Knee articulation arthrosis: what are these stages, symptoms and myths on treatment

Knee joint arthrosis is a complex degenerative-distribution disease that affects the knee bone cherry section.The disease usually affects the knee department of the lower extremities.Pathological changes in cartilage and perihuman zones, which in most cases develop against the background of lesions, the biological aging of the body, an autoimmune violation, seriously inhibits the musculoskeletal potential of the legs.The articulation becomes rigid, loses stability, normal engine and depreciation skills.As a result, it is gradually deformed and, in the last stages, completely fails.

Degeneration in joint tissues manifests not only in the form of physical dysfunction of the lower ends, but also with strong painful sensations in them.In the serious course, the pathology causes disability, in some cases - leg paralysis.In connection with such a disappointing prognosis, it is important to identify as early as possible and immediately start treating it.

IMPORTANT ON THE DISEASE

It is important that patients familiarize themselves with the material in order to master information in complete information about the emergency mechanism and clinical manifestations of the pathology.Immediately we observe that arthrosis and arthritis are closely interconnected, since the disease into consideration is a consequence of an arthritic disease.But where do sick sick diseases come, which ruthlessly destroy the most important bone connection?What is the severity of gonarthrosis and with what manifestations can it be recognized?

The causes of arthrosis

Degenerative-distribution pathogenesis "launch" the following factors-provocators:

• The injuries that previously suffered - leg fractures, knee displacement, meniscus damage, tears and ligament ruptures, falling on the knees, all kinds of bruises;
• Excessive physical activity;
• sedentary lifestyle;
• high body weight index;
• Systemic pathologies for the rheumatoid, gout, psoriatic, systemic lupus, psoriatic;
• Genetically inherited weakness of the ligament system or congenital underdevelopment of structural elements of the joint;
• metabolic disorders and blood flow;
• hormonal failure, diabetes and other endocrine pathologies;
• Transferred or chronic infectious and inflammatory diseases.

Often people themselves become the culprits of the fact that a difficult development of a joint disease develops.Often, having received injuries, they ignore the appeal to an expert, preferring to make the first preparation of pain, home -made lotions and the like.And a few years later, due to inadequate treatment in the past, they see a doctor on gonarthrosis, at best, moderate.And here, physical prevention and analgesic ointments, as in the very initial course, you cannot do, usually need to act radically, using surgical tactics.

Stages of destruction

In orthopedics, this disease is divided on stage, from which the expert is repelled in the future by compiling a treatment regime.The degree, the nature, the location, the nature of the origin of the destruction of the knee bone compound is revealed by various diagnostic measures such as radiography, magnetic resonance imaging, CT, ultrasound, different types of blood and urine tests.

There can be no doubt of qualitative treatment without detailed information, both about the condition of the knee joint and about the characteristics of the patient's body, as well as without visiting the doctor and receiving appropriate therapeutic recommendations.Therefore, wanting to improve the quality of life, do not ignore a visit to an experienced expert, but it is able to say whether it is possible to do with qualified conservative help or, however, with your problem, only surgical intervention will be effective.

The pathology has several stages of development, according to Kellgren's classification, there are only four of them.All of them characterize the severity of morphological changes (the presence of osteophytes, a decrease in joint cartilage volume and its degree of thinning, joint gap narrowing, etc.) and clinical signs (limited flexion/extension, the disorder indicator, nature and pain intensity, etc.). 

• First stage arthrosis - This is a disease that is only born.External symptoms are light or absent, congruence and joint forms are satisfactory.In X -ray photos or magnetic resonance imaging photos, small regional osteophytes are tracked along the edges of the joint surfaces, in the problematic department, slow subcondral osteosclerosis and smaller bone cysts.The joint gap is usually normal or altered, but not significant.
• In case of diseases high schoolIn addition to the above indicators, The osteocosclerotic focus is more pronounced, the narrowing of the gap between Mudflow is clearly visible.The patient begins to disturb more and more often pain at the time of the walk, descent/climbing the longstanding stairs sometimes at night.Combustion develops, joint movements are acquired in inferiority, especially when double.
• The third stage It is characterized by a clear progression of degeneration and irreversible deformation.The joint configuration is visibly distorted, the distance between the joint surfaces is significantly reduced, bone growths in the form of increased sizes peaks.The pain is prolonged and pronounced, and worries a person, even at rest, the lameness is aggravated.Dependence on support devices and foreign aid is displayed. 
• The fourth stageDegenerative-distribution pathogenesis, when there are bulky osteophytic growth, hyaline cartilage is completely destroyed, the joint gap disappears or bad traces, the epiphyses of joint bones that form joints are deforming the strongest way.The knee articulation is recognized as a completely non-viable body of the musculoskeletal system, a person is disabled. 

Symptoms and complaints

The severity of clinical manifestations depends not only on pathomorphological characteristics, but also on the factor of individuality.Anyway, there is little pleasant in gonarthrosis, it is very difficult to transfer to the second and 3-4 tablespoons.The general list of symptoms includes:

• Pain syndrome, especially mechanical type (stupid, sore, clear, sudden, periodic and permanent);
• the appearance of crispness during movements;
• rigidity of the articulation;
• restriction of the amplitude of the movements;
• limb muscle weakness;
• skin hyperthermia and swelling in the knee zone;
• a change in the march, manifested by limping and pumping his legs;
• instability or "drawer" syndrome;
• The "interference" of the knee that occurs with a sudden block of bone connection movements.

Important! Conservative treatment of knee joint arthrosis will not help if the disease has a complicated course, which may already occur in the worst case in the second stage of development of bone frigo degeneration.Contrary to traditional conservative therapy and alternative techniques, all, without exception, the operation with severe gonarthrosis of 2-3-4 degrees the only way that for a long period of lifetime helps significantly improve quality of life.

Conservative treatment

Non -surgical treatment methods are advisable in the initial phase of deforming arthrosis.The principle of non -surgical treatment suggests:

• Systematic execution of exercise therapy, developed by a professional individually;
• conduct of physical therapy procedures;
• the use of painkillers in the form of ointments, tablets, injections, etc.;
• Proper nutrition and following a special diet prescribed by a doctor;
• Compliance with a special regime of everyday physical activity;
• a complete rejection of bad habits;
• Unquestionable passage of re -diagnosis control;
• An annual visit to a medical institution specializing in sanatorium-resort.

Knee articulation arthrosis operation

Now we will familiarize ourselves with surgical methods in which the need arises more often, because in the early stage the pathology usually remains unnoticed.Basically, it is already necessary to deal with arthrosis in a complete "height", which widely covered the joint structures and affected the periarticular matter.

• Endoprostrate - Helps in more than 95 % of cases completely restore the lost locomotor and the lower limb knee support functions.The operation is not easy, after following complex rehabilitation, but the effect is worth it.About 3 months after the installation of an artificial analog, instead of a native articulation, which underwent irreversible pathological changes, a complete amplitude of leg movements is returned and pain syndrome is completely eliminated.
• Arthrodesis - The unexplored procedure in the "closure" of the joints due to their aggressive effect on biological structures, but sometimes has a place to be, for example, if a person has no opportunity to undergo implementation.Its essence is to remove joint surfaces and the immovable connection of the articular bones with special fixing devices in a favorable position.Over time, the natural fusion of the listed elements occurs.Artificial ankylosis completely blocks joint mobility, but allows you to reach a good limb disorder and pain reduction.
• Knee osteotomy - It is also used in extreme situations, for the same reason as arthrodesis, in particular, when it is necessary to delay the endoprothetic for several years.At the time of the operational session, the expert performs an artificial fracture, firing bones and placing them at a more correct angle in order to profit the load on the cartilage elements.  

Irreversible pathogenesis cannot be corrected by exercise, you must understand this.The ointments and even drugs of a series of chondroprotectors, not to mention the grandmother's advice to be treated with gelatin, will not play a special role either.The maximum they can help in the neglected state is to prepare the bone muscle apparatus for the next operation.

Modern knee implants are able to support ordinary daily loads, while working perfectly for at least 15 years and usually 20 to 25 years.A person may even get involved in some sports with a replaced joint.

3 degree treatment

In 3 stages of arthrosis, surgery is performed.Articulation changes are severely pronounced, at this stage the disease extremely reduces the standard of living and the patient's performance.Damage with bone bright have reached the critical point where bone compound tissues do not represent any functional meaning.The hyaline cover is almost completely destroyed. 

• An important cartilage is not restored by itself, including through non -surgical methods.
• The naked and flat surfaces of the extremities of the interacting bones exert unnatural pressure on each other, constantly rubbing each other, seriously injuring close soft tissues and deforming further every day.
• One person feels terrible pain, not to mention the lost skills to walk normally.Patients experience daily flour, when the dream is not a joy and, during the day, there is no rest of pain.Only one unit of people observes a relatively tolerable state.
• Anti -inflammatory analgesic medications, as a rule, have a light effect, but do not "work" more often.It makes no sense in chondroprotectors, because the strengthening and supply of the scarce remains of the cartilage does not save the situation.

The consequences of 2-3 degrees arthrosis are sometimes trying to treat with minimally invasive surgery (arthroscopy), in which it is possible to remove marginal osteophytes, as well as extracting the torn cold bone fragments from the joint cavity.Such manipulations, as revisions witness, slightly relieve the patient's condition, slightly improve motor function, but temporarily.Osteoarthritis in the knee joint remains active and, in the near future, it will manifest itself again. 

3-4 degrees pathogenesis is a very serious problem, which is really possible to solve only much more complex reconstructive and plastic surgical tactics.So far, there is no such procedure that can be compared to endoprothetic.Replacing the knee articulation with a prosthesis, completely repeating the mechanical characteristics, the configuration of the shapes and sizes of the natural organ, will make it possible to say goodbye to the sick pathology and the disability, which it "granted".

The disease is progressing rapidly and is able to reach a moderately average phase to 4 degrees in a matter of months.Surgery needs to be performed as soon as possible until degenerative processes deeply penetrate the bone.Highly damaged bones can cause difficulties with the production of an endoprosthesis.

Many, without fully realizing that the severity of the degeneration that occurred is not comparable to conservative and non -traditional tactics, trying to circumvent the operation with all paths, swallowing pills with wagons, applying ointments in the sore area.Someone turns to osteopaths, private doctors practicing all kinds of alternative methods.Unfortunately, you will not go against nature, healing will not come after them, and this must be reconciled.Therefore, throw away the meaningless enterprises, act with prudence.

Your physical viability depends entirely on your solution!You can continue to suffer from stiffness and pain, in vain testing "empty" methods of treatment: non -standard drugs and products that do not have evidence -based efficiency in their severity of the disease.And you can undergo surgical treatment and start living a complete life, free yourself from past suffering and support devices.

It is not necessary to worry about surgery, modern technologies have advanced a lot and today abroad brilliantly alter knee joints with durable implants.After such implementation implemented in a good clinic, the risk of complications is minimal (1-2 %) and the restoration of mobility functions occurs in more than 95 % of cases.After replacing the articulation, the rehabilitation course will follow 3 to 4 months, which provides:

• Physical recovery through special therapeutic exercises;
• take medications (antibiotics, anti -terombotic medications, etc.);
• The Physiotherapy Program, including myostimulation, anti -inflammatory, painkillers and wound healing procedures;
• Massage sessions (in the posterior stages of rehabilitation).

It's useful to know! In 1 degree, the disease can be interrupted and prevented conservatively.If you don't do anything and start arthrosis in the knee, allowing it to cross 1 to 2 degrees, drug treatment will be much more problematic, but a non -surgical approach is still appropriate for a certain category of patients.The last two stages are always an operation.

2 degree treatment

With average gravity gonarthrosis, the quality of life is already becoming quite spoiled.The painful knee is more bothered, painful syndrome manifests itself more often and more intense than at the beginning of the disease.The pain is especially pronounced immediately after the morning awakening, while lifting and describing on the stairs.Often there is an unpleasant feeling of numbness, which appears after a long walk and standing in a position.Flexion in the knee region is reduced, the patient is not able to double the leg, which physiology requires.One person begins to spare his cock, trying to almost step on her, which is why a gradual muscular atrophy occurs.

We focus on this non -failure treatment implies a qualified integrated approach.

• If the doctor does not see the urgent need for surgery, a reduction in cargo in the problem department is mainly prescribed.In the presence of overweight, in order to ensure a good discharge of those affected by arthrosis, it is necessary to adjust the body weight, adhering to the diet that the doctor recommends.
• All patients prescribe the use of special orthopedic devices at the time of movement.This, depending on the existing problem, can be knee fixers, compression linen, elastic bandages, cane, crutches, walkers.
• In addition, an orthopedic traumatologist will prescribe a type of exercise set, which will help strengthen and increase the resistance of the affected limb muscles.
• In addition, arthrosis in moderately medium manifestation involves the use of medicines, which include substances present in knee cartilage tissues.This includes compounds based on chondroitin sulfate, hyaluronic acid injections, glucosamine medications.They cannot restore cartilage, but saturate it with nutrient components so that the remission of the disease can be achieved.
• Physics procedures are also recommended, however, they are used only after all signs of inflammation disappear.Physical sessions, for example, with a laser, magnet or ultrasound, should be kept within medical facilities.Thanks to physiotherapy, nutrition and metabolism in bones, muscles and cartilaginous tissues improve.If you bought a vibro -acoustic device for home use, first discover the expert on the possibility of its use in your diagnosis and the features of the device operation.

We examined the basic principles that the official treatment of arthrosis is based on orthopedics standards.Since many people with osteoarthritis 2 tablespoons.They are very interested in alternative methods, looking for their salvation in them, we offer ourselves familiar with the most popular of them.And we find out if they are as unique as they present them on the internet.

Cells -Ton for knee treatment

We'll talk about cell autotransplantation -Mezhamal stem to a patient with knee gonarthrosis taken from the pelvic or femoral bone comb.Cell therapy, according to interested sources, will reach almost the self -renewal of the entire articulation, activating regenerative processes of self -tape in the damaged segment.Thanks to this technology, it is theoretically obtaining an improvement in the components of bone -filled organ units.However, in practice, there is no single "alive" radiographic evidence that confirms that after the introduction of cells in the affected place, the joint has become healthy.

The positive effect of the cells on joints and bones has not been proven in great doubt, since this technique has not yet been recognized in orthopedics.Scientists just study and experience.In addition, there is information about the insecure effect of the cells -Tronco on the human body, which, according to highly comprehensive experts, are capable of provoking oncology.And the people who paid for the procedure while satisfied with the result?Here we can only say one thing: many patients believe in this kind of money and eternal life, but the placebo effect doesn't work long, don't forget it either.

Mud treatment

Therapeutic sources of mud containing unique components (magnesium, chromium, iodine, bromine, calcium nitrate, etc.) contribute to reducing painful symptoms, increasing blood flow to painful zones, stimulation of metabolism.They are of the highest value for people with a mild stage of illness or patients who have already undergone a leg operation.Mud therapy is allowed to 2 degrees if the doctor believes that the natural remedy in combination with the main treatment program will reduce the aggression of pathological phenomena (interrupt progression) and improve the general clinical picture.Mudley is practiced in special resort and recreational medical institutions.Natural peloid -based cure mud is used in the form of applications and in combination with the Galvanization Method (electrophoresis).

Using gelatin

Natural gelatin is a safe tool that allows you to keep joint structures in good condition.It is recommended that a diluted jam substrate is consumed.According to the revisions of some doctors, gelatin is much faster and more productive to affect bones, cartilage and muscle ligament elements.Experts emphasize that this method has no curative properties, promotes only arthrosis prevention.Consequently, with already consistent pathogenesis, gelatinocency, in the event of a lack of pathology or in the early stages, can be considered exclusively as a measure of prevention of appearance or progression of degenerative-distribution changes.When the disease is medium and severe in nature, this approach will not be made for preventive purposes.

Ayurveda for the joints

Modern non -traditional medicine is known for many extraordinary trends, including Ayurveda treatment of various parts of the musculoskeletal system.According to this non -official course, articulation damage is associated with excess toxins accumulated in the body due to energy disharmony.The harmful mechanism of the impaired energy balance (cotton) is mainly weakening the AGNI, or the digestive fire, which led to the accumulation of unfortunate food waste (AMA) in the intestine.They release toxins that blood transports to the joint, where harmful substances have solved and inhibit metabolism processes.

According to Ayurveda, osteoarthritis is classified into various types and, for each type, its own treatment system has been invented, the basis of each of them is diet, grass -a -theheler, taking ayurvedic and post, edge, edge, which is not a non -transitional gymnastics.Returning even with high scientific technologies, you can believe that herbal treatment, thought treatment and other tactics, will Ayurveda heal irreversible deformations?!

Salt

Salt is used to prepare a saturated salt solution used to impregnate the compresses, which are applied to the painful point for several hours.This therapy should not be considered an independent remedy and even more like a panacea for gonarthrosis.Salt is able to reassure the pain temporarily, save soft tissues from edema that covers bone structure without damage to biological structures.But it will not cure the disease and will not put the patient at the patient's feet!Its action is purely symptomatic.The solution is prepared at the rate of: 100 g of salt is taken for 1 liter of water temperature.

It's worth getting familiar! Sometimes salt is used in a dry -heated form, which is placed in a bag, and local knee warming is performed.Sometimes, like wet but hot bandages.Hot procedures are dangerous with purulent-inflammatory processes in the joint cavity, they will only exacerbate the clinical picture.Therefore, do not use these recipes without being sure that defeat is not accompanied by a similar process.