Tablets for joint arthrosis are varied, since this disease has different genesis and manifestations.
Arthrosis is a degenerative-dystrophic (usually chronic) pathology of the joints. The results of this disease are:
This is one of the most common diseases of our time. It is especially typical for older people, although sometimes joint diseases develop at a relatively young age - at 35-40 years.
Among the variety of joint lesions, the following stand out:
This disease can occur in one joint, then it is called “monoarthrosis”. In the case of multiple lesions, this pathological process is called polyarthrosis.
This disease manifests itself in acute and chronic stages. During an exacerbation of the disease, severe pain appears; in a chronic process, pain in the joints becomes constant, mild and aching.
The main reason for the development of pathological processes in the joints is metabolic disorders. It is for this reason that cartilage loses its elasticity.
The mechanism of destruction is the loss of proteoglycans by cartilage. These are specific protein compounds that constantly maintain cartilage in a healthy state. It is proteoglycan that forms the main substance of the very connective tissue that is involved in the construction of interstitial layers, performing the function of a lubricant of joints.
These substances perform the function of binding extracellular water and cations. They also fix calcium ions in foci of ossification.
Since the role of proteoglycans in maintaining joint health is extremely important, drug treatment of arthrosis is often based on restoring their presence in the joints.
All causes can be divided into two parts - metabolic disorders themselves and factors stimulating the development of pathological processes.
The destruction of articular cartilage can lead to:
There are three ways to treat this disease:
Arthrosis sometimes has to be treated throughout your life if the acute stage of the disease becomes chronic. Especially long-term treatment will be required for those who have developed polyarthrosis as a result of complications after infectious diseases, have a hereditary predisposition or hormonal imbalance.
This does not mean that arthrosis is incurable. You just need to take the treatment of this disease seriously. It is necessary to influence not only the joints themselves, but also the causes of their disease should be eliminated.
In the treatment of arthrosis of any nature, there is a strict rule: if a drug does not have a positive effect on the course of the disease for several months, it must be discontinued and replaced with another drug with different characteristics.
Medicines for arthrosis are usually aimed at relieving pain and eliminating inflammation. If the patient’s disease is just beginning to develop, being in the acute stage, drugs for arthrosis must be prescribed intravenously or intramuscularly. Anti-inflammatory non-steroidal drugs are usually used.
Local preparations (ointments, gels, rubbing, etc.) will give the desired effect only at subsequent stages of treatment, when the most powerful and effective medications for arthrosis of the joints will be used.
Taking anti-inflammatory non-steroidal drugs is often started with small doses, determined on an individual basis. Usually, the first drugs for the treatment of arthrosis are prescribed together with a drug that seems to have nothing to do with the joints. We are talking about tablets or capsules called Omeprazole. This remedy is aimed at supporting the gastrointestinal tract during the period of taking a large number of medications.
Before taking anti-inflammatory nonsteroidal drugs, they must be tested for side effects and tolerability.
After the patient has begun to treat his arthrosis, the medicine should relieve the main symptoms. When the pain and signs of acute inflammation go away, it is necessary to prescribe chondroprotectors. Despite the fact that they do not fight inflammation, these are the most effective medications for arthrosis. Their function is to help the body restore damaged cartilage tissue. An example of a popular chondroprotector is Glucosamine.
These drugs need to be used for a long time. Moreover, over the age of 50, it is advisable to use them as prophylactic agents. The fact is, over time, the body itself no longer produces the substances from which cartilage tissue is built. So you have to replenish them with various medications and dietary supplements.
Many doctors prescribe vasodilators to their patients. This is necessary in order to increase blood flow in the body. This usually has a positive effect on the condition of the joints. Vasodilator drugs are especially effective during the period when hip arthrosis is being treated. The fact is that its transformation disrupts the blood supply to other organs. Vasodilation is also necessary so that blood can more easily penetrate into the joints themselves.
Medicines in this group, known by the abbreviation NSAIDs, are considered the main means of treating osteoarthritis and arthritis. They are aimed at eliminating inflammation or at least reducing the intensity of its development. Unlike drugs whose therapeutic effect is based on hormones, these drugs have fewer side effects and, of course, contraindications.
In modern medicine, all drugs of this type are usually divided into two categories: cyclooxygenase inhibitors COX-1 and COX-2, which means they are divided into the first and second types of drugs. This division is based on the composition and specific effects of the main components of the drugs.
Which drugs in this group are used for arthritis?
This veteran of the pharmaceutical industry relieves pain and provides first aid to joints. However, with serious lesions, it is, of course, impossible to cure with Aspirin alone.
When taking acetylsalicylic acid, you must remember that tablets of this drug have a bad effect on the digestive system, especially on the gastric mucosa. In addition, they reduce blood clotting.
Diclofenac can simultaneously be used as a pain and inflammation reliever.
Depending on the manufacturer, diclofenac is also produced under other names: “Clodifen”, “Voltaren”, “Dicloberl”, “Ortofen”, “Olfen”, “Diklak”, “Vurdon”, etc.
This drug is produced under the brand name “Ibuprofen” in Russia. Manufacturers abroad assigned it other trade names: “Bolinet”, “Ibuprom”, “Burana”, “Brufen”, “Ibalgin”, “Nurofen”, “MIG-400”, “Faspik”, etc.
Like every drug with a strong therapeutic effect, Indomethacin has many contraindications and side effects.
“Indomethacin” is popular not only among consumers, but also among manufacturers, therefore it has many trade names: “Indovazin”, “Metindol”, “Indovis EC”, etc.
This group of drugs is classified as a new generation of updated drugs. Since manufacturers took into account the shortcomings in the group of COX-1 drugs, the new generation of drugs has a pronounced selective effect. This reduces the risk of unwanted side effects in the gastrointestinal tract. At the same time, the overall tolerability of these drugs was increased in this group.
In addition, drugs in the COX-1 category have a bad reputation for their destructive effects on the cartilage tissue of the joints. Later generations of drugs from the COX-2 group have lost such properties, which increases their value in the fight against arthrosis of any localization.
Among them, the most popular representatives are the following drugs.
Manufacturers produce Meloxicam in the form of tablets, suppositories, ointments, and injection solutions. The tablets of this drug are especially powerful because they have a prolonged effect, so you can take 1 piece of them once a day.
Medicines containing the active substance movalis are produced under the following brands: “Mataren”, “Artrosan”, “Melbek-forte”, “Movasin”, “Melbek”, “Mesipol”, “Lem”, “Mirlox”, “Meloflam”.
Nimesulide is produced in the form of tablets, gels and granules for the production of solutions. Such a wide range allows the drug to be used at different stages of the disease.
There are no absolutely safe drugs. At a minimum, any tablets affect the gastrointestinal tract, even those that treat it. And most of the new NSAID tablets also have a negative effect on the cardiovascular system.
All NSAIDs in the treatment of arthrosis are contraindicated in pregnant and lactating women. Special precautions should be taken by people suffering from pathologies:
What to do if, for example, your leg hurts and your stomach is affected by gastritis? If you cannot get by with external means, then in this case you need to drink crushed tablets, diluting them in a small amount of water. They do not dissolve in water, but small particles are absorbed faster and cause less harm to the gastrointestinal mucosa.
The worst thing to do, for example, is to treat coxarthrosis with a diseased liver or damaged kidneys. The fact is that NSAIDs have a strong effect on blood flow in the kidneys. In this case, water and sodium are retained in the body. If this factor is not taken into account, then stable hypertension and increased pathological processes in the kidneys and liver can be caused.
Especially big problems often arise when treating a person with drugs for arthrosis of the hip joint. Due to its anatomical features, this lesion is difficult to treat with external means. The solution may be to use short-term courses and formulate an individual dosage.
If a person has problems with the functioning of other organs, then drugs for coxarthrosis (especially at the early stage of the disease and during an exacerbation) are best selected in the form of injection solutions. They act faster, are easier to remove and do not affect the gastrointestinal tract.
If you need to treat arthrosis of the foot, then sometimes it makes sense to replace NSAIDs with topical agents, since there is little muscle and fat tissue in the foot, which makes it easier for drugs to penetrate during physical therapy or compresses.
Typically, the treatment of joint problems does not have a clear division into the stage of taking NSAID drugs and other therapeutic agents. The combination of taking anti-inflammatory drugs and chondroprotectors with external agents gives quick results and reduces the load on the gastrointestinal tract, liver and kidneys.
During the remission stage, both NSAIDs and chondroprotectors are often discontinued, replacing them with therapeutic procedures in the form of compresses and rubbing. However, as mentioned above, patients of retirement age should take chondroprotectors periodically as a preventive measure.
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How to cure arthrosis of the knee joint? In order for the treatment to proceed normally, it is necessary to eliminate pain and relieve inflammation. In this case, NSAIDs are traditionally used. These non-hormonal drugs have a good anti-inflammatory effect and perfectly eliminate pain.
Recommendation: If the pathological process occurs against the background of synovitis, ointments containing NSAIDs are prescribed.
Natural medical bile, which can be purchased at a pharmacy, helps eliminate the inflammatory process very well.
It should be noted that intra-articular injections do significantly alleviate the patient’s condition, but they do not have a therapeutic effect, but only cause temporary relief.
Warning! Corticosteroids are in no way recommended for use for prophylactic purposes, since their action is based only on eliminating the body's inflammatory response to damage to the joint cavity. They cannot be used as an independent method of treatment, since they do not prevent the further development of arthrosis.
The most effective method, according to experts, is a combination of massage, intra-articular injections of Ostenil and the use of chondroprotectors.
Recommendation: the cane should be selected according to height. The most optimal length is the distance from the wrist of the hand, lowered along the body, to the floor. The end of the cane should be equipped with a rubber end to prevent it from slipping and shock-absorbing.
Before you begin your difficult struggle, be sure to find a good doctor, get examined by him and create a treatment plan with him. Never try to diagnose yourself!
The fact is that joint lesions resembling arthrosis occur in many other diseases, and uninformed people very often make mistakes in identifying the disease. It is better not to save time and money on a medical consultation, because a mistake can cost you much more in all respects.
But this does not mean that you are obliged to blindly trust any doctor and should not delve into the essence of his recommendations, comprehending the mechanism of action of the medications that are prescribed to you. The patient must understand the meaning of medical prescriptions and imagine why certain medical procedures are carried out.
Thus, during the therapeutic treatment of gonarthrosis, it is important to combine a number of therapeutic measures in such a way as to solve several problems at once:
Below we will look at how this or that method of treating knee arthrosis helps achieve your goals:
1. Nonsteroidal anti-inflammatory drugs (NSAIDs): diclofenac, piroxicam, ketoprofen, indomethacin, butadione, meloxicam, Celebrex, nimulide and their derivatives.
For arthrosis, non-steroidal, that is, non-hormonal, anti-inflammatory drugs are traditionally used to eliminate pain and inflammation of the joint, since against the background of severe pain it is impossible to begin normal treatment. Only by eliminating acute pain with anti-inflammatory drugs can you subsequently move on, for example, to massage, gymnastics and those physiotherapeutic procedures that would be intolerable due to pain.
However, it is undesirable to use drugs from this group for a long time, as they can “mask” the manifestations of the disease. After all, when the pain decreases, a deceptive impression is created that healing has begun. Arthrosis, meanwhile, continues to progress: NSAIDs only eliminate individual symptoms of the disease, but do not cure it.
Moreover, in recent years, data have been obtained indicating the harmful effects of long-term use of non-steroidal anti-inflammatory drugs on the synthesis of proteoglycans. Proteoglycan molecules are responsible for the entry of water into cartilage, and disruption of their function leads to dehydration of cartilage tissue. As a result, cartilage already affected by arthrosis begins to deteriorate even faster. Thus, pills that a patient takes to relieve joint pain may accelerate the destruction of that joint.
In addition, when using non-steroidal anti-inflammatory drugs, it is necessary to remember that they all have serious contraindications and, with long-term use, can give significant side effects (which are described in detail in the book “Pain in the Legs”).
Therefore, if long-term use of anti-inflammatory substances is necessary in the treatment of arthrosis, it is better to use selective anti-inflammatory drugs (the drug Movalis). Selective agents are much less likely to produce unpleasant side effects, cause almost no complications and do not have a negative effect on the structure of articular cartilage. They can be taken for a long time, even in courses from several weeks to several years (of course, only under the supervision of a doctor).
2. Chondroprotectors - glucosamine and chondroitin sulfate. Glucosamine and chondroitin sulfate belong to the group of chondroprotectors - substances that nourish cartilage tissue and restore the structure of damaged joint cartilage.
Chondroprotectors (glucosamine and chondroitin sulfate) are the most useful group of drugs for the treatment of arthrosis.
Unlike non-steroidal anti-inflammatory drugs (NSAIDs), chondroprotectors do not so much eliminate the symptoms of arthrosis as act on the “base” of the disease: the use of glucosamine and chondroitin sulfate helps restore the cartilaginous surfaces of the hip joint, improve the production of joint fluid and normalize its “lubricating” properties.
Such a complex effect of chondroprotectors on the joint makes them indispensable in the treatment of the initial stage of arthrosis. However, there is no need to exaggerate the capabilities of these drugs.
Chondroprotectors are not very effective in the third stage of arthrosis, when the cartilage is almost completely destroyed. After all, it is impossible to grow new cartilage tissue or return the deformed bones of the knee to their previous shape with the help of glucosamine and chondroitin sulfate. And even in the first and second stages of gonarthrosis, chondroprotectors act very slowly and do not immediately improve the patient’s condition. To get a real result, you need to undergo at least 2-3 courses of treatment with these drugs, which usually takes from six months to a year and a half, although advertising for glucosamine and chondroitin sulfate usually promises recovery in a shorter time.
I would like to note with regret that there is some deceit in these promises. Despite all the usefulness of chondroprotectors, one cannot expect miraculous medicinal cure for arthrosis. Recovery usually requires much more effort than taking two or three dozen pills.
It is probably the fact that the capabilities of chondroprotectors are often overestimated in advertising that was the reason for attacks on these drugs in one of the “popular” television shows. The TV presenter of the “Health” program, at someone’s suggestion, said that chondroprotectors are useless for the treatment of arthrosis.
Thus, she cast a huge shadow on these very useful drugs, calling into question the work of a number of serious medical institutes and clinics that tested these drugs and proved that chondroprotectors definitely contribute to the restoration of articular cartilage and inhibit the development of arthrosis.
After all, only after the clinical testing of chondroprotectors, the Russian Ministry of Health allowed their sale in pharmacies as medicines (we are, of course, not talking about those medicines that have not been registered as medicines and are sold as dietary supplements). Another thing is that, as I already said, chondroprotectors are not “omnipotent”. Treatment with these medications requires proper and long-term use in combination with other treatment methods.
However, of all the drugs used in the treatment of arthrosis, it is chondroprotectors that bring the greatest benefit. In addition, they have virtually no contraindications and extremely rarely give unpleasant side effects.
It is important to know! To achieve the maximum therapeutic effect, chondroprotectors must be used in courses, regularly, for a long time. It is practically pointless to take glucosamine and chondroitin sulfate once or occasionally.
In addition, in order to get the maximum effect from the use of chondroprotectors, it is necessary to ensure that the body receives adequate, that is, sufficient doses of drugs daily throughout the course of treatment. A sufficient dose of glucosamine is 1000-1500 mg (milligrams), and chondroitin sulfate is 1000 mg per day.
Osteoarthritis of the knee joint (gonarthrosis) is a complex disease that is not always treatable. Therefore, in this article we have prepared for you a list of medications that are most effective in treating this disease.
All medications for the treatment of osteoarthritis of the knee can be divided into several large groups according to their mechanism of action.
Group 1: anti-inflammatory drugs
Airtal is one of the new drugs for gonarthrosis
It is with non-steroidal anti-inflammatory drugs (NSAIDs) that the treatment of knee osteoarthritis usually begins. This group of drugs includes medications such as aspirin (acetylsalicylic acid), phenylbutazone, etodolac, indomethacin, sulindac, ibuprofen, piroxicam, aceclofenac, tenoxicam, diclofenac, lornoxicam, naproxen, rofecoxib, ketoprofen, meloxicam, nabumetone, tiaprofenic acid, nimesulide, flurbiprofen, celecoxib and others.
Warning: all information about therapeutic agents for arthrosis of the knee joint is published solely for informational purposes for personal reference. Do not try to use them yourself without consulting a doctor: self-medication can cause irreparable harm to your health!
NSAIDs vary in both their potency and the likelihood of side effects.
These products do not contain anti-inflammatory hormones, but nevertheless, in most cases they can cope well with joint pain and reduce inflammation in them. Thus, ketoprofen, diclofenac, and indomethacin usually have the greatest analgesic effect, while aspirin, ibuprofen, and amidopyrine relieve pain much worse. But since many people may have individual reactions to various medications, the effectiveness of these medications may differ significantly from generally accepted norms - both in one direction and in the other.
It is generally accepted that drugs such as indomethacin, diclofenac, flurbiprofen have the greatest anti-inflammatory effect, while ibuprofen, aspirin and naproxen, on the contrary, are less able to reduce inflammation.
Unfortunately, despite the fact that non-steroidal anti-inflammatory drugs usually help effectively relieve pain from osteoarthritis and other diseases, they are not very safe for health and have quite strong side effects. That is why doctors usually prescribe them in short courses and, if possible, in small doses.
What are the dangers of taking NSAIDs?
a) problems with the gastrointestinal tract, primarily the effect on the gastric mucosa
NSAIDs cause stomach side effects
Taking NSAIDs dramatically increases the likelihood of developing erosions and even ulcers of the gastric mucosa. This is especially true for people who have previously (or currently) had diseases such as gastritis and peptic ulcers of the stomach and duodenum, as well as elderly patients.
However, recently a new generation of NSAIDs have been synthesized, in which the negative effect on the gastrointestinal tract is significantly reduced.
This group of drugs is called selective COX-2 inhibitors and includes drugs such as nimesulide and celecoxib.
b) kidney side effects
NSAIDs reduce the rate of renal blood flow and also promote water and sodium retention in the body, which may contribute to increased blood pressure and the development of acute heart failure and renal failure.
c) problems with the heart and blood vessels
Non-steroidal anti-inflammatory drugs, among other things, also affect the blood coagulation system. If taken incorrectly, patients may develop vascular thrombosis and even stroke or myocardial infarction. Medicines that are characterized by such an effect include primarily those same COX-2 inhibitors that reduce the risk of developing gastric complications.
Things to remember when taking NSAIDs
As you can see, non-steroidal drugs are not at all as harmless as is commonly believed. That is why you should not prescribe such treatment for yourself, but rather consult a doctor who will select the drug and its dose that is suitable for you.
Anti-inflammatory drugs for joints
If there is a need to take painkillers for arthrosis of the knee joint for a long time, it is better to use drugs from other groups, which, when taken for a long time, do not give such harmful side effects and have a greater selective effect, without having a negative effect on the gastric, renal or cardiovascular system. systems.
For these purposes, drugs like movalis are more suitable, which can be taken in long courses - from several weeks to several months or more - but, of course, also only under the supervision of a doctor.
In addition, taking NSAIDs risks the fact that it “shades out” the symptoms of arthrosis: as you know, pain is a signal from the body that something is wrong in it. If the pain is completely relieved by taking these medications, then there is a high probability that a person with such a disease will give up on the disease, relax and do nothing to recover except take pain medications.
This approach is very dangerous because, despite the absence of pain, the disease continues to progress, the cartilage tissue continues to be destroyed, and the person may think that his health is fine and there is nothing to worry about.
In fact, the correct approach to taking NSAIDs should be as follows: it is necessary to take these medications as prescribed by the doctor, but not in order to forget about the disease, but in order to create the opportunity to undergo complex treatment without pain in the joints: take other medications that necessary for the treatment of osteoarthritis, undergo the necessary physiotherapeutic procedures, massage courses and other therapeutic measures that would be impossible to carry out in the presence of pain.
2nd group of drugs: chondroprotectors
chondroprotectors are the most important medications for joint arthrosis
Chondroprotectors (CP) are medications that help protect cartilage tissue and enhance its formation (synthesis) in joints.
Unlike anti-inflammatory drugs, CPs not only remove the symptoms of arthrosis of the knee joint, but also affect the very cause of osteoarthritis - they help improve the nutrition of cartilage tissue and its restoration. In this sense, chondroprotectors are one of the most important drugs for the treatment of this disease.
This group of products includes active ingredients such as chondroitin sulfate and glucosamine. They can be included in various combinations in various medications - such as Dona, Terafrex, Artra, Structum, Chondroxide, Elbona, Chondroitin Akos, Chondrolone, Zinaxin, Artrin and others.
Below are popular drugs for the treatment of arthrosis of the knee joint:
Artra is a combination drug containing equal parts of glucosamine and chondroitin sulfate (500 mg of each in one capsule). The drug is produced by the American company Unipharm; the cost of one package, depending on the number of capsules, costs from 500 to 1,700 rubles. Artra is considered one of the best chondroprotectors at the moment.
This medicine is also a combination medicine: one capsule contains 500 mg of glucosamine and 400 mg of chondroitin sulfate, and is produced by the German company Bayer. Take Teraflex, depending on the stage of the disease, 2-3 capsules per day. It costs, depending on the number of tablets, from 600 rubles (for a package of 30 capsules) to 1500 (120 capsules) and more.
Dona contains only glucosamine. Dona is produced in the form of sachets (sachets of powders for oral administration), capsules, and also ampoules for intramuscular administration. For the most effective treatment, manufacturers recommend combining oral administration with intramuscular injections.
This medicine is produced by the company Rottapharm and its price ranges from 1000 to 1300 rubles - both for capsules and sachets, and for ampoules.
This is a mono-drug of chondroitin sulfate, which is produced by the Russian pharmaceutical company Microgen. It is produced in the form of a dry substance in ampoules for dilution and subsequent intramuscular administration.
One ampoule, which must be diluted in 1 ml of water, contains 100 mg of the active substance. Chondrolone is administered 1 or 2 (if well tolerated) ampoules every other day for a course of 25-30 injections. Its price at the beginning of 2013 ranges from 1000 to 1200 rubles per pack of 10 ampoules.
Structum is also a mono-drug that contains chondroitin sulfate in amounts of 250 and 500 mg. Produced by Pierre Fabre Medicine Productions (France).
It is prescribed at a dose of 1000 mg per day, i.e. you need to take 2 capsules a day of 500 mg or four - about 250 mg. A package of 60 capsules of this chondroprotector will cost you 1200-1300 rubles.
Elbona is a Russian product that contains only glucosamine sulfate. This medicine is available in 2 ml ampoules (plus 1 ml ampoules with solvent) for intramuscular administration; one ampoule contains 400 mg of active ingredient.
As the name suggests, this HP is also a mono-drug containing chondroitin sulfate in the amount of 250 mg of active substance in one capsule. This medicine, like the previous one, is produced in Russia.
This medication contains only one active ingredient - chondroitin sulfate, but is available not only in the form of capsules (250 mg each) but also in the form of a 5% ointment. It is produced by the Russian pharmaceutical company Nizhpharm.
For a therapeutic effect, the dose of this medicine, like other representatives of this group, should be 1000 mg of the active substance per day, i.e. 4 capsules per day.
A package of 60 capsules will cost 400-500 rubles. The ointment in a 30 gram tube will cost from 250 to 300 rubles (according to data from Moscow online pharmacies).
Compresses for arthrosis of the knee joint are a miraculous remedy, the effectiveness of which has been proven by hundreds of people. We will look at the most popular recipes using available ingredients:
Various methods are used in the treatment of arthrosis and arthritis. First of all, the load on the joints is limited. For arthritis, anti-inflammatory drugs (including hormonal) are used - ointments, injections. Physical therapy, orthopedic regimen, therapeutic diet, and physiotherapy are used.
One of the most effective methods for treating arthrosis and arthritis is the homeosiniatric method. It is absolutely harmless, and it eliminates the cause of the disease, and not only “smoothes out” the symptoms.
The essence of the method is the introduction of complex homeopathic remedies to acupuncture points on the body (observing a certain sequence, required dosages and combinations). The injections are virtually painless. Compared to classical methods of treatment, homeosinia does not require subsequent rehabilitation procedures, but at the same time it acts 10 times faster than conventional homeopathy.
This method was invented about a hundred years ago, but is still not very well known in Russia. However, today in Moscow you can go to clinics that use homeosiniatry in their work.
For arthrosis, doctors prescribe an injection into the knee joint of corticosteroid drugs, hormones: Kenalog, hydrocortisone, diprospan, celeston or flosterone. An injection into the knee joint can indeed relieve pain in the joint, but it is not always necessary, and drug treatment can be used. An injection into the knee joint is very difficult, so it is better to contact a nurse.
Preparations for intra-articular injections
For treatment, intra-articular injections are administered: corticosteroid hormones Celeston, Kenalog, Flosteron, Diprospan, Hydrocortisone. Corticosteroids are valued for their ability to quickly and effectively relieve pain in the knee, shoulder, and other joints. But the downside is that these substances are not able to cure arthrosis. They no longer have any effect on the joint: they do not improve the condition of cartilage tissue, they do not restore blood circulation (especially to the knee). In this regard, it is necessary to use such an intra-articular injection in combination with vitamins B1 and B6.
Hyaluronic acid - an innovation in the doctor's arsenal - is a lubricating fluid that helps the sliding of almost destroyed cartilage and is a 100% substitute for the synovial fluid of the knee joints. Intra-articular injections are often given for lesions of the knee and shoulder joints as the most vulnerable. It should be noted that treatment with this drug is effective, but expensive. For injections, 3 to 5 injections containing acid are enough.
These are medicinal intra-articular drugs that heal joints. They are more often used when the joint is malnourished (often with a deficiency of vitamins B1 and B6) or when the shoulder joint or knee is injured.
It is advisable to begin treatment and use intra-articular injections for arthrosis of the knee, hip and shoulder joints only after the inflammation has subsided.
An intra-articular injection with chondroprotectors has an effect faster than taking medications orally. Having already received the first injection, the result will not be long in coming. Your knee or shoulder will hurt less.
All the described drugs for intra-articular injections do not pass without a trace - after their treatment it is necessary to restore the balance of some vitamins (B1, B6, B12, A, C, etc.) using the Neurobex complexes (B1, B6, B12), Triovit (A, C, E) or direct administration of these vitamins subcutaneously or intravenously.
Often used for arthrosis of the shoulder and knee joints. This is a special treatment during which an injection of novocaine is injected into the inflamed area of the shoulder joint affected by arthrosis, as well as adjacent tendons and muscles, with a certain frequency and frequency, as intramuscularly. The use of the so-called novocaine blockade in medicine allows you to remove pain contracture. The procedure is repeated 1 - 3 times a month. It is also combined with mandatory vitamin therapy (B vitamins, especially B1 and B6).
All these injections are good, but you should not self-medicate. Therefore, it is important, if pain syndromes of arthrosis of the knee, hip and shoulder joints appear, to consult a doctor and receive qualified assistance in making a diagnosis and prescribing correct and effective treatment.
Medicines for intramuscular injections
Analgesics. Such as Analgin and Baralgin itself. They dull the pain of the knee joint, shoulder joint, and do not treat arthrosis.
Antispasmodics. When administered by injection subcutaneously, one antispasmodic, Mydocalm, works well for arthrosis of the joints. Quickly relieves spasms from the skeletal muscles, while reducing joint pain.
Non-steroidal anti-inflammatory drugs. The most popular are Ibuprofen, Diclofenac, Ketonal, etc. These medications can not only relieve pain, but also relieve swelling and stop the inflammatory process of the hip, knee, shoulder and other joints. With a course of treatment, you can forget about pain forever. But you need to use these drugs carefully: the fact is that anti-inflammatory drugs very irritate the gastric mucosa and contribute to the formation of ulcers in it. Therefore, these medications are usually prescribed in short courses and strictly under the supervision of a doctor. After a course of such drugs, it is worth taking a course of support with vitamins B1 and B6.
Steroid drugs. Ambene comes first in terms of effectiveness. This is a complex preparation consisting of six special syringes: three with solution A (lidocaine hydrochloride and dexamethasone) and three with solution B (vitamin B1, B6, cyanocobalamin, lidocaine). These drugs have a pronounced analgesic and anti-inflammatory effect, regenerating the processes of the knee joint. The lidocaine content makes injections completely painless. Solutions A and B are mixed, injected deeply into the gluteal muscle, and before administration, warm the solution to body temperature.
In modern medical practice, it is possible to treat arthrosis using an effective technique, the essence of which is to administer drugs not subcutaneously, but directly into the joint. The preparations are made on the basis of hyaluronic acid, corticosteroid hormones, vitamins for the restoration of cartilage tissue B1 and B6, as well as other components.
Intra-articular injections are prescribed in cases where the usual painkillers described above are no longer effective. The most popular and common drugs for this type of injection are the drugs given below.
A laser is an artificially concentrated light flux consisting of waves absolutely equal in wavelength. Laser treatment of the knee joint is carried out only according to a doctor’s prescription made after an examination.
There is a large list of ointments and gels aimed at relieving pain and reducing inflammation.
This list includes ointments for arthrosis of the knee joint:
The list of ointments for knee joints is quite large and is not limited to those listed by us, and the composition of the medications included in the ointments is sometimes similar to each other. We have already looked in more detail about Diclofenac gel.
All ointments and gels are used for external use, and their effect is based on absorption and penetration through the skin into the affected area of the joint, thereby bringing local anesthesia and a warming effect. Infectious diseases are treated with other methods and means, and ointments only complement the treatment, improving the general condition of the patient.
Together with anti-inflammatory ointments, a very effective remedy is the use of physiotherapeutic procedures. The use of physiotherapy improves blood circulation in the joint area and provides a local warming effect.
The use of ointment for knee pain must be agreed with the attending physician, since self-medication can lead to unpredictable consequences in the form of an allergic reaction and worsening of the condition.