aggressive action, helps to quickly relieve pain and inflammation, allowing you to relieve pain in the wrist joint in 5-7 days.

      The diseased joint is subject to immobilization - it is necessary to wear bandages and clamps. During the exacerbation of the disease, therapeutic exercises, massages, and physiotherapeutic procedures are stopped.

      Treatment during remission.

      After the exacerbation has stopped and remission has occurred, courses of procedures and physical therapy continue. Massages with medicinal ointments, mud and salt baths are provided. A special diet is prescribed, containing all the substances necessary to stabilize cartilage tissue. It is proposed to use vitamin and mineral complexes containing vitamins A, group B, C, E, calcium, magnesium.

      Compliance with all the rules prescribed by the doctor allows you to extend periods of remission in the chronic course of the disease.

      Traditional medicine

      At home, it is possible to prepare some traditional recipes used to treat wrists affected by arthritis.

      Recipe No. 1: Cabbage juice compress

      Helps relieve inflammation and pain due to arthritis, relieves limited movement of the wrists. A warm woolen cloth should be moistened in fresh cabbage juice and applied to the sore joint and insulated. You need to keep this compress for 4 to 6 hours, you can leave it overnight.

      Recipe No. 2: “Ural ointment”

      To relieve pain from hand diseases, “Ural ointment” is used. It is not difficult to prepare - mix 200 g of salt (not iodized) with 100 g of mustard powder, add the required amount of paraffin until a creamy mass is obtained. Lubricate the wrist joint to relieve pain.

      Recipe No. 3: Herbal decoction

      A decoction of herbs is used as an adjuvant in the treatment of arthritis. Mix chamomile flowers, calendula, elderberry, nettle leaves and willow bark in equal quantities, add hot water and bring to a boil. Then strain and pour into a thermos. This decoction can be consumed 3-4 times a day, 1-2 glasses before meals.

      Recipe No. 4: Wrestler root tincture

      Relieves inflammation and improves blood circulation in the wrist joint. Pour 100 g of dried wrestler root into 1 liter of vodka and leave in a dark, warm place for 3 days. After the tincture turns dark, you can use it to rub diseased compounds.

      Wrestler root is a good pain reliever. But do not forget that the fighter’s poison is a very toxic alkaloid. Doctors do not recommend exceeding the prescribed dosage of drugs based on this herb.

      Prevention of arthritis of the wrist joint

      Often, arthritis of the wrist joint develops in young people who spend a lot of time at the computer. In stage I of the disease, the symptoms are mild, gradually develop and intensify at the age of 40-50 years.

      Prevention of arthritis is much simpler than treatment and consists of a few simple rules:

    • Proper, balanced nutrition, containing all the necessary substances to maintain healthy joints (vitamins A, B, C, E, calcium, magnesium, hyaluronic acid, chondroitin).
    • Periodic breaks for gymnastics and warm-up of the wrist joints during work (rotations, stretching, rubbing the hands).
    • Protection of hands from hypothermia, injury and damage (mittens, bandages).
    • Timely treatment and prevention of colds and inflammatory diseases that can cause the development of arthritis as complications.
    • Arthritis of the wrist joint can be a serious problem in the life of any person. It causes discomfort, reduces the quality of life, can cause concomitant diseases and cause loss of performance. Correct and prompt treatment helps to quickly get rid of the symptoms and causes of the disease and restore health to your hands.

      Arthritis of the wrist joint: causes, symptoms and treatment

      Wrist pain is a common reason patients visit doctors. Moreover, such a syndrome always occurs acutely, without any preliminary “preludes”, which is associated with the peculiarities of the anatomical structure of the wrist joint. The fact is that the synovial membrane of the joint is nourished by a huge number of nerve, lymphatic and blood endings, which is why any inflammatory process instantly responds with severe pain.

      Causes of arthritis of the wrist joint

      It is extremely rare that the disease under consideration manifests itself as an independent disease; according to statistics, in most cases it is diagnosed as a complication/manifestation of lupus erythematosus, rheumatoid arthritis (systemic lesions).

      Doctors also consider other reasons for the development of arthritis of the wrist joint - for example, it can arise as a complication of tuberculosis, sexually transmitted and/or infectious pathologies. Pathogenic microorganisms that provoke the inflammatory process can penetrate the wrist joint from any purulent focus with the flow of lymph or blood.

      There is such a thing as infectious-allergic arthritis; it extremely rarely manifests itself in the wrist joint, but this possibility cannot be overlooked.

      Symptoms of wrist arthritis

      The severity of symptoms in arthritis of the wrist joint is usually variable, as it depends on several factors: how long the inflammatory process has been present in the hands, what reason contributed to the development of the disease in question, what common chronic diseases are present in a person.

      The main symptoms of wrist arthritis include:

      1. Pain . A person experiences it all the time, but this syndrome manifests itself especially strongly when trying to make some kind of movement with the hand and fingers. At the very beginning of the development of pathology, pain is present only in the morning, immediately after waking up, and literally after 30-40 minutes the condition returns to normal, and the person can lead a normal life. Often pain in arthritis of the wrist joint is accompanied by burning and tingling; these syndromes can be present at the very beginning of the development of the inflammatory process, and with advanced disease.
      2. Stiffness . The patient cannot move his fingers or turn his hand in the desired direction; patients describe this condition as “there is a too narrow, squeezing glove on the hand.” In order to perform some basic actions, patients are forced to stretch their hands and fingers for 10-15 minutes.
      3. Swelling and hyperemia. The skin around the wrist becomes swollen and red, and if you touch it, you can feel a clear increase in body temperature of a local nature. Moreover, at the very beginning of arthritis of the wrist joint, these symptoms may be absent, then (as the inflammatory process progresses) swelling appears, which spreads to the fingers. And only at the moment of active progression of the disease does redness of the skin appear.
      4. Crepitation . This is a characteristic joint creak that appears when moving. It should not be confused with clicking in the joints, which, in principle, is considered normal.

      In addition, a person with developing arthritis of the wrist joint will be bothered by general weakness, increased drowsiness, psycho-emotional instability, irritability, and disorders of the digestive system (for example, decreased or lack of appetite). Such manifestations of the disease in question are not typical, but occur due to a progressive inflammatory process in the body.

      Please note: at the earliest stage of development, arthritis of the wrist joint practically does not manifest itself at all. Patients note only some stiffness in their hands in the morning (for example, it is difficult for them to open a water tap) and mild pain (characterized as “ache”). These syndromes disappear literally after 15-30 minutes and therefore no one pays attention to them. Meanwhile, this is a reason to consult a doctor, clarify the diagnosis and begin treatment.

      Treatment of arthritis of the wrist joint

      Treatment of the disease in question should be comprehensive and carried out only under the supervision of a specialist.

      Acute phase of the disease

      Doctors prescribe patients to take non-steroidal anti-inflammatory drugs, which quickly relieve pain and stop the development of the inflammatory process. In especially severe cases, when the attack of pain is unbearable, drugs of this pharmacological group are administered directly to the site of inflammation.

      In most cases, the acute phase of arthritis of the wrist joint requires immobilization of the hand - the patient must apply a special fixing belt to it, which prevents movement of the joint.

      Patients should be prepared for the fact that treatment of arthritis of the wrist joint is a long process; drug therapy is carried out over several months. The doctor selects a treatment regimen for each patient on a strictly individual basis, but several basic principles for the treatment of the disease in question in the remission stage can be identified:

    • Medicines based on glucosamine and chondroitin are prescribed . The course of taking such drugs is on average 3 months, during which the hyaline cartilage of the wrist joint is restored.
    • The patient receives vasodilators . They are necessary to ensure excellent blood supply to the joints, and this is impossible to do with narrowed vessels. Such drugs include Teonicol, Actovegil and/or Trental. They are administered intramuscularly or intravenously; doctors prescribe 10 injections for one course of treatment.
    • Antibacterial drugs are prescribed. This is only advisable if, during the examination of the patient, arthritis of bacteriological origin was diagnosed. In the case of active progression of the disease in question, antibiotic injections are made directly into the site of inflammation.
    • The patient must take vitamin and mineral complexes . They should be selected by the attending physician, taking into account the need to strengthen such complexes with calcium.
    • Please note: if the above therapy does not produce results, the patient is prescribed corticosteroids and antimalarial drugs. But doctors are trying in every possible way to avoid such a prescription - the effect of such drugs is short-term, but there can be many side effects, which will worsen the patient’s condition.

      During the remission stage, doctors recommend actively using topical agents to alleviate the condition. We are talking about ointments that contain non-steroidal anti-inflammatory drugs; the advantage of their use is the absence of negative effects of medications on the gastrointestinal tract.

      As part of complex therapy, doctors prescribe physiotherapeutic procedures - acupuncture, electrophoresis, ultrasound, quartz treatment. Electrophoresis and ultrasound are considered the most effective procedures specifically for arthritis of the wrist joint, although in other countries (for example, China) only acupuncture is used.

      Separately, it is worth noting the role of massage and therapeutic exercises. Firstly, such procedures should be carried out only by specialists, at least at the beginning of treatment - the patient will be able to learn, and then practice regularly himself. Secondly, any physical impact on the diseased joint can only be carried out in the remission stage. Thirdly, massage and gymnastics should not cause pain or discomfort.

      Diet for wrist arthritis

      You will need to adhere to certain nutritional rules for the disease in question throughout your life, both during moments of exacerbation of arthritis of the wrist joint, and during the stage of remission.

      It is necessary to exclude from the diet:

    • hot peppers;
    • fat meat;
    • grilled foods;
    • alcoholic drinks.
    • It is advisable to limit the use of:

      Be sure to include in your diet:

    • nuts (walnuts, hazelnuts, cashews, but almonds will be especially useful);
    • fruits and vegetables that contain a lot of vitamin C (papayas, oranges, peaches, gooseberries);
    • sea ​​fish of fatty varieties (salmon will be especially useful);
    • ginger and turmeric (these products help reduce inflammation);
    • apples;
    • garlic;
    • millet, buckwheat, rice and oatmeal.
    • When preparing a diet/diet regimen, a patient diagnosed with arthritis of the wrist joint must adhere to the following rules:

    • The break between meals should not be more than 3 hours.
    • You can't overeat, but starving yourself will be harmful.
    • If you are overweight, then you need to get rid of it, but only under the supervision of a specialist.
    • Every day you need to drink a certain amount of water, which will be determined by your doctor.
    • Rules for the treatment of arthritis of the wrist joint

      When pain in the hands appears, every person tries to use some kind of lotions, compresses - they really bring relief, but it will be short-lived and will not stop the inflammatory process. Patients with the disease in question must understand that a positive result after therapy is possible only if certain rules are followed. These include:

    • Self-medication is unacceptable. Any, even the most proven methods of treating diseased joints, must be agreed upon with the attending physician.
    • The load on the hands should be minimal. If this point is related to the characteristics of work activity, then during periods of exacerbation of the disease it is necessary to take sick leave.
    • Every day you need to perform exercises from the course of therapeutic exercises, which are recommended by your doctor. They can be done only during the period of remission; no effort is needed when performing the exercises.
    • It is prohibited to lift heavy objects, and it is also undesirable to make sudden movements with your hands.
    • The patient's night's rest should be complete and last at least 8 hours.
    • The diet must be strictly followed, without interruption on holidays and weekends.
    • Arthritis of the wrist joint is a complex disease, difficult to treat, and complete recovery does not occur. But with timely diagnosis and unquestioning implementation of all prescriptions and recommendations of the attending physician, you can achieve long-term remission and not lose your ability to work.

      Tsygankova Yana Aleksandrovna, medical observer, therapist of the highest qualification category

      3,273 total views, 5 views today

      Arthrosis of the wrist joint: causes, symptoms, treatment

      Arthrosis of the wrist joint most often develops in those whose activities involve excessive stress on the hand. These are athletes, builders, computer workers, and gamers. The mechanism of development of the pathology is due to the fact that the ends of the articulation, due to prolonged tension, cause degeneration of the articular tissues. The cartilage dries out, becomes thinner, loses its mobility, and as a result, degenerative transformations begin in its structure.

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

      With the development of arthrosis in the wrist joint, degenerative processes spread to the cartilage and tendons that provide mobility to the hands. It is very difficult to identify the disease at an early stage, since it has no characteristic signs and practically does not bother a person. Severe external deformations are observed only in cases where the cause of arthrosis is provoked by mechanical injuries (fractures, dislocations) of the hand. At the initial stage, the disease may manifest itself as crunching or clicking in the hand when rotating or flexing-extending the limb, stiffness, and limited mobility.

      The impetus for the occurrence of the disease is various factors of the articulation of the forearm and hand. As a result, tendons and cartilage lose a certain amount of synovial fluid and become more fragile to any impact. Drying out of structures leads to their thinning, roughness, and loss of shock-absorbing properties.

      The course of the disease is long and slow. For a long time it does not manifest itself, but the joint continues to undergo destructive changes. Without qualified treatment, arthrosis of the wrist joint leads to severe deformation, which significantly worsens a person’s quality of life.

      Traumatologist's opinion on video:

      Taking into account statistical data, it can be argued that the vast majority of all diagnosed arthrosis are associated with a person’s professional activity. About 75% of all patients are athletes, builders, computer workers, and representatives of other professions whose occupation is associated with systematic stress on the wrists.

      In total, there are four main reasons for the development of arthrosis of the wrist joint:

    • Post-traumatic factor . The disease occurs as a result of microtraumas and regular stress on the wrists of programmers, teachers, musicians, tennis players, and other representatives of professions associated with wrist stress.
    • Inflammatory factor . The disease can be triggered by chronic problems in the cartilage and tendons of the wrist.
    • Age factor , as a consequence of the appearance of degenerative pathological processes of intra-articular structures. Dystrophic disorders occur against the background of endocrine diseases, metabolic problems, and other signs of aging of the body.
    • Mixed factors : ununited fractures, congenital anomalies, etc.
    • The condition of the joints depends on how well they are supplied with nutrients and oxygen. Blood circulation in the vessels in damaged joints is significantly reduced, and as the disease progresses, the blood generally stagnates.

      Note! The development of the disease depends on the condition of the muscles: the stronger, firmer, stronger they are, the easier it is for them to hold the joint in the correct position. This is why arthrosis occurs more easily in men than in women.

      Arthrosis of the wrist joint can appear as a result of a combination of provoking factors. Trauma, including microtrauma, is one of the common causes of the disease, and even minor damage to structures can cause it. In general, joints tend to heal themselves. But sometimes the healing process can be overshadowed by repeated injury or infection. In this case, the risks of complications and degenerative changes increase.

      Repeated injuries, called chronic, cause many damages inside the cartilage and ligaments: tearing of the joint capsule, reduction in the volume of synovial fluid, microfracture of bone structures. All these changes significantly increase the chances of arthrosis formation. It can be triggered by an untreated injury if a person prematurely begins to develop or overload a joint that has not yet fully recovered.

      Genetics plays an important role in the development of diseases of the musculoskeletal system. Arthrosis itself, of course, is not inherited, but the factors that provoke its appearance tend to do so. This is a metabolic disorder, the structure of cartilaginous structures, bones and other congenital anomalies.

      Signs of the disease depend on the stage of its development. The severity is determined by the results of the clinical picture of the disease and x-ray examination. There are three stages of arthrosis of the wrist joint:

    • Stage I. Characterized by slight limitation of mobility and pain. An x-ray image visualizes a narrowing of the joint space and sharpening of the edges of the joint surfaces.
    • Stage II . It is characterized by an intensification of the main symptoms: pain of moderate intensity, more noticeable limitation of mobility. In the image, the doctor will note a more pronounced narrowing of the joint space and the formation of osteophytes along the surfaces of the articulation.
    • Stage III . It is characterized by significant limitation of mobility in the wrist, accompanied by severe pain. On an x-ray, the joint space is completely absent, cyst-like bone growths and visible deformation of the joint are visible.
    • All the described symptoms characterize the severity of the disease, but arthrosis of the wrist joint has a number of additional signs characteristic of the disease:

    • Pain of varying intensity. Most often, aching sensations appear in a person at night and in the early morning hours. Depending on the stage of the disease, the nature of the unpleasant sensations can be so strong that the patient often wakes up.
    • inflammation . The manifestation of this symptom depends on the stage of the disease and the characteristics of its course, the presence of concomitant diseases, injuries and other provoking factors.
    • Restricted mobility, stiffness in the joint. Most often, these symptoms are observed in the morning after waking up or after the limbs have been at rest for a long time.
    • Swelling , redness of tissues. Such symptoms appear against the background of an active inflammatory process. The duration of the exacerbation period ranges from 5 to 15 days and is regularly repeated at certain intervals. The periods of chronic course are reduced depending on the stage of the disease.
    • Physical activity in the area of ​​the affected joint causes temporary relief. This condition is typical for arthrosis. If such actions cause increased pain, this means that there are other inflammatory processes in the body.
    • Deformation of the bone joint with the formation of subcutaneous nodes. The formation of gouty tophi on the fingers is possible.
    • An increase in body temperature against the background of an inflammatory process in the joint.
    • If any one or a set of signs appears, you should consult an orthopedist for advice. If you waste time and do not start treatment for arthrosis of the wrist joint , then you will not be able to avoid surgery.

      Note! You cannot self-medicate the disease so as not to aggravate its course. Only a doctor can prescribe competent and most effective therapy.

      Diagnostic measures

      An orthopedic surgeon will help identify arthrosis of the wrist joint. The sooner this is done, the easier the process of restoring cartilage tissue will be. Diagnosis is carried out using the following methods.

    • Examination and history taking. After talking with the patient, the doctor will determine the cause of the disease, identify provoking factors, and advise how to reduce the load on the joint so that it does not aggravate its condition during treatment.
    • Laboratory tests: clinical blood test from a finger, analysis of rheumatic tests from a vein. These indicators are needed to exclude arthritis. This disease's clinical picture resembles arthrosis, but the treatment methods for them are different. This is why differentiating one disease from another is important.
    • X-ray. It is done in two projections so that the doctor can examine the size of the joint space, the presence of osteophytes and the general structure of the joint.
    • Magnetic resonance imaging. This research method is necessary if the doctor has any doubts about the diagnosis.
    • Based on the results obtained, it will be possible to select the most effective method of therapy for the patient.

      Usually, treatment for arthrosis of the wrist joint is quite effective, provided that the diseased joint is not subject to stress, is securely fixed and the patient complies with the doctor’s instructions. The following methods are used to combat the disease:

    • drug therapy;
    • physical therapy;
    • physical therapy classes;
    • diet;
    • orthopedic mode;
    • ethnoscience.
    • Drug therapy

      Non-steroidal anti-inflammatory drugs are most often used to treat arthrosis of the wrist joint. This group of products is aimed at eliminating inflammation in the area of ​​injury and providing mild pain relief. It includes Aspirin, Diclofenac, Indomethacin, Ibuprofen, Ketoprofen and others.

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

      NSAIDs are considered relatively harmless drugs for the body, but taking them for a long time is not recommended due to the possibility of adverse reactions. In addition, medications have certain contraindications: diseases of the stomach, heart, kidneys, liver. Long-term use of drugs from this group has a corrosive effect on the mucous membranes and can cause formation.

      Corticosteroid drugs are powerful hormonal medications. In the treatment of dystrophic disorders of the osteochondral apparatus, this group of medications is very effective. Medicines are prescribed for severe pain when non-steroidal drugs do not give the desired result. According to the intensity of action on the body, all corticosteroids are of several types:

    • weak Prednisolone, Hydrocortisone;
    • moderate action Ftorokort, Lorinden;
    • strong Ekolom, Advantan, Triderm;
    • very strong Cloveit.
    • The stronger the remedy, the more caution it should be taken.

      Note! Treatment with corticosteroid drugs should only be prescribed by a doctor. Spontaneous use of medications can be hazardous to health.

      Medicines in this group also have contraindications. They should be used with caution in case of diabetes, hypertension, stomach ulcers, and mental disorders. It is better not to use potent drugs for treatment if there are bleeding disorders, infections, or severe forms of osteoporosis. Corticosteroids are ineffective if the patient has a transarticular fracture, with progressive destruction and deformation of the joint that is incurable with medication.

      Adverse reactions include nervous excitability, irritability, muscle spasms, uncontrolled weight gain, growth retardation in children, and problems with puberty.

      Chondroprotectors are drugs that improve the condition of cartilage and promote their restoration, nourishing and moisturizing joint structures. The first results are observed after a long time from the start of taking medications of this group, because regeneration processes proceed very slowly. Chondroprotectors are considered the most effective in the treatment of arthrosis of the wrist joint in the early stages. If the process of deformation of the joint has begun, then it no longer makes sense to use these drugs.

      The list of means for restoring cartilage structures is quite extensive. Chondroxide, Teraflex, Arthrodar, Aflutor and others are widely used in the medical practice of osteoligamentous pathologies. There are no absolute contraindications to their use. Relative ones include pregnancy, breastfeeding and allergies to individual components of the drug.

      The goal of physiotherapeutic treatment is to stimulate metabolic processes, improve blood circulation, and strengthen cartilage tissue. The list of treatment procedures is quite wide. To eliminate inflammatory processes, mud therapy, electrophoresis, magnetic therapy, cryotherapy, massage using anti-inflammatory agents (gels, ointments, creams), wraps, compresses, etc. are used.

      Anton Epifanov about physiotherapy for joints:

    • Mud therapy is a safe technique. Its influence on the course of the disease is not effective enough, but it does allow for the removal of unpleasant painful symptoms. Most often, mud therapy is combined with drug treatment, and is also used as rehabilitation measures after surgical operations. It is better not to use it as an independent treatment. There are no contraindications, except for possible allergic reactions to the composition of the medicinal mixture.
    • Electrophoresis is the procedure of applying electric current to the affected area. It allows you to relieve a person from severe pain in the wrist. If treatment is carried out in combination with anti-inflammatory gels or ointments, a good therapeutic effect can be achieved.
    • Magnetic therapy is aimed at reducing pain and slowing down the degenerative process that accompanies arthrosis of the wrist joint. It is advisable to integrate the technique with active physical exercises that help strengthen the muscles near the damaged area. Electrical stimulation can be used in conjunction with magnetic treatment to improve muscle strength without overstressing the joint during the patient's rehabilitation period.
    • Cryotherapy is aimed at eliminating pain. The technique is a treatment with cold temperatures. Localized and continuous application of cold keeps the muscle fibers in contraction. These manipulations help control wrist pain and reduce the effects of injury. It is most effective for mechanical damage to the joint, accompanied by swelling of the soft tissues and impaired blood circulation in them.
    • Massage should begin no earlier than 3-5 days after the end of the acute period of the disease. A good therapeutic effect is achieved by using topical anti-inflammatory drugs during sessions. The purpose of the massage is to increase blood circulation in the area of ​​damage and improve tissue nutrition. This, in turn, will lead to the restoration of cartilage tissue, increase the regeneration of synovial fluid, reduce the manifestations of the inflammatory process and increase joint mobility.
    • The specificity of physiotherapeutic techniques is that they are prescribed only in a non-acute period. If this requirement is not taken into account, then the patient’s condition can be aggravated and harm the joint.

      Physiotherapy

      Physical therapy classes are designed to restore mobility of the hand and wrist after injury. The reasons for the development of the disease do not matter. A set of physical exercises is selected by the instructor depending on the severity of the problem. It is recommended to exercise systematically to maximize the effect of physical therapy.

      Massage and gymnastics of the hands from Margarita Levchenko:

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