Post-traumatic arthrosis is not a primary disease and occurs due to predisposing factors. This disease can develop at any age and does not depend on degenerative changes in cartilage tissue due to aging. Arthrosis especially often affects the large joints of the lower extremities in track and field athletes who neglect preliminary preparation before exercise.
Post-traumatic deforming arthrosis is usually considered a problem for overweight people. However, it is not. Among the main causes of secondary or post-traumatic osteoarthritis are:
Trauma can trigger mechanical destruction of the hyaline cartilage that lines the articular surfaces. Meniscal tears are the main cause of knee arthrosis. The meniscus is fibrous cartilage. His injuries and damage usually develop in everyday life.
The deformed part of the meniscus begins to injure the articular surface. This occurs because the fibrous cartilage of the meniscus is much denser than the hyaline cartilage of the joint. As a result, mechanical destruction of the latter occurs. This process can last 3-4 years. As a result, the hyaline cartilage is completely destroyed. This leads to arthrosis to the extent that there is a need for knee replacement.
Post-traumatic arthrosis of the knee joint is manifested by pain, a feeling of stiffness, and swelling. When moving, a characteristic crunching sound occurs in the affected joint. If the patient does not see a doctor, limitation of joint functions, curvature of the lower limb, and muscle atrophy occur.
The main causes of arthrosis of the ankle joint are impaired blood supply to the articular cartilage. Even minor injuries can damage the blood vessels that supply nutrients to the joint. As a result of trophic disturbances, the internal structure of the joint capsule is disrupted, the production of synovial fluid decreases and the friction of the articular surfaces increases.
When blood circulation is impaired, muscles and nerves suffer. As a result, there is a decrease in tone and a disruption in the transmission of nerve impulses to the brain. Thus, muscle tissue remains without control from the nervous system. This can trigger the onset of post-traumatic arthrosis.
The disease is caused not only by injuries, but also by excessive physical stress on the joint. It is for this reason that people whose work involves heavy physical labor and athletes are at risk. It takes several years after the injury before symptoms of the disease begin to appear.
Pain syndrome appears after the appearance of bone growths in the joint. The main symptoms of post-traumatic arthrosis of the shoulder joint include decreased muscle trophism and numbness of the hands. One of the striking symptoms is aching pain in the shoulder and shoulder blade area and difficulty moving the arm behind the back.
Treatment of post-traumatic arthrosis consists of an integrated approach. Measures are prescribed aimed at reducing oxygen starvation of tissues. This is achieved by activating local and general blood circulation. As a result, there is a decrease in venous stasis and tissue swelling. Improving blood circulation in tissues leads to restoration of the regulation of water-salt metabolism and normalization of metabolism in cartilage tissue.
Exercise strengthens the muscles surrounding the joint and provides stabilization and relief. Dosed exercises in combination with massage and other methods of physiotherapy lead to the adaptation of the body and the injured joint to stress.
During the period of exacerbation of the disease, treatment is aimed at reducing pain and relaxing muscles that are in good shape. For several days, the patient is recommended to use a gentle motor regimen. For severe pain in the last stages of the disease, bed rest is prescribed.
Painkillers and non-steroidal anti-inflammatory drugs are used to relieve pain. To provide cartilage tissue with nutrients, chondroprotectors are prescribed in the form of tablets and external agents.
Hydrogen sulfide and radon baths are effective in the treatment of post-traumatic arthrosis. A course of balneotherapy helps reduce pain for a long period of time. Mud baths are prescribed for the same purposes. Conservative treatment and exercise therapy in the initial stages of the disease can be effective. If the patient consults a doctor with an advanced form of arthrosis, surgical intervention is suggested.
After injury, the articular area undergoes degenerative and dystrophic changes. Such processes affect not only cartilage and bone tissue, but also ligaments and tendons. The listed phenomena characterize a disease called post-traumatic arthrosis. Its manifestations and treatment will be discussed further.
Traumatic arthrosis, as the name implies, appears after injury to a certain area. The following conditions can lead to this pathology:
Such a pathological process often develops after a fracture or other injury. But athletes are in the first place at risk. After all, they are more likely than other segments of the population to suffer injuries to the musculoskeletal system. The second place in the risk of developing this pathology after injury is occupied by older people who experience osteoporosis, ligamentous weakness, metabolic disorders and numerous chronic diseases.
With arthrosis after a fracture of the shoulder joint, the range of active movements in the joint decreases, and pain may radiate to the chest, collarbone or scapula.
In the second stage, damage to the elbow joint is characterized by the appearance of a crunching sound and pain during movements.
At the second stage of arthrosis of the big toe, a pain syndrome appears, which intensifies with exercise. The tissue around the affected area becomes inflamed, red and swollen.
When the shoulder joint is affected at the third stage, the patient cannot do daily work, self-care is limited: he cannot raise his arms, hold a spoon, or dress himself.
The pathological process after a big toe injury at this stage leads to deformation of the articular area, severe constant pain in the foot, and displacement of the toe due to an increase in the volume of the metatarsal head.
Damage to the phalangeal joint of the toe leads to its displacement, deformation, the pain syndrome is characterized by constancy and severity, and calluses appear on the sole.
Therapy for different localizations of the inflammatory process will differ. But there are general principles of treatment:
To get rid of arthrosis of the foot after injury, it is necessary to use non-steroidal anti-inflammatory drugs and glucocorticosteroid hormones in the form of ointments. In addition, compresses, medicinal infusions, UHF, baths, and mud are used to relieve swelling and reduce the inflammatory process. Long-term course use of chondroprotectors is required.
Women are not recommended to wear high heels. To reduce the load on the joint, you should lose excess weight. To maintain muscle tone, you need to perform exercises selected by a specialist in physical therapy every day.
If the hip joint is affected, conservative therapy includes the same components. However, the third stage of the pathology can only be cured surgically. Endoprosthetics is performed, which consists of resection of the destroyed femoral head and replacing it with an artificial one. Subsequently, long-term rehabilitation is carried out.
For conservative treatment of knee joint pathology, non-steroidal anti-inflammatory drugs, glucocorticosteroid hormonal agents, antispasmodics, chondroprotectors and biostimulants are used. Physiotherapeutic methods include UHF, laser therapy, and magnetic therapy. Acupuncture and massage have a good effect.
When the pathological process is localized in the shoulder joint, conservative treatment is carried out. NSAIDs are used, and for severe pain, analgesics and muscle relaxants are taken. Chondroprotectors containing glucosamine and chondroitin are needed. In case of no effect or prolonged inflammatory process, intra-articular injections of glucocorticosteroid hormones are given. Laser therapy, electrophoresis and phonophoresis, treatment with paraffin and mud are prescribed. To improve mobility, you should perform physical therapy exercises daily.
If the above measures are unsuccessful, the patient undergoes endoprosthetics. If there are contraindications, arthrodesis is used - fixation of the joint.
Unfortunately, therapy for post-traumatic arthrosis is a long and complex process. To prevent the development of this pathology, injury should be avoided. If you receive even a minor injury, you must contact a specialist who, after examination and examination, will develop a treatment regimen. In addition, the patient needs to make an effort to lose weight and perform the recommended exercises daily. During therapy, it is important to follow a diet, include jellied meat and jelly-like foods in the diet. Selecting comfortable shoes is of great importance.
Post-traumatic arthrosis is a degenerative-dystrophic lesion of the joint that occurs after its traumatic injury. It most often develops after intra-articular fractures, but can also occur after injuries to the soft tissue elements of the joint (ligaments, menisci, etc.). It manifests itself as pain, limitation of movements and joint deformation. The diagnosis is made on the basis of anamnesis, clinical data, results of radiography, CT, MRI, ultrasound, arthroscopy and other studies. Treatment is often conservative; if there is significant destruction of the joint, endoprosthetics is performed.
Post-traumatic arthrosis is one of the types of secondary arthrosis, that is, arthrosis that arose against the background of previous changes in the joint. In orthopedics and traumatology, it is a fairly common pathology and can develop at any age. More often than other forms of arthrosis, it is detected in young, physically active patients. According to various data, the likelihood of arthrosis occurring after a joint injury ranges from 15 to 60%. It can affect any joints, but post-traumatic arthrosis of large joints of the lower extremities is of greatest clinical importance, both due to its widespread prevalence and its impact on the activity and performance of patients.
The main reasons for the development of post-traumatic arthrosis are disruption of the congruence of articular surfaces, deterioration of blood supply to various joint structures and prolonged immobilization. This form of arthrosis very often occurs after displaced intra-articular fractures. Thus, arthrosis of the knee joint often develops after fractures of the femoral condyles and tibial condyles, arthrosis of the elbow joint - after transcondylar fractures and fractures of the radial head, etc.
Another fairly common cause of post-traumatic arthrosis is rupture of the capsular-ligamentous apparatus. For example, arthrosis of the ankle joint can occur after a rupture of the tibiofibular syndesmosis, arthrosis of the knee joint - after damage to the cruciate ligaments, etc. Often, the history of patients suffering from post-traumatic arthrosis reveals a combination of these injuries, for example, a trimalleolar fracture with a rupture of the tibiofibular syndesmosis.
The likelihood of developing this form of arthrosis increases sharply with incorrect or untimely treatment, as a result of which even minor uncorrected anatomical defects remain. For example, when the relative position of the articular surfaces of the ankle joint changes by only 1 mm, the load begins to be distributed not over the entire surface of the articular cartilage, but over only 30-40% of their total area. This leads to constant significant overload of certain areas of the joint and causes rapid destruction of cartilage.
Prolonged immobilization can provoke the development of post-traumatic arthrosis, both with intra-articular and extra-articular injuries. In conditions of prolonged immobility, blood circulation worsens and venous-lymphatic outflow in the joint area is disrupted. The muscles shorten, the elasticity of soft tissue structures decreases, and sometimes the changes become irreversible.
A type of post-traumatic arthrosis is arthrosis after surgical interventions. Despite the fact that surgery is often the best or only way to restore the configuration and function of the joint, surgery itself always entails additional tissue trauma. Subsequently, scars form in the area of the cut tissue, which negatively affects the function and blood supply of the joint. In addition, in some cases, during the operation it is necessary to remove elements of the joint that are destroyed or severely damaged due to trauma, and this entails a violation of the congruence of the articular surfaces.
In the initial stages, there is a crunching sensation and minor or moderate pain, which intensifies with movement. At rest, pain is usually absent. A characteristic sign of arthrosis is “starting pain” - the occurrence of pain and transient stiffness of the joint during the first movements after a period of rest. Subsequently, the pain becomes more intense and occurs not only during exercise, but also at rest - “in the weather” or at night. The range of motion in the joint is limited.
Usually there is an alternation of exacerbations and remissions. During an exacerbation, the joint becomes swollen, and synovitis is possible. Due to constant pain, a chronic reflex spasm of the muscles of the limb is formed, and sometimes muscle contractures develop. At rest, patients experience discomfort, pain and muscle cramps. The joint gradually deforms. Lameness occurs due to pain and limited movement. In the later stages, the joint becomes bent, grossly deformed, and subluxations and contractures are noted.
Visual examination does not reveal any changes in the early stages. The shape and configuration of the joint are not disturbed (if there is no previous deformation due to traumatic injury). The range of movements depends on the nature of the injury suffered and the quality of rehabilitation measures. Subsequently, there is a worsening of the deformity and increasing limitation of movements. Palpation is painful; when palpated, in some cases thickenings and irregularities along the edge of the joint space are determined. There may be curvature of the limb axis and instability of the joint. With synovitis, a fluctuation is determined in the joint.
The diagnosis is established on the basis of anamnesis (previous injury), clinical manifestations and X-ray results of the joint. Radiographs reveal dystrophic changes: flattening and deformation of the articular platform, narrowing of the joint space, osteophytes, subchondral osteosclerosis and cystic formations. With subluxation, there is a violation of the limb axis and unevenness of the joint space.
If it is necessary to more accurately assess the condition of dense structures, a CT scan of the joint is prescribed. If it is necessary to identify pathological changes in soft tissues, the patient is referred to an MRI of the joint. In some cases, it is advisable to carry out arthroscopy - a modern diagnostic and treatment technique that allows you to visually assess the condition of cartilage, ligaments, menisci, etc. This procedure is especially often used in the diagnosis of post-traumatic arthrosis of the knee joint.
Treatment is carried out by orthopedists and traumatologists. The main goals of treatment are to eliminate or reduce pain, restore function, and prevent further joint destruction. Complex therapy is carried out, including local and general NSAIDs, chondroprotectors, exercise therapy, massage, thermal procedures (ozokerite, paraffin), electrophoresis with novocaine, shock wave therapy, laser therapy, phonophoresis of corticosteroid drugs, UHF, etc. For intensive In cases of pain and severe inflammation, therapeutic blockades with glucocorticosteroids (diprospan, hydrocortisone) are performed. For muscle spasms, antispasmodics are prescribed.
Surgical interventions can be performed to restore the configuration and stability of the joint, as well as in cases where the articular surfaces are significantly destroyed and need to be replaced with an endoprosthesis. During the operation, osteotomy, osteosynthesis using various metal structures (nails, screws, plates, knitting needles, etc.), plastic surgery of ligaments using the patient’s own tissues and artificial materials can be performed.
Surgical interventions are performed in an orthopedic or traumatology department, as planned, after an appropriate examination. In most cases, general anesthesia is used. Both open access operations and the use of gentle arthroscopic techniques are possible. In the postoperative period, antibiotic therapy, exercise therapy, physical therapy and massage are prescribed. After the sutures are removed, patients are discharged for outpatient follow-up treatment and undergo rehabilitation measures.
The effect of surgical intervention depends on the nature, severity and duration of the injury, as well as on the severity of secondary arthrosis changes. It should be borne in mind that in some cases, complete restoration of joint function is impossible. In case of severe advanced arthrosis, the only way to restore the patient’s ability to work is endoprosthetics. If installation of an endoprosthesis is not indicated for some reason, in some cases arthrodesis is performed - fixation of the joint in a functionally advantageous position.
One of the most common causes of arthrosis development is injury. Men aged 20-50 years and women aged 30-60 years are most susceptible to injury. Injury can occur on the street and at home, as a participant in road traffic and at work. This problem is especially relevant for athletes.
Post-traumatic arthrosis belongs to the group of secondary arthrosis, that is, injuries are a factor contributing to its development. For example, when a joint is injured, tissue rupture occurs, against the background of which inflammatory processes occur. Risk factors for the development of arthrosis also include sprains, fractures, meniscus tears, and dislocations. Any injury, alas, does not go away without a trace. Even minor damage affects blood vessels and nerves. The tissues of the joint are less well supplied with blood, and it is impossible to transmit signals from the brain to the muscles through damaged nerves. This provokes the development of a degenerative process in the joint.
Thus, post-traumatic arthrosis is not considered the prerogative of only older people. Arthrosis after a fracture or sprain also occurs in young people. Most often, the ankle and knee joints are affected by this disease, and less commonly, the shoulder and elbow joints.
Let's consider the clinical picture using the example of post-traumatic arthrosis of the ankle joint . At first, the disease may be completely asymptomatic. The joint appears to have recovered from the injury and the patient has no complaints. After some time, a person notices that while walking he began to twist his foot. The ankle joint is not designed for lateral movement, which means that the ligaments and muscles have become weak or damaged because they cannot support the joint while supporting the leg.
During physical activity, the patient begins to experience pain in the ankle joint, which then becomes permanent. As it progresses, post-traumatic arthrosis of the ankle joint leads to bone deformation and limited mobility.
Post-traumatic arthrosis is a chronic disease, so the goal of treatment is to slow the progression of the disease. The course of therapy is prescribed based on the results of an x-ray examination, which determines the stage and form of the disease.
If we talk about physical activity, then a combination of a specially selected set of exercises with unloading of the affected joint is recommended. Massage, physiotherapeutic procedures, manual therapy are widely used non-drug treatments for post-traumatic arthrosis . Their goal is to improve blood supply to the affected area. However, these procedures are only possible outside of an exacerbation of the disease. To relieve the joint as much as possible, a weight loss diet and spa treatment are recommended.
To relieve joint pain, analgesics are prescribed, and to relieve inflammation that periodically occurs in the joint, a short course of non-steroidal anti-inflammatory drugs (NSAIDs) is prescribed. NSAIDs are not drugs for chronic use, as their long-term use can lead to undesirable consequences. In case of severe inflammation, intra-articular blockade drugs from the group of corticosteroids are used. A course of chondroprotectors is prescribed to stimulate the growth of cartilage tissue and protect it from damage. These are exactly the drugs that require long-term use for the positive effect to develop.
In case of complete destruction of the cartilage and persistent limited movement in the joint, they resort to planned surgical intervention. Today, there are several methods of surgical correction for this disease. Arthrodesis is recommended for those patients who have contraindications to other operations. The essence of this technique is to fix the joint in the desired position, depriving it of the possibility of movement, but at the same time achieving its stability. However, the most common surgical intervention for post-traumatic arthrosis remains joint replacement. This correction method allows the damaged joint to be replaced with new articular surfaces made of durable artificial material, returning the patient to lost motor function.
Determining disability in post-traumatic arthrosis requires a medical and social examination. The commission determines the static-dynamic function of the limb, the patient’s ability for self-care, independent movement and work. A patient is considered able to work if he has arthrosis of degrees I-II and one joint is affected, if the pathological process progresses slowly and the dysfunction of the joint is insignificant.
Disability group III is given to patients who have slight limitations in independent movement and use assistive devices. Their work activity is less productive, and self-care is quite possible. These are patients with coxarthrosis and gonarthrosis of degree II, with deforming arthrosis of several joints.
Disability group II is established when there is a pronounced limitation in the ability to work, self-care and movement. Such patients suffer from grade III arthrosis and have ankylosis (fusion of the articulating surfaces of bones) of large joints in a functionally unfavorable position. They may experience frequent and prolonged exacerbations of the disease, a rapidly progressive course, and shortening of the affected limb by more than 7 cm.
group I for arthrosis is determined by those patients who have completely lost the ability to move independently, care for themselves, and engage in professional activities. Such people require constant outside care. Usually these are patients with grade III-IV deforming coxarthrosis, severe ankylosis of the ankle, knee or hip joint in a functionally unfavorable position.
In order not to bring the matter to a medical and social examination regarding disability, you need to monitor your health. Our medical center GarantKlinik deals with the diagnosis and treatment of joint diseases. Timely contact with specialists will allow you to control the course of the disease and avoid serious complications.
We employ experienced orthopedic traumatologists, doctors of medical sciences, and professors. The material and technical base of the clinic allows not only to carry out complex joint surgeries, such as arthroscopy and joint replacement, but it is also possible to provide rapid rehabilitation of patients. Since our clinic is the clinical base of the First Moscow State Medical University named after. Sechenov, we have state prices for many services.
The joints of the shoulder, foot and knee are the most vulnerable and are more likely to be injured than others. Often, after mechanical damage to the joint, the structure of the cartilage tissue is disrupted and the functionality of the joint is reduced.
Damage to the articular surfaces with subsequent deformation that occurs after injury or as a result of constant microdamage is called post-traumatic osteoarthritis. Pain and limited joint mobility significantly reduce the quality of life, so it is important to understand how to properly treat the disease.
The most common injuries are recorded in the knee, shoulder and ankle joints. Large joints are susceptible to traumatic arthrosis as a result of damage in 30% of cases.
Degenerative-dystrophic changes in cartilage entail loss of motor and flexion function . The reasons for this phenomenon are considered to be:
Post-traumatic arthrosis of the ankle, shoulder or knee develops as a result of a violation of the structural integrity of the joint tissues or permanent microdamages when excessive load is placed on the joint.
The development of traumatic arthrosis is asymptomatic, which complicates early diagnosis. Further, the patient notes rapid fatigue of the limb, crunching and pain when moving, joint reaction to changing weather conditions, and increased pain at night.
As the cartilage is destroyed, the pain intensifies and is disturbing not only during movement, but also at rest. Symptoms include a feeling of stiffness in the limbs, limited mobility, cramps and muscle contractures.
In the advanced stage, the disease is characterized by changes in the structure and decreased mobility of the joint, lengthening or shortening of the limb.
In chronic post-traumatic arthrosis, there is an alternation of phases of exacerbation and remission.
When the inflammatory process worsens, an accumulation of synovial fluid is observed in the joint tissues, causing synovitis and bursitis.
In a state of remission, there are no acute pains, but there is a significant limitation of mobility and pain on palpation.
If, after recent treatment for an injury, you begin to feel pain and stiffness in the joint, you should immediately consult a doctor for diagnosis.
Diagnosis of post-traumatic athrosis at an early stage greatly facilitates further treatment.
Blood and urine values do not affect the confirmation of the diagnosis of post-traumatic arthrosis of the shoulder, knee or any other joint. Therefore, diagnosis is carried out using X-rays, CT, MRI and arthroscopy.
Based on the photographs taken, the presence of sclerosis of the bone surface and the degree of cartilage deformation are determined.
Diagnosis and treatment of dystrophic-degenerative processes is carried out by an orthopedist or traumatologist. The main goal of treatment is to eliminate pain, inflammation of the synovial membranes, restore joint functionality and prevent further destruction.
Treatment of post-traumatic arthrosis of the knee and other joints requires an integrated approach, which includes:
Physiotherapeutic procedures are also required to attend: electrophoresis, shock wave, laser therapy, UHF, phonophoresis, paraffin compresses.
Long-term progression of post-traumatic arthrosis contributes to the complete loss of joint functionality. In this case, the patient can only be helped by surgical restoration of cartilage stability and installation of a prosthesis.
If arthroplasty and endoprosthetics do not restore the functionality of the cartilage, the patient is prescribed arthrodesis - securing the joint in the anatomically correct position.
Important ! An integrated approach to restoring an immobilized joint will help avoid traumatic arthrosis after a fracture or any other injury.
The rehabilitation period after surgery should include physiotherapy to prevent the formation of adhesions and hematomas, gymnastics and massage, which will help restore the lost functionality of the joint.
Treatment of arthrosis of the extremities in the last stages of the disease is significantly complicated by destructive processes in the tissues. The effectiveness of therapy depends on the degree and duration of development of arthrosis. Surgical treatment does not guarantee the absence of relapses.
Symptoms and treatment of arthrosis of post-traumatic knee, shoulder, ankle and other joints require constant medical supervision.
Self-medication of arthrosis in most cases leads to worsening of the disease.
However, traditional therapy can be used as an adjuvant with the permission of the attending physician.
The most effective means of therapy are herbal decoctions: chamomile flowers, St. John's wort, calendula, nettle, birch, currant, valerian. It is customary to infuse the decoction for 6-10 hours in a dark place.
Various combinations of herbs have an anti-inflammatory and analgesic effect at the initial stage of arthrosis development.
To prevent post-traumatic arthrosis, treatment of even minor injuries to periarticular tissues and cartilage should not be neglected. If serious injuries occur (fractures, dislocations, sprains, etc.), pay close attention to the rehabilitation period, especially with prolonged immobilization, develop the joint and strengthen the ligaments with the help of massage and exercise therapy (see video below).
As maintenance therapy during active sports or heavy physical labor, it is recommended to take additional vitamins and minerals to strengthen bones and ligaments.
Nutrition also has a significant impact on the musculoskeletal system. Compliance with the drinking regime and the presence of necessary nutrients in the diet prevents premature wear of bones.
You need to pay attention to lean meat and dairy products, seafood, and gelatin dishes. You will have to exclude smoked products, salt, coffee, sorrel, spinach, alcohol and smoking from your diet.
Post-traumatic destruction of cartilage negatively affects its functional characteristics, causes pain and contributes to partial disability.
To prevent the disease, you should evenly distribute the load on the spine when playing sports and work, treat the root causes of musculoskeletal degeneration, follow preventive measures and visit a doctor at the first symptoms of structural changes in the bones. Treatment is selected individually based on research results.
The name of the disease “traumatic arthritis” speaks for itself. Traumatic arthritis is an inflammation of the joint that begins to develop after injury to the menisci, ligaments, joint capsules or other components of the joint. Usually the disease proceeds aseptically (without the addition of suppuration), but if an infection occurs during surgery or injury (meaning open injuries, for example, a gunshot wound), then the inflammatory process may be accompanied by the formation of pus. In such cases, the doctor diagnoses “septic traumatic arthritis.” Sprains, bruises and ruptures of ligaments can cause hemorrhage into the joint cavity, as blood vessels are torn along with them. After examining the blood for the presence of pus and blood, analyzing the extent of tissue damage and listening to the patient’s complaints, the traumatologist prescribes appropriate treatment.
Post-traumatic arthritis, one of the types of arthritis, is most often diagnosed in the knee and ankle joints, but often people consult a doctor with traumatic arthritis of the finger or traumatic arthritis of the TMJ (temporomandibular joint). What are the most common causes of traumatic arthritis of the legs?
Injuries can be either one-time (for example, an injury occurred due to a dislocated joint) or repeated (for example, long-term injury while running or performing sports exercises).
Traumatic arthritis of the knee, hip, ankle and toe joints manifests itself with the same symptoms, the only difference is in the form, whether it is acute or chronic. In the acute form, the symptoms are as follows:
Sometimes effusion accumulates in the joint, which is why incompetent doctors confuse traumatic arthritis with bursitis.
If traumatic arthritis is not treated soon after its onset, it develops into a chronic form, which, in turn, has periods of remission and exacerbation.
During the remission period, the symptoms are:
And during the period of exacerbation the following are observed:
If you suspect traumatic arthritis, consult a doctor immediately: there are cases when the inflammation is so severe that hospitalization and surgical intervention are indispensable.
As soon as the patient sees a specialist, diagnostics begins, which includes:
The doctor prescribes treatment based on the depth of the lesion and the nature of the effusion. If there is no presence of pus, the following treatment is indicated:
With serous arthritis, that is, with traumatic arthritis with pus, daily administration of an antibiotic into the joint cavity and oral administration of antibacterial drugs are added.
For any form of arthritis, it is imperative to do therapeutic exercises, and only after the main swelling has subsided. Therapeutic joint massages are also recommended. The course of exercises should be selected carefully and individually by a qualified specialist so as not to harm the patient even more.
Friends, has anyone (God forbid) already encountered a similar problem? I’ve been playing a lot for a long time (my main activity), different styles. I use (or rather, now I used) a French grip. 4 years ago, as a result of 2 days of playing outside at sub-zero temperatures, I developed arthrosis of the index finger of my right hand. For a very long time (I’m no longer young) I retrained myself to the German grip and tried to transfer the leading iron games to my left hand. I finished the game, yesterday I had the same diagnosis on my left arm. The doctor’s recommendations are the same as 4 years ago - ointments based on diclofenac, heat, etc. don't play drums. The latter is simply impossible. Does anyone have any thoughts? I googled for treatment, the most common ones are ointments, advertisements for unimaginable devices in strange clinics far from my hometown (I live in Vladimir, a neighboring region to Moscow, 180 km) and a recommendation to exercise my fingers. drumming on the table.
oh well, judging by his profile, Ishsho is simply incredibly young. :-))
Diclofenac (Diclac, Voltaren - the same thing, all on the same basis) is a purely painkiller, effective, but nothing more.
Which doctor? Surgeon? - Hit the tambourine with your heel, damn it!! Or a rheumatologist??
We need good and smooth physical therapy - low-frequency pulsed currents, ozokerite (paraffinothermy).
And the best ointments are those that not only anesthetize, but also heal at least a little and contain not only blockers, but also active natural poisons of snakes and bees - these are old drugs like viprosal, vipratox, apizartron, and the newer one is ungapiven. They are still being produced, thank Christ - they are the only ones who save, damn it.
Well, of course, you have to be careful - otherwise you might suddenly become allergic to poisons.
Warm baths with burdock are quite relaxing.
Well, and a nice massage there too.
Everything will be fine, hang in there, dear colleague!
Well, after all, in 1938, it’s hard to relearn something you’ve been using for 20 years, I have to work more as a drummer - learn new parts, prepare for recording, teach, perform - what to do with the technical side, essentially from scratch. You understand, it takes an hour or two to work on the technique, and then on 2 different turnips in a row and again back to the same primitive! Moreover, the tendency to arthritis and arthrosis is apparently hereditary - my father also suffers, albeit with his back (but he is a builder). I tried Viprosal the previous time and it didn’t help, but it’s just a case of I was more serious then, here I saw it earlier, but it was spring and in the summer I had a little rest, and now it’s the season, concerts, the studio is in 2 weeks - there’s no time to relax! You can buy dried burdock at the pharmacy, isn’t it winter? Thanks for the ungapiven, huh then with our medicine it’s better to go straight to the coffin, no one knows shit! So far no one has been able to advise me of good rheumatologists in the city! (((
I had arthrosis of the wrist joint
cured with physiotherapy, I think 10 procedures
and I suffered for so long - in damp weather my hand hurt unbearably
Regarding exercises for fingers, I can put on the folder a cool manual for everyone who works a lot with their fingers. The video school is called finger fitness. Do you need this?
Arthrosis at 38 is too early. Most likely not him. What specific joint is affected? There are three of them on the index. Do your joints swell or just hurt? Do you have morning stiffness? were there any injuries? What's on the x-ray? It looks like several joints are already affected. Did your knees hurt? Are there any signs of inflammation in the blood? What was your dad's diagnosis? In general, you need to find a good specialist - a rheumatologist, and then get treatment. As if there were no rheumatoid arthritis
Finger Fitness seems to be on the tube. The finger on the left only hurts, and it’s already noticeable in everyday life when it starts to swell (this happened on the right one). As I understand it, this is already the beginning of deforming arthrosis and this is the end (which, in general, is what happened) .It hurts between two folds, the 2nd phalanx, 3 millimeters from the emphasis on the stick, you yourself understand during the game 3 millimeters is nothing, when, for emphasis, I slightly turn the hand closer to the American grip and pain appears. From Monday I will begin a thorough search for a doctor, the diagnosis was made traumatologist, haven’t done x-rays yet.
If you have it, download this very useful video! And for the future, I think you need to change your technique. And it’s not profitable to play everything only with a French grip. At a minimum, the French finger is very inferior to the German hand in volume.
Regarding captures, the subject is not for this topic, it’s a long and not very funny story. what happened was, the question is how to save what is left. I just watched Victoria Ivanova’s video with XM drums, so she’s my first student. you look at how he sits and moves and you understand where he got arthrosis at 37-something!! Vika, I’m not criticizing, you still wanted to go to Baklagin in German. I taught what seemed right then, sorry. ))))
Look on the Internet for a device like this - FSC, a functional state corrector, it can help, one of them is designed specifically for joints, there are amazing reviews.
The device, of course, is controversial, it is based on the work of magnetic fields, but in your case you need to try everything.
I would also recommend looking at the information on a raw food diet, it may help, albeit in the long term.
Fr. the grip has historically developed among timpanists, due to the specifics of the game - standing, plastics low and parallel to the floor. These are ideal conditions for him.
Timpani players do not need rimshots, Möllerian updowns, transitions over hard-to-reach instruments, etc. - everything for which French is poorly suited.
colleague Father_42 writes:
Diclofenac (diclac, voltaren - the same horseradish, all on the same basis) is a purely painkiller
Yes, of course, but still, Dmitry, they don’t cure a damn thing.
And Movales, Melosikam, Nimiko, Nise are all derivatives of the same nimesulide, only 3-8 times more expensive.
Oh, by the way, I almost forgot - grate a leaf of fresh horseradish!! Awesome, but it's summer.
I’m fine, after all, as I said - persistent physiotherapy (yes, the physiotherapist is normal), baths, natural ointments should help. Verified.
And swallowing all the chemicals inside - no ushsh.
Well, maybe if he’s so sneaky that he’s staring out his eyes, then of course, yes, I agree.
They forgot about chondroprotectors (arthra, structum, teraflex, atrophoon, alflutop, piascledine). Otherwise, definitely go to a rheumatologist. A traumatologist who doesn’t do x-rays is highly doubtful.
I encountered this problem myself. I thought I had polyarthritis of my index fingers. The symptoms I found on the Internet were completely consistent. I went to several doctors - both a rheumatologist and a trauma surgeon said that it was not arthritis, but just a sprain - to put it bluntly, my fingers were overtired. They said rest for a couple of months is the best medicine. I would advise you to consult several doctors for a more accurate diagnosis; maybe it’s not arthrosis at all. Or the reason for everything could be incorrect positioning - remove the error in the grip and the pain will go away.