Joint arthrosis is a degenerative (or metabolic) disease, that is, non -inflammatory.But the causes of joint arthrosis are not fully studied by official medicine.The versions are exposed that excess weight, age, metabolic disorders in the tissues (muscles) and joints, premature cartilage wear, small loads, large loads, etc., genetics, etc.contribute to arthrosis.That is, it is not clear what to affect it to treat effectively and prevent knee arthrosis.
In fact (and this is confirmed by medical literature and experience based on evidence), arthrosis is a consequence of the disease of stakeholders (muscles that spread through specific joint) muscles.The diseased muscles in a state of constant compression have excess pressure on the joint, leading to increased wear.
Knee joint arthrosis - what is it?
The Arthrosis of the Knee (Like Any Other) Joint Is Differently Called Deforming Osteo Arthrosis (The Degeneration of Cartilage and Bone) Is the Progressive Degenerative -dy LeestropicCartilage) Tissue, Its EraSure and Reduction, Which Leads to The Dysfunction of the Joint (Limiting Mobility in the Joint) and causes mobility) Sensations of varying degrees of intensity.
As simple, it is the wear of the joint, it means that the wear of the cartilage tissue, which should ensure a smooth sliding of the joints compared to one another, and the bone structures on which the cartilage is located.This whole process is accompanied by the narrowing of the intermediaries and the loss of elasticity of the ligamentary apparatus.
Knee Arthrosis: Symptoms
Very often the disease is asymptomatic and can only be detected in MRI.In its "mature" stage of the disease, it can be felt by enhancing pain in the problem area and motor restrictions in the joint.At the same time, arthrosis is a common problem and occurs in 70% of all joint lesions.It is impossible to call the cause of the disease, but there are some factors that most often become a catalyst for arthrosis.
The main symptoms of arthrosis of the knee joint include:
- Knee pain of varying intensity and duration
- The scorch of knee joint is the inability to straighten or bend your legs in the knee joint (sometimes it is impossible to squat)
- Clicks and crunching in the knee joint.It is believed that the joint loses the fluid and the joint surfaces slide relatively relative to each other, this can be accompanied by a characteristic sound
Knee arthrosis joint: Causes
However, narrow -profile experts believe that the main cause of arthrosis of the joints is myofaslial syndrome, which is manifested by muscle disease, which overlaps by interested joint (triggering points).
The trigger point is the focus of tension in the muscle fibers, which is activated under certain conditions and is manifested by acute pain.It is from the trigger points that myofascial syndrome is recognized.In the case of triggering points, the elasticity of the muscle is lost, which is why the mobility of the joint decreases.They occur as a result of injury, as well as in intense or chronic muscle overload, prolonged immobilized stay.
The muscles are in a state of negotiation (constant compression) and this unnecessary compression is on the interested joint (in our case, the knee joint).
Knee arthrosis and arthritis, what is the difference?
In order to understand the cause and nature of the course of the disease, it is very important to determine the difference between arthrosis and arthritis.Their main difference is that the nature of arthrosis is not inflammatory, while arthritis is an inflammatory pathology.At the same time, inflammatory processes are systemic and spread throughout the body.
Arthrosis is a metabolic pathology caused by metabolic disorders in the body.Pain syndrome in arthrosis occurs in combination conditions - trigger points and various joint disorders.Elimination of triggering points will lead if the recovery does not complete, then to a significant improvement in the overall condition.
The main criterion for knee arthritis is the presence of an inflammatory agent - that is, the virus, infection, fungi, bacteria.In addition, there may be some place to locate an infectious agent.Often gonorrhea or other sexual infections can go into chronic form and give complications to the joints.
With arthritis of the knee joint there is a redness of the skin around the joints, swelling and enlargement of the joints in the volume, there is an increase in the temperature of the whole body and the local joint.With knee arthrosis, they are usually not.However, arthrosis and arthritis can be found combined.
4 stages of knee arthrosis joint
If, if arthrosis is detected, it will not start its overall treatment, the disease will begin to progress over time and the symptoms will worsen.Timely diagnosis and proper therapy, which are effectively combined with other treatments, will significantly improve the patient's general condition and prevent prolonged, painful and expensive treatment.
3 (4) stages of knee arthrosis development are officially distinguished:
- Grade 1.This is a period of time since the onset of the first symptoms of arthrosis to its visible manifestations, which can already be detected during the initial examination or in the X -th.The patient's condition is characterized by painful sensations of varying intensity that occur during movement.
- 2 degrees.The patient experiences discomfort and "shooting" pain at even small loads.Human movements can be accompanied by a crunch in the knee when walking, squats, etc.It is possible to reduce the mobility of the knee joint.The area affected by arthrosis visually looks deformed and enlarged in size.
- 3 degrees.There is virtually no cartilage tissue inside the joint.With a particularly sophisticated form, complete immobilization of the limb can occur.It is difficult for the patient to take a situation where he would be comfortable, moving without auxiliary means it becomes almost impossible.
- Also, the fourth stage of knee arthrosis can be distinguished separately.This condition is complete destruction, leading to the fact that the joint completely loses its functionality.At the same time, the patient experiences a "blockade of the joint" - a syndrome of acute pain.
Diagnosis of knee arthrosis joint
Arthrosis is a chronic disease, the treatment of which is complete and regular.Therefore, timely diagnosis and proper therapy will allow the patient to minimize damage to the knee joint joint.
The diagnosis of arthrosis is also complicated by the fact that the disease can very often be asymptomatic.However, in the presence of painful sensations, the doctor may prescribe radiography after examination.And although the results of it cannot always be indicative, they give a general idea of how much the disease is "advanced".
More accurate data can be obtained thanks to modern diagnostic methods - ultrasound, MRI, etc.
Changes in MRI are not always found corresponding to the patient's sensations and complaints.It happens that there are degenerative dystrophic changes in the crankshaft photo in both the cartilage itself and the meniscus and the connections, but there are no complaints at all.Conversely, there are pain and other symptoms and in the study sheet everything is normal.
Remember that with knee arthrosis, it is important to diagnose the muscles of the hip joint (the muscles of the lower legs, the quadriceps of the thigh) for the presence of myofascial trigger points, which in 80% of cases give pain and lead to changes in the photos of the joint.
Important: If the patient has psoriasis, arthrosis can be psoriatic genesis.
Ineffective methods of treating knee arthrosis joint
All official methods of treating arthrosis are divided into:
- non -pharmacological;
- pharmacological;
- Surgical.
Surgery is a measure needed in the advanced stage of the disease.The operation is performed to replace the destroyed joint with a synthetic analogue.
The practice of doctors generally prescribes various physiotherapists and exercises (physiotherapy physical education) for the treatment of knee arthrosis.However, strength exercises only exacerbate the course of the disease, activating trigger points, increased pain, etc.Therefore, this method of therapy is ineffective.
Chondroprotectors deserve special attention.Medicines in this class are thought to restore cartilage.First, the evidence of these drugs is doubtful, as these studies of these expensive drugs are conducted by the manufacturers themselves.Second, it is symptomatic treatment, that is, aimed at the investigation, not the cause.The cause is muscle disease.
Joint arthrosis is a degenerative disease, that is, not inflammatory.But the causes of joint arthrosis are not fully studied by official medicine.
The versions are exposed that excess weight, age, metabolic disorders in the tissues (muscles) and joints, premature cartilage wear, small loads, large loads, etc., genetics, etc.contribute to arthrosis.That is, it is not clear what to affect it to treat effectively and prevent knee arthrosis.
In fact (and this is confirmed by medical literature and experience based on evidence), arthrosis is a consequence of the disease of stakeholders (muscles that are thrown through specific joints) muscles.The diseased muscles in a state of constant compression have excess pressure on the joint, leading to increased wear.
Effective treatment of knee arthrosis joint
Proper therapy for knee joint arthrosis should be systemic and complex.It is based precisely on muscle treatment and involves taking medicines (to correct aggravating and harmful factors for MFS) and properly selected physiotherapy of the muscles of the knee joint and hip joint) and, of course, myofascial massage.
The most effective methods of treating TT are:
- Deep voting massage;
- Trigger
- Shock therapy
- Postisometric relaxation.
In addition to the anterior thigh muscle, massage is also done on the muscles in synergists and antagonists.At the same time, the patella itself is not massaged - the massage specialist makes the main focus on the muscles.
The main "device" massage is the hands of the master.For self -massage, various devices are used that contribute to increasing the effectiveness of the procedure.
Exercise therapy for knee arthrosis joint
The last stage of therapy is the effectiveness of the exercises for stretching the upper (front) surface of the thigh.It is important to feel the tension where you massage.
When prescribing and performing physiotherapy exercises with knee arthrosis, it is important to understand the basic principle - that is, why these exercises are performed (for what purpose).The main purpose is to stretch all shortened muscle fibers (spasms) so that the muscle can completely stretch into its anatomical volume of movement.
Prevention of knee arthrosis joint
In the treatment of the disease, it is important to monitor preventative measures that include the following actions:
- Compilation of the right diet: Your daily menu should be balanced and rich in trace elements, proteins and vitamins.After all, the lack of trace elements such as calcium, magnesium, zinc leads to a deterioration of myofascial syndrome;
- Moderate physical activity: try not to unnecessarily charge the knee joint and avoid its traumatic damage.If the muscle is in a static position for a long time - this contributes to the formation of triggers;
- Refusing bad habits: lead a healthy lifestyle, follow your weight;
- Complex therapy: Combine popular methods of treatment with an auxiliary.
Auxiliary methods for treating knee arthrosis joint
Treatment of knee arthrosis will be especially effective if combined with auxiliary therapy methods.Think of the most popular of them.
- Laser therapy.This procedure is considered to be the most popular and common among patients suffering from knee arthrosis.The therapeutic effect is achieved due to the reflex enlargement of blood vessels over the focus of the pathological process in the muscle.This contributes to the normalization of metabolism (remember, arthrosis is a metabolic disease) and helps reduce pain syndrome.
- Cryotherapy.This method is not as popular as the previous one.However, its effectiveness is quite high.Due to local exposure to low temperatures, pain in the problem area is significantly reduced and the formation of biologically active substances slows down, leading to a worsening of the disease.Cryotherapy procedures contribute to the activation of blood processes and recovery in the joint.
- Balneotherapy.It is performed under the conditions of the sanatorium-resource.Aquarius of arthrosis implies the use of medical baths - with this disease, radon baths are considered to be the most effective.The therapeutic effect of the procedures is to improve the metabolic processes in the joint.
Complex therapy in combination with self -massage will improve the general condition with arthrosis and minimize the possible risks of complete destruction of the joint.The main thing is to adhere to the recommendations of experts, follow preventive measures and combine basic therapy with other treatments.