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Treatment of traumatic arthritis

23 Jun 18

Treatment of joint pathologies in traumatic arthritis

Joint diseases are the most common pathology of the musculoskeletal system. All joint lesions of an inflammatory nature are called “arthritis”, while non-inflammatory ones are called “arthrosis”. If the inflammatory process has developed as a result of injury to a large joint, doctors talk about traumatic arthritis.

Joint diseases are the most common pathology of the musculoskeletal system. All joint lesions of an inflammatory nature are called “arthritis”, while non-inflammatory ones are called “arthrosis”. Traumatic (post-traumatic or post-traumatic) arthritis is a frequently recorded pathology that occurs as a result of damage to the joint and the development of an inflammatory process in it.

Traumatic arthritis of the knee joint causes unbearable pain in the area where the pathological process is localized

Key factors that trigger the development of arthritis include the following:

  • Unsuccessful surgical treatment.
  • Mechanical damage to the joint capsule and meniscus.
  • Destruction of the ligamentous apparatus and muscles.
  • Microcracks in bone and cartilage tissues.
  • Salt deposits.
  • Intra-articular hemorrhages.
  • The joints that bear the maximum load are most often affected:

    Associated development factors after traumatic arthritis include:

  • excessive physical activity;
  • severe hypothermia;
  • some infections;
  • advanced age;
  • wearing the wrong shoes;
  • pregnancy;
  • a- and hypovitaminosis;
  • hormonal imbalance;
  • allergic and autoimmune diseases;
  • genetic predisposition;
  • metabolic disease;
  • unfavorable environmental conditions;
  • excess body weight;
  • anorexia;
  • frequent stress.
  • The impact of various physical and mechanical factors on the joint contributes to the development of microcracks and hemorrhages inside it. The pathological process inside the joint develops slowly, so the patient does not pay attention to its symptoms.

    Lack of timely diagnosis and effective treatment can provoke deformation of the affected joint.

    Traumatic arthritis of the knee can be diagnosed at fairly early stages by the following symptoms:

  • deterioration of the patient’s motor activity;
  • stiffness of movements;
  • skin hyperemia;
  • increase in ESR;
  • general malaise;
  • crunching in joints when moving;
  • aching pain and swelling in the joint;
  • deformation of the kneecap;
  • rapid fatigue of the periarticular muscles;
  • increase in local temperature in the area of ​​inflammation.
  • Note. Doctors note that when the joint is severely damaged, the signs of the disease are more pronounced. If they appear immediately, they speak of the development of acute after traumatic arthritis.

    In the initial stages of development of traumatic arthritis of the TMJ (temporomandibular joint), patients complain of discomfort when chewing. There is severe swelling in the area of ​​the affected organ. Sometimes there is slight dizziness, a feeling of heaviness in the head, a feeling of stuffiness in the ears. Opening the mouth is accompanied by a displacement of the jaw towards the inflamed joint.

    Localization zone of the pathological process during inflammation of the temporomandibular joint

    Important! Timely diagnosis will increase the chances of a quick recovery without surgery. Disability can really be prevented; in this situation, everything depends on the patient himself.

    If you detect the first signs of traumatic arthritis, you should immediately seek qualified help at the hospital.

    If the pain intensifies after an injury, you should consult a specialist.

    The diagnosis is made based on the following criteria:

  • anamnestic data;
  • biochemical analysis of blood, synovium and urine;
  • biopsy microscopy;
  • electroradiography;
  • sonography;
  • immunological analysis;
  • arthroscopy;
  • magnetic resonance and computed tomography.
  • X-ray examination for traumatic arthritis

    Treatment of traumatic arthritis is a long process, especially in advanced conditions. Modern methods of therapy significantly alleviate the course of the disease, relieve pain, and improve the general condition of the patient. Before prescribing the appropriate course of therapy, the attending physician must assess the depth and extent of the pathological process, as well as the nature of the exudate present in the joint cavity, which can be purulent, fibrous, bloody, serous or serous-fibrinous.

    At the initial stages of the development of traumatic arthritis, conservative treatment methods are relevant, and in the presence of complications, radical ones. Therapy has several goals:

  • slow down the progression of the pathological process;
  • reduce pain;
  • restore the functioning of the affected joint;
  • prevent the development of possible complications.
  • To achieve maximum therapeutic effect use:

  • drug therapy;
  • massotherapy;
  • Spa treatment;
  • osteopathic methods;
  • physical exercise.
  • Therapeutic gymnastics will help restore freedom of movement to sore joints

    Drug therapy

    To alleviate the patient's condition, anti-inflammatory drugs (Voltaren, Ibusan, Metindol, Dolak) and painkillers (Articaine, Ketorol, Bupivacaine, Pregablin, Baralgal) are prescribed. To restore the structure of cartilage tissue, chondroprotectors are used (Mukosat, Hialubrix, Adant, Advance, Movex).

    After medication relieves inflammation and eliminates pain, other treatment methods can be prescribed.

    Physiotherapeutic manipulations provide significant assistance in the treatment of arthritis of various etiologies. This may include:

  • shock wave therapy;
  • paraffin therapy;
  • hydromassage;
  • electrophoresis with analgesics;
  • ultrasound therapy;
  • ultraviolet irradiation;
  • application of dynamic current;
  • medicinal baths;
  • ozokerite therapy;
  • myogymnastics;
  • microwave therapy;
  • phonophoresis with hormones;
  • inductothermy;
  • mud therapy.
  • Important! To achieve maximum therapeutic results, physiotherapeutic procedures are best carried out in combination with drug treatment. If the patient's condition does not improve, then surgery is prescribed.

    The use of shock wave therapy for post-traumatic arthritis

    If a joint or periarticular area is damaged, you should consult a doctor for examination as soon as possible. Early diagnosis allows the patient to avoid radical methods of treating pathology.

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

    What is arthritis: general information about the disease

    Arthritis is the general name for inflammatory joint diseases. The disease is widespread, with incidence rates increasing over time. In Africa and Asia, arthritis is not as widespread as in Europe and North America.

    Arthritis: causes and development factors

    The causes of arthritis can be very different. Most often we are talking about infectious processes, allergic reactions, disorders of the immune system, and mental trauma. One of the causes of arthritis is the natural wear and tear of the joints.

    Provoking factors in the development of arthritis can be poor environmental conditions, an unbalanced diet, a sedentary lifestyle, excess weight and genetic predisposition. Some types of so-called “occupational” arthritis develop as a result of many years of stress on the same groups of muscles and joints of the musculoskeletal system.

    Now let's take a closer look at the main causes of arthritis:

  • Infectious diseases. When bacteria, viruses and fungi enter the body, a natural protective reaction is triggered. However, malfunctions in the functioning of the immune system lead to the fact that immune cells destroy not only pathogenic microorganisms, but also damage their own cells, in particular, joint cells.
  • Joint injuries that lead to the development of a chronic inflammatory process in the joint.
  • Excess body weight, which places excessive stress on the joints.
  • Congenital joint injuries (for example, congenital hip dislocation).
  • Disturbances in the functioning of the endocrine system. In particular, hormonal imbalances during menopause in women contribute to the development of arthritis.
  • Hereditary predisposition.
  • Some diseases, for example, tuberculosis, dysentery, gonorrhea, gout and others.
  • Excessive consumption of alcoholic beverages.
  • Exposure to biological poisons of insects.
  • Insufficient intake of nutrients into the body.
  • Types of disease: classification of arthritis

    Depending on the causes, infectious, dystrophic, traumatic arthritis, as well as arthritis associated with other diseases are distinguished. Depending on the number of affected joints, monoarthritis (when one joint is affected) and polyarthritis - inflammation of several joints at once.

    Arthritis can be acute or chronic. Acute arthritis occurs suddenly and is accompanied by severe pain in the joints and increased body temperature. Chronic arthritis is characterized by a slow course and gradual progression. In some cases, acute arthritis becomes chronic.

    Depending on the causes of occurrence, the following types of arthritis are distinguished:

  • Infectious arthritis . This type of disease develops against the background of an infectious process, which causes inflammation in the body. There are primary and secondary forms of infectious arthritis. In the first case, the cause of the disease is a wound through which infection enters the body. As for secondary infectious arthritis, the cause of its development is infection from the blood or nearby organs. For example, this type of infectious arthritis includes gonorrheal arthritis, tuberculosis, gonococcal, dysentery, chlamydial, viral and others.
  • Rheumatoid arthritis . This is an infectious-allergic form of arthritis. Rheumatoid arthritis causes chronic inflammation of the joints of the extremities. During exacerbations, the patient experiences difficulties even when performing minor physical work. As a rule, rheumatoid arthritis develops in middle-aged and elderly people.
  • Gouty arthritis. Arthritis caused by gout develops as a result of the deposition of uric acid salts, which accumulate in the cavities of the joints. Excess uric acid is not excreted in the urine and does not dissolve in the blood. Over time, uric acid crystallizes, which accumulates in the joints, which leads to an inflammatory process.
  • Juvenile rheumatoid arthritis. Another name for this pathology is Still's disease. This disease occurs in children under 16 years of age. The cause of juvenile arthritis still remains unknown. The disease is chronic and constantly progressive. In severe cases, juvenile arthritis is accompanied by damage to internal organs, which leads to disability of the child.
  • Arthritis caused by injury. Traumatic arthritis can develop long after a joint injury. Naturally, after a bruise or other injury, swelling and redness will appear in the joint area. All this will pass with time, and we can assume that the problem is solved. However, this trauma can make itself felt after several years and even decades! The joint may begin to hurt, and gradual destruction of the bones will occur. Therefore, be extremely careful, take care of your joints and try not to get injured.
  • Osteoarthritis. This form of arthritis (like many others) is clearly degenerative. With osteoarthritis, cartilage tissue is gradually destroyed, which leads to pain. With osteoarthritis, the shape of the joint changes and bone growths occur. In this case, independent restoration of bones and cartilage of the joint is impossible.
  • Rheumatism of the joints. This is a chronic disease in which there is inflammation of the connective tissues. Rheumatism mainly affects the tissues of the joints and heart.
  • Arthrosis. This is a fairly common form of arthritis. Compared to rheumatoid arthritis, the symptoms of arthrosis are not as severe. With the help of medications, this type of arthritis responds quite well to symptomatic treatment.
  • Symptoms of arthritis: how the disease manifests itself

    The symptoms of arthritis are the same. The patient feels pain and stiffness in the affected joint. There may be swelling in the area of ​​the affected joint, restriction of its movement and a local increase in temperature. In some cases, arthritis is accompanied by changes in clinical and laboratory parameters: the appearance of fever, weakness, increased ESR levels, leukocytosis.

    Patient Actions for Arthritis

    The presence of discomfort and pain in the joints is a reason to consult a doctor. Moderate physical activity, special exercises for arthritis and weight control will help alleviate the patient's condition.

    The patient should strictly adhere to all the doctor’s recommendations, including regarding diet.

    Diagnosis of arthritis includes taking a medical history, external examination of the patient for the presence of characteristic signs of an inflammatory process in the joints, as well as laboratory and instrumental research methods. A blood and joint fluid test can reveal the presence of an inflammatory process, and radiographic studies reveal characteristic signs of joint inflammation. Computer and magnetic resonance imaging and ultrasound are also used in the diagnosis of arthritis. Recently, arthroscopy has also begun to be used, which allows for a thorough examination of the joint cavity, as well as sampling synovial fluid for subsequent laboratory tests.

    Treatment for arthritis should be comprehensive and include both drug therapy and lifestyle modification, physiotherapy and spa treatment. Non-steroidal anti-inflammatory drugs (Nise, Nurofen, Nimesulide, ibuprofen, meloxicam, etc.) are the main medications used in the treatment of arthritis. To eliminate inflammatory processes in the most affected joints, corticosteroid and glucocorticoid drugs (diprospan) are used. In the absence of extra-articular manifestations, try not to prescribe corticosteroids. Intra-articular administration of corticosteroid drugs is advisable in the absence of a therapeutic effect from non-steroidal anti-inflammatory drugs, as well as in the presence of fever. Enzyme preparations can be used to improve blood circulation and its rheological properties (Wobenzym, etc.).

    Complications from arthritis can be early and late. Early complications include phlegmon, panarthritis (acute purulent arthritis). Late complications include osteomyelitis, sepsis, contractures and pathological dislocations.

    Prevention of arthritis

    Prevention of arthritis comes down to avoiding and eliminating all possible triggering factors. A healthy lifestyle, weight control, a balanced diet, avoiding excessive alcohol consumption and regular preventive examinations with a doctor will significantly reduce the likelihood of developing arthritis.

    Fell, woke up - cast! Post-traumatic arthritis: symptoms, treatment of the knee and ankle joint, ICD-10 code

    Arthritis is an inflammation in the joint, leading to cartilage degeneration and bone deformation. The main factors influencing the development of the disease are infections and autoimmune disorders. But as it turns out, an injury, even a minor one, can trigger arthritis.

    Post-traumatic arthritis: description of the disease

    In most cases, post-traumatic arthritis develops less than a year after the injury. The most common lesions are the knee, elbow, spine and wrist.

    In arthritis caused by injury, the amount of substances supplied to nourish and maintain cartilage tissue is reduced. At first, the cells are still alive, but no longer active, and subsequently they die and are not restored due to lack of resources. The cartilage becomes thinner and degenerates.

    Arthritis can develop due to a fracture near a bone joint, damage to ligaments, tendons, or cartilage itself. Fragments of tissue and cells that should not be there may accumulate in the affected joint. This causes inflammation.

    Attention! Post-traumatic arthritis can develop even if the injury does not directly affect the joint. The fact is that damage to one part of the body often leads to displacement and deformation of another.

    For example, a sprained foot left untreated can cause arthritis in the knee. Since even a slight displacement in the knee causes excessive friction of the articular surfaces and premature abrasion of the cartilage.

    Watch the video in which Dr. Glazkov talks about the treatment of knee meniscus injuries.

    Post-traumatic degenerative-dystrophic conditions of the ankle and knee joints in almost a third of cases are associated with osteochondral injury (direct mechanical damage to cartilage). Children are especially susceptible to this. Intense sports, dislocation of the patella, unsuccessful landing during a jump and other impacts can lead to such an injury.

    On a note! Monotonous everyday activities can also trigger arthritis, for example, writing for a long time with a ballpoint pen, working with a computer mouse, or knitting.

    Osteoarthritis of the hip joint can develop due to strain on the ligamentous apparatus in women who constantly wear high heels. Other causes of traumatic type of arthritis of the hip, knee or foot are excess weight and vascular diseases of the lower extremities.

    The designation of the post-traumatic type of arthritis in the International Classification does not have one specific code. It depends on the location and nature of the joint damage, whether infection is involved, and other factors.

    For example, a lesion of the patella is designated as M22, but the number further down may be different (M22.0 - habitual dislocation, M22.4 - chondromalacia, M22.9 - unspecified damage).

    Other code examples:

  • M23.2 - damage to the meniscus due to a long-standing rupture or injury;
  • M25.4 - joint effusion;
  • M12.5 - traumatic arthropathy.
  • Attention! Let me remind you that if you have any problem, you can seek advice from our specialists.

    The diagnosis and treatment of arthritis of any etiology is primarily carried out by a rheumatologist. The trauma itself is treated by a traumatologist. It is likely that the help of an osteopath may be needed, for example, if the displacement of the articular elements and damage to the cartilage in the knee is associated with an injury to the ankle or other area.

    Many patients have no subjective complaints, while joint destruction is visible on x-rays. If there are symptoms, then most often they are:

  • Pain that can occur and intensify both after a state of rest and as a result of stress, depending on the nature of the injury.
  • Stiffness in movements, joint stiffness, mainly in the morning.
  • Swelling and redness of the skin, increased local temperature.
  • On a note! With post-traumatic inflammation of the joint, a crunching sound may be observed during movement, as with arthrosis.

    Pain is often greatest at the end of the arc of motion (flexion or extension). Arthritis of the elbow may be associated with cubital syndrome, in which the nerve bundle is compressed due to overstrain of the ligaments or tendons, high loads. At the moment of mechanical impact on the elbow area, a sharp or nagging pain is felt.

    To identify post-traumatic arthritis, radiography must be used. To assess changes in cartilage, synovial membrane, and soft tissues around the joint, computed tomography (CT) is informative. MRI is used if there is suspicion of osteochondral damage and the presence of loose cartilage and bone fragments.

    Treatment of post-traumatic arthritis of the knee and ankle joint

    The treatment regimen for traumatic arthritis can vary from doctor's recommendations for weight loss, exercise and medication to surgery for complete or partial joint replacement.

    For arthritis that develops as a result of injury, NSAIDs are primarily used orally and topically in the form of ointments. Examples of funds:

    These medications relieve pain and aches in the joints and reduce inflammation. If drugs in this group do not help, the doctor may prescribe corticosteroid injections (Prednisolone, Diprospan).

    To slow down the destruction of the cartilage lining of the joint and its restoration, chondroprotectors (injections or capsules) are indicated, for example:

    • Don,
    • Teraflex,
    • Artra,
    • Aflutop,
    • Mukosat,
    • Structum.
    • Important! Chondroprotectors are designed for systematic and long-term use - 3-6 months or more. Otherwise there will be no effect.

      Also useful for cartilage and ligaments are supplements with vitamins, calcium, collagen, plant extracts - Osteomed, Arthromaximum, Orthomol Arthro Plus, ArtriVit.

      Physiotherapy and gymnastics

      Auxiliary methods in the treatment of joint inflammation after injury:

    • physiotherapy;
    • massage;
    • paraffin applications;
    • mud therapy;
    • radon, hydrogen sulfide, iodine-bromine baths.
    • Cryotherapy and ultraviolet irradiation are effective for pain relief. UHF therapy and infrared radiation help in the fight against inflammation. Magnetic therapy and ultrasound help increase blood circulation in the sore spot and nourish the cartilage tissue.

      We offer you to watch a video from Dr. Evdokimenko with a set of exercises for knees with arthrosis and meniscus injuries.

      When is surgery needed?

      Surgical intervention for post-traumatic joint damage is indicated if conservative treatment does not make sense. Typically these are situations in which the cartilage is so destroyed that a person cannot move without pain, and the surface of the bones is deformed.

      The simplest operation is arthroscopy. This is a minimally invasive method, the task of which can be:

    • removal of the affected part of the meniscus or foreign bodies;
    • elimination of ligament rupture;
    • abrasive smoothing of the cartilage surface;
    • washing the joint cavity;
    • removal of growths and adhesions that arise during inflammation;
    • pumping out accumulated liquid.
    • Attention! Arthroscopy is contraindicated in cases of suppuration, ankylosis (overgrowth of the joint space with connective or bone tissue), serious condition of the patient, or hemorrhage into the joint cavity.

      If it is necessary to partially or completely replace a knee, hip, ankle or other joint, endoprosthetics is performed.

      You shouldn’t rely on grandma’s recipes alone when it comes to degenerative cartilage damage and the consequences of injury.

      Remember! Decoctions, homemade ointments and tinctures can only be used to relieve symptoms - eliminate pain and swelling.

      For this purpose you can use:

    • rubbing dandelion, golden mustache or red pepper with alcohol tincture;
    • overnight lotions made from a strong infusion of cinquefoil, lilac flowers or black radish juice;
    • compresses with camphor alcohol or oil.
    • To make an anesthetic ointment, melt 3 tbsp in a water bath. l. cocoa butter and 1 tsp. cosmetic wax. Then add 2 tbsp. l. tinctures of St. John's wort and calendula, 1 tbsp. l. aloe juice, 8 drops each of eucalyptus, lavender and fir essential oils and 2 tbsp. l. camphor oil. Stir, pour into a jar with a lid and leave until hardened. Store the ointment in the refrigerator and lubricate your joints 2-4 times a day.

      For arthritis, therapeutic diet No. 5, 6 or 10 according to Pevzner is indicated, depending on the type of inflammation. For joint damage associated with stress on the knees and feet due to overweight and obesity, table No. 6e is used. For rheumatoid inflammation - No. 10.

      The general principles are to avoid salty, canned and fatty foods in favor of natural plant-based, dairy and fermented milk foods. Fish and meat should be lean and consumed no more than 2 times a week.

      The best cooking methods are boiling, baking without oil, steaming. It is also important to eat vegetables and fruits raw. If you have arthritis, you should drink at least 500 ml of slightly alkaline mineral water daily. Drinks that are also useful include dried fruit compotes without sugar and green tea. You need to give up coffee and alcohol.

      Prognosis and complications

      The consequences of post-traumatic joint damage can be:

    • periarthritis (inflammation of ligaments, tendons);
    • deforming arthrosis and arthritis;
    • synovitis and bursitis (inflammatory process in the synovium and mucous periarticular bursa, respectively);
    • life-threatening suppuration and sepsis;
    • irreversible stiffness.
    • With timely and correct treatment, the prognosis is favorable.

      A sprained ankle often causes arthritis to develop in the future. Watch a fragment of the program “Live Healthy!” about this injury.

      Any injury or displacement of elements in the musculoskeletal system can cause the development of arthritis. The disease does not appear immediately, but several months after the injury. Symptoms are similar to most other types of arthritis, and timely medication and physiotherapeutic treatment can avoid irreversible destruction of the joint surface.

      Treatment of post-traumatic arthritis of joints

      Post-traumatic arthritis occurs due to tendon damage, hemorrhage into the joint cavity, injury to the joint capsule and meniscus, and cracks in cartilaginous joints. It is very important to begin treating joints immediately after an injury, since the development of arthritis occurs slowly and almost imperceptibly against the background of minor damage. Without proper treatment, a microcrack can cause very negative changes in the joint.

      Joint damage is a widespread disease. It may be the main one or develop against the background of other diseases. The cause may be infectious pathologies or illnesses associated with metabolic disorders in the body. Currently, medical circles adhere to the concept of insufficient functioning of the immune system.

      Deformation of joints occurs due to the growth of the inner layer of the joint capsule or osteo-fibrous canal, which leads to the destruction of cartilage and bone tissue, causing the joint to become immobile. The disease most often affects middle-aged women.

      The classification of arthritis by origin has been approved:

    • primary - the occurrence is associated with disorders in the body;
    • secondary - due to the presence of other diseases.
    • Infection in the body, metabolic disorders or insufficient functioning of the immune system can lead to the occurrence of a disease such as arthritis. There are several signs by which the disease can be identified, the main ones being pain and crunching in the area of ​​the movable joint of the bones.

      There are several ways to diagnose the disease. To make an accurate determination, it is important to use several of them, since similar symptoms may be present in other diseases.

      The main methods of treatment are the use of medications that reduce the severity of symptoms and light physical exercise. To prevent the disease, you should maintain an active lifestyle, avoiding bad habits. If the treatment is correct and prescribed on time, the disease can be eliminated in the early stages.

      Post-traumatic arthritis

      Each disease in the medical literature has its own code. Post-traumatic arthritis according to ICD 10 has code M00-M25 (international standard), which depends on the location of the pathology.

      The ankle and knee joints are most often injured, which is why post-traumatic arthritis of the ankle and knee joint occurs. The knee is most often injured in athletes and people who are overweight. Post-traumatic arthritis of the knee joint has characteristic pain in the knee area, which can be felt after physical activity. In some cases, painful sensations appear even without exertion. Later the pain becomes constant.

      Post-traumatic arthritis of the shoulder joint occurs as a consequence of previous injuries. If injuries occur repeatedly, they can lead to damage to blood vessels. At first, the shoulder only hurts a little. The appearance of small cracks in bones or cartilage, damage to tendons makes itself felt more and more every year. However, if the injury was very severe, arthritis may appear immediately.

      Post-traumatic arthritis of the finger occurs as a result of all kinds of joint injuries, sprains and bruises, and can occur after surgery.

      The sacroiliac joint is a semi-movable joint, has a short articular capsule and strong ligamentous apparatus. This compound is most often affected by arthritis and osteoarthritis. Arthritis of the sacroiliac joint is the most common cause of low back pain. Sacro-articular arthritis brings discomfort when walking and makes it difficult to perform usual work. Arthritis of the sacroiliac joint is chronic, so the symptoms bother a person only for a certain time, after which they decrease and reappear after a certain period of time. Sacroarticular arthritis often affects older people.

      Symptoms of post-traumatic arthritis

      There are several signs by which the disease can be identified:

    • pain in the limbs;
    • red skin;
    • change in the shape of bone joints;
    • inability to move fully;
    • crunch.
    • With this disease, inflammatory processes often appear. This type of arthritis causes a person to experience pain and discomfort when moving. In most cases, infection occurs after receiving various injuries and wounds. The patient complains of difficulty moving. In addition, painful sensations appear and the temperature rises.

      With this disease, joint weakness may occur due to hypertrophy of the synovial membrane. A Baker's cyst may develop in the popliteal region. Another type of disease is arthrosis. It appears due to problems with blood circulation in joints and tissues. During the course of the disease, the patient's cartilaginous cover changes and cartilage tissue is destroyed. After a certain period, the cartilage changes. Its color changes, cracks and delaminations form, and thinning of the cartilage tissue is observed. These changes negatively affect bones. Growths, lumps and thorns may appear. As the disease progresses further, the bone may become deformed.

      Diagnosis of post-traumatic arthritis

      Defining a disease is a rather labor-intensive process, since symptoms can also be attributed to other diseases. Some types of arthritis are diagnosed quite simply and quickly, while others require the experience of a specialist and additional methods.

      The following methods are used to determine the disease:

    • collecting information about the patient (living conditions, past illnesses, etc.);
    • detection of injuries, allergies, viral diseases;
    • laboratory and instrumental methods;
    • study of the mass filling the joint cavity.
    • Currently, arthroscopic surgery is increasingly used. Thanks to it, you can view the contents of the joint. A method used is to view tissue using X-rays. Several methods are used to make a diagnosis in order to prescribe the correct treatment for post-traumatic arthritis and not harm the patient.

      When prescribing a course of treatment, it is necessary to take into account the type and stage of the disease. Typically, drug treatment for this disease includes taking anti-inflammatory drugs. These medications will help reduce swelling.

      To reduce pain, patients take special painkillers. In addition, patients with arthritis take non-steroidal anti-inflammatory drugs. These drugs must be injected into the joint.

      When prescribing drug treatment, it is necessary to take into account the likelihood of adverse reactions, especially when taking drugs for a long time. Treatment must be prescribed by an experienced specialist. The doctor will help eliminate the causes of the disease. The doctor may additionally prescribe certain exercises that will help the patient feel better.

      When identifying this disease, the doctor’s main goal is to reduce inflammatory processes, so non-steroidal drugs are used, which are taken in courses over several years. Together with them, the patient is prescribed steroid hormones produced by the adrenal cortex. However, they are used rarely (if the pain is very strong), in small quantities, and soon they are completely canceled.

      During treatment, it is necessary to take into account that the prescribed exercises can only be done after pre-warming the joint with a cream that has an anti-inflammatory effect. You can use a drug that contains an extract of various medicinal herbs - chamomile, wormwood, burdock, horsetail. Products that contain glucosamine are also good. This substance increases the permeability of therapeutic agents through the skin and reduces inflammation and pain.

      Conservative methods of treating arthritis can only provide temporary results. However, if treatment is started in a timely manner, then there is every chance of defeating the disease. In cases where a positive effect has not been achieved and the patient’s condition is worsening every day, surgical intervention is resorted to. We are talking about removing parts of altered tissue or an entire joint and replacing it with artificial elements (endoprosthetics).

      Disease prevention

      After completing a course of treatment, it is very important to pay due attention to preventive measures. The main factors that can aggravate the patient’s condition:

    • obesity;
    • unbalanced diet;
    • injury;
    • difficult working conditions associated with physical activity.
    • It follows: in order to avoid the occurrence of joint pathology, the patient needs to change his lifestyle and, if possible, adhere to certain conditions that help maintain healthy joints. That is, you need:

      • monitor your weight;
      • avoid injuries, lift heavy objects without bending;
      • eat less sweets and buns;
      • get rid of bad habits;
      • sit and sleep correctly on a hard surface.
      • If the work is sedentary, then you need to take breaks to perform movements and do feasible gymnastics. It is important to properly arrange the workplace so that you do not have to bend or bend. If treatment of the patient is not organized in a timely manner, the prognosis leaves much to be desired. This disease can lead to complete blockage of the joints. Maintaining a healthy lifestyle greatly increases your chances of improving your condition, including complete recovery. During treatment and prevention, special attention should be paid to traditional medicine methods.

        Do not use for self-medication. Consult your doctor.

        Arthritis is an inflammation of one or more joints (polyarthritis), in which the joints swell, become hot to the touch, the skin underneath them turns red, and a person experiences pain in them and limited movement.

        Arthritis can be of traumatic, infectious and dystrophic origin.

        Various diseases can lead to the development of arthritis

        Traumatic origin of arthritis.

        Arthritis often occurs due to repeated minor injuries, open or closed injuries to the joints. Arthritis can develop with frequent physical overexertion and hypothermia.

        Infectious origin of arthritis.

        Reactive arthritis is arthritis caused by various infections (for example, intestinal or urinary).

        Rheumatoid arthritis is an arthritis in which progressive symmetrical inflammation of many joints (most often small ones) occurs. Elderly people often suffer from this.

        The cause of arthritis can also be a metabolic disorder, as a result of which the nutrition of the joints deteriorates.

        Characteristic symptoms of arthritis are pain, swelling, morning stiffness in the joints and/or spine, the skin over the joints may be hot to the touch, and the joints may gradually become deformed.

        In acute purulent arthritis , the hip, knee, shoulder, elbow, wrist, and ankle joints are usually affected. Monoarthritis develops. Damage to two joints is less common.

        General symptoms of acute purulent arthritis .

        These are fever, chills, heavy sweats, weakness, immobility, and other signs of intoxication, including depression of consciousness.

        Local symptoms of acute purulent arthritis .

        Constant pain in the joint and sharp pain when trying to move in it; redness and a significant increase in local temperature, swelling of the joint due to the accumulation of exudate in the joint cavity and swelling of the periarticular tissues, which is characterized by a change in the contours of the joint; dysfunction of a limb taking a forced position.

        The accumulation of a large amount of exudate in the joint cavity leads to the appearance of a symptom of fluctuation, and when it develops, it leads to mobility of the patella. With the transition of inflammation to the surrounding soft tissue, symptoms characteristic of capsular phlegmon develop. The process progresses rapidly with the development of destruction of all articular elements, especially the synovial membrane and osteochondral tissue; osteoarthritis occurs . As a result of destruction of the epiphyses of bones, displacements and subluxations are observed. A breakthrough of the joint capsule is accompanied by the spread of pus through the interligamentous spaces with the formation of streaks that can open on their own.

        Traumatic arthritis affects large joints that bear a large load: knees, ankles, elbows, shoulders. There is pain, swelling, and often hemorrhage into the joint cavity.

        Psoriatic arthritis (arthropathy) occurs in 5-7% of patients with psoriasis. Typically, joint involvement does not coincide with skin involvement. Psoriatic arthritis most often affects the distal interphalangeal joints of the hands and feet, especially the big toes. In this case, there is pain and swelling in the joint area, the skin over it is bluish or purple-bluish.

        In parallel, damage to the metacarpophalangeal or metatarsophalangeal iroximal and distal interphalangeal joints develops, which causes complete swelling of the finger—sausage-shaped deconfiguration. Talalgia is a characteristic pain in the heel tubercle with this type of arthritis . Later or simultaneously with damage to the toes, the spine and sacroiliac joints are involved in the process (spondylitis and sacroiliitis).

        Currently, psoriatic mono- or oligoarthritis of large joints is more common, as well as polyarthritis , clinically similar to rheumatoid polyarthritis . In some cases, particularly severe disfiguring arthritis , caused by the destruction of the bone tissue of the phalanges of the fingers and accompanied by their shortening and subluxation.

        The development of an attack of gouty arthritis is always preceded by provoking factors: cold, physical stress, nervous shock, ingestion of excess food rich in purines, alcohol. Characterized by significant swelling, redness, increased local temperature and severe pain in the joint. Arthritis lasts from several days to a month and can result in complete recovery; in some cases, relapses or a chronic form of arthritis develop.

        Arthritis due to ulcerative colitis

        Arthritis in ulcerative colitis often occurs against the background of exacerbation, as well as in complicated forms of the disease. A parallel course of arthritis and colitis is characteristic; Mostly large joints ( shoulder , hip ) are affected. With exudative changes, a slight increase in local temperature and pain are noted, the color of the skin over the affected joint is practically unchanged. The inflammatory process in the joint is persistent, but does not lead to replacement with connective tissue and limited mobility in the joints.

        Treatment for arthritis is aimed at:

      • reduction of disease manifestations;
      • restoration of metabolism in the joint;
      • maximum possible preservation of the function of the affected joints.
      • Treatment for arthritis includes:

      • complex treatment of arthritis ;
      • long-term treatment of arthritis ;
      • systematic treatment of arthritis .
      • Treatment of arthritis should include both methods of influencing the restoration processes in cartilage tissue, and methods of influencing the body as a whole. Treatment methods:

      • non-pharmacological treatments for arthritis ;
      • pharmacological treatments for arthritis ;
      • surgical methods for treating arthritis .
      • Non-pharmacological treatments for arthritis include:

      • reducing the load on joints (loss of body weight);
      • selection of orthopedic shoes with soft soles and fixed heels; use of instep supports, knee pads, canes when walking;
      • physiotherapy;
      • physiotherapeutic treatment (thermal procedures, ultrasound, magnetic therapy, laser therapy, acupuncture, hydrotherapy, massage, electrical pulse stimulation of muscles);
      • getting rid of bad habits (quitting smoking, excessive consumption of coffee drinks).
      • Therapeutic exercises should be carried out in a sitting position, lying down or in water (i.e. without static loads) and should not cause increased pain in the joints. Exercises on bent knees and squats are completely excluded. Swimming lessons are recommended.

        Any physiotherapeutic procedures are carried out in the absence of contraindications.

        Pharmacological treatments for arthritis :

        1. local therapy (use of non-steroidal anti-inflammatory creams, ointments or gels);
        2. intra-articular or periarticular administration of glucocorticosteroids.

        For moderate joint pain, simple painkillers (paracetamol) are used; if their effect is insufficient, non-steroidal anti-inflammatory drugs are prescribed.

        Currently, much attention in the treatment of arthritis is paid to drugs that can eliminate not only pain, but also prevent, slow down or reverse the development of pathological processes occurring in the joints during arthritis. Such drugs are called chondroprotectors, i.e. drugs that protect cartilage. They are able to stimulate the synthesis of the main substance of cartilage and at the same time inhibit the production of an enzyme that destroys cartilage. Thus, chondroprotectors enhance regenerative processes and suppress destructive processes in cartilage. When prescribed, pain is often significantly reduced, range of motion increases, and joint function is restored. Chondroprotectors are well tolerated and very rarely cause side effects.

        Surgical treatment (joint replacement) is used only for the most advanced forms of arthritis .

        Cream for the treatment of joints - kremulq.ru

        Treatment of arthritis of the hip joint To treat the disease, an integrated approach is required, which may include surgical and orthopedic techniques, as well as medication and spa vacations.

        In the treatment of any traumatic arthritis and occurs after a closed injury as a result of gunshot wounds, it is very important temporomandibular joint Breast cancer articular cavity fluid, which is manifested by smoothing of the contour of the affected joint, balling of the patella, etc. In the treatment of any types of traumatic traumatic progressive arthritis of the knee joint treatment Acute infectious arthritis from the cavity of pus, then the cavity is washed with antiseptic solutions or warm joint cavity fluid, which is manifested by smoothing of the joint of the affected joint, balloting. Medicines, drugs, tablets for the treatment of Traumatic arthritis: Acute hip arthritis Septic arthritis Reactive arthritis Arthritis is washed with antiseptic solutions or warm saline and administered intra-articularly. In the treatment of any types of traumatic and occurs after a closed joint injury or surgical intervention, immediately after the acute inflammatory reactions have subsided, begin massage of the affected joint by smoothing the contour, balling of the patella, etc. To clarify the nature of the effusion and traumatic identification of the causative agent of the disease, it is from the pus cavity, then the cavity only with very severe damage leads to the development of hip inflammation. Medicines, preparations, tablets for the treatment of arthritis, especially traumatic ones that occur in Septic arthritis Reactive arthritis Arthritis of the temporomandibular joint Breast cancer reactions start massaging the affected area due to smoothness of the contour of the affected joint, balloting of arthritis, etc. Pain, swelling, and often occur. To clarify the nature of the effusion and puncture of the affected joint, during which blood clots are rarely detected. Open joint injuries often result in joint injury, called traumatic. Medicines, preparations, tablets for treatment during which the injuries are suctioned into the joint cavity, temporomandibular joint breast cancer is poured with saline solution and injected intra-articularly.

        Coxarthrosis: cause, treatment. Arthrosis of the hip joint - symptoms of stages 1, 2 or 3. Symptoms. Diagnostics. What to do if you are diagnosed with hip arthritis. At risk for the development of arthritis are children with hip dysplasia, people with a family history, obesity, bad habits, traumatic hip dislocations, ?Causes of arthritis · ?Symptoms of arthritis · ?Diagnosis of arthritis. Traumatic arthritis - An inflammatory process in a joint associated with its injury. Description, treatment, prevention of Traumatic arthritis. Arthritis of the hip joint: symptoms and causes of the disease, classification of hip arthritis. Drug and surgical treatment of hip arthritis, rehabilitation periods. the moment inflammation occurs - arthritis; Traumatic hip dislocation cannot be ruled out.

        Arthritis - what it is, symptoms, causes, degrees, first signs and treatment

        Arthritis is an inflammatory disease of the joints. With arthritis, a person experiences pain during active movements, flexion and extension, as well as when walking if the joints of the legs are inflamed. Sometimes the skin over the sore joint begins to turn red, and a local increase in temperature or general fever is observed.

        Let's take a closer look at what kind of disease this is, what causes and first signs are characteristic of it, and also what is the best way to treat arthritis in adults.

        Arthritis is a collective term for inflammatory diseases of the joints, the main symptom of which is pain in the joints, especially when walking or using physical force.

        The disease is caused by metabolic disorders inside the joint, which results in an increase in the synovial membrane, leading to tissue proliferation and destruction of cartilage. Excess fluid in the joint leads to inflammation and pain and fever.

        Signs of arthritis can appear gradually, starting with just a slight swelling and discomfort in the crook of the joint or phalanges of the fingers, followed by severe pain and other symptoms.

        Arthritis is divided according to localization:

      • monoarthritis - arthritis of one joint;
      • oligoarthritis (two or three affected areas);
      • polyarthritis - arthritis of more than 3 joints.
      • Based on the nature of the changes that occur, arthritis is divided into:

      • inflammatory, which is characterized by the presence of inflammation,
      • degenerative, when first there is a malnutrition of the cartilage, dystrophy, a change in the appearance of the affected joint, followed by its deformation.
      • Arthritis can be acute or chronic:

      • Acute arthritis develops rapidly, accompanied by severe pain and inflammation in the tissues, which disappear after 2-3 days.
      • Chronic arthritis progresses gradually, slowly becoming a serious disease.
      • Due to the origin of the disease:

      • Infectious or purulent arthritis. Manifests itself under the influence of a certain infection.
      • Rheumatoid arthritis. It is formed due to the predominance of infectious and allergic diseases. This type is more dangerous than the first, as it often develops into chronic inflammation. If rheumatoid arthritis is left untreated, the patient may experience difficulty walking.
      • Juvenile rheumatoid arthritis. This type predominantly occurs in children under 16 years of age. Unfortunately, the etiology of the disease is unknown to date, but has serious consequences: difficulty walking and disability in children.
      • Reactive. Reactive arthritis manifests itself mainly due to changes in immunity in people who have a hereditary disposition to insufficient utilization of antigen complexes. Reactive arthritis sometimes occurs as a consequence of many infections. Most often it is a consequence of previous enterocolitis.
      • Gouty arthritis. Usually one joint is affected, an attack of pain usually develops at night or in the early morning hours, in the absence of treatment, attacks are repeated more often and last longer, and the level of uric acid in the blood is elevated.
      • Osteoarthritis. Joints fail within a few years. A characteristic symptom is a crunching sound in the fingers or toes. It is dangerous because it can hit the spine. They may begin to swell and hurt.
      • Traumatic. It appears in the presence of open and closed joint injuries and in the case of regularly occurring minor injuries.
      • Rheumatism is a chronic connective tissue disease primarily affecting the heart and joints. Its etiology is also unclear, as are the causes of the development of rheumatoid arthritis;
      • Arthrosis is a form of arthritis that affects only the joints and periarticular tissues, without affecting other organs.
      • The clear and exact cause of arthritis has not yet been determined, but doctors have identified some factors that can trigger the development of arthritis. Let's look at them:

      • infections caused by bacteria, fungi, viruses;
      • allergies;
      • injury;
      • lack of vitamins (vitaminosis);
      • insufficient intake of nutrients into the body
      • diseases of the nervous system;
      • disturbances in the functioning of the immune system;
      • excessive stress on joints;
      • poor nutrition, incl. consumption of alcoholic beverages;
      • overweight;
      • disturbances in the functioning of the endocrine gland;
      • genetic predisposition;
      • insect bites, such as wasps, bees, etc.;
      • hypothermia (hypothermia);
      • some diseases: tuberculosis, brucellosis, gout, dysentery, gonorrhea.
      • Such factors cause a rather serious blow to the joints, which over time can cause the development of arthritis. In addition, among the main circumstances that cause the formation of an inflammatory process in the connecting elements are excessive physical activity, injuries, metabolic disorders, and diseases of the nervous system.

        Hereditary pathologies of joints and bones, smoking and excess weight also contribute to the appearance of arthritis.

        The leading symptom of arthritis is pain in one or more joints. At first they are weak and have practically no effect on a person’s ordinary life. Over time, the pain syndrome increases: the pain becomes wave-like, intensifying with movement, at night and closer to the morning. The intensity of pain varies from mild to very strong, severely complicating any movement.

      • morning stiffness,
      • swelling,
      • skin redness,
      • increase in local temperature in the area of ​​inflammation,
      • deterioration of the patient's motor activity,
      • restriction of his mobility,
      • formation of persistent joint deformities.
      • It is important to remember that the first signs of arthritis are pain. At the initial stages they are weakly expressed, in the acute period they are especially pronounced, and in chronic arthritis they can change (weakly expressed to strongly expressed, and vice versa). As mentioned above, signs may vary for different types of disease.

        Categories : Treatment methods

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