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Osteoarthritis of the joints physical exercises

04 Aug 18

Therapeutic exercises for arthrosis of the hip joint

With age, a person's freedom of movement decreases. This especially applies to those who suffer from various joint diseases. At the same time, any movement causes pain, stiffness is felt and there is a high probability of injury. The most common cause of problems is arthrosis of the hip joints, or coxarthrosis. Many patients with an advanced form of the disease are forced to constantly take potent medications, and any movement is still accompanied by pain.

To avoid such joint destruction, it is necessary to begin complex treatment on time. Therapeutic exercises are very useful for arthrosis of the hip joint. It is special exercises that help the patient strengthen the muscles and regain the ability to move without pain.

This is especially important for coxarthrosis, because without proper treatment, the disease leads to joint destruction and disability.

Functions of physical therapy

Exercise therapy and dosed physical activity are necessarily included in the complex treatment of coxarthrosis. This disease cannot be cured with medications alone; without special exercises, the destruction of the joint will continue. Therefore, exercise therapy is prescribed at any stage of the disease. Gymnastics for arthrosis of the hip joint performs the following functions:

  • strengthens muscles and ligaments that protect the joint from damage;
  • improves blood circulation;
  • accelerates metabolism, reduces body weight, which is very important for reducing stress on joints;
  • helps to gain confidence in movement and prevent injuries;
  • reduce the risk of developing tumors, osteoporosis, diabetes and heart attack.
  • Who should not do gymnastics

    All exercises for coxarthrosis are selected strictly individually. The specialist takes into account not only the specifics of the development of the disease, its stage, but also the patient’s health status. There are diseases for which any physical activity is contraindicated:

  • hernia of the spine or groin area;
  • severe pathologies of the heart;
  • high degree of hypertension;
  • exacerbation of coxoarthrosis.
  • In addition, you should not exercise if there is increased pressure, especially intracranial pressure, high body temperature, or exacerbation of any chronic diseases or infectious diseases. Exercises are not recommended for women on menstruation days.

    Physical therapy for coxarthrosis should be carried out under the supervision of a specialist

    Rules for performing exercises

    For physical therapy to be beneficial, it is very important to follow certain rules. Otherwise, exercise can harm your joints and lead to injury. The main rule of exercise therapy for arthrosis of the hip joints is gradualism; the load must be increased without allowing pain to appear. Another rule that all patients should remember is that you need to exercise regularly. Only daily exercise will help the joint restore mobility.

    In addition, during classes you must follow other rules:

  • You can only exercise during the period of remission, when there is no pain;
  • before classes it is necessary to warm up the muscles;
  • the starting position before the exercise should not increase the load on the joint;
  • each exercise must be performed smoothly, sudden movements are unacceptable;
  • Between different exercises it is necessary to pause to rest;
  • the total class time should not exceed 30 minutes;
  • it is necessary to control the heart rate and avoid excessive stress;
  • After completing all the exercises, it is advisable to do a light self-massage of the hips and joint areas.
  • What exercises should not be done with coxarthrosis?

    If the hip joint is damaged, many exercises are contraindicated:

  • squats;
  • rotational movements in the hip joint;
  • long walking;
  • jumping;
  • cycling or exercise on an exercise bike;
  • sudden movements that lead to increased stress on the joint.
  • Exercises are performed mainly from a lying position

    How to practice

    The exercise therapy complex should be developed by a specialist, taking into account the individual characteristics of the disease and the general health of the patient. First, classes are held in a medical institution, then you can do the exercises at home. But you must follow all the rules and recommendations of experts.

    To practice at home, you need to have a special hard mat, since most exercises are performed lying down or sitting on the floor. You will also need a stable chair with a back. For self-study, you should use only those exercises that are recommended by a specialist.

    What physical activities are the most beneficial?

    With coxarthrosis, especially in the initial stages, dosed physical activity is very important. In addition to a special exercise therapy complex, you can engage in various sports. Only professional sports, jumping and weight lifting are excluded. The following physical activities are very useful:

    The best exercises for coxarthrosis

    1. Lie on your stomach and relax. You need to slowly raise one leg and slowly lower it. Same thing with the other leg. Then you can complicate the exercise: hold your leg in the raised position for a few seconds, raise your leg bent at the knee, lift both legs and spread them, and then bring them together on weight. The number of repetitions can be increased to 10.
    2. Lying on your back, bend one leg at the knee. The other leg is slowly bent and pulled towards the chest, then straightened and lowered to the floor. Repeat the same with the other leg.
    3. Lie on your back, bend your knees and place them shoulder-width apart. Leaning on your shoulders and legs, you need to lift your pelvis up.
    4. While sitting on the floor, you need to move forward or backward using your gluteal muscles. The movements should be accompanied by intense vibrations with the arms bent at the elbows.
    5. Sit on a chair. Lean forward, trying to reach your toes. Avoid pain. Repeat the exercise up to 10 times.
    6. Sit on a chair, spread your legs slightly. Lean forward and rest your elbows on your inner thighs. Next, the body is rocked from side to side.
    7. Stand with one foot on a low stand and hold on to the wall with your hand. Swing your free leg back and forth. The exercise is performed slowly. Number of repetitions – up to 15 times.
    8. Exercises are performed at a slow pace, avoiding pain

      Yoga for coxarthrosis

      Most of the exercises in this system are static. But they are very effective for various diseases of the spine, especially if movements cause pain. It is this type of healing gymnastics that helps strengthen muscles, improve blood circulation and restore joint mobility.

      1. Sitting on the floor, spread your legs slightly to the sides. Bend over, trying to reach your toes. In this position, you need to remain motionless for as long as possible - up to 1 minute.
      2. A more complex exercise is called "tree". Sitting on the floor, stretch one leg forward, bend the other at the knee and place it on its side, resting on the thigh of the other leg. Sit still for about a minute.
      3. It is not easy to regain freedom of movement with coxarthrosis. It takes a lot of effort, patience and perseverance. Each exercise must be performed carefully so as not to harm yourself.

        Gymnastics of Pavlov and Bubnovsky in the treatment of arthrosis of the joints

        If a person is diagnosed with a disease such as arthrosis of the joints, then doctors very often prescribe physical therapy. However, when arthrosis is advanced, exercise therapy can aggravate the situation. Therefore, before you start therapeutic exercises for arthrosis, you need to go to a specialist and consult with him.

        Therapeutic exercises for arthrosis are part of complex therapy. Any degree of arthrosis does not interfere with performing gymnastics, you just need to choose the appropriate set of exercises. Exercise therapy for arthrosis helps the disease become easier or even go away completely.

        Positive Impacts

        Physical therapy has a very great advantage - it improves the range of motion in the affected joint. Other effects are also possible, for example:

      4. Joint pain decreases.
      5. Muscle tone increases and spasms are relieved.
      6. Microcirculation improves.
      7. General health and sleep are normalized.
      8. Physical therapy for arthrosis has many advantages

        How to do gymnastics correctly

        Physical therapy for arthrosis is based on fairly simple principles, which, however, must be remembered:

      9. Gymnastics must be performed regularly, and therefore classes take place every day.
      10. The load should be increased gradually; there is no need to perform complex exercises right away.
      11. When the pathology worsens, exercise therapy for arthrosis is reduced in terms of load, otherwise damage to the joints may occur.
      12. The sets of exercises can be different, because there are a lot of techniques. To choose the right technique, they look for a rehabilitation specialist and consult with him. At the same time, you need to exercise only under the supervision of a doctor so that the exercises are performed correctly.

        Approximate set of exercises

        • Lie on your back. Next, bend your knees and then straighten them. Repeat 10 times.
        • Take a small towel, roll it into a tube, and place it in the popliteal fossa of the legs. You need to tense the anterior thigh muscles and press your knee on this towel. You should stay in this position for about 5 seconds, repeat 10 times.
        • The patient should stand in front of a chair and hold onto it with one hand. With the other hand, grab the outer surface of the foot, while bending the leg at the knee as much as possible. Hold the leg in this position for 15 seconds. The exercise is repeated 10 times.
        • Exercises for arthrosis with a towel

          Dr. Bubnovsky invented and developed a set of exercises adapted specifically for curing arthrosis.

          Important! Exercises for arthrosis using the Bubnovsky method will give the patient a good mood, improve his well-being, and relieve depression caused by the disease.

        • Take ice, wrap it in thick cloth, and wrap it around your knee. Now they kneel, holding the chair with their hands. Take a few steps on your knees. Despite the severe pain, you need to take at least 3 steps. Gradually increase the number of repetitions. The maximum number is from 12 to 25.
        • Bend your knees and sit on your heels. This will stretch the muscles of the front of the thigh; knee joint function will improve. This is difficult to do at first, so place a bolster under your knees to make the procedure easier. The duration of stay in this position is at least 10 seconds, then increase the time to 5 minutes.
        • If pain occurs in the joint, stretch the back surface of the lower leg and thighs. To perform the exercise, lie down and pull the toe of the foot towards you as much as possible.
        • Example of charging according to Bubnovsky

          This is a very effective exercise for arthrosis. Take a chair or a stick. You can stand near the wall. In any case, support is needed to maintain balance. Keep your back straight and squat at least 15 times. If the pain intensifies, the number of squats is reduced. In the following classes, the load is gradually increased, the maximum number of squats is 100.

          Squat with support

          Method according to Evdokimenko

          Evdokimenko P.V. developed special gymnastics that strengthens the muscles of the joint, as well as its ligaments. In this case, there is no need to bend or straighten the limbs. The exercises are static in nature, they load the knee minimally, which means the treatment will be more effective. Evdokimenko’s exercises for arthrosis look like this:

        • You need to lie on your side, with one leg on the floor and bent at the knee. The other leg is straightened. Next, the straight leg is raised 45 degrees and held for 30 seconds, then released. Turn over to the other side and repeat.
        • The patient should sit on a chair, straighten his leg and raise it. Hold the leg in this position for 30 seconds. Then the leg is slowly lowered and relaxed. Repeat with the other leg. Do it two more times.
        • The patient stands and holds on to the back of the chair, rises on his toes and stands like that for a minute, then lowers himself and relaxes. Repeat several times.
        • Variant of a set of exercises according to Evdokimenko

          Advice! Therapeutic gymnastics is performed slowly, you should definitely rest, alternating static movements with dynamic ones. This gymnastics is recommended for any degree of arthrosis. There are no age restrictions.

          Pavlov’s gymnastics performs therapeutic functions for arthrosis, the movements are aimed at warming up the muscles.

          Dr. Pavlov’s gymnastics for arthrosis of the knee joints contains several exercises, here are some of them:

          • You need to sit on a chair and then imitate walking, alternately raising your toes. The heels are pressed to the floor. In this case, you need to stroke the thigh and knee area at the same time.
          • The same imitation of walking, in the same position, but the movements are performed with the heels. The toes are stationary on the floor.
          • While in the same position, lean forward. In this case, the legs are stretched in turn, and then bent at the knees.
          • Stand up and hold on to the table, move your leg back, then perform circular movements.
          • Physical education for arthrosis according to Pavlov’s method

            Physical therapy exercises are very important for the therapy and treatment of gonarthrosis of any degree. What is especially important is that physical education can be used by anyone, regardless of age and level of fitness.

            Before exercising, you should talk to your doctor, as the risks may outweigh the expected benefits . The joints are damaged and overload is possible, which will lead to undesirable consequences. The doctor decides what exercises are possible for arthrosis, depending on the nature of the pathology and the stage of its development.

          • Walking in water. To do this, select some part of the pool. You can go forward, to the side, backwards. At the same time, the tone of various muscles is strengthened.
          • Sitting at the edge of the pool, they lower their foot into the water and perform swings.
          • The legs are completely lowered into the water, then slowly raised one at a time. In this case, the leg is bent at an angle of 45°. Repeat for the other leg. Do these exercises in water for arthrosis for half an hour every day.
          • Swimming breaststroke will help restore muscle strength, which is extremely beneficial for people suffering from arthrosis.
          • Standing in the water, make circles with one leg straightened at the knee. Circles can be small or large. They change the leg.
          • We have previously written about exercises for the knee joint and recommended bookmarking this article.

            Simulation of walking in water

            Gymnastics for arthrosis of the sacral spine

            These exercises improve the mobility of the above department. A set of exercises for arthrosis of the sacral region is repeated daily.

          • They kneel down and rest their palms on the floor. Inhale and straighten your right leg. They raise her and her left hand. Remain in this position for 5 seconds. They change limbs. Gradually increase the time to 2 minutes.
          • They take a chair, kneel in front of it, while extending their arms and placing them on the seat. Inhale deeply, arch your back, sucking in your stomach. Exhale and relax. Perform 10 times.
          • Contraindications to exercise therapy

            Contraindications to therapeutic exercises for arthrosis:

          • Suppuration, severe form of arthritis.
          • Ankylosis of the knee joint.
          • Aggravated arthrosis, its last stage.
          • Synovitis.
          • Exercise therapy has many advantages, but if you forget about contraindications, the condition may worsen, and then the disease may develop to a more severe stage.

            Co-author of the material: Dmitry Ulyanov is an orthopedist-rheumatologist with 22 years of experience, a doctor of the first category. Engaged in the diagnosis, treatment and prevention of all diseases of the joints and connective tissue. He has a diploma in Rheumatology and studied at the Peoples' Friendship University of Russia.

            Arthrosis and physical activity

            Many people perceive the diagnosis of arthrosis of the knee joint as a need to limit physical activity in order not to expose their knees to stress. However, it is known that the growth of cartilage tissue is largely due to the mechanical factor. Cartilage tissue has reparative properties, which are activated under the influence of adequate pressure from the articular surfaces. It’s not for nothing that they say that movement is life.

            Is it possible to play sports with arthrosis of the knee joint?

            IT IS IMPORTANT TO KNOW! The only remedy for JOINT PAIN, arthritis, arthrosis, osteochondrosis and other diseases of the musculoskeletal system, recommended by doctors! Read more.

            In this situation, the only right choice will be moderate physical activity, since many exercises are not only not dangerous for arthrosis, but will also bring significant benefits in the treatment of the disease. Do not forget that one of the important components in the treatment of joint pathology is physical therapy.

            Such exercises help get rid of pain, stiffness, expand range of motion, including helping to restore cartilage tissue.

            Participation in certain sports is also not contraindicated for knee osteoarthritis. You can go skiing, swimming, rowing, play golf, table tennis. There is no increased stress on the joint and no danger of disease progression. Therefore, it cannot be said that sports and deforming arthrosis are incompatible concepts!

            What physical exercises can you do at home?

            For joint health and restoration of their function, it is recommended to engage in physical therapy. Such activities do not require much effort and time, and they are also not financially expensive. Depending on the stage of the disease, the doctor will recommend certain exercises.

            Most orthopedists are almost unanimous: walking is beneficial for osteoarthritis of the knee joints. It not only has a preventive effect, preventing the onset of the disease, but is also a good remedy. While walking, a number of positive changes occur in the body:

          • Improved blood circulation due to the functioning of the respiratory and cardiovascular systems - and, therefore, an increase in the delivery of nutrients to cartilage and bone tissue.
          • Increased tone of working muscles.
          • Strengthening the ligaments of the joint.
          • Disappearance of stiffness.
          • Expanding range of motion.
          • But even such a common activity as walking has its limitations. It should be noted that with grade 2-3 osteoarthritis of the knee, long treks, tourism, even a regular trip with bags from the store can become difficult. Although the load on the knee joint is significantly less than when running, you should not neglect safety measures by overloading the sore joint. Short walks are the best option for osteoarthritis of the knee joint.

            Running and arthrosis of the knee joint

            It is known that when running, the load on the knee increases more than five times compared to the normal state. Therefore, even against the backdrop of positive aspects (increased blood circulation, acceleration of general and local metabolic processes), overload of the articular apparatus has a significantly more negative effect. This can lead to accelerated cartilage destruction and disease progression.

            You should not engage in the following active sports, which include running:

            Doctors unequivocally state that running is contraindicated in the second degree of arthrosis of the knee joint. Even with initial changes in the joints, the benefits of running are not supported by everyone. Only light short runs can be recommended. But in any case, you should definitely consult with your doctor to assess the benefit-risk ratio. Whether to run or not with arthrosis of the knee joint will be decided only by a qualified specialist, having considered the pros and cons of each specific case.

            Is it possible to squat with arthrosis of the knee joint?

            You should also be careful with squats. Many doctors do not recommend performing them at all for osteoarthritis of the knee, while others recommend limiting them as much as possible, trying to ensure that the following conditions are met:

          • Perform squats in such a way that you do not bend your knees completely. In this case, the load on the joint is less.
          • If squatting is not yet recommended, then you can perform the following exercise: lying on your back and without lifting it from the floor, bend your knee, trying to pull your heel towards your buttock.
          • It is good to perform squats for knee arthrosis in water, as this reduces the load on the joint.
          • It must be remembered that improper squats, even in healthy people, can lead to further development of arthrosis of the knee joint. Therefore, you should perform exercises according to medical recommendations.

            Swimming for knee arthrosis

            It is not difficult to completely restore JOINTS! The most important thing is to rub this into the sore spot 2-3 times a day.

            Swimming is an excellent universal remedy for the treatment of many diseases of the musculoskeletal system. While in water, the body experiences significantly less stress on the joints due to a decrease in body weight. Swimming is useful at any age and for any joint pathology, including arthrosis of the knee joint. In this case, the affected joints are unloaded, the muscles relax, and movements become smooth and unsharp.

            The range of exercise in water increases because the limbs experience less resistance. It becomes possible to strengthen those structures that are responsible for stabilizing the knee. These include:

          • Quadriceps femoris muscle and its tendon.
          • Calf muscle and its tendon.
          • Medial and lateral collateral ligaments.
          • Posterior cruciate ligament.
          • The style and method of swimming varies depending on the affected joints. If you have osteoarthritis of the knee, you can swim in the breaststroke style, as well as freestyle on the front or back. If swimming technique suffers, then first practice of movements in the water at the side is indicated.

            You can swim not only in the pool, but also in open water.

            It is especially useful for arthrosis to be in sea water, since in this case the body weight becomes even less, and mineral salts have an additional positive effect.

            The joint tissues absorb the necessary natural components, their trophism and blood circulation improve. In addition, in the context of sanatorium treatment, mud baths will also be useful, as they also help unload the joint and supply cartilage and bone tissue with useful substances.

            Swimming will not only provide a faster recovery, but will also help prevent knee arthrosis in people at increased risk. This is an excellent preventive measure and a good opportunity to always be in shape.

            Exercise bike for knee arthrosis

            Physical therapy for osteoarthritis includes a wide range of gymnastic exercises. Treatment of arthrosis of the knee joint is strictly individual: those gymnastic procedures that are indicated for one patient may not be suitable for another. Therefore, all movements using exercise equipment are performed under the strict supervision of a doctor and in accordance with his recommendations.

            As is already known, joints must experience stress in order to function properly.

            With the help of adequate exercises, the destruction of cartilage slows down and mobility in the knee increases.

            However, by incorrectly using such methods, you can achieve the exact opposite effect - accelerating cartilage destruction.

            When using an exercise bike, you should be careful, remembering the following:

          • The tension experienced by the knee joint during exercise often does not meet the necessary requirements.
          • You can only exercise with minimal load.
          • You can replace the simulator using the “bicycle” exercise: lying on your back, perform the same movements as when riding this type of transport.
          • According to many orthopedic traumatologists, it is necessary to treat knee arthrosis using a treadmill and exercise bike selectively so as not to harm the patient.

            Yoga for knee osteoarthritis

            The best option for patients with knee arthrosis is yoga exercises. According to Eastern views, arthrosis is the cause of improper circulation of energy flows in the body. According to Ayurveda, various sets of yoga exercises are recommended to treat the disease, depending on its type. There are three types of the disease:

          • Arthrosis of the Vata type - the pain pulsates, radiates to neighboring areas, intensifies in the cold and decreases in warmth, crunching and creaking in the joints is characteristic. People of this type are nervous, excitable, and suffer from unreasonable fears.
          • Arthrosis of the Pitta type - manifested by severe pain, which intensifies in warmth and goes away in the cold, swelling of the periarticular area, and increased body temperature. Additional concerns include diarrhea and sweating.
          • Arthrosis of the Kapha type – pain is almost constant, worsening at rest, in damp rooms, but stopping with movement. Characterized by severe swelling of the skin around the joint.

          You can do yoga without fear of injuring your knee, since the movements are smooth, muscle spasms are eliminated, they are gently warmed up, and tone is restored. There is no overload of the joints, and, therefore, no trauma to the cartilage tissue. And most importantly, yoga places great emphasis on proper breathing techniques, which saturate tissues with oxygen.

          For Watt-type knee arthrosis, the following yoga elements are suitable to reduce inflammation and pain:

          If Pitta-type arthrosis is present, then according to Ayurveda, yoga can help with the following exercises:

          If a patient suffers from Kapha type arthrosis, then yoga recommends performing the following asanas:

          Movements in yoga should be smooth and soft. The occurrence of pain or other unpleasant sensations indicates that the exercise was not performed correctly. Trust only competent and experienced instructors.

          Osteoarthritis of the knee, of course, imposes certain restrictions on the patient’s motor activity. Most likely, arthrosis and elite sports will no longer be combined. Despite this, certain sports can and should still be considered as an effective means in the fight against this disease.

          In what cases are loads on the knee joint necessary?

          The knee joint is the largest in the human body, and it serves not only to provide movement, but also to support the entire body weight when walking.

          The lack of necessary physical activity is most often a predisposing factor for deficiency of joint nutrition and the onset of a destructive process in cartilage tissue, in the synovium and in other elements of the knee joint.

          Knee arthrosis can be provoked by increased physical activity, in particular by playing professional sports. Injuries to the knee joint during daily sports activities are not uncommon. Old and “fresh” injuries act as catalysts for disruption of the functionality of the entire joint. First, they lead to tissue scarring, and then to lack of nutrition and degenerative destruction.

          To treat arthrosis caused by injury, you can play sports, but this must be done in doses, carefully and only with the permission of the attending physician. The course of arthrosis occurs predominantly without a pronounced inflammatory process, but this is not always the case.

          Usually, if arthrosis was provoked by an acute injury to the knee joint, clearly defined inflammation can be observed. This factor does not allow the use of physical exercise, since in this scenario, sports can aggravate the course of the disease and cause injury.

          If there is no inflammation, but there are signs of degenerative processes, it is very important for doctors to diagnose the stage of the disease, since the intensity and specificity of the physical activity necessary to achieve a positive result depends on it. Playing sports with arthrosis is not only desirable, but also necessary. The return of the joint to its former mobility depends on this.

          Moreover, physical activity improves tissue nutrition and helps slow down or completely eliminate the degenerative process. Exercising can reduce the likelihood of developing muscle atrophy, which is not considered uncommon.

          Osteoarthritis of the knee joint is a very dangerous disease that can completely destroy the joint in a short time. This is why treatment must be carried out under the supervision of a doctor. This is the only way to defeat the disease. The main method of treatment should be the prescription of medications, and physical exercises only help to bring the moment of complete recovery of the joint closer.

          Moreover, the loads must be agreed upon with the attending physician and given in strictly defined doses. You can only train during the period of remission of the disease.

          Riding a bicycle, exercising on an exercise bike, running and walking long distances with arthrosis of the first and second degree is not only possible, but also necessary. These measures can significantly improve the condition of the knee joints. Training can be intense and long-lasting.

          With arthrosis of the third degree, you should be very careful when planning sports activities, since this stage of joint damage is characterized by serious damage and any awkward movement can provoke injury.

          Exercise bike for knee rehabilitation

          Sports activities during the treatment of arthrosis cause great discomfort to the patient, but it is impossible to do without them. Exercising allows you to lose weight, speed up metabolic and recovery processes, thanks to which the joint affected by arthrosis returns to normal faster.

          The main symptoms of the appearance of degenerative-dystrophic changes include:

        • discomfort and pain in the knee area;
        • weakness;
        • decreased mobility;
        • joint pressure;
        • pain during physical activity;
        • fast fatiguability.
        • All these manifestations make training much more difficult, since the patient clearly feels not only significant discomfort, but also pain.

          For arthrosis, there are a wide variety of options for physical activity, for example, therapeutic exercises, massage, swimming. In addition, doctors recommend their patients to run, walk, ride a bicycle, and exercise on an exercise bike.

          Purchasing a bicycle or an exercise bike is available to most people today, so treatment of arthrosis, or more precisely, treatment of the knee joint at home, can be done on an exercise bike.

          Many people naively believe that walking is a less intense method that acts as physical therapy in the later stages of arthrosis. In fact, using a bicycle places much less stress on the hip and knee joints than walking.

          But an exercise bike makes it possible to choose the ideal regime for any stage of the disease. As a rule, these units have built-in computers that allow you to regulate the degree of physical activity.

          When walking, the knee joint experiences not only the stress caused by motor activity in the diarthrosis itself, but also the load of body weight. The bicycle is much easier to carry, since in this case the body weight is supported by the seat, and a relatively small load is placed on the knees, which is caused by the pressure on the pedals.

          If an ordinary bicycle is used for physical therapy, part of the load is transferred to the muscles and ligaments, so overload of damaged tissues is minimized. The exercise bike creates an optimal load at any stage of arthrosis of the knee joint. The convenience of this method of rehabilitation also lies in the fact that the patient can exercise in the comfort of his own home in any weather.

          In most cases, walking, running and cycling are used for the optimal training regimen for arthrosis of the first and second degrees. In later stages of the disease, cycling and walking are also acceptable, but more limited in intensity.

          Therefore, in order not to further damage the knee joint, it is worth spending more time on an exercise bike.

          The most common are arthrosis of the knee and hip joints. In addition to the traditional treatment of arthrosis prescribed by your doctor, you must adhere to a certain lifestyle in order to relieve the diseased joints as much as possible.

          Optimal physical activity

          With arthrosis of the joint, gradual destruction of cartilage tissue occurs. Therefore, with such a diagnosis, it is important to reduce the load on the joint. If you have arthrosis of the knee or hip joint, you should avoid heavy lifting, jogging, jumping, and static loads (for example, squatting, standing in a bent position). In order to further relieve the joint, the patient may be advised to use a cane.

          However, living with arthrosis does not mean that you have to give up movement. On the contrary, the affected intra-articular cartilage needs nutrition. It is possible to ensure adequate nutrition of cartilage only if its blood supply is normal, which is achievable with physical activity. The best sports for arthrosis are walking at an average pace and swimming.

          Choose comfortable shoes

          For arthrosis of the knee and hip joints, you need to choose shoes with soft elastic soles with shock-absorbing properties. When walking, such shoes will “extinguish” part of the load that falls on the affected joint.

          Shoes and boots should have low and wide heels, which will increase your stability and reduce the risk of getting bunions.

          Choosing a comfortable chair

          For arthrosis, you need to use chairs and armchairs with high legs. This is necessary so that the knees are slightly lower than the hips. It is advisable that your chair has armrests that you can comfortably lean on when standing up. This will reduce the stress on the knee joint.

          Watch your weight

          Joints really don't like excess weight. Even a couple of extra pounds can have a significant impact. With arthrosis, doctors strongly advise their patients to lose weight. With every kilogram you lose, you will reduce the rate of progression of the disease. In addition, losing excess weight will significantly improve the prognosis for drug and non-drug treatment of arthrosis.

          You need to get rid of excess weight gradually, without resorting to strict diets and, even more so, grueling physical activity, which are contraindicated for arthrosis.

          A complex of physical therapy for arthrosis - the so-called Shiatsu method. This method will renew your tissues and consolidate success; it will eliminate autotrauma. Let's figure out what causes arthrosis. First of all, the body itself is to blame for this. The tissues of the body sooner or later wear out on their own and lose their elasticity; very little time passes and your joints become injured on their own. And now you are steadily getting worse.

          It is believed that arthrosis cannot be treated - at least by conservative methods, that is, without surgical intervention. But this is not so: to treat arthrosis it is necessary to engage in recreational physical education. It all depends on what type of physical exercise a person chooses and how he feels after the exercises. If exercise increases pain in the joints and swelling appears, then such exercises should not be done, since such exercise can cause even more harm!

          Why can Shiatsu and physical exercise help with arthrosis?

          You probably know this theory (unfortunately, I don’t remember who put it forward). It lies in the fact that the body sooner or later adapts to everything, be it weather conditions or diseases. We can quickly observe this adaptation during physical activity: today you lift 5 kilograms, and in a month – all 15. The essence of arthrosis is that your sick body adapts to itself. That is, you simply start to get sick even more. But if you begin to exercise in some way, putting stress on the joints, then in theory it will be possible to reverse the process of tissue wear or their adaptation to themselves. This is done through certain physical activities.

          Many people have said: if you do physical exercises correctly, slowly, working through each one, then it won’t take long for you to feel that it’s getting easier for you. Physical exercise itself is a powerful weapon, and if done incorrectly, it can be harmful to you. So: if you are working out and, on the contrary, you feel pain and it only gets worse, it means that you either selected the exercises wrong, or you are simply in a hurry while doing them, in general, you are doing something wrong.

          There are several principles that should guide you when choosing treatment using the Shiatsu method, and indeed all physical activities:

          general physiological load on joints;

          movement of the joint without certain stresses;

          movement of the joint with stress;

          the total motion of the joint you want to restore;

          your internal state.

          All exercises should be done taking into account the load on the joints; you should not lose sight of the loads that your joint will have to endure throughout the day. Exercises can be performed both with and without load; some people think that exercises performed without load are a waste of time, and that if you load the joint properly now, it will be easier later. This is a completely wrong line of thinking! Exercises without load have a very good effect on the joints even during attacks of severe pain; if you do exercises without load for a long time, the pain subsides (however, not everyone has the patience, since sometimes you need to do the exercises for more than an hour in a row without increasing the pace).

          Physical activity should be controlled in a certain way. So, if you feel better, then you should gradually increase the load, and if, on the contrary, you feel worse and the pain suddenly begins, then you should reduce the load until the pain stops.

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          About how joints should move

            movement of a joint that is not loaded. For example, you are sitting on a chair or hanging on a horizontal bar and, without touching the ground or floor, begin to make movements, straightening and bending your leg;

            movement of a loaded joint. Here everything is much simpler: it happens at the moment when you just go somewhere. Your legs support the weight of your own body.

            You may think that moving a joint without load can lead to nothing good at all. But you are very much mistaken. With severe exacerbations of arthrosis, when you can no longer walk properly, there can be no talk of any stress on the joint at all. But small movements without load can help you a lot, even relieve some pain in the joints. The only problem is that these small movements need to be done for a very, very long time and slowly, without sudden jerks. You may simply not have the patience for this. And those people who make these movements sharply and quickly are mistaken; as a rule, this method of treatment does not lead to anything.

            By swinging your leg, you help improve the mobility of the joint, while no load is placed on the joint; swinging your limbs reduces pain in the joint. Exercises that place weight on the joint are more suitable for the final stage of treatment, when joint pain has become negligible. This is a kind of addition to swings: squatting on one leg, moving the other leg to the side or, if more convenient, back. An exercise with the same effect is to lie on your side on the floor and raise your leg up and to the side. Such exercises must be done with extreme caution, as they can lead to complications.

            The emotional state of a person with arthrosis also plays an important role, since very often pain in the joints intensifies after the person has become nervous. I give you a small list of exercises for people with hip arthrosis:

            Sitting on a chair with your feet on the floor, you need to slowly make small oscillations with your hips from side to side, the amplitude of the movements performed should not exceed 1 cm.

            Lying on the floor, on your stomach, make small movements of your pelvis from side to side.

            Swings with a straight leg back and forth, performed in a standing position.

            Without bending your supporting leg at the knee, lunge forward with the other leg.

            The following list is for people with knee arthrosis:

            Sitting on a high chair or table so that your legs hang, perform light swings with your legs.

            We try to stand on the floor with a sore knee, at first we do it half-heartedly, that is, not with the entire weight of our body, and then we can stand completely on our knee.

            Crawling on all fours on the carpet. You can move on to this exercise only after you have completely mastered exercise number 2.

            Before you feel pain, perform a half squat.

            Arthrosis: what is good for joints and what is harmful?

            Regular physical activity

            For a joint to function well, its cartilage must receive nutrients in a timely manner. There are no blood vessels in the cartilage itself, so it receives its nutrition from surrounding tissues. And when we move, blood supply increases.

            Walking and swimming are especially beneficial. Dedicate at least an hour to them every day (with breaks), and the risk of arthrosis will decrease.

            Alternation of work and rest

            Joints can withstand quite a lot of stress, but they cannot “tolerate” it all the time. Therefore, during physical work, you need to take breaks every 1.5–2 hours.

            It is useful to do stretching exercises in those areas that have been particularly stressed - this will reduce their tension and improve blood circulation. It's also a good idea to load up joints that don't move much during operation.

            Collagen-rich foods

            Collagen is a protein that is part of cartilage, tendons, and bones, making them more elastic and elastic. Collagen is synthesized in the body, but with age and increased stress, its production slows down, so it is useful to get collagen from food. There is a lot of it in jellied meat, but it also contains a lot of cholesterol. It is better to eat jelly and fish aspic. They are prepared with gelatin, a collagen derivative.

            Shoes with soft elastic soles

            Each step is essentially the impact of your foot on the ground. The soft elastic sole provides good shock absorption, the pressure on the intra-articular cartilage is reduced, which means the risk of their premature wear is reduced.

            For the health of supporting joints, it is also important that the shoes are spacious, their uppers are soft enough, and their heels are no higher than 4 cm.

            With heavy physical activity, the pressure on the joints increases many times over. This leads to microtrauma of the cartilage and its premature destruction. The risk is especially great if work or training in the gym does not correspond to the person’s physical fitness.

            Some types of fitness in themselves are harmful to joints. These are weightlifting, step aerobics, running, jumping.

            Long, same type of work

            Seamstresses often have arthrosis of the hands, and painters often have arthrosis of the shoulder joints. It’s simple: the first ones perform movements with their fingers for several hours in a row, the second ones hold a roller or brush in their hand. Prolonged movements of the same type increase the load on the joint. As does staying in one position for a long time: squatting, bending over or... sitting in an office chair. Don't forget to get up and stretch.

            Fatty foods, fast food, sweets

            Abuse of such food leads to accelerated weight gain. Extra pounds significantly increase the load on supporting joints - knees and hips. It is no wonder that they are gradually beginning to collapse. Scientists have calculated that in obese women, arthrosis of the knee joints develops four times more often than in their slender peers, and is more severe.

            Narrow shoes and high heels

            Tight shoes put pressure on the joints of the feet, and this leads to metabolic disorders in them.

            As for high heels, they harm not only the foot itself, but also the knee joints: when walking in stiletto heels, the pressure on their inner part increases. Therefore, such shoes are not suitable for daily wear; it is advisable to wear them only on special occasions, and even then only for 3-4 hours.

            The above tips are only relevant if the joint is healthy. If signs of arthrosis: stiffness, pain, limited range of motion have already appeared, you need to act differently.

          1. Reduce the load on the affected area. If it is a leg joint, in addition to comfortable shoes, purchase orthopedic insoles. Use a cane if necessary. Do not work while squatting or kneeling. If the joints of your hands are damaged, do not wring out the laundry, do not knit - in general, do not put any strain on your fingers. In any case, do not lift heavy objects.
          2. Products that are healthy for the joint must be included in the diet. But relying only on them in case of illness is useless - destruction in cartilage occurs at such a pace that food cannot compensate for it. You need to take medications from the group of chondroprotectors. They contain the substances glucosamine and chondroitin sulfate, from which some components of cartilage are synthesized in the body. Chondroprotectors not only provide nourishment to cartilage, but also inhibit its destruction, make it more moist and elastic, and also reduce pain in the joint.
          3. You will have to give up long walks and fitness classes during exacerbations. But you need to perform special gymnastics that improves the functional state of the joint and strengthens the surrounding muscles. Under no circumstances should you exercise “through pain” - this accelerates the destruction of articular cartilage! Later, when you feel better during treatment, you can go swimming and walk.
          4. Exercises for joint arthrosis

            Therapeutic exercises play an important role in the treatment of arthrosis, because any movement increases blood flow to the diseased cartilage and brings nutrients.

            Therapeutic exercises for arthrosis of the hip joint

            A set of exercises should be selected together with your doctor!

            Physical exercises for arthrosis of the knee joint and arthrosis of the hip joint exclude vigorous and sudden movements. The patient performs them smoothly and slowly in a sitting or lying position, without creating any particular discomfort. The basic principle of exercise for arthrosis of the knee joint is the regular repetition of therapeutic movements throughout the day. There are no age restrictions for these exercises. They are performed in specific body positions: sitting on a table or standing on the floor, lying on your back or stomach on the floor, on your left or right sides with a small pillow under your cheek.

            The reader can find information about arthrosis of the knee joints and a set of exercises for this disease in the medical literature. For example, the brochure O.M. Lesnyak “What to do if you are diagnosed with osteoarthritis (osteoarthritis)?” clearly and clearly talks about the disease of arthrosis, methods of its treatment and gives examples of two sets of exercises for arthrosis of the knee joints.

            It is recommended to do exercises for arthrosis of the hip joint at least five times a day. The set of exercises for this type of disease is not as numerous as for arthrosis of the knee joints, and includes only 5 exercises. Three positions lying on your back, one sitting on a chair and one standing on the floor.

            Foot and ankle joint

            Arthrosis affects all parts of the body where there are joints. When a diagnosis of arthrosis of the foot is made, the patient will immediately be prescribed a diet to reduce excess weight, which contributes to the development of the disease. An important factor here and immediately will be a change in shoe model, which aggravates the disease. You will have to immediately give up high heels and narrow shoes. Some will need to switch to soft sports shoes, others will need to wear shoes with soft elastic soles and a wide two-centimeter heel.

            Therapeutic exercises for arthrosis of the foot should be rotational and should be repeated regularly throughout the day.

            The cause of arthrosis of the ankle joint can be an injury that occurred many years ago. Ankle treatment is carried out with the help of medications, Nanoplast therapeutic patch and exercise therapy. Exercises for arthrosis of the ankle joint are performed from 1 to 3 hours a day, they are simple and not tiring for patients. Three positions are used: lying on the floor, turning the feet towards you, away from you and rotating the feet in different directions, as well as sitting on a low chair with the feet pressed to the floor and performing imitation walking movements with alternately raising and lowering the heels and feet.

            Shoulder joints and hands

            Exercises for arthrosis of the hands should be performed 10 times a day!

            Arthrosis of the shoulder joint is dangerous because the arm may stop moving if treatment is not started in time. Exercises for shoulder arthrosis must be performed daily for 3-4 weeks, 2 times a day. Increasing the load and increasing hand mobility must be done gradually. The purpose of these exercises is to form a natural muscle corset around the joint and preserve its function.

            Damage to the hands is the most unpleasant type of arthrosis. A person practically finds himself helpless in everything and is unable to take care of himself. Exercises for arthrosis of the hands are recommended to be performed 10 times a day. The most basic of them is to clench and unclench your fist, alternately touch the tip of your thumb to the pads of your index, middle, ring and little fingers, press your palm to the table and carefully lift each finger.

            The following general health measures are recommended for patients with arthrosis:

          5. Walk outdoors at a moderate pace and on level ground, which reduces stress on the knee and hip joints.
          6. Swimming is an optimal sport for diseases of the knee, shoulder and hip joints.
          7. Cycling, which not only brings a positive emotional charge, but also has a beneficial effect on the joints.

          Be healthy! Don't let arthrosis break your will to live!

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