The osteoarthritis of the knee joint in medical dictionaries is under the name of "gonarthrosis".
What is this?A disease caused by a degenerative-dystrophic process that affects cartilage of the hyalin knee.
The symptoms of articulation of the joint develop slowly, for years, manifesting itself by a painful sign which prevents movements.Among other joint osteoarthritis, namely the knee and not the hip, the elbow, the shoulder or the phalanx, occupies a peak position in the number of suffering patients.
Statistical data leads to the conclusion that more than others, osteoarthritis of the knee joint is subject to people aged forty and over, and mostly among the low half of the population.
Often, the development of the disease is observed in very young people, but it is associated with injuries or excessive charges in athletes.
Causes
It is impossible to affirmively declare the existence of a single reason which promotes the development of osteoarthritis of the knee joint, however, it is proven that there are a certain set of provocative factors, under the influence of which the risk of such a violation increases with age.In medicine, there are two mechanisms explaining the occurrence of osteoarthritis:
- Primary - implies the main reason for the age factor (aging body and all tissues), as well as obesity, hereditary predisposition and regular physical activity.
- Secondary - is in 30% of patients with articulation osteoarthritis and is explained by the result of an injury (fractures of the lower leg, ligament gusts and damage to cartilage, meniscus).In such cases, osteoarthritis begins its demonstration after 3 to 4 years and with serious damage even after a few months.
Some facts on the gonartrose of the joints.
In medical practice, there were cases where people after 40 years started active sports, in particular an intensive race and squats.With age -related changes, it is impossible to strongly load the body and its individual parts, this can cause the activation of dystrophic and degenerative processes in the joints.
In addition to injuries and serious damage, background diseases (psoriatic, reactive or rheumatoid arthritis; varicose veins) can affect the occurrence of articulation;
Professional sports, regular physical activity, hard work or weighting, frequent climbing on stairs to high floors in old age are also able to lead to the development of the disease in knee joint.In the risk zone, there is a place for those who have undergone injuries to the spine, neurological diseases, meal diabetes, metabolic disorders and hereditary weakness of the ligentry apparatus.
In half or even most cases of this joint disease, the deep cause was a spasm in the muscles of the front surface of the thigh.Before the pain begins to manifest itself in the knees, this spasm can remain unnoticed for a long time, when a person causes discomfort, lumbar pain, tired state and heaviness in the legs.The constant spasmodic state of the rectus and the muscle loving the iliac of the thigh, over the years, "pulls" the knees, blocking their free movement.
Sensational discovery in medicine.
More recently, Belgian orthopedic surgeons in the city of Leven have discovered an anterolateral ligament so far unknown and so far unexplored (all), located on the knee of a person.Another name of the ligament is "front-line".
It has been noted that some patients even after operating the knee ligaments felt the instability of the joint, as well as from minor load pain.
Four years studies on nearly fifty knee joints have given their superb "fruits" in the form of the opening of this ligament, completely unknown to date.The anterolateral ligament provides the rotation function of the tibia.It requires surgical correction for operations carried out after injuries, which, out of ignorance, the doctors of the orthopedists have always neglected.
The first, the second and third degree of osteoarthritis of the knee joint
As you know, gonarthrosis in most cases develops in one of the joints, and taking into account the intensity of pathological processes, medicine has identified the 3 degrees of arthritis of the joints:
1 degree
At this stage of the "emergence" of the disease, there is no bone and joint deformation, the manifestation of the disease lies in the short time linked to the charges of pain in the joint.An incredible swelling of the joint is also possible, which can disappear independently.
2 degrees
This step is characterized by intense and long pain, pushing with a little physical effort, a walk, after gravity.You can clearly hear a crunch in the joint.At the second stage, the deformation of the joint begins to develop, which leads to a moderate restriction of the movement.
3 degrees
Symptoms are actively developed and manifest themselves entirely.Regular pain leads to a disturbance of the walking, the deformation of the joint is completely visible, its mobility is limited.Strengthening pain depends on the change in weather conditions.The piercing nature of pain disrupts the dream, it becomes difficult to choose a practical position.
With what is osteoarthritis of the knee joint?
- The blockade of the knee joint and the damage to the meniscus.This disease is characterized by active development, occurs after an unsuccessful crimging in a knee cup with acute pain, which lightly lights up after a quarter of an hour.The next day, there is swelling of the knee.
- Reactive, psorias, rheumatoid arthritis, joint rheumatism, drop.The main difference between osteoarthritis and arthritis is in blood.The results of osteoarthritis analysis will not reveal any change, but in the results with arthritis, everything will indicate the inflammatory process.
- Inflammation of knee tendons.Women after 40 years can feel pain in the elevators and descents on the stairs and the port.The pain is concentrated on the inner surface, without any restriction on the knees.
- Vascular knee pain.The pain occurs both on two knees (symmetrically), often in adolescence with accelerated bone growth, can appear as a result of meteorological change, with a cold and physical activity.Patients call for this "twisted" knee condition.
Symptoms of osteoarthritis of the knee joint
When the disease appears, symptoms are gradually occurring.At the initial stage, only a minimum of discomfort appears, insignificant pain of hikes on the stairs - it is the SMP -Finemoral syndrome so Called.A distinctive characteristic of osteoarthritis of the knee joint is a symptom of starting pain.With a good change in position from the seal to the position, the first steps are given very painfully.However, the pain starts with each movement, but can come back after a tangible load.The external state of the knee does not change immediately.It is only because of the accumulation of liquid, it can slightly release or become spherical.
Initially, osteoarthritis leads to the fact that the blood supply of hyalin cartilage is disturbed, over time, it dries and cracks.Therefore, there are obstacles to the movement of cartilage, which contribute to the microtrauma of the tissues.On bone structures, growths are formed, leading to an even more complicated contribution of nutrients and degeneration of cartilage.
Due to such a pathology, the second step is characterized by increased symptoms and for the appearance of intense pain the slightest load.Restful, she calms down, but continuing to move - she returns again.It becomes impossible to fold the leg as much as possible because an acute interfere pain, a raw crunch is noticeable during walking.
When osteoarthritis was finally impressed by the knee joint, the bone is completely deformed, there is practically no cartilage tissue.The pain does not give rest around the clock, the lie and the standing position, the legs can bend and become X or on figuratives, it is very difficult to walk without support for the patient.
Diagnosis and treatment of osteoarthritis
The first degree of osteoarthritis does not make it possible to diagnose the disease using a normal examination, but out of 2 and 3 notable deformations of the joint and the bones become a clear sign, the axis of the members' changes, the movements are limited and accompanied by crunch.
In addition to the standard radiode, more effective methods are used - these are CT and MRI.
Chondroprotective agents are prescribed as a drug treatment to replace synovial fluid.Also for treatment, intra-articular administration of steroid hormones may be necessary.The treatment to the object of sanatorium is very useful.
The treatment of osteoarthritis of the knee joint of the 3rd degree should be complex and made up of drugs and special procedures, such as physiotherapy, therapeutic massage and gymnastics, and mud.
As a modern treatment method, injections in the knee joint are used for osteoarthritis, drugs are used for this in the form of hyaluronic acid.It serves as a "liquid" prosthesis which fulfills the functions of a real synovial liquid which provides lubrication of joint surfaces, nutrition and restoration.
In the event of an inaccessible treatment, the possibility of joint endoprothetics is not excluded, but only if the patient is at a young age, osteoarthritis is strongly expressed in pain and that the movement is completely limited.
Diet
Disturbed exchange, exhaustiveness, obesity, all this can lead to an additional load on the joints, in particular to such weakness.If you have diagnosed a distorting osteoarthritis of the right knee or left joint, you should immediately review your daily diet.It should prevail light dishes prepared in an unpretentious way - boiled, traced or steamed.Their regular use will result in gradual and safe loss of additional books, which will appeal to joints, ligaments and all internal organs.
But also, the diet with articulation of the joints for treatment should combine products that favorably affect tissues, bones and cartilage, restore them if possible.Here, it is worth paying attention to a strong broth prepared from bones, a cold man and jelly.
Proteins must also be present daily for treatment.You can pull it from chicken and rabbit meat, cheese and cottage cheese, as well as legumes.The painful joints need a lot of vitamin E, therefore in the almond (or the hazelnut) and the baked fish, never denies you.
Useful carbohydrates are consumed from various cereals, sweet fruits and whole grain bread.Eating with osteoarthritis of the knee joint cannot be represented without vegetables, the useful of them is colorful cabbage, broccoli, zucchini, pumpkin and carrots.
Exercise therapy
Treatment using physiotherapy exercises with osteoarthritis of the knee joint can only be an auxiliary method and in accordance with the doctor.
Such gymnastics is very simple to execute and requires no investment, but, despite this, it is very effective.Here are some exercises in exercise therapy with articulation osteoarthritis:
- Lying on the ground, on the stomach, you must fold and fold the knee joints of both legs alternately.
- Go back to the back, pull the knee from each leg to the stomach in turn and put the leg back to its original position.
- Perform dozens of rotation movements with the lower limbs called "bicycle".
- Cross the leg on the type of imitation of "scissors".
Treatment exercises with joint osteoarthritis are good to combine with massage.
The treatment with massage with osteoarthritis of the knee joint can even be done independently, after having studied the correct technique of its implementation.
Portal administration categorically does not recommend self-medication and the first symptoms of the disease advises seeing a doctor.Our portal presents the best specialized doctors who can be registered online or by phone.You can choose an appropriate doctor yourself or we will pick it up for free.Also only during registration by us, the price of the consultation will be lower than that of the clinic itself.This is our little gift for our visitors.Be healthy!