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

Osteoarthritis of the knee – a complicated disease degenerative-degenerative nature, amazing kostno-cartilaginous portion of the knee. The disease most often affects the joint part of the lower limbs. Pathological changes in the cartilage and periarticular areas, which in most cases are developed in the context of injury, of biological aging of the body, disorders of autoimmune nature, serious depressive disorders of the musculoskeletal system dynamic of the foot. The public is logopedija, loses its stability, normal kinetic and depreciation of skills. Finally is gradually deformed, and in the final stages of fully fail.

Degeneration in a joint tissues are manifested, not only as a physical impairment of the lower limbs, but the powerful painful sensations the. When a serious pathology, which causes disability in some cases – paralysis of the legs. In relation to the disappointing prediction of disease as early as possible to disclose, and will immediately start the treatment.

Important for the condition

Patients is important before the study therapeutic tactics familiarize yourself with the following material, possess full information about the mechanism of the birth and of the clinical manifestations of the disease. Just note that gout and arthritis are closely linked, because the disease is a consequence of arthritic disease. But from where appear the ill-fated diseases that destroy mercilessly necessary connection? What extent gravity is gonarthrosis and in what events can the recognize?

The causes of osteoarthritis

Degenerative-degenerative pathogenesis of "activate" these agents provocateurs:

• once transported injury – tibial fractures, sprains of the knee, damage to the body meniscus, the tears and rupture of the ligaments, fall to their knees, all kinds of injury?
• excessive physical exercise?
• the sedentary way of life?
• high mass index body?
• systemic pathology with rheumatoid, gouty, psoriatic type, systemic lupus erythematosus;
• genetically inherited by the children weakness of ligament-muscular system, or a relative immaturity of the structural elements joints;
• disorders of the metabolism and flow of blood?
• hormonal imbalance, diabetes mellitus and other endocrine abnormalities?
• transferred or chronic infectious and inflammatory diseases.

Quite often the people themselves are guilty of to develop intractable articulate disease. Often, having a wound, ignore communication with the controller, preferring to do the first available drug for the pain, homemade lotions and the like. And a few years later, due was conducted in the past, inadequate treatment, come to the appointment with gonarthrosisom, at best, moderate. And here a natural prevention and pain relief ointments, such as the early ac, will not manage, to act often must be radically, by applying a surgical tactic.

The stage of destruction

In orthopedics, the disease is divided into stages, than in the future, and parried the expert in the preparation of the treatment plan. The degree, the nature, the location, the nature of the origin of the destruction of the bone marrow connection to the knee identified through a series of diagnostic activities, such as x-ray, MRI, CT scan, ULTRASOUND, different kinds of blood tests and urine of the patient.

For the quality treatment and the speech cannot be developed without information, such as on the situation of the knee joint, as well as about the peculiarities of the organism of the patient, as well as without a visit to the doctor and more adequate therapeutic recommendations. So, wanting to improve the quality of your life, don't neglect a visit to the experienced, only he is able to tell you if you can make it specialized a conservative use or when your problem is effective is only surgery.

Pathology has various stages of development, according to the classification of Kellgren them, just four. All of them about the severity of morphological changes (presence of osteophytes, reduction of the volume of the articular cartilage and the degree of dilution, narrowing of joint cracks, etc.) and of clinical symptoms (limitation of flexion/extension, file the supporting capacity, the character and intensity of pain, etc.).

• Osteoarthritis of the first stage is the disease that just is born. External symptoms easy or is missing, the relevance and the shape of the joint satisfactorily. On x-ray images or pictures of MRI can identify small external osteophytes on the edges of the articular surfaces, in podsolennom section blurred subchondral osteosclerosis, small bone cysts. The joint fissure is usually normal or modified, but it is not necessary.
• When disease of the second degree, in addition to the above indicators, osteosclerotic outbreak is most intense, it seems clear that the contraction interarticular cracks. Of the patient begin to be stronger and more often bothering pain at the site walk, downhill/climb stairs, the debt standing, a few times in the night. Developed the lameness, the movement in the common acquire an inferiority complex, especially when bending.
• The third stage is characterized by a sharp evolution of non-reversible degeneration and deformities. The configuration of the common noticeable distortion, the distance between articular surfaces significantly reduced, osteophytes in the form of arc increasing sizes. The pain becomes continuous and intense, and employs humans even at rest, the lameness is getting worse. It appears the kit from compatible devices and help.
• The fourth stage degenerative-degenerative pathogenesis, when in the presence of three-dimensional osteopenia growth, hyaline cartilage is not destroyed, the common gap disappears or violence detectable, the epiphyses of the mating bones, forming the joint, the strongest way deformed. Hinge is recognised as a completely non-viable organ of the locomotor system, the man becomes unemployed.

The symptoms and complaints

The severity of clinical manifestations depends not only on pathological characteristics, but also by personality factors. In any case, it is small in gonarthrosis, it is very difficult and for the 2nd, and 3-4 tablespoons of a common list of symptoms included:

• pain syndrome, particularly mechanical type (jerks, pain, sharp, sudden, periodical and permanent);
• the show crackle with moves?
• stiffness of the joint;
• the limitation of the range of movements?
• muscle weakness of the limbs;
• hyperthermia of the skin and swelling in the region of the knee;
• change of pace, is manifested through lameness and the haircut of the feet;
• instability or the syndrome of "mobile drawer";
• "blocking" of the tribe, what's going on with the sudden exclusion of the motion of the bone connection.

Important! Conservative treatment of osteoarthritis of the knee will not help, if the disease is complicated that can happen in the worst case for the second stage of bone growth, cartilage degeneration. In contrast with the traditional conservative therapy and alternative practices, all without exception, the surgery in severe gonarthrosis 2-3-4 degree – a way to a long period of the life of these, these, helps significantly to improve the quality of life.

Conservative treatment

Non-surgical methods of treatment suitable in the initial phase of deformation of osteoarthritis. The principle of non-surgical treatment includes:

• the systematic execution of physical THERAPY designed by the professional separately?
• carrying out of procedures of physical therapy;
• application of painkillers in the form of ointments, pills, injections etc?
• the proper diet and the observance of special diet, a special doctor?
• the keeping of a separate mode of daily physical activity?
• full exemption from bad habits?
• no doubt the passage re-diagnostic control?
• an annual visit to a specialized spa and medical facilities.

Function with osteoarthritis of the knee

Now take a look at with surgical methods, which is more likely to occur the need, since in an early stage of pathology often remains unnoticed. The main issue you must have already with osteoarthritis in full "bloom", which is possessed by a large common structure and raised periarticular of the material.

• Arthroplasty – of these these, it helps more than 95% of the cases, as more fully recover the lost kinetic and the support of the operation of the portion of the bottom edge. The surgery is difficult, since you will need complex rehabilitation, but the result is worth it. After about 3 months after the installation of the artificial analog instead of native joints, exposed non-reversible pathological changes, a refund of the full range of motion of the feet, fully cleared pain syndrome.
• Introduction and – unreleased procedure "short circuit" joints, due to the aggressive energy in biological structures, however, sometimes has no place to be, for example, if a person is not possible to pass the implantation. The essence lies in the removal of the articular surfaces and stable connection of the mating of bone between them with special clip devices in an advantageous position. Over time, it's the natural adhesion information. Artificial ankylosis completely prevents the mobility of the joint, but allows you to achieve good supporting capacity edges and decrease the pain.
• Osteotomy of the knee – it is also used in extreme situations, for the same reason, that and the closure, in particular when you have to delay the knee replacement in a few years. In a second surgical session, the specialist performs artificial fracture, podpilivaya bones and placing them under the right angle, so that it is beneficial to distribute the load of cartilage elements.

Exercise irreversible pathogenesis of not fix, you need to understand. Ointments, and even medications from the series chondroprotectors, not to mention grandma councils treat gelatin, a special role will not play. The maximum of what it can to help in the running of the state, is to prepare kostno-muscular welding for the upcoming surgery.

Modern knee implants able to withstand normal daily loading, it is with this excellent acting during at least 15 years of age, and often 20-25 years. The man can even be replaced with common do some sports.

Treatment 3 degrees

In the 3 stage of osteoarthritis they have the surgery. Changes in the joint have a particularly strong character, at this stage, the disease eventually reduces the level of life and health of the patient. Bone, cartilage damage reaches that critical point, in which bone tissue connection no functional significance, they do not represent. Vitreous plate was almost completely destroyed.

• Important the cartilage is not restored by itself, including with non-surgical methods.
• Stripped and leveled surface interaction of bone all, they have an unnatural pressure on each other, constantly rubbing against each other, serious destruction of surrounding soft tissues and day by day mangled even more.
• The man feels terrible pain, not to mention the lost ability to travel. Patients experience daily in the flour, the when, and the dream is not good, and the evening from the pain of peace. On permissive mode note only a handful of people.
• Anti-inflammatory analgesic drugs tend to have a bad effect, but most of the times I don't "work". In the chondroprotectors it doesn't make sense, given that the aid and makeup shabby remnants of cartilage, saves the situation.

png" class="imgblock right center_mob">

The consequences of osteoarthritis 2-3 degree sometimes try to heal the minimally invasive surgery (arthroscopy) during which you can delete the external osteophytes, as well as to remove house of bones, cartilage extracts from the cavity of the joint. Similar manipulation, as evidenced by testimonials, some of facilitate the condition of the patient, a little improve motor function, but only temporarily. Osteoarthritis in the knee joint and remains active, and in the near future again will be revealed.

Pathogenesis 3-4 degree – this is a very serious problem, to solve which really only much more complicated reconstructive and plastic operating tactics. Until today there is no such procedure, which could be compared with arthroplasty. Knee replacement prosthetic, a full repetition of mechanical characteristics, the configuration of shapes and sizes, with a natural authority, it will give you the opportunity to leave the ill-fated diseases and disabilities that are "endowed".

The disease progresses quickly and can reach moderate moderate phase up to 4 points behind a few months. Surgery should be performed as early as possible, up to degenerative processes has not penetrated deep to the bone. Highly damaged bones can cause difficulty with the show endoprosthesis.

A lot of people, until the end, without realizing, that seriously happened to spot anything, in comparison with conservative and non-conventional tactics, trying with all the ways to bypass the business, taking handfuls of pills, applying the ointment over the affected area. Someone gains access to the osteopaths, private doctors, practicing any kind of alternative techniques. Unfortunately, against the nature you will not go, healing after them would not come, and with this fact we have to accept that. Therefore, pull up the silly idea, proceed with caution.

The physical viability depends on your decision! You can life to continue to suffer from stiffness and pain, in vain, trying out the "gaps" ways to treat: drugs and customized tools that have no evidence base efficiency with the severity of the disease. And to pass the surgical treatment and start living a full life, to be free from pain and supporting devices.

Worried about surgery I don't need the modern technology has stepped far forward, and today the exterior seamlessly change the joints of the knee durable implants. After such implantation, are sold at a good clinic, the risk of complications is minimal (1-2 %), and restore functions of the mobility happens over 95 % of cases. After the replacement of the joint will follow the path of recovery 3-4 months, provides:

• physical rehabilitation through the special therapeutic exercise?
• drugs (antibiotics, antithrombotic instruments, etc.)?
• the program of physiotherapy, which includes myostimulating, anti-inflammatory, painkillers, and wound healing processes?
• massage sessions (in later stages of recovery).

Good to know! To the 1 extent condition may to stop and prevent the conservative treatment. If we don't do anything and run osteoarthritis knee, giving him the transition from 1 to 2 degree, the treatment with drugs is already very problematic, but for this category of patients is still appropriate non-surgical approach. The last two stages is always surgery.

Treatment 2 degrees

When gonarthrosis moderate quality of life already is pretty spoiled. A bad knee bothering you stronger, sickly syndrome manifests more frequently and more intensely than it was at the start of the disease. Very intense pain immediately after the awakening in the morning, during the ascent and descent by a staircase of levels. There is often an unpleasant tingling sensation that appears after prolonged walking and long standing in the same position. The bending in the knee area to reduce the patient is unable to bend his leg, as it requires physiology. The man starts to spare in the end, trying almost don't step on it, because there is a gradual atrophy of the muscles.

Tie to note that treatment necessarily entails a specialized integrated approach.

• If the doctor does not see an acute need for surgery, is the dominant attributed to the reduction of the load for the problematic section. If you have excess weight, to ensure good relief from the victim of osteoarthritis joint, you need to set the weight of the body, keeping a diet, it will recommend the doctor.
• In all patients prescribed the use of special orthopedic κου'φωμάτων at the time of the motion. This, according to the existing problem, can the knee fuses, compression garment, elastic, bandages, walking stick, crutches, walkers.
• In addition, the orthopedic-trauma prescribe a type of exercise, which will help strengthen and increase endurance of the muscles of the affected limb.
• Also osteoarthritis in moderate average event involves the use of medicinal products containing substances present in the cartilage tissues of the knee. In this perform compositions based on chondroitin sulfate, hyaluronic acid injections, medicines with glucosamine. They can't recover the cartilage, but to saturate the nutrients, which can achieve remission of the disease.
• Recommended and procedures of physical therapy treatment, however, is used only after the, how will it disappear the signs of inflammation. Physical sessions, for example, laser, magnet or ultrasound, you have to pass through in a medical facility. Thanks to physical therapy, improved nutrition, and metabolism of bones, muscles, cartilage tissues. If you buy vibroacoustic device is for home use, first learn from an expert on the applicability of the diagnosis and the operating characteristics of the device.

We have covered the basic principles on which is based the formal treatment of osteoarthritis, appropriate standards of orthopaedic. Since many people with osteoarthritis of the 2nd article is very interested in alternative methods, looking at them his salvation, we offer you the most popular of these. And both can learn to be unique, as shown to us on the internet.

Stem cells for the treatment of the knee

This is autotransplantation mesenchymally stem cells in a patient with gonarthrosis knee, taken from comb pelvic or thigh. The cell therapy, as they claim, interested sources will be achieved, almost self-renewal only of the public due to the activation of regenerative processes of self-healing in the damaged section. Thanks to this technology, in theory, improvements can be made are units kostno-cartilage authority. However, in practice, while there is not a "live" x-ray proof, which would confirm that after the introduction of the stem cells in the affected area of the hip become healthy.

The positive effect of stem cells in the joints and the bones have not been proven and under a lot of doubt, given that this technique in orthopaedic still don't recognize it. Scientists have only been studying and experimenting. In addition, there is information about unsafe results to the human body stem cells, which, in accordance with highly competent experts, can cause oncology. And what about those people who paid for the procedure, when this is happy with the result? Here, you can say only one thing: a lot of patients believe in it for the money, and in the eternal life, however, the placebo effect doesn't last long, don't you forget it.

Treatment with mud

Healing sources that contain unique elements (magnesium, chromium, iodine, bromine, calcium nitrate, etc.), contribute to the reduction of painful symptoms, increasing the flow of blood in patients areas, stimulating the metabolism. The biggest value for people with mild-stage disease or patients who have already undergone surgery in the leg. The treatment of the mud is permissible, and in 2 degree, if the doctor believes that physical therapy in combination with the main treatment program will reduce the aggressiveness of pathological phenomena (I'll stop the evolution), and will improve the overall clinical picture. The practiced in special medical institutions of the resort-wellness type. Natural healing mud on the basis of the peloids used in the form of applications and in combination with the method of electrolysis (electrophoresis).

The use of gelatin

Natural gelatin is a safe tool, which allows you to maintain the common structure in good condition. Jelly-like substrate, dissolved in water, it is recommended to be consumed in. In accordance with the comments of some doctors, gelatin, the faster and more efficiently, acting in the bone, cartilage and muscle-ligamentous elements. The experts stress that this method does not have healing properties, it is only contributes to the prevention of osteoarthritis. Therefore, when you already held the pathogenesis of relationalities where the lack of pathology or in the early stages can be considered exclusively as a measure of prevention of occurrence or progression of degenerative-dystrophic changes. When the disease is in the medium and heavy nature, this approach and as a preventive measure is not enough.

Ayurveda for joints

The modern alternative medicine is known by many extraordinary trends, including the treatment of Ayurveda different parts of the locomotor system. In accordance with informal power, joint damage is associated with black ink is free of toxins accumulated in the body due to the energy shortage. Devastating mechanism of disorder of energy balance (Wool) is a dominant act weakening Agni, or digestive fire, with the result that they accumulate in the intestine undigested food residue (Ama). They secrete toxins that the indeed the indeed the blood is transferred to the hinge, where harmful substances to settle and inhibit the processes of metabolism.

In Ayurveda osteoarthritis can be classified into various forms, as well as for any kind of invented the treatment system, the base of each one of these are diet, herbs, taking ayurvedic pills and powders, yoga and respiratory workout, unconventional, massage, auto-training for treatment, etc. Well, that certainly sounds tempting, but if the osteoarthritis cannot be reversed even through the high-tech, can not believe that herbal powders, healing thoughts, and other tactics of Ayurveda do well irreversible deformation?!

Saline compresses

The salt used for the preparation of saturated salt solution used for impregnation compresses, applied to the affected area for a few hours. The treatment should not be considered as an independent instrument, but even more so as a cure-all for from gonarthrosis. The salt is able to soothe the pain temporarily, to get rid of the swelling of soft tissues covering bones design, without damage to the biological structures. But it will not cure the disease, and will not put on the feet of the patient! The action of purely symptomatic. The solution prepared from the calculation: 1 l of water at room temperature is obtained 100 grams of salt.

Well worth a read! Sometimes salt is used in dry hot form, which is placed in the tray, and perform a local increase of the temperature of the knee. Sometimes, as a liquid, but hot sauces. Hot treatments are dangerous when pyo-inflammatory processes in the synovial cavity, it is only extremely aggravate the clinical picture. So, don't use this recipe, without being sure, that the defeat is not accompanied by a similar process.