Arthrosis of the knee joint: What are these stages, symptoms and myths about treatment

The osteoarthritis of the knee joint is a complex disease of a degenerative-dystrophic nature that influences the knee's bone cerry section.The disease most often affects the knee department of the lower extremities.Pathological changes in the cartilage and peri-human zones, which in most cases develop against the background of injuries, inhibit the biological aging of the body, violations of autoimmune nature, the musculoskeletal potential of the legs seriously.The connection becomes stiff, loses stability, normal engine and depreciation skills.As a result, it is gradually deformed and completely failed in the last phases.

The degeneration in joint fabrics manifests itself not only in the form of a physical dysfunction of the lower extremities, but also with severe painful sensations in them.In some cases, pathology leads to disability - paralysis of the legs.In connection with such a disappointing forecast, it is important to identify and treat them immediately as early as possible.

Important about the disease

For patients, it is important to familiarize yourself with the material in order to master the information about the mechanism of the origin and the clinical manifestations of pathology.We immediately find that arthrosis and arthritis are closely connected because the disease tested is a result of an arthritic disease.But where do the poorly recorded symptoms come from that mercilessly destroy the most important bone connection?What is the severity of gonar rose and what manifestations can you be recognized?

The causes of osteoarthritis

Degenerative-dystrophic pathogenesis "start" the following factor provocateurs:

• The once injured injuries - breaks of the lower leg, blends in the knee, damage to the meniscus, tears and ligament breaks, fall on the knees, all types of bruises;
• Excessive physical activity;
• sitting lifestyle;
• High body weight index;
• Systemic pathologies for rheumatoids, gout, psoriator type, systemic lupus erythematodes;
• genetically inherited weakness of the ligamentous system or congenital underdevelopment of structural elements of the connection bind;
• Metabolic disorders and blood flow;
• Hormone failure, diabetes and other endocrine pathologies;
• Transfer or chronic infectious and inflammatory complaints.

Very often people themselves become the guilty of the fact that a difficult development of a common joint disease develops.They often ignore the attraction to a specialist and prefer to create the first preparation of pain, domestic lotions and the like.And a few years later, due to inadequate treatment, they come up a doctor with gonarthrosis in the past who is at best moderate.And here, physical prevention and analgesic ointment, you do not have to act radically with surgical tactics as in the very early course.

Destruction

In orthopedics, this disease is divided into the stage, from which the specialist will be repelled in the future when compiling a treatment scheme.The degree, nature, localization, the type of origin of the destruction of the bone connection in the knee are shown by a number of diagnostic measures such as radiography, MRI, CT, ultrasound, different types of blood tests and urine.

There can be no question of qualitative treatment without detailed information, both about the condition of the knee joint and the characteristics of the patient's body as well as without visiting the doctor and receiving appropriate therapeutic recommendations.If you want to improve the quality of life, do not ignore a visit to an experienced specialist.Only he can tell you whether it is possible to do with qualified conservative help, or with your problem, only a surgical intervention will be effective.

The pathology has several stages of development, depending on the classification of Kellgren, there are only four of them.All of them characterize the severe morphological changes (the presence of osteophytes, a decrease in the articular cartilage and its thinning, narrowing of the joint cleat, etc.) and clinical signs (limited bending/expansion, the indicator of the disorder, nature and the intensity of pain, etc.). 

• Arthrosis of the first stage - This is an illness that is only born.External symptoms are mild or missing, the congruence and the joint forms are satisfactory.In X -Ray images or MRI photos, small regional osteophytes along the edges of the articular surfaces are pursued in the problematic department, slowly subchondral osteosclerosis and minor bone cysts.The common gap is usually normal or changed, but not significant.
• In the event of a disease second degreeIn addition to the above indicators ,, The osteocosclerotic focus is more pronounced, and the narrowing of the Inter -Mudflow gap is clearly visible.The patient begins more and more often the pain at the time of walking, descent/climbing through the stairs, sometimes at night.The combination arises, movements in the joint are acquired in inferiority, especially when bending.
• The third stage It is characterized by a sharp progression of irreversible degeneration and deformation.The joint configuration is noticeably distorted, the distance between the joint surfaces is significantly reduced, bone growth in the form of spikes increased sizes.The pain is extended and pronounced and makes a person who is alone in peace.Dependence on supporting devices and external help appears. 
• The fourth stageDegenerative-dystrophic pathogenesis, if it exists voluminous osteophytic growth, the hyaline cartilage is completely destroyed, the common gap disappears or hardly any traces that form the epiphyses of the articular bones, which form articulations, are deformed in the strongest way.The knee joint is recognized as a completely non -viable body of the musculoskeletal system, one person is hindered. 

Symptoms and symptoms

The severity of clinical manifestations depends not only on the patomorphological characteristics, but also on the factor of individuality.In any case, it is hardly pleasant in gonarthrosis, it is very difficult to transfer to both 2nd and 3-4 tablespoons.The general list of symptoms includes:

• Pain syndrome, mainly mechanical type (stupid, painful, sharp, sudden, periodic and permanent);
• The appearance of crunch during the movements;
• Stiffness of the joint;
• Restriction of the amplitude of movements;
• Muscle weakness of the limb;
• Hyperthermia of the skin and swelling in the knee zone;
• A change in the aisle manifests itself by limping and pumping the legs;
• Instability or syndrome of the "drawer";
• The "jamming" of the knee with a sudden blocking of the bone movements.

Important! The conservative treatment of the arthrosis of the knee joint does not help if the disease has a complicated course that can occur in the worst case in the second stage of developing a bone -cold degeneration.In contrast to conventional conservative therapy and alternative techniques, surgery with a severe gonar rose is the 2-3-4 degrees, exceptionally, the operation with a severe gonart rose-like that significantly improves the quality of life over a long lifetime.

Conservative treatment

Non -surgical treatment methods are advisable in the initial phase of deforming arthrosis.The principle of non -surgical treatment suggests:

• Systematic execution of training therapy, which was developed by a specialist on an individual basis;
• Implementation of physiotherapy methods;
• The use of painkillers in the form of ointments, tablets, injections, etc.;
• correct nutrition and according to a special diet, which is prescribed by a doctor;
• Compliance with a special regime of everyday physical activity;
• a complete rejection of bad habits;
• undeniable implementation of re -diagnostic control;
• An annual visit to a specialized medical institution in the sanatorium.

Operation for the arthrosis of the knee joint

Now we will get to know each other with surgical methods where the need arises more often, since the pathology often remains unnoticed in the early stage.In principle, it is already necessary to deal with osteoarthritis in the full "flowering period", which largely covered the joint structures and influenced periartic matter.

• Endoprosthetics - In more than 95 % of cases, it helps to completely restore the lost locomotor and support functions of the knee of the lower limb.The operation is not easy after it follows complex rehabilitation, but the effect is worth it.About 3 months after installing an artificial analogue instead of a native joint that has undergone irreversible pathological changes, a complete amplitude of the leg movements is returned, and pain syndrome is completely eliminated.
• Arthrodesis - The unexplored procedure to "close" the joints due to their aggressive effect on biological structures, but sometimes it has a place to have no way of undergoing an implantation.Its essence is to remove the articular surfaces and the motionless connection of the articular bones with special fastening devices in a cheap position.Over time, a natural fusion of the listed elements occurs.The artificial ankyloses completely block the mobility of the joint, but enables them to achieve a good disorder of the limbs and to reduce pain.
• The osteotomy of the knee - It is also used in extreme situations, for the same reason as arthrodesis, especially if it is necessary to delay the endoprosthetics for several years.At the time of the operational session, the specialist carries out an artificial fracture, shoots bones and places them at a more correct angle to profitably distribute the load on the cartilage elements.  

The irreversible pathogenesis cannot be corrected by physical exercises, you have to understand this.Ointments and even drugs from a number of chondroprotectors, not to mention the grandmother's advice, to be treated with gelatin, will also not play a special role.The maximum that you can help in the neglected state is to prepare the bone muscular devices for the upcoming operation.

Modern knee plants are able to withstand ordinary everyday loads, while they work perfectly for at least 15 years and often for 20-25 years.One person can even play sports with a replaced joint.

Treatment of 3 degrees

Operation is carried out in 3 stages of osteoarthritis.Changes in the joint are strongly pronounced, in this phase the disease reduces the standard of living and the performance of the patient extremely.Bone -viewed damage has reached the critical point at which the tissue of the bone -mixed is no functional meaning.The hyaline cover is almost completely destroyed. 

• An important cartilage is not being restored by itself, including non -surgical methods.
• The bare and flattened surfaces of the interacting bone ending unnatural pressure on each other, constantly rub among themselves, seriously injure the nearby soft tissue and deform even more every day.
• One person has terrible pain, not to mention lost skills to run normally.Patients experience flour every day when the dream is not a joy and there is no break of pain during the day.Only one unit of people notices a relatively tolerable condition.
• Anti -inflammatory analgesics usually have a mild effect, but not "function" more often.It makes no sense in chondroprotectors, since the reinforcements and fuels of the lean remains of cartilage do not save the situation.

The consequences of osteoarthritis of 2-3 degrees sometimes try to treat with a minimally invasive operation (arthroscopy), which is possible to remove marginal osteophytes and extract the torn bone cold fragments from the articular cavity.Such manipulations, as the evaluations testify, easily relieve the patient's condition and easily improve the motor function, but temporarily.Osteoarthrosis in the knee joint remains active and will manifest itself again in the near future. 

The pathogenesis of 3 to 4 degrees is a very serious problem that can really only solve much more complex reconstructive and plastic surgical tactics.So far there is no such procedure that could be compared to endoprosthetics.The replacement of the knee joint with a prosthesis that completely repeats the mechanical characteristics, the configuration of the shapes and sizes of the natural organ, enables you to say goodbye to both the bad pathology and the disability that it has "admitted" to you.

The disease continues quickly and can be reached from a moderately medium phase to 4 degrees within a few months.The operation must be kept as soon as possible until degenerative processes penetrate deep into the bones.Highly damaged bones can cause difficulties in making an endoprosthesis.

Many, not fully recognized that the severity of degeneration that has occurred is not comparable to conservative and non -traditional tactics, try to use all the ways to use all options, to swallow tablets and apply ointments to the wound area.Someone turns to osteopaths, private doctors who practice all possible alternative methods.Unfortunately, they will not violate nature, healing will not come after them, and this fact must be reconciled.So throw off the meaningless activities, act carefully.

Your physical livelihood completely depends on your solution!You can continue to suffer from stiffness and pain in order to unsuccessfully test procedures for "empty" treatment methods: medicines and non -standard products that have no efficiency of the efficiency of your illness.And you can undergo surgical treatment and lead a full life, free yourself from past suffering and supporting devices.

It is not necessary to worry about surgery, modern technologies have stepped far forward, and today the knee joints with permanent implants are changing abroad.After such an implantation in a good clinic, the risk of complication is minimal (1-2 %), and the restoration of mobility functions takes place in more than 95 % of the cases.After replacing the joint, the rehabilitation course follows 3-4 months, which provides:

• Physical recovery through special therapeutic exercises;
• Taking medication (antibiotics, anti -drombotic drugs, etc.);
• The program of physiotherapy, including myostimulation, anti -inflammatory, pain reliever and wound healing process;
• Massage sessions (in the later stages of rehabilitation).

It is useful to know! After 1 degree, the disease can be stopped and prevented conservatively.If you do nothing and start knee osteoarthritis and exceed 1 to 2 degrees, treatment with medication is much more problematic, but a non -surgery approach is still suitable for a certain category of patients.The last two phases are always a company.

Treatment of 2 degrees

With medium -sized gravity gonar rose, the quality of life is already quite spoiled.The painful knee is more disturbing, the painful syndrome manifests itself more often and more intensively than at the beginning of the disease.The pain is particularly pronounced after the morning wake, while lifted and descended on the stairs.Often there is a feeling of unpleasant numbness, which appears in one position after a long walking and standing.The flexion in the knee area is reduced, the patient cannot bend his leg, as the physiology requires.One person begins to save their limb and almost does not try to step on why a gradual muscle atrophy occurs.

We focus on this treatment without failure implies a qualified integrated approach.

• If the doctor does not see the urgent need for operations, primarily a reduction in the problem of the problematic department is prescribed.In the presence of obesity to good discharge of those affected by arthrosis, you must adjust the body weight and adhere to the diet that the doctor recommends to you.
• All patients are prescribed the use of special orthopedic devices at the time of movement.Depending on the existing problem, this can be knee lixers, compression lines, elastic bandages, stick, crutches, hikers.
• In addition, an orthopedic traumatologist will prescribe a kind of exercise that helps to strengthen and increase the endurance of the muscles of the affected limb.
• In addition, osteoarthritis in moderately medium manifestation includes the use of medicinal products that contain substances that are present in the cartilage tissue of the knee.This includes connections based on chondroitin sulfate, injections of hyaluronic acid, medicines with glucosamine.You cannot restore the cartilage, but saturate it with nutrient components so that the remission of the disease can be reached.
• Physiuming procedures are also recommended, but they are only used after all the signs of inflammation have disappeared.In the medical facility, for example, physical sessions with laser, magnet or ultrasound should be kept.Thanks to physiotherapy, nutrition and metabolism improve in bones, muscles and cartilaginous tissue.If you have bought a Vibro -Acoustic device for home use, you will first find the specialist about the possibility of using in your diagnosis and the features of the operation of the device.

We examined the basic principles according to which the official treatment of osteoarthritis is based on the standards of orthopedics.Since many people with osteoarthritis 2 tablespoons.They are very interested in alternative methods and are looking for their redemption in them.We offer to get to know the most popular of you.And we find out whether they are as unique as they are on the Internet.

Stem cells for the treatment of the knee

We will talk about the car transplantation of MEZINHAMAL stem cells for a patient with gonar rose of the knee, which was taken from the comb of the pelvic or thigh bone.According to interested sources, cell therapy will almost achieve the self -night of the entire joint by activating regenerative processes of self -heating in the damaged segment.Thanks to this technology, it is theoretical to improve the components of the units of the bone -Canic organ.In practice, however, there is not a single "living" radiological evidence that would confirm that the joint became healthy after the introduction of stem cells in the affected area.

The positive effects of stem cells on the joints and bones have not been proven under great doubt, since this technique has not yet been recognized in orthopedics.Scientists only study and experiment.In addition, there is information about the uncertain effect of stem cells on the human body, which can provoke oncology according to extensive experts.What about the people who paid the procedure while they were satisfied with the result?Here we can only say one thing: Many patients will believe in this kind of money and in eternal life, but the placebo effect does not work long, it doesn't forget.

Treatment with mud

Therapeutic sludge sources containing unique components (magnesium, chrome, iodine, bromine, calcium nitrate, etc.) contribute to reducing painful symptoms, increasing blood flow to cross zones, stimulation of metabolism.They are of great importance for people with a mild stage of illness or patients who have already underwent surgery on their legs.It is permissible to carry out sludge therapy at 2 degrees if the doctor believes that the natural means in combination with the main treatment program reduces aggression of pathological phenomena (stop progression) and improves the clinical overall picture.Mudley is practiced in special medical institutions in the resort and leisure type.Natural healing sludge based on peloids is used in the form of applications and in combination with the method of galvanization (electrophoresis).

With gelatin

Natural gelatin is a safe tool that makes it possible to maintain joint structures in good condition.It is recommended to consume a jelly substrate diluted in water.According to the reviews of some doctors, gelatin is more faster and more productive to influence bone, cartilage and muscle league elements.Experts emphasize that this method has no healing properties and only promotes the prevention of osteoarthritis.As a result, with the already consistent pathogenesis, the gelatinochz with a lack of pathology or in the earliest stages can only be regarded as a measure of the prevention of appearance or progression degenerative-dystrophic changes.If the disease is of medium and serious nature, this approach is not carried out for preventive purposes.

Ayurveda for the joints

Modern non-traditional medicine is known for many extraordinary trends, including the treatment of Ayurveda from various parts of the musculoskeletal system.After this unofficial course, the damage to the joint is associated with the excess of toxins that is accumulated in the body The harmful mechanism of the impaired energy balance (cotton) weakens primarily from Agni or digestive fire, which led to the accumulation of unfortunate food residues (AMA) in the intestine.They release toxins that transports blood to the joint, where harmful substances colonized and inhibit the metabolic processes.

According to Ayurveda, osteoarthritis is divided into different types, and its own treatment system was invented for each type.The basis of everyone is a diet, grass -thelert, take the Ayurvedic tablets, and powder, joga and breathing goods, the healing.Scientific high technologies, can you believe that herbal powder, treatment with thoughts and other tactics that heal Ayurveda, irreversible deformations?!

Salt compresses

Salt is used to produce a saturated salt solution that is used to impregnate compresses that are applied to the aching point for several hours.Such therapy should not be regarded as an independent means and all the more as a panarical remedy for gonarthrosis.Salt can temporarily calm pain and save soft tissues from edema that cover the bone structure without damage to biological structures.But it will not heal the disease and will not put the patient on the patient's feet!Its effect is purely symptomatic.The solution is produced at a speed of: 100 g salt per 1 liter of water temperature.

It's too familiar too familiar! Sometimes salt is used in dry heated shape, which is placed in a bag, and the local heating of the knee is carried out.Sometimes as wet, but hot bandages.Hot methods are dangerous with purulent anti -inflammatory processes in the joint cavity and only tighten the clinical image.Therefore, do not use such recipes without being sure that the defeat is not accompanied by a similar process.