treatment of joints and spine
?reducing doses of oral medications and thereby reducing the risk of adverse events of systemic therapy;?
?In addition, taking NSAIDs risks the fact that it “shades out” the symptoms of arthrosis: as you know, pain is a signal from the body that something is wrong in it. If the pain is completely relieved by taking these medications, then there is a high probability that a person with such a disease will give up on the disease, relax and do nothing to recover except take pain medications.?
?1st group of drugs: anti-inflammatory drugs?
?naproxen, analogue – pentalgin;?
?Synovial fluid prosthetic preparations based on hyaluronic acid are produced in large quantities, here are the most popular ones.?
?Analogues are medicines that have a common active ingredient. Medicines with the same active ingredient, but from different manufacturing companies, may differ significantly in price, but not in quality. Reviews from patients using non-steroidal drugs confirm that the therapeutic effect of non-steroids and their analogues is approximately the same.?
?Form of release: syringe containing 25 mg of sodium hyaluronate.?
?What is important to remember when treating with chondroprotectors??
?The drugs are indispensable for degenerative-dystrophic diseases of the knee joint that occur with the destruction of cartilage tissue - osteoarthrosis, gonarthrosis. With age, due to the physiological capabilities of the body, the condition of the cartilage changes. It is destroyed faster and regenerates (restores) worse.?
?degenerative-dystrophic – osteoarthritis, gonarthrosis;?
?introduction of drugs into periarticular soft tissues.?
?Drugs for intra-articular administration?
?Fermatron - the best symptomatic remedy for the knee?
?traumatic - open or closed joint fractures, ruptures, tears, sprains;?
?Intra-articular injections are used mainly for damage to large joints.?
?Various medications used topically also have a good therapeutic effect for gonarthrosis.?
?Unlike anti-inflammatory drugs, CPs not only remove the symptoms of arthrosis of the knee joint, but also affect the very cause of osteoarthritis - they help improve the nutrition of cartilage tissue and its restoration. In this sense, chondroprotectors are one of the most important drugs for the treatment of this disease.?
?Topical medications?
?Injections of the drug Fermatron are used directly to treat the knee. Its composition is similar to synovial (joint) fluid. The active ingredient – sodium hyaluronate – has a positive effect on the condition of cartilage tissue and activates the formation of its own hyalurate. At the same time it is a joint shock absorber and an anesthetic.?
“Hyaluronic acid is sold in pharmacies in the form of preparations containing it, the price accordingly depends on the quality of the medicine offered?”
?Country of origin – Japan.?
?The articular surface of the cartilage is constantly worn out and must be fully restored. The delicate balance of intra-articular homeostasis, for various reasons, can be disrupted, leading to structural and functional changes in the joint.?
?So, ointments such as Fastum-gel, indomethacin and butadione ointments, Menovasin, Voltaren-gel, Nicoflex-cream, Espol, diclofenac-ointment and many others have shown themselves to work well as medicinal ointments and gels for topical use.?
?This group of products includes active ingredients such as chondroitin sulfate and glucosamine. They can be included in various combinations in various medications - such as Dona, Terafreks, Artra, Structum, Chondroxide, Elbona, Chondroitin Akos, Chondrolone, Zinaxin, Artrin and others.?
?Warning: all information about therapeutic agents for arthrosis of the knee joint is published solely for informational purposes for personal reference. Do not try to use them yourself without consulting a doctor: self-medication can cause irreparable harm to your health!?
?Fermatron is supplied to the pharmacy chain in a special syringe filled with sodium hyaluronate. This form of release simplifies the administration of the drug into the joint cavity. What other injections prevent cartilage destruction?
?One of the reasons for using injections for knee joints is the presence of severe, sometimes unbearable pain, swelling, hyperthermia (heat), and inflammation. To relieve them, the following drugs are used:?
HA injection therapy is an “ambulance” method and should not be the only treatment method. While effectively suppressing inflammation, HA injection does not eliminate the pathogenetic cause of the process.?
?Sodium hyaluronate has the following effectiveness:?
?The active substance is sodium hyaluronate.?
?As the body ages, the number of newly synthesized HA molecules with a lower molecular weight increases, and the concentration of this acid also decreases?
?They have a good therapeutic effect, but it is important to remember that only 4 to 8% of the medicinal substance passes through the skin to the “destination” - the diseased joint, therefore anti-inflammatory and analgesic treatment with ointments, creams and gels almost always needs to be supplemented with medications , taken orally or intramuscularly.?
?Arthra is a combination drug containing equal parts of both glucosamine and chondroitin sulfate (500 mg of each in one capsule). The drug is produced by the American company Unipharm; the cost of one package, depending on the number of capsules, costs from 500 to 1,700 rubles. Artra is considered one of the best chondroprotectors at the moment.?
?All medications for the treatment of knee osteoarthritis can be divided into several large groups according to their mechanism of action.?
?alflutop, rumalon - natural products from animal and fish cartilage;?
?glucocorticosteroids – synthetic analogues of adrenal hormones;?
There are two types of intravenous infusions: jet and drip. A small amount of medication is injected using syringes with a capacity of 10-20 ml. Large volumes of liquid are infused by drip using disposable systems (droppers). Intra-arterial injections are necessary for large blood losses that occur due to open fractures of joints with rupture of tissues and blood vessels.?
?When administering intra-articular HA injections, confidence in the diagnosis is necessary; it is advisable to conduct an X-ray examination. Significant joint destruction, instability or improper loading of the joint requires consultation with an orthopedic surgeon. There must be clear signs of synovitis, determined clinically or instrumentally (ultrasound).?
?Improvement of joint structure;?
?Sinokrom mini: price ranges from 2300 to 2500 per syringe;?
?Form of release: disposable syringes with Luer lock. Glass syringes are sterilized in an autoclave.?
?in the tissues of cartilage, and therefore the therapeutic effect of the drugs is based on maintaining an adequate concentration of complete long molecules introduced from the outside.?
?To prepare medicinal compresses, you can use various medicinal substances for external use. These include, for example, bischofite (a petroleum derivative that has a beneficial effect on arthrosis), dimexide (an anti-inflammatory and analgesic medicine that penetrates well through the skin), as well as medical bile, which has good warming and absorbable properties.?
This medicine is also a combination medicine: one capsule contains 500 mg of glucosamine and 400 mg of chondroitin sulfate, and is produced by the German company Bayer. Take Teraflex, depending on the stage of the disease, 2-3 capsules per day. It costs, depending on the number of tablets, from 600 rubles (for a package of 30 capsules) to 1500 (120 capsules) and more.?
?Aertal - one of the new drugs for gonarthrosis?
?glucosamines – regulate metabolism (metabolism) of bone and cartilage tissue;?
?anti-inflammatory non-steroidal (non-hormonal) drugs;?
?The length of the medical needle can reach 90 mm, diameter - 2 mm?
?It is necessary to take into account the patient’s concomitant diseases, the course of which may worsen under the influence of the resorptive effect of long-acting drugs.?
?Restoration of joint fluid functions;?
?Sinokrom: 3200-3800 rubles;?
?Injected into the affected area 4-6 times at weekly intervals. Simultaneous injections into several affected joints are possible. Depending on the size of the joint, a suitable packaging of the drug is selected (Sinokrom, Sinokrom mini or Sinokrom forte).?
?Injections of hyaluronic acid are given into the painful joint.?
?However, in order to keep such a complex disease as arthrosis of the knee joints under control, sometimes it is not enough just to take medications in one form or another.?
?Dona contains only glucosamine. Dona is produced in the form of sachets (sachets of powders for oral administration), capsules, and also ampoules for intramuscular administration. For the most effective treatment, manufacturers recommend combining oral administration with intramuscular injections.?
?It is with non-steroidal anti-inflammatory drugs (NSAIDs) that the treatment of knee osteoarthritis usually begins.?
?hyaluronic acid and preparations based on it restore cartilage and are effective in the early stages of joint diseases;?
?antimicrobials or antibiotics;?
?Intramuscular injections are the most common. They are done in the outer upper quadrant of the buttock. The injection site for subcutaneous injections is the upper part of the forearm or the anterior outer area of the thigh. For each type of infusion, a needle of the appropriate length and diameter (section) is taken.?
?The frequency of injections into one joint to treat inflammation should not exceed 1 time every 3 months (for OA, no more than 1-2 times a year). The lack of effect or its short duration (less than 2 weeks) from 2 HA injections is a contraindication for further use of this method.?
?Facilitation of motor activity in the affected area.?
?Sinokrom forte: 4900-5200 rubles;?
?Country of production – Austria.?
?The course of treatment lasts?
?Drug treatment must be combined with physiotherapeutic procedures for joint arthrosis, sanatorium-resort treatment, and also, if your attending physician does not object, you can use effective folk recipes for the treatment of gonarthrosis.?
?This medicine is produced by the company Rottapharm and its price ranges from 1000 to 1300 rubles - both for capsules and sachets, and for ampoules.?
?This group of drugs includes medications such as aspirin (acetylsalicylic acid), phenylbutazone, etodolac, indomethacin, sulindac, ibuprofen, piroxicam, aceclofenac, tenoxicam, diclofenac, lornoxicam, naproxen, rofecoxib, ketoprofen, meloxicam, nabumetone, tiaprofenic acid, nimesulide , flurbiprofen, celecoxib and others.?
Chondroitin sulfates are components of cartilage tissue and contain glucosamine. They retain water in the knee joints and prevent the destruction of connective tissue.?
?Method of needle insertion?
?Form of release: disposable syringes with 1% solution of 10/20/40 mg.?
?2 weeks, and consists of 4-5 injections?
?And remember: for effective treatment of knee arthrosis, it is dangerous to self-medicate. If you experience joint pain, be sure to consult a doctor!?
?NSAIDs vary both in strength and in the likelihood of side effects.?
?Vitamin preparations are auxiliary, but important means for the treatment of the knee joint. Their inclusion in a mandatory set of medical procedures is explained by their influence on metabolic processes, the production of enzymes, and the activation of the body’s defenses.?
HA preparations for intra-articular injections for the treatment of joint inflammation are divided into single-component ones - hydrocortisone acetate, methylprednisolone acetate (solu-medrol), tramsinolone (kenalog); and two-fraction containing fast- and long-acting fractions - diprospan, flosterone - contain betamethasone sodium phosphate and dipropionate. The use of triamsinolone has recently been discouraged due to its ability to cause local tissue atrophy.?
?Conditions for administering intra-articular injections for arthritis:?
?Fermatron: from 3300 rubles for 20 mg of 1% solution.?
?Store in a dry and cool place (2-8 degrees Celsius) to maintain its healing effect.?
?. The course is repeated every other year, and in the future as necessary.?
?Hyaluronic acid is? ?This is a mono-drug of chondroitin sulfate, which is produced by the Russian pharmaceutical company Microgen. It is produced in the form of a dry substance in ampoules for dilution and subsequent intramuscular administration.? ?These products do not contain anti-inflammatory hormones, but nevertheless, in most cases they can cope well with joint pain and reduce inflammation in them.?
?Milgamma injections - an effective way to treat the knee joint?
?Diprospan is a long-acting corticosteroid? ?Section in mm? ?Hyaluronic acid side effects?
?Active form of the disease;?
?Sooner or later, every person will have to face the problem of wear of inter-articular lubrication and loss of elasticity of cartilage. We got acquainted with the reasons why this happens in the previous sections.?
?Before using Ostenil, you should check the tightness of the packaging, disinfect the injection site and ensure that air bubbles are released from the syringe before administering the solution.? ?Immediately after treatment, the level of hyaluronic acid is replenished, the volume of the substance that covers the cartilage is as close as possible to natural. Under loads and joint movements, the shock-absorbing and protective functions of acid are triggered.? ?polymer?
?One ampoule, which must be diluted in 1 ml of water, contains 100 mg of the active substance. Chondrolone is administered 1 or 2 (if well tolerated) ampoules every other day for a course of 25-30 injections. Its price at the beginning of 2013 ranges from 1000 to 1200 rubles per pack of 10 ampoules.?
Thus, ketoprofen, diclofenac, and indomethacin usually have the greatest analgesic effect, while aspirin, ibuprofen, and amidopyrine relieve pain much worse. But since many people may have individual reactions to various medications, the effectiveness of these medications may differ significantly from generally accepted norms - both in one direction and in the other.?
?Bones and joints need B vitamins, ascorbic acid, vitamin E, rutin. A complex of three B vitamins with lidocaine called milgamma injection is widely used in the treatment of joints. The drug has a therapeutic and analgesic effect. Injections are given intramuscularly over a course of 5-10 days.?
?The effect of medications using injections is aimed at relieving pain, restoring joint mobility, and reducing the length of the patient’s disability.? ?Subcutaneously? ?Among the side effects that occur during the administration of hyaluronic acid injections, in 5-15% of cases local reactions are noted - local pain at the injection site, soreness, increased manifestations of synovitis. A condition for preventing unwanted reactions is to perform injections only in the absence of effusion. General symptoms are rare and are associated with an allergic reaction to the drug (urticaria, itching, sometimes fever).?
?Injection of the drug into the most affected area;?
?Whether it is degenerative disorders in the body, inflammatory processes or diseases, all this leads to one thing - pain, discomfort, deterioration of mobility, etc.?
?Country of production – Switzerland.?
?And as a result, the discomfort that occurs when cartilage rubs without natural lubrication is reduced.? ?, consisting of repeating disaccharide units combining D-glucuronic acid and DN-acetylglucosamine residues.?
Structum is also a mono-drug that contains chondroitin sulfate in amounts of 250 and 500 mg. Produced by Pierre Fabre Medicine Productions (France).?
?It is generally accepted that drugs such as indomethacin, diclofenac, flurbiprofen have the greatest anti-inflammatory effect, while ibuprofen, aspirin and naproxen, on the contrary, are less able to reduce inflammation.? ?The drug, dosage, and method of administering injections are selected and prescribed by the doctor, taking into account contraindications. Absolute contraindications are:? ?We also recommend:?
?Unfortunately, the widespread use of intra-articular medicinal injections is hampered by the high cost of hyaluronic acid preparations.?
?Combination of therapeutic and analgesic therapies;?
Until recently, these problems were solved symptomatically and, if possible, saturating the body with vitamins. Now patients have the opportunity to eliminate the problem at the root. This is a kind of breakthrough in the treatment and maintenance of normal functionality of the musculoskeletal system.?
?Is an international generic drug.?
?In addition to reducing pain, improving joint mobility and a corresponding reduction in the need for painkillers, patients experience a slowdown in the progression of osteoarthritis.? ?The stereometric configuration is a helix, on the outer side having hydrophilic carboxyl groups with a high degree of hydrophilicity.?
?inflammatory diseases of an infectious nature;?
?Injections for the knee joint?
?The volume of the drug injected into the joint is limited by its size. Approximate single doses of drugs injected into the knee joint: hydrocortisone 125 mg, methylprednisolone 40-80 mg, diprospan 3.5-7 mg (0.5-1 ml).?
?Comparison of harm and benefit.?
?Studies on the pharmacokinetics of Fermatron have not been conducted. The effect on the fetus during pregnancy and breastfeeding is unknown. There is no data on co-administration with other drugs.?
?Injections of hyaluronic acid preparations for joints not only deliver the required amount of HA to the cartilage, but also stimulate its independent production by the body.?
?During the formation of gels,?
?Elbona is a Russian product that contains only glucosamine sulfate. This medicine is available in 2 ml ampoules (plus 1 ml ampoules with solvent) for intramuscular administration; one ampoule contains 400 mg of active substance.?
Do NSAIDs cause stomach side effects?
?bleeding of joint tissues;?
?(GCS) are most effective in inflammatory diseases, less so in degenerative-dystrophic ones. Local injections into the joint cavity create a high concentration of the drug. The therapeutic effect does not appear immediately, but lasts for quite a long time. The time depends on the type of medicine, ranges from 6 days to 21 days. The shortest period of action is for hydrocortisone, the longest is for lederspan. After injections, temporary exacerbations of the disease are sometimes observed. There is no need to be afraid, performance is restored quickly.?
?The duration of the local therapeutic effect ranges from several months, with the first administrations being longer. The frequency of intra-articular injections should be minimal. It is advisable that after the injection the joint remains at rest for 24 hours.?
?When carrying out intra-articular therapy, it is imperative to unload the affected joint and carry out secondary prevention aimed at suppressing the progression of the pathology. In the initial stages of the disease, it is possible to engage in cycling or swimming, which helps strengthen muscle mass, increasing the body's resistance. In case of severe symptoms, it is recommended to adhere to semi-bed rest with the average physiological position of the affected limb.?
?Hyaluronic acid injections?
?Produced in the form of a hermetically sealed glass syringe with a dosage of 2 mg of active substance per 20 mg of solution.?
?The growth of chondrocytes is also stimulated and the expression of chondrodegenerative enzymes is suppressed. This speaks not only about the external protection of cartilage, but also about the restoration of the structure of the cartilage itself; in other words, hyaluronic acid preparations are also chondroprotectors.?
?hyaluronic acid is capable of binding 10,000 times the volume of water?
?As the name suggests, this HP is also a mono-drug containing chondroitin sulfate in the amount of 250 mg of active substance in one capsule. This medicine, like the previous one, is produced in Russia.?
?Taking NSAIDs sharply increases the likelihood of developing erosions and even ulcers of the gastric mucosa. This is especially true for people who have previously (or currently) had diseases such as gastritis and peptic ulcers of the stomach and duodenum, as well as elderly patients.?
?deformation with narrowing of the joint space;?
Of other corticosteroids, recent emphasis has been placed on diprospan and kenalog. Diprospan is used for intra-articular and periarticular administration (into the soft tissue surrounding the joint). The advantage of the drug is its rapid anti-inflammatory, antiallergic, analgesic effect and long prolonged period.?
?Chondroprotective drugs for joints?
?Preventive measures that complement basic treatment with medications can significantly improve the patient’s condition. “Dispersing salts” while overcoming pain is not recommended, because this method of combating arthritis is erroneous, as it increases the pain syndrome, provoking an exacerbation of synovitis and aggravating arthrosis.?
?Recently, in medical practice, the technique of administering drugs into the joint by injection is often used. This treatment method eliminates inflammation in the joints and prevents their deformation. Intra-articular injections into the knee joint have a unique risk effectiveness, which depends on the drugs used.?
?Form of release: opalescent hyaluronic acid hydrogel, in sealed and sterile syringes (20 mg).?
?, this determines the peculiarity of the biological function of hyaluronic acid in the body - a natural gelling agent, widely present in various organs and tissues.?
?chondroxide ointment for joints?
?However, recently a new generation of NSAIDs have been synthesized, in which the negative effect on the gastrointestinal tract is significantly reduced.?
?severe osteoporosis, tissue necrosis.?
?This is an extensive group of drugs that have a complex effect - anti-inflammatory, analgesic, antipyretic. Their action is based on blocking substances that influence the occurrence of the inflammatory response. Indications for use are diseases of the musculoskeletal system (joints, ligaments, tendons, muscles, synovium), as well as other types of diseases.?
?Intra-articular injections of “chondroprotectors” perform a lubricating function, and they are classified as an implant (prosthesis) of synovial fluid. It has been shown that the introduction of hyaluronic acid preparations into the joint restores the viscoelastic properties of the synovial fluid, normalizes the synthesis of endogenous proteoglycan by chondrocytes and thus slows down or stops the degradation of hyaline cartilage. A significant positive effect of hyaluronic acid preparations has been shown in comparison with placebo in terms of main clinical indicators.? ?Unique cream found?
?This group of drugs is called selective COX-2 inhibitors, and includes drugs such as nimesulide and celecoxib.?
?Intra-articular administration of drugs - first aid for pain?
?An injection into the knee joint quickly relieves pain?
?Controversial and less effective ways to combat damage to the knee joints are tenosynovial injections and radioactive colloids. These methods are used very rarely, mainly when there are contraindications to the prescription of safer and more effective drugs.?
?Country of production – Russia.?
?Injections of hyaluronic acid are prescribed for aging changes in the body, in particular a decrease in the level of acid itself in the synovial fluid and in chondrocytes.?
?The total amount in the human body is about 15 grams, of which a third is a mobile pool.?
If you are worried about acute or chronic knee pain, injections of non-steroidal drugs into the joint quickly eliminate the pain and prevent their occurrence in the future for a long time. The group of non-steroidal drugs includes:?
?40 mm and shorter? ?Alflutop for joints? ? - the best remedy for eliminating joint pain.?
Hormonal injections for arthrosis of the knee joint are prescribed if emergency care is necessary, since this method of influencing the pathology makes it possible to alleviate the symptoms of the disease. When using such therapy, the number of procedures should be strictly observed, since an overdose of the substances included in the preparations can only aggravate the situation and provoke deformation.?
?Shelf life – 24 months.?
?Prescribed for degenerative changes in joints, osteoarthritis, destruction of the vitreous body and other types of retinal dystrophy.?
?ketorolag, analogue – Ketanov;?
?Injections are contraindicated in patients with liver pathology, infectious diseases on the skin where the acid is planned to be injected, problems with blood clotting, fractures, obvious deformities of joints or bones.?
?has regenerating, bactericidal, wound-healing activity?
First of all, chondroprotective drugs are slow-acting drugs. This means that the effect of treatment develops very slowly and can only be seen after 3-5 months, and the course of treatment with these drugs ranges from 6 to 12 months and sometimes more; be patient.? ?As you can see, non-steroidal drugs are not at all as harmless as is commonly believed. That is why you should not prescribe such treatment for yourself, but you should consult a doctor who will select the drug and its dose that is suitable for you.? ?Inserting a needle into a joint is no more painful than inserting a needle into a vein. Painful sensations often appear after an injection. Depending on the type of medicine and the volume of liquid, a burning sensation, swelling of the joint, and passing aching pain may appear.?
?ibuprofen, analogue – nurofen;?
?Our personal experience confirms the effectiveness of alflutop in the treatment of OA. All patients who have undergone treatment for joint inflammation with alflutop note a significant reduction in morning stiffness, joint stiffness, and pain.?
?If infectious and inflammatory processes in the joints are suspected, therapy is not recommended.?
?If there is a need to take painkillers for arthrosis of the knee joint for a long time, it is better to use medications from other groups, which, when taken for a long time, do not give such harmful side effects and have a greater selective effect, without having a negative effect on the gastric, renal or cardiovascular system. vascular system.?
?You shouldn't be afraid of injections. What is more important: constant pain, crunching, joint stiffness or minutes of patience and further active life without pain??
?Orthopedist Igor Vasilievich?
?If after the first injections the expected healing result is not observed, the course of treatment should be discontinued and the cause of the ineffectiveness should be diagnosed.?
?Obtained both by biotechnological synthesis and from animal raw materials (vitreous body of cattle eyes, cockerel combs, etc.).?
There is currently no general consensus among doctors about whether it is worth taking glucosamine and chondroitin sulfate together or separately. There are studies that suggest that when these two substances are administered together, they can weaken each other's effects. But while this question remains open, it is better to leave it at the discretion of your attending physician and, if possible, give preference to products from large, reliable pharmaceutical companies with high quality products.?
?For these purposes, drugs like movalis are more suitable, which can be taken in long courses - from several weeks to several months or more - but, of course, also only under the supervision of a doctor.?
Arthrosis of the knee joint (gonarthrosis) is a complex disease that is not always treatable. Therefore, in this article we have prepared for you a list of medications that are most effective in treating this disease.?
?oxicams, analogues - piroxicam, xefocam;?
?Irrigation of the joint of large joints in order to suppress inflammatory activity and prevent relapses of synovitis in OA has been proposed as a method of pathogenetic therapy. It is believed that the cause of secondary synovitis in OA is the products of cartilage degradation, which provokes inflammation. At present, the effectiveness of joint irrigation appears to be questionable.?
?quick relief of local pain and inflammation in the joint;?
I have been suffering from osteoarthritis for a long time. Are you in pain regularly?
?The drug is prohibited during pregnancy and breastfeeding.?
?One of the well-known synovial fluid prostheses Fermatron - instructions, reviews and available analogues are discussed in our article.?
In addition to medications prescribed orally and intramuscularly, a great therapeutic effect for osteoarthritis is provided by the administration of various medications directly into the joint cavity (intra-articular injections). Thanks to this method of administration, drugs directly enter the area of influence - into the synovial fluid, through which the cartilage tissue is nourished.?
Injections for arthrosis are considered conservative methods of treating the disease. Previously, they were used to reduce the clinical manifestations of the pathological process. But later, intra-articular injections began to be used, which make it possible to restore articular cartilage and delay the need for surgical intervention.
Arthrosis is a dystrophic disease of the joints, which gradually leads to the destruction of cartilage. The pathology affects both men and women. The development of arthrosis occurs when metabolic processes in the joint are disrupted and the elasticity of cartilage is lost. This may happen due to:
Manifestations of the disease can be noticed with increased physical activity. Its mobility decreases, a feeling of tension and crunching appears. There are four main symptoms of arthrosis:
The disease occurs with exacerbations and remissions. A doctor can make a diagnosis and prescribe treatment. Intra-articular injections have a good effect.
With the help of injections, you can reduce the severity of pain, stop the inflammatory process and degenerative changes in the joints. Injections can relieve swelling, improve the structure of cartilage, and increase the volume of synovial fluid. You can notice the effect of their use faster than with ointments and tablets.
The most effective method is injection into the joint. The difference between such injections and intramuscular ones is small. They do not cause significant pain. Pain may appear after the injection and is manifested by bloating and a burning sensation. Such injections are quite complex procedures, so they should only be administered by a specialist with experience in this field.
The medication is administered into the joint at the initial stage of the degenerative process. The development of arthrosis is suppressed using various drugs. The strongest of them are considered:
The dosage of injections must be carefully selected separately for each case, since the consequences of an overdose can be very serious.
Hyaluronic acid acts on the principle of a liquid prosthesis. This is the newest and most effective method of treating lesions of the musculoskeletal system. The injections allow you to restore the composition of the synovial fluid, which prevents friction of the joints. This stops the development of the disease and eliminates clinical manifestations.
Treatment with hyaluronic acid injections is prescribed at all stages of the disease. But the best effect can be obtained at the beginning of the progression of the pathology. You can restore the composition of synovial fluid using:
They are considered the most effective means for eliminating degenerative diseases. After the introduction of acid, the nutrition of the cartilage improves and the metabolism in the tissues is normalized. The drugs can be injected into the shoulder, knee and hip joint. Sometimes small joints are also treated with their help.
The patient is given about five injections at intervals a week. This therapy must be carried out every year for four years. This will eliminate the need for prosthetics or postpone surgery for a long time. Before administering hyaluronic acid, the patient is prescribed a course of non-steroidal anti-inflammatory drugs.
Treatments with hyaluronic acid can be very expensive. The cost of Crespin-gel, for example, is more than six thousand rubles.
Recently, gas injections have been used to eliminate arthrosis of the joints. Previously, such procedures were carried out only abroad. The procedure involves introducing purified carbon dioxide into the affected joints. The product is administered with a medical pistol. One course consists of six injections, each of which is administered once every four days.
Carbon dioxide injection
This therapy allows:
Blockades also help eliminate pain and inflammation. They are inserted into or near the joint, depending on the location of the source of the pathological process. Antibacterial and antiseptic drugs have these properties. Therapeutic blockades can reduce spasticity of muscle tissue, relieve swelling, improve the process of nutrition of joints and normalize metabolism. The attending physician decides how many injections may be needed, depending on the stage of development of the pathological process.
In some cases, it becomes necessary to administer Novocaine. People turn to his help if arthrosis causes unbearable pain. Such injections can be performed no more than three times a month. The injection is given into the joint and tendons. To reduce the negative impact of the drug on the body, it can be administered together with vitamin complexes.
Today, there are a large number of techniques to eliminate arthrosis. But in order to get a good result, avoid relapses and negative consequences for the body, it is necessary to be treated by experienced specialists.
Watch the video to see how hyaluronic acid is injected into the knee joint.