Arthrosis refers to joint diseases. When it occurs, cartilage is destroyed and degenerative-dystrophic processes occur in the joint and adjacent tissues. During the treatment process, they take pills for arthrosis, and also resort to other methods - physiotherapy, drug injections and other therapeutic measures. In case of severe damage to the tissues of the joint, surgical intervention is performed.
The disease can develop in any joint in the body. The most common are arthrosis of the knee, hip (coxarthrosis) joints, and arthrosis of the hands. The causes of the pathology are most often trauma, metabolic disorders in the body, excess weight or excessive physical activity, chronic infections with frequent relapses. Arthrosis causes pain of varying severity, stiffness, and limited range of motion.
During the diagnostic process, it is necessary to find out all the reasons that provoked the disease. To do this, they do an ultrasound of the joint, x-rays of the affected area, sampling of synovial fluid to analyze the cellular and biochemical composition, and other types of studies.
Treatment is more often conservative, in which medications of different directions of action are used. Antibiotics, anti-inflammatory drugs, medications that promote the restoration of cartilage tissue (chondroprotectors), painkillers, vasodilators, and muscle relaxants are prescribed.
The form of the drug was invented and produced by William Upjohn in 1880–1886. The main advantage of tablets over powders, granules, tinctures (capsules, measuring spoons, and other dispensers were not yet invented) was the high accuracy of dosing of active ingredients.
The form is obtained by pressing the prepared medicinal mixture. The tablets may be coated with a protective coating, which prevents the drug from dissolving prematurely, for example, in the mouth or esophagus. For the filler, one or more active ingredients are taken, for example, talc, magnesium stearate, starch, titanium (IV) oxide.
Types of tablets according to dosage and effect of the main substance:
Today, tablets are packaged and stored in hermetically sealed bottles (glass, plastic), as well as in foreign currency - aluminum, plastic or paper blisters with cells.
Always pay attention to the integrity of the packaging and the information on the label. They must indicate the composition, name, information about the manufacturer, date of manufacture, and expiration date.
The drug is stored in a dry room away from light at room temperature no more than + 25 ° C. At the end of the shelf life, the medicine is thrown away as all its medicinal properties disappear. When using expired medications, there is a high probability of poisoning and allergies, and if high-quality active substances are not supplied to the body in a timely manner, the pathology will progress and therapy will be ineffective.
Pharmacotherapy offers many solid (tablets) and liquid forms of medications for the treatment of arthrosis, however, they must be selected by the attending physician. First, specialists always relieve acute inflammation and eliminate pain with the help of analgesics and non-steroidal drugs, then they conduct a comprehensive examination of the patient, and prescribe medications for general and local therapy.
Chondroprotectors are intended for the treatment of stage I–II arthrosis. The principle of action of these drugs is the restoration of cartilage and metabolism in the tissues of the damaged articular joint. The composition of drugs in this group includes substances such as chondroitin sulfate, glucosamine or hyaluronic acid in different proportions. The most famous chondroprotectors are Chondroitin, Structum, Dona, Terafrex, Elbona, Zinaxin.
The first results of treatment with chondoprotectors appear after 60–150 days. The full course lasts up to 6 months, then a break is taken and a new course of treatment is prescribed. The duration of use of the drug and the pause between treatment courses is determined by the attending physician. In case of arthrosis of the third degree, there is no point in prescribing chondroprotectors, so they resort to surgery (arthroscopy, osteotomy, endoprosthetics).
In addition to chondroprotectors, non-steroidal (non-hormonal) anti-inflammatory drugs (NSAIDs) are used in complex therapy, which are aimed at suppressing inflammatory processes in the joint.
The group includes Aertal, Etodolac, Sulindac, Piroxicam, Rofecoxib, Meloxicam, tiaprofenic acid, and other drugs with a similar type of action. The main purpose of the prescription is symptomatic therapy, including relieving pain, swelling, reducing temperature and other manifestations of inflammation.
Non-steroidal anti-inflammatory drugs cannot be taken for a long time, as they have strong side effects - irritating effects on the mucous membranes of the stomach and intestines, metabolic disorders, blood clotting mechanisms, arterial hypertension, heart and/or renal failure.
NSAIDs have varying degrees of action - in some patients, even aspirin can eliminate inflammation and relieve pain, while for others, even Diclofenac or another potent drug will not immediately bring relief. The reason for this is individual sensitivity and the degree of neglect of the disease.
Effective drugs are chondoprotectors with a combined effect. They have multicomponent compositions and can simultaneously restore cartilage, relieve inflammation, reduce pain and swelling. However, people with individual intolerance to any component of the drug are recommended to use single-component targeted agents. Before starting the course, people with allergies are recommended to carry out tolerance tests.
Tablets for the treatment of arthrosis:
Chondroprotectors and NSAIDs intended for oral administration affect all large and small joints of the body. For pathologies of the knee, hip joints, small joints of the hands, feet or other joints, local treatment is required. It is necessary to carry out intra-articular injections of anti-inflammatory drugs, physiotherapy using massage, UHF, exposure to shock waves, laser beams, cold, ozone.
Gels, patches, ointments, and, less commonly, solutions of Mumiyo tablets or liquids for compresses are used externally. Local remedies are used only in combination with basic medications. They increase their effectiveness and accelerate the disappearance of symptoms.
Effective medical preparations for the treatment of arthrosis of the joints:
For osteoarthritis, a diet with a predominance of protein products, taking vitamin and mineral complexes, weight correction, physical therapy, and physiotherapy are also recommended.
Anti-inflammatory and painkillers for mild pain:
Severe pain can be relieved by using Indomethacin, Diclofenac, Ketoprofen, Phenylbutazone or corticosteroid hormones.
If you need to take NSAIDs for a long time, pay attention to second-generation drugs - COX-2 inhibitors (selective anti-inflammatory drugs). They are safe, and with long-term use they do not cause complications on the heart, kidneys, or hematopoietic system. The best remedy from the group is Movalis tablets or suppositories. For severe pain, intramuscular injections of the drug are prescribed.
Chondroprotectors, which contain only glucosamine, hyaluronic acid or chondroitin sulfate, are also considered safe for the body.
With extreme caution, medications that contain skin irritating substances (bee or snake venom, bile) are used externally. They can cause burns and an allergic reaction.
An alternative method of treating arthrosis is the use of Mumiyo externally, internally or as an additive to medicinal baths. Shilajit is safe and gives good results, judging by user reviews on forums in 2015 and 2016. Doctors confirm the advisability of its use only in combination with basic medications.
Tablets for arthrosis should be taken only as prescribed by a doctor, after a thorough examination and examination. The patient himself cannot adjust the dosage or duration of the course. Joint diseases are a very complex pathology that requires long-term treatment. Inadequate therapy, ignoring medical recommendations, as well as self-medication can result in surgery at best, and disability at worst. Be attentive to your health.
Muscle relaxants are medications that help relax the striated muscles of the affected areas of a particular joint. These drugs, like gelatin for arthrosis, are aimed at inhibiting the structures of the central nervous system organs, which are responsible for maintaining the tone of the striated muscles. The appearance of arthrosis for a person can lead to a dangerous complication in the form of varying degrees of disability. However, it has been proven that the muscle relaxants used in the course of treatment for arthrosis allow one to achieve effective action and high results after completing the course of drug therapy prescribed by the doctor.
Arthrosis is a disease that is accompanied by destruction or structural damage to the cartilage layer in the structure of the joint. The cartilage tissue covering the articular surfaces of bones ages over time and loses its basic qualities that contribute to the performance of the functions assigned to it. The destruction of cartilage tissue and the loss of its properties is influenced by the impact on the body of a large number of negative factors.
With arthrosis, degeneration of cartilage tissue occurs in articular structures. Arthrosis is a disease of predominantly elderly people. To date, the causes of this disease have not yet been reliably established and studied. Quite often, the disease in question affects large joints on the limbs, although this disease can affect any articular joints.
The main signs of the development of the disease are:
After the examination, based on its results, it becomes possible to prescribe therapeutic measures that can alleviate and improve the condition of the sick person.
One of the most effective drugs used in the treatment of arthrosis are muscle relaxants. The use of muscle relaxants helps to quickly relieve the patient from spasmodic phenomena that occur in the muscles of the shoulder and hip joints.
Muscle relaxants used in medical practice are divided into two types, central and peripheral, which are administered directly into the affected area of articular structures.
Gelatin is a fairly useful and effective remedy for combating this type of joint disease. The fact is that gelatin consists of a jelly-like mass, which contains a complex of denatured proteins with collagen. These proteins, together with collagen, are of animal origin. For humans, the presence of collagen in the body is a prerequisite for normal life, since collagen ensures the normal functioning of the cartilage tissue of the joints.
The normal functioning of articular structures largely depends directly on the presence of collagen in the body, and the use of gelatin as a therapeutic agent helps to compensate for its deficiency. The participation of collagen in the body's metabolic processes strengthens human connective tissue. It has been reliably proven that gelatin has a beneficial effect on muscle tone, which makes the course of the disease in question milder and less painful for the patient. Using gelatin in the treatment of arthrosis, you can increase the likelihood of a patient being cured of this serious disease.
The use of Dimexide for arthrosis is quite common in the prescribed course of therapy. The use of the gel for joint disorders helps relieve pain and reduce the intensity of the inflammatory process occurring in the affected areas of the joints. The main active ingredient of dimexide is dimethyl sulfoxide. The active substance from Dimexide differs from other medicines in its ability to penetrate biomembranes. The main use of the drug is pain relief for an inflamed joint. In addition, the active substance has blood thinning properties. The advantage is that the drug is low-toxic.
"Dimexide" has side effects in its use, manifested in the form of nausea and vomiting. There have been situations when a patient developed signs and symptoms of itchy dermatitis. Dimexide used for arthritis can enhance the toxic effect of certain medications. Dimexide is produced in the form of a gel and is sold in pharmacies only with a doctor's prescription.
"Pentoxifylline" is a drug that helps improve microcirculation and reduce blood viscosity. This drug increases the elasticity of red blood cells and also helps to increase the concentration of oxygen in the tissues of the human body. Pentoxifylline promotes an increase in cAMP in platelets and ATP in erythrocytes while simultaneously increasing energy potential. Contraindications for the use of Pentoxifylline in the treatment of arthrosis are:
Side effects when using pentoxifylline may include headaches, dizziness, and sleep disturbances. Convulsive phenomena may occur in the articular areas. In addition, edema, increased brittleness of nails, dry mouth, visual impairment, arrhythmia, cardialgia, tachycardia, urticaria, and leukopenia may occur. Sometimes the patient may experience anaphylactic shock and angioedema.
According to the results of studies conducted by many researchers, it has been established that regular consumption of the drug “Glycine” for a period of time from 4 weeks to 2 months allows you to protect the body from the progression of arthrosis and some other diseases that can cause degenerative changes in joint tissues. Taking glycine eliminates the need to take painkillers.
Glycine is found in fish and meat products, milk and dairy products. Glycine is used by the human body in the synthesis of certain proteins in limited quantities, but a lack of glycine can lead to vitamin deficiency and joint diseases. Adding Glycine to food allows you to use it as an alternative method of preventing joint diseases.
"Traumel" is a homeopathic medicine that has the ability to relieve inflammation and pain. This is a drug designed to quickly and effectively prevent the occurrence of exudate and bleeding processes, accelerating tissue restoration while strengthening the body's immune defense. "Traumel" is able to quickly relieve swelling, improve the condition of the vessels of the circulatory system, strengthen the wall of the system's vessels, eliminate pain and normalize the composition and quality of blood flow.
The exceptional properties of traumeel have found wide application when used in the treatment of arthrosis. Traumeel is used by medical workers and specialists when it is necessary to accelerate the processes of restoration of tissue structures. The drug contains extracts from mountain arnica, calendula, chamomile, comfrey, yarrow, belladonna, daisy and two types of echinacea. Traumeel is produced in the form of ointments and liquids for injection. A contraindication to the use of Traumeel is the presence of an allergy to substances contained in Asteraceae.
"Papain" is used to treat joint contractures, arthrosis and arthritis, keloid scars, and glenohumeral periarthritis. "Papain" is an exclusive drug made from papaya latex. An excellent effect on the body of papain has been recorded when it is used in conjunction with electrophoresis procedures in cases of pinched nerves or the occurrence of a vertebral hernia. "Papain" reduces the syndrome of acute pain in the patient. The use of the drug "Papain" in the treatment of arthrosis relieves the patient in numerous cases from the need for surgical intervention.
Hyaluronic acid is a drug that is often called liquid prostheses, since their action is similar to the functions of healthy synovial fluid, which is responsible for reducing the rate of friction between articular surfaces. Hyaluronic acid, by reducing friction of the articular surfaces in the joint, prevents their damage and destruction of cartilage tissue.
The main function performed by hyaluronic acid is to protect the articular surfaces from exposure to increased mechanical stress, which provokes their destruction. Hyaluronic acid is injected directly into the affected joint, promoting the restoration of natural articular cartilage, thereby accelerating the healing process for arthrosis.
Bile is a substance that is formed in the liver tissue and is collected in the gallbladder. The use of medical bile is very diverse. But it is mainly used for the treatment of a number of pathologies of bones, joints and muscles.
Our body needs this liquid to dissolve and absorb fats and fat-soluble microelements. But in ancient times, healers extracted this product from the entrails of animals and used it as a healing potion. Nowadays, the medicinal properties of bile have been well studied by scientists; as a result, pharmacists have been able to develop a variety of medications based on it.
Medical bile is a brown liquid with a green tint, which has a rather unpleasant odor. It is extracted from the internal organs of cattle. The components of medical canned bile are ethyl alcohol, formaldehyde, and fragrance. In pharmacies it can be purchased in glass bottles with a volume of 0.05 to 0.25 liters.
When used externally, bile can relieve pain, resolve bruises and bruises, and stop the inflammatory process. It also has a local irritant effect.
Treatment with medical bile is indicated for:
To treat joints, you need to learn how to make a compress with medical bile. To do this, take gauze, fold it into 4-5 layers, and then soak it in the medicine. Bile for compresses should be shaken before use. This compress should be applied to the sore area of the body. You need to put cotton wool and a sheet of wax paper on top of the gauze (do not use polyethylene or other synthetic materials for the lotion). After this, you should securely secure the compress with a bandage.
This bandage should be applied for no more than a day, and then the compress should be changed. The gauze can gradually dry out, so it should be periodically wetted with warm water.
The course of therapy should last from 1 to 4 weeks. The duration of treatment depends on the characteristics of the disease and its severity. If necessary, you can resume the treatment course after 30-40 days. Most often, bile is used as part of complex treatment, combining it with other medications.
Bile compresses can also be used to treat heel spurs. This disease is characterized by the appearance of growths on the heel bone, the formation of which is caused by impaired metabolism of salts in the body and excess weight. As this disease develops, the patient experiences limb deformation, loss of mobility, and severe pain that occurs when walking.
Typically, complex therapy for heel spurs consists of physiotherapy, massage, exercise therapy, and the use of corticosteroids and other pharmaceutical drugs. Compresses made from medical bile increase the effectiveness of therapy. They help relieve pain and inflammation. There is also a folk remedy that more intensively treats this disease. It is a mixture of pepper and bile.
Cooking recipe: place 2 dried pepper pods in a glass container, add ? glasses of bile and 150 ml of camphor alcohol. This medicine should be infused for at least 15 days in a dark and warm room. A compress should be made from it, but you can keep it on the body for no longer than 20 minutes. With longer exposure to lotions, the likelihood of negative side effects increases.
A regular gauze compress with medical bile should be applied to the foot as in general cases. Instead of a bandage or bandage, you can use cotton socks to secure the gauze. The compress can be applied at night. The duration of such therapy is approximately 30 days. Only a doctor can say exactly how long treatment should last.
Sore joints can be treated in the same way. A compress of bile helps relieve pain and inflammation from bruises or dislocations. Treatment of joints usually takes from several days to a month. With this therapy, the patient begins to feel improvement from the first day (pain sensations decrease).
Treatment of arthrosis is carried out using this liquid. Medical bile for arthrosis can be used as the only remedy or as part of complex therapy. A compress is applied to the knee as follows:
A compress of medical bile for arthrosis should be applied for one day, after which it should be replaced with a new one.
Usually this treatment helps within a couple of days. The entire therapeutic complex should last from 2 weeks to a month.
The same treatment method is applicable for osteoarthritis.
For arthrosis of the knee joint, medical bile can be used in combination with honey, glycerin, ethyl or ammonia. In folk medicine, a huge variety of similar recipes are used, each of which should be agreed with your doctor before use.
The risk of side effects from the use of medical bile is minimized if all rules of use are followed. But there are a number of restrictions under which it is not recommended to carry out treatment with bile. The use of this medicine is contraindicated in the following cases:
Women should be careful when using this medicine during pregnancy and breastfeeding. If any adverse reactions occur, the course of therapy should be interrupted.
A Russian doctor, doctor of medical sciences and professor claims that with his technique he will cure any joint diseases in a couple of months . Which will completely cure an ancient grandmother with the most advanced arthritis in 78 days. And joint pain, he says, with the right approach will go away in 4 days! And, over 48 years of activity, he confirms every statement with practice.
Immediately after the broadcast on the Russia-1 TV channel (on the topic “how to preserve joints at any age”), he agreed to give an interview. Read the interview.
Doctors recommend that patients use new generation NSAIDs for arthrosis. Modern medications make treatment safer and more comfortable. Joint disease is accompanied by pain. In the early stages of arthrosis, pain occurs periodically. In the chronic form, they constantly bother the patient, sometimes increasing and sometimes decreasing. Joint pain can be very severe and painful. Non-steroidal anti-inflammatory drugs are a salvation for patients with arthrosis.
Although arthrosis is a degenerative-dystrophic disease, it often causes inflammatory processes in articular and periarticular structures. Nonsteroidal anti-inflammatory drugs have:
The widespread use of “symptomatic” drugs is due to their high efficiency. NSAIDs quickly reduce or completely eliminate even severe pain. After their use, inflammatory processes subside.
The principle of action of NSAIDs is based on disruption of the synthesis of pain mediators - prostaglandins. Pain mediators are chemicals that are formed in tissue when it is damaged. The production of prostaglandins in the human body is controlled by the enzyme cyclooxygenase (COX). The COX enzyme takes part in the conversion of arachidonic acid into prostaglandins. NSAIDs inhibit cyclooxygenase, preventing it from synthesizing prostaglandins. Due to a decrease in the amount of prostaglandins, pain decreases, body temperature decreases, and the inflammatory process subsides.
The disadvantage of medications is their negative effect on the mucous membrane of the stomach and duodenum. Patients who are forced to frequently take NSAIDs suffer from erosive and ulcerative lesions of the gastroduodenal zone (gastropathy). With the relief of arthrosis symptoms, belching, heartburn, nausea, vomiting and stomach pain occur. Under the influence of NSAIDs, a stomach or duodenal ulcer appears.
Progression of the digestive tract disease can lead to:
Traditional NSAIDs inhibit the activity of chondroblasts and chondrocytes (cartilage tissue cells), reduce the synthesis of collagen and hyaluronic acid, promote premature death of chondrocytes and increase cartilage degeneration. With their regular use, arthrosis progresses.
Side effects may force patients with arthrosis to refuse treatment. Gastropathy threatens not only the health, but also the lives of patients.
When creating a new generation of NSAIDs, special attention was paid to reducing the harmful effects on the mucous membrane of the gastroduodenal zone. During research, isoforms of the COX enzyme were discovered. The action of traditional NSAIDs was based on blocking the COX-1 and COX-2 isoforms. And if the inhibition of COX-2 had an analgesic and anti-inflammatory effect, then the suppression of COX-1 caused undesirable effects.
Understanding the role of COX enzyme isoforms led to the discovery of a new generation of NSAIDs. To neutralize the negative qualities of NSAIDs, drugs were created that selectively act only on the COX-2 enzyme. They are called selective COX-2 inhibitors.
Clinical studies have confirmed the low gastrointestinal toxicity of new drugs. Although the risk of developing gastropathy has not disappeared, the frequency of its occurrence has decreased significantly.
New generation NSAIDs for cervical osteochondrosis and its other types are divided into predominantly selective COX-2 inhibitors and specific (highly selective). Mostly selective drugs are characterized by high selectivity for COX-2 and low selectivity for COX-1. Highly selective drugs suppress only COX-2.
Although at first glance highly selective drugs for osteochondrosis are safer, clinical trial data indicate the opposite. Both isoforms are involved in the development of pain and inflammatory response. Therefore, preferential inhibition of COX-2 allows one to achieve excellent therapeutic results with minor adverse reactions.
With significant suppression of only COX-2, additional undesirable consequences arise. The highly selective non-steroidal anti-inflammatory drugs used for arthrosis negatively affect ovulation and the synthesis of prostacyclin (prevents the formation of blood clots).
Selective COX-2 inhibitors are divided into 3 groups of drugs:
New generation NSAIDs are not more effective than classic drugs. However, they are safer, especially for people suffering from gastrointestinal diseases.
Modern medications do not have an antiplatelet effect like non-selective NSAIDs, since platelets contain only the COX-1 enzyme. Selective COX-2 inhibitors are prescribed to patients who are simultaneously taking anticoagulants.
New generation NSAIDs have a positive effect on cartilage tissue, helping to stop the development of arthrosis and restore the functioning of the joint. They force chondrocytes to produce:
These substances are necessary for the full functioning of cartilage tissue.
At the same time, selective NSAIDs can increase the risk of myocardial infarction, heart failure and stroke.
Selective inhibition of COX-2 can lead to fluid retention in the body, increased blood pressure and exacerbation of heart failure.
One of the first to produce a selective COX inhibitor was C2 Nimesulide (Nise, Nimika, Nimulid, Nimesil). Numerous studies and clinical experience have proven the drug's high effectiveness and good tolerability. Over almost 3 decades of use of the drug, no serious anaphylactic reactions or complications from the digestive system (ulcer formation, bleeding) have been recorded.
A characteristic feature of Nimesulide is the ability not only to inhibit the activity of COX-2, but also to block its production.
Nimesulide is a predominantly selective drug. It suppresses the activity of COX-2 by 88% and COX-1 by 45%. However, the effect on COX-2 lasts longer.
The drug is often prescribed to patients with arthrosis because of its ability to reduce the level of collagenase in the synovial (joint) fluid. Collagenase destroys collagen and proteoglycans (substances of the intercellular matrix of connective tissue), stimulating the progression of arthrosis.
After using Nimesulide for cervical osteochondrosis and arthrosis:
The joint partially or completely restores its mobility.
Nimesulide is available in the form of tablets, granules for preparing a suspension and ointment for external use. The granules are diluted in chilled boiled water (contents of 1 sachet per 100 ml of water). The prepared suspension cannot be stored. Tablets or suspension are taken orally 2 times a day. The ointment is applied to the affected area and lightly rubbed. The procedure is repeated 3-4 times a day. After it, the pain decreases and the swelling decreases. The drug helps improve the motor activity of the affected joint.
The course of treatment is 2 - 8 weeks. It is determined by the doctor based on the stage and severity of the disease.
After cases of serious liver complications while taking this drug, additional studies were conducted to determine the hepatotoxicity of Nimesulide. However, the connection of the drug with the occurrence of hepatopathy has not been proven.
Nimesulide is contraindicated in pregnant women and nursing mothers.
Celecoxib (Celebrex) is a highly selective NSAID. It quickly reduces pain and reduces inflammation. Therapeutic doses are safe for humans and do not cause complications. Celecoxib significantly reduces the risk of gastroduodenal ulcers and other diseases of the digestive system. It slightly increases the likelihood of thrombosis.
The drug is rapidly absorbed, reaching maximum concentration after 2-3 hours. If you eat fatty foods before taking a dose of celecoxib, absorption will slow down. The maximum concentration will appear only after 6-7 hours. This indicator is influenced by the patient’s body weight and gender. In people with low body weight and in women, the concentration of the active substance is higher than in other patients. Such people need to start therapy with minimal doses.
The duration of therapy depends on the patient's condition. Patients with cardiovascular diseases are prescribed minimal doses and a short course of treatment.
The drug is produced in capsules. They are taken twice a day. Celecoxib is not available as an ointment.
Celecoxib is not prescribed to patients with severe renal and hepatic insufficiency and for peptic ulcers during its exacerbation. Contraindications are gastrointestinal bleeding and intestinal inflammation. Celecoxib should not be used:
Valdecoxib (Bextra) is rapidly absorbed after oral administration. Unlike Celecoxib, fatty foods do not affect the rate at which it is absorbed. The maximum concentration of the active substance occurs after 3 hours. The negative effect of Valdecoxib on ovulation has been confirmed. However, the effect is reversible.
The drug is prescribed with caution to patients with arterial hypertension and heart failure. Valdecoxib is not recommended for use by elderly people, pregnant and lactating women, patients with impaired liver and kidney function, and children under 18 years of age. Do not take Valdecoxib if you have acute peptic ulcers or severe heart or kidney failure.
The tablets are taken once a day. On the first day of treatment, you can take the drug twice. There is no dosage form of the drug in the form of an ointment.
The effectiveness and safety of Meloxicam (Movalis, Amelotex) has been tested in multiple clinical studies. It quickly relieves pain and relieves inflammation. Among all other new generation NSAIDs, Meloxicam is most often recommended for arthrosis and cervical osteochondrosis. The advantage of the drug is the ability to take it for a long time without harm to health.
The effectiveness of treatment with Meloxicam is comparable to the results of treatment with Diclofenac, the “gold standard” of anti-inflammatory therapy. At the same time, the frequency of gastroenterological complications is observed 3 times less often. Exacerbation of existing gastritis and peptic ulcers sometimes occurs only after a long course of treatment with Meloxicam (more than six months).
The drug is available in the form of tablets, suppositories and solutions for intramuscular injection. The tablets are taken orally 1 time per day with meals. Suppositories are administered 1–2 times a day. Intramuscular administration is indicated only in the first 2–3 days of therapy. There is no Meloxicam ointment.
Meloxicam is not prescribed for renal and liver failure. It is contraindicated for pregnant and lactating women, as well as children under 15 years of age.
Lornoxicam (Xefocam) is a powerful pain reliever. In terms of its potency, it can be compared to Morphine. The therapeutic effect lasts 12 hours. The drug does not cause disorders of the nervous system and is not addictive.
When taken simultaneously with food, the time to reach maximum concentration increases from 1.5 to 2 - 3 hours. The drug is available in the form of tablets and powder for intramuscular and intravenous injections. Injections are given once a day. On the first day of treatment, 2 administrations may be prescribed. Tablets are taken 2 - 3 times a day. There is no dosage form in the form of an ointment.
Contraindications include severe cardiac, renal and liver failure, gastrointestinal or cerebral vascular bleeding, acute peptic ulcers, thrombocytopenia, as well as pregnancy and lactation.
There is a huge variety of medications for joint arthrosis. Only a doctor can decide which one is suitable for a particular person, after analyzing all the symptoms that appear. But no matter where the disease manifests itself, on what part of the person’s body, the symptoms will be identical.
As the main treatment regimen, doctors prescribe medications, and they may differ in the direction of action, pharmacological composition, type, etc.
These are not only medications that help quickly relieve pain, as most patients believe. These are medications for joint arthrosis that stop the destruction process. And the sooner a person starts taking them, the greater the opportunity for cartilage to “stay alive.”
Anti-inflammatory and analgesic groups of drugs for the treatment of joint arthrosis:
Tablets for joint arthrosis, aimed at restoring cartilage, chondroitin. They are found both in domestic and foreign pharmaceuticals. They need to be taken for a long time, at least 3 months, and are not used in advanced cases when the cartilage is completely destroyed.
There are also bioactive supplements similar to the action of chondroitins, but due to the lack of their title as a drug and lack of proof of clinical effectiveness, they are less in demand among patients.
A preparation based on soy and avocado – Piaskledin. It prevents the destruction of cartilage and slows down processes. Compared to others, this is a very expensive drug. It is used 1 capsule per day for 6 months.
Injections with hyaluronic acid, injected directly into the joint itself, will bring no less better results. It is important to remember one rule: the drug can be administered only after the inflammation has completely subsided, otherwise it will not show its direction.
If you apply warming procedures in the form of compresses and ointments, there will be an increase in blood flow to the sore joint, this will significantly relieve pain and help slightly dilute the fluid contained there. For this, medications such as Bishofite, medical bile, Dimexide, which must be diluted with water in a ratio of 1:4, are widely used, otherwise you can easily get a burn. B vitamins and nicotinic acid also improve blood microcirculation.
All of these medications are prescribed by the attending physician; he can prescribe not just one, but in combination. And it is generally accepted that just such a regimen can give a positive result and help say goodbye to the hated disease for a long period of time.
The occurrence of knee arthrosis is associated with inflammation of the joint. This disease is chronic and is expressed in damage to the cartilage in the articular area, accompanied by pain that intensifies when walking. Osteoarthritis of the knee joint, the treatment of which takes a long period, is considered the most common ailment of modern humanity.
Treatment of arthrosis of the knee joint includes a significant range of therapeutic measures, which may sometimes involve only conservative methods, and in some cases, surgical intervention.
Correct treatment of the disease can only be obtained by contacting a good specialist. Based on the examinations performed, the doctor will be able to determine the stage of development of the disease and select the appropriate treatment. Achieving success in the fight against the disease is possible only with the systematic use of therapeutic methods and following all the doctor’s instructions.
The question is: which doctor will help cope with the disease? If you have symptoms of the disease, you can contact three specialists. The first of them is a rheumatologist. This doctor will help with the first symptoms of the disease. It is in his power to identify the disease, prescribe treatment and prevent its transition to the chronic stage.
The second assistant doctor who can solve the problem with surgical intervention is an arthrologist. Such a doctor is visited at later, progressive stages of the disease.
An orthopedic doctor will deal with pathology at a late stage of the disease. Mostly, he is approached by patients who have not been helped by drug therapy.
Treatment of arthrosis of the knee joint should be carried out in two directions - preventing further progression of the disease and eliminating existing degenerative changes.
In modern conditions, many effective methods have been developed aimed at slowing the progression of the disease and reducing pain.
To get rid of the disease, it is important to achieve the following tasks: eliminate pain and enhance cartilage regeneration processes, provide nutrition to cartilage tissue, and improve blood circulation. Reduce pressure at the site of damage to the articular elements. Strengthen the muscle tissue that is adjacent to the joint. Help increase the elasticity of ligaments and tendons and restore joint mobility.
Based on the degree of complexity of the disease, the main treatment of arthrosis can be medicinal and surgical.
If it comes to surgical intervention, then during the operation the doctor will replace the affected joint with a metal one. But these are extreme measures, and it is better to try all conservative methods to get rid of the disease.
Drug treatment of arthrosis of the knee joint involves the use of several groups of drugs that have multidirectional effects on the cause of the lesion.
The main medications used in treatment can be divided into groups.
Non-steroidal drugs are used to reduce pain and reduce the degree of inflammation. These drugs include drugs containing the active substance - Diclofenac, Nimesulide, Indomethacin and others. It should be understood that these medications are used at the acute stage, and their goal is to eliminate critical inflammation in order to make it possible to move on to the next stage of treatment.
Non-steroidal drugs should not be taken for a long period, as they can cause addiction. The masking effect of eliminating pain is not able to completely cure arthrosis. Another side effect of taking nonsteroidal drugs is a negative effect on the synthesis of proteoglycans, leading to dehydration of cartilage tissue.
If the pain does not go away, then it is better to replace non-steroidal drugs with Movalis. Selective drugs do not have a negative effect on cartilage tissue and do not cause adverse reactions in the body.
If treatment with anti-inflammatory drugs does not have the desired effect, and the symptoms of the disease indicate a severe exacerbation, then the doctor may prescribe hormonal drugs. Corticosteroid medications are prescribed as injections into the joint. Due to their action and adverse reactions, these drugs are used in exceptional cases. The doctor determines at this stage which drug can quickly eliminate pain, relieve inflammation and swelling. As a rule, this is Diprospan or Hydrocortisone. Due to side effects, these drugs are used in short courses during the acute period, when fluid accumulates in the joint, promoting the development of the inflammatory process.
The second group of drugs aimed at treating arthrosis of the knee joint is represented by vascular drugs. Trental will help restore blood circulation.
Anesthetics have an analgesic effect, which is also best not to be abused.
A group of drugs that ensure the restoration of the cartilaginous structure of the diseased joint has a significant therapeutic effect. These drugs are defined in medicine as chondroprotectors.
The components of these drugs are glucosamine and chondroitin sulfate. Their main feature in the treatment of arthrosis is to eliminate the cause of the disease. Chondroprotectors promote the production of joint fluid, which can prevent friction. In addition, they accelerate regenerative processes in cartilage tissue.
Treating arthrosis of the knee joint with these drugs is the most constructive and safe way to get rid of the disease. Medicines in this group have a healing effect only in the first two stages of the lesion. If the cartilage is completely destroyed, the use of chondroprotectors is useless.
If you want to influence the disease comprehensively, you can use special ointments. These remedies do not eliminate the cause of the disease, but can relieve the symptomatic manifestations that accompany the disease. Ointments reduce swelling, have a warming effect and normalize blood circulation.
Compresses are also considered local remedies. You can get rid of pain and reduce the degree of inflammation using compresses with Dimexide. The drug penetrates deeply into the patient's skin, has a resolving effect, reduces existing tension in the muscles and accelerates metabolic processes in the joint area.
For deforming arthrosis of the knee joint, it is better to make compresses with Bischofite, which has an anti-inflammatory and local warming effect.
After the exacerbation of the disease has resolved, the doctor may prescribe physiotherapeutic procedures. These methods should not be treated as secondary. The use of physiotherapy for arthrosis provides significant relief to the patient, since the procedures relieve muscle spasms and accelerate the process of restoring joint function. Physiotherapy, which is prescribed for arthrosis of the knee joint, aims to reduce pain, reduce the degree of inflammation and restore nutrition to the tissues of the articular area. Only the doctor determines what type of impact on the lesion can be provided by procedures.
Procedures that can reduce pain and reduce inflammation include laser therapy and high-intensity centimeter exposure.
The use of physiotherapy methods such as ultrasound and darsonvalization will help improve nutrition and blood supply to the joint area. Their effectiveness is associated with the influence of electric current of different frequencies, which penetrates the tissue and has a versatile effect: improves blood circulation and lymphatic drainage, stimulates regeneration processes.
Bath therapy is mandatory for arthrosis of the knee joint. Their healing effect is associated with anti-inflammatory, analgesic and restorative effects. Sage baths can heal injured cartilage and bone surfaces. In addition, sage relieves swelling and inflammation in tissues. Radon baths eliminate pain, improve blood circulation and can speed up the process of restoring damaged cartilage structure. The use of a hydrogen sulfide bath normalizes the functioning of the central nervous system and improves metabolic processes in tissues.
To successfully treat arthrosis of the knee joint, it is necessary to engage in physical therapy. It is better to perform specially selected exercises that help strengthen muscles and activate blood circulation. The gymnastic complex is selected by a doctor, and treatment should begin under the supervision of a specialist. Only after you have mastered the correct execution of the exercises can you do them yourself at home.
Patients diagnosed with arthrosis of the knee joint should understand that it is impossible to completely cure the disease, but it is quite possible to stop its progression. Traditional medicine contains many recipes that can become faithful assistants in the fight against this scourge and cure the main symptoms of the disease. The action of various medicinal herbs can activate regenerative processes in tissues.
In the treatment of arthrosis, a large number of herbal components are used, prepared in the form of ointments, tinctures, rubs, and compresses.
The best results can be achieved by using several herbs to prepare a healing infusion or ointment. Plants have the ability to reduce pain, eliminate swelling, inflammation, and in their combination allow you to achieve the desired result.
Aloe, dandelion flowers, horseradish root, cinquefoil, mustard and honey, salt and other plant components have proven their healing properties.
The cinquefoil herb is used in the form of a tincture. Mustard, salt and sand are used as a warming compress. A very effective remedy for the treatment of arthrosis is aloe, which can be used either alone or in combination with other ingredients of plant origin.
The problem of arthrosis of the knee joint should be approached comprehensively. It is necessary to influence the disease from all sides: treat it not only with medications and folk remedies, but also follow a diet, do therapeutic exercises - and then the disease will recede before your efforts.
Arthrosis is a serious illness that affects many people, especially the elderly. But young people can get sick too. It is more correct to say deforming osteoarthritis, but in everyday life the terms arthritis and arthrosis are more often used. This disease leads to pain in the joints, changes in their shape, dysfunction, and destruction of cartilage tissue. Continuously progressing, it can lead to disability.
Therefore, treatment of arthrosis should begin immediately after the diagnosis is made. To begin with, drug therapy is used. Nowadays, drugs for arthrosis are presented in a large assortment. Typically, a rheumatologist will prescribe a treatment regimen that is appropriate for you. Many people hope that there is a magic cure for arthrosis that will cure this disease forever. But, unfortunately, the disease is chronic and it is almost impossible to achieve complete restoration of the joint. It should be remembered that to achieve the best effect, treatment must be carried out for a long time and not take long breaks. All remedies for arthrosis are aimed at slowing down the destruction of bone joints, reducing pain, and minimally restoring cartilage. It is better not to self-medicate, as this can lead to a worsening of the condition. If the doctor has diagnosed you with arthrosis, then it is better not to delay treatment, there are a wide variety of drugs, pharmacology offers all new drugs. Let's figure out what remedies modern medicine offers us.
These medications are used quite widely for joint arthrosis. Their advantage is that they are accessible and inexpensive. They have a number of positive properties:
These drugs are presented in various forms: these can be tablets or ointments for joint arthrosis, gels, creams, solutions for injection into a vein or muscle, into the joint cavity.
But we must remember that these drugs have a number of side effects:
They are prohibited during pregnancy and while breastfeeding, in the presence of stomach ulcers and duodenal ulcers, mental disorders and epilepsy.
Anti-inflammatory drugs in local or systemic form for arthrosis still relieve the symptoms of the disease to a greater extent; they do not eliminate the causes. Therefore, they should be taken only in combination with other medications.
Arthrosis is a chronic disease and treatment includes not only painkillers. Chondroprotectors are widely used, many of which are administered intravenously or intramuscularly. But there are also forms of gels, tablets, capsules, creams.
Chondroprotectors are drugs that not only relieve the symptoms of damage to cartilage tissue, but also promote its restoration. Basically, these drugs contain natural components of cartilage, due to which it regenerates. They can also improve nutrition in the joint. But to achieve a noticeable effect, they must be taken for a long time.
These drugs are well tolerated and have almost no contraindications; they are prohibited only in case of individual intolerance and phenylketonuria. There are also virtually no side effects.
Synovial fluid is a substance that is found in the joint cavity. It lubricates the articular surfaces of the bones, reducing their friction against each other. Injected into the joint cavity, patients immediately notice a decrease in pain and an increase in mobility in the joint. This drug is based on polyvinylpyrrolidone, its 15% aqueous solution. It can be mixed with arteparone or hyaluronic acid. This is a medicine for the initial stages of arthritis and arthrosis, which immediately leads to relief. It is administered periodically, as over time the joint fluid disappears and pain and friction reappear. There are practically no side effects from the administration of this drug.
These are drugs that inhibit enzymes that destroy cartilage. They are used for severe pain that cannot be relieved by NSAIDs. These drugs are used for arthrosis of the joints of any degree, but more often II-III. Inserted into the joint.
These substances are not used in the first trimester of pregnancy, or in people with increased sensitivity to atropine.
But these medications have quite a lot of side effects. Among them are renal and liver failure, tachycardia, increased blood pressure, pulmonary edema, bronchospasm, dizziness, atrial fibrillation. Therefore, treatment of arthrosis using these drugs should be carried out under strict supervision and only on the recommendation of a doctor.
Medicines in this group improve metabolism in cartilage tissue. Their separate use does not cause significant changes, but complex treatment of arthrosis with their use has positive results.
These drugs will also improve the general condition of the body; the indication for their use is not only the treatment of arthrosis.
Arthritis and arthrosis involve treatment that uses drugs from various groups. The combination of different drugs is the key to success.
Tablets for arthrosis, as well as ointments, creams, and solutions will be offered to you at any pharmacy, most of them are sold without a doctor’s prescription. In addition, physiotherapeutic treatment methods have been developed that can be very effective; there are sanatoriums and resorts that specialize in this. In the absence of a positive effect from conservative therapy, surgical operations are used. Many surgical techniques are used for deforming osteoarthritis.