The knee joint disease combines two processes: destroying cartilage and bone or bone growth.The stage of the process is determined by X -ray.It is believed that arthritis is the destruction of knee joints by age, natural aging process.The causes are muscle weakening and poor blood supply to tissue.How to treat yourself without surgery?Eliminate elements that reduce muscle melody.
Reason
The cause of arthritis has not been determined by medicine,Only the naming risk factors:Over 45 years old, knee injuries and overweight.Nearly 50% of the adult population once complained about the knee joint.
For arthritis, cartilage lining the edges of the bone is abrasion or completely absent.The damaged tissue is not a source of pain, because it has no receptors.Inflammation in nearby structures causes specific symptoms.
The body continues to regenerate damaged tissues, but the cartilage develops unevenly.Therefore, abnormalities are formed causing injury to other elements of the joints.The nature of bone cells is explained by compensating for smooth cartilage.Another version indicates that the development of "spurs"It is involved in an effort to stabilize medical or party due to muscle weakness.
What is chronic arthritis of knee joints?Pain occurs in tendons and ligaments only when muscles stop holding bones and control them.Therefore, the cause of the student's mechanical and joints is distinguished:
- In the context of a long seatThere is a compression between the inguinal ligament and the iliac muscles of the artery and the femoral nerve, weakening the strength of the front of the thigh and leading to the appearance of stress in the knee-shaped tendon.
- Sitting long -term muscle squeezingWeaken them.Instead, the muscles with pear begins to work, under which sciatica.During compression, weak double speculators, the corner of the thigh and lower leg change.The knee is injured.
- Heel walkIt causes the tension of the calf muscles, opened the pelvis, weakening the average gluteal muscles.The femoral bone turns inside, the ligament is loaded along the inside of the knee, an intermediate cartilage, bone due to development.
- Flat feetLinking with uncomfortable shoes, weakening the leading muscles and increasing, opening the tibia bone out, leading to knee pain due to violations of biological mechanisms, the development of bakers' cysts.
Pathological chains that affect the knee are associated with the collapse of the spine during childhood, scoliosis due to diseases of internal organs.People with different shoulder height,Over time, they began to complain on their knees, because the charms on the front of the body include the extension of this joint - the rectum of the thigh.
Symptom
The degenerative process breaks the function of joints, leading to pain and hardness.It is believed that it isFrom cartilage and bones, affecting muscles begins.Practice shows the opposite -Pain in the knee joint occurs in places of tendons- Turning the weakened muscle snail of the kit expanded, bent and stable knee.
The main signs of cartilage wearing threat:
- Occasionally, discomfort is related to walking, feeling "not".
- The appearance of pain with directly loading on joints and muscles, bent and prolongs it - squat, climbing on the stairs.
- Pain in the knee and hardness after not acting for prolonged or resting, for example, when out of bed in the morning, is related to the stagnation of venous blood.
The main signs of arthritis are due to the load on weakened muscles:
- The knees in the knee are related to the fact that the gluteal muscles and the long -term thigh muscles do not work, and the rectal thigh muscles are excessively prolonged, creating discomfort in the knee.
- The pain when bending joints is associated with the weakness of the bend - the muscles of the two heads and the tension of the tendon of the quarter muscle.
Swelling is caused by injuries of soft tissue, tendonitis and joint bags.The appearance of heat at the knee, swelling shows the accumulation of inflammatory development -Arthrosis is often accompanied by Burs, Synovit, tendonitis.
The crunchy knee is painless and painful.Clinkles and other sounds do not say that bones are abrasive.Signs of violation of knee stability -The weakness of one of the muscle control.
The belief due to friction of the bone on the bone does not occur at the beginning and the end of the movement, but in the middle,Even with the passive bend of the joint.The blocking of joints is caused by the wear of cartilage and tendons, creating a fixed feeling.Bone with any movement is controlled by muscles.Their timing decrease leads to a change in bone and blocking.
1 degree
Determine the degree of arthritis occurring by x -rayRevealing participation in the pathological process of bone structure.Their change indicates that the muscular system has been imbalance for 5-10 years.As a rule, everyoneFor many years, they experienced pain.
At the first stage of arthritis, was discovered by accident, the slight increase of the bone nose occurred.The growth appears in places with the greatest instability of the joint.Typically, patients rarely suffer from pain or discomfort during the move.
The weakness of some muscles is compensated by the function of others, without causing serious and overloaded contractions.Running and exercising with weight causes symptoms, because the muscles are weakened.The weakness (hypotension) of muscles is associated with the supply and conservation of weakened blood.
2 degrees
The second stage of muscle disease is considered easy.X -ray shows significant spearheads, but cartilage is not affected.The amount of fluid fluid decreases, but the pain symptoms appear after walking and running long, the stiffness in the joints and aches and pains when bent and at the knee position.
Early X -Ray features of the second phase of knee disease:
- The pointed edges of the Inter -Recrip tube on the tibia, where the cross -shaped ligament is attached;
- narrowing the general gap on the intermediary;
- The pointed edges of the bone types on both sides of the intermediary, less often on the side - depending on the development of Valgus or variant joint deformation.
For the second phase in LarsenThe narrowing of the general gap of more than 50% is characteristic, but this can only be tested in dynamics or comparison with an unlike joint.
3 degrees
At the third stage of arthritisPain during bending and joint expansion becomes unchanged.In severe process, red and swollen joints, pain do not stop at the rest.Around the knee, swelling appears, noticeable deformation of the joints of the joints.
Signs of moderate arthritis of the knee joint in the third stage:
- The joint distance is significantly narrowed;
- The presence of scleroderma under the doses in the loaded parts;
- Countless bones on the edges;
- A rare appearance of the follicles under the epidural;
- Synovites, the appearance of a capsule of a baker under the knee;
- The surface is uneven thighs and tibia, loss of joints;
- Change the shape of the tea cake bone;
- Focus of calcification and chondromation;
Rarely the fourth phase is added by necrotic lesions.Why is Arthrosis dangerous?The disease violates the ability to move, creating dependence on others.
Diagnose
Study orthopedics of edema signs, palpation for aches and pains, studying the scope of positive and passive motion.It is necessary to check the lumbar spine, becauseIt is there that the nerves pass, providing the function of the thigh muscles.
X -ray shows the presence of bone cells, a change in the space between the femur and tibia, showing the loss of cartilage in the knee.Sometimes the X -Ray of the knee joint shows significant signs of cartilage wear, but the patient is not significantly painful.On the contrary, early stage arthritis can break the function of the knee, because the cause of pain is tropical muscle.
If a x -ray does not show big changes, thenThe doctor prescribes the MRI of the knee joint and the waist.Diagnosis of ligaments, tendons and muscles, cartilage to find other pain sources.
Laboratory diagnosis is necessaryIf you suspect a damage to joints or gout.
Treatment
Joint therapy must be comprehensiveaimed at the cause of the disease.With endocrine dysfunction, it is likely that the appropriate connective tissue and treatment are performed.Overweight patients are recommendedGo to the appropriate nutrition.Reminder is removed by medication.
Drug treatment
Treatment with painful drugs includedanti -inflammatory drugs.Anti -inflammatory drugs are not originated with prolonged useNegative effects on the function of the stomach.
Treatment regimen includes chondroprotector, only helps when participating in long courses in time3-6 months.Pharmacies represent a large number of drugs of this group.
It is believed that the components of these drugs help regenerate the structure of cartilage, which has analgesic effect.
Controlled studies have been conducted by very littleAnd they are interested in complex treatment - laparoscopic surgery, physical therapy, diet.
Attention!Chondroprotector is taken in courses - you can take a course of a drug, and the second - other, and compare effectively.However, untreated drugs are not the best ideas.Before you start taking the medication, consult your doctor.
How and what to relieve pain and swelling?More common intracellular injection:
- Steroid medicineInhibiting inflammatory reactions at the degree of immune cells, eliminating acute pain, joints of joints and swelling.
- Hyaluronic acidIncrease the viscosity of the joint liquid, reducing the friction of the joint surfaces.
Important!The effect of the drug is sufficient in 6-12 months, but at the same time the degeneration process does not stop.
Surgical treatment
With the low efficiency of the drug, the patient is provided with joint endoscopy- A minimally invasive procedure to eliminate bone growth, joint audit.If necessary, surgeons perform ligaments and cartilage plastic, eliminating the fabrics of worn fabric.
Bone cutting for the purpose of changing the axis of the load on the joint.The doctor cuts off the femur or pot to change the contact areas of the joint surfaces.Activities are usually performed in young patients.
Completely replace knee joints or laparoscopic surgeryIt is required in the serious phase of muscle disease (high or fourth).Surgical treatment does not always solve the problem, because it requires diligent recovery and daily recovery, strengthening muscles.
Changes in the knee can be compensated related to the pelvis, so there is no need to restore the muscle balance, the hip joints have to endure the next.
Physiotherapy treatment
In physical therapy environment, sludge applications, pronunciation and magnetic therapy are used.The action of external factors for the purposeStimulate blood supply and regenerate tissue, reduce inflammation and swelling.
Folk and unconditional treatment
The secret of folk remedies to treat knee joints at home oftenAims to eliminate swelling and eliminate pain.Typically, cruel mustard and potatoes are used, sometimes mixed and vodka for mixed compressions.
Can not stop degenerating completely.You can affect the exchange in the kidneys with celery.The kidneys are associated with pelvic muscles, related to hip joint diseases.Normalization of the function of gallbladder and liver improves the condition of the knee.
The initial phase treatment methods of the initial stage of knee arthritis include anti -inflammatory drugs.Chamomile, St.John's Wort, immortality.Ground garbage, sea salt and kerosene are used.Bathroom with magnesium salt, communication is used.
Craft therapy and massage
Craft therapy for osteoarthritis of the knee joint, if an expert understands the only muscle imbalance.Muscle tests help find knee weaknesses, identify the cause of dysfunction and eliminate it.
The source can not only be the joints in the waist area,But also functional disorders at blood supply levels, internal organs, endocrine and chemical births.Therefore, manual therapists must have osteoporosis skills, Kinesiology application to affect many factors.
Massage is an auxiliary tool for manual therapy, helping.A patient with knee arthritis can poison the tendons of the muscle that controls the movement of the limb:
- area around the large muscles;
- The lines on the front surface of the thigh - from the pelvis to the tea cake bone;
- The side surface of the thigh from the ferris wheel is large to the thigh styles;
- The groin area along the inguinal ligament;
- The inner surface of the thigh (along the line of the top canal).
Massage is performed on the spot, not much urgent.
Gymnastics for therapy
The cause of arthritis is the weakening of muscles caused by problems in the lower back, basin, abdominal cavity.Do exercises to prevent arthritis and knee joints for the elderlymay increase strength, but not sound.
Without working on their weaknesses with the help of manual therapy, it is difficult to achieve the complete recovery of biological mechanisms.Yoga loses stable joints.Among the treatments, it is better to likePilates and Scandinavian walk.
Diet
Food is adjusted, first, to fight overweight.It is important to give up the simple sugar and carbohydrates, Add products with fiber, magnesium, vitamins of group B and calcium with knee muscle disease, which is important for muscle activity.TryEliminate dairy products, because nearly 80% of the population is likely not to tolerate milk sugar.
Prevent knee joints
The effort to strengthen muscles does not always help, because conservation and supply of blood are not recovered.The function of the hip muscles depends on the lumbar plexus.
Changes on the lower back related to the weakness of the abdominal muscles also affect the knee.Therefore, in men with beer belly, arthritis is more common, as in women after many people, some of the limbs are directed - a weakness of the muscles of the abdominal wall.
Activities in pelvis and internal organs form adhesive substances that affect the vertebra of the waist area, violate the conservation of the muscles around the knee.
Which doctor is exposed to the knee joint?The diagnosis will help create an orthopedic doctorWho will emphasize the operation.The best results are given by the work of multidisciplinary groups in rehabilitation centers.
It is best to be done for joints:Eat correctly, monitor weight, walk more, visit a massage therapist or osteoporosis every three months.
Evaluation of treatment
Positive assessment can only provide comprehensive treatment for arthritis of knee joints or gonarthrosis.Anesthesia, temporary acts of organs, inhibit a natural inflammatory reaction.
Conclusion
The problem of muscle disease is a temporary removal therapy with only pain syndrome.The remaining reasons without identification and influence.Ergotherap people who teach how to live with the knee joint can come to help and how to use the stick correctly.But the service is only available in private clinics to rehabilitate.