Zabava-24.ru

Health of your feet

    • (Русский)
    • Home
    • Prevention
    • Medicines for foot arthritis

Medicines for foot arthritis

30 Mar 18

Treatment of arthritis and arthrosis with ointment

To treat joint diseases, you can use various ointments that have analgesic and anti-inflammatory effects. Their active components easily penetrate the skin, providing a beneficial effect directly in the area of ​​application. They can be used almost anywhere on the body that a person can reach with his hand. Modern cream formulas ensure rapid absorption of the medicine, which quickly relieves a person from pain.

There are few causes of unpleasant symptoms, and the main ones are rheumatoid arthritis and arthrosis. These diseases have a different nature, but lead to a natural outcome - impaired mobility in the joints of the legs and fingers. Treatment with ointments does not eliminate the cause of the disease, but slows down its progression as much as possible, reducing the intensity of inflammation.

The lack of effect from using the cream is often explained by its improper use. This is due to the different localization of the disease - for the treatment of arthritis of the knee joint or joints of the foot and fingers, drugs that differ in properties are often required. Therefore, before choosing a medicine, you should consult your doctor to choose a suitable and effective remedy.

Damage to the joints of the arms or legs rarely occurs against the background of absolute health, since the joint capsule is well isolated from the internal and external environment. Therefore, to treat the inflammatory process in the joint, it is necessary to find out its cause, since the choice of drug will depend on the underlying disease:

  • If it is of microbial or traumatic origin, then an ointment with a pronounced anti-inflammatory effect is selected. In this case, a short course is carried out, which ensures quick and complete elimination of arthritis. Since the treatment is short-term, there are minimal side effects.
  • Ointments for rheumatoid arthritis, on the contrary, should be designed for long-term use. Elimination of signs of exacerbation may take several months, so creams with a high concentration of medication are not recommended. The choice falls on drugs that have a long-lasting effect without accumulating in the body.
  • It is possible to distinguish between these diseases only by their localization - rheumatoid arthritis mainly affects the fingers, and a nonspecific process affects the large joints of the legs.

    Damage to this part of the skeleton is often associated with trauma - the ankle joint and joints of the foot can be damaged by various impacts and falls. It is very difficult to provide them with functional rest, so the most powerful drugs are used to treat them:

  • Voltaren Emulgel contains the active substance (diclofenac) in high concentration, which ensures its rapid penetration to the source of pain. The drug is available in the form of a polymer-based gel, which does not allow the skin to become an obstacle to the medicine.
  • Ortofen contains similar components, but with less activity. The convenience of the product is its low cost compared to other ointments. Treatment of foot arthritis requires frequent application of medication, which is very expensive for the average person.
  • Deep Relief contains an anti-inflammatory and analgesic component that is combined with menthol. This provides not only symptom relief, but also a good distraction effect. The drug is recommended for people who find it difficult to limit activity after an injury.
  • When the joints of the foot are inflamed, arthritis ointment is used for a short period of time to relieve signs of the disease - then the body recovers on its own.

    In rheumatoid arthritis, exacerbation usually begins with damage to small joints, which leads to even limited self-care. The patient needs immediate relief from pain and stiffness in the fingers. But the mechanism of the disease does not allow this to be done quickly, which requires the prescription of ointments with a cumulative effect:

  • Amelotex includes meloxicam, a modern anti-inflammatory drug. It no longer causes side effects characteristic of previous generations of similar products. But it is characterized by a slow action, which is associated with the gradual accumulation of the drug in the tissues of the joints.
  • From another group of drugs, Nise gel has a good effect, which, unlike previous products, does not have a specific odor. Since it is applied to the area of ​​the fingers, not all patients will like the constant unpleasant aroma. Its active ingredient is the safest and most modern, according to research.
  • To eliminate the signs of rheumatoid arthritis, it is better to use only modern gels, since long-term treatment with old drugs inevitably led to the development of side effects.

    The localization of inflammation in this joint can have different origins, so it is better to use highly active drugs to treat it. They will help relieve pain and stiffness when moving while the cause of knee arthritis is determined:

  • Fastum-gel has a polymer base, which ensures that the drug reaches the site of inflammation within a few minutes. It is not greasy and is quickly absorbed, which allows it to be used in almost any conditions. The therapeutic effect lasts for 8 hours, which eliminates its frequent application.
  • Ketoprofen is a cheap analogue of the previous remedy, which allows it to be used in conditions of lack of finances. It is distinguished by a less rapid onset of analgesic action, as well as the instability of this action. Therefore, it needs to be applied to the knee joint area much more often - up to 4 times a day.
  • The knee joint is quite large in size, so you should not skimp on ointment for it. Many patients complain of a weak effect, although they apply the product only to one side, where the pain is more severe. To achieve the desired result, you should cover the skin around the entire joint with gel.

    The basis of this disease is the gradual wear and tear of articular cartilage, which leads to pain. The administration of gels containing precursors of cartilage tissue allows for maximum reduction of unpleasant symptoms:

  • Condronova includes chondroitin and glucosamine - building materials for cartilage tissue. It is recommended to combine the use of the gel with the simultaneous administration of capsules to speed up the recovery process of the joint. The therapeutic effect is achieved very slowly - over several weeks, so you should not stop application prematurely.
  • Gel Hyalripayer-02 contains hyaluronic acid, which increases the amount of intra-articular fluid. The only drawback of the gel is that for treatment it must be injected into the joint using a syringe. But one procedure is carried out only once every two weeks. Immediately after administration, a decrease in pain and stiffness is observed - with regular procedures, the effect lasts for a long time.
  • The use of painkillers will not provide a long-term therapeutic effect, since they have almost no effect on the cause of the symptoms. The use of these agents slows down the destruction process, improving the condition of articular cartilage.

    Some patients unreasonably refuse to use ointments, citing this choice as insufficient relief of the symptoms of the disease. To get the maximum effect from treatment, you should follow some instructions that affect the activity of the drugs:

  • Before each procedure, you need to wash the skin in the area of ​​application well, and then dry it thoroughly with a towel. This allows you to remove any remaining medication from it, as well as sebum and sweat, which prevent the gel from fully penetrating into the tissue.
  • It is recommended to carry out the procedures regularly, preferably at the same time, in order to create a constant concentration of the drug in the joint.
  • There is no need to rub the ointment in until it dries completely - this can lead to the development of adverse reactions. A few light massaging movements are enough to ensure the absorption of the required amount of gel.
  • The main thing is to study the instructions for any medicine before use. There are always basic recommendations that give the patient a basic understanding of the effect of the drug.
  • The timing of use of the medicine should always be indicated by the doctor, who sets them according to the course of the disease. Therefore, the patient should not independently make adjustments to the treatment - at best, symptoms will be incompletely eliminated, and at worst, adverse reactions will develop.

    Medicines for the treatment of joint arthritis

    The disease arthritis is characterized by inflammation of the joints. Pain occurs when moving or lifting heavy objects because the joint loses its mobility, changing shape and swelling. Often the skin over the joints turns red and there is a fever. Drug treatment with different groups of drugs is dominant for this disease. Folk remedies are effective, for example, the golden mustache.

    Groups of medications are also relevant for arthritis of the hip joint, and are also suitable for the treatment of rheumatoid and knee arthritis. Before starting to take any medications of any group, it is important to first consult with your doctor.

    Nonsteroidal anti-inflammatory drugs (NSAIDs)

    Prescribed to relieve inflammation in joints and reduce pain. Medicines in this group are an important group of medicines for arthritis. NNSAIDs do not treat arthritis in the joints of the legs, rheumatoid arthritis, or other types of this disease. But they help relieve inflammation and pain, which allows you to continue complex treatment of the disease.

    Note! Unlike corticosteroids (cortisone, etc.). Treatment of rheumatoid, reactive and any other type of arthritis of the joints NSAIDs have fewer side effects on the human body. Anti-inflammatory non-steroidal drugs do not contain hormones. Cortisone includes hormones from the adrenal cortex. Cortisone for medicinal purposes helps with many diseases. In the initial stages of arthritis of the legs and others, cortisone may be prescribed as an anti-inflammatory and antiallergic medicine.

    The pharmaceutical industry divides all non-steroidal drugs into two groups: COX-1 and COX-2 inhibitors. Drugs of the second group belong to a new generation of drugs. They have a selective effect on the body and have much fewer side effects regarding the health of the stomach and digestive organs. This also increases the tolerability of these drugs. Medicines in this group do not have a negative effect on cartilage tissue, which is typical for some drugs from the COX-1 group. But drugs for the treatment of rheumatoid arthritis or another type of this disease from the COX-2 group can have a negative effect on the cardiovascular system.

    All of these tablets and other forms of medicine are anti-inflammatory, and help with rheumatoid and knee, reactive, leg arthritis and other types.

    Aspirin is used in the early stages of the disease

    The first group includes the following drugs:

    1. Aspirin (acetylsalicylic acid). This drug was the first to be discovered in the COX-1 group. Aspirin continues to be prescribed for the early treatment of rheumatoid arthritis, joint arthritis, or any other type of this disease. But, thanks to the latest advances in medicine, the effect of aspirin on arthritis and arthrosis is considered rather weak. Even if at the first stages the doctor prescribes aspirin, he soon replaces it with other medications.

    Note! Aspirin slows down blood clotting, so it should be taken with caution by people with blood disorders.

  • Ibuprofen . It is very well tolerated, although the effect is slightly inferior to other drugs in this category. For joint diseases, it is often prescribed by doctors due to its effectiveness and low number of side effects.
  • Diclofenac . The medicine was created back in the 1960s, but still remains relevant in the treatment of joint diseases. May be sold as tablets or ointment. It has excellent anti-inflammatory agents and effectively relieves pain.
  • Ketoprofen . Many patients choose this medicine when treating rheumatoid arthritis, hip arthritis or other types of this disease because the drug is available in different forms. These are gel and aerosol, tablets, creams, injections, suppositories (rectal suppositories) and solutions for external use.
  • Indomethacin . The most powerful anti-inflammatory drug that effectively reduces pain. It is sold in pharmacies in the form of tablets, rectal suppositories, gel or ointment. A strong active effect against the disease is accompanied by many side effects. The drug is the most affordable.
  • Meloxicam is a non-steroidal drug

    Nonsteroidal anti-inflammatory drugs of the COX-2 group include:

  • Meloxicam . It is especially effective to take this drug for arthrosis of the joints. You can take it for a long time without a break, but always under the strict supervision of a doctor. In pharmacies it can be found in the form of tablets and ointments, rectal suppositories and a solution for oral administration.
  • Nimesulide . In addition, you need to drink this drug to stop inflammation and reduce pain. It will also help in slowing down the process of destruction of cartilage tissue. This is important for hip arthritis or any other type of this disease.
  • Celecoxib . There are practically no side effects for the stomach and gastrointestinal tract, but the anti-inflammatory and analgesic effect is very strong. You can take this medicine in the form of capsules, which are available in 100 and 200 mg doses.
  • Etoricoxib . It should be taken in small doses up to 150 mg per day, then side effects on the stomach are minimized. Prescribed for arthrosis of the joints of the legs and arms. The doctor prescribes taking the drug 30-60 mg per day. During the first days of use, blood pressure should be monitored.
  • The drug sulfasazaline also helps in how to treat this disease. It belongs to the group of drugs for the treatment of joints that help cope with inflammation. Including suitable for the treatment of knee arthritis, rheumatoid, reactive, and leg arthritis. Sulfasazalin is taken for 2 or more months; the drug is especially effective in the treatment of rheumatoid disease. Sulfasazaline produces its effect only after at least six weeks from the start of administration. Sulfasazalin will be effective if the doses are prescribed by the doctor, taking into account the overall picture of the disease and other tests.

    Glucosamine prevents the development of arthrosis

    The next broad group of drugs that is prescribed for the treatment of rheumatoid, reactive and other types of arthritis of the joint. These medications are used to improve the structure of the affected cartilage. A drug in this category slows the progression of the disease and strengthens cartilage tissue. A long course of treatment is prescribed for two or more months, and chondroprotectors can also be taken to prevent relapses. An effective medicine that is indispensable in treatment.

    Effective drugs in this group include (the main components of drugs):

  • Glucosamine . Glucosamine is a natural compound. Glucosamine restores the functions of cartilage tissue; it also inhibits the development of degenerative processes characteristic of arthritis of the legs or other types of this disease. Glucosamine also stimulates the synthesis of synovial fluid. If you constantly drink glucosamine, it will also improve the elasticity of cartilage tissue and reduce pain. Glucosamine is part of a large group of drugs in this category: Dona, Elbona, Artiflex and others. New medications are constantly emerging that contain glucosamine.
  • Chondroitin . It is a building material for joint tissues. Like glucosamine, it restores flexibility to joints. But it acts differently, namely, it inhibits enzymes that destroy cartilage. The drug is able to provide joints with free gliding and improve their blood supply. It is part of various drugs in this group.
  • Some chondoprotectors contain both glucosamine and chondrotin. This combination allows the substances to beneficially enhance each other’s effects. Such drugs are excellent for the treatment of degenerative joint diseases.

    Tablets and other forms of drugs in this group, which include glucosamine and chondrotin, are the only ones that act on the immediate cause. Rheumatoid, reactive, leg arthritis and others can be cured with medications that contain glucosamine and chondrotin, because they restore tissue. You need to approach the choice of chondroprotectors responsibly in order to select the ideal drug from the variety. After all, glucosamine and chondrotin are not the only supplements.

    Chondroitin in gel form

    It is important! Many people are interested in the question of whether darsonval helps in the treatment of knee arthritis or another type of disease. Darsonval has a superficial effect against arthritis of the joint, including the knee. Darsonval stimulates blood circulation around the sore joint. But darsonval will not have the necessary therapeutic effect against the disease. It turns out that the money and effort spent on treating the joint, if you use Darsonval, will not be worth it. If darsonval was prescribed by a doctor, then you can try to undergo a course of treatment to understand whether darsonval helps in treating a specific diseased joint.

    Herbal therapy

    Herbs for the treatment of arthritis of the legs, knees and other types of joint arthritis are also used quite often. This type of treatment has an anti-inflammatory and restorative effect, and relieves pain. It is better to carry out herbal therapy together with drug treatment and always under the supervision of a doctor.

    Along with other herbs for the treatment of reactive arthritis, knee and other types of diseases, I would like to highlight golden mustache separately. During the treatment process, it is best to take the golden mustache in the form of an alcohol tincture orally, as well as apply compresses and rubbing. Many people grow golden mustache at home, so you can prepare an alcohol tincture that will help in the treatment of joint arthritis on your own. To do this, take a golden mustache in the amount of 42 joints and fill it with half a liter of vodka. Infuse for three weeks in a glass container, shake occasionally. Then strain and can be stored in the refrigerator in a dark glass container. Take golden mustache in tincture according to this recipe, a tablespoon three times a day, the best time is an hour before meals. Whatever therapeutic effect the golden mustache has, it must be used under the supervision of a doctor. As for rubbing, take the tincture a couple of times a day.

    Golden mustache has a positive effect on arthritis of the legs, rheumatoid or other types of this disease. Beneficial plants that can be taken also include barberry, birch, hawthorn, radish and many others.

    The use of "Dimexide" for arthritis

    For lotions for arthritis on the fingers or in the area of ​​other joints and legs, you can use not only medicinal herbs, but also pharmaceutical preparations. One of these is dimexide. Dimexide is an inexpensive drug. Dimexide is used for various types of arthritis, including when rheumatoid arthritis occurs, arthritis of the legs, and the reactive form of this disease. Dimexide must be diluted with boiled water, cooled to room temperature, in a one to one ratio. Dimexide is used to wet the napkin and apply it to the joint. Then apply a film over the dimexide and wrap it with an elastic bandage. You shouldn’t tighten it too much, the main thing is that the compress, which includes dimexide, holds well. Then rinse off the dimexide with cool water. Dimexide should be used for compresses within two weeks. Arthritis: methotrexate, golden mustache and other drugs will reduce pain, which is important in the first stages of the disease.

    It is important! Treatment of arthritis of the legs and joints, reactive, rheumatoid, knee arthritis using ASD-2 fractions is widely used in folk medicine. Asd-2 is excellent in treating diseases of this type; asd-2 helps restore damaged tissue. Use Asd-2 according to the general scheme.

    Dimexide will heal within the first days of use: swelling will begin to subside and pain will decrease. Dimexide has instructions.

    Many people are interested in the question of how much antibiotic treatment helps and what medications to take. New antibiotics for the treatment of rheumatoid, reactive, arthritis of the legs and any joint have not been invented. Tablets of this group are prescribed if the disease is caused by chlamydia, shigella or salmonella. Antibiotic therapy is prescribed to cleanse the body. It should last at least a week. It may not be possible to cleanse the body of these serious pathogens the first time, so repeated therapy against them may be necessary. Antibiotics will need to be taken again.

    Dimexide and its derivatives are anti-inflammatory drugs that relieve acute pain.

    If you have joint pain, you should seek help from a doctor.

    There are many medications available for knee arthritis, arthritis of any joint, and any type of this disease. However, rheumatoid arthritis may have some differences in treatment from other types. It is for this reason that it is important not to make independent decisions about which medications will help against knee arthritis or any other type of this disease.

    Treatment of knee arthritis, rheumatoid arthritis, arthritis of the fingers or toes - each type of disease has its own characteristics, which only a specialist will competently explain. He will also help you find the optimal medications for each group against joint arthritis. Responsible choice of medications against this disease is the main guarantee of future health.

    Arthritis of the foot - symptoms, causes, treatment

    Arthritis is an inflammation of the synovium of the joints, accompanied by pain and discomfort. What are the causes of the disease and full symptoms? How to determine its presence? And how is foot arthritis treated at home?

    Briefly about arthritis: specifics and consequences

    Danger. This disease is caused by a whole range of different reasons and is dangerous because it leads to the gradual destruction of joints. Arthritis affects joints regardless of a person’s gender and age: previously, mainly older people complained, but now the disease is diagnosed in young people over 35 years of age. If pain due to foot arthritis is not relieved in a timely manner and the progression of the disease is not stopped, the patient may lose the ability to move independently.

    In the photo, leg arthritis looks like this.

    Before you decide what to do about foot arthritis, you need to determine its type.

    Gouty arthritis. The inflammation is first localized in the joint of the thumb, and then (if untreated) it spreads to the other joints.

    Osteoarthritis. This disease has a destructive effect on the joints and provokes the appearance of growths. As a result, foot deformation may occur.

    Reactive arthritis. Arthritis of the foot joints of this type is caused subsequently by certain diseases. The causes may be intestinal infections, syphilis, tuberculosis and so on.

    Rheumatoid arthritis. Very common among young patients. Caused by pathology of the joints of the foot. Due to the existing pathology, the joints become denser and deformed.

    Causes of Foot Arthritis

    The appearance and development of the disease is caused by many factors. The following reasons can provoke the disease.

  • Infectious nature. Various viral infections are the basis for the development of specific diseases, including inflammation of the joints. Past or progressive gonorrhea, syphilis and other infections provoke damage to the joints, the foot in particular.
  • Autoimmune processes. Damage to connective tissue also leads to the development of arthritis. The fact is that the human body begins to perceive damaged connective tissue as foreign. It triggers the process of antibody synthesis, thereby further damaging the tissue.
  • Injuries. As a result of injuries, inflammation of the joints develops. Bumps, falls, other injuries, as well as constant stress on the foot are common causes of arthritis.
  • Diseases. This group includes specific diseases. For example, gout, psoriasis and so on.
  • Symptoms of Foot Arthritis

    Patients come with the following complaints:

  • pain in the joint area. In the first stages of the disease, pain is almost imperceptible. However, as the disease progresses, the discomfort and discomfort intensify. A person cannot help but take painkillers. Increased pain is observed with active movement: fast walking, running, playing sports, and so on. So, joint pain is the first sign of arthritis.
  • feeling of stiffness. Stiffness and stiffness of the joints are a must with arthritis. They most typically appear in the morning hours - after sleep. In the morning there may be a feeling of “tightness” - as if tight shoes were put on your feet. The patient can remain in this state for 5-20 minutes. When walking, this feeling disappears. Over time, as the disease develops, the feeling of stiffness intensifies and does not disappear even after walking.
  • redness and swelling of the foot. Another key symptom of the disease. When you feel reddened and swollen skin, you may feel an increase in temperature.
  • violation of the shape of the joint. The symptom is characteristic of an advanced stage of the disease. Lumps and growths may appear in the affected area. The fingers themselves turn inside out. One of the most common manifestations is the growth of a bone. This occurs due to the fact that uric acid salts are not excreted from the body, but accumulate and are localized precisely on the affected area.
  • With a progressive disease and advanced inflammatory process, signs of foot arthritis are observed, such as:

    Based on the established symptoms, the specialist chooses a strategy for restoring the joint and writes out recommendations on how and with what to treat foot arthritis.

    Diagnosing arthritis can be difficult because its symptoms are quite variable. Thus, the development of the disease with gout is likely after drinking alcoholic beverages, psoriatic arthritis is accompanied by swelling of the limbs with a purple-bluish tint, and so on. In severe stages of the disease, medical tests reveal a shift in the leukocyte formula, an increase in ESR and C-reactive protein. In addition, if inflammation penetrates deep into the joint, then damage to the articular cartilage as a whole is observed, and not just to the joint.

    Choosing a medicine to treat an inflamed joint

    Inflammatory joint disease can be caused by an abnormal immune response of the body, genetic factors, previous injuries, pathogenic infection that penetrates the skin, respiratory and urogenital tract. Such a wide range of causes of arthritis also implies a variety of treatment with medications, physiotherapy, and rehabilitation exercises. Treatment in each case is carried out individually, taking into account the stage of the disease, the severity of clinical symptoms, and the age of the patient. In this article we will look at the main drugs used to treat arthritis of the joints.

    Drugs for the drug treatment of arthritis

    The treatment regimen for post-traumatic or infectious arthritis is generally clear - it is:

  • surgical removal of the consequences of injury
  • replacement of a prosthesis that has become a source of inflammation
  • antiseptic and antibacterial therapy
  • The difficulty of treating rheumatoid arthritis is that with this disease, in addition to the need to combat the inflammatory process, there is a need to regulate immunological reactivity with the help of basic drugs

    In this regard, rheumatoid arthritis must be treated with first, second and third line drugs, and treatment is delayed for a long period:

  • First-line drugs are non-steroidal anti-inflammatory drugs (NSAIDs) + basic drugs
  • Second-line drugs include corticosteroids
  • Third, immunosuppressants, which are used if previous treatment was ineffective and the disease progresses too quickly.
  • First-line drugs for the treatment of arthritis

    Today our pharmaceutical industry produces an abundance of anti-inflammatory medications.

    The action of NSAIDs is based on the inhibition of cyclooxygenase, which is responsible for the synthesis of participants in inflammatory processes - prostaglandins

    NSAIDs include traditional COX-1 inhibitors, which have been used for a long time, and newer COX-2 inhibitors, designed for longer use and with fewer side effects.

    NSAIDs are available in the form of:

  • ampoules for intravenous and intravenous administration
  • regular tablets and extended-release retard tablets for oral administration
  • ointments, creams and gels for external use
  • Before use, be sure to read the instructions, which should indicate:

  • Content of the main drug in one unit of product
  • Analogues of this medicinal drug
  • Dosage of medication per kg of weight
  • Method and frequency of administration
  • Examples of COX-1 inhibitors

    Among the first-line NSAIDs, the following drugs are known:

    Aspirin (acetylsalicylic acid) —

  • a simple and familiar antipyretic drug with an anti-inflammatory and analgesic effect
  • another effect is the suppression of platelet aggregation (in other words, blood thinning)
  • aspirin is not recommended for the treatment of juvenile arthritis due to the risk of Reye's syndrome
  • Diclofenac (Voltaren, Ortofen) is a traditional and inexpensive NSAID with good anti-inflammatory and analgesic properties and moderate antipyretic properties.

  • Widely used in the treatment of rheumatoid arthritis
  • moderates morning pain and stiffness
  • reduces swelling
  • has a desensitizing effect, that is, relieving tension, increased sensitivity and anxiety
  • Ibuprofen (brufen, marcofen, burana) is a phenylpropionic acid derivative related to NSAIDs COX-1 inhibitors

    Indomethacin (indomine, indobene, methindole):

  • This NSAID also has good analgesic, desensitizing, antipyretic properties.
  • used to relieve joint symptoms of stiffness and pain
  • In addition to these drugs, they are widely used in the treatment of arthritis:

  • Ketoprofen (ketonal, fastum, profenid)
  • Naproxen (pronaxen, naprosyn, apranax)
  • Piroxicam (remoxicam, movon)
  • Side effects of NSAIDs

    All of the above NSAIDs have a number of side effects that prevent their long-term use:

  • Ulcers, erosions, gastrointestinal bleeding
  • Nausea and pain in the epigastric region
  • Gastrointestinal disorders
  • Liver lesions
  • Dizziness, insomnia
  • Visual impairment, hearing impairment and other complications
  • COX-2 inhibitors include the following NSAIDs:

    These drugs can be used for a long time, since they have fewer complications, however, the opinion of rheumatologists regarding the effectiveness of these drugs in the treatment of rheumatoid arthritis is ambiguous. We must not forget that all NSAIDs (inhibitors of both COX-1 and COX-2) only affect the symptoms, but not the nature of the disease itself. Therefore, they are recommended to be used in combination with basic products.

    The basic drugs include the following basic drugs:

  • Aminoquinoline derivatives (chloroquine, delagin, plaquenil):
    • They act on cell membranes and penetrate well through the walls of blood vessels
    • Used for articular-visceral arthritis, especially when aggravated by sepsis and kidney damage
    • Long-term use:
      • one tablet per day - the first two years
      • then one every other day
      • Side effects - in rare cases:
        • mild leukopenia
        • dermatoses
        • weight loss
        • graying of hair
        • visual disturbances: keratopathy, retinopathy, optic nerve atrophy
        • To prevent side effects it is recommended:
          • Breaks in taking the drug for one to two months a year
          • Systematic observations by an ophthalmologist
          • Quinoline drugs are contraindicated:
            • for hepatitis
            • psychoses
            • dystrophic lesions of the retina or cornea
            • Methotrexate
              • Methotrexate is the most commonly used drug today to treat active forms of rheumatoid arthritis.
              • Taken weekly in an increasing schedule orally, starting from 7.5 mg to 25 mg:
                • every two to four weeks the dose is increased by 2.5 mg
                • the weekly dose is divided into three to four doses with an interval of 12 hours between them and taken for two days in a row
                • For intolerance associated with the gastrointestinal tract, the drug is administered parenterally, one injection per week.
                • It is good to combine methotrexate with folic acid, taken daily at 1 - 5 mg per day
                • Leflunomide
                  • Leflunomide is the drug of choice, effective in the early stages of active rheumatoid arthritis
                  • It can also be prescribed if methotrexate is contraindicated.
                  • The start of the intake is shock - 100 mg per day is taken for three days, the subsequent dose is 20 mg per day
                  • The drug is contraindicated in elderly patients and liver diseases
                  • This is quite an expensive medicine
                  • Sulfasalazine is a basic drug for the treatment of rheumatoid arthritis of low and moderate activity.
                    • Start with one gram per day and increase by 0.5 g every day
                    • Maximum dose - 2 g per day
                    • The onset of clinical effect is after 8–12 weeks
                    • D-penicillamine is a cumulative long-acting drug:
                      • Taken from 150 to 1000 mg per day
                      • Combines well with NSAIDs
                      • The maximum effect is achieved after six months
                      • The possibility of adverse reactions requires use under constant medical supervision
                      • Crysotherapy (treatment with gold salts) is considered a very effective method that causes long-term remission of RA
                        • Not used in Russia
                        • The following drugs are used:
                          • Crizanol, auropan, myocrysin, tauredon , etc.
                          • Crinazole is administered parenterally:
                            • One injection per week 17 to 51 mg intramuscularly
                            • Treatment lasts for one and a half to two years
                            • In total it takes one to one and a half grams of metallic gold
                            • Auropan is taken in tablet form at 6 to 9 mg per day
                            • Combination with immunosuppressants and pyrazolone derivatives is undesirable
                            • Gold preparations work well with corticosteroids
                            • For systemic arthritis, cryotherapy is rarely used, since it itself gives a large number of complications:
                              • Golden dermatitis
                              • Ulcerative stomatitis
                              • Nephropathy
                              • Thrombocytopenia
                              • Proteinuria, etc.
                              • Crysotherapy is not recommended for the treatment of juvenile arthritis
                              • Second line drugs

                                If first-line drugs turn out to be ineffective, and rheumatoid inflammation in the joints does not recede, then they resort to stronger drugs belonging to the group of glucocorticoid drugs - GCS. The effectiveness of these drugs is explained not only by their anti-inflammatory properties, but also by their partial immunosuppressive activity

                                GCS treatment is carried out both local and systemic:

                              • For rheumatoid synovitis, injections of biologically active corticosteroids - hydrocortisone - are administered into the joint for five to seven days.:
                                • From 10 to 25 mg - in small joints
                                • From 25 to 50 mg - on average
                                • From 50 to 125 mg - in large

                                The effect of cortisol is enhanced by simultaneous injection of an immunosuppressant into the joint: for example, cyclophosphamide - from 100 to 200 mg

                              • Long-acting corticosteroids are used for systemic treatment:
                                • Kenalog
                                • Aristocort
                                • Depo-Medrol, etc.

                                  These drugs lengthen the intervals between courses of intra-articular injections

                                • Synthetic corticosteroids are prescribed for more rapid progression of rheumatoid arthritis:
                                  • Prednisolone is usually taken in a daily dose of 10–15 mg for three to four weeks.
                                  • Methylprednisolone and dexamethosone are prescribed in severe cases of systemic RA accompanied by:
                                    • Hemolytic anemia
                                    • Effluent serositis
                                    • Vasculitis
                                    • Fever
                                    • The effect of taking GCS occurs very quickly, but disappears just as quickly after GCS is discontinued.

                                      Corticosteroids are prescribed with great caution to children and adolescents, as well as the elderly.:

                                    • For the elderly, the dosage should not exceed 20 mg/day
                                    • Third line drugs

                                      Third-line drugs include cytostatics - aggressive and harmful drugs.

                                      In the treatment of rheumatoid arthritis, such a scheme is rarely used:

                                    • when the disease cannot be treated with any first- or second-line medications
                                    • with rapid progression of RA and poor prognosis
                                    • Cytostatics include:

                                      Therapy with cytostatic drugs is carried out in a hospital setting, with constant clinical and laboratory monitoring:

                                    • The condition of the kidneys, liver, heart is monitored
                                    • The levels of leukocytes and platelets in the blood are determined
                                    • Therapy is combined with the use of immunomodulators, for example, levamisole.

                                      Modern biological drugs

                                      Genetic engineering biological therapy (GEBT) in the treatment of arthritis is a targeted medicine that, with a minimum of consequences, can selectively destroy target molecules responsible for autoimmune inflammatory processes

                                      These cells are recognized as:

                                    • Tumor necrosis factor TNF-?
                                    • B lymphocytes
                                    • Interleukin-1
                                    • Proteins that serve for the activation and survival of T cells:
                                      • CD 80, CD 86, CD 28
                                      • Examples of such monoclonal drugs are respectively:

                                        These biological drugs are used in combination:

                                      • Infliximab is taken in combination with methotrexate
                                      • Rituximab - with methylprednisolone
                                      • GIBT is a very effective treatment for RA, but it is not without its drawbacks. These include:

                                        • Partial decrease in immunity against infectious and tumor processes
                                        • Possibility of allergic reaction to protein and autoimmune syndrome
                                        • High cost of treatment
                                        • Stages of treatment and selection of drugs

                                          Drug treatment of joint inflammation takes a long time and is usually divided into three stages:

                                        • Inpatient therapy
                                        • Outpatient
                                        • Home and sanatorium-resort rehabilitation
                                        • The selection of drugs, as well as their combinations at each stage is selected by a rheumatologist.

                                          Independent choice of medications in the treatment of such a complex disease is completely unacceptable.

                                          Video: Treatment of arthritis with homeopathic medicines

                                          Treatment of acute, gouty and other arthritis of the foot

                                          Arthritis of the foot is inflammation of the joints of the tarsus, metatarsus and toes. According to the international classification of diseases ICD 10, code – M 13.8 or M 13.9.

                                          Stages and types of disease

                                          The disease goes through the following stages:

                                          1. Stage of active inflammatory process.
                                          2. The period of subsidence of acute manifestations (remission).
                                          3. Recurrent stage (exacerbation).
                                          4. Depending on the pathogenesis, there are 2 types of arthritis:

                                            • Primary – the cause of occurrence is traumatic damage to the osteo-articular elements of the foot.
                                            • Secondary – a consequence of infectious or somatic pathology.
                                            • If diagnosed untimely and untreated, arthritis of the foot progresses rapidly, which can lead to loss of ability to work and disability.

                                              Factors leading to arthritis

                                              Family history is not the only factor influencing the occurrence of the disease. Other causes of the disease include:

                                              • metabolic pathologies, including diabetes mellitus;
                                              • previously suffered infectious and inflammatory diseases that provoked the entry of pathogenic pathogens into the joint cavity;
                                              • traumatic foot injuries;
                                              • excess body weight;
                                              • prolonged exposure to stress;
                                              • autoimmune pathologies;
                                              • excessive or insufficient mobility in the joint area;
                                              • wearing shoes that don't fit for a long time.
                                              • women regularly wear high heels and stilettos;
                                              • deficiency of vitamins and microelements.
                                              • People who lead a sedentary lifestyle and abuse tobacco and alcohol are at risk not only of developing foot arthritis, but also other diseases of the musculoskeletal system.

                                                Symptoms of acute arthritis of the foot

                                                Clinical manifestations can be recognized by the following characteristic signs:

                                                • Increasing pain syndrome . As the inflammatory-destructive process progresses, there is an increase in pain in the area of ​​the damaged joint. Every day it becomes more and more difficult for a person to make active movements and do without analgesic medications;
                                                • Local swelling of the soft tissue around the injured joint or several joints. The skin around the damaged joint becomes red. Several joints may be involved in the pathological process;
                                                • Changes in gait - pain, stiffness in movements and swelling interfere with normal walking, lameness appears;
                                                • Dysfunction of damaged joints. In stage 1, a feeling of stiffness in the foot is disturbing after a long stay at rest. In stage 2 – a constant feeling of stiffness and limited mobility;
                                                • An increase in the temperature of the skin located around the damaged joints indicates an acute course of the inflammatory-destructive process;
                                                • Deforming changes in the area of ​​small joints of the legs . The type of deformity depends on the type of disease. There may be bone growths in the form of lumps (clawed toes) or valgus deformity of the toes.
                                                • Before starting treatment, it is necessary to establish the exact cause of the disease, the nature of the changes, and the stage of the pathological process. To prevent the disease from becoming chronic, it is important to promptly diagnose and treat the acute form of arthritis.

                                                  It is recommended to consult a traumatologist-orthopedist, rheumatologist, surgeon, therapist, and, if necessary, a neurologist. A nutritionist will select the optimal diet that will improve metabolic processes in the body and help correct weight.

                                                  The following is recommended for diagnosis:

                                                  • puncture of small joints of the foot;
                                                  • ultrasound examination of small joints of the legs;
                                                  • laboratory testing of blood samples for C reactive protein, uric acid levels, rheumatoid factor, glucose levels;
                                                  • X-ray examination;
                                                  • magnetic resonance imaging, which is used when the X-ray image does not contain enough information.
                                                  • The X-ray picture depends on the underlying cause of the disease. Gouty and rheumatoid arthritis are characterized by the accumulation of fluid in the joint cavity, hardening of the soft tissue around the inflammatory focus, and the deposition of calcium salts or uric acid crystals.

                                                    Treatment of foot arthritis

                                                    Treatment tactics depend on the etiology of the disease. Comprehensive drug treatment is recommended, which is complemented by unconventional methods, hardware physiotherapy, massage and gymnastics.

                                                    Table 1. Medicines used for foot arthritis.

                                                    After the acute phase of the disease has been relieved, physiotherapeutic procedures are prescribed for therapeutic purposes that improve the delivery of nutrients to damaged joints, reduce the intensity of the inflammatory process, accelerate regeneration and promote the rapid restoration of motor activity in the foot. The following physiotherapy techniques are prescribed:

                                                    • electrophoresis with drugs;
                                                    • medicinal baths;
                                                    • mud therapy;
                                                    • diadynamic currents; P
                                                    • paraffin applications.
                                                    • Several physical therapy techniques may be prescribed. For pain relief, electrophoresis with Novocaine is prescribed.

                                                      Physiotherapy procedures alternate with therapeutic massage sessions, including gentle warming up of the muscular-ligamentous apparatus of the foot, stroking, rubbing the damaged area, and light kneading.

                                                      To improve nutrition of small joints and restore motor activity, Dr. Bubnovsky developed his own set of exercises. When performing gymnastics, it is necessary to avoid sudden movements, as they can lead to partial or complete rupture of the ligamentous apparatus of the foot.

                                                      Treatment at home

                                                      The use of heating and warm foot baths is strictly contraindicated during the phase of exacerbation of the inflammatory process. The following folk remedies for foot arthritis are recommended:

                                                      1. Alcohol tincture of propolis in the form of a compress on the area of ​​damaged joints. To prepare the tincture, 70% ethyl alcohol is used.
                                                      2. Decoctions of peppermint, calendula, chamomile and nettle.
                                                      3. Warm foot baths with the addition of iodized salt. You need to add 2 tbsp. l. iodized salt in 5 liters of warm water. It is necessary to keep your feet in this solution for 15-20 minutes, then wipe your feet dry and lubricate them with cream or ointment with an anti-inflammatory effect.
                                                      4. Self-massage of feet using fir essential oil.
                                                      5. Regular consumption of fresh sea buckthorn berries (pre-frozen) has an anti-inflammatory and restorative effect.

                                                        Before starting treatment at home, it is recommended to consult with your doctor to avoid the risk of adverse reactions.

                                                        Additional events

                                                        To avoid the intensity of the inflammatory process, compresses with an aqueous solution of Dimexide are recommended. It is strictly forbidden to use an undiluted solution of Dimexide, which can cause irritation and burns. Before starting use, you need to make sure that there is no hypersensitivity to this substance.

                                                        Therapeutic massage is carried out by specialists, since inept physical impact can lead to a deterioration in overall well-being and a decrease in motor ability. In the chronic form, along with medication, massage and physiotherapeutic procedures, it is recommended to constantly wear orthopedic insoles, which are selected individually. Shoes are made to order and selected for each season.

                                                        In order to normalize metabolic processes in the body, a therapeutic diet is prescribed, which includes the consumption of the following foods:

                                                        • fresh vegetables and fruits;
                                                        • cereals;
                                                        • fruit and vegetable juices;
                                                        • low-fat fermented milk products;
                                                        • fresh herbs;
                                                        • green tea.
                                                        • The consumption of products such as lard, sauces and spices, smoked meats, salted and dried fish, offal and confectionery (in excess) is prohibited.

                                                          If pathological changes provoke pronounced structural changes, surgery for endoprosthetics of metatarsophalangeal joints or resection of hammertoes is recommended.

                                                          Using “Stop Arthritis Forte” capsules for therapeutic purposes

                                                          For people suffering from foot arthritis, a natural medicine “Stop Arthritis Forte” was developed. The authorship of this development belongs to the Vitar company . The drug is available in capsule form, with each capsule containing substances such as magnesium stearate, methylsulfonylmethane, glucosamine sulfate, and chondroitin sulfate. This medicinal drug is an effective chondroprotector that helps restore damaged cartilage tissue. Each package of the product contains 90 capsules. Considering the opinion of people who have used this medication, stop arthritis is a super medicine, reviews of which are positive from medical specialists.

                                                          With a persistent violation of the metabolism of purine bases, intra-articular deposition of uric acid crystals occurs, which leads to the formation of the gouty form. The condition is characterized by severe pain, impaired mobility in the small joints of the feet, and deforming changes. More often, this pathology develops in men aged 45–55 years. In women, the disease occurs during menopause.

                                                          Along with the gouty form, there are the following types of arthritis:

                                                          • Rheumatoid – develops as a result of activation of autoimmune processes, in which the body’s immune complexes behave aggressively towards its own cells. Characterized by symmetrical damage to the joints of both feet.
                                                          • Psoriatic is a joint manifestation of psoriasis.
                                                          • Reactive – consequences of previously suffered infectious and inflammatory diseases. Young men over 20 years of age are predisposed.
                                                          • Osteoarthritis (deforming) - the occurrence is associated with age-related degenerative processes in small joints. The pathological process involves deep tissue layers, and severe deformation of the toes is observed.
                                                          • Post-traumatic – after suffering traumatic injuries to the bones and joints in the foot area.
                                                          • Purulent - when pathogens of infectious diseases are introduced into the cavity of one or more joints in the foot area. The pathology is characterized by an acute course, severe clinical symptoms and a sudden onset.
                                                          • Timely initiation of complex treatment can effectively eliminate the clinical manifestations of this disease and restore full motor activity.

                                                            Categories : Prevention
  • Calcaneal talus joint arthrosis

    Socks after foot cream

    Recent Entries

    • Feet with white spots itching
    • Tablets for varicose veins
    • Varicose veins first manifestations
    • Leg joint enlargement
    • Itchy veins on the legs

    Categories

    • Lower extremity pain
    • Diagnostics
    • Legs
    • Prevention
    • Adviсe
    • Treatment options
    December 2018
    Mon W Wed Thu Fri Sat Sun
    « Oct    
     12
    3456789
    10111213141516
    17181920212223
    24252627282930
    31  

    Archives

    • October 2018
    • September 2018
    • August 2018
    • July 2018
    • June 2018
    • May 2018
    • April 2018
    • March 2018
    Zabava-24.ru 2018 All rights reserved