What is arthrosis and how to treat it
Arthrosis is a degenerative-dystrophic chronic change in the cartilage of the joint, which further leads to deformation of the bone tissue. The disease covers not only the cartilage, but also the entire joint (synovial membrane, ligaments, periarticular muscles, subchondral bone). First of all, arthrosis affects the knee joints, followed by the hip joints, then the joints of the big toe. Much less often the interphalangeal and ankle joints located on the fingers of the hands suffer from this affliction.
In the initial stage of the disease appear mild pain in the affected joints. This is the reason why arthrosis is very often triggered. Pain in the second stage of the disease occurs with minor loads on the joints. In the third stage of arthrosis, the pain will follow even when stationary. Another evidence of the disease is a rough and dry crunch arising from the friction of the articular surfaces. Here it should be noted that the ringing crunch in the joints is harmless in the absence of pain.Another serious symptom of osteoarthritis is the modification of the affected joints.
There are several basic principles of treatment of osteoarthritis: orthopedic regimen, pharmacotherapy, limiting loads on the joints, physical therapy, proper nutrition, oxygenation of the joint, shock-wave and laser therapy, magnetic therapy, pulsed electromagnetic therapy, intraosseous blockade, decompression of metaepiphysis, sanatorium-resort therapy . This scheme is considered a classic in the treatment of arthrosis.
It should also focus on pharmacotherapy, which is aimed at reducing inflammation and pain. Doctors are increasingly prescribing NSAIDs (nonsteroidal anti-inflammatory drugs) intramuscularly or intravenously in order to quickly obtain a therapeutic effect and not to injure the gastric mucosa. Local use of these funds is considered as an addition to the main treatment, since the effectiveness of gels and ointments is extremely low.
During the exacerbation of the disease, hormone corticosteroids are administered intra-articularly (Kenalog, Diprospan, Hydrocortisone).Sometimes, in addition, hot pepper alkaloid is used in the form of an ointment, patch or alcohol tincture. The doctor also prescribes substances that contribute to the restoration of cartilage tissue, improve the quality of fluid in the joints - chondroprotectors. The duration of the course continues until the patient receives the first effect. If within six months there are no signs of exposure to drugs, then they are canceled.
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