Knee joint arthrosis: What are these stages, symptoms and myths about treatment

Knee joint arthrosis is a complex disease of a degenerative-textrophic nature, which affects the knee-cervical section.The disease most often affects the knee department of the lower extremities.Pathological changes in cartilage areas and peri-inhuman areas, which in most cases develop against the backdrop of damage, biological aging of the body, a violation of an autoimmune nature, seriously inhibits the muscular-ficile potential of the feet.The connection becomes rigid, loses stability, normal engine skills and depreciation.As a result, it gradually deformed, and in the last stages it fails completely.

Degeneration in articular tissue manifests not only in the form of physical dysfunction of the lower extremities, but also with strong painful sensations in them.In a severe course, pathology causes disability, in some cases - paralysis of the feet.With regard to such a disappointing prognosis, it is important to identify as soon as possible and immediately start treating it.

Important for the disease

It is important for patients to get acquainted with the material in order to possess information in complete information about the appearance mechanism and clinical manifestations of pathology.Immediately we note that arthritis and arthritis are closely interconnected, as the disease under consideration is a consequence of an arthritis.But where do bad -related diseases come from, which ruthlessly destroy the most important bone bond?What is the severity of gonartrosis and what manifestations can be recognized?

Causes of arthrosis

Degenerative-District Pathogenesis "Starts" the following-provocur factors:

• Once -suffered injuries - lower leg fractures, knee displacements, meniscus damage, tears and ligament ruptures that fall to the knees, all kinds of bruising;
• Excessive physical activity;
• sedentary lifestyle;
• High body weight index;
• systemic pathology for rheumatoids, gout, psoriatic type, systemic lupus erythematosus;
• Genetically inherited weakness of the ligamentous system or congenital underdevelopment of the structural elements of the joints;
• metabolic disorders and blood flow;
• hormonal failure, diabetes and other endocrine pathologies;
• Transferred or chronic infectious and inflammatory diseases.

Very often, people themselves become the culprits of the fact that a jointly joint disease develops.Often, after receiving injuries, they ignore the appeal to a specialist, preferring to make the first preparation of pain, home -made lotions and the like.And a few years later, due to inadequate treatment in the past, they come to see a doctor with gonartrosis, at best, moderate.And here, a physical prevention and analgesic oils, as in the early course, you cannot do, you often have to act radically, using surgical tactics.

Stages of destruction

In the orthopedics, this disease is divided on the scene, from which the specialist is receding in the future when compiling a treatment regimen.The degree, nature, localization, nature of the origin of the destruction of the knee bone composition is detected by a number of diagnostic measures, such as radiography, MRI, CT, ultrasound, various types of blood tests and urine.

There may be no doubt about qualitative treatment without detailed information, both the condition of the knee joint and the characteristics of the patient's body, as well as without visiting the doctor and receiving adequate therapeutic recommendations from him.Therefore, wanting to improve the quality of life, do not ignore a visit to an experienced specialist, only he is able to tell you if it is possible to do with qualified conservative assistance or, however, with your problem, only surgical intervention will be effective.

Pathology has several stages of development, according to Kellgren's classification there are only four of them.All of them characterize the severity of morphological changes (the presence of osteophytes, a decrease in the volume of the articular cartilage and its degree of thinning, the narrowing of the common gap, etc.) and the clinical signs (limited curvature, indicator of disorder, the nature and intensity of pain, etc.). 

• First phase arthrosis - This is a disease that arises alone.External symptoms are mild or absent, congruence and common forms are satisfactory.In X -Ray photos or MRI photos, small regional osteophytes are tracked along the edges of the articular surfaces, in the problematic department, slow subcondroal osteosclerosis and small bone cysts.The joint gap is usually normal or altered, but not important.
• In case of illness second rankIn addition to the above indicators, The osteochosclerotic focus is more pronounced, the narrowing of the inter -mudflow gap is clearly visible.The patient begins to disturb the pain more and more often pain in the time of walking, origin/climbing the stairs, in the long leg, sometimes at night.Combustion develops, movements in union are gained in inferiority, especially when bending.
• The third stage It is characterized by a sharp progress of degeneration and irreversible deformity.The joint configuration is significantly distorted, the distance between the common surfaces decreases significantly, bone growth in the form of points of adult sizes.The pain becomes prolonged and pronounced, and it worries a person even at rest, the madness has worsened.Dependence on support equipment and external aid appears. 
• Fourth stageDegenerative-District pathogenesis, when there is voluminous osteophytic growth, the hyaline cartilage is completely destroyed, the joint gap disappears or barely traces, articular bone epiphysis that form articulations are deformed in the strongest way.Knee attachment is known as a fully non -applicable body of the muscular system, a person becomes incapable. 

Symptoms and complaints

The severity of clinical manifestations depends not only on the pathomorphological features but also on the individuality factor.In any case, there is little pleasant in gonarthrosis, it is very difficult to transfer to both 2 and 3-4 tablespoons.The total list of symptoms includes:

• pain syndrome, mainly mechanical type (stupid, painful, sharp, sudden, periodic and permanent);
• the appearance of stalemate during movements;
• stiffness of the node;
• restriction of amplitude of movements;
• limb muscles weakness;
• skin hyperthermia and swelling in the knee area;
• a change in walking, manifested by lame and pumping legs;
• instability or "drawer" syndrome;
• The "blockage" of the knee that occurs with a sudden blockage of bone connection movements.

Important! Conservative treatment of knee joint arthrosis will not help if the disease has a complicated course, which can already occur at the worst case in the second stage of development of bone degeneration.Unlike traditional conservative therapy and alternative techniques, all, without exception, surgery with serious gonartrosis of 2-3-4-only ways to help improve the quality of life for a long period of life.

Conservative treatment

Non -operative treatment methods are advisable at the initial stage of arthrosis deformation.The principle of non -operative treatment suggests:

• Systematic execution of exercise therapy, developed by an individual professional;
• performing physiotherapy procedures;
• the use of sedatives in the form of ointments, tablets, injections, etc.;
• proper nutrition and following a special diet prescribed by a doctor;
• Compliance with a particular regime of daily physical activity;
• a complete rejection of bad habits;
• the undisputed passage of new -diagnostic control;
• An annual visit to a specialized medical institution of the sanatorium.

Operation for knee joint arthrosis

Now we will get acquainted with the surgical methods in which the need arises most often, as in the early stage the pathology often remains unnoticed.Basically, it is already necessary to deal with arthrosis in the full "roof", which mainly covered articular structures and affected the periarticular matter.

• Endoprosthetics - Helps in more than 95 % of cases to completely restore the lost locomotive and supporting functions of the lower extremities.The surgery is not easy, as it follows complex rehabilitation, but the effect is worth it.About 3 months after installing an artificial analog, instead of a native joint, which has undergone irreversible pathological changes, a complete amplitude of the foot movements returns, and the pain syndrome is completely eliminated.
• Arthritis - The unexplained procedure in the "near" of the joints, due to its aggressive effect on biological structures, but sometimes it has a place to be, for example, if a person is unable to implant implantation.Its essence is to remove articular surfaces and stationary articular bone connection with special fixing devices in a favorable position.Over time, the natural union of the listed elements occurs.Artificial ankilosis completely blocks the motility of the joint, but allows you to achieve a good limb disorder and reduce the pain.
• The knee osteotomy - It is also used in extreme situations, for the same reason as arthrodesis, in particular, when it is necessary to delay the endoprosthetics for several years.At the time of the operational session, the specialist performs an artificial fracture, firing bones and placing them at a more accurate angle in order to profitly distribute the load on the cartilage elements.  

Irreversible pathogenesis cannot be corrected by physical exercise, you must understand this.Ointments and even medicines from a series of chondroprotectors, not to mention grandmother's advice to treat gelatin, will not play a special role.The maximum they can help in the neglected state is to prepare the bone-muscular apparatus for the next operation.

Modern knee implants are able to resist the usual daily loads while working perfectly for at least 15 years, and often 20-25 years.A person can even engage in some sports with a replaced union.

Treatment of 3 degrees

In 3 stages of arthrosis, surgery is performed.Changes in fusion are severely pronounced, at this stage the disease greatly reduces the standard of living and patient performance.Broken bone damage has reached the critical point at which the bone composition tissue does not represent any functional significance.The hualine cover is almost completely destroyed. 

• An important cartilage does not restore itself, including through non -operative methods.
• The bare and flattened surfaces of the interactive bone ends exert unnatural pressure on each other, are constantly rubbing each other, seriously damaging the soft tissue nearby and deforming even more every day.
• A person feels terrible pain, not to mention the lost abilities to walk normally.Patients experience daily flour, when the dream is not a joy, and during the day there is no pain rest.Only one unit of people mark a relatively tolerable state.
• Anti -inflammatory analgesic drugs, as a rule, have a mild effect but do not "work" more often.It makes no sense in chondroprotectors, as the strengthening and fuel of poor cartilage waste does not save the situation.

The 2-3 degrees arthrosis consequences are sometimes trying to treat with minimally invasive operation (arthroscopy), in which it is possible to remove marginal osteophytes, as well as extraction of chopped bone fragments torn from the joint cavity.Such manipulations, as the reviews prove, slightly facilitate the patient's condition, slightly improve engine function, but temporarily.Osteoarthrosis at the knee joint remains active, and in the near future will manifest again. 

The pathogenesis of 3-4 degrees is a very serious problem, which is really possible to solve only much more complex reconstructive and plastic surgical tactics.So far, there is no such procedure that can be compared to endoprosthetics.Replacing the knee joint with a prosthesis, fully repeating mechanical features, configuring the shapes and sizes of the natural organ, will make it possible to say goodbye to the pathology associated with badness and disability, which it "gave you".

The disease is progressing rapidly and is able to get from an average phase to 4 degrees within a few months.Surgery should be kept as soon as possible until degenerative processes penetrate deep into the bone.Highly damaged bones can cause difficulties in producing an endoprostese.

Many, not fully realizing that the severity of the degeneration that has occurred is not comparable to conservative and non -traditional tactics, try to go around surgery in all ways, swallowing punch tablets, applying ointments to the injured area.Someone turns into osteopaths, private doctors who practice all kinds of alternative methods.Unfortunately, you will not go against nature, healing will not come after them, and this fact must agree.Therefore, discard nonsense, act carefully.

Your physical viability depends entirely on your solution!You can continue to suffer from stiffness and pain, in vain testing "empty" treatment method: medicines and non -standard products that do not have evidence -based efficiency in your severity of the disease.And you can undergo a surgical treatment and start living a full life, get rid of past devices and support equipment.

It is not necessary to worry about the operation, modern technologies have moved far ahead, and today abroad the knee joints change excellently with durable implants.After such implantation applied to a good clinic, the risk of complications is minimal (1-2 %), and restoration of mobility functions occurs in more than 95 % of cases.After replacing the union, the rehabilitation course will follow 3-4 months, which provides:

• physical recovery through special therapeutic exercises;
• taking medication (antibiotics, antithrombotic medicines, etc.);
• Physiotherapy program, including myostimulation, anti -inflammatory, sedatives and wound healing procedures;
• Massage sessions (in later stages of rehabilitation).

It is useful to know! At 1 degree, the disease can be stopped and prevented conservatively.If you do nothing and start the knee arthrosis, allowing it to exceed 1 to 2 degrees, treatment with medication will be much more problematic, but a non -operative approach is still suitable for a particular category of patients.The last two stages are always an operation.

Treatment of 2 degrees

With medium gravity gonartrosis, the quality of life is already becoming quite broken.The injured knee worries more, painful syndrome manifests more often and more intense than it was at the beginning of the disease.The pain is especially pronounced immediately after waking up the morning as it rises and descends to the stairs.Often there is a feeling of unpleasant numbness, which appears after prolonged walking and long stay in one position.Flexion in the knee region is reduced, the patient is unable to bend his leg, as physiology requires.A person begins to save his limb, trying to almost not violate it, which is why a gradual muscle atrophy occurs.

We focus on that treatment without failure means an integrated qualified approach.

• If the doctor does not see the urgent need for surgery, a decrease in load in the problem department is mainly prescribed.In the presence of excess weight, to ensure a good discharge of those affected by arthritis, it is necessary to adjust your body weight, adhering to the diet recommended by the doctor.
• All patients are prescribed the use of special orthopedic equipment at the time of movement.This, depending on the existing problem, can be a fixer of the knee, compression freedom, elastic bandage, cane, crutches, itinerant.
• Moreover, an orthopedic traumatologist will describe a kind of exercises that will help strengthen and increase the stability of the affected limbs.
• Also, arthritis in moderately average manifestation involves the use of medicines, which include substances present in the knee cartilage tissue.These include compounds based on chondroit sulfate, hyaluronic acid injections, glucosamine drugs.They cannot restore the cartilage, but saturate it with nutrients so that the disease can be achieved.
• Treatment procedures are also recommended, however, they are used only after all signs of inflammation disappear.Physical sessions, for example, with a laser, magnet or ultrasound, should be kept within the medical institution.Thanks to physiotherapy, food and metabolism in bone tissue, muscle and cartilage.If you have purchased a vibro -acoustic device for home use, first discover from the specialist about using it in your diagnosis and the features of the device operation.

We examined the basic principles on which the official treatment of arthritis is based on orthopedics standards.Since many people with osteoarthritis 2 tbsp.They are very interested in alternative methods, seeking their salvation in them, we offer to get acquainted with their most famous.And we find out if they are as unique as they present them online.

The stem cells for the treatment of the knee

We will talk about autotransplantation of mezinhamal stem cells in a patient with knee gonartrosis obtained from pelvic bone or femur.Cell therapy, according to interested sources, will achieve, almost itself, the renovation of the entire union by activating the regenerative processes of self -examination in the damaged segment.Thanks to this technology, it is theoretically to achieve an improvement in the constituents of bone -careful organ units.However, in practice, there is no single "living" radiographic evidence that would confirm that after the presentation of stem cells in the affected country, the union became healthy.

The positive effect of stem cells on the joints and bone has not been proven on great suspicion, as this technique has not yet been recognized in orthopedics.Scientists only study and experiment it.Moreover, there is information about the uncertain effect of the stem cells on the human body, which, according to very comprehensive experts, are able to provoke oncology.What about those people who paid for the procedure while they were satisfied with the result?Here we can only say one thing: many patients will believe in that type of money and in eternal life, but the effect of placebo does not work long, don't even forget about it.

Muddy treatment

Therapeutic mud sources containing unique ingredients (magnesium, chromium, iodine, bromine, calcium nitrate, etc.) contribute to the decrease in painful symptoms, increased blood flow to injured areas, stimulation of metabolism.They are of the greatest value for people with a mild stage of the disease or patients who have already undergone a foot surgery.It is permissible to perform mud therapy at 2 degrees if the doctor believes that the natural medicine in combination with the main treatment program will reduce the aggression of pathological phenomena (progression stops) and improve the overall clinical appearance.Mudley is practiced in special medical institutions of the crowd and the recreational type.Natural healing mud on the basis of peloids is used in the form of applications and in combination with the method of galvanization (electrophoresis).

The use of gelatin

Natural gelatin is a safe tool that allows the maintenance of common structures in good condition.A water -diluted jelly -like substrate is recommended to be consumed.According to some doctors' reviews, gelatin is much faster and more productive to affect bone, cartilage and ligament muscle elements.Experts point out that this method has no healing properties, it only promotes the prevention of arthrosis.Consequently, with already stable pathogenesis, gelatinocery, in the event of a lack of pathology or at the earliest stages, can be considered exclusively as a measure of preventing the appearance or progress of degenerative-district changes.When the disease is of a middle and severe nature, this approach will not be done for preventive purposes.

Ayurveda for nodes

Modern non-traditional medicine is known for many extraordinary tendencies, including treatment for ayurveda of different parts of the muscular system.According to this unofficial course, damage to the joint is associated with the excess of toxins accumulated in the body due to energy disharmony.The damaging mechanism of damaged energy equilibrium (cotton) is mainly the weakening of the AGNI, or the fire of digestion, which led to the accumulation of dissatisfied food residues (AMA) in the intestine.They emit toxins that blood transports to the joint, where the harmful substances placed and obstruct the processes of metabolism.

According to Ayurveda, osteoarthritis is classified into several types, and for each type, its treatment system is invented, the basis of each is diet, grass -to get, taking ayurvedic tablets, etc.Even through high scientific technologies, can you believe that herbal powders, treatment with thoughts and other ayurveda tactics will cure irreversible deformities?!

Salt

Salt is used to prepare a saturated salt solution, used to impregnate compresses, which are applied to the injured site for several hours.Such therapy should not be considered as an independent drug, and even more so as a drug for gonarthrosis.Salt is able to provide pain temporarily, save soft tissue from edema that covers bone structure without damaging biological structures.But she will not cure the disease and will not place the patient on the patient's feet!Its action is purely symptomatic.The solution is prepared at the scale of: 100 g of salt is taken for 1 liter of water temperature.

It is worth knowing yourself! Sometimes salt is used in a hot hot shape, which is placed in a bag, and local knee heating is performed.Sometimes as wet but hot bandages.Hot procedures are dangerous with purulent-inflammatory processes in the joint cavity, they will only exacerbate the clinical appearance.Therefore, do not use such recipes without sure that the loss is not accompanied by a similar process.