The articity of the knee joint combines two processes: the destruction of cartilage and the growth of the genus or bone spurs.The stage of this process is determined by an X-ray.Arthritis is believed to be a natural aging process that destroys the knee joints as you age.The reason is that the muscles are weakened and the blood supply is insufficient.How to treat yourself without surgery?Eliminate factors that reduce muscle tone.
reason
The cause of arthritis still does not depend on the medication.The only naming risk factors:Aged over 45 years old, knee injury and overweight.Almost 50% of the adult population have ever complained about the knee joint.
As the joints work, the cartilage at the edge of the bone is worn or completely absent.The damaged tissue is not the source of pain because it has no receptors.Inflammation of nearby structures can lead to characteristic symptoms.
The body continues to regenerate damaged tissue, but the cartilage grows unevenly.As a result, irregularities are formed that damage other elements of the joint.The properties of bone plants are explained by compensation for smoothing articular cartilage.Another version shows the growth of the "Spurs"Due to weakening of the muscle, it is related to attempts to stabilize the medial or lateral joints.
What is the chronic joint nature of the knee joint?The tendons and ligaments only suffer pain when muscle forces no longer hold the bones and control them.Therefore, the biomechanical causes that distinguish pain from joints:
- On the background of a long seatThere is compression between the inguinal ligament and the lobe muscles of the femoral artery and nerves, which weakens the strength of the anterior thigh and causes tendon tension in the knee cup.
- Squeeze the gluteus muscles while sitting for a long timeWeak them.Instead, the pear-shaped muscles begin to work and the sciatic nerve passes.During compression, the biceps muscles weaken and the angles of the thighs and lower legs change.Knee injury.
- High heels walkingIt causes tension in the calf muscles, expands the pelvis, and weakens the average gluteus muscles.The femoral bone turns inward, the ligaments are loaded along the inside of the knee, the medial meniscus, and bone plants grow.
- Flat feetRelated to wearing uncomfortable shoes, weak muscles and increased spondylosis, spreading the shin outward, which can cause knee pain because it violates biomechanics and develops the baker's cyst.
The pathological chains that affect the knee are associated with the decline of the coccyx in childhood, and scoliosis is caused by visceral diseases.People with different shoulder heights,As time goes by, they start to complain about their knees, because the fascial chain in the front of the body includes the extensor muscle of the joint - the rectus muscle of the thigh.
symptom
The degeneration process destroys the function of the joints, causing pain and stiffness.Believe it isStart with cartilage and bones, and the effect on muscles begins.Exercise shows the opposite -Knee pain occurs in the tendon- Extenders, flexors and knee stabilizers for muscles.
Key signs of cartilage wear threat:
- From time to time, the feeling of walking related discomfort and a “not too surrender”.
- The pain occurs directly on joints and muscles, bend and stretch - squat down and climb up the stairs.
- For example, when the knee pain and stiffness are associated with venous blood stagnation, knee pain and stiffness.
The main signs of arthritis are caused by loads of weak muscles:
- The knee in the knee is related to the fact that the gluteus and biceps that extend to the thighs do not work, and the muscles of the thighs are overstretched, causing discomfort on the knee.
- Pain when flexing the joint is associated with weaknesses in the flexor muscles – the biceps and tension of the biceps tendons.
Swelling is caused by damage to soft tissue, inflammation of the tendons and joint pockets.The appearance of heat in the knee, swelling indicates accumulation of inflammatory exudate -Arthritis is usually accompanied by bursitis, synovial membrane, and tendonitis.
The tightness of the knee is painless and traumatic.The jingle and other sounds are not meant to mean that the bones are worn.Signs of violation of knee stability -One of the weaknesses of muscle control.
The creed caused by bone friction on the bone does not occur at the beginning and end of the motion amplitude, but in the middleEven if the joint is passively flexed.Joint obstruction is caused by wear of the cartilage and tendons, which creates a sense of fixation.Any movement of bones is controlled by muscles.Their premature reduction leads to changes in bone movement and blockage.
1 degree
X-rays determine the degree of joint occurrenceRevealing the pathological processes involved in bone structure.Their changes indicate that the muscle system has been imbalanced for 5-10 years.Usually, peopleFor several years, they have been suffering.
In the first stage of the joint, which was detected by chance, with a slight increase in bone spur occurrence.Growth occurs in the most unstable parts of the joints.Usually, patients rarely experience pain or discomfort during exercise.
The weaknesses of some muscles are compensated by the function of others without causing severe cramps and overload.Running and weight training can cause symptoms due to weakening muscles.Muscle weakness (hypotension) is associated with impaired blood supply and nerve innervation.
2 degrees
The second stage of the joint is considered easy.X-rays showed obvious bone spurs, but the cartilage was not affected.The amount of synovial fluid has decreased, but there are symptoms of pain after walking and running for a long time, stiffness during bending, and pain in knee positions.
Early X-ray characteristics of the second stage of the knee joint:
- The tip edge of the tip nodule on the tibia, with cruciate ligaments attached;
- The medial joint space becomes narrower;
- The medial bone has a less transverse edge - depending on the development of extroversion or variable joint deformation.
Stage 2 in LarsonMore than 50% of the stenosis of joint space is characteristic, but this can only be checked by different dynamics or comparisons from the joints.
3 degrees
In the third stage of arthritisPain and joint stretching during flexion become constant.During the aggravation, the joints blush and swell, and the pain does not stop at rest.Swelling appears around the knees and the joints are obviously deformed.
Signs of moderate jointness in the third stage:
- The joint space was significantly reduced;
- Subchondral sclerosis is present in load sections;
- There are many bone plants on the edge;
- Rare appearance of subchondral cysts;
- Synovites, the appearance of a baker cyst under the knee;
- The surface of the femur and tibia is uneven, and the loss of joints;
- Change the shape of the bone;
- calcification and cartilage focus;
Stage 4 is rarely supplemented by necrotic lesions.Is the cause of the joint dangerous?The disease violates the ability to move and creates dependence on others.
diagnosis
Orthopedic studies of edema, palpating joints with soreness, and studying active and passive ranges of motion.Must check the lumbar spine, becauseThe nerves pass through, providing the function of the thigh muscles.
X-rays showed the presence of bone plants, which was a change in the space between the femur and tibial bones, indicating that the knee lost cartilage.Sometimes, X-rays from the knee joint show significant signs of cartilage wear, but the patient has no obvious pain.On the contrary, jointness in the first stage can disrupt the function of the knee, due to the pain, the bass muscles.
If the X-ray does not show significant changes,Doctor prescribes an MRI on the knee and waist.Diagnose visualize ligaments, tendons and muscles, meniscus to find other sources of pain.
Laboratory diagnosis is necessaryIf you suspect joints or gout can cause infectious damage.
treat
Joint therapy should be comprehensiveTargeting the causes of the disease.Endocrine dysfunction can affect connective tissue and is treated appropriately.Recommended for overweight patientsTake proper nutrition.Use medication to remove the aggravation.
Drug treatment
The medication for pain isPrescriptions for anti-inflammatory drugs.Nonsteroid anti-inflammatory drugs used for a long timeNegatively affects the function of the stomach.
Treatment options include cartilage protectors, which are only helpful when you go on long distance training3-6 months.The pharmacy represents a large number of medications in this group.
The ingredients of these drugs are believed to help regenerate the structure of cartilage and have analgesic effects.
Very few controlled studies, they involve complex treatments - joint replacement, physical therapy, diet.
attention!Cartilage Protectants get drunk in the course - you can take one medication, the second course - another course, and compare the effects.But uncontrolled medications are not the best idea.Please consult your attending physician before starting the medication.
How and how to relieve pain and swelling?- Intra-articular injection is more popular:
- Steroid drugsInhibits the inflammatory response at the level of immune cells and eliminates acute pain, joints and swelling in the joints.
- Hyaluronic acidIncrease the viscosity of joint fluid and reduce friction on the joint surface.
Important!The effect of the drug is enough for 6-12 months, but the regression process is constantly stopped.
Surgical treatment
Low drug effectiveness, providing arthroscopy for patients- A minimally invasive procedure for removing bone growth, namely the audit of joints.If necessary, the surgeon carries ligaments and cartilage plastics, removing the focus of the worn fabric.
The purpose of osteotomy is to change the load axis on the joint.The doctor cuts the femur or beret to change the contact area on the surface of the joint.The procedure is usually performed in young patients.
Total replacement for knee or arthroplastyThis is necessary during the severe stage of arthritis (third or fourth degree).Surgical treatment does not always solve the problem because it requires diligence and daily recovery to strengthen muscles.
Changes in the knee can be associated with the pelvis, so the hip joints will suffer next without restoring muscle balance.
Physical therapy
In the physical therapy environment, mud applications, voice and magnetic therapy are used.The role of external factorsStimulates blood supply and tissue regeneration, and relieves inflammation and swelling.
Folk and non-traditional treatment
Usually, recipes for folk remedies for knee joints and joints are usually found at homeDesigned to eliminate swelling and pain.Most of the time, horseradish leaves and potato juice are used, sometimes mixed with compressed mixture and vodka.
It is impossible to stop degeneration completely.You can use celery juice to affect the exchange of kidneys.The kidneys are related to the lobe muscle muscle, which is related to the pathology of the hip joint.Normalization of gallbladder and liver function can improve knee condition.
Methods to treat the initial stages of the knee joint articular initial stages include the decay of anti-inflammatory drugs:Chamomile, St. John's wort, immortal.Use ground garbage, sea salt and kerosene.Use magnesium salt in the bathroom, use pine infusion.
Manual treatment and massage
Manual treatment of knee osteoarthritis helps, if the experts understand the only muscle imbalance.Muscle testing helps to discover weak muscles that stabilize the knee, identify the cause of dysfunction and eliminate it.
The source can be not only the joint blocks in the waist area,And it is also at the level of blood supply, internal organs, endocrine and biochemical failure levels.Therefore, manual therapists must have osteopathic skills and apply kinematics to influence many factors.
Massage is an auxiliary tool for manual therapy, self-help therapy.Patients with knee joints can independently rub the tendons to control limb movement:
- the area around the large gluteus muscles;
- Lines on the anterior surface of the thigh - from the pelvis to the bone;
- The sides of the thigh range from the large swing to the con of the thigh;
- the inguinal area of the inguinal ligament;
- The inner surface of the thigh (along the line leading the passage).
Massage is done without a lot of stress.
Treatment gymnastics
Arthritis is caused by muscle weakness caused by problems in the lower back, basin, and abdominal cavity.Exercise to prevent arthritis and jointsIt is possible to increase strength, but not tone of voice.
It is difficult to fully restore biomechanics without the factors that are weakened with the help of manual therapy.Yoga further deprives the joints of stability.Among the treatment methods, the best choicePilates and Scandinavian Walk.
diet
First, adjust the food to fight overweight.It's important to give up sugar and simple carbs, add products with fiber, magnesium, group B vitamins and calcium, as well as knee arthritis, which is important for muscle activity.tryExclude dairy products, because nearly 80% of the population has lactose intolerance.
Prevent joints and joints
Trying to strengthen muscle is not always helpful, due to the nerve and blood supply not recovered.The function of the hip muscles depends on the waist plexus.
Changes in the lower back associated with abdominal muscle weakness can also affect the knee.Therefore, arthritis is more common in men with “beer abdomen”, just like in women after multiple guidance, several genera of intestinal disorders – weakening of abdominal wall muscles.
The surgical formation of the pelvic and internal organs affects the adhesion of vertebrae in the lumbar area, violating the nerves of the muscles around the knee.
Which doctor touches the knee joints?Diagnosis will help to become an orthopedic doctorWho will insist on doing it?The best results are given by a multidisciplinary team’s work in the rehabilitation center.
The best thing you can do for joints:Eat correctly, monitor weight, walk more, visit a massage therapist or osteopath every three months.
Comments about treatment
Positive comments can only provide a comprehensive treatment for knee or gonadal joint deformation.Anesthesia, intra-articular injection temporarily acts, inhibiting the natural inflammatory response.
in conclusion
The problem with arthritis is that medications temporarily eliminate pain syndrome.The reason is that there is no recognition and influence.A horror guru who teaches how to live with knee arthritis can help you and how to use crutches correctly.But the service is only available in private practices that perform rehabilitation.