The knee joint arthrosis combines two procedures: cartilage destruction and growth of osteophytes or bones.The process section is determined by X -rays.It is believed that arthrosis is the destruction of the knee joints with age, the natural process of aging.The causes are muscle weakening and weak food of tissues.How to treat yourself without surgery?Eliminate muscle tone reduction factors.
Reasons
The causes of arthrosis are still not determined by medicine,We only call the risk factors:Age over 45 years of age, knee injuries and overweight.Almost 50% of the adult population complained about the knee joint.
In the case of arthrosis, cartilage wear or completely missing the edges of the bones.Damaged tissue is not a source of pain because it has no receptor.In nearby structures, inflammation causes characteristic symptoms.
The body continues to regenerate damaged tissues, but the cartilage increases unevenly.As a result, irregularities develop that violate other elements of the joint.The nature of the osteophytes is explained by the compensation of the smooth joint cartilage.Another version indicates that the growth of "spurs"Due to muscle weakening, the joint is associated with a medial or lateral stabilization.
What is the chronic arthrosis of the knee joint?Pain in the tendons and ligaments only occurs when muscle forces are eliminated in bones and control.Therefore, the biomechanical causes of pain and arthrosis are distinguished:
- In the background of a long seatThere is a compression between the inguinal league and the femur artery and the nerve hip-lingeric muscle that weakens the anterior strength of the thigh and leads to the appearance of tendons under the knees.
- Long -term seat presses the gluteal musclesWeakening them.Instead, the pear -shaped muscles begin to function under which the sciatic nerve passes.During compression, the double -headed muscle is weakened and the angle of the thigh and lower leg changes.The knee was injured.
- Heeled walkIt causes tension of calf muscles, unfolds the pelvis, weakens the average gluteal muscles.It turns inside the femoral bone, the leagues are filled along the inside of the knee, a medial meniscus and osteophytes grow.
- Flat legsIt is related to the wearing of uncomfortable shoes, weakening of the leading muscles and increased lordosis, and it is outwardly demolished with the tibia bones, leading to the pain of the knee due to biomechanics violation, due to the development of Baker cysts.
The abnormal chains of the knees fall into the tailbone in childhood, skoliosis caused by the diseases of the internal organs.People who have other shoulder height,They complain on the knees over time, because fasciversity chains on the front of the body include the extension of this joint - the thigh's rectal muscle.
Symptoms
The degenerative process interferes with the function of the joint and leads to pain and stiffness.They think thatThe effect on the cartilage and bone on the muscles begins- Practice shows the opposite -The pain in the knee joint occurs in the place of the tendons- Fixers of weakened muscles of extensors, flexors and knee stabilizers.
Main signs of the danger of cartilage wear:
- From time to time, walking discomfort, "not so much set your leg".
- The appearance of pain with the direct load, bending and extension of the joint and muscles - squatting on the stairs.
- Knee pain and stiffness after prolonged inactivity or rest, for example, when they get out of bed in the morning, which is related to the stagnation of venous blood.
The main signs of arthrosis are caused by the load of weakened muscles:
- The knee's knee is connected to the thigh extending the gluteal and double -headed muscle, and the rectum thigh muscle is too tense and causes discomfort in the knee.
- When the joint is bowed, the pain is related to the weakness of the flexors - the tension of the double -headed muscle and the quadruple tendons.
Swelling of soft tissues, inflammation of the tendons and joint bag.The appearance of heat in the knee, swelling indicates the accumulation of inflammatory secretions -Arthrosis is often accompanied by bursitis, synovites, tendinitis.
The knee crunch is painless and traumatic.Clinkles and other sounds do not say that bones are wear.Signs of violation of knee stability -A weakness of one of the muscles.
The disbelief caused by bone friction does not occur at the beginning and end of the amplitude of the movement, but in the middle ofEven with passive bending of the joint- Joint blocking is caused by the cartilage and tendons, which causes fixation.Bones with any movement are controlled by muscles.Their early reduction leads to the altered direction of bone movement to block.
1 grade
The degree of arthrosis is determined by x -GayExploring participation in the abnormal process of bone structures.Their change indicates that the musculoskeletal system was imbalanced for 5-10 years.As a general rule, peopleHave been experiencing painful pain for several yearsOr
In the first stage of the joint, which is detected in an accident, a slight increase in bones polishing.Growth appears at the largest instability of the joint.Patients generally rarely suffer from pain or discomfort during exercise.
The weakness of some muscles is compensated by the function of others without causing severe cramps and overload.Running and exercise training causes symptoms as the weakened muscles are loaded.The weakness (hypotension) of muscles is associated with blood supply and inertion.
2 degrees
The second stage of arthrosis is considered light.X -rays detect significant bone dots, but does not affect the cartilage.The amount of synovial fluid decreases, but the symptoms of pain occur after a long walk and run, the stiffness of the joint and the pain when bending and in the knees.
Characteristics of early X phase of the second stage of knee arthrosis:
- On the tibia, the pointed edges of the inter -writing tubers, where the cross -shaped ligament is fixed;
- Narrowing the common gap on the medial side;
- Condyles points of the bones on the medial sides, less often sideways - depending on the development of the valgus or variation joint deformation.
In the second stage of LarsenIt is typical, but this can only be checked in dynamics or comparison with a different joint.
3 degrees
In the third stage of the jointThe pain becomes constant when bending and extending the joint.During the aggravation, the joint blushes and swells, and the painful pain does not stop at rest.Swelling around the knee appears, noticeable deformation of the joints of the joint.
Signs of moderate arthrosis of the knee joint in the third stage:
- The joint gap was significantly narrowed;
- the presence of subchondral sclerosis in the stages of filled;
- Many osteophys on the edges;
- a rare appearance of subchondral cysts;
- Synovites, baker cyst appearance under knee;
- Uneven surfaces of the femur and tibia, loss of joint joints;
- Change in the form of patella;
- Focus on calcification and condomation;
Rarely the fourth stage is complemented by necrotic lesions- Why is arthrosis dangerous?The disease violates the ability to move and creates dependence on others.
Diagnosis
Orthopedic studies are signs of edema, the joint in pain, the active and passive movement range.Necessarily examines the lumbar spine becauseThere are nerves that ensure the function of the thigh muscles.
X -rays show the presence of osteophytes, a change in space between femoral and tibia bones, which indicates the loss of cartilage in the knee.Occasionally the X -scrub of knee joints show significant signs of cartilage wear, but patients do not suffer significant pain.On the contrary, the arthrosis of the first stage may interfere with the function of the kneeBecause the pain is caused by hypotonic muscles.
If an X -try does not show big changes thenThe doctor prescribes the knee joint and lumbar MRI- Diagnosis depicts league, tendons and muscles, meniscus to find other sources of pain.
Laboratory diagnostics are requiredIf you suspect it causes infectious damage or gout.
Treatment
Joint therapy should be comprehensiveIt is directed to the cause of the disease.Endocrine dysfunctions capable of affecting connective tissues are properly treated.Overweight patients are recommendedGo to the proper nutrition- Aggravations are removed with drugs.
Drug treatment
The treatment of pain is a medicine treatmentA prescription for anti -inflammatory drugs-No -steroid anti -inflammatory drugs with prolonged useNegatively affects the function of the stomach.
Treatment order contains chondroprotectors that only help you to complete long courses3-6 months- Pharmacies represent many drugs from this group.
It is believed that the components of these drugs help regenerate the structure of the cartilage and have an analgesic effect.
The audited tests were done by few, and complex treatment - artroplasty, physiotherapy, diet.
Attention!Condroprotectors are drunk in the courses - drink one medicine, the second course - the other and compare the effect.However, uncontrolled medicine is not the best idea.Before you start taking drugs, consult your doctor.
How and what to relieve pain and swelling?Intraarticular injections are more popular:
- Steroidal drugsIt inhibits inflammatory reactions at the level of immune cells, removing acute pain, joint joints and swelling.
- Hyaluronic acidIt increases the viscosity of the joint fluid, reducing the friction of the joint surfaces.
Important!The effect of the drugs is sufficient for 6-12 months, but at the same time the degenerative processes do not stop.
Surgery
Patients offer arthroscopy with the low efficiency of drugs- a minimally invasive procedure to remove bone growth and joint control.If necessary, the surgeons are carried out with ribbons and cartilage plastic, remove the focus of the worn material.
The purpose of bone osteotomy is to change the axis of the joint load- The doctor cuts off the femoral bone or swiss caps to change the contact areas of the joint surfaces.Surgery is often performed in young patients.
Complete replacement of knee joint or artroplastyIt is necessary in the severe stage of arthrosis (third or fourth degrees).Surgical treatment does not always solve the problem as it requires diligent and requires daily rehabilitation and requires muscle reinforcement.
Knee changes can be compensated on the pelvis, so without the restoration of muscle balance, the hip joint suffers from the following.
Physiotherapy
In the environment of physiotherapy, sludge applications, phonophoresis and magnetic treatment.The purpose of the effect of external factorsStimulation of blood supply and tissue regeneration, relief of inflammation and swelling.
Treatment with folk and non -conventional methods
Recipes of folk drugs usually at home to treat joint joints of knee jointsThe purpose of swelling and eliminating pain- Most often, horseradish leaves and potato grules are used, sometimes mixed and mixed with vodka.
It is impossible to completely stop degeneration- You can affect the kidney replacement with celery.The kidneys are associated with the muscle of the iliac luxus, which involves the pathologies of the hip joint.Normalization of gallbladder and liver function improves the condition of the knee.
Anti -inflammatory herbs include the methods of treating the initial stage of knee arthrosis: Anti -inflammatory herbs:Chamomile, St. John's Beer, Immortality.Ground trash, sea salt and kerosene are used.The use of baths with magnesium salts and pine fusion.
Manual therapy and massage
Hand therapy for osteoarthrosis of the knee joint helpsif a specialist understands the single-muscular imbalance.Muscle tests help to find the weakened muscles of the knee, determine the cause of dysfunction and eliminate it.
The source may not only be a common block in the lumbar region,but also at the level of blood supply, at the level of internal organs, endocrine and biochemical defects- Therefore, the manual therapist must have osteopathy skills, to use kinesiology to influence many factors.
Massage is a tool for manual therapy in itself.A patient with arthrosis of the knee joint can swell the muscles independently that regulate the movement of the limb:
- area around the large gluteal muscle;
- lines on the front surface of the thigh - from the pelvis to the patella;
- The side surface of the thigh from high swinging to thigh condules;
- Lumbar area along the inguinal ligament;
- The inner surface of the thigh (on the line of the conductor canal).
The massage is performed without much pressing.
Therapeutic gymnastics
The cause of arthrosis is the weakening of the muscles caused by the problems of the lower, pelvis, abdominal cavity.Do exercises to prevent arthritis and joint joints of the knee joints for elderlyIt is possible to increase the force but the sound is notOr
The factors of hand therapy with the help of manual therapy are difficult to achieve without work to complete the restoration of biomechanics.Yoga continues to deprive the joints of stability.Between the treatment methods it is better to be preferredPilates and Scandinavian walksOr
Diet
Foods are first and foremost adapted to the overweight fight.It is important to leave sugar and simple carbohydrates, Add products with arthrosis of fiber, magnesium, Group B vitamins and calcium arthrosis, which are important for muscle activity.TryExcludes dairy productsBecause almost 80% of the population has lactose intolerance.
Preventing a joint joint of the knee joints
Attempts to confirm muscles do not always help, because the innervation and blood supply are not restored.The functioning of the hip muscles depends on the lumbar plexus.
Changes in the lower part associated with the weakness of the abdominal muscles also affect your knees.Therefore, the belly of "beer" in men is more common than in women after multi -driving, with multi -genus diastse - weakening of the muscles of the abdominal wall.
Operations of the pelvis and internal organs form adhesions that affect the lumbar vertebrae, violating the innervation of the muscles around the knee.
Which doctor should contact the arthrosis of the knee joint?Diagnosis promotes orthopedicWho insists on the operation.The best result is the work of multidisciplinary teams in the rehabilitation centers.
The best you can do for the joints:Eat to the right, listen to weight, walk on, visit a massage therapist or osteopath every three months.
Reviews of treatment
Positive reviews can only provide comprehensive treatment of deforming arthrosis of the knee joint or gonarthrosis.Anesthesia, intraarticular injections, act temporarily, suppressing the natural inflammatory reaction.
Conclusion
The problem of arthrosis is that medication temporarily eliminates only pain syndromes.The causes remain without identification and influence.Ergotherapists who teach you how to live with the arthrosis of the knee joint can help, and how to use the reed correctly.However, the service is only available on private clinics that perform rehabilitation.