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If you have arthrosis, you can bike

08 Sep 18

Is it possible and how to fast correctly with arthrosis?

Arthrosis is an unpleasant disease, which is accompanied by pathological signs, imposes restrictions on the usual lifestyle, which negatively affects physical and sports activity, as well as nutrition. However, with the right approach, the listed restrictions can be reduced and even benefit the joints from them. Those suffering from arthrosis wonder: is it possible to fast with such a diagnosis?

It is impossible to die from joint disease, but the disease has serious consequences that can be avoided by exercising (in moderation). Before choosing the type and intensity of physical activity, check with your doctor for a diagnosis.

Gonarthrosis of the knee joint itself is considered a common form of arthrosis, which forces patients to give up an active lifestyle. People are afraid to put pressure on their sore knees because of the pain. However, most orthopedists do not share this approach, advising only to change the degree of load on the diseased joint. At the same time, doctors take into account the state of health and the stage of development of the disease. Strictly prohibited for arthrosis:

  • hockey;
  • basketball, when you need to jump a lot and often;
  • football;
  • ski jumping;
  • tennis.
  • Meanwhile, hiking, skiing and regular visits to the pool can have a beneficial effect on the condition of articular cartilage in arthrosis. You can exercise in the gym only if the load is correctly calculated. For arthrosis, the following are allowed:

  • shallow squats;
  • swimming;
  • walking short distances.
  • Exercise on an exercise bike is useful. Yoga also helps and will benefit:

  • stretching exercises;
  • squats;
  • walking;
  • oblique movements.
  • Golf is useful, which simultaneously combines walking, bending and squatting, which helps restore normal joint mobility. With the right load, dancing classes will help.

    Skiing and walking

    Long walks on foot and on skis are useful (eliminate joint stiffness, increase range of motion). But overweight patients should reduce their duration: excess weight puts additional stress on the diseased joint, causing harm to the joint capsule. Also, you should not overload the body, as this will cause an exacerbation of the disease: the pain will return, due to which even simple movements will be impossible, not to mention serious physical exercise.

    For grade 1 arthrosis, regular walking is recommended. In patients with excess body weight, the first priority is to change their diet.

    The goal of playing sports for arthrosis is to activate joint mobility without pain. In this regard, swimming is considered the best option, since performing exercises in water is simplified. Swim in natural ponds or a pool. Through swimming exercises for arthrosis, it becomes possible to increase the range of motion of joints while simultaneously strengthening muscle tissue and ligaments.

    In the presence of arthrosis of the 2nd degree of severity, sports are allowed subject to a competent approach to organizing the training process. If the body is hardened, continue hardening, but in a gentle manner.

    Bicycle or exercise bike

    You can get rid of arthrosis by pedaling. Exercising on an exercise bike or bicycle for arthrosis of the root joint strengthens:

  • muscle tissue of the lower leg and thigh area;
  • ligamentous apparatus.
  • Also, this activity will help cure arthrosis by improving the nutrition of tissue structures and blood circulation while simultaneously reducing swelling. A distinctive feature of modern exercise machines is the function of adjusting the load on the muscles by changing the resistance of the pedals, which makes the movements smooth and eliminates excessive tension.

    Coxarthrosis is another common type of arthrosis that affects the hip joints with subsequent deformation.

    With this disease, which occurs in the initial stages, physical exercises aimed at stimulating the diseased joint are required:

  • training exercises;
  • twisting a hoop;
  • squats for arthrosis.
  • For late-stage coxarthrosis, hip exercises are prohibited. It is also forbidden to rotate the pelvis, which does not allow you to twist the hoop or pump your abs.

    Another problem that women suffering from hip arthrosis may face is related to pregnancy. Women's complaints are associated with a feeling of aching bones and a simultaneous increase in pain, but these are typical symptoms that accompany every pregnancy. Temporary pain is associated with the expansion of the bones of the hip joint, which are preparing for the birth of the baby. However, there is a possibility of developing arthrosis, which, however, is not an obstacle to pregnancy, but identifying the disease in the early stages will allow you to avoid unpleasant consequences when the time comes to give birth.

    Cold reduces pain and swelling of the diseased joint, unlike heat, which slows down metabolic processes and irritates the tissues of the joint capsule. Temporary cooling of the joint with arthrosis can provoke an increase in temperature, which occurs due to a reactive increase in local blood circulation.

    Here are some recipes using cold for arthrosis:

  • several bags are filled with water, which are subsequently placed in the freezer;
  • after a few hours, take out the ice packs from the freezer, which then apply the bag to the sore joint for a minute;
  • Do this procedure 3-4 times during the day.
  • For arthrosis of the hands, cold baths are an excellent solution. Before this, hands are placed in the water for 15 seconds. In this case, leisurely movements are made with the fingers. After this, the hands are dried and a 3-minute rest is waited. This cycle must be repeated 7 times. During this procedure, hypothermia should be avoided. You can also drip cool water onto sore joints.

    In some cases, an allergy to cold is possible, which manifests itself in redness of the skin and increased pain. Cold therapy for arthrosis is contraindicated in the following cases:

  • disturbance of arterial blood circulation;
  • high sensitivity to cooling;
  • disorders accompanied by trophic changes.
  • Also, exposure to cold is undesirable for influenza and genitourinary diseases. It is worth remembering that you can harm your joints if they are deeply cooled for a long time.

    It has been proven that the main enemy of the joint is excess weight. Even a slight decrease in body weight can significantly improve the condition of the entire joint system with arthrosis. To do this, a diet is prescribed, the purpose of which is to reduce excess weight while simultaneously providing the body with all the necessary nutrients. In the process of choosing a dietary diet, possible risks associated with causing even greater harm to joint health should be eliminated as much as possible. The topic of dietary nutrition for arthrosis must be discussed with the attending physician, during consultation with whom the presence of concomitant diseases can be additionally determined.

    Here are the basic principles of proper and healthy dietary nutrition for arthrosis:

  • The presence of protein components is required, which are necessary for the purpose of building new tissue structures aimed at restoring the cartilage that covers the articular bone surfaces. Dairy products are perfect for this purpose. Milk protein is easily digestible. Moreover, such products are enriched with calcium, which is so important for bone structures.
  • Jellied meat or jelly prepared on the basis of multiple broth becomes very useful for arthrosis. Such dishes contain excess amounts of collagen, which is needed for building cartilage and bones. Edible gelatin is no less useful, since it contains chondroprotectors that promote the restoration of cartilage tissue.
  • Carbohydrates for arthrosis are necessary in order to provide the body with energy, which is necessary for the uninterrupted flow of metabolic processes. However, carbohydrates can be different. Simple - easily digested, giving a quick burst of energy, some of which is stored in fatty tissue. There are also complex carbohydrates that are characterized by slow absorption, which prevents their transformation into fats. This factor is of great importance in terms of preventing excess weight.
  • But you can’t do without fats for arthrosis, since they help speed up metabolic processes. In this case, preference should be given to vegetable fats and butter.
  • The most optimal diet is considered to be a diet in which carbohydrate components slightly predominate, and proteins and calcium are limited with frequent and large consumption of fruits and vegetables. You can also fast if you have arthrosis.

    Is it dangerous to run with arthrosis?

    Arthrosis affects the joints, causes pain during movements and constrains them, so patients sharply exclude physical activity, considering sports a contraindication. But this is not true: completely eliminating physical activity from life is harmful even with diseases of the musculoskeletal system. Most patients are interested in the question: is it possible to run with arthrosis? Joint diseases are accompanied by destruction of cartilage and bone tissue and severe pain. But even in these cases, orthopedists recommend performing therapeutic physical exercises.

    With age, the human body wears out, the first thing aging affects is the joints, which take on loads every day throughout life. Arthrosis is accompanied by the destruction of cartilage tissue. Since nutrients stop flowing to the cartilage and blood circulation is disrupted, degenerative processes begin to develop in the joint. However, the inflammatory process occurs not only in the cartilage; changes also occur in neighboring anatomical formations: capsule, ligaments, synovial membrane, periarticular muscles and bone structures.

    Arthrosis is a common disease of the musculoskeletal system. The disease equally affects both men and women, sometimes manifesting itself in young people due to their lifestyle. Any joints of the human body are subject to degenerative changes: hands, first metatarsophalangeal, hip and knee. Often the disease develops in the lumbar and cervical spine.

    The danger of the disease lies in the fact that if the inflammatory process is not treated on time, the patient’s future physical activity becomes impossible. People suffering from arthrosis become disabled; any movement is painful for them. Since the disease occurs in several stages, it is important not to miss the first signs of arthrosis and begin timely treatment. When precious time is lost, only surgery to replace the destroyed joint with an artificial one can help the patient.

    Why does the disease occur?

    Arthrosis develops with age, but sometimes its appearance is provoked by:

  • limb injuries (dislocations, sprains, fractures, bruises);
  • autoimmune diseases - inflammation due to rheumatoid arthritis or lupus erythematosus;
  • nonspecific inflammatory process, for example, as a result of acute purulent arthritis;
  • dysplasia – the development of the musculoskeletal system can occur with disturbances even in the uterine period;
  • specific inflammatory processes (gonorrhea, tuberculosis, syphilis, tick-borne encephalitis;
  • hemophilia;
  • disruption of metabolic processes in the body;
  • diseases of the endocrine system;
  • excess weight - in this case there is a strong load on the joints, as a result of which the cartilage plates wear out much faster;
  • hereditary factor;
  • operations on the limbs;
  • increased load on the arms or legs - a high risk of developing arthrosis in those people whose professional activities require constant movement (athletes, loaders);
  • hypothermia of the body;
  • hormonal imbalance during menopause in the female half of the population;
  • intoxication of the body.
  • Attention! Athletes are at greatest risk of acquiring musculoskeletal diseases. Runners are more likely than others to experience problems with cartilage inflammation. Regular running increases the load on joints by 5 times.

    How to recognize the disease

    Arthrosis occurs in several stages:

  • first stage - there are no visible changes in the limbs, but the composition of the synovial fluid inside the joint changes. Nutrients reach the cartilage in small quantities, which reduces the cartilage's resistance to stress. At this stage, you can already feel pain in the limbs;
  • the second stage is characterized by the destruction of cartilage tissue and the growth of bone growths in the joint. The pain becomes stronger and longer lasting, a crunching sound appears. The function of the periarticular muscles is impaired;
  • the third stage is the complete destruction of cartilage. The pain does not stop, painkillers no longer work. There is (sometimes) shortening of the affected limb. Motor activity becomes impossible.
  • Obvious signs of the disease are pain, which at the initial stage appears rarely and passes after a short time, then the pain becomes constant, the crunching in the joint becomes more and more distinct. The sore limb reacts to changing weather conditions. As the disease progresses, the limb shortens, the patient suffers from severe pain, cannot move independently, and becomes disabled.

    Treatment is prescribed to the patient only by a doctor. The orthopedist prescribes medications to relieve pain and inflammation, and chondroprotectors for the regeneration of cartilage and bone tissue. In addition, the patient is prescribed physiotherapy and special physical exercises (therapeutic exercise is allowed only after the pain has stopped and the inflammatory process has subsided).

    Doctors recommend performing special physical exercises to maintain the tone of the muscles of the limbs and to improve blood circulation in the joints. However, not all sports are allowed. Running with arthrosis is allowed only in the early stages of the disease. If the inflammatory process is accompanied by severe pain and obvious changes in the limbs, running is prohibited. In any case, only the doctor decides what kind of sport a sick person can do: swimming, walking, gymnastics and running, among others.

    Water sports are harmless and extremely beneficial for a sick patient. Water helps distribute the load on the joints evenly, thereby avoiding overstrain. Swimming helps relieve pain and relaxes muscles. You can perform simple physical exercises in water: walking along the bottom of a reservoir or pool, swinging your legs, and gentle stretching.

    Most doctors recommend walking as a prevention of arthrosis and part of the treatment of musculoskeletal diseases. While walking, the following changes occur in the affected joint:

  • The ligamentous apparatus is strengthened.
  • Blood circulation improves, nutrients penetrate better into the cartilage.
  • Stiffness in movements disappears.
  • Increases muscle tone.
  • With arthrosis of 2 and 3 degrees, you need to walk very carefully. You should not overload the joint for a long time; half an hour of training is enough.

    Since a running person increases the load on the joints of the legs by 5 times, one must be careful when engaging in this sport. If the diseased joint is overloaded, this will provoke the rapid development of the disease (irreversible destruction of cartilage tissue). Only the attending physician can decide whether running is beneficial for a patient. In some uncomplicated cases, short-term jogging is indicated for the patient.

    Avoid sports that involve running:

    The treadmill should also be used with caution and only after permission from the podiatrist. It is best to use a leisurely walk on a treadmill; an electric exercise machine is best for this. A mechanical treadmill can increase the load on sore limbs.

    It is considered an ideal sport for patients with arthrosis. Since all movements during yoga are performed smoothly, overload of the joints is completely eliminated. Yoga improves blood circulation in the limbs, relieves pain, and gives positive energy to the body. This sport is allowed at any stage of the disease.

    Cycling is prohibited for patients, as the surface on which cycling will be carried out may have uneven surfaces. As a result, limb injury is possible. An alternative to cycling is an exercise bike, which will help avoid possible injuries and provide the same load as a bicycle. You just need to choose the exercise machine very carefully; the pedals should not spin tightly, otherwise this will lead to heavy stress on the legs.

    Instead of using a machine, you can perform movements similar to riding a bicycle on your own. To do this, you need to take a lying position, bend your knees and make circular movements that imitate spinning the pedals of a bicycle.

    For diseases of the musculoskeletal system, doctors do not recommend performing squats, but if the patient does not want to part with his favorite exercise, then in this case it is necessary to adhere to several rules:

  • It is best to do the exercise in water (in a pool or pond). Since water evenly distributes the load on the body, the pressure on the sore joint will be minimal.
  • The exercises should not be performed completely, that is, squatting on a partially bent knee. In this case, the load on the limbs will be weaker.
  • If squats are prohibited, you can perform the following exercise: lie on your back, without lifting yourself off the floor, bend your knee, pulling your heel towards your buttocks.
  • Since squats can provoke arthrosis in a healthy person (if the exercise is performed incorrectly), you should not do it during illness. Otherwise, you can only accelerate the destruction of cartilage.

    Arthrosis is a serious disease of the limbs; in order to prevent the development of complications, you must strictly follow all the doctor’s instructions. Sports activities should contain only permitted exercises; loads such as running are strictly contraindicated.

    Bicycle and osteochondrosis

    Today, cycling is becoming very popular. Most people believe that by pedaling for 15-20 minutes, you can easily lose weight and improve your health. But is an exercise bike useful for osteochondrosis?

    What happens to the spine while riding

    If you have osteochondrosis, ride on smooth roads

  • Incorrect posture during a bicycle ride often causes a deterioration in the condition of patients. If a person is used to driving with his whole body leaning on the steering wheel, this will certainly provoke even greater pinching of the nerve roots and increased pain. However, do not forget that sitting slouched for a long time also injures the nerves and causes severe pain. In the case of a bicycle, this factor is supplemented by the negative impact of increased load on the lower spine as a result of pedaling and the need to keep the body in a state of balance.
  • When riding on flat roads, cycling does not pose any particular danger to patients with osteochondrosis. However, if the road is bumpy, then such physical activity can provoke an aggravation. When a bicycle is thrown along with a cyclist, the distance between the vertebrae increases sharply, then decreases just as sharply, which leads to injury to the discs and increased compression of the nerves. Such extreme cycling is especially dangerous if you have intervertebral hernias or weak back muscles that are unable to support the spine in the correct position. In this sense, exercise on an exercise bike is safer.
  • Another nuance that determines the possible negative impact of a bicycle on the course of osteochondrosis is the forced long-term stay in a static position. Short walks or exercise on an exercise bike do not provoke a worsening of the condition of patients diagnosed with osteochondrosis.
  • The Positive Impact of Biking

    In the case of osteochondrosis, we can rather talk about the indirect positive effect of cycling.

  • Cycling helps accelerate blood circulation and improve metabolic processes, including in the spine. Thanks to this effect, degenerative processes in the intervertebral discs and vertebrae are slowed down or stopped, and the restoration of damaged tissue is accelerated.
  • Exercising on an exercise bike or cycling involves expending a significant amount of calories, which helps reduce weight. The result is a reduction in the load on the spinal column and alleviation of the symptoms of osteochondrosis.
  • A bicycle ride helps improve the psycho-emotional background, which increases the effectiveness of the therapy.
  • Rules for cycling

    Based on the foregoing, we can conclude: with osteochondrosis, cycling can both have a positive effect and provoke an exacerbation. To improve the patient’s condition and prevent possible complications, it is recommended to follow some rules:

    This bike is suitable for patients with osteochondrosis

    1. To prevent movement from leading to increased pain, it is necessary to fix the vertebrae of the affected area in the correct position. This will limit the amplitude, prevent curvature and eliminate the possibility of disc injury. Attempts to independently hold the spine in a static position will lead to severe muscle tension. In this case, the best option is to use special supporting corsets. Before starting exercise on an exercise bike or walking, the corset is attached to the back in the area where osteochondrosis is localized. It should be removed immediately after classes, since long-term wearing of this device leads to impaired blood circulation and deterioration of tissue nutrition.
    2. For lumbar osteochondrosis, you can use a special support roller for the spine. It significantly reduces the load during depreciation.
    3. A good solution is also to use a bicycle seat with a backrest that you can lean on while riding. As a rule, exercise bikes are equipped with such backrests.
    4. It is very important to limit your walking time. Prolonged cycling requires significant muscle tension and in many cases worsens the patient's condition.
    5. Another necessary condition for safe exercise is maintaining correct posture.
    6. When riding a bicycle, as with any other type of physical activity, jerking and sudden movements should be avoided. They pose the greatest threat to osteochondrosis.
    7. Choosing smooth roads or bike paths will prevent injury and severe nerve root compression. In the absence of suitable roads, the optimal solution is to ride an exercise bike.
    8. Exercise bike for people with spinal pathology

      Special models of exercise bikes have been developed for patients with osteochondrosis and other diseases of the spine.

      Special model of exercise bike

      They contain a platform, a frame with a beam, and a lift. The difference from conventional models is the presence of an electric drive that produces forced rotation of the pedals. Due to the design features, free movement of the platform (the patient is positioned on it) along the guide beam is ensured. The beam is connected to a lift, through which the angle of inclination of the platform is adjusted. This allows you to change the load value. The creators of this model of exercise bike set themselves the task of maximizing its adaptation for the rehabilitation of people suffering from osteochondrosis and other pathologies of the spine.

      Exercises on a therapeutic exercise bike allow you to:

    9. increase the amplitude of contraction of the leg muscles;
    10. increase the range of motion in joints;
    11. minimize the negative impact on the spine;
    12. correct the curves of the spine using special rollers.
    13. Exercise therapy for arthrosis of the knee joints: cycling and gymnastics

      Today we offer an article on the topic: “Exercise therapy for arthrosis of the knee joints: cycling and gymnastics.” We tried to describe everything clearly and in detail. If you have any questions, ask at the end of the article.

      Gymnastics for arthrosis of the knee joint is an integral part of the rehabilitation period; it will help relieve pain in the limb and allow you to quickly get back on your feet in the literal sense of the above. It is known that the condition of the knee joint with arthrosis is not the best, since it is subject to constant degenerative processes. As the cartilage deteriorates, irreparable changes occur in the bones, which cannot be eliminated with pills alone.

      Therapeutic exercises for arthrosis of the knee joint will help maintain the normal state of the cartilage tissue, and will also restore full function of the knees and the person will be able to move as before. There are a huge variety of exercises for arthrosis of the knee joint, but the load is determined individually for each patient. Moderate physical activity helps restore normal blood circulation and stimulate metabolism in affected tissues.

      As a result, physical exercises for arthrosis cause the bone beams to grow faster in problem areas, and the periosteum to strengthen and recover.

      WE ADVISE! For the treatment and prevention of JOINT DISEASES, our readers successfully use the increasingly popular method of rapid and non-surgical treatment, recommended by leading German specialists in diseases of the musculoskeletal system. After carefully reviewing it, we decided to offer it to your attention.

      Principle of training

      Before starting exercise therapy for arthrosis of the knee joint, you need to consider several important points, namely:

    14. Gymnastics for knee arthrosis should be carried out only during the period of remission of the disease. If the training is performed at the time of exacerbation of the disease, it will not only cause discomfort, but will also worsen the course of the disease.
    15. Under no circumstances should you choose exercises for yourself for knee arthrosis. You definitely need to consult a qualified doctor, because there are a number of physical exercises that are contraindicated for you.
    16. Don't overwork yourself. If physical therapy for arthrosis of the knee joint, which was prescribed by the doctor, causes you pain or seems too difficult and debilitating to you, do not suffer. Tell your doctor about this, he will reduce the load and develop a new charging scheme.
    17. What are the benefits of physical therapy

      The intensity of recovery for grade 2 arthrosis of the knee joint depends on correctly selected exercises and the patient’s determination. The knee will return to normal faster if exercise therapy is combined with a course of physiotherapy, electrophoresis, mud therapy or hirudotherapy. Physical education for the knee joint is an indispensable assistant that has the following effects on the affected area:

    18. increases joint space;
    19. Therapeutic exercises for arthrosis are beneficial if done regularly. In this case, the functions of the knee joint are quickly restored even with stage 2 disease. The disease will not go away without leaving a trace, but it will definitely not progress. The patient will not only avoid surgery or disability, but will also completely return to the usual rhythm of life.

      Rules for performing exercise therapy

      1. Perform exercise therapy 3 times a day, 4-6 repetitions for each exercise.
      2. When performing exercise therapy for arthrosis of the 2nd degree, do not allow strong pressure on the knee joint, do not ignore painful sensations, make gentle movements.
      3. After completing a 10-minute exercise routine for the knee joints, relax, stretch your legs, and lie on your back for a couple of minutes.
      4. A set of exercises for grade 2 knee arthrosis

        Exercise therapy prevents the development of complications of arthrosis of the knee joint and helps restore joint activity, preventing further bone deformation. The therapeutic gymnastics program includes a whole range of classes. These are gymnastic tasks that are solved in different body positions, training on special simulators and in water, and rehabilitation courses.

        For arthrosis of the knee joint, an exercise bike, hatha yoga, Pilates, and micromovement classes are useful. Only the loads should be minimal, under the supervision of an experienced instructor. It is easy to develop degrading knee muscles with the help of steppers, which are installed in orthopedic centers. The principle of their operation is an imitation of walking, in which, if necessary, additional load is applied.

        Stretch your legs, bend your right knee, lift your right foot, hold your leg for 5-7 seconds, lower it to the starting position. Repeat the same with your left leg.

      5. Bend one leg at the knee, pull it towards your stomach as much as possible, hold for 5-7 seconds, and then lower your foot first to the floor, and then your knee (sliding movements). Repeat the same movements with the other leg.
      6. For grade 2 knee arthrosis, leg movements imitating cycling by alternating the active phase with a rest period of several seconds are very effective.
      7. To relax the knee joint, bend both legs, trying to touch your buttocks with your heels. Fix in this position for a while, then take the starting position and relax.
      8. Raise one leg, straightened at the knee joint, from the floor 30 degrees, hold for several seconds, making sure that the gluteal muscles are squeezed. The leg muscles are tense as much as possible, the body is pressed to the floor. Try to breathe evenly. Slowly lower your leg, then do the same with the other leg.
      9. Perform exercise No. 1 at a fast pace, holding your leg for 1-2 seconds. This will allow for grade 2 arthrosis to improve blood circulation in the sore knee joint.
      10. Raise your straightened arms and legs above the floor. Hold them for 30 seconds and then very slowly return to the starting position. To strengthen the muscles of the knee joint, make the task more difficult. Slowly move and spread your raised arms and legs.
      11. Bend one leg at a right angle, lift it off the floor and hold for 30 seconds. Your back should not bend, and your stomach should be pressed firmly to the floor. Slowly lower your leg, rest and do the same with the other leg.
        1. Grasp the back of the chair, rise on your toes, stand for 1 minute. After several repetitions and rest, perform the exercise again in a more dynamic version. The knee joints should be tense and kept straight.
        2. Standing near the back of a chair, rest on your heels and hold for 1 minute. Repeat the exercise in a more dynamic version.
        3. Make smooth transitions from toe to heel while standing near the back of a chair. For grade 2 arthrosis, this exercise activates blood circulation in the knee joint.
        4. Grasp the back of the chair with both hands. Extend your straight legs to the sides one at a time. Movements should be as slow as possible to strengthen the muscles of the knee joint.
        5. Turn sideways to the back of the chair, grab it with one hand. Perform alternate swings forward and backward with straight legs.
        6. IT IS IMPORTANT TO KNOW! The only remedy for ARTHRITIS, ARTHROSIS AND OSTEOCHONDROSIS, as well as other diseases of the joints and musculoskeletal system, recommended by doctors!

        7. Perform exercise therapy while sitting on a chair with your back straight. Place your hands on your knees and brace yourself. Tighten and relax your thigh muscles, and keep your knee joints still.
        8. The starting position is the same. Hold the seat of the chair with your hands. Raise your straightened legs, spread them in different directions, then bring them together again and lower them to the starting position.
        9. In a sitting position, straighten both legs, try to touch the floor with your hands without bending your knee joints.
        10. In the same position, take turns pulling one leg towards your stomach, then the second, bending at the knee joint.
        11. For grade 2 knee arthrosis, exercise therapy in water is a complete replacement for therapeutic exercises. When using this unique development, the specific effects of the aquatic environment on the human body are taken into account, because hydrostatic pressure accelerates the flow of blood to the joints, improving metabolism. With arthrosis of the 2nd degree, exercises in the pool are recommended for those people who experience pain when doing exercise therapy under normal conditions. Here are some exercises:

        12. Walk slowly along the bottom of the pool, bending and straightening your knee joints for 3-5 minutes.
        13. Alternately bending your legs back, try to touch your buttocks with your heels.
        14. As you slowly walk through the pool, do partial squats (up to 30 times) to keep your face above the surface of the water.
        15. Contraindications to exercise therapy

          Exercise for arthrosis of the knee joint has a number of contraindications that must be taken into account before starting training. Among the contraindications to physical activity are:

        16. diseases of the cardiovascular system;
        17. blood diseases such as leukemia, anemia, clotting disorders;
        18. hernias of the hips and abdomen;
        19. menstruation in women;
        20. body temperature is more than 38? C;
        21. the first month after surgery;
        22. exacerbation of chronic diseases and infections.
        23. If you do not have the above contraindications, you can safely start exercising and rest assured that you will notice the results very quickly.

          A set of exercises for gonarthrosis

          There are many types of gymnastics for arthrosis of the knee joint, but as mentioned above, the physical activity regimen should be selected depending on the age, gender, weight and condition of the patient. Exercises for older people and young patients will differ radically, although the symptoms of the disease and drug treatment will be identical. The classic exercise scheme for the knees is as follows:

        24. Lie on the floor with your stomach down, with your arms extended along your body. In this position, raise your straight leg up and hold. Then we change the leg. At the initial stage, 5 lifts on each leg are enough.
        25. Lie on your back, stretch your legs and try to pull your socks on yourself; helping yourself with your hands is prohibited. 10 stretches are enough.
        26. In the same position, lying on your back, we perform leg bending at the knee followed by extension, 10 times for each leg. The exercise should be done slowly and without jerking. If there is pain, stop gymnastics.
        27. In a lying position, we try to bend our leg at the knee and bend it so that our heel touches our buttock. In the final position, we linger for a few seconds and change legs.
        28. We carry out an exercise known to everyone since childhood, which imitates pedaling when riding a bicycle.
        29. The extended legs in a lying position are alternately crossed. To make the task more difficult, the legs are raised up and alternately crossed in the air.
        30. In a sitting position, swing each leg in turn. The foot should not touch the floor; for this you need to choose a high chair.
        31. Exercise therapy complex according to Norbekov

          Treatment for arthrosis can also be carried out using specialized techniques. Norbekov’s gymnastics performed very well. If there is arthrosis of the knee joints, a set of exercises according to Norbekov is aimed not only at strengthening bone tissue, but also at psychological training. They consist in realizing one’s superiority over the disease. You need to start treatment only in high spirits, with gratitude to yourself for taking care of your body. The set of exercises looks like this:

        32. Standing on straight legs, bend one of the legs at the knee and perform circular movements with it, first clockwise, then counterclockwise. After making 5 revolutions, we change the leg.
        33. While standing, place your legs parallel to each other in a position slightly wider than your shoulders. We place our palms on our knees and begin to rotate our knees in a circle. First we make circular movements inward, and then outward. It is important to note that the knees must be fully extended.
        34. Lie on the floor on your side. Bend your right leg at the knee and straighten your left leg completely. Raise your straight leg at an angle of 45? and hold in this position for a few seconds. Exercises are done 5 times on each leg.
        35. Standing on straight legs, rise onto the toes of your left foot, while pulling the heel of the same leg as high as possible. The right leg should fit snugly to the floor, after which the leg changes - the right leg stands on its toe, and the left one fits snugly to the floor. From the outside, the exercise should look like active walking on your toes in one place.
        36. You can’t just stop after training and start doing your usual activities. You need to perform self-massage and relax tense leg muscles. To do this, sit on the floor, stretch your legs wide apart in front of you, place one hand above your knee, and with the other help you carry out rubbing movements that will come closer and closer to the knee. Massage the sides of the ankle and thigh. After training, you can use warming ointments; they need to be rubbed into the skin until completely absorbed. Massage your leg until you feel a pleasant warmth in your limbs, but not burning or pain.

          When there is arthrosis of the knee joint, exercises should be performed regularly, without skipping a single day. Treatment and its results directly depend on the intensity of training.

          The attending physician should first conduct a consultation for a patient whose knee is susceptible to gonarthrosis, and talk about the technique of increasing loads. Ideally, the first few sessions should be conducted in a medical facility so that the doctor can monitor the correct execution of the prescribed exercises.

          Don’t panic if you have been diagnosed with arthrosis of the knee joint; therapeutic exercises will not only strengthen cartilage tissue, but will also help build muscle mass, which is an important point. Thanks to constant physical activity, blood circulation improves and motor function improves accordingly. There are a huge number of cases where active training and yoga for arthrosis completely restored the mobility of the knee joint, although doctors did not give encouraging prognoses. Any disease can be prevented by starting timely prevention. Young people are encouraged to play sports, no one talks about marathon races, light jogging and morning exercises are enough. As for older people, it is impossible to stop a number of degenerative age-related changes in the bones, but by carrying out light exercise, you can slow down the disease and relieve painful sensations in the joints.

          • The result of your treatment depends only on you.
          • A person gets sick only when he really allows the disease to take over himself, and this should never be done.
          • Physical education for gonarthrosis will certainly bear fruit, the main thing is not to feel sorry for yourself, but to fully follow the instructions of the physiotherapist.
          • It is also important not to self-medicate, since all methods must be prescribed by a doctor, otherwise you can only worsen the problem.

            Physical activity as a factor in degenerative processes

            Osteoarthritis is the destruction of cartilage, the appearance of compensatory growths and compactions. At an early stage, displacement or convergence of bones connected by ligaments is detected. From this we can conclude that walking on knees is harmful at any stage of degeneration. Hypertonicity or hypotonia of the muscles that provide stability and function of the joint disrupt its dynamics.

            What exercises make things worse?

            O-shaped (varus) and X-shaped (valgus) positioning of the limbs increases the risk of osteoarthritis, increases medial and lateral bone friction, respectively, and accelerates the progression of the disease. If the angle of the pelvic-knee joint is less than 178 degrees, then varus is observed, and when it exceeds 182 degrees, valgus develops. Changes can be genetic, acquired or traumatic, but always increase the risk of osteoarthritis.

            Jumping, running and arthrosis of the knee joint with severe degeneration are incompatible. They will not be beneficial for lower leg weakness and other muscle imbalances, even in painless stage 1.

            Therefore, it is recommended to exclude any exercises related to running and jumping from your program.

            Knee gymnastics according to Bubnovsky

            Sergei Bubnovsky's exercises are based on increasing the space between the femur and tibia using traction and simultaneous strengthening of the muscle corset. Strength training machines are block mechanisms with cuffs attached to the limbs. A load that creates counteraction on the block by stretching reduces compression of the articular surfaces. Candidate of Medical Sciences Sergei Mikhailovich Bubnovsky has developed a method for treating diseases of the musculoskeletal system using strength programs.

            Having survived hip replacement due to a severe injury in his youth, the professor rehabilitates people after reconstructive operations and helps avoid surgical intervention.

            Is it possible to play sports with arthrosis??

            The question is asked by professional athletes who have been diagnosed with arthrosis.

            The main source of muscle spasms that disrupt the balance of joint forces is the inability to relax.

            Physical therapy for people who train intensively is aimed at:

          • — to correct imbalances;
          • - strengthening stabilizer muscles;
          • - stretching and development of tendons and ligaments.
          • For joint stabilization, therapeutic exercises with a rubber shock absorber are good: the loop clings to the support and at the level of the knee, and extension under resistance is suggested.

            Exercise begins with walking on your heels. Single-legged squats are encouraged (only for trained athletes) to activate the stabilizing muscles. Walking in a half-squat with a rubber loop attached to your hips or good morning bends with an expander instead of a barbell. Such gymnastics for the legs strengthens the ligamentous apparatus.

            Can an athlete run? In each specific case, the doctor and rehabilitation coach will tell you what kind of gymnastics a runner or football player needs and give certain recommendations, since it depends specifically on the physiological characteristics of the patient

            To treat arthrosis of the knee joint with physical exercise, you need to know what caused the wear and tear. If there is a lack of mobility and poor muscle tone, it is necessary, according to the recommendations of Evdokimenko and Bubnovsky, to strengthen the muscles for blood supply to the cartilage. Physical education for arthrosis of the knee joint even includes squats, both static against the wall and regular ones with a small amplitude.

            Kinesiologists are specialists who study muscle movement.

            Sometimes the muscles simply stop working, which disrupts the biomechanics of walking and exercise technique, and then each step incorrectly loads the pelvis, knee or ankle. It all starts with a crunching sensation, a feeling of the limb not working properly, and the result is arthrosis.

            When one muscle is turned off, the body literally rolls: forward, backward or to one side. The brain produces protective compensations - usually on the opposite side, below or above the “disabled muscle,” clamps appear to stop the so-called “fall.”

          • From the point of view of kinesiologists, exercise therapy (physical therapy) for arthrosis of the knee joint of the 2nd degree, when the changes are already significant, should be aimed not only at the location of the pain syndrome.
          • The condition of the neck, back, buttocks, and lower legs affects the rotation, abduction or adduction of the femur, which changes the angle of flexion of the knee.
          • Therefore, gymnastics for deforming arthrosis is designed to correct existing disorders.
          • For example, when descending a step, the knee of the back leg looks straight and the foot is turned to the side; this is not natural.

            An example of a retraining exercise for arthrosis of the knee joint is as follows:

            place your foot on the step (toes up, heel down) and bend your knee, with an effort of will directing it towards the third toe, repeat regularly for two weeks.

            Corrective and retraining exercises for the elderly and young from Egoscue are effective with regular exercise for 3-4 months:

          • Sit on a chair so that your knees form a 90-degree angle with the floor. Strengthen the bend in the lower back, relaxing the stomach, bringing the shoulder blades together. Hold a pillow between your thighs and perform 50 compressions at a slow pace.
          • Sit on a chair in a similar position, tie an elastic expander or a regular belt just above your knees. Perform 50 hip raises under resistance. Hands lie on your knees, palms up.
          • Sit on the floor against the wall, pressing your buttocks, shoulder blades and back of your head tightly. Relax your shoulders, look ahead. The legs are straightened and the toes are pointing at the ceiling, the palms are relaxed on the hips. Sit for 3 minutes.
          • A Vietnam veteran, he was paralyzed in the war, but did not give up, but began to fight his illness and look for options to restore his mobility. He succeeded and is now a successful doctor with his own clinic. He is also the author of Freedom from Pain.

            We perform only what is necessary

            An aerobic exercise machine for arthrosis of the knee joint helps to lose weight, which increases pressure on the limbs. To tone your buttocks and thighs, an exercise bike will not give the desired result. The solution is to squat against a wall and stretch. Yoga is suitable for balanced development and increased flexibility. A bicycle will be useful if the muscles of the front and back of the thigh are well stretched and there is no spasm in the iliopsoas region. Without restored

            If the exercise bike causes pain, many people switch to the elliptical trainer. Although it is designed to relieve pressure on the joint with a low level of resistance, it exacerbates imbalances in the lumbar region.

            Nordic walking is a type of health-improving aerobic training. Studies of knee flexion angles and compressive forces acting on the cartilage have shown that there is no difference from simple walking. Although there have been cases of relief when using sticks, which is associated primarily with the normalization of the motor pattern, the inclusion of the arms and back in the movement.

            Walking for arthrosis of the knee joint is indeed a therapeutic measure, but only after corrective exercises.

            on stairs beneficial ? If the foot and knee are unidirectional. Walking up the stairs can be a therapeutic method: the main thing is not to push your knee forward, but to rise using your buttocks.

            Skiing remains the winter form of aerobic exercise for those suffering from osteoarthritis - in a classic, non-skating manner, choosing a prepared ski track.

            The etiology of the disease includes the following main causes: hereditary predisposition at the gene level; old knee injuries; excess weight of a person, causing increased stress on the knee joint; excessive physical activity; metabolic disorders as a result of certain diseases, leading to intra-articular deposition of crystals (for example, uric acid); age factor associated with natural degenerative processes.

            At present, it is not possible to completely cure gonarthrosis, but it is possible to stop tissue destruction and ensure a person’s full ability to work by using an integrated approach to treatment. The modern treatment regimen includes the following areas: wearing special knee braces to relieve stress from the medial areas; prescription of non-steroidal anti-inflammatory drugs; diet aimed at losing weight; physical therapy, including a special set of exercises; taking muscle relaxants; physiotherapy; injection of hyaluronic acid to replace synovial fluid; use of chondroprotectors; prescribing medications to normalize blood supply and improve blood rheology; PRP technique based on the introduction of a drug to restore cartilage tissue; surgical treatment if necessary (arthroscopy and joint replacement).

            The most important element of treatment is physical exercise for arthrosis of the knee joint, incl. special exercises for older people with arthrosis.

            All therapeutic exercise regimens include basic rules that prevent overload and ensure maximum effectiveness, but the main rule is do no harm:

          • All movements are performed smoothly, at a slow pace, and their amplitude increases gradually.
          • Exercises are carried out daily.
          • The total duration of physical education during the day should not exceed 35-45 minutes, divided into 3-4 periods of 10-15 minutes each.
          • Rest after each lesson should be at least 4 hours.
          • The number of repetitions of one exercise in the initial period (12-14 days) is no more than 4-5 times, followed by an increase to 6-10 times if necessary.
          • The lesson should begin by relaxing the leg muscles to improve blood flow.
          • After each lesson, rest is provided - in a lying position with relaxed, outstretched legs, slightly apart to the side; bending your knees or resting while sitting is not recommended.
          • A good way to consolidate therapeutic exercises is a light self-massage of the joint and the entire limb for 6-8 minutes.
          • Therapeutic gymnastics exercises

            Exercise therapy for gonarthrosis includes both very simple and more complex exercises, depending on the severity of the joint damage.

            They are carried out from different starting positions (IP): lying, sitting and standing; Moreover, in the lying position on the bed there can be IP on the side, back or stomach.

            Exercises in a lying position. The most common are exercise therapy exercises performed while lying on your back:

          • IP: arms along the body; as you inhale, your arms rise and are pulled back a little while simultaneously bending your feet towards you; as you exhale, you return to the IP.
          • As you inhale, pull your knee to your stomach on one leg with your hands, and as you exhale, return to IP; then the same exercise is performed with the other leg.
          • The legs bend at the knees with the pelvis raised.
          • IP: legs bent at the knees. First, one leg rises and lowers, then the same is done with the other leg.
          • Abducting one straight leg to the side and returning; then do the same with the other leg.
          • IP: arms along the body; on inhalation, both arms and legs rise, on exhalation, return to IP.
          • Repeat with the other leg.
          • Exercise “Bicycle” for 12-15 seconds.
          • Exercise “Scissors” with raised legs for 10-12 seconds.
          • While lying on your side, exercises are performed first on the left and then on the right:

          • The lower leg bends at the knee, and the upper leg, when straight, rises to a height of 25-30 cm.
          • Alternately bending the legs at the knee joint.
          • Alternately moving the legs forward and backward.
          • It is recommended to do the following exercises while lying on your stomach:

          • IP: hands under the chin; The legs are alternately raised straight.
          • On inhalation, the head and upper body rise without lifting the legs from the surface, on exhalation, return to the IP.
          • Alternately bending the legs at the knee with lifting the lower part of the limb.
          • Imitation of a swimmer's movements when swimming crawl.
          • Exercises in a sitting position (sitting on a chair). You can suggest the following exercises (IP - back straight, arms resting on a chair):

          • “Legs dangling”: rapid alternating flexion and extension of the legs at the knee.
          • Alternately straighten the legs to a right angle with fixation in the upper position for 2-3 seconds.
          • Rising from a chair with arms raised and quickly returning back.
          • Raise both legs at right angles and spread them to the side.
          • Exercises in a standing position are carried out using support on the back of a chair or table. The most frequently performed movements are:

          • Hands cover the back of the chair; The legs are alternately moved as far as possible to the side.
          • IP: standing sideways to the chair, hands on the back; alternate swings of the straight leg forward and backward.

        Exercises according to the Hatha Yoga system. For gonarthrosis, several exercises included in the Hatha Yoga exercise complex are recommended:

      12. IP: standing, feet shoulder-width apart, arms down; tilting the body with the hands reaching the toes while lowering the body slightly; breathing is uniform.
      13. IP: sitting on your knees, body upright, arms down; you need to smoothly sit on your heels and hold in this state for 1.5-2 minutes.
      14. IP: sitting on the floor, legs straight; slow tilt without bending the legs, exercise duration - 1.5-2 minutes.
      15. Physical exercises should be combined with walks in the fresh air, swimming, bathing procedures, solarium, and also combined with physiotherapeutic procedures and therapeutic massage. Be healthy!

        Self-massage technique

        As mentioned above, the final stage of each set of exercises should be a massage. It helps to activate blood flow in the area of ​​the knee joints and accelerate the processes of regeneration of articular cartilage. Ideally, massage should be performed after taking a warm, relaxing bath or visiting a sauna.

        The intensity of the effects directly depends on the individual sensitivity of the tissues (you should not experience pain).

        You can ask someone from your family to give you a massage, or you can do it yourself, based on the following recommendations:

      16. The first stage is a massage of the thigh muscles. The following massage effects replace each other: stroking, squeezing with knuckles and the edge of the palm, shaking, circular kneading. The manipulations should be repeated 3-4 times each.
      17. The second stage is a massage of the knee joint area: you should stroke the lateral areas of the joint, rubbing it with the base of your palm both straight and in a circle.
      18. The third, fourth, fifth stages are a less intense and shorter massage of the thigh muscles, then a knee massage again, followed by a thigh massage again.
      19. The sixth stage is active physical exercise: flexion and extension of the lower extremities at the knee joint 5-7 times, circular movements of the lower leg and foot.
      20. The final stage is a massage of the thigh, and then the knee joint.
      21. Other physiotherapy

        In the treatment of osteoarthritis, exercise therapy can be combined with other physiotherapy techniques. Electrophoresis, ultrasound radiation, laser and other types of phototherapy work best on joints affected by this disease. Among non-traditional treatment methods, experts recommend hatha yoga.

        For a number of diseases, physiotherapy is contraindicated, as it can harm the patient’s health. Such diseases are:

      22. severe cardiovascular pathology;
      23. active form of tuberculosis;
      24. acute inflammatory processes of any localization;
      25. oncopathology;
      26. increased bleeding;
      27. exhaustion;
      28. pregnancy period.
      29. In conclusion of the article, we would like to repeat: despite the fact that osteoarthritis is a steadily progressing degenerative disease of articular cartilage, adequate complex therapy will help to significantly slow down the rate of its development, one of the leading places in which is physical therapy, or exercise therapy. By doing the exercises regularly, day after day, while simultaneously following other treatment recommendations, you will probably soon feel the results.

        The complexes described below are suitable for people of all ages. The exercises are aimed at solving three problems:

      30. • Improving blood supply to the affected joint.
      31. • Suspension of the degenerative process.
      32. • Strengthening muscles and ligaments.
      33. They can be performed both at home and in small groups of 3-6 people. It is best to do these complexes under the supervision of an experienced physical therapy doctor.

      34. 1) Take a sitting position on the bed. Close your legs and relax as much as possible. Start making slow movements with your limbs one at a time. The feet should touch the floor and slide freely along it. Perform 7-12 times.
      35. 2) Take a position on the bed again, relax all your muscles. As you exhale, pull your knee toward your chest and pull your leg with maximum effort. If necessary, you can help with your hands. Do the same with the opposite limb. How to correctly perform such gymnastics for arthrosis of the knee joint can be seen in the photo:
      36. 3) The initial pose is identical. On the count of “one,” straighten both legs and strongly pull your toes toward you. On the count of two, return the limbs to their original position. The exercise is repeated several times.
      37. 4) Stand up. Feet at shoulder level, on the count of “one”, bend towards the left knee, press hard on it and hold for 5-10 seconds, on the count of “two” exhale and return to the original position. Repeat the same with the opposite limb.
      38. 5) Sit back on the bed or chair. The legs are spread apart at shoulder level, the hands are on the knees. On the count of “one,” rise from the bed (chair), inhaling and spreading your arms in opposite directions. On the count of two, return back to a sitting position. Repeat several times.
      39. 6) Starting position - lying down. You can lie on the bed or on the floor. Lower your arms and straighten your legs, all limbs are relaxed. On the count of “one”, strongly tense your thigh muscles. Remain in this position for several tens of seconds (20-40), then suddenly relax. This exercise helps relieve hypertonicity of the leg muscles, and this, in turn, helps relieve pain.
      40. 1) Take a lying position. Hands on knees, legs straight, relaxed. Press firmly on your knee, trying to overcome the resistance of your hand. Then relax and repeat the same with the opposite leg.
      41. 2) Lie down. Legs are bent at the knees. With a leisurely movement, you should spread your legs at the hips in different directions. It is important not to “go too far” with the depth of movements.
      42. 3) Lying on the bed or on the floor, you need to bend your knees. On the count of “one”, pull your limbs towards your stomach and stay in this position for a few seconds. Then return to the original position.
      43. 4) Lie down. The legs are relaxed and straightened. Raise your right leg, lifting it a few centimeters off the ground. Start making slow circular movements with your limb.
      44. 5) Lie on your back. Place your hands behind your head, forming a lock. As you inhale, pull your legs towards your chest, pulling your toes towards you as much as possible. As you exhale, return to the starting position.
      45. 6) Repeat the same exercise, only this time pull your legs towards your chest alternately.
      46. 7) The starting position is the same. Slowly bend your knees, pressing your feet firmly to the floor. As you inhale, lift one leg vertically up. The second should remain in place, then make an identical movement with the other leg.
      47. 8) Take an identical position. Legs straightened. Move one leg to the right (or left, respectively), trying to move the limb at the hip as far as possible. Repeat the same with the other leg.
      48. 9) Lying on the floor, raise your arms and legs up at the same moment, stay in this position, taking a deep breath. As you exhale, you need to take the initial lying position.
      49. 10) Perform the “bicycle” exercise, turning invisible pedals with your feet.
      50. 11) Carefully lie on your stomach. Place your hands under your head (under your chin). Raise one leg, then the other. Limbs should be straight.
      51. 12) Stand up. Lean on the back of a chair. Extend your right leg at the hip to the maximum amplitude to the right. Then do an identical exercise on the other leg.
      52. 13) Hold on to the back of the chair. Position: standing. Lean your elbows on a chair with one hand, legs straight and free. Start making light swinging movements back and forth. It is important that the leg performing the swing is as relaxed as possible.
        • 1) Position - standing. Walk in place for five minutes, raising your knees as high as possible. This exercise improves the nutrition of the knee joint due to the flow of blood to it.
        • 2) Stand on your toes, stand for a few seconds, then roll onto your heels, maintaining your balance.
        • 3) Make swinging movements with your legs, alternating limbs.
        • All three complexes are ideal for implementation, both in the remission phase and in the exacerbation phase. These are the simplest gymnastics exercises for arthrosis of the knee joint. However, simplicity does not make them worse.

          The most effective exercises

          The exercises described below are only suitable for people whose arthrosis is in remission.

        • 1) Lie on the floor. Arms along the body, legs straight. Raise your left leg off the ground a few centimeters. Stay in this position for a few seconds, then lower your leg. A good indicator is a feeling of fatigue in the calf muscle.
        • 2) Lie on your stomach. Bend one leg at the knee and lift it above the floor. Hold for 25-40 seconds, then return to the starting position. Do the same with the other leg.
        • 3) Lie on your stomach. Bend both legs at the knees. Then lift them off the floor and spread them apart. Now you need to just as slowly bring your legs together and return to the starting position. The exercise is difficult to perform, so whether to do it or not, everyone decides for themselves, based on the capabilities of their body.
        • 4) Lie on your side. Bend one leg, straighten the other. Make vertical movements with your straightened leg.
        • 1) Sit on a chair. Alternately raise your left and right legs, alternating movements.

          2) Stand up. Lean on the back of a chair. On the count of “one,” rise with one foot on your toes. The second remains pressed to the floor. Then roll over to the other leg and do the same.

          3) While sitting on a chair, perform a light massage of the knees using rotational movements.

          It is advisable to perform the exercises of these two complexes at the same time. This way the effect of gymnastics will be maximum.

          Tips and tricks

          On the Internet there is a description of many gymnastics complexes for arthrosis of the knee joint. But it is not always clear how to implement them. There are a number of recommendations:

        • 1) Pain should be excluded. If pain occurs when performing any exercise, this is a direct reason to refuse further performance. This means the complex is not suitable.
        • 2) Don’t bother yourself without first consulting your doctor.
        • 3) Cramps after exercise are normal.
        • 4) Each exercise is performed 7-15 times. It is recommended to start with 2-4 repetitions, gradually increasing the amplitude.
        • 5) It is not recommended to start training at a forced pace. This is fraught.
        • Exercise therapy can be an excellent assistant in the treatment of arthrosis of the knee joint. It is important to approach such a responsible matter correctly.

          The main objectives of physical therapy (PT) are to reduce pain and eliminate the symptoms of grade 2 arthrosis of the knee joint. The gymnastic complex improves a person’s general condition, strengthens bones and the cardiovascular system. The main criterion for performing gymnastics for knee arthrosis is coordination of a set of exercises with an experienced instructor or attending rheumatologist.

          What are the benefits of physical therapy

          The intensity of recovery for grade 2 arthrosis of the knee joint depends on correctly selected exercises and the patient’s determination. The knee will return to normal faster if exercise therapy is combined with a course of physiotherapy, electrophoresis, mud therapy or hirudotherapy. Physical education is an indispensable assistant that has the following effects on the affected area:

        • reduces pain;
        • improves blood circulation;
        • helps in strengthening muscles;
        • corrects spinal disorders;
        • improves the functions of the respiratory system.
        • Rules for performing exercise therapy

          When performing physical therapy for grade 2 arthrosis (gonarthrosis), you must adhere to the rules that will make exercise therapy a pleasant, effective, safe procedure for you:

        • Maintain a balance between intense stress on your joints and rest time. For cartilage regeneration to be successful, you need to rest your knee every 5-6 hours.
        • Gymnastics will be effective if you do the exercises for 30-40 minutes a day, but not in a row, but dividing the time into periods of 10 minutes.
        • Perform movements slowly at the beginning of classes, gradually increasing the amplitude.
        • When performing exercise therapy, do not put strong pressure on the knee, do not ignore painful sensations, and make gentle movements.
        • After completing a 10-minute gymnastics routine, relax, stretch your legs, and lie on your back for a couple of minutes.
        • Exercise therapy prevents the development of complications of arthrosis and helps restore joint activity, preventing further bone deformation. The therapeutic gymnastics program includes a whole range of classes. These are gymnastic tasks that are solved in different body positions, training on special simulators and in water, and rehabilitation courses.

          For gonarthrosis, an exercise bike, hatha yoga, Pilates, and micromovement classes are useful. Only the loads should be minimal, under the supervision of an experienced instructor. It is easy to develop degrading knee muscles with the help of steppers, which are installed in orthopedic centers. The principle of their operation is an imitation of walking, in which, if necessary, additional load is applied.

        • Stretch your legs, bend your right knee, lift your right foot, hold your leg for 5-7 seconds, lower it to the starting position. Repeat the same with your left leg.
        • Leg movements that imitate cycling by alternating the active phase with a rest period of a few seconds are very effective.
        • Straighten both legs, lift them up 15 degrees, and make a scissoring motion where your legs alternately go up and down.
        • Raise one leg, straightened at the knee, from the floor 30 degrees, hold for several seconds, making sure that the gluteal muscles are squeezed. The leg muscles are maximally tense, the body is pressed to the floor. Try to breathe evenly. Slowly lower your leg, then do the same with the other leg.
        • Perform exercise No. 1 at a fast pace, holding your leg for 1-2 seconds. This will improve blood circulation in the sore knee in case of arthrosis of the 2nd degree.
        • Raise your straightened arms and legs above the floor. Hold them for 30 seconds and then very slowly return to the starting position. To strengthen your knee muscles, make the task more difficult. Slowly move and spread your raised arms and legs.
        • Perform exercise No. 4 at a fast pace, but the movements should be smooth, and the breaks between repetitions should be at least 2 seconds.
        • Make smooth transitions from toe to heel while standing near the back of a chair. For grade 2 arthrosis, this exercise activates blood circulation.
        • Grasp the back of the chair with both hands. Extend your straight legs to the sides one at a time. Movements should be as slow as possible to strengthen the knee muscles.
        • Bend and straighten the knee joints of each leg in turn, fixing the straightened leg at the top for a few seconds.
        • In the same position, take turns pulling one leg toward your stomach, then the other, bending at the knee.
        • Place both feet on the floor, then spread them to the side the width of your feet, get up from the chair, spread your arms. After 2-3 seconds, return to the starting position.
        • Exercise therapy in water is a complete replacement for therapeutic exercises. When using this unique development, the specific effects of the aquatic environment on the human body are taken into account, because hydrostatic pressure accelerates the flow of blood to the joints, improving metabolism. Classes in the pool are recommended for those people who experience pain when doing exercise therapy under normal conditions. Here are some exercises:

        • Walk slowly along the bottom of the pool, bending and straightening your knees for 3-5 minutes.
        • Swim in any style and use your legs as much as possible.
        • Exercise therapy for knee arthrosis should be carried out strictly during the period of remission. If the patient has an exacerbation of the disease, then any load on the knee should be abandoned. Therapeutic gymnastics also has contraindications:

        • acute chronic diseases;
        • serious injuries;
        • violation of cerebral and coronary circulation;
        • increased body temperature;
        • bleeding;
        • tumor of the knee joint;
        • severe cardiovascular diseases;
        • postoperative period;
        • any hernia.

        In addition to contraindications, any movements that cause sharp pain are prohibited, therefore, with knee arthrosis, it is forbidden to squat vigorously, walk a lot, perform jerky exercises and apply great effort to them. If, during exercise therapy, the patient has aggravated any chronic disease, then it is worth refusing to perform gymnastics for at least a week.

        Video lessons of therapeutic exercises

        Exercise therapy helps to increase the effectiveness of treatment of the disease. But what should those who do not have the opportunity to visit swimming pools, rehabilitation centers, or work with a personal trainer do? Take advantage of the selection of several video lessons below, which you can download to your computer, and then practice them professionally at home. Just be sure to monitor the physical condition of your knee; if there is the slightest pain during the exercise, give it up immediately.

        How to relieve pain in the knee joints - Muslim Jamaldinov

        Osteoarthritis of the knee occurs during prolonged heavy physical activity, from excess weight, or after serious knee injuries. To eliminate pain, you need to completely change your lifestyle: stick to a salt-free diet, lose extra pounds, give up heavy physical labor, and regularly do therapeutic exercises. Watch the video in which the head of the sports rehabilitation department, M. R. Jamaldinov, shows a course of exercises that relieve pain:

        Exercises by Sergei Bubnovsky

        Among the leading Russian specialists who successfully treat grade 2 knee arthrosis, Dr. Sergei Mikhailovich Bubnovsky stands out. The “highlight” of his therapeutic exercises is walking on his knees, which patients may find painful. But with such therapy, there is also protection - a homemade knee pad, for the manufacture of which crushed ice should be poured into dense fabric. The doctor has other unique techniques. Watch the video showing Bubnovsky’s gymnastics:

        Healing gymnastics by Dr. Evdokimenko

        The famous rheumatologist Pavel Valerievich Evdokimenko knows everything about the treatment of arthrosis of the knee joint. He has written more than 10 books dedicated to this common disease, and their circulation has already exceeded half a million. The doctor offers everyone his own gymnastics complex, which he created as a result of successful many years of practice. Watch the video showing gymnastics for arthrosis of the knee joint according to Evdokimenko:

        Feedback on the results

        Olga, 52 years old: My knee joints hurt so much that I couldn’t walk up the stairs and generally had difficulty moving. The doctor advised me to treat the disease by walking on my knees. At first I could only take 3-4 steps - it was excruciatingly painful, but gradually the painful sensations disappeared, and now I can take up to 400 steps. I forgot about joint pain.

        Oleg, 43 years old: Developed arthrosis of the knee joint while working in a mine. In addition to medications, the doctor prescribed a course of physical therapy in water. At first I was skeptical about this procedure, but my attitude changed after the first visit, because immediately after the pool the pain began to subside.

        Natalia, 64 years old: She treated arthrosis at home on her own with folk recipes, but significant improvement came only after she started doing simple gymnastics for the knee joints. I found them on the Internet and practiced for 30 minutes every day: I simply raised and bent my legs, lying on my back. The pain went away after just a week of regular exercise.

        Osteoarthritis of the knee joints causes a lot of inconvenience to the sick person, in addition to pain. In the acute and remission stages, the disease significantly limits the mobility of the limb. This is due, first of all, to the often increased weight of a person, which increases the load on the joint capsule, and to psychological problems, when a person is afraid of causing himself pain by unnecessary movements.

        In the acute stage, drug treatment of the knee joints is prescribed in combination with light physical activity that is accessible to the patient. In the remission stage, physical therapy is prescribed. Gymnastics for arthrosis of the knee joint is one of the types of effective treatment prescribed by a doctor to alleviate the patient’s condition. At the same time, the methods for conducting classes in the acute stage and in the remission stage will be different. A set of physical exercises is carried out not only for the affected joint, but also for the healthy knee, since additional physical stress is placed on it.

        The importance of physical therapy for arthrosis of the knee joints

        A complex of exercise therapy for arthrosis of the knee joints is selected by a specialist in physical therapy, depending on the stage and severity of the disease. Therapeutic exercises aimed at treating arthrosis of the knee joints are designed to solve a number of problems:

      53. improving blood circulation and reducing lymph stagnation in the affected knee;
      54. reduction of pain associated with swelling of the joint capsule;
      55. strengthening the muscular system to reduce the load on the joint;
      56. restoration of knee mobility;
      57. relaxation and toning of muscles;
      58. prevention of further degenerative changes in the joint.
      59. Therapeutic gymnastics and features of its implementation

        For arthrosis of the knee joint, physical exercises are prescribed, the implementation of which requires a responsible and systematic approach, primarily from the patient himself. It is best to conduct the first classes under the strict guidance of a medical specialist. If you perform the exercises correctly, in the future you can perform the entire complex of physical education at home. When treating a knee joint, there are a number of features that should be taken into account when carrying out a complex of exercise therapy prescribed by a doctor.

      60. Therapeutic exercises should not cause pain. If pain is present, this may indicate either incorrect execution of a particular exercise, or an incorrectly selected task.
      61. All actions should be smooth and unhurried to avoid pain and not overload the exhausted muscles around the joint.
      62. When arthrosis becomes acute, training should be short in duration. It is best to carry them out in the morning to ensure at least minimal knee mobility.
      63. During the remission stage, you can and should train in short bursts several times a day.
      64. It is better to perform a set of exercises in a sitting or lying position to avoid overload.
      65. Visits to the pool will be very effective in the treatment of arthrosis of the knee joint. Water relieves excess stress on the joint and allows you to enhance the effect of the exercises.

        Exercises for arthrosis of the knee joint

        A complex of exercise therapy is developed by a doctor in each specific case. If it is not possible to go to a doctor so that he can develop an individual training system, you can find a video with detailed recommendations. The video with instructions from professional trainers and doctors will tell you in detail about the system of applying and performing certain tasks. In general, we can distinguish the main groups of simple exercises aimed at improving the condition of knee arthrosis.

      66. Flexion and extension movements of the legs from a sitting position. If performing this task is difficult for the patient, you can perform movements with each leg alternately.
      67. Pulling the knee to the chest with the help of the hands from a position sitting on a chair or lying down. While pulling the knee up, inhale and when smoothly returning to the starting position, exhale. This is done several times for each leg.
      68. From a position lying on the floor or sitting on the bed, pull your feet towards you.
      69. From a sitting position on a chair or bed, make circular movements with your shins clockwise and counterclockwise with each leg alternately. It is good to increase the intensity of rotational movements.
      70. Exercise bicycle or scissors from a lying position on the floor or on a bed.
      71. Marching in place at a slow pace with maximum knee lift is considered a very effective exercise.
      72. Just as in the previous version, slow march in place with the heel raised to the level of the buttocks.
      73. It should be remembered that all exercises are performed at a slow pace according to the strength and physical fitness of the person. Excessive strain on muscles and joints has no less negative consequences than a complete lack of physical activity.

        The basis for the effectiveness of any workout is the systematic and regular performance of all exercises and increasing the load as certain muscle groups adapt to given movements.

        Some years ago, osteoarthritis (arthritis) was treated by resting and immobilizing the affected joint. But recently, the opinion of doctors has changed - since with arthrosis a vicious circle occurs like - “a person does not move because it hurts and loses the ability to move due to the fact that he does not move,” it was concluded that in order not to become a disabled person needs to move.

        By maintaining physical activity, a person with arthrosis strengthens his muscles, thereby preventing the diseased joints from completely immobilizing.

        Of course, this is physical therapy for the spine, and not the kind of activity that a healthy 30-year-old guy working out in the gym can boast of. On the contrary, some exercises are strictly prohibited for patients with arthrosis, as they will only make things worse. Such exercises are:

      74. Jogging.
      75. Jumping rope.
      76. Aerobics.
      77. Any exercise in which both legs are lifted off the floor at the same time.
      78. The best option is when a complex of therapeutic exercises for a person with arthrosis is selected individually by a physiotherapist. The selected complex should contribute to:

      79. Strengthening the cardiovascular system.
      80. Strengthening muscles.
      81. Maintaining flexibility throughout the body.
      82. Cardiovascular exercise

        The most accessible and at the same time effective cardiovascular exercises for people with arthrosis are:

        Not only does brisk walking strengthen your leg muscles, making you more mobile and helping to reduce joint pain, it also strengthens your heart muscle, which is important for anyone over 40.

        Cycling is good for strengthening the ankle, knee and hip joints. If it is not possible to ride a regular bicycle due to some circumstances, then you can spin the “bicycle” in the air while lying on the floor.

        Swimming is always good for everyone. In water, joints work softer and more painlessly, since in an aquatic environment there is practically no load from the weight of the body. However, you should know that swimming pools in which the water is heated are suitable for patients with arthrosis.

        The disadvantage of swimming is that if the patient experiences bone loss, water procedures, unlike the above exercises, do not prevent this. That's why -

        Swimming alone cannot stop the development of arthrosis.

        Muscle strengthening exercises

        Many people believe that if you have arthrosis, “swinging” is prohibited - this is a mistaken opinion.

        Weight lifting exercises strengthen the muscles around your joints, taking pressure off them and making them less painful.

        Research shows that strength training with weights on a leg with a sore knee joint significantly strengthens the knee. At the same time, pain decreases and joint mobility increases. In addition, such training reduces the risk of falls, and this often happens to people suffering from arthrosis.

        And of course, yoga and tai chi are the most gentle types of physical therapy, which nevertheless perfectly strengthen muscles.

        Exercises to increase joint flexibility

        There are a number of specific exercises designed to increase flexibility and range of motion in the knees and hips. They can be performed either in the pool or on a mat spread on the floor. Do everything without tension, carefully, slowly. You can start with 2 times a week, gradually increasing the frequency of training to daily. Each movement can be repeated 2 times at first, but ideally 8 times.

        So, by the end of the first month of training, the following set of exercises should be performed daily, and each movement of the complex should be performed 8 times on one leg and 8 times on the other leg.

        A set of exercises for osteoarthritis of the knee and hip joints

      83. Stand on one leg while holding the edge of the pool or a wall. Swing the other leg from side to side, gradually increasing the range of motion.
      84. In the same position, swing your leg back and forth.
      85. Get down on one knee (as you do when asking for your hand in marriage). The back is straight, the shoulders are straightened. The knee on the floor should be at the level of the toes of the bent leg.
      86. Sit on a chair. Keep one leg bent, and straighten the other and slowly raise it. Ideally, the raised leg is at the same level as the seat of the chair, or even higher than it.
      87. Lie on the mat, face down. Gently stretch your heel towards your buttocks, while keeping your hips off the floor.
      88. This exercise can be performed with resistance, but it must be done on a machine. Some “savvy” people tie dumbbells to their ankles, trying to imitate the exercise machine. Doing this is strictly prohibited, since the weight tied to the leg is not able to evenly distribute the load on the leg, which will not lead to a cure, but to an exacerbation of arthrosis. If there is no special simulator nearby, then it is better to perform this exercise as usual, without weights.

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