Arthrosis - a disease that has developed over many years with prevailing damage to certain joints.Most often painful changes are influenced by large joints - knee, hi, shoulder, etc.That is why it is important to diagnose a disease as soon as possible and start a complex treatment of arthrosis.
Treatment of arthrosis
In the initial phase of arthrosis, conservative methods that do not include surgery.Meanwhile, methods of the methods used enable the suspension of disease development, maintain motor activity, reduce the severity of the main symptoms of arthrosis and generally improve human quality quality.
- Medicine treatment
Used drug groups
- Nsaids;
- GKS;
- Chondroprotectors.
- PRP therapy
- Medical physical education
- Massage and hand therapy
- Extension therapy (towing)
- Physiotherapy
Methods of physiotherapy are widely used for arthrosis:
- Magnetotherapy;
- UHF;
- Inductermia;
- Ultrasonic therapy;
- Balneotherapy;
- Surgical treatment.
Treatment of arthrosis with drugs
Among patients is common to use drug effects (orally in the form of tablets or inject - intramuscularly) the most important method of removing pain in arthritis.In fact, drug use is the method of rapid relief pain, which should be prescribed only in an acute period.The fact is that medications are widely prescribed for these goals have serious side effects that intensify with extended and specially with uncontrolled entry.We are talking about undesirable effects from the digestive, cardiovascular, nervous system, which can take a patient with a hospital bed (fierce bleeding, heart disorders, effects on the liver and kidney, etc.).
Not -steroidal anti-inflammatory drugs
Used drug groups:
Nsaid - No -Share anti-inflammatory drugs, many of them were released without a prescription and are widely accepted by patients.This group includes medicines of various chemical structures, the most famous of them are Diclofenak, indometacin, Nenproxen, more modern for meloxicam, nimesulid, ketorolac.These drugs have pronounced anti -infalmar and analgesic effect, reduce joint pain and adjacent muscle tissue, but do not affect the development of the disease.They are used only to reduce symptoms at all stages of the disease.Efficient with simultaneous sinovitis (accumulation of liquid in the compound).
GKS - Glucocorticosteroid medications (hydrocortisone, triamcinone, betamethasone) have the strongest anti-inflammatory and analgesic effects.It is also advisable and efficiently for their percentage of the introduction.However, patients often negatively relate to the use of these medications in treatment, which is connected to the possible side effects: these are contlics, deterioration of the state of ligaments, articulated surfaces and crispers degeneration.But with the peri -hman risk of these complications, the risk of these complications is minimal.
Chondroprotectors - Glucosamine and Hondroitin are the natural components of cartilage, which, when applied orally, contribute to the gradual rebuilding of cartilage, normalize its density and elasticity.These active components are commonly used in the complex, are part of different drugs and assistant products.Chondroprotectors do not have a quick analgesic effect, improvement develops with extended drug use based on them, which is associated with partial reconstruction of cartilage.It is recommended in all stages of the disease.
PRP therapy
One of the most modern methods for recovery, which is used for sports injuries and mono-dystrophilic joints, is PRP therapy (PRP platelet - rich plasma) or mobavization, autoplasmic therapy.
The essence of the proceedings It consists in the introduction of plasma enriched by platelet, directly at the scene, in this case in common.The administration remedy is obtained from the patient's own blood, so the method is considered not only very efficient, but also safe for humans.Growth factors and other biological active substances (serotonin, bradykin, prostaglandines, etc.) are in the plasma thrombocus enriched platelets, contribute to the activation of the regeneration process and synthesis of their own basic substances.
The resulting plasma, enriched platelet, has also been introduced and directly and directly into the affected compound, which is achieved by partial tissue renovation - primarily cartilage.
The methodology at 1-2 stage of osteoarthrosis is most suitable.It shows good results and allows you to delay the rapid development of the disease due to the release of platelet growth factors.The method is relatively new, but proved high efficiency.PRP therapy was first used on surgery, today technique is successfully used in many areas of medicine, including rheumatology and orthopedics, neurology and cosmetology.The implementation of autoplasal therapy allows you to increase the functioning of the compound without any aggressive interventions.
Sinvial fluids - Group of hyaluronic acid-based drugs, which is introduced directly to the articulated cavity (injection) and play the role of lubricant fluid in the case when the natural synonymission of liquid is almost completely absent.They are used in the late stages of arthrosis.
The medical medications of this group are also called "Sinovian current prostheses", "biological exchange for synonymous fluid".The effect after the drug application is long - from 6 to 13 months, depending on the medical product used.
Some people are used Other groups of drugs - Antispasopodics, muscle relaxants, groups of groups B in therapeutic (high) doses, but all have only auxiliary value in the treatment of arthrosis.
Medical physical education
Special exercises of therapeutic gymnastics can also be used even during worsening, at all phases of arthrosis.Such measures can reduce pain and prevent expressed limitations in the moving joints.However, among patients with arthrosis, the method is unpopular, because most of them are wrong, believing that with pain needs to be limited by any movements.The timely start of physical exercises, on the contrary, contributes to the faster recovery and reduction of symptoms, above all.
Efficient efficient exercise physiotherapy in water, joint movements in the position of unloading (lying, sitting, in a suspension), moderately walking on a flat surface.If necessary, for example, with a pronounced pain syndrome, the joint can be imposed on a special bandage on the wrist, but you need to start physically upgrading as soon as possible.
Massage and hand therapy
Mechanical effects of the mechanical effects on the joint, muscles and ligamentous appliances enable the severity of pain, increase the circulation of blood and metabolism in the area of affected pumps, mitigate muscle spasm, mitigate muscular strength, normalization of muscle function.
Extension therapy (towing)
The hospital or medical sanatorium is possible and towing therapy - this is common traffic (hip, knee) according to a special method using different charges.The standard towing scheme is designed for 28 days, with a gradual increase in load and exposure time.Classic techniques are used and more modern using simulators.Their efficiency is almost the same, but simulators are more comfortable for the patient.
Physiotherapy
The use of different physiotherapy techniques in the initial phases of arthrosis allows us to achieve significant mitigation pain syndrome and increase mobility in affected joints.Physiotherapy courses contribute to the slowdown of the pathological process and extension of the period without worsening.
Widely used for arthrosis of physiotherapy methodology
Magnetotherapy - Local effects of a constant or alternating magnetic field of low profiles.In the field of affected joint, metabolic processes are accelerated, blood circulation and nutritional ingredients on joint structures are activated processes of regeneration and synthesis of their own substances needed for joint work.Magnetotherapy has anti-columnation, analgesics, anti-mallic effects from almost the first session, which positively affects the patient's general condition.Magnetotherapy is used successfully in hospitals and sanatoriums, where the medical equipment of various modifications is used.The huge advantage of patients with arthrosis is the possibility of independent magnetotherapy courses at home, according to the purpose and controlled by doctors attending.Timely use of transmission equipment for magnetotherapy allows you to stop pain development, the beginning of deterioration or the implementation of the preventive course - ie to maintain normal welfare.The positive moment of magnetotherapy can also be called a beneficial effect of the procedures on the state of cardiovascular and nervous systems.Given the fact that most patients with arthrosis of middle and advanced age, with an existing gathering of chronic diseases (arterial hypertension, coronary heart disease, atherosclerosis, etc.), will be very useful.
Ultrasonic therapy It is more commonly used in combination with anti-monimatory, analgesic effects (hydrocortisone, hondroitin sulfate, indometacin, etc.) - ultrafonaphoresis or phonoforez.Ultrasound increases drug tissue permeability, so their main action is improving.Even without the healing component is very effective for arthrosis: the mechanical effect on tissues (micromassage), activates local immune and restoration processes in common and neighboring muscles, analgesic and anti-anamental effects are expressed.
Laser therapy - One of the most common and most commonly used procedures.Therapeutic effect is based on reflex expanding blood vessels above the focus of the pathological process.This leads to improving the local blood flow, activating metabolism, removing underestimated metabolism and reducing pain intensity.Laser therapy Due to the low depth of penetration, it has a minimally pronounced systemic effect, simultaneously improving the therapeutic effect of other proceedings.
Shock therapy of waves - High-energy mode of exposure.It is based on a piezoelectric effect.The impact of piezoelectric discharge on pathological focus is achieved by a number of effects.Invisible cells were destroyed, leading to activating local immunity.Gybernic (inactive) cells are stimulated that contribute to the regeneration process.At the same time, the intensity of pain syndrome is significantly reduced (although the Procedure itself is painful).The undoubted advantage of the method is the use of the method once in 4-7 days.
Diadinamotherapy - Terapical effect method on body with diadzic impulse currents.Diadic currents used in this method rhythmically excite the skin receptor, which indirectly lead to the activation of descending physiological mechanisms suppressed and lead to a reduction in the patient's pain, to complete analgesia.Therefore, such procedures are effective for strong pain.
Electricalimulation - Exposure of electricity on muscle tissue.With the arthrosis of large joints, the work of the surrounding muscles is disturbed, it leads to the atrophy of some and overloading others.Walk disorders develop.When exposed to alternate electricity according to a special program, muscles rhythmically decline, performing certain work, which leads to the restoration of their volume and function.
Cryotherapy - A simple and efficient treatment, unfortunately, rarely is used.Local low temperature performance reduces the sensitivity of pain receptors and synthesis of biologically active substances that encourage inflammation development.After cryotherapy, the expansion of blood vessels appears, the local blood flow is accelerated, and recovery processes are activated.This method is especially effective in combination with a striking wave therapy.
Balneotherapy
In the sanatorium and resort, hydrogenation is performed outside the medical bathroom, including a rocal arthrosis especially for arthrosis.The general effect on the body is produced by radioactive decay of radon dissolved in water.The most important effect is to activate metabolic processes.
Similarly, although less pronounced effect is characteristic of the therapeutic mud (peloids), hydrogen sulphide and carbon dioxide.
Surgical treatment
Surgical methods are resorted to the late phases of arthrosis, when common mobility is restricted abruptly or absent, which affects the quality of the patient's life.In the whole world, different methods of common endoprosthetics are used, which allows you to fully return the amount of movement and return the patient to active life at any age.
Tactics and scope of surgical intervention is determined by the doctor attending, the selection is based on parameters such as the general condition of the patient, age and presence of simultaneous diseases, excessive weight and others.The best results after the endoprotetics were obtained in the patient of young and middle (almost complete recovery of the movement), but the elderly also has a significant improvement, because after successfully they are fully done in the country and not only within the apartment, but also to go out into communication.
Prevention
Arthrosis belongs to the group of direct skills and develop mainly as a result - equalizes changes in joints, improved influence of external negative factors.Attention to the state of the muscle-bone system, the prevention of joint diseases and the treatment of arthrosis in early phases enables the maintenance of motor activity and avoid mass medical intervention in the future.