How is knee arthrosis treated, symptoms at each stage of the disease
No one has insurance against diseases like arthrosis of the knee, symptoms do not allow free movement, painful sensations cause discomfort.
Medical statistics say that it is the knee part that is most often affected. Scientists from medicine have assigned the name gonarthrosis to this phenomenon, it is aimed at the destruction of hyaline knee cartilage.
Overview of Arthrosis
Even metal parts wear out over time and need care if they interact with each other. In addition, they are fed with lubricant, treated with substances from destruction. This is roughly how organs and joints work in the most perfect machine - a man. Every detail of it, whether it be soft tissue, bone components, blood vessels or cartilage, needs proper nutrition with vitamins, lubrication with useful substances.
If failures occur, power is not supplied, it means that the gradual destruction of the most vulnerable part of the body will begin. The property of cartilage, unfavorable for humans, when they undergo decay, the presence of constancy and irreversibility in the procedure.
Doctors try to suspend it, patients perform processes:
- therapeutic methods.
- use medicines.
- use the recipes of folk healers.
People have been collecting ways to alleviate suffering for centuries. Therefore, the effectiveness of tinctures, ointments made from environmentally friendly products, medicinal plants is not rejected.
For what reasons does the malaise begin
With age, people develop various rearrangements in the body, arthrosis of the knee begins. Symptoms and treatment are worth depending on the degree of progression. When sick:
- suffers pain for a long time;
- resigns himself to the inconvenience of free movement;
- the diagnosis is made with a delay.
In this case, the treatment process is only aggravated, only surgical intervention with prosthetics is possible. And vice versa, a timely visit to doctors will stop the further destruction of joints with optimal therapy.
Not every person, even an elderly person, suffers from arthrosis, it follows that he has not acquired disease-provoking factors throughout his life. Their doctors were separated into a separate list, based on the observations of practical medicine.
The main reasons for the formation of an ailment with the destruction of cartilage in the joints belong to the following cases:
- acute knee injury;
- chronic diseases of this area;
- congenital abnormalities;
- disturbed formations in the joints from infancy and subsequent periods of growing up;
- diabetes mellitus;
- frostbite of the feet;
- regular, long-term physical activity on the knee joint.
Thanks to the listed "provocateurs", gonarthrosis malaise begins to develop. You should be attentive to medical recommendations regarding bed rest in the treatment of infectious infections. Influenza modulating in nature, various acute respiratory viral infections or acute respiratory infections can reward the patient with a dangerous complication, one of which is just arthrosis.
How does the disease manifest itself
Depending on the level of severity, if the diagnosis of knee arthrosis, symptoms, treatment, doctors divided by degrees, to make it easier to describe and present to the attending physician, the clinical picture. The manifestation of the disease is indicated by the following signs:
- Joints begin to crackle with certain movements. These sounds and sensations should be taken seriously, attention should be paid so as not to miss a favorable moment for the timely start of treatment. It is the neglected disease that begins to progress, leading to articular deformity.
- Gradually painful sensations appear. Only in the first moments are they insignificant, over time, gains occur, and when loads arise, the pain increases in strength and duration.
- Movement is difficult. This phenomenon occurs due to the special structure of the tissues in the joint. It contains films that protect nerve endings. When the destructive process begins, they are deprived of a kind of fence, and fetter free movement.
- The patient has difficulty fully bending and unbending his legs at the knee. The amplitude in movements decreases, involuntarily, from the fear of enduring intensified pain, whether it is independent or not at this moment.
- Spasms appear, which seem to jam the knees. Legs freeze in a certain position, in order to move them, change direction, you need to overcome acute pain syndrome. The origin of this blockage is associated with deformation of the articular structures. Due to the knee ligaments displaced from their place due to violations, bone tissue is captured in one position.
- Dislocations of the knees are possible, this usually occurs when the disease is advanced and the limbs cease to obey their owners, to perform the functions intended by nature.
Everyone is responsible for their own health. The appearance of the first signs of malaise should alert, recommend to go to the clinic. Only help, medical advice, is able to suspend the destructive processes that have begun in the body, and will protect against surgical interventions.
Which doctor to contact
Often the patient has no idea who to go to if problems arise in the body. This issue can be easily resolved if the patient comes to an ordinary social clinic, of course, you have to walk around the offices until you find the doctor who specializes in treating the current disease.
When visiting a commercial establishment, not all consultations are free. To take a coupon to the right specialist, you will need a payment, so it is better to immediately know which doctor will ease the pain in the knees, help them move without problems.
Arthrologists deal with these problems, they carry out:
- preventive measures,
- developing a treatment card,
- is healed.
Just because not every medical institution has narrowly focused specialists, when contacting a regional polyclinic, they usually go to see a therapist:
- he advises the patient,
- gives referrals to doctors of this profile.
The following specialists are responsible for joint treatment:
A rheumatologist monitors a patient with a mild form of joint pain, and having determined the diagnosis, calculates a treatment card for systematic medical procedures.
The occurrence of acute, sharp pains of a prolonged nature will require a change from this doctor to a surgeon. An exacerbation of malaise can lead to surgery, in which the affected areas are treated with synthetic medications, and prostheses can be installed. This decision is made not only by the surgeon, but also by the traumatologist, physiotherapist.
When the disease is prolonged, with severe pain when moving, a selection of special means will be needed. The orthopedist will do this, he will determine what loads are possible, and the limitation of certain areas from physical influences.
Often, the disease flows in its own direction, it leads, complications arise that affect various organs up to pathological formations. Then the treatment includes those doctors whose specialization affects this direction.
The assessment of the articular state is helped by radiologists, ultrasound equipment with a complete decoding of the affected areas.
Separation by powers
In order not to get disability in the future, you need to know that there is an arthritic risk group of people, it includes those suffering:
- being overweight;
- genetic predisposition;
- athletes of certain types.
Observations have shown that the disease does not have sharp, instantaneous occurrences. The process is slow and can take a long time. If at first discomfort occurs during difficult physical work, then it does not leave the person even in a calm state. On this basis, a dangerous disease was divided according to the level of its exacerbation.
Initial first degree is characterized by a symptom-free course. The following sensations arise:
- legs get tired quickly,
- in the morning it is difficult to get out of bed, to move.
Throughout the day, a person stretches, a little pain recedes. If you see a doctor at this time, using an X-ray, you can see irregularities in the pictures, on the cartilage and bone surfaces. The necessary gaps in the elements of the knee joints are narrowed. This stage of the disease is determined with difficulty; specialists often prescribe an x-ray.
Joints begin to crackle when the condition worsens, when the second stage begins with more pronounced symptoms, usually sounds become constant over time from any movement. Painful attacks from any load are increased, their continuation is delayed. The affected part responds with a nuisance when moving, but disappears from a calm position.
Regular change of sensations occurs in a constant mode due to progressive synovitis, tissue changes. This is expressed in the impossibility of bends, changes in shape, while pathological fluid accumulates in the joints.
With the third degree, it becomes difficult to endure pain, it lasts throughout the day, does not subside at night, sleep in this state is impossible. The weather also works, a person feels its changes with his affected area. X-ray reveals various articular curvature, cartilage also changes its appearance, formations of deformed tissues grow on the bone surfaces. This stage is dangerous with disability, excludes independent movement without surgery, prosthetics.
An initial visit to a doctor may not lead to anything if a person turns to unpleasant sensations at the beginning. The disease will not recede by itself and continuation of manifestations is necessarily possible. The following steps are required:
- periodic x-rays;
- comparison of dynamic processes;
- identification of problem areas;
Definition of the disease, diagnosis occurs in stages:
- by primary examination of bones, they are probed;
- watch the change;
- check how much it is possible to bend the leg;
- measure the fold angle;
- determine the appearance of edema.
After visual examinations, practical ones begin, for this the patient is sent for research with the help of medical equipment in order to identify the internal clinic of the disease. Taking tests will help exclude diseases similar in symptoms.
What is the treatment and preventive measures
After a thorough examination of the obtained laboratory data, images from the equipment are assigned:
- massage rubbing with manual therapy;
- recovery procedures.
Medical means seek:
- pain relief,
- partial tissue repair,
- increase in articular mobility.
Physicians pay great attention to massage procedures, physiotherapy exercises, and proper dietary nutrition. Only if a positive result has not been achieved by any medical manipulations, an endoprosthesis is used.
Its installation is carried out by experienced surgeons, with appropriate analyzes for this, a certain weight category. For obese people, the installation is not carried out, it will not withstand the load, it will break in the knee.
Prescription medication goes from the category of the following substances:
- non-steroidal group,
- creams, ointments, rubbing,
- compressor trains.
Non-hormonal, anti-inflammatory drugs eliminate pain, as it is so acute that it is impossible to start massage, gymnastic exercises. Doctors use all possible ways to reduce pain, reduce the discomfort of existence.
With increasing progression, they turn to hormonal drugs by injection.
Medicines of this category have side effects on the body, they are prescribed in urgent need, in compliance with short courses of admission. They are intended in the case when fluid accumulates in the joint space, it is disposed of by administering the drug.
In the list of drugs there are also substances with a direct orientation to remove the causes of arthritic disorders. These funds are able to alleviate the fate at the onset of the disease. They must contain chondroitin, glucosamine sulfate, they belong to the chondroprotective group.
Intra-articular injection of hyaluronic acid is an expensive procedure. In this way, the abrasion of cartilaginous tissue is prevented. Of course, it is impossible to do without pain relievers, inflammation-reducing medications, such as creams.
Ointments and gels achieve greater mobility, relief from suffering.
Only the attending physician will determine what is suitable for his patient, based on long-term observations, examinations, the individual characteristics of the organism, and his perception of medications.
The recommendations of specialists sound in one direction to prevent arthritic formation. You need to eat right, control your weight.
Statistics suggest that most of all, obese people are injured in the knees, they had a chance to press on limbs with a large mass of their body throughout their lives.
People at risk of sports activities should be selected with minimal stress on the limbs. With the help of swimming, fast morning walking, some cope with arthrosis.