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Hand massage for arthrosis

08 Aug 18

Arthrosis is a chronic inflammatory process that affects the joints of the legs and arms. Arthrosis entails dystrophic-degenerative changes in the morphological structure of the joints.

Treatment of pathology is carried out both in a conservative traditional way and at home. An integral element of therapy for the treatment of arthrosis is massage. Its main functions are:

  • absorbent effect;
  • anesthesia;
  • prevention of subsequent development of the degenerative process in the joints of the toes and hands;
  • regeneration of the joint.
  • Depending on which limb is affected by arthrosis, the massage techniques used to treat it are also specified.

    Massage for arthrosis of the knee joint begins with a gentle massage of the corresponding parts of the spine, after which the specialist kneads the thigh muscles. Then he applies massage techniques such as (video):

  • light stroking;
  • more intense rubbing with the edge of the palm;
  • circular kneading first with your fingers, then with both hands (longitudinal and transverse).
  • These techniques serve several purposes:

  • improving blood flow to the knee joint area;
  • intensification of tissue metabolism in the area affected by arthrosis.
  • Next stage of massage:

  • the specialist begins to massage the knee joint itself directly, using the technique of continuous stroking (grasping and planar);
  • the massage is carried out by rubbing, performed first in a descending direction, then in an ascending direction, starting from the area of ​​the knee joint;
  • in painful areas, the specialist should rub using the fingertips, the base of the palm, and also apply stroking.
  • A procedure performed in fairly warm water (temperature about 36-38 degrees) is good for massaging the knee joint.

    In order to properly massage the hip joint, you should carry out the following sequence of actions (video):

  • first, light, non-intensive stroking is carried out in the lumbar area, after which the massage therapist moves to the buttocks, then he should grab a small part of the femoral muscle;
  • then, using the palmar rib, you should squeeze, without resorting to pressure and strong pressure on the hip joint area;
  • Now you should go directly to massaging the muscles of the hip joint itself - the procedure is carried out using the palmar bases, circular movements are carried out with the fingers.
  • In a situation where the patient does not suffer from unpleasant painful symptoms characteristic of arthrosis of the hip joint, it would be advisable to use circular and intense intermittent rotations.

    Massage for arthrosis of the hip joint should be carried out approximately once a day, and each technique should be repeated from five to seven times in three approaches.

    For arthrosis of the ankle joint, the sequence of massage actions is as follows:

  • intensive massaging and kneading of the toes;
  • next – massage of the entire foot;
  • rubbing and continuous stroking of the foot and lower leg.
  • After pre-warming, you need to move on to massaging the ankle joint itself. For this purpose it is necessary to use the following techniques:

  • concentric rubbing;
  • stroking the ankle joint area - grasping, pincer-like.
  • The ankle joint begins to be massaged from its posterior segment, then carefully moves along the Achilles tendon. Massage for arthrosis of the ankle joint always ends with kneading the calf area.

    Massage of the joints of the hand and fingers is carried out when the patient is in a “sitting” position. In this case, it is necessary to lower the forearm onto the table, and fix the hand and fingers. The arm is bent and relaxed. Massage techniques used by a specialist for fingers and hands:

  • intensive rubbing;
  • light circular stroking;
  • various exercises – active and passive (extension, abduction, abduction of arms, their circular movements).
  • You should start massaging your hands from the back of your hands, then gradually move on to massaging your palms. Movements are carried out only in the direction of the lymph flow. Rubbing the fingers is used in several ways:

    In addition, they use:

  • concentric stroking;
  • kneading using weights;
  • gentle pressing of tissue from the bone area (video).
  • If trophism in the tissues has been disrupted, the so-called segmental massage is indicated - when a specialist actively influences the paravertebral zones of certain spinal elements.

    When massaging the shoulder joint, it is necessary to actively work directly on the shoulder area. This is due to the fact that arthrosis severely affects the hyaline cartilage, the clavicular part of the shoulder and the neck itself (video).

    For arthrosis of the shoulder joint, massage procedures should be carried out for a long time, since this disease is not only chronic, but also tends to progress quickly. Massage of the shoulder joint is designed to slow down the overall course of the disease, gradually removing the patient from the possibility of getting deforming arthrosis of the shoulder joint.

    Massage of the shoulder joint area begins with intensively kneading the heads of the humerus bones and the joint itself (video).

    Next, the muscles of the collarbone, neck, and shoulder blades are warmed up. Such techniques help slow down the process of accumulation of salt deposits in the joint, as well as normalize local blood circulation, intensify the nutrition of nerve and cartilage fibers, and minimize inflammation of the shoulder joint.

    The foot massage begins with the patient having to take either a sitting position or lie on his back. The leg is extended parallel to the table. The roller should be placed under the Achilles tendon so that the heel is “in weight” and the feet themselves are easily accessible to the massage therapist for manipulation.

    The foot massage technique is as follows:

  • you should start with intense concentric stroking (four to six repetitions);
  • then you should perform such techniques as straight-line forceps and concentric rubbing of the toes (no more than 6 times);
  • straight intense kneading with weights (3 repetitions);
  • The base of the palm and the pads of the thumbs are used to stroke the feet in a straight line.
  • Precautionary measures

    When performing a massage of the knee, ankle, hip joints, as well as hands and feet, you should adhere to certain rules so as not to harm the patient’s health:

  • if an ankle massage is performed, it is necessary to perform stretching movements;
  • in the periarticular area, it is forbidden to apply too much effort during massaging;
  • massage for arthrosis of the ankle, knee, hip joints, as well as feet and hands is prohibited; if there are any foci of infection, areas with birthmarks should be avoided, and also do not massage areas in which there are seals, the origin of which is unknown;
  • during massage, it is necessary to avoid areas of bruises, injuries to joints and bones;
  • in a situation where arthrosis is accompanied by varicose veins, then all massage manipulations are carried out in the direction from bottom to top.
  • Massage for deforming arthrosis of the joints of the feet has become an effective component of the complex treatment of the disease. Massage has a beneficial effect on nerves and muscles. As a result of the activation of peripheral blood circulation, the trophism of the tissues of diseased joints and legs in general improves.

    Foot massage for arthrosis

    In order to properly massage the foot with arthrosis, it is necessary to know the stage of the disease with all acquired pathologies of the joints and bones, the severity of the pain syndrome, the state of trophism and muscle tone, the appearance of vascular disorders, the general condition of the patient and age, and concomitant diseases.

    In the first stage of arthrosis of the feet, the patient’s limbs quickly tire, and support function decreases, movements are slightly limited, and mild muscle wasting appears. On an x-ray, you can notice somewhat pronounced subchondral sclerosis and narrowing of the joint space.

    The second (mature) stage of arthrosis of the feet is characterized by increased pain, especially when walking, moving, and when the weather changes. During this period, the function of movement is further impaired and a crunch appears in the joints. Muscle hypertrophy increases, and the x-ray shows subchondral sclerosis with sharpening of the intercondylar tubercles and a sharp narrowing of the joint gap. Osteophytosis appears (bone growths during ossification of the periosteum, ligaments and other tissues near the bone), soft tissues become denser, and in the knee joint the patellar ligaments themselves become denser.

    The third, old stage of arthrosis of the ankle joint is characteristic:

  • pain with movement and at rest;
  • painful crunching in the joints;
  • dystrophic changes;
  • a strong decrease in the motor function of the leg joints due to changes in gait with arthrosis;
  • instability of the ankle joint;
  • sharp narrowing of the joint space, hardening of soft tissues;
  • extensive osteophytosis, subchondral sclerosis, joint deformation, calcification and cystic formations in the metaepiphyses (at the ends of the bones).
  • Purpose of massage for ankle arthrosis

    • Improvement of blood and lymphatic circulation in the affected limbs and in the area of ​​​​the joints of the feet.
    • Reducing pain and stiffness.
    • Elimination of stiffness, limitation of joint movements and development of contractures.
    • Improving trophic processes in joint tissues and preventing the appearance of muscle hypertrophy.
    • Improving the function of inward and outward rotation, flexion and extension.
    • Improves the overall condition of the legs, including the knee, ankle, foot and its 26 bones, 38 muscles and 56 ligaments.
    • Complex therapy, along with massage, includes physiotherapy using paraffin and ozokerite, painkillers and massage oils, ointments and gels, exercise therapy for the feet, the use of hand massagers: spiked from natural minerals and wood, magnetic therapy, heating with hot stones (stone therapy), galvanotherapy with painkillers, mud. The set of procedures is aimed at restoring blood microcirculation in cartilage and tissues, delivering oxygen and nutrition to the problem area.

      If flat feet, club feet and painful attacks are added to the deformation of the foot, it is necessary to massage not only the feet, but also the muscular system of the legs.

      Position of the patient: lying with his back on the massage table, a cushion is placed under the knee and ankle.

      To relax muscles with arthrosis of the ankle and foot, massage is first performed from the least painful bones and muscles, using stroking and kneading techniques and vibration.

      Foot massage technique for arthrosis

      Toe massage is performed:

    • superficial and deep stroking of each finger separately;
    • semicircular, enveloping rubbing of the lateral, upper and plantar sides of the toes with the thumb and index finger;
    • with transverse or longitudinal movements, without missing the interphalangeal joints, bending and straightening the toes.
    • Massage the sole from the side of the big toe. Use your knuckles to press firmly along one line, then stroke in the opposite direction. Pay attention to the edge of the sole from the inside, the edge of the bones and apply medium pressure outward.

      Foot massage is performed:

    • superficial, deep sliding stroking with the palm from the nail phalanges towards the ankle joint to the center of the lower leg;
    • grasping circular continuous rubbing and pincer-like techniques using the thumbs and 1-2 fingers. Particular attention is paid to the ankle, heel (back surface), Achilles tendon, joint capsule on the back surface;
    • on the soles of the feet - the massage begins from the side of the big toe and is performed with forceful pressure with the knuckles in one line, and in the opposite direction - by stroking;
    • accentuate with massage movements along the edge of the sole from the inside, along the edge of the bones with medium pressure;
    • on the outer edge of the foot - massage the tissues of the upper zone using pressure: deep and stationary, alternating with stroking;
    • on the general outer surface of the ankle - using light moving pressure, taking into account the sensitivity of this place;
    • on the heel - along the inner edge, massage for arthrosis and pain syndromes is performed softly, deeply and quickly with bones or fingertips;
    • massage tendons and muscles to relieve tension, performing deep work on the ankle joints.
    • If you have been in bed for a long time in case of acute arthrosis, traumatic arthrosis with severe pain in the area of ​​the head of the third metatarsal bone and the development of a vicious position of the foot (emphasis on the heel and big toe) with fixation in an extended position, dorsiflexion occurs. At the same time, the muscles tense and the joint becomes stiff. In this case, massage only brings benefits, since the development of incorrect foot position is not allowed.

      You can enhance the beneficial therapeutic effect of massage for arthrosis of the ankle joint with baths of a decoction of walnut leaves, bran or sea salt ( 300-400 g of salt ? The brine bath solution can be used several times.

      Massage for joint disease can alleviate the patient’s condition, but all manipulations must be performed by a competent and professional specialist who is well acquainted with the structure and anatomy of the joints, and the pathological processes that the disease provokes.

      Joints are components of the body's musculoskeletal system. A joint is formed from two or more articular surfaces of bones that are covered with cartilage. There is synovial fluid inside the joint to facilitate movement in it. The joint is enclosed in a synovial membrane or joint capsule.

      Indications for joint massage

    • Spinal diseases of various etiologies: osteochondrosis, including complicated by protrusions and disc herniations, scoliosis, ankylosing spondylitis
    • Joint diseases: osteoarthritis, gout (without exacerbation), rheumatoid arthritis, arthritis of other etiologies
    • Consequences of joint injuries - limited mobility, joint pain
    • Postural disorders in children and adults
    • Stress, neuroses
    • Joint massage can be recommended for people with so-called “sedentary” work or physical inactivity. This technique is also suitable for professional athletes as rehabilitation therapy after intense training.

      In some cases, this manipulation practice can be a good alternative to manual therapy.

      Massage is a very effective remedy for the treatment of arthrosis, because when massaging sore areas, peripheral blood circulation improves, all tissues of the limbs begin to be supplied with oxygen and nutrients. Massage has very simple tasks - to provide a resolving, analgesic effect, restore all normal functions of the joint and prevent the progress of the degenerative process.

      Massage for deforming arthrosis of the hip joint

      For people suffering from this disease, massage is one of the main means of treatment. Its task is to provide analgesic, anti-inflammatory and absorbable effects, to accelerate the restoration of joint functions.

      The massage is performed while lying on your stomach, and, if necessary, on your side or back; the muscles surrounding the joint are extremely relaxed. If you are worried about severe pain in the joint, start the massage from the areas above and below, using light, shallow techniques.

      1. Stroking on the upper part of the buttock and lumbar region - 8-10 times. The same on the lower part of the buttock and the upper third of the thigh.

      2. Squeezing with the edge of the palm or the base of the palm (4-5 times).

      3. Kneading the muscles around the hip joint. First - with the base of the palm (5-6 times), then - with the pads of the four fingers (circular; 3-4 times), with the fingers spread apart and rotation done towards the little finger.

      4. If the pain is not very severe, then after kneading, rub around the hip joint:

      a) dotted - with the pads of four fingers in all directions (2-3 times each);

      b) circular - with the ridges of the fingers (3-4 times); c) circular - with the ridge of the thumb, which bends and rests on the index finger (5-8 times).

      Repeat the entire complex 2-3 times and finish with shaking and stroking. As the pain subsides, the number of repetitions of each technique increases. The duration of the session is 8-10 minutes, it can be done 2-3 times a day.

      For deforming arthrosis, vibration massage using an electric hand massager or the “Tonus” device also helps well. You can also use a mechanical massager. However, a hardware massage should always be preceded by a manual one, and it should also complete the session. This is especially important in the initial stage of treatment, as well as in case of severe pain in the joint. A hardware massage session should not last more than 7-8 minutes.

      Method of performing knee joint massage

      Of course, in case of arthrosis, only a certified and knowledgeable person with extensive experience should massage the knee joint, so that there are no complications and painful sensations. But there are also techniques that everyone can do at home, methods that are accessible to everyone. Their goal is to carry out preventive measures for arthrosis, as well as relieve pain and inflammatory processes.

      Here are some recommendations:

      1. For arthrosis of the knee joint, the painful area is first heated with a heating pad. Then honey is applied to it and a massage is carried out with the knuckles in a circular motion and only clockwise.

      After this, you can apply burdock and cover the joint with a warm cloth. This procedure is done at night, so that the warmed and massaged joint can then rest for 7-8 hours.

      Usually a course of 10 procedures done over a couple of weeks is sufficient. After this, the feeling of stiffness and pain should go away.

      2. Massage with fat: with this method, pork fat is rubbed into the sore knee joint for a month or two. In order to relieve at least the initial painful sensation, you will need at least 5 procedures.

      Also, during massage, various tinctures and ointments are often used, which also need to be rubbed into the affected area. If arthrosis requires urgent treatment of joints, Adam's root ointments will quickly and effectively solve this problem. Tinctures from it are also shown: for this, about 200 grams of crushed Adam's root must be poured with half a liter of alcohol and left for two weeks (in a dark place), not forgetting to shake periodically. This tincture should be rubbed on the sore spots, and then covered with a woolen cloth.

      3. Another great way is with sunflower oil. To do this, you need to heat a couple of tablespoons of oil and rub it very carefully into the affected area and knee joint at night. Typically, about 5 daily procedures are needed to relieve severe pain.

      4. Massage using honey - this recipe helps so many people. Before massaging, for arthrosis, warm up the joint for 20 minutes using a heating pad. Then half a tablespoon of honey is heated in a water bath until it becomes very liquid and flowing. Next, you should take honey and, using gentle circular movements, rub it into the sore spot for 15 minutes. After this, you need to cover the area of ​​the knee joint with gauze or a bandage, and put a warm heating pad on top. This entire structure should be kept in place for a couple of hours, and then the bandage should be removed and the stained knee should be washed with warm water. The procedure can be performed once a day, for half a month.

      5. You can also use a vibration mechanical massage, which will complement the action of a manual one. Mechanical massage is especially effective if the patient's muscle tone is very high. Vibration should be carried out using a spike attachment and a sponge.

      6. People with arthrosis of the knee joint need daily walking, with the permission of a doctor, of course. If there are deformation changes in the joint, you can only walk short distances and be sure to rest by sitting down.

      7. Swimming is also very effective, and best in an indoor pool with warm water. When swimming, the load on the joint decreases, overall tone increases and well-being improves. Rowing and cycling are also useful.

      8. Moreover, patients with arthrosis are contraindicated from lifting weights, and in case of acute pain, they can only walk using a cane or stick.

      Arthrosis of the joints of the hands

      The massage begins with actions on the back of the hand. When performing techniques, one usually moves from the fingertips to the wrist joints. It all starts at the distances between the carpal bones. The following techniques can be used here:

      1) Simple stroking

      2) Different types of rubbing:

    • circular
    • edge of the palm
    • sawing
    • pads of the first, third or all fingers
    • Next comes the transition to the fingers. The key techniques here will be:

    • zigzag
    • rectilinear
    • spiral
    • pads of the thumb and index fingers
    • heel of the palm
    • At the end of the massage, the brush is shaken several times.

      Massage of hand joints - “dry washing”

      Dry cleansing is not a common procedure, but it is worth doing every day. This is a very simple and easy-to-use self-massage technique that allows you to stretch the joints of your arms and shoulders. Massage helps restore joint mobility, prevents inflammation, activates blood circulation and the patency of blood vessels, and prevents aches in the arms and shoulders. It is especially good for those people who suffer from pain in their hands during the cold season.

      Proper, diligent rubbing of the hands helps with chronic stiffness and freezing of the hands, which is usually associated with circulatory disorders in the capillaries. Also, this movement helps restore motor activity of the hands after paralysis, helps get rid of chills in the hands, expressed in the sensation of creeping goosebumps or tingling.

      1. With your palms together, vigorously rub them together until a feeling of warmth appears.

      2. Then “wash” your hands, alternating clasping one hand with the other, followed by massaging with force with the back of the clasped hand. Start by clasping your left hand around your right hand. Then grab the left one with your right. These circular movements are very similar to the movements we make when we soap our hands and rinse the soap off them under running water, but they are more vigorous - similar to when we scrub very dirty hands. Massaging your left and right hands with such circular movements in one cycle, perform 10 or more “washing” cycles.

      3. Forcefully clench your hands into fists. Unclench them, relaxing them. Repeat these movements 10-20 times. This enhances the effectiveness of “washing”.

      4. Place a relaxed hand on your thigh and, with a gentle rubbing motion in a circle, warm up the back of it first, and then the palm. After this, knead your hands completely (biologically active points are concentrated on them) - this promotes good sleep.

      5. If you sweat profusely, have calluses on your hands, or are concerned about increased sleepiness, you should not rub your hands. Replace rubbing with effleurage, spanking, kneading, which are just as effective.

    • Chronic osteomyelitis
    • Severe forms of damage to joints and bone tissue, many of which are accompanied by general and local reactive phenomena (extensive hemorrhage, inflammatory edema, fever)
    • Tuberculosis damage to joint and bone tissues in the activation stage
    • Various purulent processes occurring in soft tissues
    • Nonspecific infectious diseases of the joints occurring in the acute stage
    • Extensive purulent skin diseases
    • Neoplasms on joints and bones
    • Accompanying other diseases for which massage is contraindicated, for example, general infections
    • In rehabilitation therapy, joint massage is one of the most important means of therapy that has found application in the treatment of the human musculoskeletal system. Joint massage is prescribed for bruises that are accompanied by hemorrhage, stretching of muscles, ligaments, tendons, and for fractures at any stage of healing; the effect of massage is especially beneficial when healing of a fracture is delayed. Various functional disorders after fractures and dislocations can also be corrected by massage, and preparing the amputation stump for prosthetics with massage is less painless. Joint massage eliminates pain much faster, stopping tissue swelling, resolves hemorrhages in tissues, strengthens muscles faster, improving the function of joints and muscles, preventing the development of connective tissue adhesions that lead to joint stiffness.

      Massage for joint diseases

      Arthrosis is a chronic degenerative disease of the joints, in which the slow destruction of cartilage in the joint occurs. With arthrosis, periarticular tissues (muscles, tendons, ligaments) become inflamed and degenerate. The process also affects the joint (synovial membrane, synovial fluid, joint capsule).

      First of all, damage to the knee joints is recorded. As the disease progresses, the hip joints and joints of the big toes are affected. Development is provoked by physical activity, micronutrient deficiency, excess weight, injury, endocrine diseases and other factors.

      In the early stages, the disease is curable, so it is so important not to miss the first symptoms. But drug treatment is usually not enough. That is why the following therapy is prescribed:

    • Limiting physical activity.
    • Exercise therapy.
    • Professional and self-massage.
    • Use of orthopedic products.
    • Physiotherapy.
    • Treatment at resorts.
    • Intra-articular oxygen therapy.
    • Diet.
    • Massage for joint diseases is an effective treatment method as part of complex therapy. It is prescribed by an orthopedist, arthrologist, rheumatologist or surgeon.

      Massage is considered quite an effective remedy for treating joints. The fact is that when massaging a sore spot, blood circulation improves, ligaments and other tissues of the limb are supplied with nutrients and oxygen. In addition, it not only has an analgesic and absorbable effect, but also helps to quickly restore the functionality of the joint and prevents the further development of the degenerative process.

      Indications for massage treatment:

    • Prescribed for diseases of the spinal column such as osteochondrosis, protrusions, disc herniations, ankylosing spondylitis, scoliosis of all degrees.
    • In case of poor posture.
    • Joint diseases: gout (remission period), arthritis of various origins, osteoarthritis.
    • Joint pain, limited mobility.
    • Massages are useful for stress and neuroses.
    • It is useful for people who have to spend a long time sitting in one place. Also, this method of rehabilitation therapy is indispensable for professional athletes.

      Since recently more and more people are suffering from arthrosis of the joints of the lower extremities, we will talk about massage for arthrosis in more detail.

      Before starting a massage on the damaged knee areas, the professional will thoroughly prepare the body, causing increased blood circulation in the back muscles and healthy leg through warming up. The session should be stopped if pain occurs.

      The goals that massage achieves for arthrosis:

    • Reduced pain symptoms.
    • Decreased muscle tone.
    • Increased blood circulation.
    • Resorption of inflammatory fluid.
    • Improved elasticity of joint movements.
    • The progress of tissue degeneration of the knee joint is prevented and its function is restored.
    • In the first sessions, the load is minimal, and in subsequent sessions it increases.

      Contraindications for use:

    • First attack of arthrosis.
    • Chronic osteomyelitis.
    • Bone tuberculosis.
    • Neoplasms of unknown origin.
    • Dystrophy of the articulating bones.
    • Not applicable if purulent processes occur in soft tissue.
    • With exacerbation of infectious diseases of the joints.
    • This treatment method is not suitable for those patients who have large areas of skin affected by purulent diseases. It is also not performed if arthrosis is accompanied by a general infection (for example, ARVI).

      The massage procedure for gonarthrosis (knee arthrosis) should be preceded by a set of therapeutic exercises. After this, it is recommended to steam the body in a sauna or hot bath. Sometimes chiropractors conduct sessions in water at body temperature. To improve gliding, the use of massage oils or ointments for arthrosis is justified. Movements are carried out perpendicular to the location of the lymphatic vessels.

      If you are prescribed a massage of the knee joints, this does not mean that only the lower limbs will be affected. In fact, a comprehensive treatment is needed that affects the lower back and hips, calf muscles and the knee joints themselves.

      How is massage performed for arthrosis of the knee joints:

      1. Lumbar massage. The patient lies face down on the massage couch, arms along the body, and a roller is placed under the legs. The lower back muscles are rubbed, squeezed longitudinally and stroked. Then the sacral and lumbar areas are subjected to deep rubbing and vibration with the fingertips. The movements are uniform, without strong pressure, from bottom to top.
      2. Thigh massage. First (lying on your stomach) the back of the thigh is massaged (longitudinal stroking and shaking). After this, the patient lies face up, the roller is placed under the knee joint and the anterior surface of the thigh is massaged. The following movements are carried out: comb-like rubbing, forceps-like kneading, impact and shaking. There shouldn't be any pain.
      3. Calf muscle massage. The patient lies on his side, the muscles are relaxed, and the above movements are repeated.
      4. Knee joint massage. The leg is straight, without tension, with the edge of the arm making circular movements near the patella. If there is no pain, the patella itself is rubbed with the pads of the fingers. Attention is paid to the ligaments and tendon attachments. After this, the joint capsule and joint gap are rubbed. The gap is massaged from the 4th session. At the end of the session, the knee joints are flexed and rotated until mild pain occurs.
      5. It must be remembered that carrying out the procedure by an untrained person can cause increased pain and prolongation of the inflammatory process.

        To prevent exacerbations at home, you can do simple self-massage. In this case, loads and forceful pressure are not allowed on the joint. You can do this not only in bed, but also in the bath or shower (using a washcloth is allowed). The procedures are carried out on an empty stomach, before lunch, using warming oils.

        Self-massage should not touch the lymph nodes. During the session, it is better to sit down and shift the center of gravity from your feet. First, the outer side of the joint is massaged in a circular motion, then the inner side. After this, forceps-like rubbing is carried out. Then, from bottom to top, circular pressure is applied to the sides of the knee joints with the pads of the fingers. At the end, you need to bend your leg several times, pressing it to your chest.

        At night, a combination of natural ingredients and gentle rubbing has a beneficial effect:

      6. Rubbing pork fat at night for 30 days with light stroking movements will soothe knee pain for a long time.
      7. Warm vegetable oil (30 ml) is rubbed into the problem area for a week. Self-massage is performed at night in the absence of exacerbations.
      8. Warm the joint with a heating pad and apply honey to it using circular massage movements. Cover with a burdock leaf and wrap with a woolen cloth. After 10 days there will be relief.
      9. To properly massage yourself, many doctors recommend taking 2-3 courses from a professional massage therapist. If you rub the joint incorrectly, you can only worsen your condition.

        The method combines self-massage and Japanese gymnastics. The basis is the use of pressure on certain points of the body and constant exercise. The load is approaching physiological.

        Light pressure is applied alternately with deep pressure. There should be no pain or discomfort.

        Massage for joint diseases is carried out in courses of 20 sessions every other day, the procedure time is from 10 to 20 minutes. In case of exacerbations and secondary inflammations, exposure is possible after drug relief of pain syndromes.

        During the recovery period, massage is carried out in parallel with mud therapy courses and mineral baths. Therapeutic gymnastics is mandatory.

        Some more useful tips:

      10. In any period of the disease, during a massage you should not overload the knee joints: stand on your feet for a long time, run, jump, lift weights. Swimming lessons are recommended.
      11. With varicose veins, movements from top to bottom are not carried out.
      12. In no case are areas with birthmarks affected.
      13. Do not use even if you have a common cold.
      14. Although massage is considered an effective method of treating arthrosis, and can also alleviate the suffering of the patient, you should not do it without the permission of a doctor.

        Why is finger exercises necessary for arthrosis of the hands?

        When the hands are affected by arthrosis, a person has problems both in the professional field and in everyday life. There are more than a dozen joints in the hand, but arthrosis most often affects the fingers, and women are mainly affected by this disease. Cartilage tissue damaged by arthrosis gradually wears out, the motor capabilities of the hand decrease, movements bring pain, and complete immobility may occur. Therefore, from the moment the disease is detected, the necessary treatment should be started immediately, to which preventive exercises are added.

        What improves joint motility?

        Massage and regular gymnastic exercises combined with physiotherapy are effective at the onset of the disease, when the joints do not yet have deformities. In addition to therapeutic exercises and massage, it is necessary to do self-massage daily and independently perform a gymnastic complex approved by a specialist.

        For arthrosis, movements that improve fine motor skills are indicated; they enhance the nutrition of cartilage and relieve inflammation. Daily exercise can be effective, so you should not interrupt it for more than 3 days, because in order for the joints to function, they need movement for several hours a day.

        The exercises of the following mini-complex are based on free and relaxed movements of the fingers; they can be done for a total of 10 minutes at any free time:

        1. Sitting at the table, place your outstretched arm on it with your elbow straight. Relaxing your hand, lightly drum the tips of all your fingers on the tabletop. Perform the movements for several minutes with one hand, then with the other.
        2. Bend your elbows and point your palms away from you. The fingers are easy to clench and unclench, while the thumb can be either hidden in the palm or placed on top of the index finger.
        3. Stretch your arms forward, rotate your hands freely, periodically changing direction.
        4. Keep your hands in front of you, palms away from you. Bend and straighten your fingers at the middle joints.
        5. Alternately touch the tips of your thumbs to the pads of your other fingers. Perform synchronously with both hands.
        6. First, press one, then the other palm to the table and carefully tear off your fingers one by one.

        It takes longer to perform those exercises in which movements are more difficult. Before starting movements, to improve the flexibility of the finger joints, you can warm your hands in warm water or apply a warm heating pad to them for 5 minutes.

        A set of exercises for daily use

        Exercise, which is important for arthrosis, strengthens ligaments and muscles and restores range of motion. The gymnastic complex, agreed upon with the treating doctor, should be performed with the maximum stretch that can be achieved without feeling pain. The set of exercises given contains static elements that help activate the fingers (Fig. 1):

        1. Raising your bent arms, your fingers spread the sides (a) apart as much as possible (but not to the point of pain). Hold for a few seconds, then move them and repeat the movement. You need to do this warm-up exercise for at least a minute.
        2. Firmly but gently clench your hand into a fist, pressing the rest with your thumb (b). Hold for 30 seconds, then open and close your fist again, hiding your thumb in your palm, holding for the same time.
        3. Hold your hand in front of you without bending your wrist. Then bend the connected four fingers, touching the thumb (c) with the index finger, forming something like the letter “o”. Moving the thumb, press it firmly against the other fingers in turn, moving forward and back.
        4. In the initial position of the previous exercise, touch the thumb alternately with 3-5 fingers, straightening the index finger and holding the hand with each finger for some time (up to 30 seconds). Perform by changing hands 3-4 times.
        5. Turn your hand with a straight wrist with the palm facing you, clasp all tense fingers in the middle joints, depicting a tiger paw with claws (e). Pull your fingertips towards your palm, trying to touch its “mounds”, and fix the position of your hand (30 sec). This stretch is repeated at least 3 times for each arm.
        6. The hand, with the fingers tightly connected, is straightened and held motionless, turning the thumb in one direction, then in the other direction (e).
        7. All tasks of the complex should be performed for both hands.

          For arthrosis, it is very useful to engage in modeling from plasticine or clay, while many joints and tendons are worked out in a variety of movements. Such exercises improve finger motor skills. You can sculpt balls from plastic materials, roll them into long “sausages”, and use your fingertips to sculpt small details. A hobby such as knitting will benefit your hands, and playing music will keep your hand joints in good shape.

          How to complement the complex?

          Since arthrosis of the hands most often affects the joints of the thumb, you can additionally add tasks for them to constantly performed training complexes or perform the following exercises separately:

          1. A narrow elastic band that can be stretched with little effort is placed on the bottom of the palm. The thumb is moved to the side as much as possible and the position is fixed (30 sec), then the palm is relaxed.
          2. The finger is pulled with some tension and pressed to the bone at the base of the little finger, fixed (for 30 seconds), then moved at a right angle to the edge of the palm to the side.
          3. They repeat the tasks 10 times, they develop catching and holding movements.

            Gymnastics can be performed with objects that create resistance and thereby develop muscles, relieving some of the stress from the joints. You can use an expander with a flexible spring (for arthrosis in the initial stage), or a soft small ball will do:

            1. Take the ball in your hand and squeeze with the greatest possible effort, but without causing pain. Fix the position, wait a few seconds and relax your hand. Perform up to 10 times with changing hands.
            2. “Pinch” the ball using your thumb and other fingers in turn. Fix the force for up to a minute, changing fingers. Perform 3 times with each hand.
            3. There are many exercises and therapeutic procedures that help improve the mobility of joints affected by arthrosis. Having chosen the exercises, you need to get your doctor's approval before starting training. With consistent, patient and correct performance of finger exercises in the recommended volume, the condition of the joints will improve and positive dynamics will be achieved in the treatment of arthrosis.

              Osteoarthritis is a chronic joint disease. Arthrosis is divided into primary and secondary. The causes of primary arthrosis are still unknown. Specialist scientists only assume that the disease occurs as a result of a metabolic disorder of cartilage tissue. This type of arthrosis includes nodular arthrosis of the joints of the hands.

              Massage for nodular arthrosis of the joints of the hands

              With this disease, thickening of the interphalangeal joints of the hands occurs in the form of nodules, and the formation of rather dense, painful cysts near the nail bed. Arthrosis of the joints of the hands is accompanied by severe pain, impaired motor ability of the fingers, and the appearance of flexion contractures.

              Massage of the back of the hand

              On the dorsum of the hand, the intermetacarpal areas should be massaged in the direction from the knuckles to the wrist joint.

              Techniques should be performed in the direction from the fingertips to the knuckles,

              Deforming arthrosis of the hip joint. Treating illness with massage

              Lower back massage

              Lumbar massage

              Rubbing techniques are performed:

              Massage of the gluteal-sacral area

              First you need to perform techniques on the gluteus maximus and gluteus medius muscles.

              Lower back muscle massage

              The following techniques should be performed on the sore area of ​​the back:

              Massage of the muscles of the sore hip joint

              Massage techniques should be carried out in a gentle manner, gradually increasing the load on the massaged area. The best effect is usually achieved after 2-3 massage sessions. ; Kneading:

              Massage technique - when performing a massage, you need to alternate techniques without taking breaks between them.

              Chinese massage - Chinese acupressure is also used when massaging the facial skin in order to preserve youth and attractiveness. It is able to make the skin firm and elastic, in addition, it helps to relax the facial muscles, which delays the formation of wrinkles on the face.

              Acupressure - when performing acupressure, you must always remember that correct determination of the location of the points contributes to obtaining a favorable result. points, basics

              Therapeutic massage - for each disease there is its own massage technique, which depends on the cause of the disease, the pathogenesis of the disease, the clinical forms of its manifestation, the specifics of the effect of certain massage techniques on the body.

              Facial massage - movements should be carried out from the bottom up to the border with the hair roots. Stroking the right half of the forehead is performed with the right hand.

              Back massage - if a specific area of ​​the spine is affected, it is advisable to perform exercises for the entire spine, although more time should be spent on those exercises that are specifically designed for the affected area.

              Classic massage - during a massage session you need to relax as much as possible. And in case of difficulty, you should resort to self-hypnosis. You can also lie on your stomach and, taking a deep breath, tense all your muscles, and then, exhaling, relax them.

              Children's massage - it is necessary to massage a child under one year of age with great care, having a perfect command of the techniques and techniques of children's massage.

              Self-massage - for greater effect, pressure must be directed directly to the point, it must be constant and penetrating and performed for 3 minutes.

              Urological massage - massage is recommended for many diseases of the male genital area. But it should only be carried out by a specialist who has undergone training and practice in a hospital or clinic.

              Massage technique - depending on the method of performing the massage, the following methods can be distinguished: manual massage, hardware massage, combined massage, foot massage.

              Types of massage - there are the following types of massage: sports, therapeutic, hygienic, cosmetic. Each type of massage is divided into subtypes and has its own tasks.

              Treatment of arthrosis of small joints of the hands

              The chronic process of destruction of joint cartilage and its capsule, leading to bone deformation, is arthrosis of the small joints of the hands. This type of degenerative disease is irreversible, so when the first symptoms appear, you should consult a doctor. Let's figure out what arthrosis of the joints of the hands is and how dangerous this disease is.

              Stages of the disease and their symptoms

              Arthrosis of the interphalangeal joints of the hands is a chronic disease. It is impossible to completely recover from it, but contacting a traumatologist, orthopedist, or rheumatologist at the first symptoms of arthrosis will help stop the progression of destruction of cartilage tissue. This is a rare pathology. It is considered “female”, which is associated with hormonal imbalances during menopause.

              The causes of destruction of the interphalangeal joints of the hands are:

              • heredity;
              • characteristics of the body;
              • congenital diseases.
              • For secondary arthrosis:

              • professional activity;
              • stressful situations;
              • injuries to the phalanges of the fingers;
              • inflammatory processes – arthritis, synovitis;
              • age-related changes.
              • Depending on the manifestation and development of arthrosis of the small joints of the hands, there are 3 degrees of the disease: I, II and III. Each has its own characteristics. At stage I

              • Molecules of proteoglycans (special proteins) are destroyed, leading to “dryness” of the cartilage. The shock-absorbing and motor properties of the small joints of the upper extremities are lost. The connective tissue decreases, friction and deformation of the bones of the phalanges of the fingers occurs.
              • After waking up, there is stiffness in movements, and mild pain periodically occurs, which goes away on its own. When a person moves his fingers, a crunching sound is heard, which many people mistakenly call “salt deposits.”
              • The surface of the phalanges of the fingers, left without lubrication, is destroyed. “Degeneration” of bone tissue occurs, and osteophytes are formed - growths visible on an x-ray.
              • The pain worsens at night, after performing any work. Crunching in the fingers is observed with any movement. Damage to small joints contributes to limited mobility.
              • It is characterized by immobility of joints that are severely damaged. Osteophytes are clearly visible, forming nodular growths: proximal (on the side of the joint) - Bouchard, distal - Heberden.
              • The pain becomes sharp and constant. The unpleasant sensations do not go away even at rest. Arm muscle spasms occur periodically, creating the impression of being “twisted.”
              • Treatment methods for arthrosis of the hands

                Treatment of the disease must begin with a consultation with a doctor who will develop an effective regimen. The technique is determined by a specialist, but to make a diagnosis you will need to undergo the following examinations:

              • Blood test (clinical, biochemical). In arthrosis, markers of inflammatory processes remain unchanged.
              • X-ray. Based on X-ray data, the doctor determines the degree of damage to small joints and the stage of development of the disease.
              • Magnetic resonance imaging (MRI). Gives the most complete picture of the structure of bones, cartilage, and joint capsule.
              • Ultrasound.
              • When prescribing drug treatment, the specialist must provide for a wide range of effects, taking into account the stage of destruction of hyaline cartilage, the presence/absence of inflammatory processes, and the physiological characteristics of the patient’s body. The doctor determines the form of the drug (rectal suppositories; film-coated tablets; injections). Depending on the stage of the disease, different drugs are prescribed.

                Products for internal use

                Non-steroidal anti-inflammatory drugs (NSAIDs). They relieve pain well and reduce inflammation in small joints. Depending on the main substance in the composition, the following drugs are found:

              • Diclofenac – Voltaren, Diclonac P.
              • Indomethacin - Indomin, Methindol.
              • Ketorolac – Ketorol, Ketanov.
              • Ketoprofen - Fastum, Flexen, Ketonal.
              • Ibuprofen – Solpaflex, Brufen.
              • Movalis, Oxycams are the latest generation NSAIDs.
              • Drugs that dilate blood vessels - Teonicol or Trental. Necessary for improving blood flow, relieving spasmodic syndrome, and treating circulatory disorders. It is not recommended for use by people with low blood pressure or bleeding.

                Chondroprotectors are medications that restore damaged cartilage. To see the real effect, a very long course of treatment is required - from 100 to 150 days a year with a six-month break for 3-4 years. Pharmacies offer both single preparations - Dona (Italy, glucosamine), Structum (France, chondroitin sulfate), and complex ones - Teraflex, Chondroitin Akos, Chondroxide, etc.

                Products for external use

              • Dimexide is ideal for the treatment of diseases complicated by synovitis (swelling and inflammation). Used in the form of compresses.
              • Bishofite is an oil brine that helps resolve arthrosis nodules on the hands. To do this, make “mittens” by wrapping each finger with a bandage soaked in Bischofite, put on plastic gloves on top, and cotton mittens on top. Leave for 3 hours.
              • Ointments, creams, gels:

              • Diclak gel, Voltaren - to remove synovitis.
              • Apisatron, Viprosal - improve the elasticity of muscle fibers and blood flow to joints affected by arthrosis.
              • Finalgel, Nicoflex - by stimulating the production of endorphins, they help the body create its own painkillers.
              • Injections into the interphalangeal joints of the hands. They are not always prescribed with reason, but the effectiveness of the effect is the highest of all drugs. Injections are used:

              • Glucocorticosteroids - Diprospan, Hydrocortisone (Cortisol), Prednisolone. Quickly relieve pain in secondary arthrosis, aggravated by synovitis.
              • “Liquid prostheses” based on sodium hyaluronate - Duralan, Sinvisk, Ostenil.
              • Classical medicine is aimed at treating the symptoms of arthrosis. A distinctive feature of homeopathy is the restoration of the entire body, its balance. Before prescribing, an experienced homeopathic doctor draws up an extensive picture of the patient’s condition, taking into account the time factor, the effects of heat, cold, weather changes, psycho-emotional mood, the influence of physiological factors, etc.

                Classical homeopathy distinguishes drugs:

                Classical medicine borrowed the experience of homeopathy to get rid of illness. The complex drug Heel, called Zeel T, relieves inflammation, relieves pain, and has the ability to stimulate the production of chondrocytes. In combination with Traumeel S ointment, the product effectively fights joint destruction, regenerating tissue and reducing swelling.

                When treating the disease, local hand baths made of ozokerite show excellent results; paraffin wraps that stimulate increased blood flow and have a warming effect. After pain relief, doctors actively use physiotherapeutic procedures:

              • shock wave impact;
              • ultra-high frequency treatment (UHF);
              • magnetic therapy;
              • laser therapy;
              • cryotherapy
              • ozone therapy.
              • There are areas of medicine that help get rid of joint pain using unconventional methods:

              • Hirudotherapy. Substances injected by leeches are similar in effect to injections of joint fluid substitutes.
              • Acupuncture (acupuncture) – influence on certain points (meridians, channels).
              • Isometric kinesitherapy. It involves treating a disease through movement, overcoming pain. Kinesiology is based on the principles of strength training and is carried out under the supervision of a physician.
              • Use of dietary supplements. Tienshi, Chondroitin sulfate, Celadrin help reduce pain syndromes. Dietary supplements are not medications, require long-term use, and lead to a reduction/cessation of NSAID use.
              • Therapeutic gymnastics exercise therapy and massage

                Massage will help with arthrosis by stimulating the blood flow of blood vessels, stopping stagnant processes and tissue atrophy. By doing the following exercises yourself, you will get rid of muscle spasms surrounding the collapsing joint:

              • Light, gentle rubbing of each finger from palm to nail, then massage of the arm and forearm.
              • Circular movements, rubbing the hands together.
              • Therapeutic exercises for the hands accelerate the movement of lymph, which contributes to the disappearance of swelling and inflammation. It strengthens muscles, prevents the fusion of bone tissue, and helps treat arthrosis. Suitable for this:

              • Using a small rubber ball to stretch your fingers.
              • Any activity related to hand motor skills.
              • Love of tapping on the table. This is the perfect exercise.
              • Clenching and unclenching your hand into a fist with your fingers spread wide.
              • Properly organized nutrition, an abundance of microelements and vitamins in foods are a positive factor in the treatment of joints. When choosing a diet, pay attention to the following points:

              • the diet should promote weight loss;
              • refuse foods rich in fats;
              • frequency of meals – at least 5 times a day in small portions;
              • fast food is taboo;
              • reduce the amount of salt;
              • limit your intake of “bad” carbohydrates;
              • stop drinking alcohol.

              Traditional methods of therapy are effective if they complement properly selected medication and physiotherapeutic treatment. Warming compresses, baths, and rubbing sometimes work better than ointments, without causing allergic or chemical reactions. At the initial, first stage of the disease, they will help you stop taking some medications, especially NSAIDs.

              Here are some recipes for making decoctions:

            4. Decoction of birch buds. 1 tbsp. l. pour a glass of water over the raw material and boil for 10-15 minutes. Set aside and let sit until completely cool. Strain, dilute with boiled water to 250 ml. Take 3-4 r. per day, 50 ml before meals.
            5. Burdock tincture. Pour water (250 ml) over the roots of the plant (1 tablespoon), boil and leave to cook for up to half an hour. Set aside and let cool. Drink half a glass 3 times a day before meals.
            6. Alcohol tincture of walnut shells. Fill a liter jar up to the shoulders with nut shells and partitions. Fill with vodka up to the neck. In a month the tincture will be ready. Take 1 tsp. no more than 3 times a day.
            7. Chop the viburnum branches: for 1 liter of liquid you will need 200 g of branches. Boil for 15 minutes, let it brew. Half an hour before meals, take 100 ml of decoction (2-3 times a day).
            8. Categories : Lower extremity pain

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    Treatment of arthrosis in clinics

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