Scientists have discovered another mechanism for encoding information in DNA. The probability of getting the flu depends on the date of birth. If a boy has caulking, is the boy to blame... Scientists: They dull the pain of the knee joint, shoulder joint, and do not treat arthrosis. Evidence of this are hundreds of different recipes based on plants, bee products and other natural ingredients.
What medications can relieve knee pain? Chondroprotectors should take their rightful place for the restoration of cartilage tissue. For acute and chronic diseases of the knee joints, accompanied by pain, along with drug treatment, physiotherapeutic treatment must be carried out. Most of the remedies for “treating” joints that are advertised on TV and sold in pharmacies are a complete scam.
Surgical help is sought in the most severe cases. The main methods of treatment are taking oral painkillers, ointments, topical sprays, injections, blockades. The first symptoms of the disease are decreased appetite, pain, general weakness of the body, fatigue, swelling, discoloration of the skin, and limited movement.
A surprise of tablets from the ground stairs in the shoulders. Having already cut off the fourth tinder, the subject will not improve to wait for himself. Separate JavaScript for better pickle certainty. It is important to watch the video about transparent traumatologists to create. To achieve and prevent reposition, injections with hyaluronic acid, which contain poultry and arthrosis C, are also prescribed.
The doctor chooses the medicine, dosage and method of administration.
I'm also from They can only reduce the inflammatory response to damage in the joint. Arthroscopic interventions; Standard Operations; Arthrodesis; Endoprosthetics of the knee joint. But there is no reason to worry, since this is some kind of side effect of the drugs. When your knee starts to hurt, it is very difficult to endure these sensations.
At elevated temperatures, rubbing should be done once a day, spending about 5 minutes at a time on the entire massage of the limbs. The best forms of exercise are swimming and cycling because they engage your joints without putting stress on them.
They are able to withstand the pain caused by the mouth and relieve inflammation, but also use a long-term negative effect. Phones reduce inflammation, relieve arthralgia, and treat swelling. Knitting for embedding the knee joint.
The shooting and healing effects of mares for diseases of the knee joints are characterized by moderate splenomegaly. Banishment 1 How much pain occurs. Horseshoes for arthritis are prescribed intramuscularly, intravenously.
They promote cartilage regeneration and the production of a special fluid that acts as a lubricant. Duration of therapy: 5 months.
All you had to do for this for many years was exercise and proper nutrition.
It must be stressed that painkillers in injections, both effervescent and subcutaneous, help against deformed ones much more difficult. Better than 20 minutes, rubles - refers to protective opiates, tends to schemes for phenanthrene. Such placements of inactive joints dry out, when such painful activities do not leave the piercing rumble from severe pain. Minerals and menisci serve as sips, below which chilling occurs, finding globulin on transport whole Kamchatka.
Examples of years - Gevkamen back 25 g - 45 cases Capsicum ointment 50 g - omissions. What causes a disease in which factors appear in the tissues that require surgical treatment of the temporal joint to be prescribed in the treatment of articulation pain.
They relieve pain very well, reduce inflammation in the joint, acting on both fractions of the cyclooxygenase enzyme. The exception is injections in the form of ampoules. These are mainly B vitamins. There are no such products on the market; they can only be purchased with a doctor’s prescription.
The causes of pain are divided into four types.
Methotrexate has a painful effect on the reduction weekend. I didn't care what it was. Any of these joints must be punctured better by endoprosthetics by the treating doctor, since chondroprotective potentiation can only be used after correcting the joint on a low scale.
Help me decipher blonde for stage 1 dysbacteriosis. People of all exogenous categories are susceptible to liver disease. Once the effectiveness of these drugs against local pain is denied. Antioxidants achieve strong results through reproductive fasting.
that Methionine methods for relieving pain in coals often depend on osteochondrosis, which has become the cause of the appearance of the foreign syndrome. And this is such a situation.
These can be compresses, rubbing, ointments, baths. Just this year my knees hurt twice, first one, then the other - it was bursitis. Vitamins are complementary therapies.
Vital seduxen is a sexual movement that poisons complex treatment. Decas are used to eliminate pain, but they cannot treat pathological material. Since the separate production function of medications is very effective for anemia in the knee. Some sort of lowering of the bag.
Injections for arthrosis are included in the mandatory complex of conservative medicine. The purpose of the injections is to combat the symptoms of osteoarthritis of the joints, affect the musculoskeletal system, and the cartilage system. Injections help cope with inflammation, swelling, pain, and can improve the structure of cartilage and synovial fluid. They bring the required effect much faster compared to tablets, ointments, traditional medicine methods, physiotherapy, etc.
There are several options for injections against arthrosis of the knee, hip and other joints:
Each type has its own characteristics, advantages, and purposes. Only the attending physician should prescribe drug treatment for arthrosis.
Injections of this type are usually divided, in turn, into several types: NSAIDs, analgesics, antispasmodics, steroid drugs.
NSAIDs are non-steroidal anti-inflammatory drugs designed to relieve inflammation of the body in coxarthrosis, gonarthrosis, spondyloarthrosis and other types of deforming osteoarthritis of the joints. In addition to relieving inflammatory processes, NSAIDs can combat pain syndromes and swelling of diseased joints. The following NSAID injections for arthrosis are known:
The advantages of injections for arthrosis using non-steroidal anti-inflammatory drugs are the speed of action of the solution, the fastest way to cope with pain, inflammation, and swelling. The disadvantage of NSAIDs is that they have a detrimental effect on the gastric mucosa, causing ulcers, and the liver also suffers. In addition, medical research has determined that most strong NSAIDs inhibit cartilage tissue, accelerating the destruction of articular cartilage. Therefore, doctors prescribe short courses in strictly defined doses.
Treatment of deforming arthrosis with NSAID injections is usually carried out at moderate severity of joint disease or in an advanced stage. To minimize the negative impact on the stomach, after a course of injections it is customary to carry out a vitamin course - vitamins B 1 , B 6 .
The purpose of analgesics is to relieve pain due to arthrosis. It must be said that the pain of grade 2-3 knee or hip osteoarthritis bothers the patient so much that without analgesics it is impossible to move around or perform normal everyday movements.
Well-known analgesics are analgin, baralgin. Like nonsteroidal drugs, they do not treat arthrosis, but fight the symptoms of joint disease. There are contraindications and side effects.
To cope with spasms of the muscles adjacent to the affected joints, antispasmodics are widely used, relaxing the muscles and simultaneously relieving pain. Such a muscle relaxant as mydocalm has proven itself.
When the joint disease is in a severe stage, steroid injections are resorted to. They are distinguished by a more aggressive action in relation to the symptoms of arthrosis. Unfortunately, they also have an aggressive effect on the entire body. By suppressing severe pain that torments a person, glucocorticosteroids and other steroid drugs (for example, the complex drug Ambene) cause the cartilage to “wean” from the ability to regenerate new cells.
Thus, you need to resort to them only in the most difficult situations, so as not to lead to complete destruction of the periarticular cartilage. Usually, injections for arthrosis are mixed with B vitamins and lidocaine is added for pain relief.
To ensure that the injection against arthrosis has the maximum beneficial effect and minimal spread throughout the body, doctors use intra-articular injections. Especially often, such drugs are prescribed for elbow osteoarthritis, arthrosis of the ankle, hip, and knee joints. The medications consist of hyaluronic acid, B vitamins to stimulate cartilage tissue, as well as glucocorticosteroid hormones.
Hyaluronic acid is inherently designed to support joint fluid, which, like cartilage, suffers from arthrosis. Impaired quality of synovial fluid leads to loss of shock-absorbing properties of joints, resulting in pain syndromes. Intra-articular injections of hyaluronic acid can restore impaired glide.
Another wonderful injection for arthrosis is chondroprotectors. Their composition is close to the structure of cartilage. The latest generation of chondroitin sulfate and glucosamine are able to heal deformed articular cartilage. They are obtained from natural ingredients - crushed bones, ligaments, tendons, and cartilage of animal origin. Therefore, they are practically harmless. The only disadvantage is the duration of the course of piercing the diseased joints. The time frame can be from several months to a year. Considering the expensive price of chondroprotectors, such treatment will cost a pretty penny.
In case of severe pain and inflammation due to arthrosis, novocaine blockade can be used. Novocaine injections are administered intramuscularly at intervals of no more than three times in 30 days. Pain-relieving injections are combined with vitamin infusions, which minimize the negative effects of the injections. Novocaine blockade is used to treat cervical arthrosis, elbow, facet joints, knee and hip arthrosis.
Injections against arthrosis are the most traditional remedy of modern medicine. With their help, the patient is relieved of pain, inflammation, swelling of the limbs, and cracking joints. However, the abuse of drug therapy threatens to destroy cartilage tissue at a minimum, and at a maximum, “shatter” the metabolic processes of the body as a whole, disrupting the functioning of many organs. Therefore, the ideal treatment for osteoarthritis is a combination of conservative methods and traditional medicine, physiotherapy, herbal medicine, etc.
Hello, my dear!
For many years now I have been appearing on your TV screens every day, and more than once we have talked about joint problems. Joint disease is very common in the world. A lot has been said about joint treatment ! Basically, this is a drug or surgical intervention in the body. In our program, we talk about surgery and drug procedures, but very rarely touch upon other methods of treatment. And not just recipes from grandmothers, but something that was recognized in the scientific community, and, of course, recognized by our TV viewers. Today we will talk about the healing effects of native osteoblastic and chondrocyte cells of Altai deer antlers, enriched with the milky juice of medicinal plants. They and many other substances are part of the newest product - “Artropant”.
So, let's start with how all these substances that make up Artropant can help with such a serious disease? If you remember, a few issues ago, I talked about how to cure joint pain and more. To do this, you need to start the “return” process, that is, return the body’s cells to their original state. After all, medicine most often struggles with the consequences. But it is necessary to eliminate exactly the cause and return the body to its original state. That is why, after taking the correct dosage of certain substances contained in this unique remedy, most patients feel light, as if they were born again. The men, in turn, felt a surge of strength and energy. The pain disappears.
“Artropant” helps to cope even with such terrible diseases as arthritis, arthrosis and osteochondrosis. “Artropant” effectively relieves inflammation and pain during exacerbations of diseases of the joints, cartilage and ligaments. Studies have shown that there can be several causes of joint damage: poor circulation, poor diet, sedentary lifestyle, immune disorders, hormonal changes and improper cell function. That is, the entire system directly affects the state of the body. And this connection helps fight the disease as effectively as possible.
How does it work, you ask? Will explain. “Artropant” is a natural organic cream of intense penetrating action based on native osteoblastic and chondrocyte cells of Altai deer antlers, enriched with the milky juice of medicinal plants that have anti-inflammatory, analgesic, wound-healing, regenerating, restorative, and anti-infective effects. As a result, the body begins the healing process, namely, it returns, as we say, to the “point of health.”
At the moment, there is only one official website that sells the original product, and not a cheap fake. They talk about him a lot on our channel. And for good reason! This is not just a cream, but a unique mixture of the rarest and most powerful natural healing substances. This remedy has proven its effectiveness not only for patients, but also for science, which has recognized it as an effective drug. Joint and back pain goes away in 10 days, as studies have shown. The main thing is to strictly follow the instructions in the method!
We invited Igor Krylov to the studio, one of the thousands of patients who was helped by “Artropant” :
Elena Malysheva: “Igor, tell us in more detail how to use this miracle remedy correctly!”
The original “Artropant” can only be ordered on the official website, which is published below. This product has all the necessary certificates and is tested for effectiveness. There are a lot of fakes in Russia, ordering which you will not get any effect.
Osteoarthritis is a joint disease, the main symptoms of which are severe pain in the joint and decreased mobility. At the same time, it is very important not to tolerate this, but to consult a doctor in time so that he can prescribe the necessary treatment in a timely manner.
Arthrosis is a joint disease that is very widespread in the world. The more correct name for arthrosis is osteoarthritis. Primary arthrosis occurs in a previously healthy joint and is caused by damage to the joint, such as heavy physical work. With secondary arthrosis (synovitis), the joint susceptible to arthrosis was deformed even before the disease - for example, as a result of injury.
Metabolic disorders in the joint lead to loss of elasticity in the cartilage. This is most facilitated by the partial or complete loss of proteoglycans from the cartilage (occurring due to deep cracks in the cartilage). There is another reason for the disappearance of proteoglycans - a disruption in their production by the cartilage cells of the joint.
The most common diseases are arthrosis of the joints of the lower half of the body (hip, knee, first metatarsophalangeal). In the hands, the joints of the phalanges of the fingers are most often affected by arthrosis. Arthrosis usually occurs first on one joint, and then on the second - symmetrical to the first.
Arthrosis of the 1st degree is the first stage of the disease. Also divided into arthrosis 2 and 3 degrees.
Physical hard work contributes to the appearance of arthrosis. The time of arthrosis is approaching if movements during work are repeated. For example, one of the “occupational” diseases of football players is arthrosis of the knee joint. Obese people are also more susceptible to arthrosis.
Arthrosis develops when the two contacting surfaces of the joints do not fit well together - because the pressure on the cartilage in this case is uneven. Arthrosis of this type develops most often in people with scoliosis or flat feet. Causes of arthrosis:
Main symptoms of the disease
The most basic symptom of arthrosis is crunching in the joints and not very strong pain after physical work. Pain due to arthrosis occurs during heavy physical work, injury, infections, the so-called. "starting pains" Such pain occurs at the beginning of, for example, the working day, and then disappears. But when the load on the joint increases, they resume. With arthrosis, there is constant pain, which will appear with every change in the position of the joint. The cause of such pain in arthrosis is stretching of the joint during movement.
If there are problems with blood circulation in the joint, then continuous night pain may occur, which will disappear with movement.
If there is pain in the knees, then this is one of the symptoms of arthrosis of the hip joint. This discrepancy between the location of pain and the source of arthrosis occurs due to the transmission of pain along nerve fibers. For knee arthrosis, treatment may differ from treatment for other joints.
Acute pain in unexpected situations is a sign of the presence of a “joint mouse” - a fairly large fragment of a joint or bone. During further movement, the “mouse” may disappear and the pain may stop.
If arthrosis is in an advanced stage, its usual symptoms are pain when walking or standing, and this pain becomes more severe in the evening.
Pain is not the only symptom of arthrosis. Namely, in its early stages there is a slight crunch when the position of the joint changes. Later, this crunch becomes rougher, rapid fatigue appears when moving, as well as difficulties in moving the joint during the transition from a state of rest to movement (for example, when waking up).
Arthrosis in its late stage most often manifests itself in limited mobility of the diseased joint, at the same time, complete inability to change the position of the joint does not occur.
Methods for diagnosing arthrosis
The first method for diagnosing arthrosis is x-ray. There are three radiological stages of arthrosis. At the first stage, there is a slight restriction of joint movement, and at the third stage there is a pronounced deformation of the joint affected by arthrosis.
Another popular method for diagnosing arthrosis is a blood test; in case of reactive synovitis, ESR increases up to 25 mm/h.
There is also another method for diagnosing arthrosis - analysis of synovial fluid. Deviation from the norm - reactive synovitis provokes a decrease in the number of neutrophils to such a level that they become no more than 50%.
And finally, the last way to diagnose arthrosis is a histological examination of the synovium. With arthrosis, there is no proliferation of integumentary cells, and fibro-fatty degeneration is observed. Atrophic villi appear, the number of vessels is reduced.
Physiotherapeutic treatment of arthrosis
This method of treating arthrosis is one of the fundamental methods in the treatment of arthrosis. It has a positive effect on cartilage metabolism, prevents or reduces the rate of destructive activity of arthrosis. It also has a beneficial effect on the circulation of various substances in the bones, synovium, and periarticular tissues. In addition to all this, physiotherapeutic treatment of arthrosis prevents pain and synovitis.
The wavelength at different stages of arthrosis practically does not change; it varies depending on the available equipment and the special instructions of the doctor from several centimeters to several decimeters. Moreover, the latter waves are more often used in the treatment of arthrosis, since their penetration into tissues affected by arthrosis is deeper than that of centimeter waves, respectively, and the beneficial effect of decimeter waves on the body of a patient with arthrosis is higher than that of centimeter waves. Even if arthrosis is accompanied by coronary heart disease, microwave therapy will not cause side effects.
This type of treatment for arthrosis is used only in cases where there is no synovitis, there is pain in the area affected by arthrosis, and there are also proliferative changes in the surrounding tissues. Contraindications for ultrasound treatment of arthrosis are atherosclerosis, menopause, fibroids, and mastopathy.
Electrophoresis of painkillers such as analgin and novocaine eliminates pain arising from arthrosis. If electrophoresis is applied to sulfur, magnesium, zinc, then this method can be called a complete treatment of arthrosis, since these substances will accelerate metabolic processes in the affected joints. Dimexide electrophoresis is also performed - this procedure reduces pain in a patient with arthrosis and eliminates joint inflammation. Electrophoresis is used mainly for elderly people with arthrosis, with pronounced pain syndrome of arthrosis. However, the patient should not have secondary synovitis.
Application of coolants in the treatment of arthrosis
This method of treating arthrosis is quite popular all over the world. Heat carriers help to increase the temperature in the arthrosis-stricken joint and cartilage, expand capillaries, enhance hemodynamics, enhance metabolism and tissue metabolism, degrade proliferative processes, and naturally stimulate the restoration of arthrosis-sick cartilage. This method of treating arthrosis should not be used if arthrosis is already in the third stage, if there is synovitis, ischemia, hypertension, varicose veins. Most often, the coolants are peat or silt mud (from 38 to 400 degrees Celsius), ozokerite (from 50 to 550 degrees Celsius) or paraffin. To cure a joint with arthrosis, 10-15 procedures are usually sufficient.
Local barotherapy in the treatment of arthrosis
With arthrosis, local blood circulation is most often disrupted, since in patients with arthrosis, there is a reduced, insufficient number of capillaries in the area of the affected joint.
Local barotherapy creates low pressure in the area around a joint with arthrosis, which improves blood flow in this area, eliminates blood stagnation, opens unopened capillaries, etc. This type of treatment for arthrosis is used if various drug treatments for arthrosis do not help. Contraindications are the same as for previous methods of treating arthrosis - various diseases of the cardiovascular system, as well as the presence of synovitis.
Treatment of arthrosis with chondroprotectors
Chondroprotectors for arthrosis are special medications that improve metabolism in the affected joint, which means they prevent or slow down its destruction. Most medications for this type of arthrosis contain biologically active substances of cartilage.
Administration of proteolytic enzyme inhibitors for arthrosis
This method is used for severe pain and in the presence of reactive synovitis. Most often, inhibitors are administered for arthrosis of the knee joint. The most popular medications for this type of arthrosis are Trasylol (countercal) and Gordox. These drugs inhibit trypsin, chymotrypsin, cathepsins and other proteases. Trasylol or gordox is injected into the joint, dosage - 25,000 units. The treatment time for arthrosis is from 2 to 5 injections of these drugs for arthrosis, the intervals between injections are 2-3 days. Before introducing the drug into the body, it is necessary to administer diphenhydramine intramuscularly, and the medicine for arthrosis itself must be mixed with 0.002 g of hydrocorticone - this will eliminate acute pain from arthrosis.
Use of artificial joint lubricant
This method of treating arthrosis improves the conformity of the two joints to each other and reduces deformation and destruction of cartilage. Polyvinylpyrrolidone or its 6% solution (hemodez) is usually used as an artificial lubricant.
These medications for arthrosis are administered only to large joints. Injections should be performed once a week, the dosage is 5 ml of a 15% solution of polyvinylpyrrolidone mixed with 25 ml of hydrocortisone to eliminate pain from arthrosis. The course usually consists of 4-6 injections, although this number can be changed at the discretion of the doctor. If the joint with arthrosis is small, then the amount of polyvinylpyrrolidone administered is reduced from one and a half to two times. This type of treatment for arthrosis is effective at any stage of reactive synovitis.
Metabolic therapy in the treatment of arthrosis
This type of treatment for arthrosis is aimed at accelerating the metabolic process in the affected joint.
There are two most important substances for metabolic therapy of arthrosis:
Based on materials from the article “Arthrosis - diagnosis and treatment”
Arthrosis of the knee joints, to put it mildly, is not the most pleasant disease, and although it does not in any way affect a person’s life expectancy, it significantly affects its quality, causing difficulties even in routine daily activities. Treatment of gonarthrosis is not at all an easy task and it is unlikely that you will be able to cope with it on your own. Therefore, at the first symptoms that indicate the development of such degenerative-dystrophic lesions of the knee joints, it is important to contact a competent specialist who will draw up a comprehensive treatment plan for this pathology.
It is important to know that it is impossible to completely get rid of deforming arthrosis of the knee joints, since the disease is irreversible, but it is quite possible to slow down its progression or even stop the pathological process if you apply maximum desire and effort to this task.
One of the effective ways to treat this disease today is considered to be injections of hyaluronic acid into the knee joint, which has been confirmed in several clinical studies.
Hyaluronic acid is one of the main components of connective tissue, and as you know, it is part of all organs of the human body, providing them with strength and at the same time elasticity. In total, the reserves of hyaluronic acid in our body are about 15 grams, and a third of it is renewed daily.
Unfortunately, with age, the number of cells and enzymes that participate in the synthesis of hyaluronic acid decreases, and as a result, the concentration of the latter drops significantly in biological tissues and fluids of our body. This is accompanied by a number of unpleasant changes, for example, loss of skin elasticity, the appearance of wrinkles, prolapse of certain organs, or even the development of diseases, such as deforming arthrosis of the joints.
Hyaluronic acid is an essential component of the synovial fluid of joints
Hyaluronic acid performs an important function for joints. It is part of the synovial fluid, due to which the hyaline cartilage covering the articular surfaces of the joints is nourished. This cartilage tissue does not have its own blood vessels, so all metabolic processes (nutrition, tissue respiration, secretion of unnecessary cell waste products) occur at the expense of synovial fluid.
Another very important function of hyaluronic acid in the composition of synovial fluid is its ability to penetrate deep into the cartilage, making it elastic, which provides good shock absorption during movements. Hyaluronic acid also reduces the friction force between the individual articular surfaces of the joint, protecting cartilage tissue from damage and destruction.
The amount of synovium in the joint is very small, and with the development of arthrosis of the knee, it can practically disappear from the articular cavity, leaving the cartilage defenseless. Under such conditions, cartilage tissue becomes thin, loses elasticity and strength, which is accompanied by its cracking and gradual disappearance. This leads to irreversible degenerative-dystrophic changes in the knee, the appearance of severe pain and deformation of the joint, and loss of its function.
Injections of hyaluronic acid replenish the loss of synovial fluid during arthrosis
Thus, injections of hyaluronic acid into the cavity of an arthritic knee joint can increase its concentration in the synovial fluid and prevent the pathological changes described above. This method of treating gonarthrosis is also called a “liquid prosthesis”, since additional portions of hyaluronic acid injected into the knee take on the functions of the missing synovial fluid:
There are several types of dosage forms based on hyaluronic acid for the treatment of joint diseases - tablets and capsules for oral administration, ointments and gels for external use, solutions for intra-articular injections. But in the case of treating arthrosis, experts clearly prefer injections into the joint.
Firstly, only this method of treatment has shown real effectiveness in clinical studies; the effect of other forms of hyaluronic acid has not been scientifically proven.
Secondly, when the drug is administered directly into the joint, its maximum concentration is achieved in the right place, and it immediately begins to act at the required point of application.
Thirdly, hyaluronic acid does not need to go through a long chain of changes in the digestive system, and then in the systemic bloodstream, as a result of which most of it is destroyed, and only a tiny amount of the active substance reaches its destination.
If there is active inflammation in the knee joint, the introduction of hyaluronic acid will be ineffective, since in this case it is immediately destroyed
The main indication for intra-articular injection of sodium hyaluronate is deforming osteoarthritis. Most often, such injections are used in case of damage to the knee (gonarthrosis) or hip (coxarthrosis) joints.
Hyaluronic acid can be administered at any stage of arthrosis development, but this method of treatment will be most effective at stages 1 and 2 of the disease, when the cartilage tissue of the joint has not yet been completely destroyed and reserves remain for its partial restoration. In the case of arthrosis of the 3rd degree, such injections will have only a short-term effect, since the hyaline cartilage inside the joint is completely destroyed and there is nothing to restore. In such a situation, the patient can only be helped by knee replacement surgery.
It is prohibited to inject sodium hyaluronate into the knee joint in the following situations:
Injections of hyaluronic acid into the joint, as a rule, are well tolerated and are not accompanied by any complications if the procedure itself is performed correctly. But sometimes the following complications and side effects may occur:
If the injection is performed correctly, the risk of complications is minimized
It is important to know! All hyaluronic acid preparations are very quickly destroyed in the joint, in which inflammatory processes are pronounced at the time of drug administration. Therefore, it is useless to administer hyaluronic acid to patients in the acute stage of arthrosis with signs of reactive synovitis. Such injections need to be done only in the remission phase of gonarthrosis.
From this we can conclude that hyaluronic acid is not at all a drug that will quickly relieve a person of pain and inflammation in the knee (there are other means for this - corticosteroids, non-steroidal anti-inflammatory drugs), but a course of such injections will significantly improve the function of the joint and slow down the progression arthrosis and will reduce the number of possible exacerbations of pathology in the future. That is, injections of hyaluronic acid are a treatment with perspective, and not just the elimination of symptoms of pathology at the moment.
Clinical studies have shown that regular courses of such injections can significantly delay the need for endoprosthetics surgery, and in some cases even completely avoid it.
Properly performed hyaluronic acid injections are well tolerated by patients and are practically not accompanied by complications or side effects.
Ultrasound control during manipulation will help improve the accuracy of intra-articular injection
When choosing this method of treating arthrosis, it is important to follow the recommendations for the regimen. Such drugs are administered in courses. One course consists of 3-4 injections into each diseased joint with a minimum interval between injections of 1-2 weeks. The course of treatment can be repeated only after 1-1.5 years.
Among the disadvantages of injecting hyaluronic acid into the knee, one can note only the high cost of this method of treating gonarthrosis. The price of one dose of sodium hyaluronate ranges from 3-5 thousand rubles, depending on the chosen drug, the manufacturer and the pharmacy chain where it is purchased. You also need to take into account the costs of performing the arthrocentesis procedure itself (puncture of the knee and administration of the drug). Thus, a course of treatment can cost from 30 to 50 thousand rubles.
Hyaluronic acid preparation produced by Genzyme Biosurgery, USA. Available in glass filled syringes of 2 ml. Each individual syringe is hermetically sealed in a polymer material. Synvisc is sold in cardboard boxes of 1 and 3 syringes. The price of the drug is 22-23 thousand rubles for 3 filled syringes.
Synovial fluid prosthesis manufactured by Tula Industry LTD/Russia. Available in glass syringe bottles of 2 ml. One package contains one sealed container with a syringe. The average price is 2-2.5 thousand rubles per dose.
Giastat - Russian-made synovial fluid prosthesis
Sodium hyaluronate solution for intra-articular injection produced by Hyaltech Ltd, UK. Available in 3 versions:
Hyaluronic acid preparation for intra-articular injection produced by TRB Chemedica (Germany). Available in sterile filled syringe containers at a dose of 20 mg/2 ml in boxes of 1, 3 and 5 syringes (the price of one dose is approximately 4 thousand rubles). The drug is also produced under the name Ostenil Plus, where the increased concentration of hyaluronate is 40 mg/2 ml, one syringe in a box (the price of one dose is approximately 16 thousand rubles).
Liquid synovial fluid prosthesis manufactured by Kroma Pharma GmbH, Austria. Available in disposable sterile syringe containers of 2 ml (Sinokrom) and 1 ml (Sinokrom Mini) of 1% sodium hyaluronate solution in boxes of 1 and 3 ready-made syringes. The drug can also be found under the name Sinokrom Forte 2% solution in 2 ml syringes, 1 container per package. The average price for one dose of the drug is 4 thousand rubles.
I have been suffering from gonarthrosis for 10 years now. During this time I have tried a whole bunch of drugs and ointments. Relief from them does not come for long and the pain quickly returns. About 3 years ago, my doctor advised me to think about joint replacement surgery, but I refused such treatment. While I can walk on my own, I don’t want to have surgery. After this conversation, he advised me to also try injections of hyaluronic acid into my sore knees, although he didn’t promise anything, he said that it might help. For this purpose, I purchased the drug Giastat, since it is the most affordable among its kind. Over the course of a month, the surgeon made 3 injections in each knee. I didn’t notice much of a difference right away, but after 3-4 months the pain when moving decreased. Thus, these injections allowed me to delay the inevitable (as the doctor said) surgery. I think this course needs to be repeated, otherwise almost 3 years have passed, and the period between such courses of treatment should not exceed one and a half years.
I have been suffering from post-traumatic arthrosis of the right knee joint for 5 years. From time to time there is pain, especially in the evening after work, and I am also constantly bothered by a very loud crunching noise in the knee. After studying all the available methods of treating this disease, I decided to try injections of hyaluronic acid into the joint. The symptoms decreased after the first injection of Synvisc, and after the 3rd injection even the crunching noise disappeared (appears only with high-amplitude movements in the knee). I am very pleased with the result of the treatment, even if it was a bit expensive.
Osteoarthritis of the hip joint is a progressive disease in which the cartilage and bone tissue of the hip joint (abbreviated as the hip joint) is destroyed. Another name for the disease is coxarthrosis.
The disease develops after reaching 40 years of age, and women are more often affected. According to statistics, in elderly patients, arthrosis of the hip joint occurs in 70% of cases due to the natural aging of the body. Young able-bodied people develop arthrosis due to the impact of unfavorable factors on the joint: intense physical activity, injuries, obesity.
The initial stage of the disease is manifested by periodic pain in the hip joint, does not cause much concern, and therefore often does not prompt you to see a doctor. However, without treatment, the pathology continues to progress and can even lead to disability. To avoid loss of ability to work and maintain your usual way of life, treatment for arthrosis of the hip joint is mandatory, and it must be started at the first signs of the disease.
Further in this article we will talk in detail about the essence of the disease, its causes, symptoms and principles of treatment. This information will help you suspect arthrosis in the early stages and consult a doctor in time. The pathology should be treated by a rheumatologist after a comprehensive examination - self-medication leads to the progression of arthrosis and the development of complications.
The hip joint is the largest joint in the human body. It bears enormous loads during movement and has a narrow joint space, which makes it vulnerable to adverse factors.
The hip joint is formed by the head of the femur and the acetabulum of the pelvic bones, externally reinforced by the articular capsule and the muscular-ligamentous apparatus.
Structure of the hip joint
The inside of the joint capsule is lined with synovial membrane. It synthesizes synovial fluid - a biological lubricant that nourishes the joint and ensures smooth movements in the joint. The intra-articular surfaces of the bones are covered with elastic and shiny hyaline cartilage, which performs a shock-absorbing function during walking. The correct anatomical structure and functional activity of all joint structures ensures normal motor activity without limitation and pain.
Due to age-related changes in the body or the influence of unfavorable factors, blood supply and metabolism in the joint are disrupted. Cartilage tissue loses water, becomes less elastic and fragile, cracks appear on its surface - these are the first signs of arthrosis
The progression of the disease leads to the formation of cartilage defects, abrasion and cracking. Particles of cartilage enter the joint cavity and cause aseptic or “sterile” inflammation that occurs without the participation of pathogens.
Next, the inflammatory process spreads to the bone tissue, causing aseptic necrosis (death) of areas of the acetabulum and femoral head. Bone growths - osteophytes - are formed, which injure surrounding tissues, aggravate the inflammatory process and cause intense pain.
In the advanced stage of the disease, signs of periarthritis appear when periarticular soft tissues (muscles, ligaments, nerves, blood vessels) are affected.
The final outcome of the disease is complete destruction of the joint, which leads to its immobilization - ankylosis of the hip joint.
Osteoarthritis of the hip joint can be primary or secondary.
The cause of arthrosis is unknown (not established). Primary or idiopathic arthrosis often develops in old age after reaching 50–60 years, is characterized by symmetry of damage to the hip joints and has an unfavorable course.
Secondary coxarthrosis develops against the background of various diseases. The causes of this form of arthrosis are in many ways similar to the unfavorable factors of degenerative diseases of other joints.
However, some causes are unique to coxarthrosis (that is, they are not “adverse factors”): for example, dysplastic pathology of the hip joints and Perthes disease (necrosis of the femoral head).
The main causes of arthrosis of the hip joint:
Secondary coxarthrosis usually develops at a young age, affects one hip joint, has a slow progressive course and a favorable outcome with timely consultation with a doctor.
Symptoms of arthrosis of the hip joint depend on the stage of the disease, severity and individual characteristics of the body. Signs of any arthrosis have a slow progressive course with a gradual increase in pain, limitation of motor activity of the affected limb and deterioration in the quality of life.
Based on clinical and radiological signs, 3 degrees of pathology are distinguished.
Stages of joint changes in arthrosis using the example of a knee lesion. Click on photo to enlarge.
The initial stage occurs without significant symptoms, and therefore is usually taken lightly by patients, and they postpone a visit to the doctor. The guarantee of recovery is timely diagnosis and therapy at the 1st stage of the disease. Otherwise, it is extremely difficult to completely restore the joint structure; treatment takes a long time and often does not give a positive effect.
Stage 1 disease can be effectively treated using conservative methods.
To treat the disease at this stage, medications are prescribed that slow down the progression of the disease and further destruction of cartilage.
X-ray of grade 3 coxarthrosis (right): very severe cartilage destruction, very large osteophytes
Arthrosis of the hip joint 3rd degree is the final stage, which leads to impaired motor activity of the leg and causes disability.
Stage 3 arthrosis can only be treated surgically.
The principles of how to treat coxarthrosis depend on the severity of the disease. In the first degree, it is possible to completely restore the structure of the cartilage using conservative methods; in the second, the progression of the disease can be stopped; and in the third degree, radical treatment with surgery is required.
(if the table is not completely visible, scroll to the right)
Non-steroidal anti-inflammatory drugs (NSAIDs).
Examples of drugs: diclofenac, indomethacin, piroxicam, butadione, Celebrex, movalis, nimesulide, arcoxia.
They have an anti-inflammatory effect and eliminate pain. They are used as symptomatic remedies.
Glucocorticoids (hydrocortisone, Kenalog, Diprospan).
They have an analgesic and anti-inflammatory effect. Doctors prescribe them when NSAIDs are ineffective.
Chondroprotectors (artra, dona, teraflex, structum, chondrolone, chondroitin AKOS, elbona).
They restore the structure of cartilage, normalize the production of synovial fluid, and prevent the destruction of cartilage tissue.
Chondroprotectors eliminate the cause of the disease and, accordingly, the symptoms. They are drunk in courses of 3–6 months.
Hyaluronic acid preparations (“liquid prosthesis”): pharmatron, durolan, ostenil.
These medications are injected into the joint cavity and replace synovial fluid, lubricate the joint surfaces and provide pain-free movement.
Muscle relaxants (sirdalud, mydocalm).
They reduce pathological muscle spasms, normalize blood flow, and reduce pain.
Stretches the joint capsule, relieves the articular surfaces of the bones.
Restores the correct anatomical position of the joint components, improves blood flow and metabolism.
Strengthens muscles and ligaments, normalizes motor activity in the joint.
The final stage of arthrosis does not respond to drug therapies, which are prescribed as supportive agents. In this situation, joint replacement surgery is performed. During the rehabilitation period, massage and a complex of therapeutic exercises are prescribed to restore motor activity.
In general, arthrosis of the hip joint has a favorable prognosis with timely diagnosis and treatment of the disease.
Author: Irina Tichevaya
At the top of the comments feed are the last 25 question-answer blocks. I answer only those questions where I can give practical advice in absentia - this is often impossible without personal consultation.
Good afternoon, I am 21 years old and was diagnosed with grade 2 coxatrosis, severe and long-lasting pain, for more than 3 years, constantly on diclofenac or cinepar. They said surgery is possible only after 25, at the moment they prescribed sulfasalazine 2 tablets before surgery, tell me what to do
Hello, Nurlybek. In case of coxarthrosis of the 2nd degree, when the pain is usually not too pronounced, Paracetamol can become the “drug of choice”, because it is quite safe when taken for a long time, gives a good analgesic effect, and is inexpensive. Reviews of treatment with paracetamol for stage 2 coxarthrosis indicate that in most cases, patients do not need stronger drugs. If the pain is still unbearable, you can take Ketolong (it cannot be taken for a long time). Theraflex, which is taken both internally and externally, can also help reduce inflammation and pain. Chondroprotectors are safe for health and have virtually no contraindications, which is why they have been used for years.
You can help yourself at stage 2 of the disease by performing a simple set of physical therapy exercises without static load on the joints. For example, exercises such as “bicycle” in a lying position are suitable. Swimming in the pool and walking also have a beneficial effect on the condition of the hip joint.
Physiotherapy treatments can relieve pain with a warm or cold heating pad, ultrasound on joints, laser, and acupuncture.
Hello! I am 50 years old. I have been suffering from TB in my right joint for many years now. I can’t lie on my right side. If I lie down, the pain immediately transfers to my knees and shins. There is severe pain in the hip area when I walk for a long time and when I climb stairs. The doctor diagnosed rheumatism. The aching pain intensifies at night. I can not fall asleep. Please tell me what and how to treat such pain. Thank you.
Hello Raushan. Rheumatism is a serious disease; your rheumatologist should prescribe a treatment regimen for you. This is not done over the Internet. You must pass all the necessary tests, after which comprehensive treatment is prescribed.
Try adding a traditional treatment: a decoction of the roots and leaves of false lingonberry (bear's ears). 2 – 3 cups per day; For every brew or infusion, take a teaspoon filled with a glass of boiling water.
Or, melt 100 g of butter and add the same amount of birch buds to it. Place the saucepan with this mixture in a hot oven and simmer there for about 10 - 11 hours. After cooling, add camphor in the ratio ?, mix, strain. Rub the ointment into sore joints and muscles for 5 minutes several times a day.
And don't forget about diet number 10.
I was diagnosed with stage 1 arthrosis. Rare (about once a month) pain occurs after a long walk. At rest, the pain goes away quickly.
I know that with arthrosis, moderate physical activity is acceptable. Please tell me, is it possible to do Nordic walking with arthrosis?
Hello Irina. Nordic walking with 1st degree of arthrosis should effectively influence the health of your joints, because it eliminates stiffness, increases muscle tone, strengthens the ligamentous apparatus of the joint, etc. And at the same time, using poles, the load from weight is reduced, muscle function is activated, etc. etc. However, if you start exercising too actively, there will be no benefit. Everything is good in moderation.
Good afternoon. I am 31 years old. A diagnosis of signs of manifestations of right-sided arthrosis of the hip joint was made. The doctor said that, unfortunately, we can only stop the development of this disease. He prescribed injections and physical therapy. Aching, tolerable pain in the thigh begins to appear only after 5 kilometers have been walked. Please tell me, is it possible to cure this disease at the first stage? Thanks in advance for your answer.
Hello Andrei. Arthrosis is truly a progressive disease that “does not like” either excessive stress or sedentary work. You can stop the disease in the early stages, yes, with the help of chondroprotective drugs and plus whatever the doctor prescribes for you. It is better to administer chondroprotectors inside the joint, as they are more effective, but in the early stages of the disease such treatment methods are rarely practiced. Therefore, it can be taken internally in the form of tablets and externally in the form of ointments. For example, Teraflex, Artra, Structum, etc. Some drugs must be taken for at least six months, otherwise the effect of restoring cartilage tissue will not occur, that is, carefully follow the instructions.
Hello! I’m 31 years old, after giving birth (30 years old) I started having aching pain in my hip joint, I thought it was postpartum and would soon go away! As a result, I was diagnosed with stage 1 arthrosis. The therapist prescribed treatment (they said that now this disease is dealt with by a therapist, not a surgeon), namely amphlutop 10 injections, physiotherapy 7 magnetic sessions and any chondroprotectors, I took Teraflex for a month, as I was told. My height is 155 cm, weight 84 kg, obese, I’m trying to lose weight, of course. After the prescribed treatment, relief came, but not for long. Now one left joint hurts, I can’t sleep on my left side, sometimes I inject Movasin, it helps me for about 2 days, I try not to overuse it, I used to take Movalis tablets, now it doesn’t help. Please tell me, is it not possible to cure this at all, it will follow me until old age and eventually there will be stage 3? Maybe other medications are needed? At the moment I started drinking Tazan, can you tell me if this is a good drug or is something else better? Thank you in advance!
Irina, arthrosis is a progressive disease and will need to be treated periodically to stop the development of complications. At the initial stage, you need to take chondroprotectors, both internally and externally, and preferably for at least six months. There are drugs with a shorter treatment period, but even after that it is better to take a short break and drink more. Excess weight is the first enemy for all joints, because it is an additional load, so try to lose weight. The description of Tazan speaks of its effectiveness, but I cannot say how it actually works. The most popular chondroprotectors are Teraflex, Artra, Dona, Structum.
I am 30 years old, the pain started a year ago and at the beginning it was not severe in the hip joint, the pain was relieved by an injection of declofenac. but now it’s been 6 months and nothing helps. The pain is either on the left leg or on the right, I’ve tried a bunch of medications, massages, etc. When you sit or lie down, your leg starts to tick, in the morning it’s difficult to work out your leg with pain, but when it goes away there is pain, but I also start limping. Tell me what to do?
Alexander, arthrosis is a serious pathology that develops in the hip joint as a result of malnutrition and, as a consequence, destruction of cartilage tissue. The disease is dangerous because if treatment is not started in a timely manner, or if treatment is not comprehensive, the disease progresses, the pain is more difficult to relieve, and complications are possible. We do not prescribe treatment over the Internet; you need to contact an orthopedist to prescribe a comprehensive treatment, which should include physical therapy.
Good afternoon. I'm 66. Weight 92kg. Of course, overweight. BUT I am active, I walk a lot, I swim. For the third month now, I have been feeling severe sharp pain in the morning when I turn my body on the left side in the area of the left hip at the back. To turn around, you have to pull yourself up with your arms and literally crawl out of bed. Then I walk around, bend over, squat, everything is tolerable. But she began to feel dull pain during movement in the area of the left hip joint behind and on the side, and began to limp. Tablets (on I went to a therapist, they sent me to a surgeon, he said I need to see a neurologist or rheumatologist. But since every doctor here (Murmansk) I make an appointment two weeks in advance and again through a therapist, it will take at least a month before I get to see a doctor, and then they will make an appointment with someone else, and they will also make an appointment for an x-ray two weeks in advance.
Please tell me a possible algorithm for my actions to speed up the examination process. Should I start taking chondoprotectors? And should I stop exercising in the pool? Thank you .
Tatyana, when you “walk around and squat a little,” your blood circulation improves and you feel a little lighter, your joints become more mobile. What you need to do now is to eliminate serious stress on the joints and all physical exercises, and leave swimming, it is always useful and light exercise is always necessary.
You need a consultation with a neurologist and an orthopedist; x-rays of the hip joints can be done in advance so that you can come to the doctor with the pictures, it will be faster. You hardly need a rheumatologist.
Hello, I am 80 years old, stage 3 coxarthrosis, surgery is contraindicated for me for health reasons. Tell me, are gymnastics and swimming contraindicated for me? Thank you.
Hello, Veslava. The 3rd degree can be safely attributed to the advanced category of coxarthrosis. Treatment at this stage is possible without surgery, but requires a long and complex regimen, which can and should be prescribed by your attending physician, taking into account the clinical picture of the disease, your general condition, age and individual characteristics of the body. This should be: intensive complex drug therapy with a combination of external and systemic drugs (Movalis, Diclofenac, Mydocalm, Teonicol), physiotherapy (UHF therapy, ultrasound, laser radiation, aeroion therapy), therapeutic exercises and massage, reflexology, folk methods. For the treatment of grade 3 coxarthrosis, the choice of exercise therapy is carried out especially carefully. The frequency, intensity and duration of exercises and activities in general can only be determined by the attending physician. Water gymnastics (including simple swimming), especially in sea water, is very useful for such arthrosis.
Here is a folk method to help you, just consult your doctor first: Finely chop 3 lemons along with the peel, add 100 g of chopped garlic and 250 g of grated celery root. Fold into 2 liters. jar, fill it with boiling water and let it brew for about 12 hours. Afterwards drink ? glasses in the morning on an empty stomach.
Here's a link for more details:
Tell me, can hip joints hurt terribly at stage 2-3 of coke, but at the same time there is no necrosis according to MRI. Is the bone intact? I have been taking chondroprotectors for a long time (even before the pain in the hip joint began, I took it for sore knees and lower back) - in intensive courses since 2012. Now I’ve been taking structum for 4 months now... Why, over the last 2 years, stage 1 has slipped to 2-3 on the right, and the left has become stage 2 from 0-1. The pain sucks. Aching to break simply! They are not removed by anything!! Doesn't take NSAIDs, not even tramadol. The doctor said that it couldn’t hurt like that, even though it was stage 2-3, the bone was of good type.. He sent me to an immunologist and rheumatologist for expensive examinations. He said something about collagenosis of tissues (it seems so), polyarthritis is in question, the viral nature of the pain. Could it be that it’s not the coke that hurts at this stage, but what the orthopedist suspects? I am 50 years old, weight 70 kg, height 163. According to immunologists, in 2013 Epstein Barr was identified in the active form. I wasn’t treated because I haven’t had any rashes or herpes since birth. She was examined by an immunologist regarding persistent allergies to medications.
Hello, Nadezhda. Your doctor is right, it is possible that you have such severe pain precisely because of viral infection (you also need to take rheumatology tests from a rheumatologist!). The fact that you haven’t had a rash on your skin from herpes before doesn’t mean anything. Herpes has many types, once it gets into the body, it is almost impossible to get rid of it, and so far scientists have not been able to find a 100% “antidote” for it. This virus can affect any organ, brain, systems, bones and joints, literally eating them from the inside, causing severe pain. And the causative agent of Epstein-Barr is precisely a DNA-containing virus from the Herpesviridae Family (gammaherpesviruses). This is herpesvirus type 4. Among other things, it also has a tropism for cells of the immune system (it multiplies in B-lymphocytes, where it can persist for life, as a result of which their functional state is disrupted and immunodeficiency occurs!).
So, if the nature of your disease is viral, then no analgesics will help, you need antibacterial drugs. Treatment can be selected only after a complete examination.
Good evening. I would like to know from you. Since birth, I have had angiodysplaschia of the left lower limb, Parkes Weber syndrome, and at birth I also had a dislocation of the hip joint. Recently, pain in the hip joint when walking when you lie on this side and when trying to stand up, sitting for a long time also hurt. What can be done and where to start.
Ekaterina, you need to start with a consultation with a neurologist and orthopedist. A clinical examination, tests, ultrasound of cerebral vessels, x-ray of the hip joint (preferably MRI!) are required.
At the age of 24, she suffered from brucellosis. Now I am 57 years old. About 4-5 years ago I had very severe pain in my knees and groin. Treatment Molbek, Movalis. Now, for six months now, when putting pressure on the left arm, a dull aching pain appears in the right hip joint, which is relieved by counterweight. Now the pain has gone down to the knee and below the knee, and sometimes severe pain appears as a flash in the ankle. At rest, the pain does not bother me, but in order to turn over from side to side, again turning on the left side causes severe pain on the right, and it is much easier to turn over on the painful side.
Tatyana, it’s difficult to give you any advice without an accurate diagnosis. Often the same symptoms correspond to a variety of diseases, and each disease requires special treatment. You need a face-to-face consultation with a specialist, you need to do an ultrasound or MRI, take blood tests (general and biochemical). It is possible that this is arthrosis.
Tingling in the hip joint on both the right and left sides, mostly at night when I sleep on my side.
It is not possible to sit on the longitudinal splits. I used to do stretching, but I had a lot of problems. I can't now. The tingling sensations are more troubling! Not strong, but discomfort (on the side, somewhere along the buttocks, closer to the outer side of the hip joint)
What could it be. I'm going for an MRI
Good afternoon, Dmitry. For this symptom, compression of the femoral nerve is possible. Occurs due to heavy professional stress, which can lead to hemorrhage into the muscles.
In order to prescribe adequate treatment, it is necessary to identify the cause of the pinched nerve. To do this, a thorough clinical diagnosis is carried out, based on a neurological examination and analysis of the distribution of sensory and motor disorders.
To exclude compression of the nerve by a tumor or hematoma, CT and/or MRI is necessary. The condition of the nerve in the inguinal ligament and thigh can be assessed using ultrasound. Electromyography (EMG) can also confirm the damage to a particular nerve.
For muscle paresis (if it is paresis), courses of exercise therapy and massage are prescribed to maintain range of motion in the joints and activation of the affected muscles, courses of electrical stimulation of the affected muscles and the use of drugs that improve neuromuscular transmission (Neostigmine, Ipidacrine, etc.).
Hello! About 14 years ago I took x-rays of my knee joints. A diagnosis of initial manifestations of arthrosis was made. I have been taking Artra for 4 courses for 6 months now. 2 months ago I began to feel aching pain in my hip joint. radiating to the groin, back of the thigh, sometimes anterior, sometimes lateral. There are sensations that these pains come from the back. Please tell me, can coxarthrosis develop while constantly taking chondroprotectors?
Laura, no, she can't. On the contrary, chondroprotectors inhibit the development of degenerative changes. You need to take a new X-ray, including the spinal column, since it looks like you still have lumbar osteochondrosis.
Hello! Please tell me, is there such a clinic in Russia that can perform surgery for 3rd degree orthosis?
Enter your name. Look at this link.
Good evening, 10 years ago, from two strong blows to the corner of a bedside table, in the area of the cartilage of the pelvic femoral joint on the right, it seems that the cartilage was crushed, with an ultrasound they said that the cartilage was not visible, but 3 years have passed since giving birth, and now I’ve been in pain for like a month walk and he whines, it seems that there is something foreign there, even when I sit down, I feel how he comes out and aches, I constantly have to turn, spread my legs so that the pelvis falls into place. I am 24 years old, height 168 cm and weight 100 kg. I'm very afraid that now I only need surgery?
Yana, from your words it is impossible to understand what exactly is wrong with your joint at this moment. You go to a traumatologist or surgeon, get an X-ray or MRI, then the picture will become clear.
By the way, you really need to lose those extra pounds, because if you're overweight, all your joints will suffer.
Hello. I have been suffering from problems with hip joints for about 10 years. It seems to me that they got sick after football training in the winter, it seems like they caught a cold. Movements to the side are limited, I can put my feet “shoulder-width apart”, then it causes pain (although I continue to play football), movements along are unlimited. After significant loads (specifically active...football, alpine skiing, for example), pain is observed the next day (not always)...but the next day it usually goes away. Any other loads (squats with a barbell, carrying heavy objects, long walking) do not bring any special problems. At first I was diagnosed with “hyperarthritis”, but due to my youth I did not complete treatment for it. Now I’ve decided to take care of myself, and it seems to me that it’s gotten worse (spring, autumn worsening). Tell me... at least who to contact and where to start... is it worth doing an MRI first and then going to the doctors. Thanks a lot. I really want to continue to be healthy.
Dmitry, I think I already gave you the answer. Flip through the pages, search.
To start treatment, you need to be examined again. Start with an orthopedist. Based on the examination and your complaints, the doctor will decide what tests you need to prescribe. Signs of inflammation can be revealed by a general blood test. An ultrasound examination can also show a clear picture of periarthritis; then an expensive MRI will not be necessary.
Anti-inflammatory medications are recommended, and corticosteroid injections are sometimes given. Pulsed magnetic therapy and ultraphonophoresis with hydrocortisone, paraffin-ozokerite applications, etc. also help well with periarthritis.
Physical activity should be reduced to a minimum during treatment.
Thanks a lot. I also wanted to note that the pain intensifies in the evening, especially after any stress on the legs. To relieve the pain, I lie on my back and begin to make circular movements with my leg, working out the hip joint for 5-10 minutes. When I do it with my right foot (which hurts), there are several clicks and knocks, when I do it with my left foot (which doesn’t hurt), I hear one or two short clicks. Do I understand correctly that during this exercise the osteophytes in my joint are broken off (erased or broken)? Is this exercise for the joints beneficial or, on the contrary, harmful?
Thank you very much
Nurlan, osteophytes cannot “break off” during exercise. All exercises must be performed consistently. There is also good effective joint gymnastics using the Evdokimenko method, which is available for patients of all age categories, find it using keywords on the Internet, since I cannot write so much in answers. Don't do exercises that cause you severe pain.
In the summer of 2016, while playing football, I jumped and somehow landed unsuccessfully; there was an unpleasant sensation in my leg. Then the pain gradually began to intensify. After viewing the x-ray, the rheumatologist diagnosed coxathrosis. I drank Artra for about 3 months, but didn’t feel any effect. then 2 or 3 months of some kind of dietary supplement, I don’t remember the name.
After physical activity, at first the pain was in the area of the right buttock, now after physical activity the calf muscle on the right leg hurts more. A rheumatologist says that pain in the calf muscle is not related in any way to arthrosis. I would like to hear your comment on this matter, as well as your recommendations on how to further treat my leg.
Nurlan, if everything is fine at rest, but when exerting the pain in the leg radiates to the buttock, the causes of the problem may lie in the presence of deforming osteoarthritis. However, if there was an injury, and you write that you “landed unsuccessfully after a jump,” then in this case bursitis could develop. In this case, treatment is carried out with non-steroidal drugs that relieve inflammation: Ibuprofen, Nimesulide, etc. The damaged limb is protected from physical activity, limiting movements that increase symptoms. Well, there are a lot of reasons for pain in the calf muscle: muscle strain, myositis, the development of thrombophlebitis, diseases of the peripheral nerves, etc. Seek additional advice from a neurologist and phlebologist.
Many thanks to admin Alex for your advice on the issue of water procedures that I asked. Thank you very much for your attention, it’s an excellent site, which you can wish to remain as useful in the future!
Hello, Alexander! Glad you liked the comment and tips. Thank you for your wishes!
I am 68 years old, diagnosed with coxarthrosis of the hip joint, degree 1, and began treatment, in general, according to the principles outlined above. There is relief, and significant. In addition, the doctor highly recommends water exercises for the joint (in the pool, water park, or somewhere else, I haven’t decided yet). But I can’t find these water exercises on the Internet, at least 3-5 basic movements and recommendations for their use. I just found a lot of exercises, even with videos, so there are no problems with it, I do it and feel the benefits. If you can provide some link to water exercises, I would really appreciate it. Sincerely, Alexander.
Alexander, to treat coxarthrosis in water, it is advisable to use hydrokinesitherapy procedures, which are aimed at relaxing painful, tense muscles and joints. This provides not only relaxation and pain relief, but also increased freedom of joint movements. Water exercises are carried out with minimal stress on the sore joint.
Standing in the pool on a stand (under your healthy leg), holding the handrail with your hands:
• Free swinging movements of the affected leg - forward, backward and to the side (5p)
• Circular movements of the affected leg forward and backward (4 rubles in each direction)
Holding the edge of the pool with your hands:
• Alternately pulling the legs towards the stomach, bending them at the knee and hip joints (4 times with each leg)
• Slow breaststroke footwork. pace. Strive to spread your legs wide and rotate your legs outward at the hip joints (20s)
• Freestyle kicks at medium tempo (20s)
• Simulate cycling (20s)
• While simultaneously bending the legs at the hip and knee joints, pull them towards the stomach (4p.)
, I’m 51, 20 years ago I caught a cold in my legs, I couldn’t walk much for a day. My knees hurt and were treated with bicillin and trichopolum. They checked for burcelosis. Up to 50, when I had a cold, my knees hurt 1.5 years ago in the morning I couldn’t get up after 2 hours, it went away. A month later I went to the hospital, my left knee hurt. They determined that the meniscus was torn, they did an MRI. They operated on it, opened it up, and said that with such a meniscus, you can leave it alone and clean it. After 15 days the pain resumed, he said that there was pain in the groin and they did an X-ray of the left hip joint. They sent me to the regional hospital and diagnosed coxoarthrosis of the 1st degree. They injected 3 Deprospan into the hip joint and the knee joint and 2 injections of Healur into the knee joint. the pain disappeared and he stopped limping. after 1 month the pain resumed. Why are they going to change the fuel pump, but my knee hurts and it’s 15 centimeters lower, so I’m praying. What is this.?
Andrey, in general, with coxarthrosis, stage 2. Conservative treatment is possible, but your attending physician knows better than me, based only on your letter. It is possible that your coxarthrosis is progressing, which is where the pain in other joints, below the knee, and lameness appear. With such symptoms, if surgery is not performed on time, one leg will become shorter than the other, and in the future it can lead to complete immobilization. Also, with this disease, as well as with osteochondrosis, pain in the groin is observed, which you complain about. If doctors have prescribed surgery, then most likely your hip joint is already destroyed, so endoprosthetics is necessary.
Palpable pain in the projection of the greater trochanter of the femur on both sides. Rotation of the hip causes severe pain on the left side. CXP reduced, equal size. Hypoesthesia along the S1 dermatome zone on the right. Diagnosis of arthrosis of the hip joint. What is written here and how to treat it. Help. Thank you in advance.
Vitaly, arthrosis of the hip joint is a degenerative-dystrophic disease in which hyaline cartilage is destroyed. It lines the surface of the femoral head. The term “hypoesthesia” refers to various sensitivity disorders, i.e. If you have hypoesthesia, it means that in such and such a place (you have the S1 dermatome zone on the right), the perception of external stimuli is impaired. The appearance of hypoesthesia is associated with various disorders in the nerve endings.
During the initial stage, the prognosis is favorable. But you need intensive conservative treatment and strict adherence to the recommendations of your doctor.
Hello . I've been having pain in my right pelvis for a week now. If I tap a joint with my finger, then severe pain occurs. Another sign: in a lying or sitting position, I turn my right leg a little to the right, lift it to the top, then lower it to the bottom, two clicks are constantly heard in the joint as I do this. The pain is greatest only on the bed. I walk easily, no complaints. When sleeping, you have to sleep on your left side and put a pillow between your legs. This happened to me a couple of years ago, not a single doctor told me anything. I am 31 years old and would not like to have health problems. Tell me, what could it be. And who to contact.
Vladimir, when you bend your leg, the tendon then moves relative to the head of your thigh bone. When the leg moves to its original position, the tendon also returns to its place, i.e., clicks are heard due to the back-and-forth movements. A doctor should be consulted if there is pain and discomfort; if there is no pain, treatment is not necessary.
If you are worried and want to be examined to clarify the cause of the clicking, then contact a surgeon or traumatologist. Physical therapy to stretch your hip muscles would be a good fit for you.