When pain occurs in the joints, ointments become the first drug that the patient turns to. Indeed, ointments for pain from arthrosis of the knee joint can act as first aid.
For example, unlike tablet preparations, ointments have virtually no contraindications, act quickly on the affected joint, and can be used for both the knee and shoulder joints.
Often such local drugs are used for foot pain, or pain in the neck and spine.
To eliminate the discomfort that is present with arthrosis in the knee joint, you can use not only pharmaceutical, ready-made ointments, but also self-prepared ones, which will be used both for the shoulder joint and for treating the foot.
Let's talk about what ointments exist and how effective they are, and also outline the main points for their use.
All ointments that are present in pharmacies today and help with pain in the shoulder joint or knee area can be divided into 4 types:
Let's talk about each type in detail.
Prescribed if there is an acute attack of arthrosis of the knee joint. The ointment is designed to suppress inflammation, reduce pain and relieve swelling.
Such drugs are also used in the treatment of the shoulder joint, if it is, for example, periarthritis of the shoulder joint, or inflammation in the foot area.
Today, the range of this type of drug is quite wide, and drugs based on ketoprofen, diclofenac or ibuprofen are most often used in treatment. In addition to the fact that such ointments perfectly relieve pain and inflammation, they do not destroy the cartilage tissue of the joint.
The course of treatment is designed for 2-3 weeks, the ointment is applied to the affected area, both the knee and shoulder joints 2-3 times a day.
Side effects may develop with prolonged use of the ointment, these include:
Preparations of this type are available in three types: ointments, gels and creams. Note that the cream and ointment act quickly, the effect is felt within a few minutes after rubbing into the skin, but the gel has deeper penetration and has a positive effect on the joint for a long time.
Among the most popular means:
Each drug of this type has its own special instructions. They cannot be applied under a compress or bandage, they are not intended for rubbing into damaged skin surfaces (wounds, scratches, eczema).
This type of ointment is often used not only for treatment, but also for systemic prevention. These are ideal ointments for arthrosis of both the knee and shoulder joints. They can also be used to relieve pain and swelling in the foot area.
This type of preparation contains natural ingredients, chondroitin and glucosamine, which are directly involved in the construction of cartilage tissue.
The use of chondroprotectors can reduce pain in the joints and feet, restore motor functions, and prevent the development of complications in the form of deformation.
If we compare the chondroprotector and NSAIDs, then the analgesic effect of the chondroprotector is less pronounced.
In this regard, chondroprotectors are not used in an acute form, when there is an exacerbation of arthrosis, and the course of treatment is designed for a period of 3 weeks to 2 months.
The most popular drugs of this type include:
As for contraindications, they include damage to the skin in the joint area, as well as individual intolerance to the components.
Ointments of this type are used as a supplement; they help dilate blood vessels, warm the joint area, and reduce pain.
All this leads to the fact that the processes of rapid recovery of the knee or shoulder joint are activated. Also, such ointments are excellent for treating the foot, although they must be applied at home while you can avoid wearing shoes.
The most common ointments are:
The active components of the drugs are bee and snake venom, nicotinic acid, capsaicin, turpentine. All of them help in the treatment process.
It is worth immediately noting that warming ointments for arthrosis cannot be used in the acute phase, otherwise stimulation can only lead to increased swelling of the foot and joint.
It is recommended to use them only after 3-4 days from the onset of acute arthrosis, when the attack has passed.
In addition, drugs of this type can cause allergies, so the first application is made with a small amount of ointment, and if the skin does not turn red, then the ointment can be used for treatment in accordance with the instructions below.
Contraindications include damage to the skin, scratches or eczema, dermatoses.
This type of drug must be used for a long time to obtain a positive result.
The action of the drugs is based on the presence of natural components in their composition, which have both an analgesic and anti-inflammatory effect, and relieve swelling.
For problems with the knee joint, such ointments are rubbed in three times a day, and the course of treatment is designed for 2.5 months.
The most popular ones include Tzel T and Traumeel S. They can be applied under a bandage or using electrophoresis.
Arthritis is any inflammatory disease of the joints, both large and small. Its treatment requires an integrated approach: the use of medication and physical therapy, rehabilitation with sanatorium treatment and general lifestyle adjustments.
The disease is slowly progressive and can cause complications. Traditional treatment is aimed at slowing the rate of progression of the disease, reducing and alleviating symptoms. The following types of external ointments and internal preparations are prescribed:
Arthritis usually does not appear alone, but is accompanied by other diseases that may not give obvious symptoms and can only be detected during diagnosis.
If arthritis does not have extra-articular manifestations and is not severe, requiring the administration of medications internally, one of the ways to influence the lesion is the use of ointments and creams, both steroidal and non-steroidal.
Note: Ointments have a local effect, so the side effects from them will also be local and will not affect the entire body. The ointment does not provide a therapeutic effect, but only makes the patient feel better, since the skin can only pass up to 8% of the active substance.
Among all ointments related to NSAIDs, there are no significant differences in effectiveness: therapeutic and side effects in most cases are directly proportional to the dosage and frequency of use. The patient, as well as individual intolerance, may experience addiction to the drug (usually after a maximum of 2 weeks of use).
Hormonal ointments are divided into 4 groups according to their strength and should be used only as prescribed by a doctor:
The use of ointment for rheumatoid arthritis is aimed at reducing pain and slowing down the progression of the disease. Use the ointment for a long time. Diclofenac gel, indomethacin ointment is indicated for rubbing into the skin over the joint 2-4 times a day.
Chondroprotectors such as chondroitin, glucosamine, organic sulfur and celadrin improve joint condition. There are not many ointments with chondroprotectors, one of the homeopathic ones is Target-T, which stimulates the regeneration of joint tissue, relieves pain and inflammation not due to analgesics, which are not included in the composition, but due to the direct influence of the components on the cause of inflammation. It also contains sius organ components, plants and minerals, which makes it the most healing among other ointments. To enhance the effect, Cell-T injections are also prescribed.
Professional massage using warming ointments improves blood supply to the lesion and tissue trophism, relieves muscle spasm. The mechanism of action of rubs with ointments based on menthol, eucalyptus, clove, bee and snake venom oils is not the same as that of NSAIDs - there is no addiction and no side effects on the skin.
Ointments for arthritis of the knee joint are the first medications that the patient resorts to in case of pain in the knee and impaired motor function:
The pharmaceutical industry offers Menovazin, Espol, Voltaren-gel, Diclofenac, Menovazin, Nicoflex, Gevkamen. Dimexide penetrates well through the skin and relieves inflammation. Medical bile has a resolving property. Hyalgel is partially capable of restoring joint mobility in the treatment of osteoarthritis; it can be used to prevent arthritis in people who regularly overload their joints.
There are homeopathic creams containing:
At the first symptoms of damage to the interphalangeal joints of the upper extremities, such as pain and swelling, it is recommended to use ointment for arthritis of the fingers. At the initial stage of manifestation, the disease is easier to treat, so complex treatment using ointments can give a noticeable positive effect. NSAID-based ointments (Fastum-gel, Butadiene, Indomethacin) are rubbed into the diseased joint during the period of formation or exacerbation of arthritic nodules.
Anesthetic ointment usually belongs to drugs of the NSAID group (Aspirin, Ibuprofen, Ketoprofen), and is used in the complex treatment of arthritis. Among ointments, the main purpose of which is to reduce pain, there are many preparations made from natural ingredients. Herbal ointments can be prescribed by a doctor, have a mild effect, but have absolutely no side effects or contraindications associated with them. The allergic aspect in this case does not always play a primary role, since NSAIDs and hormonal drugs can also cause allergies.
Attention! For long-term treatment of chronic arthritis, such ointments do not treat as such, but only reduce pain.
Rubbing such ointments has a noticeable therapeutic effect, which is better even than tablets, for traumatic injuries and acute diseases of periarticular tissues located close to the surface of the skin.
Homeopathic ointments of complex action Traumeel and Tsel-t have a good therapeutic effect and almost complete absence of side effects. Manufactured according to the principles of homotoxicology, they have a wide spectrum of action and are aimed at improving one’s own metabolism and activating the body’s defenses. Traumeel is indicated for inflammation of any part of the musculoskeletal system, organs, tissues, for the treatment of injuries and swelling (including postoperative), dislocations, sprains.
Knee pain requires medical diagnosis and subsequent prescription of medications. During therapy, it is not enough to use ointment for the knee joint - treatment must be comprehensive, including physiotherapeutic procedures, massage, gymnastics, and the use of medications. Conservative therapy relieves pain in the early stages - advanced cases are treated with injections and surgery.
Ointments for the treatment of arthrosis of the knee joint may contain salicylic acid, anti-inflammatory components, capsaicin and natural substances: camphor, essential oils, turpentine, snake venoms. Liniments are classified according to the type of impact.
If your doctor determines that you have arthrosis, avoid warming ointments. Use non-hormonal medications to treat sore knee joints. They cool, relieve pain, and facilitate movement. The group of non-steroidal ointments includes:
When using any ointment, be careful not to get it into your eyes or mucous membranes. Pay attention to contraindications.
"Dimexide" is a liquid analgesic drug that relieves inflammation. It penetrates deep through the skin and is a conductor of medicines.
For arthrosis, use “Dimexide” in the form of an aqueous solution, mixed with boiled water in a 1:1 ratio. Lubricate the skin around the knee joint with non-steroidal ointment, and cover the top with gauze soaked in the solution, a thick layer of cotton wool and natural fabric. Leave the compress on your leg for an hour. Make applications daily for three weeks, taking precautions:
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Bursitis is a disease of the periarticular bursae, accompanied by the accumulation of fluid inside. Main symptoms: difficulty bending and straightening the knee, swelling, painful palpation.
Ointment for the treatment of bursitis of the knee joint is prescribed by a doctor depending on the form of manifestation of the disease. Types of ointments:
Do not apply warming or pepper ointments to the skin if there are cuts, wounds, or pustules - they can increase irritation.
To treat knee joints, do not neglect folk remedies in addition to medications.
To prepare egg ointment you will need:
Break the egg into a container, crumble the shell and add to the yolk and white. Stir and pour vinegar essence one centimeter above the egg. Cover the container with a tight-fitting lid and leave in the refrigerator for 5 days - during this time the essence will dissolve the shell. Pour vegetable oil into the mixture and heat the jar in the sun for another 4 days. Rub your knees with the resulting ointment and wrap them in a warm blanket. Stir the composition before each application.
Ingredients for preparing the ointment:
Buy clay at the pharmacy, place it in a jar and fill it with sunflower oil. Stir the mixture until smooth and let it sit for an hour. Mix again and apply to sore knees for 1.5 hours. Wash off any remaining ointment after the procedure and place your feet in a warm place for a couple of hours. The course of therapy is 21 days. Store liniment in a cool place.
Birch buds have long been used to reduce joint pain. Prepare a healing ointment using the ingredients:
Take a jar and place a two-centimeter thick layer of oil on the bottom. Place a layer of birch buds on top, then a new layer of oil - and so on until the top edge of the jar. Cover the neck of the jar with dough and place it in the oven. Reheat on low throughout the day. Then cool the mixture and separate the kidneys from the oil. You can throw away the cake, and thoroughly stir the camphor in the oil. Use the product at night and store it in a cool place.
Lard-based ointment can restore cartilage tissue and reduce swelling. Ingredients for preparation:
Mix lard with wax and add turpentine and fir oil to them. Place the mixture in a water bath for 30 minutes. Cool the mixture and use daily for one and a half months.
Treatment of arthritis, arthrosis, joint bursitis with medications or folk remedies requires the supervision of specialists - a rheumatologist, arthrologist or orthopedist. Do not self-treat pain syndrome - consult a doctor to identify and eliminate the cause of the disease.
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Arthritis of the knee joint, the treatment of which requires quite a long time, is one of the most common joint pathologies.
The reasons for this are the huge amount of mechanical loads placed on this joint and the variety of factors, the impact of which provokes inflammation in the joint cavity.
The treatment program for knee arthritis includes both specific measures designed to eliminate the immediate causes of the development of the inflammatory process, as well as general measures aimed at blocking inflammation, restoring the basic functions of articular tissues, and preventing relapses and complications of the disease.
In particular, standard treatment tactics for knee arthritis involve the use of the following techniques:
Now a few words about how to treat arthritis of the knee joint with medications. As a rule, the therapeutic program includes prescribing the following groups of drugs to the patient:
Treatment of knee arthritis should be carried out taking into account the etiology and mechanism of development of the disease.
The methods that determine how to treat arthritis of the knee joint depend on the degree of activity of the inflammatory process and the severity of the deformity.
For arthritis of the knee joint, treatment is carried out taking into account the form of the disease.
Thus, for rheumatoid arthritis of the knee joint, treatment includes taking anti-inflammatory drugs, immunomodulatory drugs, as well as surgical therapy and rehabilitation techniques.
The basic principles of treatment are complexity and an individual approach, taking into account the activity of the pathological process, its stage and the nature of the lesions.
For arthrosis and arthritis of the knee joint, treatment is carried out using fast-acting anti-inflammatory drugs that quickly inhibit synovitis (inflammation in the joint), basic drugs that exhibit a slow but long-lasting therapeutic effect.
For arthritis of the knee joint, treatment with injections directly into the joint gives lasting positive results. To improve the functioning of joints, physical therapy, massage and physiotherapeutic procedures are used.
In the presence of arthritis of the knee joint, basic therapy medications are combined with the prescription of NSAIDs. If this approach is ineffective, corticosteroids and immunosuppressants, such as azathioprine, are prescribed.
For arthritis of the knee joint, an ointment that contains propolis or substances with a warming effect significantly reduces pain, so it is necessarily included in complex treatment.
Exercise therapy for arthritis of the knee joint includes passive-active movements with elements of activity on the part of the patient. This mechanotherapy is combined with therapeutic exercises. Gymnastics for arthritis of the knee joint is used in the subacute or chronic period of the disease.
The presence of exudative inflammation in the joint, an increase in ESR and low-grade fever is not an obstacle to its use, but in this case a minimum dosage is required.
Don't forget your diet. Thus, a diet for arthritis of the knee joint can alleviate the course of the disease.
Consumption of fatty fish, nuts and vegetable oil, turmeric and ginger, and foods with a high content of ascorbic acid has a beneficial effect on joints.
Symptoms of synovitis of the knee joint here
Several types of medications can be used to treat knee arthritis. Every patient is different and people respond differently to the same medications. An orthopedic surgeon draws up a treatment plan for each patient individually.
Anti-inflammatory medications such as aspirin, paracetamol (acetominophen) or ibuprofen are available over the counter and can effectively relieve inflammation and pain. For the treatment of knee arthritis, painkillers are the first-line drugs. All drugs have side effects, and simple analgesics are no exception. In addition, over time, addiction to them may develop and their effect decreases. All treatment issues should be discussed with your attending physician. A more powerful type of pain reliever, nonsteroidal anti-inflammatory drugs (NSAIDs) ibuprofen (Motrin, Advil), is available only by prescription. They also have side effects, including changes in kidney and liver function and a decrease in the blood's ability to clot. These effects are usually reversible once the drug is stopped. COX-2 inhibitors (Celebrex) are a special type of NSAID prescribed for moderate to severe knee pain. If you are taking COX-2 inhibitors, you should not take traditional NSAIDs. Be sure to tell your doctor if you have had a heart attack, stroke, angina, blood clots or hypertension, or if you are sensitive to aspirin or other NSAIDs. COX-2 inhibitors may have side effects such as abdominal pain, nausea, and stomach upset. Antacids and fatty foods can impair the body's ability to absorb and use COX-2 inhibitors, so it's best not to take them together.
Glucosamine and chondroitin—These sulfate dietary supplements may help relieve arthritis pain. These important substances are found in the cartilage of our joints. In the form of dietary supplements, they are made either synthetically or from animal products. Glucosamine and/or chondroitin sulfate may be especially helpful in the early stages of knee arthritis if used as directed. Glucosamine and chondroitin sulfate are natural substances, but they can still cause side effects such as headaches, stomach upset, nausea, vomiting and skin reactions. These supplements also interact with other medications, so you should consult your doctor before taking them.
Corticosteroids are powerful anti-inflammatory agents and can be injected directly into the joint. They are used for moderate to severe pain. They can be very helpful if there is significant swelling, but are not very helpful if arthritis affects the mechanics of the knee joint. Corticosteroids or cortisone are natural substances (hormones produced by the adrenal glands in the body). They can relieve pain, reduce inflammation, and increase quadriceps strength. But their effect is not long-lasting, and you cannot do more than 4 injections into a joint per year. In medicine, there are still unresolved questions about corticosteroids, for example, pain and swelling may increase immediately after injections, and there is still the possibility of long-term joint damage or infection. With frequent repeated injections or over a long period of time, the knee joint may increase rather than decrease.
Hyaluronic acid is injected into the joint to improve the quality of joint fluid.
Injections of gold salts and other immunomodulatory drugs are given in the treatment of rheumatoid arthritis.
In addition to medications prescribed orally and intramuscularly, a great therapeutic effect for osteoarthritis is provided by the administration of various medications directly into the joint cavity (intra-articular injections). Thanks to this method of administration, the drugs directly enter the area of influence - the synovial fluid, through which the cartilage tissue is nourished.
Most often, corticosteroid anti-inflammatory hormones are used for injection into the joint: hydrocortisone, kenalog, celeston, diprospan, flosterone and others. These drugs are injected into the joint, since when taken in tablets, such drugs have a lot of side effects. But when injected directly into the joint, they very quickly and effectively reduce pain and inflammation in the joint, alleviating the patient’s condition.
An important point: corticosteroids, like NSAIDs, do not treat osteoarthritis, but only have an anti-inflammatory and analgesic effect. In order to truly treat this disease, it is necessary to use other drugs - the same chondroprotectors.
Also in recent years, a treatment method such as intra-articular injection of hyaluronic acid (sodium hyaluronate) has been used. This product acts on the joint as a “liquid prosthesis” or additional synovial fluid, which seems to create a protective layer in the joint that improves movement in the joint, helps reduce trauma to the joint during movement, moisturizes the cartilage tissue and improves its nutrition.
Sodium hyaluronate is available in the form of drugs such as fermatron, duralan, ostenil, synvisc. The therapeutic effect of administering these medications is usually very good, but, unfortunately, not everyone can afford such treatment.
Thus, one dose of Fermatron for intra-articular administration will cost 3500-4000 rubles, while the treatment course is 3-4 injections once a week into each diseased joint. Therefore, the high price is the only factor that hinders the development of this treatment method.
Diclofenac ointment (aka Voltaren Emulgel)
Diclofenac is one of the most effective first-generation anti-inflammatory drugs. The most famous medications containing this active substance are Voltaren, Ortofen, Diclonac-P and others. This medicine is produced not only in the form of tablets, suppositories and solutions for intravenous use, but also in the form of an ointment. One gram of 1% diclofenac ointment contains 10 mg of the active substance - diclofenac sodium.
This ointment should be used as follows. For pain in the joints, deforming osteoarthritis, arthritis, gout, a thin layer of ointment in the amount of 2-4 grams is applied to the area of the sore joint and gently rubbed into the sore area with soft, gentle movements, trying not to cause additional pain.
Please note: the course of treatment with this remedy should not exceed two weeks. If during this period it was not possible to improve the condition of the joints, you need to consult a doctor so that he can either adjust the dose of the medicine or prescribe something else.
You can repeat the use of the ointment up to 2-3 times during the day, but you must ensure that the daily dose of the ointment used does not exceed 8 grams. Do not forget that non-steroidal anti-inflammatory drugs have their contraindications, even when used externally.
Bystrumgel is a non-steroidal anti-inflammatory drug for external use, a derivative of propionic acid.
1 gram of Bystrumgel contains 25 mg of ketoprofen. This substance penetrates well into connective tissue and synovial fluid, exhibiting a therapeutic effect.
Bystrumgel has anti-inflammatory, analgesic and anti-exudative effects.
By inhibiting cyclooxygenase, it inhibits the synthesis of prostaglandins, reducing the symptoms of inflammation and pain. Exhibits anti-bradykinin activity, improving microcirculation and reducing tissue swelling. Reduces increased vascular permeability, which is noted during inflammatory processes. Stabilizes lysosomal membranes, delays the release of enzymes through them that destroy tissue during chronic inflammation. Reduces the release of cytokines, reduces the activity of neutrophils.
In the presence of articular syndrome, it reduces pain in the joints during movement and at rest, weakens morning swelling and stiffness of the joints, and allows for an increase in range of motion.
Bystrumgel has an effect in the development of the following pathological conditions:
How to use Bystrumgel correctly?
Bystrumgel is applied to the skin, distributed in a thin, even layer and rubbed with light massage movements into inflamed and painful areas of the body until the medicine is completely absorbed. The procedure is carried out two to three times a day. To increase the therapeutic effect, Bystrumgel can be applied under a dry occlusive dressing.
The gel is not recommended for use on damaged areas of the skin and open wounds. It is unacceptable for the gel to get into the eyes or mucous membranes.
A single dose of the gel depends on the area of the affected area. The average dose is a gel strip 3-5 cm long. In the case of a larger affected area, the length of the strip may be longer.
Bystrumgel can be used during physiotherapeutic procedures (phonophoresis).
Indomethacin is considered one of the most active non-steroids. It has a pronounced analgesic, anti-inflammatory effect, delays the production of active biological substances responsible for the appearance of swelling and pain at the site of inflammation.
They produce Indomethacin tablets, injection solution, and Indomethacin rectal suppositories.
Indications for use The use of Indomethacin is effective for rheumatoid arthritis, ankylosing spondylitis, periarthritis, osteoarthritis, gout, thrombophlebitis, inflammation of the musculoskeletal system, connective tissue. Also, as indicated in the instructions for Indomethacin, it is prescribed for edema with disorders of protein metabolism, pain in the spine, neuralgia, myalgia, traumatic inflammation of the musculoskeletal system, soft tissues, rheumatism, diffuse connective tissue diseases, and is included in the treatment of infections of the ENT organs , prostatitis.
100 g of cream contains 5 g of ibuprofen. Ibuprofen has analgesic and anti-inflammatory effects. Its mechanism of action is to suppress the synthesis of prostaglandins and other inflammatory mediators. After application to the skin, the active substance penetrates well into the subcutaneous tissue. Dolgit cream reduces local signs of inflammation, such as pain and swelling. Application to the skin in the joint area improves their function. The effect occurs within half an hour after application. Antirheumatic, anti-inflammatory agent for topical use
External local treatment of acute or chronic painful and inflammatory conditions of the musculoskeletal system, myalgia and myositis. It is used for painful conditions associated with arthrosis, local forms of arthritis, extra-articular rheumatism, bursitis and tendovaginitis. Vertebrogenic pain syndrome, lumbago, cervicobrachial syndrome. Traumatic injuries to joints (sprain, hemorrhage, dislocation) and muscles. Strained muscles as a result of sports or other physical activity, superficial inflammation of the veins.
Doltit cream also has contraindications: it cannot be applied to an open skin wound or superficial diseases of the skin, mucous membranes and eyes. The drug is also contraindicated in case of hypersensitivity to ibuprofen or other non-steroidal anti-inflammatory drugs. It should not be used, especially repeatedly and over a larger area, during pregnancy, mainly in the third trimester, and in children under 14 years of age.
Cream Collagen Ultra
In the complex treatment of arthritis of the joints, the dietary supplement Collagen Ultra (powder taken orally) provides an excellent effect. Cream and gel Collagen Ultra, thanks to the components they contain (collagen hydrolyzate, glucosamine), are well absorbed by the surface layers of the skin, penetrate deep into, relieve pain and stiffness of joints due to arthritis, improve blood flow to them and help normalize metabolism in them.
Collagen Ultra is also available in the form of medicinal powders containing glucosamine and vitamin C. Powders are good at restoring the functions of the musculoskeletal system. It is advisable to use the dietary supplement Collagen Ultra in combination: one powder per day orally and topical use in the form of a gel and cream. This combination increases the effectiveness of the drug's medicinal effects.
Nise is a synthetic drug used in the treatment of joint diseases and the reduction of pain of various etiologies.
The active ingredient of the drug Nise has an analgesic, anti-inflammatory and antipyretic effect. The drug is effective in processes associated with pain, inflammation and swelling. Nise inhibits platelet aggregation and reduces bronchospasm, which is caused by the action of histamine and acetaldehyde. The drug also has an antioxidant effect and slows down the formation of toxins.
Indications for the use of the gel are joint diseases such as deforming osteoarthritis, rheumatoid arthritis, bursitis, tendovaginitis and many others.
Ketonal is an anti-inflammatory drug with a pronounced analgesic effect. The main active ingredient of Ketonal is ketoprofen, a non-steroidal anti-inflammatory drug (NSAID).
Ketonal is available in the following dosage forms: in the form of tablets, capsules, suppositories, in the form of an injection solution, as well as in two over-the-counter forms for external use - in the form of 5% cream and 2.5% gel.
Indications for the use of Ketonal in the form of a gel or cream are many pathological processes for which systemic therapy (in the form of tablets or injections) can also be carried out. These include arthritis (inflammation of the joints), back pain, osteoarthritis, a large group of diseases accompanied by inflammatory lesions of muscles, ligaments, tendons, as well as various household and sports injuries to soft tissues.
Treatment of arthritis with folk remedies is a trustworthy, time-tested technique, which, as a rule, is prescribed by doctors themselves in combination with drug therapy.
There are a great many recipes for arthritis in the arsenal of traditional healers (for both external and internal use). However, when starting treatment, you need to be patient.
As a rule, a clear improvement in health is observed only after 2 - 3 weeks of regular use of herbal teas, and a lasting effect - after 6 - 8 months.
Before using any folk remedy, you should consult your doctor, as he may have contraindications.
Note: the same water can be used several times by heating it before use.
Note: Treatment of arthritis with herbs is a technique that is not limited to a certain amount of time, however, it should be borne in mind that during the treatment, herbs must be alternated every 3 to 4 weeks.
The main method of non-drug treatment of arthritis is physical therapy. At the same time, it is necessary to begin its implementation at a time when the disease is in full swing. True, in this case you should limit yourself only to occupying the correct position.
For arthritis of the knee joint, it is necessary to give the lower limb an extended position. This will prevent serious complications in the future. After the inflammation has subsided a little, you can begin to do more serious exercises. To reduce the load on the affected joint (with unilateral damage), you need to focus on the healthy leg. As the arthritis subsides, the intensity of exercise can be increased. In the chronic form of this disease, patients are prescribed physical therapy in the form of a complex consisting of swing movements and other very active exercises.
Among non-drug treatment methods, massage is very popular for arthritis of the knee joint. It is recommended to use it when the inflammatory process has already subsided.
Things to remember:
The exercises begin with 3 repetitions, gradually increasing their number to 10.
The knee joint is a fragile structure; to prevent the development of a more complex disease with arthritis, it is important to follow simple rules:
“Living joints” - back straight, feet shoulder-width apart. Then place your hands on your hips, and your legs should be slightly bent at the knees. You can imagine that you are in a jar of jam, and it is important to “wipe” it from the walls by twisting your buttocks and thighs. This exercise is repeated 5 times in each direction.
“Resting tree” - lying on your back, legs and arms extended along the body. You need to start the exercises with an arthritic leg, making 5 circular movements of the foot in each direction. After which you need to repeat the rotational movements left and right with both knees, 5 times, as if you were drawing circles on the ceiling.
I.p. lying down, the sore leg in a bent position, the foot pressed tightly to the knee of the other leg. Place your arms behind your back, as if stretching. Take 3-10 deep breaths, with your hands alternately pull your right and left knees to your stomach, then straighten your legs and slowly place them on the floor.
The effectiveness of using various physical methods in the treatment of arthritis has already been proven by time, in this case massage therapy is one of such methods.
Massage is an essential element of complex treatment and must be combined with positional treatment, physical therapy and mechanotherapy. The use of positional treatment and exercise therapy is used in all stages of the disease.
The effect of the massage is aimed at improving blood circulation in the affected joints, skin and muscles. Massage and physical exercise will help relieve stiffness, tension and muscle pain, and also restore normal range of motion in the joints. Massage helps eliminate toxins, which is important for arthritis patients. Toxins can accumulate and crystallize throughout the body in the tissues, blood, nervous system and joints, manifesting as symptoms of arthritis.
An important point in the treatment of arthritis is finding pain points, identifying the true limitation of movement, the degree of muscle tension and the ability to relax them.
Before prescribing a course of massage therapy, the nature of the process (acute, subacute, chronic), severity (activity) and the presence of functional joint insufficiency should be determined.
It is necessary to examine in detail the function of movement in each joint, identify the presence of contractures, ankylosis, and clarify the condition of the muscle (hypotrophy, increased tone, strength).
For rheumatoid arthritis, massage is prescribed during the interictal period, for rheumatoid arthritis in the subacute and chronic stages at all degrees of process activity.
During the acute period of the disease, movement in the affected joint is limited, swelling in the joint area is pronounced. Movement in the joints above and below is also limited. The muscles that fix the joints are sharply tense. During this period, it is very important to try to relax the muscles as much as possible; proper breathing can help with this. For people with arthritis, any stressful situations can aggravate an already unpleasant physical condition. Correct breathing instills calm, restores rhythm and natural balance in the body.
Massage should help reduce pain and stiffness. During the first 2 - 3 procedures, it is necessary to strive for maximum muscle relaxation, using the techniques of superficial stroking and rubbing without selective impact on the joints. Starting from the 3rd to 5th procedure, you can use a more intense muscle massage to develop strength in them and reduce hypotrophy.
The impact on the joints at the beginning of the massage is light, and the use of special techniques begins with the 2nd - 4th procedure. Work begins with less affected joints, where there is less pain. Gradually add local rubbing and kneading, covering all joints.
During each procedure, massage should begin with the less affected joints. If the pain syndrome is mild, you can begin influencing the joints from the very first procedures. Particular attention should be paid to the need to improve lymphatic drainage from the joint cavity.
For muscles affected by contracture, stroking and light rubbing are used, and for antagonist muscles, stroking, rubbing, kneading, and vibration are used. Due to the fact that contractures are not of paretic origin, in general the impact on the antagonist muscles should be energetic; vibration techniques are acceptable: patting and tapping.
Compress products have a slightly greater therapeutic effect compared to ointments.
Of the topical agents used in our time, in my opinion, three drugs deserve the greatest attention: dimexide, bischofite and medical bile.
Dimexide is a chemical substance, a liquid with colorless crystals, has a good anti-inflammatory effect; and analgesic effect. Moreover, unlike many other substances for external use, dimexide is actually able to penetrate skin barriers. That is, dimexide applied to the skin is actually absorbed by the body and works within it, reducing inflammation at the site of the disease. In addition, dimexide has a resolving property and improves metabolism in the area of application, which makes it most useful in the treatment of arthrosis that occurs with the presence of synovitis, primarily of the knee and ankle joints.
However, it must be taken into account that dimexide is contraindicated in patients with liver and kidney diseases, angina pectoris, glaucoma and cataracts. This drug is very allergic, so before starting treatment it is necessary to test for sensitivity to it. To do this, dimexide is applied to the patient’s skin with a cotton swab and waited for a certain time. If severe redness and itching appears, the patient should not use the medicine. If there is no reaction (a slight tingling feeling does not count), the drug can be used. But again, following certain rules.
So, if the test does not reveal that the patient is allergic to dimexide, we proceed to the procedure itself. Take a tablespoon of boiled water and a tablespoon of dimexide and mix them in a cup. After this, you will need gauze (I emphasize, not a rag, but gauze), preferably purchased at a pharmacy and sterile, for example, sterile napkins. We moisten the gauze with the prepared solution and place it on the affected joint, cover the top with polyethylene, and put a layer of cotton wool or cotton cloth on top of it. Keep this compress for 20 minutes to one hour (no longer!). The procedure is done only once a day, and the course of treatment consists of 15-20 similar applications, that is, it takes on average 2-3 weeks.
I would like to draw your attention to the most common common mistakes when using dimexide. Some patients, apparently wanting to save time, mix dimexide with water in advance, pouring the entire bottle of medicine into a jar and adding water. This cannot be done, because the drug immediately enters into a chemical interaction with water and begins to work empty, and when the next day the patient tries to use the solution, it no longer has any therapeutic activity.
Another common mistake made by some patients is to use any fabric at hand instead of gauze. For example, one of my patients decided to use a colorful cloth as a compress, which caused a terrible allergic reaction. The fact is that dimexide not only penetrates the skin itself, but also takes with it individual biologically active substances deep into the body. In this case, he apparently “took” with him dye from a rag, which was the cause of the allergy.
The third common mistake is the desire to prolong the duration of the compress. “Initiative” patients leave the application on the knee overnight, forgetting the principle “the best is the enemy of the good.” As a result, instead of treatment, a person receives a classic chemical burn. Therefore, I ask again: do not engage in amateur activities, follow the rules for using the drug to the smallest detail.
Below are a number of other compresses for arthritis:
The knee joint is a “technical miracle”. More complex than a simple hinge, the joint has one of the widest ranges of motion of any joint. It not only bends, but also slides and turns smoothly. In addition, the joint absorbs load forces exceeding seven times the body weight.
Several surgical options are available to relieve knee pain and restore mobility. Arthroscopic debridement is often used to repair cartilage tears or remove loose tissue fragments.
Synovectomy relieves pain and swelling in patients with rheumatoid arthritis who do not have significant cartilage destruction. Because the knee joint is relatively large, surgeons usually use an arthroscope to perform this operation. Using this device, the surgeon examines the joint cavity and removes diseased tissue using other instruments. An arthroscopic synovectomy requires a small incision, so the recovery process is much faster.
To slow down the destruction of cartilage in the knee joints and eliminate pain, in some cases surgeons recommend osteotomy. By adjusting and repositioning the bones, surgeons evenly distribute the load on the knee joint and correct the deformation of the bones of the lower extremities caused by osteoarthritis. Surgeons usually recommend this operation to young, active people.
Arthrodesis is the treatment of choice for patients who cannot undergo arthroplasty. Even though the fusion limits the movement of the knee joint, the method allows you to put weight on the leg without pain.
After total knee arthroplasty, approximately 230,000 Americans return to walking each year. The operation was as successful as a hip replacement. Pain relief is achieved by replacing the affected bone or tissue with artificial parts of the knee joint.
Most patients undergoing knee replacement are 60 years of age or older. Surgeons in some cases replace joints in patients under 60 years of age. However, the active lifestyle of young people can lead to a lot of wear and stress on the prosthesis, which will require replacement in the future.
The knee prosthesis is made of a metal alloy and high-strength plastic and usually consists of several parts that are not directly connected to each other. One of the larger metal parts of the prosthesis is attached to the end of the femur, i.e., in the area where the affected bone is removed.
The other main component, also made of a metal alloy, resembles a “tray” on a support. The surgeon attaches the support to the diaphysis of the tibia. The base of the support has a surface made of high-strength plastic. It provides a "seat" for the metal part attached to the femur. The plastic in the prosthesis performs the functions of cartilage. Joint replacement involves using another part of the joint, a rounded plastic piece that is attached to the kneecap to replace cartilage or diseased bone.
When preparing a knee joint for prosthetic replacement, the surgeon removes the affected bone and “reshapes” the ligaments to secure the joint after the prosthesis is installed. The bones of the lower limb damaged by arthritis are then prepared.
Surgeons secure the prosthesis with bone cement (methyl methacrylate) or use prostheses that do not require cement. Mayo Clinic surgeons believe that cemented prostheses are less likely to loosen in the early stages and are less likely to develop other problems. New methods of joint production and cement application are also improving results.
There are only 10 biologically active substances (BAS), of which 4 are the most important and necessary for the prevention and treatment of joint diseases. These substances should be present in our daily diet. They are complemented by 6 more, which are also involved in the processes of maintaining the health of our joints. So, meet:
4 most important substances for joints
EnjoyNT vitamin complex for joints contains these 4 components, which prevent the destruction of connective tissue and promote the regeneration of cartilage tissue and joint fluid. Restores the complete integrity of connective tissue. Restores and maintains flexibility and mobility of joints.
Below are the vitamins that are important for joint health:
Of course, any pain signals must be heard by us. A comprehensive diagnosis is carried out and the exact cause of the pathologies is determined. However, regardless of the diagnosis, rheumatism or arthrosis of the joints, treatment and prevention must be carried out using the complex of vitamins and minerals described above. The body will respond favorably to such care - not only will it independently relieve pain and eliminate its source, but it will also prevent future troubles.