Arthrosis of the shoulder joint (another name is omarthrosis) is a disease characterized by damage to the joint in this area. The damaged joint gradually collapses, causing the patient not only pain, but also significantly limiting the movements of the arm as a whole.
Doctors recommend treating the initial stages of the disease at home; consuming large amounts of medications has a detrimental effect on the body, while folk remedies show excellent results without causing side effects. It is about home methods of combating the disease that will be discussed further.
Osteoarthritis mostly affects older people. According to statistics, about 10% of people under 65 years of age suffer from the disease; in patients over 75 years of age, the incidence of arthrosis is about 90%. This aspect is associated with age-related changes in tissues, cartilage, and wear of joints.
Doctors identify several possible causes of shoulder arthrosis:
The clinical picture of arthrosis of the shoulder joint appears gradually. The course of the disease is long; at the beginning of its development, the patient may not feel anything or the symptoms are successfully disguised as simple fatigue. The following signs most often indicate arthrosis of the shoulder joint:
If you notice any of the above symptoms, visit a doctor and immediately address the problem.
How and how to treat arthrosis of the shoulder joint? The initial stages of the disease can be treated at home. Be sure to first consult with an experienced specialist and follow his recommendations. You can independently resort to special methods that are used as an auxiliary therapy to drug treatment and physiotherapy.
There are many different techniques that quickly cope with pain, speed up the healing process, and restore mobility to the sore joint. The required course of home therapy is selected individually and is carried out by an experienced specialist. Doctors do not recommend making such decisions on your own.
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Special exercises are aimed at training muscles and restoring motor activity of the injured shoulder. All manipulations are carried out after consultation with a doctor. To get the desired result, follow these special rules:
All of the above recommendations help to correctly perform gymnastics and exercises for the treatment of arthrosis of the shoulder joint and prevent re-injury to the affected area. Regular exercise will give you ease of movement and return you to a normal lifestyle.
Approximate training scheme (check specific exercises with your doctor):
The above exercises are simple, do not require special physical training, and can be performed by patients of any age. If any manipulation brings unbearable pain, stop doing gymnastics and visit a doctor; perhaps the situation is so advanced that conservative methods do not have the desired effect.
Natural remedies sometimes have a better analgesic and anti-inflammatory effect than conventional medicine. But you cannot completely reject taking medications; an orthopedist will tell you the basic rules for using folk remedies. A wide selection of recipes will allow you to choose the ideal medicinal product for the treatment of arthrosis with folk remedies:
Self-massage increases blood flow and restores motor function of the affected shoulder. Light stroking, kneading, and shaking are allowed. Strong movements are excluded, feel the line between a beneficial massage and a harm to health. The best option is preliminary training from an experienced specialist. In advanced stages, this technique is prohibited; an incorrect movement can cause irreparable damage to the patient’s health.
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Nutrition plays an important role in strengthening joints and starting the regeneration of cartilage tissue. Lean on fresh vegetables, fruits, lean meats, legumes, and fish. Eliminate the intake of fatty foods, salty foods, fast food and carbonated drinks. Avoid processed foods; these foods contain a lot of fat, which negatively affect a person’s general condition.
Following a proper diet helps to reduce weight, which reduces the load on the musculoskeletal system. An important role is played by the consumption of fermented milk products; the active substances in them saturate the bones with minerals and vitamins, strengthening the patient’s joints. Proper nutrition has a beneficial effect on the functioning of all human organs and systems.
Arthrosis most often occurs against the background of age-related changes in the shoulder joint. It is impossible to stop the aging process, but it is quite possible to slow it down. Moderate physical activity, proper nutrition, and regular examination by a therapist or orthopedist will reduce the chances of arthrosis or delay its appearance for some time.
In this video, a musculoskeletal health specialist demonstrates several effective exercises that will help heal arthrosis of the shoulder joints:
The patient is in a sitting position, with his arms down. The doctor is located opposite the patient so that there is access to the shoulder area. The sensor is initially positioned perpendicular to the midline of the body. In this position, the following anatomical formations can be found in the area of the shoulder joint:
By moving the sensor up and down, changing the angle of its inclination relative to the body, you can examine its components in more detail on an ultrasound of the shoulder joint.
Once all required landmarks have been detected, the sensor is rotated parallel to the midline of the body. This is how ultrasonic waves travel along the biceps tendons.
Similar to the previous position, the bright hyperechoic head of the humerus is clearly visible. Above it are the fibers of the subcapsular muscle, and even higher is the biceps tendon. In this position, the doctor notes how the tendon connects to the joint.
To evaluate structures lengthwise and crosswise, the doctor rotates the surface of the sensor, changes the area of study and the angle of inclination. Clinically significant structures are:
The technique involves assessing echogenicity, clarity of contours, the presence of uncharacteristic inclusions in tissues, volume and size of formations.
An important diagnostic point is to perform an ultrasound of the shoulder when the patient’s arm position changes. The doctor may ask you to lift the limb up, move it back, or rotate the surface of the arm and hand to the right and left. For ease of manipulation, a rotating chair is used. To exclude bilateral damage, the doctor conducts an examination of a healthy joint.
Ultrasound of the shoulder joints is recommended in the following cases:
The high safety of the procedure virtually eliminates the presence of contraindications. The only limitation is severe pain in the joint, which can intensify when the sensor presses on the damaged area. In this case, it is rational to use other diagnostic methods, most often radiation.
The high resolution of the ultrasound machine and the professionalism of the doctor allow us to examine all, even the most minor changes in the joint.
The most common findings are:
The echographic picture makes it possible to make a preliminary and sometimes final diagnosis, assess the extent of the lesion, and determine further treatment tactics for the patient.
For convenience, the ultrasound diagnostic doctor fills out an ultrasound protocol. It contains the most important information about the condition of the joint structures. Forms may vary between medical institutions. The protocol describes the ultrasound signs of pathology that were identified during the study. It is important to remember that the conclusion is not a diagnosis. The attending physician should decipher the results and prescribe treatment.
The forearm includes the elbow joint, ulna and radius bones, as well as all soft tissues up to the wrist. Most often, the elbow joint is of particular interest. Inflammatory processes, degenerative changes, injuries, and dislocations can develop in it. The doctor should tell you what the ultrasound monitor shows during the study.
In addition to the joint, subcutaneous tissue, muscles, tendons, and vessels of the forearm are subject to diagnosis. Ultrasound of the soft tissues of the shoulder does not differ in the course of the procedure. The landmarks being studied are:
The opposite limb is also always examined.
The main indication for performing an ultrasound of the ligaments is the patient’s inability to fully move his arm or shoulder. A feature of the shoulder joint is its high mobility and wide range of motion. But it is precisely these qualities that make him vulnerable to ligament damage. When performing an ultrasound of the joint, the monitor will show what type of injury is occurring.
There are two options:
After an injury, it is important to make a correct diagnosis in the near future and take the necessary measures to restore the integrity of the ligamentous apparatus. In some cases, surgery is required. Ultrasound diagnostics can provide early detection of ligament rupture and allow monitoring of treatment over time.
Ultrasound-guided intra-articular injections with hydrocortisone are used to relieve acute pain and quickly relieve the inflammatory reaction. This procedure is performed by an orthopedic surgeon with special skills.
For injection, a syringe with a long needle that can penetrate deep into the tissue is used. The diameter of the needle is much thinner than those used for intramuscular injection of drugs. The sensor is positioned so that the shadow of the instrument and the joint are clearly visible on the monitor.
Sometimes before the manipulation, the doctor takes intra-articular fluid to examine it or to reduce pressure in the joint cavity. To ensure that the medicine is evenly distributed in the synovial fluid, at the end of the procedure the patient is asked to move the shoulder joint. In some cases, a tight bandage is required.
The main means used for intra-articular injection under ultrasound guidance are:
Arthrosis of the shoulder joint is a disease related to chronic pathologies in which deformative changes are observed in the cartilaginous joints and bone tissue of the shoulder joint. This disease tends to progress slowly, but in the absence of proper treatment it leads to irreversible degenerative processes, limiting a person’s physical capabilities and causing him excruciating pain.
Arthrosis of the shoulder joint does not occur as often as compared to how a similar pathology affects the lower extremities - the knee and hip joints. In this case, there is no static load, but the functions that are assigned to the shoulder joint and the structure of the articulation will play a significant role in the development of the disease.
The structure of the shoulder joint is spherical. Amplitude movements of the shoulder are performed quite widely, so the joint capsule becomes loose over time and the ligaments weaken. This position creates all the conditions for injury - sprain, dislocation of the shoulder bone, micro-tears of the ligaments. It is trauma that most often becomes the main cause of the development of arthrosis of the shoulder joint.
You can get injured in everyday life, but the main risk group includes people whose activities involve performing specific movements of the shoulder, as well as placing a heavy load on this joint - painters, athletes (tennis, athletics, gymnastics), loaders.
Less commonly, the cause of degenerative processes in the shoulder joint are diseases with an inflammatory component - arthritis, gout, rheumatism, tuberculosis. Inflammation affects cartilage tissue more. They become thinner, lose moisture and, accordingly, lose their natural elasticity. Further, deformative changes affect the bone tissue of the head of the shoulder joint - the capsule, which is located under the cartilaginous tissue. In general, the development of arthrosis leads to the appearance of compactions on the surface of the joint, and its cartilaginous base thickens (growths are formed - osteophytes, which are often mistaken for salt deposits).
Previously, it was noted that arthrosis of the shoulder joint progresses, in most cases, at a slow pace, which makes it difficult to make a diagnosis in the early stages of the disease. Periodically occurring pain in the joint is interpreted by the patient as a consequence of fatigue and excessive physical activity.
The first pain appears when you move your arm to the side or back. There may be unpleasant sensations when touched in the area of the scapula and collarbone. Less common:
The intensity of symptoms for arthrosis of the shoulder joint varies - they can be periodic or have an increasing nature. In medical practice, there are three degrees of development of arthrosis:
The basic principles of treatment for arthrosis of the shoulder joint include several points:
For treatment, traditional drug therapy, massage and physiotherapeutic procedures, exercise therapy, and traditional medicine are used.
Non-steroidal anti-inflammatory drugs are prescribed to relieve pain and inflammation. Their use should not be constant, since abuse leads to completely different problems in the body. NSAIDs can be prescribed in the form of tablets for oral use or in the form of ointments for topical use - Diclofenac, Ortofen, Indomethacin.
Special drugs - Pentoxifylline, Trental - help improve blood microcirculation in the articular area and restore nutrition in cartilaginous tissues. They are administered intravenously. In addition, it is important to supply the body with additional beneficial microelements and vitamins during treatment. It is especially recommended to replenish calcium deficiency.
The basis of treatment for arthrosis of the shoulder joint is chondroprotectors - Chondroitin Complex, Rumalon, Chondroxide, Structum. They are taken in tablet form or as injections into the joint. These drugs contain one or two substances (glucosamine and/or chondroitin) that promote the regeneration of cartilage tissue. Their use should be long-term (sometimes up to several years), but with interruptions.
Drug treatment alone for a disease such as arthrosis is often not enough. It is a set of procedures that helps improve the patient’s condition. But at the same time, you need to know that therapeutic exercises and massage are not carried out in the presence of inflammation, first the pathological process is stopped and only then the treatment course is started.
If the massage is performed by a specialist, then physical therapy and exercises can be done at home on your own. The only condition is regularity of classes. Exercises are performed sitting or standing:
In the video you can see a full course of therapeutic exercises for arthrosis of the shoulder joint.
Physiotherapeutic procedures can be carried out in courses, including when visiting specialized sanatoriums. These include electrophoresis, phonophoresis, treatment with magnets, using therapeutic mud, paraffin, and ozokerite.
Traditional medicine recipes are very common in the treatment of arthrosis of the shoulder joint. Plant and animal components are also used as prophylaxis after main therapy, but they are not self-sufficient means, so even in the initial stages you should not rely only on them.
Traditional medicine recipes for the treatment of arthrosis of the shoulder joint are, to a greater extent, based on self-made herbal ointments, which are applied as compresses to the affected area, rubbed and wrapped for better absorption and action. The most popular of them:
Do not forget about proper nutrition; fatty, spicy and foods with preservatives are not only undesirable, but harmful to joints. Preference is given to plant foods, lean meat and fish, fermented milk products and those with a gelling agent. Alcohol and tobacco are strictly prohibited. With successful and timely treatment, the prognosis for the restoration of cartilage and bone tissue is positive. But otherwise, the patient will have to undergo surgery.
Arthrosis of the shoulder joint or shoulder arthrosis is a chronic pathology in which the articular cartilage and adjacent bone tissue degrade, wear occurs and, as a result, joint destruction. You should not treat this disease negligently; it is better to start treatment in a timely manner, otherwise the consequences can be quite disastrous, including the loss of motor functions of the hand.
Arthrosis of the shoulder joint is a fairly common problem that most older people face. This chronic and rapidly progressive degenerative disease affects both men and women.
As a result of the development of arthrosis of any joint, not only cartilage tissue is affected, but also bone tissue. This process is caused by damage and weakening under the influence of microtrauma and inflammation. Over time, cartilage becomes thin and cracks. Salt deposits accumulate in cracks. They accelerate the destruction of cartilage tissue, and as a result, bone tissue becomes dense. At the same time, it becomes deformed.
The development of shoulder arthrosis can take a long time. At the initial stages, arthrosis of the shoulder joint does not appear and does not bother the patient. But at a certain moment the first symptoms appear. This usually occurs after increased load on the joint or hypothermia. The destruction of cartilage and bone tissue occurs slowly, it is difficult to determine it in the absence of symptoms, however, when the first signs of arthrosis of the shoulder joint appear, you should immediately consult a doctor!
Arthrosis of the shoulder joint is most effectively treated in the first stages.
The mechanism of occurrence of shoulder arthrosis.
As a rule, the following factors indicate arthrosis of the joint: Painful sensations in the joint.
They can be aching in nature and bother the patient in the morning. Pain is likely when weather conditions change. If the affected shoulder is subjected to stress, the pain will immediately make itself felt. A person feels pain even when he gently palpates the shoulder joint. As arthrosis develops, pain begins to occur even without physical exertion on the affected part of the body. Only an orthosis (a special medical device that is used to provide assistance to joints) can save. Impaired motor function. Because of the pain, it becomes extremely difficult for the patient to cope with even the most basic tasks on his own.
One of the methods for diagnosing shoulder arthrosis is to check the patient’s ability to comb himself. Often any rotational movements and attempts to move the upper limb behind the back are difficult. If treatment is not started in time, contracture develops - the arm and shoulder joint completely lose the ability to move. As the disease progresses, it turns into clear, crispy clicks that can be heard even at a distance from the patient. By the way, with arthrosis, there may be creaking of joints throughout the body.
A minor injury to the shoulder joint should not be ignored, even if there is no discomfort. In the later stages, arthrosis of the shoulder joint cannot be treated, even if the patient wears an orthosis.
The development of arthrosis provokes atherosclerosis of the vessels of the lower extremities. This disease most often affects men, smokers, and people with diabetes. Atherosclerosis involves insufficient blood supply to the vessels of the lower extremities. This in turn causes cramps, pain during sports or any other physical activity. Conservative treatment and diet help to cope with the disease. For atherosclerosis, it is recommended to perform physical exercises recommended by your doctor. An advanced disease can lead to arthrosis, affecting various joints, including the shoulder.
Varicose veins are another factor that increases the risk of destruction and weakening of cartilage tissue. It involves thinning of the venous walls and the formation of nodules on them. The cause of these processes is an increase in venous pressure due to a sedentary lifestyle and hereditary predisposition. With varicose veins, the legs begin to swell and a bursting pain is felt in them. As a result, all this can provoke arthrosis of the joints.
Treatment of shoulder arthrosis should be aimed at destroying the direct source of inflammation and pain. In such cases, the doctor recommends using:
Treatment of arthrosis of the shoulder joint can be carried out not only with medications, but also with the help of massage, physiotherapy (mud therapy, laser therapy, cryotherapy, magnetic therapy, ultrasound), physical therapy and sanatorium treatment and using an orthosis.
Various procedures and massages are prescribed for all forms of arthrosis. But the most effective use of massage is for lesions of the shoulder joint. With the help of massage (preferably acupressure), you can partially or completely restore mobility in the joint and at the same time improve the nutrition of the cartilage tissue. In addition, regular massage will prevent the growth of bone formations and very well promotes the resorption of congestion in the muscles.
But still, patients should remember that such procedures cannot be carried out during an exacerbation of the disease, or in the presence of pronounced pain. Massage therapy for arthrosis should be long-term and constant, since the disease is chronic and progressive. Massage procedures slow down the progression of the disease, helping to maintain the patient’s health and delaying the appearance of deforming arthrosis of the shoulder joint.
Arthrosis of the shoulder joint, treatment of which with folk remedies will be quite effective if used together with medications, physiotherapy and massage methods.
For many years, propolis has been used to treat arthrosis. To prepare the medicine, you need to mix 3 g of propolis and 50 g of fresh pork fat. After special therapeutic exercises have been carried out, you can begin to rub homemade ointment into the damaged shoulder joint.
You can relieve pain with buckthorn bark. In order to prepare this medicine, you need to take three tablespoons of bark (tablespoons), two tablespoons of dandelion, parsley seeds and three tablespoons of peppermint (all in teaspoons). Mix all the ingredients, then pour in 0.5 liters of water and bring to a boil. The infusion should be left overnight and then taken on an empty stomach in the amount of two tablespoons.
Corn silk has a beneficial effect. For 5 minutes you need to boil two teaspoons of stigmas in a glass of water. You need to take the medicine four times a day, one tablespoon at a time.
Many people also use wraps to treat arthrosis. As a rule, the damaged joint is carefully wrapped in canvas, which is pre-moistened in a decoction of hay dust. Cold and hot water helps cure osteoarthritis very well. When there is acute inflammation of the joint, cold compresses and ice must be applied to the affected area. If the disease is chronic, then preference should be given to heat.
It is recommended to review your diet. You need to eat less meat and only low-fat varieties, and the amount of vegetables needs to be increased several times. Do not overuse salt and various hot spices. Minimize your intake of carbohydrates, which cause weight problems. For the complete treatment of arthrosis of the shoulder joint, proper and healthy nutrition plays an important role.
You should include the following in your diet: tea or salad of dandelions and horseradish (horseradish can also be used for wrapping), elderberry tea or pure juice.
To prevent the inflammatory process from progressing and becoming smaller, you can take baths with the addition of essential oil. You can use calendula, eucalyptus, thyme, St. John's wort, or add a small amount of sulfur to the water.
Against the inflammatory process in the shoulder joint, you can drink tea from St. John's wort or thyme. Comfrey and dandelion cleanse the body and relieve joint pain.
To prevent your joints from losing their functionality and to prevent arthrosis of the shoulder joint from bothering you, take about 10 teaspoons of apple cider vinegar with meals. After about a month of this treatment, you will see excellent results. The effect on the damaged shoulder joint can be noticed a few days after the first use of vinegar.
Another quite popular and effective recipe is this: take a liter of water and a tablespoon of rock salt. Mix all this very thoroughly. In a separate bowl you need to mix 90 g of ammonia (10%) and 10 g of camphor oil. The mixture must be shaken very well and then added to the salt solution. Small white flakes immediately form in the resulting mixture. You need to shake the medicine until the flakes completely disappear. This product can be stored for a year and can be used to eliminate pain in a damaged shoulder joint. You need to drink the mixture one teaspoon mixed with 150 g of cold water.
Chalk is especially often used to treat arthrosis of the shoulder joint. You need to take simple chalk in pieces and grind it to a powder. Next, pour a little kefir into this powder to make a thick paste. With the help of such a medicine, you can not only cure diseased joints, but also restore after ligament damage. To do this, just apply a small amount of the mixture to the affected area, put a plastic bag on top, bandage everything and leave it like that for the whole night.
Overeating and lack of physical activity cause excess weight, metabolic disorders and, as a consequence, difficulty in blood circulation in the periarticular and cartilaginous tissues, which leads to arthrosis. In such cases, it will be possible to cope with the disease only by eliminating the cause that caused it, that is, blockage of the blood vessels.
Arthrosis of the shoulder joint is a rather dangerous disease. As soon as you notice shoulder pain, you should immediately contact a specialist to diagnose the disease.
Remember: If you start treatment on time, you can get rid of the problem quite quickly with the help of conservative treatment or traditional medicine, which offers a huge number of recipes for the treatment of arthrosis.
Arthrosis of the shoulder joint is a chronic pathology. With this disease, destruction of articular cartilage and bone tissue occurs. Timely treatment helps to avoid loss of motor activity.
Arthritis is the process of inflammation in a joint. Arthrosis is the destruction of joint tissue. Arthrosis of the shoulder joint is dystrophic changes in the cartilage and bone tissue of the shoulder joint.
Due to everyday stress and injuries, cartilage tissue loses its elasticity and becomes weakened. Cracks are created in the cartilage where salts accumulate, thereby accelerating the destruction of cartilage tissue. These salt accumulations lead to the fact that the bone tissue becomes dense and begins to deform, and arthrosis develops.
Arthrosis progresses gradually, but its treatment is also not quick, even at the beginning of its development. Doctors and patients encounter this disease quite often.
Deforming arthrosis of the shoulder joint is characterized by the destruction of articular cartilage, which causes changes in the articular surfaces of the bones. When the disease occurs, aching pain appears, radiating to the shoulder. The disease becomes chronic.
Post-traumatic arthrosis is more often detected in people at a young age, with various injuries, fractures, and sprains.
At-risk groups include athletes, elderly men and women, and drivers.
The source of arthrosis development is the inflammatory process in the joint.
The main causes of inflammation and arthrosis:
The disease is immediately asymptomatic and difficult to recognize. Later, the patient feels pain in the joints after sleep. Often not only the inflamed part hurts, but also the nearest arm, elbow (especially when trying to bend the arm at the elbow), and back.
The affected joint begins to hurt even when stationary; the pain worsens when the weather changes or lifts heavy things.
Other symptoms of shoulder arthrosis:
Arthrosis of the shoulder joint is diagnosed using an X-ray, a set of tests, ultrasound, MRI, and arthroscopy.
There are four stages (degrees) of progression of arthrosis. Each stage has its own signs, symptoms, and degree of joint destruction.
First degree. The patient at the first stage of development of the disease almost does not feel pain. Painful sensations may occur only after sleep and in the evening. When making sudden movements, a slight crunching sound is heard. At the very beginning of the disease, an x-ray does not show any special changes in the joint.
Second degree. The patient feels the pain more and more intensely and the crunching of the joint is clearly heard. Mobility remains, but the joint is gradually deformed. The orthosis helps reduce pain.
Third degree . This is a severe stage of the development of the disease, in which the patient’s health condition noticeably deteriorates, and the mobility of the shoulder joint is practically absent. The joint becomes very inflamed and atrophy of the shoulder muscle tissue begins. Surgery can help the patient.
Fourth degree. At this stage, the joint is completely destroyed and fusion of bone tissue begins. The pain is unbearable, and even strong medications do not help.
How to treat arthrosis of the shoulder joint? To overcome this disease, the patient will have to undergo long-term complex treatment. All techniques of both official and unofficial medicine are aimed at preventing the five main manifestations of arthrosis:
They always try to cure the disease using conservative methods, without resorting to surgical intervention. Operations are performed only in cases where other therapeutic actions are ineffective.
Conservative treatment involves:
It is important that the patient does not put stress on the shoulder during and after treatment. A patient's timely request for help increases the chances of a speedy recovery.
Drug treatment involves the use of several drug groups:
The most popular non-steroidal drugs with an anti-inflammatory effect are Diclofenac and Nimesulide. They can be used as regular tablets or through injections.
The doctor prescribes corticosteroids in addition to other medications. The method of administering drugs is injections into the joint. Able to stop the development of arthrosis of the shoulder joint.
Chondroprotectors contain natural and herbal ingredients. They cope well with arthrosis at the initial stages of development. You will have to take the drugs for a long time (about a year), the effect is visible after a 3-month course.
For external treatment, ointments, gels, and creams are prescribed to eliminate pain and inflammation. The most famous are Voltaren, Bystrum-gel, and Dolgit cream.
Physiotherapy exercises are prescribed by the surgeon to develop the shoulder joint after or simultaneously with drug treatment. It is possible to perform simple exercises at home yourself.
Simple charging for every day:
The main principle of the diet is balanced nutrition. The diet should be without damage to other organs. The body needs more components beneficial for cartilage.
Traditional treatment is effective in relieving signs of arthrosis. Recipes from “grandmother’s” medicine can complement the main treatment well.
A quicker compress is to apply a cabbage leaf smeared with honey.
Timely and correctly selected treatment will help get rid of pain due to arthrosis of the shoulder joint and save the limb from immobilization. It is better to carry out comprehensive treatment without putting stress on the joint.