Arthrosis of the knee joint: what are these levels, symptoms and myths about treatment

Knee joint arthrosis is a complex disease of the degenerative-dystrophic properties, which affects the bone of the knee.The disease most often affects the knee department in the lower leg.Pathological changes in cartilage and human-peri-peri-peri-peri, which in most cases develop against the background of injury, body aging, violation of autoimmune properties, seriously inhibit the potential of musculoskeletal legs.The joints become rigid, loss of stability, normal motor and depreciation ability.As a result, it is gradually defective, and at the last stage it fails completely.

The deterioration in the articular tissue is shown not only in the form of lower physical dysfunction, but also with a painful sensation in it.In severe courses, pathology causes defects, in some cases - paralysis.In light of frustrating prognosis, it is important to identify as early as possible and begin to treat it immediately.

Important about the disease

It is important for patients to familiarize themselves with materials to master information in full information on the mechanism of appearance and clinical manifestations of pathology.We immediately notice that arthrosis and arthritis are interrelated, as the disease being considered is the result of arthritis disease.But where are the diseases of the disease, which without forgiveness destroys the most important bone connection?What is the severity of gonartrosis and with what manifestations can be recognized?

The cause of arthrosis

Degenerative-Dystrophic pathogenesis "launches" the following factors:

• Injuries that have experienced - lower leg fractures, knee dislocation, damage to meniscus, tears and ligaments, falling on the knees, all kinds of bruises;
• Excessive physical activity;
• SEDENTARI LIFE;
• High weight index;
• Systemic pathology for rheumatoid, gouty, psoriatic, lupus erythematosus systemic;
• genetic weaknesses inherited by the ligamentous system or congenital setback elements -joint structure;
• metabolic disorders and blood flow;
• hormone failure, diabetes and other endocrine pathology;
• Transferred or infectious diseases and chronic inflammation.

Often, people themselves are the cause of the fact that it is difficult to develop a joint disease.Often, after being injured, they ignore an appeal to a specialist, preferring to prepare first pain, home -made lotions and so on.And a few years later, due to the inadequate treatment spent in the past, they came to see a doctor with gonarthrosis, at best, moderate.And here, a physical prevention and analgesic ointment, as at first, you cannot do, often need to act radically, using surgical tactics.

The degree of destruction

In orthopedic, the disease is divided into stage, from which experts are rejected in the future when organizing the treatment regimen.Levels, properties, localization, original properties of the destruction of bone compounds in the knee are lowered by several diagnostic measures, such as radiography, MRI, CT, ultrasound, various types of blood and urine tests.

It cannot be questioned by qualitative treatment without detailed information, both on the condition of the knee joint, and about the characteristics of the patient's body, as well as without a visit to the doctor and the acceptance of adequate therapeutic recommendations.Therefore, wanting to improve the quality of life, do not overlook the visit to an experienced expert, only he can tell you if it may be done with a qualified conservative help or, however, with your problem, only surgical intervention will be effective.

Pathology has several stages of development, according to the classification of kellgren there are only four of them.All of them characterize the severity of morphological changes (the presence of osteophytes, decrease in the volume of articular cartilage and the degree of thinning, narrowing of the joint gap, etc.).) 

• First -stage arthrosis - This is a disease that is only born.External symptoms are mild or absent, congruent and shared shape are satisfactory.In picture X -ray or MRI picture, small regional osteophytes are detected along the edges of the articular surface, in the problematic department, slow subcondral osteosclerosis, and small bone cysts.Joint gaps are usually normal or change, but not important.
• In the event of a disease secondIn addition to the above clues, The focus of osteocosclerotic is clearer, the narrowing of the flow gap can be clearly seen.Patients start to become stronger and often interfere with pain during walking, descent/climb stairs, long standing, sometimes at night.Destruction of destruction develops, movement in the joints is obtained in low self -esteem, especially when bending.
• The third stage It is characterized by sharp development of degeneration and irreversible deformation.The joint configuration appears to be distorted, the distance between the surface of the joint decreases, the growth of the bone in the form of increased size.The pain is prolonged and pronounced, and it concerns someone even when resting, the shortage is severe.Dependence on support and external assistance devices appears. 
• The fourth stageDegenerative-dystrophic pathogenesis, when there is a large osteophytic growth, the hyaline cartilage is completely destroyed, the joint gap is lost or almost no effect, the articular bone epiphyses that form the articulation of the defect in the most powerful way.Knee joints are recognized as the body of an unforgettable musculoskeletal system, one becomes disabled. 

Symptoms and complaints

The severity of clinical manifestations depends not only on the pathomorphological features, but also on personality factors.In any case, there is a bit of fun in gonarthrosis, very difficult to transfer to both 2 and 3-4 tablespoons.The general list of symptoms includes:

• Pain syndrome, especially mechanical (stupid, pain, sharp, sudden, periodically and permanent);
• the appearance of crisis during movement;
• joint stiffness;
• Movement amplitude restrictions;
• muscle weakness of the limbs;
• Skin hyperthermia and swelling in the knee zone;
• Changes in walking style, indicated by limping and pumping feet;
• instability or "drawer" syndrome;
• The "jamming" of the knee that occurs with the blockage suddenly -the movement of the bone connection.

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

Conservative treatment

Non -surgical treatment methods are advised in the early phase of arthrosis defects.The principle of non -Kurgi treatment shows:

• systematic implementation of training therapy, developed by professionals individually;
• carry out physiotherapy procedures;
• the use of painkillers in the form of ointments, tablets, injections, and others;
• proper nutrition and following a special diet prescribed by your doctor;
• compliance with the special regime of physical activity daily;
• complete rejection of bad habits;
• cannot be questioned from diagnostic control;
• Annual visit to specialized sanatorium-resort medical institutions.

Operation for knee joint arthrosis

Now we will recognize the method of surgery where the needs are more frequent, as in the early stages of the pathology are often unknown.Basically, it is necessary to deal with arthrosis in a complete "glory age", which largely covers the articular structure and influence the periarticular matter.

• Endoprosthetics - It helps in more than 95 % of cases to fully restore the missing locomotor and the lower limb support function.This operation is not easy, after it has followed a complex recovery, but the effect is worth it.About 3 months after the installation of artificial analogs, rather than natural joints, which have undergone irreversible pathological changes, full amplitude of the foot movement, and the pain syndrome is completely eliminated.
• Arthrodesis - Procedures that have not been explored on the "near" joints, due to their aggressive effect on biological structure, but sometimes they have a place to be, for example, if one does not have the opportunity to undergo implantation.The point is to remove the articular surface and an articular bone -free connection with a special setting device in a good position.Over time, the natural combination of listed elements occurs.Artificial ankylosis prevents the movement of the joints, but allows you to achieve good disruption to the limbs and reduce pain.
• Osteotomy of the knee - It is also used in extreme situations, for the same reason as arthrodesis, in particular, when it is necessary to slow down endoprosthetics for years.During the operation session, the specialist performs artificial fractures, shooting bones and placing them at a more accurate angle, to profitably distribute the load on cartilage elements.  

Inaccessible pathogenesis cannot be corrected by physical training, you must understand this.Ointment and medicines from a series of chondroprotectors, not yet grandma's advice to be treated with gelatin, will not play a specific role either.The maximum they can help in the neglected matters is to provide bone muscle tools for future surgery.

Modern knee implants can withstand normal daily loads, while working perfectly for at least 15 years, and often 20-25 years.One can also be involved in several sports with replaced joints.

3 -degree treatment

In 3 stages of arthrosis, surgery is performed.Changes in the joints are very significant, in this phase the disease greatly reduces the standard of living and performance of the patient.Bone damage has reached a critical point where the bone compound tissues do not represent any functional importance.Hyaline's protection is almost completely destroyed. 

• An important cartilage is not restored by itself, including through non -surgical methods.
• The naked and flat surfaces of the bone interacting with the tip of improper pressure from each other, always rubbing between them, seriously injuring soft tissue and defects closer daily.
• One feels terrible pain, let alone losing the ability to walk normally.The patient has daily flour, when the dream is not a joy, and during the day there is no rest from pain.Only one unit of people recorded a relatively acceptable situation.
• Anti -anti -analgesic drugs, as a rule, have a mild effect, but do not "work" more often.It does not make sense in chondroprotectors, due to the strengthening and removal of waste -less cartilage does not save the situation.

The result of 2-3 degrees arthrosis is sometimes tried to treat with minimal invasive surgery (arthroscopy), where it is possible to remove marginal osteophytes, as well as extract the torn bone fragments from the joint cavity.Such manipulation, because reviews testify, slightly reducing the patient's condition, slightly improving motor function, but temporarily.Osteoarthrosis in the knee joint remains active, and in the near future it will be real. 

3-4 degrees pathogenesis is a very serious problem, which is really possible to solve only more complex reconstructive and plastic surgical tactics.To date, no such procedure can be compared to endoprosthetics.Replacing the knee joints with prosthesis, repeating the mechanical features, configuration of the shape and size of the natural organs, will make it possible to say goodbye to diseased pathologies and defects, which "award you".

The disease develops rapidly and can from moderate to 4 degrees in a few months.Surgery should be performed as soon as possible, until the degenerative process penetrates deep into the bone.Very damaged bones can cause difficulties with endoprosthesis production.

Many, unaware that the severity of degeneration that has occurred cannot be compared to conservative and non -traditional tactics, trying to surround the operation in every way, swallowing tablets with grasping, using ointment in the hospital.A person turns to osteopaths, a private doctor practices all types of alternative methods.Unfortunately, you will not oppose nature, healing will not come after them, and this fact must be reconciled.Therefore, remove meaningless efforts, act wisely.

Your physical endurance depends entirely on your solution!You can continue to suffer from stiffness and pain, in the usual test -a "empty" treatment method: medications and non -standard products that do not have evidence -based efficiency in your illness.And you can undergo surgical treatment and start living a full life, freeing yourself from past suffering and support devices.

It doesn't have to be worried about surgery, modern technology has gone a long way, and today abroad brillifies the knee joint with durable implants.After the implantation implemented in a good clinic, the risk of complications is minimal (1-2 %), and the recovery of mobility function occurs more than 95 % of cases.After replacing the joints, the recovery course will follow 3-4 months, which provides:

• Physical recovery through special therapeutic training;
• taking medications (antibiotics, antitrombotic drugs, etc.);
• Physiotherapy programs, including myostimulating, anti -inflammation, painkillers and wound healing procedures;
• Massage session (at the later recovery level).

It's useful to know! At 1 degree, the disease can be stopped and prevented conservatively.If you do not do anything and start a knee arthrosis, allowing it to cross from 1 to 2 degrees, treatment with medication will be more problematic, but the non -Kurgi approach is still suitable for certain patients categories.The last two stages are always operating.

2 -degree treatment

With moderate gravity gonartrosis, the quality of life has become damaged.The sore knee is more troublesome, the painful syndrome shows itself more often and is more intense than at the beginning of the disease.The pain was mainly mentioned immediately after the rise of the morning, while lifting and the descent on the stairs.There is usually an unpleasant feeling, which appears after walking and long standing in one position.Flexion in the knee region is reduced, patients cannot bend their feet, as needed by physiology.Someone began to release his limbs, trying to almost step on it, which is why muscle atrophy is gradually.

We focus on the treatment without failing to imply a qualified integrated approach.

• If the doctor does not see the urgent need for surgery, the reduction in the problematic department is prescribed primarily.With the presence of excess weight, to ensure good loading affected by arthrosis, it is necessary to adjust the weight, adhere to the diet suggested by the doctor.
• All patients are prescribed the use of special orthopedic devices at the time of movement.This, depending on the existing problem, can be a knee supplier, compression linen, elastic bandage, cane, stick, pedestrian.
• In addition, orthopedic traumatologists will set a set of exercises, which will help strengthen and improve the muscle endurance of the affected member.
• Also, arthrosis in moderate manifestations involves the use of drugs, which include substances found in knee cartilage tissue.These include compounds based on chondroitin sulfate, hyaluronic acid injection, drugs with glucosamine.They cannot restore the cartilage, but pat it with the nutrient component, so that the disease can be achieved.
• Physium procedures are also recommended, however, it is only used after all signs of inflammation disappear.Physical sessions, for example, with lasers, magnets or ultrasounds, should be held in medical facilities.Thanks to physiotherapy, nutrition and metabolism in the bones, muscles, and cartilagin tissue improved.If you buy a Vibro -Arustic device for home use, start knowing from a specialist about possible use in your diagnosis and the feature of the device operating.

We study the basic principles in which the official treatment of arthrosis is based on orthopedic standards.Because many people with 2 tablespoons osteoarthritis.They are very interested in alternative methods, find their safety in it, we offer to recognize the most popular of them.And we know if they are unique because they present it on the internet.

Stem cells for knee treatment

We will talk about mezinhamal stem cell autotransplantation to patients with knee gonartrosis taken from pelvic or femoral bone brush.Cell therapy, according to interested sources, will achieve, almost -self -esteem of the entire joint by activating the regenerative process of self in a damaged segment.Thanks to this technology, theoretically achieved improvement in the components of a cheerful organ unit.However, in practice, there is no single "live" radiographic evidence that will confirm that after the introduction of stem cells in the affected area, the joints become healthy.

The positive effects of stem cells on joints and bones have not been proven to be huge, as this technique has not been recognized in orthopedic.Scientists just learn and try.In addition, there is information on the effects of unsafe stem cells on the human body, which, according to highly comprehensive experts, can trigger oncology.What about the people who paid the procedure, while they were satisfied with the results?Here we can only say one thing: many patients will believe in such money and in life permanent, but the placebo effects do not work long, don't forget either.

Treatment with mud

Therapeutic sources containing unique components (magnesium, chrome, iodine, bromine, calcium nitrate, and others) contribute to reducing painful symptoms, increasing blood flow to the pain zone, metabolism stimulation.They are the biggest value for people with a level of disease or patients who have undergone operating in the foot.It is allowed to perform mud therapy up to 2 degrees, if doctors believe that natural remedies in combination with the main treatment program will reduce the intrusion of pathological phenomena (stop development) and increase the overall clinical picture.Mudley is practiced at special medical institutions of resort and recreational types.Natural healing mud based on the peloid is used in the form of applications and combined with the galvanization (electrophoresis) method.

Using gelatin

Natural gelatin is a safe tool that allows for good structure in good condition.Substrates such as melted jelly in water are recommended to eat.According to some doctors reviews, gelatin is very fast and more productive to affect bone elements, cartilage and muscles.Experts emphasize that this method has no healing properties, it only promotes the prevention of arthrosis.Therefore, with consistent pathogenesis, gelatinochence, in the case of pathological deficiency or at the earliest level, can be considered exclusively as a measure of prevention of appearance or development of degenerative-dystrophic changes.When the disease is simple and severe, this approach will not be made for preventive purposes.

Ayurveda for joints

Modern non -traditional medicine is known for its remarkable trends, including treatments for ayurvedic from various parts of the musculoskeletal system.According to this unofficial course, damage to the joints is associated with excess toxins accumulated in the body due to energy harmony.The mechanism that impairs the affected energy balance (cotton) is Agni's weakness, or digestive fire, which results in the accumulation of dissatisfied food waste (AMA) in the intestine.They release toxins that transport blood to the joints, where harmful substances are resolved and inhibit the metabolic process.

According to Ayurveda, osteoarthritis is classified into several types, and for each type, its own treatment system has been created, each base is a diet, grass -phelert, taking ayurvedic tablets and powders, yoga and gymnasium that are not possible, high technology, can you believe that herbal powder, treatment with other unimaginable deformation?

Salt compress

Salt is used to provide saturated salt solution used to compress compression, which is used for a sore area for several hours.Such therapy should not be considered a free drug, and more as a remedy for gonarthrosis.Salt can convince temporary pain, saving soft tissue from edema that covers bone structure without harming the biological structure.But he will not cure the disease and will not put the patient on the patient's feet!His actions are alone.The solution is provided at a rate: 100 g of salt is taken every 1 liter of water temperature.

Need to get used to it! Sometimes salts are used in dry heat, which are placed in a bag, and local knee heating is done.Sometimes as a wet, but hot wrap.The hot hot procedure with the purulent inflammation process in the joint cavity, they will only exacerbate the clinical picture.Therefore, do not use such a recipe without sure that the defeat is not accompanied by the same process.