Osteoarthritis of the knee joint: what are these steps, symptoms and myths on treatment

Osteoarthritis of the knee joint is a complex dystrophic degenerative nature disease, which affects the knee bone cherries section.The disease most often affects the knee department of the lower limbs.Pathological changes in cartilage and peri-human areas, which, in most cases, develop in the context of injuries, biological aging of the body, violations of an autoimmune nature, seriously inhibit the musculoskeletal potential of the legs.The joint becomes steep, loses stability, normal engine and damping capacities.Consequently, it is gradually distorted and, in the last stages, it fails completely.

Degeneration in joint tissue manifests itself not only in the form of physical dysfunction of the lower limbs, but also with strong painful sensations.In severe courses, pathology causes disability, in some cases - legs.As part of such a disappointing prognosis, it is important to identify as soon as possible and immediately start treating it.

Important in the disease

It is important for patients to familiarize themselves with the equipment in order to control the complete information of information concerning the emergence mechanism and the clinical manifestations of the pathology.Immediately, we note that osteoarthritis and arthritis are closely interconnected because the disease considered is the consequence of an arthritic disease.But where do poor diseases come from, which mercilessly destroy the most important bone connection?What is the severity of gonartrose and by what manifestations can they be recognized?

The causes of osteoarthritis

Degenerative-Dystrophic pathogenesis "launches" the following factors:

• Injuries formerly suffered - fractures of the lower leg, knee dislocations, meniscus damage, tears and breaks of ligaments, falling on the knees, all kinds of bruises;
• Excessive physical activity;
• sedentary lifestyle;
• High body weight index;
• Systemic pathologies for rheumatoids, gout and psorias type, systemic lupus erythematosus;
• Genetically hereditary weakness of the ligament system or congenital underdevelopment of the structural elements of the joint;
• metabolic disorders and blood flow;
• Hormonal failure, diabetes and other endocrine pathologies;
• Infectious and inflammatory refinements transferred or chronic.

Very often, people themselves become the culprits because it is difficult to develop a joint disease is developing.Often, having suffered an injury, they ignore the call to a specialist, preferring to make the first pain preparation, home lotions and others.And a few years later, due to an inadequate treatment passed in the past, they come to see a doctor with gonarthrosis, at best, moderate.And here, physical prevention and analgesic ointments, as in the very beginning, you cannot do, often to act radically, using surgical tactics.

Stages of destruction

In orthopedics, this disease is divided into a stage, from which the specialist is pushed back into the future during the compilation of a treatment regime.The degree, the nature, the location, the nature of the origin of the destruction of the bone compound in the knee are revealed by a certain number of diagnostic measures, such as radiography, MRI, TDM, ultrasounds, different types of blood tests and urine.

It cannot be a question of qualitative processing without detailed information, both on the state of the knee joint and on the characteristics of the patient's body, as well as without visit to the doctor and the reception of adequate therapeutic recommendations on his part.Consequently, wanting to improve the quality of life, do not ignore a visit to an experienced specialist, but it is able to tell you if it is possible to do with qualified conservative help or, however, with your problem, only surgery will be effective.

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

• Osteoarthritis of the first step - It is a disease that was only born.The external symptoms are light or absent, congruence and joint forms are satisfactory.In X-ray images or MRI photos, small regional osteophytes are traced along the edges of joint surfaces, in the problematic department, slow subchondral osteosclerosis and minor bone cysts.The joint space is generally normal or modified, but not significant.
• In case of illness second degreeIn addition to the above indicators, The osteocosclerotic focus is more pronounced, the narrowing of the inter-boudflow difference is clearly visible.The patient begins to disturb stronger and more often the pain at the time of walking, the descent / climbing of the stairs, for a long time, sometimes at night.Combustion is developing, movements in the articulation are acquired in inferiority, in particular during flexion.
• The third step It is characterized by a strong progression of irreversible degeneration and deformation.The joint configuration is significantly deformed, the distance between the joint surfaces is considerably reduced, the bone growth in the form of peaks of increased sizes.The pain becomes prolonged and pronounced, and she worries a person even at rest, the lameness is aggravated.Dependence on support devices and external aid appears. 
• The fourth stepDegenerative-dystrophic pathogenesis, when there are voluminous osteophytic growth, hyalin cartilage is completely destroyed, the joint deviation disappears or is barely trace, the epiphyses of the joint bones which form joints are deformed in the strongest way.The knee articulation is recognized as a completely non-viable body of the musculoskeletal system, a person becomes disabled. 

Symptoms and complaints

The severity of clinical manifestations depends not only on the pathomorphological characteristics, but also on the factor of individuality.In any case, there are few pleasant in gonarthrosis, it is very difficult to transfer to 2nd and 3-4 tablespoons.The general list of symptoms includes:

• Pain syndrome, mainly of mechanical type (stupid, painful, sharp, sudden, periodical and permanent);
• The appearance of crunch during movements;
• stiffness of the joint;
• restriction of the amplitude of movements;
• Muscle weakness of the member;
• skin hyperthermia and swelling in the knee area;
• A change in the process, manifested by the afforestation and pumping the legs;
• instability or "drawer" syndrome;
• The "scrambling" of the knee occurring with a sudden blockage of bone connection movements.

Important! Conservative treatment of osteoarthritis of the knee joint will not help if the disease has a complicated evolution, which can already occur in the worst case in the second stage of the development of a cold bone degeneration.Unlike traditional conservative therapy and alternative techniques, all, without exception, the operation with serious gonarrosis of 2-3-4 degrees-the only way for a long period of life contributes to considerably improve the quality of life.

Preservative

Non -surgical treatment methods are recommended in the initial phase of osteoarthritis deformation.The principle of non -surgical treatment suggests:

• Systematic execution of exercise therapy, developed by a professional on an individual basis;
• conductive physiotherapy procedures;
• The use of pain relievers in the form of ointments, tablets, injections, etc.;
• Appropriate nutrition and according to a special diet prescribed by a doctor;
• Compliance with a special daily physical activity diet;
• a complete rejection of bad habits;
• indisputable passage of re-diagnostic control;
• An annual visit to a specialized medical institution in sanatorium-proter.

Operation for osteoarthritis of the knee joint

Now, we will familiarize ourselves with surgical methods in which the need most often occurs, because at the beginning, the pathology often remains unnoticed.Basically, it is already necessary to face osteoarthritis in a full "day", which largely covered joint structures and affected the periarticular matter.

• Endoprosthetics - It helps in more than 95% of cases to completely restore the lost locomotor and the knee support functions of the lower limb.The operation is not easy, after it follows complex rehabilitation, but the effect is worth it.About 3 months after the installation of an artificial analog, instead of a native joint, which has undergone irreversible pathological changes, an in its own right amplitude of the movements of the legs is returned and the pain syndrome is completely eliminated.
• Arthrodesis - the unexplored procedure on the "closure" of the joints, because of its aggressive effect on biological structures, but sometimes it has a place to be, for example, if a person does not have the possibility of undergoing an implantation.Its essence is to eliminate the joint surfaces and the motionless connection of the joint bones with special fixing devices in a favorable position.Over time, the natural fusion of the elements listed occurs.Artificial ankylosis completely blocks the mobility of the joint, but allows you to achieve a good limb disorder and a reduction in pain.
• Knee osteotomy - It is also used in extreme situations, for the same reason as arthrodesis, in particular, when it is necessary to delay the endoprothetics for several years.At the time of the operational session, the specialist performs an artificial fracture, pulling bones and placing them at a more correct angle, in order to distribute the load on the elements of the cartilage.  

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

Modern knee implants are able to withstand ordinary daily loads, while working perfectly for at least 15 years, and often 20-25 years.A person can even engage in certain sports with a replaced joint.

3 degree treatment

With 3 steps in osteoarthritis, surgery is carried out.The changes in the joint are seriously pronounced, in this phase, the disease extremely reduces the standard of living and the performance of the patient.Bone damage has reached the critical point to which bone compound tissues represent no functional meaning.The hyalin coverage is almost completely destroyed. 

• Significant cartilage is not restored by itself, including by non-surgical methods.
• The naked and flattened surfaces of the bone ends in interaction exert a pressure against nature on each other, are constantly rubbing between them, seriously injuring the soft tissues nearby and distorting even more each day.
• A person feels terrible pain, not to mention the lost capacities to walk normally.Patients experience daily flour, when the dream is not joy, and during the day there is no rest of the pain.Only one unit of people notes a relatively tolerable state.
• Anti-inflammatory drug drugs, as a rule, have a light effect, but do not "work" more often.This makes no sense in chondroprotectors, because the strengthening and refueling of lean remains of cartilage does not save the situation.

The consequences of osteoarthritis of 2 to 3 degrees sometimes try to deal with mini-invasive surgery (arthroscopy), in which it is possible to eliminate marginal osteophytes, as well as extract the torn oscillating frequencies from the joint cavity.Such manipulations, as the journals testify, slightly reduce the patient's condition, slightly improve the motor function, but temporarily.Osteoarthrosis in the knee joint remains active and, in the near future, it will appear again. 

The pathogenesis of 3-4 degrees is a very serious problem, which is really possible to solve that rebuilt and much more complex reconstructive surgical tactics.To date, there is not such a procedure that could be compared to the endoprothetics.The replacement of the knee joint with a prosthesis, completely repeating the mechanical characteristics, the configuration of the forms and sizes of the natural organ, will make it possible to say goodbye to the criminal pathology and to the handicap, which it has "granted" you.

The disease progresses quickly and is able to go from a moderately average phase to 4 degrees in a few months.Surgery should be held as soon as possible, until degenerative processes penetrate deep into the bone.Very damaged bones can cause difficulties with the production of endoprosthesis.

Much, not fully realizing that the severity of the degeneration that occurred is not comparable to conservative and non -traditional tactics, try to bypass the operation in all ways, by swallowing tablets with handles, applying ointments on the painful 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 fact must be reconciled.Therefore, throw out the companies devoid of meaning, act cautiously.

Your physical viability depends entirely on your solution!You can continue to suffer from stiffness and pain, in vain tests of "empty" treatment treatment: drugs and non -standard products that have no effectiveness based on evidence in your severity of the disease.And you can undergo surgical treatment and start living a full life, free yourself from suffering and past support devices.

It is not necessary to worry about surgery, modern technologies have advanced far and abroad brilliantly change the knee joints with lasting implants.After such an implementation implemented in a good clinic, the risk of complications is minimal (1 to 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 medication (antibiotics, antitromotic drugs, etc.);
• The physiotherapy program, including myostimulant, anti-inflammatory, pain relievers and wound healing procedures;
• Massage sessions (in the last stages of rehabilitation).

It is useful to know! At 1 degree, the disease can be stopped and prevented conservatively.If you do nothing and start osteoarthritis of the knee, which allows it to go from 1 to 2 degrees, treatment with drugs will be much more problematic, but a non -surgical approach is always appropriate for a certain category of patients.The last two stages are always an operation.

Treatment of 2 degrees

With the gonartrose of average severity, the quality of life is already quite spoiled.The painful knee disturbs more, the painful syndrome manifests itself more often and more intense than it was at the start of the disease.The pain is particularly pronounced immediately after the morning awakening, while lifting it and downhill on the stairs.Often there is a unpleasant feeling of numbness, which appears after a prolonged walk and long in a single position.Flection in the knee region is reduced, the patient is unable to fold his leg, as required by physiology.A person begins to save his member, almost trying not to walk on it, which is why progressive muscle atrophy occurs.

We focus on this safe treatment involves a qualified integrated approach.

• If the doctor does not see the urgent need for surgery, a reduction in the load on the problematic service is mainly prescribed.In the presence of an excess weight, in order to ensure a good unloading of affected by osteoarthritis, it is necessary to adjust the body weight, adhering to the diet that the doctor recommends.
• All patients are prescribed the use of special orthopedic devices at the time of movement.This, according to the existing problem, can be knee repairers, compression linen, elastic bandages, cane, crutches, walkers.
• In addition, an orthopedic traumatologist will prescribe a kind of exercises, which will help strengthen and increase the endurance of the muscles of the affected limb.
• In addition, osteoarthritis in a moderately average manifestation implies the use of drugs, which include substances present in the knee cartilage tissues.These include compounds based on chondroitin sulfate, hyaluronic acid injections, drugs with glucosamine.They cannot restore cartilage, but saturate with nutrient components, so that the disease can be obtained.
• Physium procedures are also recommended, however, they are only used after all signs of inflammation disappear.Physical sessions, for example, with a laser, a magnet or an ultrasound, must be held in the medical establishment.Thanks to physiotherapy, nutrition and metabolism in bone, muscular and cartilaginous tissues are improving.If you have bought a vibro-acoustic device for domestic use, first discover the specialist in the possibility of its use in your diagnosis and the characteristics of the operation of the device.

We have examined the basic principles on which the official treatment of osteoarthritis is based on orthopedics standards.Since many people with osteoarthritis 2 tablespoons.They are very interested in alternative methods, looking for their salvation, we propose to familiarize themselves with the most popular of them.And we discover if they are as unique as they present them on the internet.

Stem cells for knee treatment

We will talk about the self -transplantation of mezinhamal stem cells to a patient with knee gonartrose from the pelvic or femoral bone comb.Cell therapy, according to interested sources, will realize, almost self-renewal of the entire joint by activating the regenerative self-eating processes in the damaged segment.Thanks to this technology, it is theoretically to obtain an improvement in the components of the units of the bone fucking organ.However, in practice, there is not a single "living" radiographic proof which would confirm that after the introduction of stem cells in the placed place, the joint has become healthy.

The positive effect of stem cells on joints and bones has not been proven in a great doubt, because this technique has not yet been recognized in orthopedics.Scientists only experiment and experience it.In addition, there is information concerning the dangerous effect of stem cells on the human body, which, according to very complete experts, is capable of provoking oncology.What about people who paid the procedure, when they were satisfied with the result?Here we can only say one thing: many patients will believe for this kind of money and in eternal life, but the placebo effect does not work long, do not forget either.

Treatment with mud

Therapeutic mud sources containing unique components (magnesium, chrome, iodine, bromine, calcium nitrate, etc.) help reduce painful symptoms, increasing blood flow to painful areas, stimulation of metabolism.They have the greatest value for people with a light stage of disease or patients who have already undergone an operation on the leg.It is allowed to carry out 2 -degree mud therapy, if the doctor believes that the natural remedy in combination with the main treatment program will reduce the aggression of pathological phenomena (progress of the stop) and will improve the overall clinical image.Mudley is practiced in special medical institutions of the station and recreational type.The natural healing mud on the basis of peloids is used in the form of applications and in combination with the galvanization method (electrophoresis).

Use of gelatin

Natural gelatin is a safe tool that keeps joint structures in good condition.A frost -type substrate diluted in water is recommended to be consumed.According to the journals of certain doctors, gelatin is so rapid and more productive to affect bone, cartilaginous and muscle-ligament elements.Experts emphasize that this method has no healing properties, it only promotes the prevention of osteoarthritis.Consequently, with already coherent pathogenesis, gelatinochrence, in the event of lack of pathology or in the first stages, can be considered exclusively as a measure of the prevention of appearance or progression of dystrophic degenerative changes.When the disease is medium and serious in nature, this approach will not be made for preventive purposes.

Ayurveda for joints

Modern non-traditional medicine is known for many extraordinary trends, including the treatment of Ayurveda from various parts of the musculoskeletal system.According to this unofficial development, articulation damage is associated with the excess of toxins accumulated in the body due to energy disharmony.The detrimental mechanism of the alteration of energy balance (cotton) is mainly a weakening of the AGNI, or digestive fire, which led to the accumulation of unhappy food residues (AMA) in the intestine.They release toxins which are blood transport towards the joint, where harmful substances have settled and inhibit metabolism processes.

According to Ayurveda, osteoarthritis is classified into several types, and for each type, its own treatment system has been invented, the basis of each of them is the regime, the grass in Thelert, taking tablets and ayurvedic powders, yoga and respiratory gymnastics, non-editional massage, but reduction of car for reduction, and reduction of automobile,the automobile, and the reduction of the automobile, and not the reduction of the reduction, etc.Thanks to high scientific technologies, can you believe that plants based on plants, treatment with thoughts and other Ayurveda tactics will heal irreversible deformations?!

Salt compresses

Salt is used to prepare a saturated saline solution used to impregnate compresses, which are applied to the painful stain for several hours.Such therapy should not be considered an independent remedy, and even more as a panacea for gonarthrosis.Salt is capable of reassuring the pain temporarily, saving the soft tissues from edema covering the bone structure without harming biological structures.But she will not heal the disease and will not put the patient on the patient's feet!Its action is purely symptomatic.The solution is prepared for a rate of: 100 g of salt is taken for 1 liter of water temperature.

It is worth familiarizing you! Sometimes salt is used in a dry heated form, which is placed in a bag, and local knee heating is carried out.Sometimes like wet, but hot bandages.Hot procedures are dangerous with purulent-inflammatory processes in the joint cavity, they will only cause the clinical picture.Therefore, do not use such recipes without being sure that defeat is not accompanied by a similar process.