Osteoarthritis of the knee: what is the, stages, symptoms, and myths about the treatment of

Osteoarthritis of the knee joint is a complex disease, degenerative-dystrophic character, harmful to bone, use of cartilage-Department of the knee. The disease most often the the king of lawn-Department of the lower extremities. Pathological changes in the cartilage and periarticular regions, which in most cases immune nature, seriously inhibit muscle develop on the background of the injuries of biological ageing, injury, an auto-skeleton-System, the potential of the feet. The joint is logopedija, loses stability, normal motor and depreciation of skills. In the end, he has deformed gradually, and in the last stages of complete failure.

Degeneration of the joint tissues does not manifest itself only in the Form of physical dysfunctions of the lower extremities, but also the strong painful sensations in them. In the case of severe pathology, disability, paralysis of the legs caused in some cases. In connection with such a disappointing prognosis of the disease, it is important to identify as early as possible and start immediately its treatment.

Important information about the disease

Patients, it is important, before the study of medical tactics the to have, inter alia, from the Material, to the full extent of the information concerning the Mechanisms of formation and the clinical manifestations of the pathology. At once we will notice, that arthrosis and Arthritis are closely connected to each other, since the considered disease is the result of arthritic disease. But where does misfortune seem fated to suffer, to destroy ruthlessly the most important a bony connection? What is severe osteoarthritis of the knee and what are the reasons, manifestations reasons, you can recognize him?

Causes of osteoarthritis

Degenerative-degenerative pathogenesis "start", the following factors-provocateurs:

• once migrated, Trauma – fractures of the Tibia, king's meadow, sprains, meniscal damage to the body, cracks and fractures, sprains, falling on the king's meadow, all types of injuries;
• excess physical exertion;
• A lack of exercise;
• a high Body-Mass index;
• the pathology in rheumatic, gouty, psoriatic type, systemic Lupus erythematosus;
• genetically inherited weakness of the ligamentous-skeletal System, or congenital under-development of the structural elements of the articulation;
• Disorders of metabolism and blood flow;
• hormonal disorder, Diabetes mellitus, and other endocrine pathology;
• migrated or chronic infectious and inflammatory diseases.

Often the perpetrators are even to articulate disease developed intractable. Often traumatized, you ignore the appeal to the specialists, better the first dispensed meets a mixture of pain, self-made lotions and the like. And a few years later, in view of the carried out in the past inadequate treatment, you will come to the recording to the doctor with osteoarthritis of the knee, in the best case – moderate in severity. And here is a physical prevention and pain-relieving ointments is not already, as early in the course, is not enough, action is often radically by surgical tactics.

Stages of destruction

In orthopedics, the disease is divided on the stage is repelled, what is in the future and a specialist in the compilation of schemes of treatment. The extent, the nature, the location, the nature of the source of destruction of bone the benefit of connection in the king's meadow showed through a series of diagnostic measures such as x-ray, MRI, CT, ultrasound, various types of analyses of blood and urine of the patient.

The quality of the treatment can not be the speech without the information provided about the condition of the knee joint and features of an organism of the patient, and even without visit to the doctor and an appropriate therapeutic recommendations. Therefore, the quality of life to improve, not ignore, seen a specialist, only he is able to tell you whether or not qualified, conservative, or in the case of your Problem effective surgery is.

The pathology has different stages of development, according to the classification of Kellgren only four. They all characterize the severity of the morphological changes (presence of osteophytes, the decline of the articular cartilage and the degree of dilution, the joint gap, etc.) and clinical symptoms (limited flexion/extension, indicator, load-bearing ability, the type and intensity of pain, etc.).

• Osteoarthritis of the first Phase is a disease that is in its infancy. The outer symptoms slight or non-existent, congruence, and shape of the joint is satisfactory. On x-ray images or MRI photo comprehensible marginal small osteophytes on the edges of the articular surfaces, in podsolennom Department of subchondral osteosclerosis blurred, smaller sizes of bony cysts. Sustavnaya the gap in the rule, normal or modified, but not by much.
• In the case of illness of the second degree, in addition to the above indicators, osteosclerotic stove more pronounced, clearly visible narrowing the gap interarticular. Patients begin, more and more, the pain disturbing in the Moment-to-foot, downhill/climbing stairs, are required, sometimes in the night. The lameness, in the movement joint of inferiority to acquire, especially when bending is developed.
• The third Phase is characterized by a strong Progression of irreversible degeneration and deformation. The configuration of the joint is distorted significantly oversized, the distance between the joint surfaces is significantly reduced, bony growths in the Form of thorns. The pain is long and pronounced, with alarm man aggravated even in a state of rest, the lameness. The dependence of -- -- appears-in support of devices, and help.
• The fourth stage of the degenerative-dystrophic pathogenesis, if present voluminous osteopenia growths, hyaline cartilage is completely destroyed, sustavnaya the gap disappears or is hardly comprehensible, epiphysis the bones in the joint, the articulation, in the strongest manner deformed. The knee joint detects how full is untenable Organ of the musculoskeletal system, the person becomes incapacitated.

Symptoms and complaints

The severity of clinical symptoms depends not only on the pathological characteristics, but also by the factor of individuality. In any case, comfortable to osteoarthritis of the knee, very difficult to tolerated, and on the 2. and 3-4 tablespoons In the General list of symptoms includes:

• Pain syndrome, primarily of a mechanical nature (dull, aching, sharp, flash, periodic and permanent);
• the emergence of crackling sound in movement;
• Stiffness of the joint;
• Restriction of mobility;
• Muscle of the limbs, weakness;
• Hyperthermia of the skin and swelling in the area of the knee;
• the change of pace, manifesting the lameness mowing and legs;
• Instability or the syndrome of the "drawer";
• "jamming" of the knee, what happens when a sudden blockage of the movement of the use of bone-connection.

Important! The conservative treatment of osteoarthritis of the knee joint will not help if the disease has been difficult, what can happen in the worst case, in the second Phase of the development of the osteochondral degeneration. In contrast to conventional conservative therapy and alternative methods, all without exception, after a serious surgery osteoarthritis of the knee 2-3-4 degrees – the only procedure that helps life for a longer period of time, to improve the quality of life significantly.

Conservative Treatment

Non-surgical methods of treatment will be instrumental in the initial stage of deforming arthrosis. The principle of the non-surgical treatment includes:

• the regular execution of movement therapy developed in the art in the individual case;
• the implementation of the procedures of the physiotherapy;
• Use of painkillers in the Form of ointments, tablets, injections, etc.;
• proper nutrition and adherence to a special diet prescribed by your doctor;
• compliance with the special mode of daily physical activity;
• complete rejection of bad habits;
• unconditional passage again to diagnostic control;
• the annual visit to a specialized Spa and medical facilities want.

Surgery for osteoarthritis of the knee joint

Now us with surgical methods, where often the need arises because in the early Phase of the pathology often goes unnoticed. Especially the thing with osteoarthritis in full "bloom", which resorted to large-scale and joint structures affected periarticular matter.

• Arthroplasty – helping more than 95 % of the cases, a maximum of fully lost motion device and support features king meadow Department of the lower extremity. A difficult Operation, then follows a complex Rehabilitation, but the effect is worth it. For example after expiration of 3 months after the use of an artificial analogue instead of the solid articulation, exposed to irreversible pathological changes, returns the full Amplitude of the movements of the legs, completely pain syndrome is eliminated.
• Introduzione – uncirculated-procedure "short circuit" articulation, because of its aggressive effect on the biological structures, but sometimes it is the place to be, for example, if the Person has no possibility of Implantation. Their essence go back go back consists of a from a in the distance of the joint surfaces, and a fixed connection between the bones in the joint, a special finding of the devices in a favorable Position. With time, a natural merger of the listed elements. Artificial ankylosis completely blocked the mobility of the joint, but a good one allows the load-bearing ability of the extremity and reducing the sensation of pain.
• Osteotomy king meadow – even in extreme situations is used, for the same reason, why arthrodesis, in particular when it is necessary to delay arthroplasty for a number of years. At the time of the operative session, the specialist for the artificial fracture, podpilivaya bone leads to use and arranging them in a correct angle, to distribute profitable, the strain on the cartilaginous elements.

To fix movement of the pathogenesis of irreversible already, you should be able to understand. Not to mention ointments, and even medications from the chondroprotectors, grandma's councils of gelatin to be treated, also has a special role do not play. The Maximum of what they can contribute in the current Situation, so, prepare the OSTEO-muscular apparatus, for the forthcoming Operation.

Modern king meadow-implants can withstand everyday stresses and strains, with well-functioning for at least 15 years and often 20 to 25 years. Man can even types with the replaced joint, in some sports.

Treatment 3 Grade

3-stage osteoarthritis surgery. Changes in the joint are strong, in this Phase, the disease is extremely reduced, the quality of life and working ability of the patients. Bone make use of-cartilage-damage reaches the critical point at which the tissues use bone-link, no functional significance of make. Hyaline blanket of snow almost completely destroyed.

• Important cartilage does not recover itself, including by non-surgical methods.
• The bare and flattened surface interactive bony ends rubbing an unnatural pressure on each other, constantly against each other seriously hurtful parts and every day, surrounding soft even more deformed.
• The man feels terrible pain, not to mention the lost ability to walk normally. Patients experiencing the daily torment, and if a dream is not in the joy and during the day the pain is no rest. Relatively tolerant of condition notice only a few people.
• Analgesic, anti-inflammatory drugs generally have a poor action, but often do not "work". In the chondroprotectors no sense, since the strengthening and replenishment of the scanty remains of the cartilage, will not save the Situation.

The consequences of arthrosis of 2-3 degree sometimes try to treat minimally to remove invasive Operation (arthroscopy), in which it is possible, marginal osteophytes and also the dialled bone extract use of cartilage fragments from the joint cavity. Similar Manipulation, such as by the reviews, a couple of facilitate the condition of the patient, some of the motor skills improve, but temporarily. Osteoarthritis in the knee joint and remains active, and in the near future again breaks out.

Pathogenesis of 3-4 degrees is a very serious Problem, solve the really only much more complicated and reconstructive plastic operational tactics. Today, there is no such method that could be compared with arthroplasty. Replacement of the knee joint of the prosthesis, repeat the full mechanical properties, the configuration of the shapes and sizes of the natural organ, the possibility of parting with the unfortunate illnesses and disabilities, and given it to you"".

The disease progresses quickly and can lead to foot. . moderate to middle Phase of up to 4 degrees within a few months. Surgery must undergo as early as possible, to the degenerative processes broke don't use deep in the bone. Severely damaged use bone difficulties with the formulation of the stent can cause.

Many, not aware that the serious incident degeneration is not comparable to the conservative and unconventional tactics to circumvent all the ways of the Operation, swallowing of pills a hand full layer of ointment on the affected Zone. Someone turns to the osteopath, private doctors, practicing all sorts of alternative methods. To go against nature, the healing will come after you, and with this fact you need to accept. Therefore, they flap and catch the senseless, and to act reasonable.

Your physical vitality will depend entirely on your decision! You can test life continue to suffer from stiffness and pain, in vain, "empty" options for treatment: medication and non-Standard means that there is no convincing Basis of their effectiveness in the severity of the disease. And surgical treatment can tighten and begin to live a full life, liberation from old suffering and supporting devices.

The Concerns about the Operation is not necessary, modern technologies are constantly developed further, and today in foreign countries brilliant knee joints fluctuate implants are durable. After such Implantation, realized in a good clinic, the risk of complications is very low (1-2 %), and the restoration of mobility occurs in more than 95 % of the cases. After joint replacement in 3-4 months, follow the course of Rehabilitation, comprising:

• physical recovery by special remedial gymnastics;
• the use of medication (antibiotics, anti-thrombotic agents, etc.);
• Programme of physiotherapy, including myostimulating, anti-inflammatory, pain, procedures, nursing and wound-healing;
• Massage sessions (in the later stages of Rehabilitation).

Good to know! 1 degree of the disease to stop and prevent conservative. If you do nothing and run osteoarthritis of the knee by jumping him from 1 to 2 degrees, the treatment with drugs is much more problematic, but for a certain category of patient, appropriate non-invasive approach. The last two stages is always the Operation.

Treatment 2 Degrees

In moderately severe osteoarthritis of the knee quality of life is already pretty battered. The affected king meadow disturbs stronger, more painful syndrome is more frequent and more intense, than it is to the beginning of the disease. Particularly pronounced is the pain immediately after the morning awakening, during the ascent and descent according to the levels. Often the feeling of uncomfortable numbness arises feeling, which after a long walk and a long standing in one Position. Flexion in the king's meadow area is not reduced, the Patient will bend to the leg, as it is the physiology. The person starts to conserve their finite nature, not tried to kick almost on you, which is why there is a gradual atrophy of the muscles.

Draw note that the treatment necessarily mean a qualified holistic approach.

• If the doctor sees no urgent need in the surgery, with priority assigned to the reduction of the load on the problematic Department. If you are overweight, a good discharge of the affected by osteoarthritis articulation, must be the mass of the body, a diet that you recommend, doctor.
• All of the patients, to prescribe the use of special orthotics in the Moment of movement. This is dependent on the existing problems, it may be king's meadow, snap, compression garments, elastic bandages, canes, crutches, Rollator.
• In addition, the orthopaedic surgeon a unique series of exercises to strengthen and increase the endurance of the muscles of the affected limb.will prescribe
• Also osteoarthritis in. . moderate-on average, a Manifestation of the use of drugs, which contain substances implies, the tissue in the cartilage of the knee. This includes formulations on the Basis of chondroitin sulfate-sulfate, injections of hyaluronic acid, medicines with glucosamine include. You can't restore cartilage, but it saturate nutrients, resulting in the Remission of the disease can be achieved.
• And procedures, physiotherapy treatment, you after recommended, however, until you vanish all of signs of inflammation. Physical meetings, e.g., Laser, magnets, or ultrasound, to be held in the medical institution. Through the physiotherapy, nutrition and metabolism of bone in the use -, muscle -, cartilage-tissue improved. If you have bought a vibro-acoustic device for home use, first ask the expert about the possibility of its application in their diagnosis and the specifics of the operation of the device.

We have examined the basic principles on which the official treatment of osteoarthritis, the appropriate Standards of the orthopedics. Since many people with osteoarthritis of the 2. Article is looking very interested in alternative methods, in them his salvation, we offer to learn with the most popular of them. And find out whether you are as unique as they are presented to us on the Internet.

Stem cells for the treatment of the knee

It is the auto transplantation of mesenchymal ally stem cells from the patients with osteoarthritis of the knee Royal meadow, taken from the coat of arms of the pelvic or thigh bones. The cell therapy, how to achieve the parties argue sources, almost self-renewal articulated only through the strengthening of the regenerative processes of self-healing in the affected Segment. Thanks to this technology, theoretically, improvements of the constituent units of the use of bone and cartilage organ can. However, in practice, there is not a single "living" to radiographic evidence confirmed that after the introduction of stem cells into the affected joint the place was healthy.

A positive impact of stem cells on the joints, bone, and the benefits are not proven and under a lot of doubt, since this technique is not recognized in the field of Orthopaedics even. Scientists study and experiment. In addition, there is information about the unsafe effects on the human body stem cells which, in the opinion of very competent specialists in a position to provoke Oncology. What is the pay for the procedures, which remained satisfied with the result of the humans? Here you can only say one thing: many patients believe for the money, and in eternal life, but the Placebo effect is not only short, forget this also.

The mud cure

Healing mud sources unique components (Magnesium, chromium, iodine, bromine, Calcium nitrate, etc.) to promote the reduction of painful symptoms, strengthen the flow of blood in the sick zones, stimulation of the metabolism. You provide the most value for people with a mild stage of the disease or patients who have experienced recent surgery on the leg. For the implementation of the therapy is permissible and dirt to-2 degrees, if the doctor finds that a natural remedy in combination with a primary therapeutic program reduces Aggression pathological phenomena (stops the progression) and improve the overall clinical picture. Mud therapy was practiced in special medical institutions of the Zdrojowy-type of your choice. Natural healing mud on the basis of the peloids in the Form of applications and in combination with the method of galvanization (electrophoresis).

Use of gelatin

Natural gelatin – safe tool to support you to joint structures in good condition. Jelly the substrate is diluted in water, is recommended, to the inside. According to the reviews of some of the doctors, gelatin faster and be more productive effect on the use of bone, cartilage and muscular-ligamentous elements. Experts emphasize that this method is not a healing effect, it promotes only the prevention of osteoarthritis. So, in the pathogenesis relatio professionalities with the absence of pathology, or in the very early stages can be treated exclusively as a measure of prevention of the occurrence or the progression of degenerative changes. If the disease is wearing medium and heavy character of this approach, and in the preventive purposes do not fit.

Ayurveda for joints

Modern Alternative medicine is known by many extraordinary developments, among which the treatment according to Ayurveda, the different parts of the musculoskeletal system. After this informal flow, the defeat of the joint, with the excess of toxins accumulated in the body due to the energetic disharmony. Damaging Mechanisms of disturbed energy balance (wadding) decisively favored the weakening of Agni, or fire, leading to the accumulation in the intestine of undigested food waste (ama). They produce toxins that the blood transports to articulation, where the pollutants are deposited and inhibit the metabolism.

To classify for Ayurveda osteoarthritis in various types, wherein, for each kind of invented his own System of treatment, the basis of each of them, the nutrition, herbal medicine, Ayurveda receiving pills and powder, Yoga and breathing exercises, unconventional Massage, Motivation for healing, etc., in any case, it all sounds tempting, but if the osteoarthritis is not reversible, even by the scientific, High-Tech, it is possible to believe that herbal powder, treatment, thoughts, and other tactics used by Ayurveda to cure irreversible Deformation?!

Spreader Compresses

The salt is used for the production of a saturated salt solution for the impregnation of compresses, apply to the affected area for a couple of hours. Such therapy should not be used as an independent medium, but even more, as a panacea against osteoarthritis of the knee. The salt is pain in the location, to calm down temporarily, get rid of the swelling of the soft parts, the use of the design bone, without damage to biological structures. But it will not cure the disease and not the patient on the legs! Its effect is purely symptomatic. Solution from the calculation to 1 Liter of water at room temperature, 100 G of salt taken.

Worth a read! Sometimes the salt will apply to the dry heated type, in a bag, and lead to local warming of the knee. Sometimes, as in the wet, but warm Dressings. Hot procedure is dangerous in the case of inflammatory processes in the joint cavity, they are only extremely, the clinical picture worse. Therefore, you should not be using such recipes without being sure that the defeat is accompanied by a similar process.