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Arthrosis symptoms and

24 Jun 18

Osteoarthritis of the knee joint - symptoms and treatment. It is possible to defeat a dangerous disease

Even young people can develop arthrosis of the knee joint - the symptoms and treatment of which will be discussed in this article. This disease causes severe pain to the patient. In its final stage, it worsens the quality of life and can lead to disability. However, with the right approach, it is quite possible to defeat it.

Main causes of gonarthrosis

Arthrosis of the knee joint or gonarthrosis is a disease that most often occurs in old age, but today it also appears in young people. Everyone who has encountered this disease asks themselves the following questions: Why does arthrosis of the knee joint occur? What are the symptoms and treatment of the disease?

Gonarthrosis develops due to insufficient nutrition of cartilage, which loses its elasticity and begins to wear out. This process occurs in parallel with the deterioration of the quality of intra-articular fluid. Its role is extremely important - it is a lubricant and a source of nutrition for cartilage, since they do not have blood vessels.

As a rule, there is not one, but several destructive factors at work. Here are the main causes of gonarthrosis .

  • Injuries. They are the most common cause of the disease. For example, a dislocation of the knee joint leads to reduced mobility, which impairs blood circulation in this area. And an ordinary, but very severe bruise can open the way for this disease.
  • Completeness . Scientists analyzed cases of gonarthrosis and found that obese people suffer from it more often. However, this is not surprising, since heavy loads on the knee and hip joints contribute to abrasion of the cartilage layer.
  • Metabolic syndrome . This is a disease that includes several disorders: insulin resistance, abdominal obesity, hypertension and coronary heart disease. In this case, they talk about secondary gonarthrosis .
  • Poor quality food . The disease is also provoked by certain products, for example, cheap sausages. The media is increasingly talking about the fact that food rich in preservatives is harmful to health. Preservatives contribute to the accumulation of harmful substances in the synovial fluid, worsening its quality.
  • Osteoporosis . According to many researchers, arthrosis in old age is associated with osteoporotic changes. When resorption prevails over osteogenesis, the mineral matrix begins to be excreted through the cartilage tissue, destroying it. Therefore, there was a statement that arthrosis is a marker of osteoporosis.
  • What you need to know about arthrosis of the knee joint - symptoms and treatment

    This disease has a main symptom that will not allow it to be confused with another, for example, arthritis - pain. There is no inflammation. At the first stage of gonarthrosis, this pain occurs only during exercise and goes away after some time. Doctors say in such cases that the patient “diverged.”

    When gonarthrosis gains strength, acute pain appears more often and more actively. And rest brings only temporary relief. There is often a crunch in the joints, especially when bending the knee. With arthrosis of the third degree, pain accompanies the patient constantly. This is a sign that the cartilage tissue has completely destroyed.

    How to overcome arthrosis of the knee joint ? Knowing the symptoms , you can choose treatment . In the early stages of the disease, you can manage with conservative methods - medications and physiotherapy. But gonarthrosis of the third degree can hardly be treated without surgical intervention. This operation is called joint replacement. However, it is better not to lead to a critical situation and begin treatment in a timely manner.

    Drugs that help with gonarthrosis

    For gonarthrosis, non-steroidal anti-inflammatory drugs are most often prescribed to help relieve pain. But it is important to understand that pain is just the tip of the iceberg. If the cause of the disease is not eliminated, then after some time the joint will remind itself again. Therefore, the doctor should prescribe you chondroprotectors, which will help the cartilage recover.

    The plant chondroprotector Dandelion P was developed specifically for patients with arthrosis and arthritis. Dandelion roots contain a valuable substance - glycoside taraxacin , which helps affected joints. Moreover, its effect occurs in two ways at once - directly on cartilage chondrocyte cells and on the liver, where the production of enzymes and proteins necessary for joints improves.

    In addition, for arthrosis, the drug Osteomed , which includes calcium citrate and an organic component - drone brood . This valuable product is extremely rich in vitamins, minerals and insect prohormones. This unique brood composition promotes the growth of osteocyte cells. Thanks to this, metabolism in the condyle and cartilaginous layer is restored. Thus, the cause of the disease is eliminated - the removal of the mineral matrix from the bone tissue stops.

    Another drug that improves the condition of gonarthrosis is Apitonus P , which includes royal jelly, pollen, dihydroquercetin, vitamins E and C. This biocomplex perfectly helps diseased joints - improves their blood supply, provides the necessary nutrition to bone and cartilage cells (chondrocytes) . Take Osteomed, Dandelion P , Apitonus P in combination and then you will forget about knee pain forever.

    Now you know what arthrosis of the knee joint is - the symptoms and treatment of this dangerous disease.

    Arthrosis of the hands: symptoms and treatment methods

    Arthrosis of the hand is a pathology manifested by curvature of the fingers and the appearance of nodules on them, pain, and the inability to clench the hand into a fist. The disease occurs due to the destruction of cartilage tissue between small joints. Unfortunately, all changes are irreversible. More details about symptoms and treatment methods will be described below.

    Deforming arthrosis of the hands

    According to statistics, women are more likely to suffer from this pathology; men are 10 times less likely to suffer from it. The incidence increases after menopause due to decreased estrogen production. Arthritis and arthrosis often affect people who have a hereditary predisposition to these diseases.

    Treatment of arthrosis of the hand joints is conservative. The initial stages of this disease respond well to treatment. With timely treatment, the process can be stopped for a long time.

    Classification of arthrosis

    The classification is based on various symptoms of pathology. It is necessary to distinguish between the forms of the disease in order to prescribe the correct treatment.

    The following forms of deforming arthrosis are distinguished:

  • Nodular - the presence of nodules in the interphalangeal joints. If the nodule is localized in the joints of the distal part of the hand, then it is called Heberden’s node, in the proximal joints it is called Bouchard’s node. Degenerative changes in the wrist joints in this form of the disease can be diagnosed visually: the fingers are deformed, and seals are detected in the area of ​​small joints.
  • Rhizarthrosis - pathological signs are localized in the base of the big toe of the upper limb. Changes can also be found in the area of ​​the metacarpophalangeal and carpometacarpal joints.
  • The causes of the disease often lie in trauma to the upper limb with dislocations and fractures. More often than others, people employed in the agricultural sector are susceptible to pathology. Those with a hereditary predisposition, those with rheumatoid arthritis and psoriasis, are more likely to get sick. People with congenital malformations of bones and joints also often get sick.

    If you detect any symptoms of the disease, you should immediately contact a specialist.

    Symptoms of hand arthrosis

    The disease begins unnoticed and progresses slowly. Often people suffering from arthrosis do not know about the existence of their disease, do not seek help, and do not undergo examination. This is where the danger of arthrosis lies: when the patient finally seeks help, the disease often reaches advanced stages.

    Depending on the stage of manifestation of pathologies, they are of a different nature:

    1. At the first stage, the disease manifests itself as a crunching sound when making movements in the joints of the hand. Pain syndrome appears after prolonged work, cooling, during magnetic storms. The pain is aching, bursting in nature. Swelling may appear in the area of ​​the small joints of the hands. At this stage, the disease can be treated at home. NSAIDs are not prescribed; physiotherapy is carried out; courses of chondroprotectors are recommended.
    2. Possible development of polyosteoarthrosis. The pain syndrome is constant, becomes intense, and often occurs at night. Patients note a sensation of pulsation and burning in the affected joints. In the area of ​​periarticular edema, a growth of bone tissue is formed, thickening of the joints of the fingers - Heberden's nodes. They can often be found on both hands in symmetrical areas. At this stage, deformation of the fingers becomes noticeable, and the range of movements is noticeably limited. It is impossible to completely restore the structure of cartilage tissue; therapy is aimed at slowing down degenerative processes.
    3. At the third stage, the pain syndrome is constant, the cartilage tissue in the area of ​​small joints is destroyed almost completely. There is a significant narrowing of the joint spaces or their absence. Heberden's nodes merge with each other, curvature of the fingers appears. Restriction of mobility can reach the degree of ankylosis, that is, complete immobility of the articular joint. Medicines to treat this degree of the disease are ineffective.
    4. Due to the slow progression of the disease, its development can be predicted and the necessary therapy can be prescribed in a timely manner.

      An x-ray of the hand or an MRI scan will help diagnose the disease.

      Methods for treating finger joint deformities

      How to treat arthrosis in the hands? Therapy is conservative. Surgical treatment is possible, but is prescribed only if it is necessary to eliminate contracture.

      Treatment must be comprehensive. The therapy includes the following groups of drugs:

    5. Nonsteroidal anti-inflammatory drugs are prescribed at all stages of the disease. Drugs in this group reduce inflammation and pain, reduce swelling in the affected joints. Release forms are varied: ointments, gels, tablets, injection solutions. However, the duration of their use is limited by side effects from the gastrointestinal tract and skin.
    6. Vasodilators - increase blood flow and improve metabolism in the area of ​​inflammation. In addition, drugs in this group relieve swelling by reducing congestion. The simultaneous administration of muscle relaxants enhances the therapeutic effect by relieving muscle spasms.
    7. At the initial stage of the disease, chondroprotectors will help preserve the structure of cartilage tissue. This group is also used as a prophylaxis for arthrosis, as well as after various hand injuries. In case of long-term use, chondroprotectors can eliminate degenerative changes in joint structures.
    8. Antibacterial drugs - their prescription is necessary in case of infection of joint tissues. The destruction of cartilage tissue, unlike arthritis, does not occur due to inflammation, but due to insufficient supply of nutrients. However, the disease can occur after an infection: influenza, gonorrhea, syphilis. To treat the disease in this case, it is necessary to eliminate the infectious process. Additional tests may be required to identify the pathogen.

    Additional (auxiliary) therapy

    1. Exercise therapy is an auxiliary treatment method. Gymnastics for arthrosis of the hands is useful for improving blood circulation in the area of ​​the pathological focus and increasing the range of movements. To perform exercises, the patient is recommended to attend rehabilitation centers, Pilates, and yoga classes.
    2. Physiotherapy – at the first manifestations of pathology, if the diagnosis of arthrosis of the hands is confirmed, the patient is prescribed physiotherapy. This could be magnetic therapy, treatment with mud, leeches, or acupuncture. At home, to reduce pain and swelling, you can use warming your hands in paraffin.
    3. Among the folk remedies, compresses using paraffin and bee products help to quickly relieve swelling.
    4. Nutrition – a properly formulated diet will help prevent the development of the disease or stop its progression in the initial stages. This effect is achieved by normalizing metabolic processes. It is recommended to significantly limit alcohol consumption, even eliminating it completely. It is necessary to stop smoking, as this has a detrimental effect on the vascular wall. To quickly restore cartilage and bone tissue, foods with a high concentration of calcium and gelatin should be included in the diet. Eating red fish, nuts, and vegetable oil is beneficial. The diet should include beans, cereals, bananas, lentils, wholemeal bread, and cabbage.
    5. The condition for treating arthrosis is limiting the load. To do this, the patient must wear hand braces for some time.

      Treatment of finger joints with folk remedies at home

      Traditional methods show high effectiveness only in the initial stages of the disease. Here are some recipes:

    6. Oatmeal compress. Boil 100 g of rolled oats. Do not add any salt or sugar. After the porridge has cooled slightly, add a spoonful of honey and stir. Apply the resulting mixture to your hands, wrap with gauze, a rag or bandage, and put on gloves. After 8 hours, rinse and apply nourishing cream. This compress is best done at night. After a week of such procedures, the pain syndrome should subside.
    7. Honey-alcohol rub. To prepare, you need to take the same amount of iodine, honey, medical alcohol and glycerin and mix. After a day has passed, the rubbing can be used. Apply to the affected area no more than twice a day. The composition has a strong warming, anti-inflammatory effect and has an analgesic effect.
    8. Herbal treatment - baths using decoctions of St. John's wort and chamomile will reduce pain, swelling and inflammation.
    9. Apitherapy - used only if there is no allergy to bee stings. The method involves a rush of blood to the area of ​​inflammation after a bee sting, which helps reduce pain during an exacerbation.
    10. Arthrosis of the hand is a dangerous disease in terms of long-term absence of symptoms. Early diagnosis of this pathology is the secret of successful treatment.

      Arthrosis is a degenerative-dystrophic disease of the joints, which develops as a result of damage to cartilage tissue and joints. Arthrosis affects 10-15% of all people on the planet. With age, the incidence increases significantly, reaching 30-35% of elderly residents.

      Causes

      Arthrosis develops under the influence of both mechanical and biological factors that disrupt the formation of joint cartilage and subarachnoid bone.

      Heredity plays a significant role in the development of arthrosis. If parents have this disease, then with a high degree of probability children will also have it, especially if there are negative factors such as excess weight, metabolic disorders and uneven loads on the joints.

      Initially, due to a decrease in the volume of joint fluid, joint dysfunction occurs. When moving, the patient begins to feel pain in the affected joint. Typically, such pain occurs after intense physical work and goes away after rest. Later the pain begins to bother me at night. Inflammation of the soft tissues surrounding the joint occurs, which can cause fluid to accumulate in the joint (effusion).

      Due to the destruction of the cartilage layer, bone friction occurs, which leads to a characteristic crunch. Also, with arthrosis, deformation of the joint is possible, resulting in a change in its appearance.

      The leading method for diagnosing arthrosis is radiography. Specific radiological signs of the disease are narrowing of the joint space, the appearance of osteophytes and flattening of the articular surfaces. Computed tomography and magnetic resonance imaging are also possible.

      A laboratory blood test shows an increase in the erythrocyte sedimentation rate. It is possible to detect the disease in the early stages using synovial fluid analysis. It is also possible to conduct histological analysis of the biopsy specimen.

      Arthrosis can be primary and secondary. Primary arthrosis develops due to naturally developing changes that occur with age. Moreover, depending on the hereditary predisposition, the disease may develop earlier or later.

      Secondary arthrosis develops as a result of injuries and can occur at any age.

      Also, depending on the affected joint, arthrosis of the hip, knee, elbow, shoulder and other joints, and spondyloarthrosis (arthrosis of the spine) are distinguished.

      If characteristic symptoms occur, you should refrain from physical activity and consult a doctor. At an early stage, the progression of arthrosis can be stopped or significantly slowed down.

      At the initial stage, treatment of arthrosis consists of taking chondroprotectors (Teraflex) and vitamin-mineral complexes. It is important for the patient to regularly perform physical therapy and also monitor their diet.

      Treatment of stage 2-3 arthrosis consists of relieving pain, eliminating the inflammatory process and slowing down degenerative processes in cartilage tissue. Nonsteroidal anti-inflammatory drugs (NSAIDs) and analgesics are used to relieve pain and inflammation. In some cases, intravenous corticosteroids are indicated. To activate regenerative processes in cartilage tissue, chondroprotectors and vasodilators are prescribed. Exercise therapy and physiotherapy are also indicated.

      At the fourth stage of the disease, the joint is almost destroyed. In this case, a surgical operation is performed to install an endoprosthesis. Such a prosthesis allows the patient to resume an active life and get rid of pain.

      The most serious complication of arthrosis is the complete destruction of cartilage, which can result in complete loss of joint mobility. The only solution in this case is prosthetics.

      Osteoarthritis of one joint can disrupt the biomechanics of the spine and other joints, leading to herniated discs and arthrosis of other joints.

      Prevention of arthrosis

      Prevention of arthrosis comes down to avoiding injuries and excessive stress on the joints. In this case, weight control is important. Excess weight is a constant load on the joints. To prevent the development of arthrosis, rhythmic movements, such as race walking or skiing, will be useful. Timely treatment of endocrine diseases and proper nutrition minimize the likelihood of developing arthrosis.

      Arthrosis of the maxillofacial joint: can it be treated and what are the symptoms?

      Arthrosis, which affects cartilage tissue, can form on any joint, the maxillofacial joint is no exception. If the pain in the limbs can still be endured, then feeling it in the face is a difficult ordeal. Many people associate arthrosis with surgery, which causes fear of doctors; studying the problem in detail makes it clear to the patient that such behavior can aggravate the situation.

      The maxillofacial joint is also called temporomandibular and myoficial syndrome and is responsible for mobility during chewing food and speaking. The resulting arthrosis of the maxillofacial joint can cause severe pain in the affected area and partially or completely limit motor functions.

      Medical statistics show that most of the population has problems with the musculoskeletal system. Over the years, the number of patients has not decreased; doctors identify several main factors that provoke the disease , including:

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    11. low activity;
    12. poor nutrition.
    13. Joint diseases are difficult to avoid for people of the prescribed age, and after 70 years, arthrosis is observed in 90% of patients.

      Prevalence of the disease

      Statistics confirm that a third of the population suffers from diseases of the musculoskeletal system, and therefore the relevance of the problem increases from year to year. The main reasons for the increase in incidence are the following:

    14. Poor nutrition
    15. Sedentary lifestyle
    16. Poor environmental situation
    17. Reluctance to visit a doctor at the first signs of illness
    18. Currently, more than half of people over 50 years of age have this disease, and upon reaching 70 years of age, this incidence rate increases to 90%, which makes the relevance of the problem quite significant.

      What causes the disease?

      Arthrosis of the TMJ often occurs against the background of other diseases or is provoked by external factors. The root causes of damage to the maxillary joint are:

    19. chronic form of the disease;
    20. malocclusion;
    21. absence of molars in the lower jaw;
    22. grinding of teeth at night;
    23. pathological reduction of hard dental tissues;
    24. improper filling and prosthetics;
    25. previous jaw injuries;
    26. operations;
    27. heredity;
    28. vascular diseases;
    29. infectious diseases;
    30. disruptions in the endocrine system;
    31. endocryopathy;
    32. menopause period;
    33. decrease in sex hormones in women;
    34. age-related changes.
    35. Taken together, the causes aggravate arthrosis of the maxillofacial joint.

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      In order to be able to prevent the appearance and development of the disease, it is not superfluous to know not only the causes of its occurrence, but also the risk factors for the appearance of arthrosis of the jaw joint, which may be the following:

    36. Exceeding the age of 50, the period of menopause in women, during which there is a decrease in the production of sex hormones responsible for the metabolic processes of osteochondral tissue
    37. Operations performed on the temporomandibular joints
    38. Injuries
    39. Patients with abnormal maxillofacial proportions
    40. Patients with malocclusion
    41. Partial or complete absence of teeth
    42. Long-term inflammatory processes in the joint
    43. Genetic (hereditary) burden - the risk of the disease increases when one of the blood relatives already has arthrosis of the temporomandibular joint
    44. History of osteoarthritis of other joints
    45. Main clinical symptoms of the disease:

    46. Pain syndrome during physical activity of the joint
    47. Feeling of pain when chewing food on one side of the mouth
    48. Crunching and clicking of the joint during movement
    49. The appearance of asymmetry, which is easy to notice upon careful examination of the face
    50. Joint stiffness after prolonged inactivity (usually after a night's sleep)
    51. There is a possibility of hearing loss
    52. Decreased range of motion, manifested in limited mouth opening
    53. When palpating the joint, clicking and crunching are detected, as well as pain when making movements.
    54. When palpating the masticatory muscles, their soreness and thickening are noted, as well as pain spreading to the jaw, eyes, and ears.
    55. Instrumental methods for diagnosing arthrosis of the jaw joint:

    56. Radiography
    57. Contrast radiography – a special X-ray contrast compound is injected into the joint
    58. CT scan
    59. Clinical manifestations and diagnosis

      The disease can be expressed in 4 degrees, each of which is distinguished by certain manifestations that have different treatments. The main, characteristic sign of the disease is pain when moving the mouth. Other symptoms include:

    60. crunching and clicking of the joint;
    61. facial asymmetry;
    62. limited mobility, more severe in the morning;
    63. possible hearing loss;
    64. headache;
    65. pathological noises;
    66. spread of pain to the jaw, gas, ears.
    67. Dystrophic arthrosis of the maxillofacial joint occurs:

    68. Sclerosing – characterized by pronounced sclerosis of bones and narrowed joint space.
    69. Deforming - it is characterized by alignment of the articular fossa and its base, expansion of the joint, and bone growths.
    70. During the examination, the attending physician observes:

    71. retraction of lips;
    72. displacement of the lower jaw in the normal state and when opening the mouth;
    73. reduction of the lower section;
    74. the appearance of cracks in the corners of the mouth.
    75. Afterwards, the patency of the vessels is studied using special mechanisms that reproduce the movement of the lower jaw relative to the upper. To confirm arthrosis of the jaw joint , additionally prescribe:

    76. radiography;
    77. recording of lower jaw movements;
    78. electromyography.
    79. An x-ray allows you to determine the pronounced deformations caused by arthrosis of the jaw joint, bone growths and changes in shape. The initial stage of the disease can be determined using tomography.

      Osteoarthritis of the jaw requires complex therapy, which includes: orthodontic, medicinal, physical and surgical methods.

      Orthodontic and medicinal treatment

      The goal of orthodontic doctors is to reduce the load on the facial joint; for this, the patient needs to straighten the teeth and dentition, and correct the bite. Medicines are used to relieve pain, relieve inflammation, improve blood microcirculation and cartilage regeneration, including:

      Anti-inflammatory and analgesics:

    80. chondroitin;
    81. glucosamine sulfate;
    82. hyaluronic acid;
    83. vitamins of different groups and calcium.
    84. The drugs are used in the form of capsules, injections and ointments. They reduce the activity of the disease with a hormonal corticosteroid, which is injected into the joint. The method of administration used has no side effects.

      Among other things, clinics replace damaged cartilage tissue by injecting synthetic polyvinylpyrrolidone into the joint. Additionally, arthrosis of the temporomandibular joint includes physiological treatment:

    85. ultraviolet irradiation;
    86. laser therapy;
    87. paraffin and magnetotherapy;
    88. electro- and phonophoresis;
    89. massage;
    90. a set of gymnastic exercises.
    91. Medicines, together with physiotherapy, relieve pain and inflammation, promote the restoration of cartilage; to consolidate the results, the procedures are repeated 2 times a year.

      Surgery on the joint itself

      Advanced arthrosis of the maxillofacial joint is treated exclusively by surgical intervention. The surgeon can perform:

    92. partial or complete removal of the base of the lower jaw;
    93. joint replacement;
    94. removal of an intraarticular disc;
    95. joint head transplantation.
    96. Any of the above treatment methods requires a special diet that limits the intake of meat products, spices, alcoholic beverages, coffee and chocolate. These products disrupt the body's metabolism, preventing normal blood circulation. It is recommended to increase the consumption of potatoes, cheese, eggs, pears, apples, carrots and greens.

      Traditional methods of treatment

      Dry heating, which is provided by warm sand or salt, has a positive effect on the disease, for which you should prepare a fabric bag. The compress is applied until it cools completely, fixing it with a scarf or towel.

      Nasal drops made from honey and celandine

      Chicken egg as an ointment

      · roots of elecampane, horseradish and burdock;

      1. Chopped herbs are taken in an amount of 5 grams each, after which they are poured with a hot glass of corn oil. The mixture is infused for 40 days in a warm place protected from light.

      2. After the specified period, the contents are squeezed out through nylon fabric. 5 grams of crushed propolis and flower bee bread are added to the remaining oil, after which the medicine is left for another 3 weeks.

      3. Meanwhile, 100 g of turpentine is poured into a separate container and crushed rosin is poured, no more than 20 g. The solution is placed in a warm place, having previously sealed the container.

      After dissolving the rosin, both liquids are mixed, allowed to steep, and used as compresses at night. Many people notice less pronounced symptoms after some time, and after several procedures, arthrosis of the temporomandibular joint recedes, natural functions are normalized .

      Alcohol mixture of honey and radish for rubbing

      Physiotherapy

      Osteoarthritis of the maxillofacial joint requires exercise; it reduces pain symptoms and speeds up treatment.

      The patient sits down, leaning the back of his head against the wall, after which he begins to burden the closing and opening of his mouth by pressing his fist on the chin. Pressure must be applied first when moving the jaw from top to bottom, then to the sides, back and forth. The exercise is repeated 4 times a day for 5 minutes.

      When moving to the right or left

      Sitting near the table, the patient places his left arm, bent at the elbow, and rests the corresponding side of his face on it, while opening his mouth. Having taken a position, you need to put pressure on the painful area with your hand and resist with your jaw. When shifted to the left, the procedure is performed from the opposite side. The strength of the exercises is increased gradually.

      When moving backwards or forwards

      The technique of execution is similar to the previous one, differs in that both hands are placed on the face in the chin area and apply pressure, moving the jaw forward and back without opening the mouth. Patients should not open their mouth too much, causing clicking; they should bite hard food or sing with extreme caution, holding the lower jaw when yawning.

      It is worth noting that traditional methods of treatment, including gymnastic exercises, should be supervised by a doctor and used only in combination with drug therapy. By self-medicating, the patient can only aggravate the situation, which will subsequently deprive him of the chance for natural recovery, after which he will not be able to bypass surgical intervention.

      Symptoms of Arthrosis of the temporomandibular joint:

      Patients' complaints may be different. Some note a constant aching, dull pain that intensifies with load on the joint; others complain only of the appearance of pathological noises, crunching, crepitus, and clicking. Some patients complain of stiffness of the joint, especially in the morning, note limited mouth opening, and displacement of the lower jaw to the side. There may be complaints about chewing food on only one side, since chewing on the opposite side causes pain and discomfort. The disease begins gradually, a history may include: previous inflammatory processes in the joint, trauma, prolonged absence of teeth, pathological abrasion of teeth, long-term use of dentures with improperly restored occlusal surface of the dentition, interalveolar height. Some patients associate the occurrence of joint disease with the flu and its complications, with rheumatism. During the examination, signs noted by patients and symptoms that were not reflected during the survey are revealed. It should be remembered that not all signs of nosology occur simultaneously in every patient.

    97. As a result of examination of the face, the following may be revealed: a decrease in the height of its lower part, as indicated by pronounced nasolabial folds, retraction of the lips, maceration in the corners of the mouth; facial asymmetry due to displacement of the lower jaw towards the affected joint.
    98. Palpation and auscultation reveal crunching and crepitus in the joint.
    99. Palpation of the lateral pterygoid muscle is usually painless.
    100. Clinical assessment of mandibular movements reveals limited mouth opening, which is determined by the distance between the central incisors.
    101. In some cases it may be no more than 0.5 cm.
    102. A characteristic disturbance in the movement of the lower jaw with arthrosis is its displacement to the side when opening the mouth, which is revealed by observing the movement of the incisal point when opening and closing the mouth. There may be various options here: the lower incisal point, when opening the mouth, forms a curve, but at the end it is set in line with the upper incisal point; The lower incisal point moves without deviation when opening the mouth, only at the end of opening the mouth does it shift to the side.

      The doctor receives the necessary information when examining the teeth, dentition and assessing occlusal contacts. In patients with arthrosis of the TMJ, the following may be detected: absence of teeth, pathological abrasion of teeth, poor-quality dentures, increased or decreased interalveolar height, deformed occlusal surfaces of individual teeth and dentitions, creating premature occlusal contacts, obstacles or incorrect directions to the movement of the lower jaw.

      A detailed visual examination of the occlusion is carried out on jaw models installed in the articulator.

      Additional information for diagnosing arthrosis of the TMJ is obtained through laboratory and instrumental research methods: radiography, recording of movements of the lower jaw, electromyography.

    103. Changes characteristic of arthrosis are detected by x-ray examination of the joint. Survey radiography reveals gross changes: flattening of the head and a decrease in its height, exophytic growths, changes in its shape (hook-shaped, club-shaped, pointed).
    104. The earliest changes are detected only on tomograms: narrowing of the X-ray joint space; the appearance of erosion in the cortical layer of the articular surface of the head and articular tubercle, bone sclerosis.
    105. The results of recording movements of the lower jaw objectively demonstrate its displacement towards the affected joint.
    106. We diagnose arthrosis of the temporomandibular joint:

      • Arthrosis must be differentiated from arthritis and functional neuromuscular disorders.
      • Arthritis occurs in young and middle-aged people; its course is acute, progressive, with sharp pain. Arthrosis, as a rule, is observed in middle-aged and elderly people and proceeds slowly.
      • Acute arthritis, unlike arthrosis, is manifested by sharp pain in the joint, which intensifies with movements of the lower jaw; during purulent processes, swelling of the periarticular tissues and hyperemia of the skin in front of the ear tragus are determined; there is general malaise, increased body temperature, loss of ability to work, sleep disturbances, and appetite.
      • An important differential diagnostic argument in favor of acute arthritis should be the presence of a specific cause of its occurrence. For example, purulent arthritis is characterized by the spread of the inflammatory process to the joint from neighboring areas with osteomyelitis of the lower jaw, phlegmon, mumps, and inflammation of the middle ear. For rheumatoid arthritis, the characteristic features are the systemic nature of the disease and the presence of rheumatoid factor in the blood. Immune complexes are found in synovial fluid, macrophages, neutrophils; they circulate in the blood.

        Certain difficulties arise in the differential diagnosis with chronic arthritis, since a number of clinical signs are similar to the manifestations of arthrosis: pain, restrictions on the movement of the lower jaw, crunching in the joint. However, according to the course of the disease, they can be distinguished. The chronic course of arthritis can worsen, and at this stage aching, stabbing, shooting pains characteristic of arthritis appear.

        In the differential diagnosis of arthrosis and neuromuscular disorders of the maxillofacial region, difficulties arise due to the lack of uniform terminology in defining these disorders. Of the well-known terms “Costen syndrome”, “musculofacial pain dysfunction syndrome”, “pain syndrome of temporomandibular joint dysfunction”, the last term, which is abbreviated as BSD, has received the most recognition.

      • BSD is characterized by pain in the masticatory muscles and clicking in the TMJ. These symptoms are often transient.
      • Patients suffering from BSD experience headaches, a common cause of which is muscle tension in the buccal-occipital region. There may also be atypical facial pain and neuralgia.
      • Restrictions in the movements of the lower jaw are usually associated with increased muscle tone and stiffness.
      • Some patients complain of tinnitus, hearing loss, a feeling of pressure and stuffy ears.
      • Differential diagnostic value

        The nature of the noises that occur in the joint with arthrosis and BSD has a certain differential diagnostic significance. In arthrosis, their origin is mainly associated with friction of the deformed surfaces of the head and articular disc and therefore crepitus and crunching predominate.

        BSD is characterized by a clicking sound, the likely cause of which is increased tone of the lateral pterygoid muscle. The mechanism for the occurrence of clicking in the joint during spastic contractions of the lateral pterygoid muscle can be represented as follows. For example, against the background of normal functioning of the lower jaw in the anterior occlusion phase, due to some factor, such as stress, a spasm of the lateral pterygoid muscle occurred. Let us assume that at this moment the head of the lower jaw and the disc were on the slope of the articular tubercle. When the mandible returns, the heads are moved back, and the discs are held in an anterior position due to spasm of the lateral pterygoid muscles. An obstacle appears in the path of the heads' movement - the rear pole of the disks, at the moment of overcoming which a clicking sound occurs. Conventionally, this clicking can be called posterior pole when closing. If at this moment you quickly open your mouth, the clicking may occur again when overcoming the posterior pole (posterior pole clicking when opening). At this moment, the movement of the lower jaw may be blocked if the head cannot overcome the posterior pole of the disc.

      • Palpation and radiography of the joint help to distinguish arthrosis from neuromuscular disorders. With BSD, palpation of the masticatory muscles, including the lateral pterygoid muscle, is painful, the X-ray picture is unchanged.
      • The results of electromyographic studies, which show an increase in muscle biopotentials at rest, also allow differentiation of arthrosis from BSD.
      • The muscular nature of the pain can be established using diagnostic anesthesia.
      • In case of arthrosis of the TMJ, blocking the motor branches of the trigeminal nerve using the method of Egorov and Karapetyan does not relieve pain and does not improve mouth opening. With BSD, after the blockade, the pain decreases or stops, and the mobility of the lower jaw improves.
      • Deforming arthrosis with exostoses should be differentiated from condylar hyperplasia, chondroma, osteochondroma. It is possible to finally distinguish between these pathological conditions after removal of the tumor based on the results of histological examination of the postoperative material.

        Methods for curing pathology

        Treatment of arthrosis is complex. According to indications, medicinal, physical, orthopedic and surgical treatment methods are used. The orthopedic doctor needs to correctly determine the purpose, content, volume and sequence of orthopedic dental interventions in this complex of treatment and preventive measures.

        The goal of orthopedic interventions for arthrosis of the TMJ is to eliminate factors that cause overload of the joint elements. Removal of traumatic overload of the elements of the TMJ is achieved by normalizing the form and function of the teeth, dentition, and their relationships.

        Orthopedic treatment methods used for these purposes can be divided into the following groups:

      • normalizing occlusal contacts;
      • normalizing relationships of dentition;
      • restoring the anatomical integrity of teeth and dentition;
      • normalizing movements of the lower jaw.
      • The object of intervention when applying the first group of treatment methods is the teeth, their occlusal surface; the second group - dentition; the third - teeth, dentition, prosthetic bed, prosthesis and their relationships; fourth - muscles, joint, lower jaw.

        Orthopedic methods should be used against the background of medication. When treating patients with arthrosis who have disturbances in occlusal contacts, selective grinding of teeth is indicated.

      • The therapeutic effect is achieved by eliminating tooth contacts that disrupt the coordinated function of the joints and neuromuscular system.
      • Selective grinding of teeth allows you to eliminate obstacles limiting the smooth sliding of teeth and impaired guiding function of teeth, as well as create occlusal contacts that ensure harmonious interaction of all elements of the dentofacial system, including the joint.
      • Before selective grinding of teeth, the patient must be explained the necessity and harmlessness of this intervention. Selective grinding of teeth involves the elimination of premature contacts identified in the centric relation of the jaws, central, anterior and lateral occlusions.
      • With a central jaw relationship

        With a central jaw relationship in patients with intact dentition, it is most often necessary to eliminate premature contact between the palatal cusp of the first upper molar and the buccal cusp of the first lower premolar. In a position of central occlusion, it may be necessary to eliminate a significantly larger number of premature tooth contacts: between the vestibular slopes of the palatal tubercles of the upper molars, premolars and the oral slopes of the buccal tubercles of the same lower teeth; between the vestibular slopes of the buccal tubercles of the lower molars, premolars and the oral slopes of the buccal tubercles of the upper teeth of the same name; between the vestibular surface of the lower anterior teeth and the palatal surface of the upper teeth; between the slopes of the palatal tubercles of the upper molars, premolars and the vestibular slopes of the lingual tubercles of the lower teeth of the same name.

        By eliminating these premature contacts, simultaneous bilateral multiple contact between teeth in the position of central occlusion is achieved, which is important for the normal functioning of the TMJ.

        Selective grinding during anterior occlusion eliminates premature contacts that occur between the anterior teeth and contacts of the lateral teeth, which prevent the smooth and symmetrical sliding of the lower dentition along the upper one during the transition from central to anterior occlusion.

      • Eliminating premature contacts on the working and balancing sides that occur with lateral occlusion also involves creating smooth, unimpeded glides.
      • As a result of the procedure, contact occurs on the working side of the same cusps of antagonist teeth, and on the balancing side there is separation or contact of opposite cusps of the teeth.
      • With this type of contact, overload of the joint during lateral movements of the lower jaw is eliminated, which is very important for reducing the intensity of degenerative processes in the joint observed with arthrosis.
      • The next orthopedic measure aimed at creating favorable conditions for the functioning of the joint is normalizing the shape of the dentition. It is achieved by eliminating, according to indications, anomalies and deformations of the dentition using orthodontic methods, as well as by restoring occlusal relationships with artificial crowns, bridges, and clasp dentures. It is very important to correctly restore the interalveolar height, shape and size of the tubercles and grooves of the occlusal surface of the teeth. The restored shape of the occlusal surface of the bob should not create premature contacts in all types of occlusion and cause overload of the joint tissues.

        When planning orthopedic measures

        When planning orthopedic measures, it is necessary to provide for the normalization of the position of the articular heads of the SB articular fossae. This is achieved by using removable and non-removable devices: a plastic mouth guard on the dentition of the lower or upper jaw; bite block for the entire dentition or for the lateral teeth; palatal plate with an inclined plane; coronal or aligner devices with an inclined plane; mouth opening limiters.

        Prosthetic measures for arthrosis of the TMJ are also carried out according to indications; the design features of dentures and the stages of treatment depend on the clinical characteristics of the disease.

      • In case of a decreasing bite, pathological abrasion of teeth, prosthetics are preceded by normalization of the interalveolar height and position of the lower jaw using a plastic mouth guard on the dentition.
      • The correctness of determining the interalveolar height, and therefore the position of the heads of the lower jaw in the articular fossa, should be controlled radiographically during the manufacturing of a plastic mouth guard.
      • Usually, after 2-4 months of using the device, pain and discomfort disappear, which indicates the final adaptation of the neuromuscular system and the newly formed interalveolar height. After this, prosthetics are performed.
      • Measures that normalize the movements of the lower jaw, in addition to the orthopedic interventions listed above (selective grinding of teeth, restoration of the shape of the occlusal surface of the dentition, prosthetics), include a set of exercises aimed at restoring coordination of the function of the masticatory muscles. Depending on the nature of the disorder in the movements of the lower jaw, various exercises are indicated.

        In the complex treatment of arthrosis, physical and surgical treatment methods play an important role.

        Physiotherapeutic methods include electrophoresis, galvanization, fluctuarization, massage, and exercise therapy. When carrying out electrophoresis, a 10% solution of potassium iodide and a 10% solution of novocaine are used.

        Classification of TMJ arthrosis

        Taking into account the detected radiological changes, sclerosing and deforming arthrosis of the TMJ are distinguished. In the first case, the changes are represented by pronounced sclerosis of bone surfaces and narrowing of the joint spaces. X-ray signs of deforming arthrosis of the TMJ include flattening of the articular fossa, articular head and tubercle, and the proliferation of exophytes on the articular surfaces; in advanced cases - severe deformation of the articular head of the lower jaw.

        Depending on the origin, arthrosis of the TMJ can be primary or secondary. Primary arthrosis occurs without previous joint pathology (usually in old age) and is polyarticular in nature. The development of secondary arthrosis of the TMJ is etiologically associated with previous trauma, inflammation, metabolic or vascular disorders, etc.; the lesion is in most cases monoarticular.

        Based on clinical and radiological data, 4 stages are distinguished during TMJ arthrosis:

      • I (stage of initial manifestations) – instability in the joint is clinically noted; X-ray reveals a moderate uneven narrowing of the joint space due to degeneration of the articular cartilage.
      • II (stage of pronounced changes) – in the clinical aspect corresponds to the full-blown symptoms; X-ray changes are characterized by sclerosis and ossification of the condylar process of the mandible.
      • III (late stage) – the function of the TMJ is limited; X-ray signs of complete degeneration of cartilage, massive sclerosis of articular surfaces, bone growths, shortening of the condylar process, flattening of the articular fossa.
      • IV (advanced stage) - development of fibrous ankylosis of the TMJ.
      • Prevention of TMJ disease

        An important condition for a favorable prognosis and prevention of TMJ arthrosis is timely and rational dental prosthetics, normalization of the bite, and elimination of concomitant diseases. In advanced stages, restoration of full joint function without surgical treatment is impossible. Patients with arthrosis of the TMJ must be registered with a dentist and undergo the necessary treatment courses.

        It is necessary to immediately clarify that arthritis and arthrosis are different pathologies, differing in the causes of development and treatment methods. Arthritis of the jaw joint occurs in people of any age and is characterized by severe pain, the presence of an inflammatory process in the tissues, elevated temperature and an active rate of development. It is rarely an independent disease. Basically, this disease becomes a complication of other inflammatory processes (otitis, osteomyelitis of the lower jaw, rheumatism and others). This means that its treatment is based on eliminating the underlying pathology.

        Arthrosis is a more serious and sluggish disease that leads to irreversible changes in joint tissue. It develops on the basis of:

      • age-related slowdowns in restoration processes in osteochondral tissues;
      • injuries;
      • broken bite;
      • prolonged inflammatory process in the joint in the absence of treatment;
      • complications of surgical treatment of temporomandibular joints;
      • deformation of the dentition and absence of teeth;
      • wearing unprofessionally made dentures;
      • the presence of osteoarthritis of other joints;
      • pathological tooth wear and bruxism (teeth grinding during sleep).
      • Reasons based on dental problems lead to additional stress on the joint. Such overloads entail thinning of the cartilage tissue, the development of dystrophic processes and a change in the shape of the head of the lower jaw. Serious deformity is no longer amenable to either medication or physiotherapeutic treatment.

        When making a diagnosis, the doctor takes into account symptoms such as:

        • pain on one side of the jaw when chewing or talking;
        • clicking and crunching sounds when the jaw moves;
        • difficult joint mobility (especially after sleep);
        • difficulty opening the mouth (in severe cases, the patient can open his mouth no wider than 0.5 centimeters);
        • soreness and tension of the masticatory muscles with possible spread of pain to the eye or ear area;
        • distortion of the face shape and the appearance of asymmetry;
        • hearing loss (optional symptom).
        • In addition to identifying symptoms and examining the patient's oral cavity, the doctor may prescribe plain or contrast radiography, as well as computed tomography. These methods allow you to accurately determine the diagnosis and draw conclusions regarding the optimal treatment method.

          Ways to combat jaw diseases

          Treatment of this disease depends on the severity of its course and the degree of deformation of the joint tissues. For example, advanced forms of arthrosis can only be treated surgically, such as:

        • removal of a joint disc;
        • removal of the head of the jaw;
        • transplantation of the head after its excision.
        • However, a timely visit to the doctor will avoid surgical intervention and help you get by with more gentle complex therapy. It includes:

        • taking painkillers and anti-inflammatory drugs;
        • prescribing medications that nourish and renew cartilage tissue;
        • dental restoration at the dentist;
        • performing physiotherapeutic procedures;
        • adherence to a daily routine and a gentle diet.
        • Physiotherapeutic procedures mean: laser and microwave radiation, treatment with dynamic currents, ultrasound and electrophoresis. These methods give a good therapeutic effect, relieving inflammation and stimulating restoration processes in tissues.

          As for diet and daily routine, their main goal is to reduce the load on the jaw joint. And this means giving up solid foods and the habit of chewing gum. It is also recommended to talk less until the symptoms disappear completely.

          Looking after your jaw from a young age

          In addition to the reasons listed above, the development of this serious disease is facilitated by:

        • poor quality nutrition;
        • bad ecology;
        • lack of movement;
        • Negligent attitude towards your own teeth.
        • Therefore, maintaining a healthy lifestyle, as well as regular visits to the dentist, will significantly reduce the risk of developing arthrosis of the jaw joint.

        • 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...
        • Let's consider the principles on which treatment is based

          If arthrosis of the jaw joint is detected, comprehensive treatment is mandatory. The necessary therapeutic, orthopedic, orthodontic measures are provided. During the entire period during which arthrosis of the TMJ is being treated, a gentle diet is indicated, limiting solid foods; in addition, it is necessary to chew foods intensively. Sometimes restriction of conversation is indicated to limit intense stress on the joint.

        • The dental stage of treatment involves eliminating factors that lead to joint overload.
        • Dental defects are eliminated and the bite is corrected.
        • Sometimes the patient needs to have teeth polished and fillings replaced.
        • Eliminate excessive stress and install crowns, wear prostheses and orthodontic systems.
        • We must remember that this method of treating arthrosis of the jaw joint is quite lengthy.
        • It is very important to relieve the pain that occurs with this disease. And for this, a traditional method of pain relief is often used - non-steroidal anti-inflammatory drugs. Most often, such drugs are used in tablet form. Ointments with NSAIDs are used less frequently. Chondroprotectors are used to improve tissue trophism and slow down the degenerative process in tissues. A product such as Chondroxide has proven itself well.

          Physiotherapeutic techniques

          Physiotherapy for illness has a positive effect on the jaw joint and prevents its further damage. The following physiotherapeutic procedures are often used:

        • ultrasonic phonophoresis;
        • electrophoresis (exposure to weak electric current);
        • treatment of the affected joint with a laser;
        • magnetic therapy;
        • galvanotherapy;
        • fluctuarization;
        • treatment with paraffin;
        • treatment with ozokerite;
        • irradiation of the joint with infrared rays;
        • microwave treatment;
        • massage.
        • If correct, adequate treatment is carried out, arthrosis of the temporomandibular joint has a high chance of a successful outcome.

          Treatment of traumatic arthrosis

          This type of disease occurs as a result of severe injuries to this area. The main task of the surgeon is to achieve immobility of the joint. This can be achieved by applying a so-called sling bandage. It securely fixes the jaw and prevents sudden movements.

          If traumatic arthritis is accompanied by edema, the patient is usually prescribed drugs to stimulate impaired blood circulation in diseased tissues. To reduce the intensity of the inflammatory process, antibiotics are prescribed. Additionally, immunomodulators are recommended to improve the functioning of the nervous system.

          Features of surgical therapy

          Surgical treatment of this disease is indicated in severe cases. Currently, minimally invasive surgeries are used to help quickly restore normal functions of the jaw joint. At the same time, there are no malocclusions or chewing functions, as happened previously when performing traditional joint surgeries.

          Typically, the doctor chooses one of the following methods of surgical treatment of arthrosis of the jaw joint:

        • resection of the joint head;
        • removal of a disc inside a joint (meniscectomy);
        • articular head transplantation;
        • prosthetics (in especially severe cases when complete destruction of the joint has occurred).
        • Arthroplasty is used in advanced cases when other methods of restoring normal joint function are impossible.

          Treatment with traditional methods

          The goal of treating arthrosis of the jaw joint using folk remedies is to eliminate the symptoms of the disease and its causes. The most commonly used are ointments, compresses, and tinctures.

          The best ways to treat arthrosis at home are as follows:

        • A mixture of cranberries, honey and garlic is crushed using a meat grinder. Internal use of such a remedy significantly improves the nutrition of tissues affected by the disease, relieves inflammation and pain. It is advisable to take this mixture before eating.
        • Before each meal, it is advisable to drink apple cider vinegar diluted with water. This medicine is very good at removing salt deposits in the body. A course of treatment lasting at least 1 month helps to normalize metabolic processes in the muscles.
        • Treatment with beekeeping products gives a powerful anti-inflammatory and restorative effect. Using bee venom as a remedy helps activate the immune system and strengthen body tissues. Before using beekeeping products for medicinal purposes, you must make sure there is no allergy.
        • Before using folk remedies, it is advisable to consult a doctor.

          Activities before illness

          Prevention of such a disease comes down to certain measures:

        • improving the quality of nutrition;
        • increased physical activity;
        • fight against bad habits;
        • thorough oral hygiene;
        • timely correction of bite defects, sanitation of the oral cavity;
        • regular visits to the dentist.
        • Osteoarthritis of the jaw joint is a fairly common disease. It responds well to treatment in the early stages. If the disease is neglected, the results of therapy will not be as good.

          Everyone has the power to prevent disease. It is very important to visit your dentist regularly to treat possible joint dysfunction. In advanced cases, the patient is recommended to undergo surgical treatment to restore the joint. Modern medical technologies make treatment simple and painless.

          The temporomandibular joint is a complex joint. In the joint capsule itself there is intra-articular cartilage, which separates the joint and provides a large range of motion:

        • Rotational movements while chewing food;
        • Translational displacements forward and backward;
        • Raising and lowering of the lower jaw.
        • The anatomical and physiological characteristics of the HFNS, a large range of movements and complex architecture ensure frequent trauma, as well as the vulnerability of this fragile joint.

          Mechanism of disease development

          The whole essence of the pathological process comes down to the natural processes of malnutrition of the joint, which leads to its regular traumatization, reduces the ability to regenerate and resist damage. Along with the articular cartilage, the ligamentous apparatus along with the muscles are also affected. There are quite a lot of trigger factors for the development of this complex joint disease. They include long-acting predisposing factors in which regenerative processes and normal tissue nutrition decrease over time, triggering a chain of irreversible reactions that cause arthrosis of the jaw with its characteristic symptoms, which requires immediate treatment. The main reasons for the development of arthrosis of the TMJ:

        • Injuries;
        • Congenital disorders of maxillofacial proportions;
        • Long-term or frequent arthritis (direct inflammation of the temporomandibular joint);
        • Bite disorders;
        • Low quality dentures;
        • Complete or partial absence of teeth;
        • Maxillofacial surgical interventions;
        • Changes in hormonal levels during menopause;
        • Genetic predisposition;
        • Other arthrosis;
        • Long-term open mouth (frequent visits to the dentist, prosthetics);
        • Poor quality dental fillings, leading to asymmetry in the functioning of the joint;
        • Bruxism is the unconscious grinding of teeth at night, leading to the gradual wearing away of tooth enamel.
        • Classification of types of disease

        • Primary - in which dysfunction of the temporomandibular joint occurs for no reason, treatment is described below, most often it is one of many arthrosis throughout the body;
        • Secondary – arthrosis of the jaw joint, the symptoms of which develop naturally, according to the reasons described above.
        • Stage I – debut changes, characterized by excessive mobility of the ligaments with uneven narrowing of the joint space;
        • Stage II – severe pain in the jaw joint, with signs of decreased motor functions;
        • Stage III – complete destruction of cartilage tissue, severe limitation of mobility, increase in bone distances;
        • Stage IV – formation of fibrous fusion (ankylosis) of the articular surfaces.
        • Arthrosis of the temporomandibular joint at the onset of the disease may have a sluggish development. Initial manifestations occur with excessive loads on the area of ​​the upper and lower jaws. The disease begins gradually, often the patient has previously been bothered by inflammatory diseases or causeless pain in the jaw joint.

          Capabilities of orthodontists and maxillofacial surgeons

          With the capabilities of orthodontists, it is possible to restore a normal bite, install braces, prosthetics, and grind teeth if the chewing surfaces do not conform. Thus, removing the causes of arthrosis. In advanced stages, destruction of articular surfaces, surgical interventions are recommended, such as:

        • Removal of an intraarticular disc;
        • Transplantation of the articular head of the lower jaw;
        • Removal of the head of the mandibular bone;
        • Joint replacement.
        • Principles of rational diet therapy

          All food should be mechanically processed (mashed, grated) and chewed using minimal movements in the temporomandibular joint. Excluded from the diet: smoked foods, strong tea, alcohol, spicy snacks, chocolate, meat, chewing gum and everything that involves a long chewing process. Recommended: dairy products, eggs, fruits, vegetables, cereals, soups.

          Methods of physiotherapeutic treatment of TMNS pathology

        • Electrophoresis with potassium iodide and novocaine;
        • Massage;
        • Therapeutic exercise, special gymnastic exercises, for example, according to Rubinov;
        • Magnetotherapy;
        • Ultraviolet irradiation;
        • Laser therapy;
        • Galvanic currents;
        • Ultrasound therapy;
        • Paraffin therapy;
        • Microwave therapy;
        • Infrared irradiation;
        • Ozocerite therapy.
        • Treatment of the disease with tablets

          Basic pharmaceutical drugs used for arthrosis of the maxillofacial joint can only be prescribed by a doctor.

          Never self-medicate, as this can lead to a worsening of your condition and uncontrollable reactions in your body.

          Main groups of drugs used:

        • Non-steroidal anti-inflammatory drugs. Such as ibuprofen, etoricoxib, ketorol, diclofenac and others. Please draw the attention of your doctor to possible diseases of your gastrointestinal tract when prescribing this group of medications. If necessary, drugs that reduce acidity are taken, for example: Omeprazole, Lansoprazole;
        • Vitamin therapy: complexes of vitamins C (ascorbic acid) and D (cholecalciferol), as well as calcium preparations, for example: Calcium-D3-Nycomed Forte, Calcemin and others are more often used;
        • Medicines that protect and renew cartilage tissue, such as: chondroitin sulfate, hyaluronic acid;
        • Hormonal correction is possible in women after menopause under the mandatory supervision of an endocrinologist and gynecologist;
        • For severe and prolonged pain in the jaw joint, intra-articular injections of long-acting hormonal drugs, for example Diprospan, can be used. This type of treatment is advisable no more than once every 4-6 months.
        • Categories : Diagnostics

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