All exposed degenerative synovial joints-degenerative diseases – arthritis, but some people more, others less. Osteoarthritis more often affects knee and hip joints, of course, important joints, and knee stress and injury. If osteoarthritis knee diagnosis localized placed gonarthrosis (osteoarthritis of the knee joint of the cranes). The disease of osteoarthritis of the knee, often leads to a waste of time, injury, and disability. What is gonarthrosis knee articulation, for reasons which itself is evolving and showing how this disease can be treated is the subject of this article.
Some terminology
Osteoarthritis non – inflammatory degenerative joint disease such as articular cartilage and processes that begins with, then the process of mating joint areas and bones, the synovial sheath, the muscles that support the joint. Another name for this disease – osteoarthritis bone contained in pointing to the pathological processes to occur.
Refined localization of the disease add the name of the authority on behalf of: osteoarthritis, knee, ankle osteoarthritis. Because the next stage is the growth edge cushions the joints is the way that an organ deformation, knee and other joint osteoarthritis, the joint is deformed, abbreviated to DOA. Diagnostic DOA means the same osteoarthritis.
What's another word gonarthrosis and what is it? Hip joint knee gonarthrosis gonarthrosis on the internet you can often meet the word. If the first definition has two different titles is a mixture of tautology, the second joint diseases. The thing is, it is simple to ensure that the use of the titles reference the most common types of osteoarthritis that contains a localization note. So, the first chapter, the compound word "gonarthrosis" back shows an ancient Greek word "knee". So gonarthrosis – osteoarthritis of the knee, the knee joint DOA and available package, osteoarthritis of the knee. Here are the topics the knee joint gonarthrosis and the like, is unnecessary.
Knee joint Anatomy
In the literature can be found mention of osteoarthritis of the femoro-patellar or patellofemoral syndrome. Thus we need to understand what recognize the anatomy of the knee joint. These lamps Mount:
- the articular surface of the femoral head is convex representation;
- tibia – I started.
The hotel takes place in the formation of the large bones of the knee joint, a small bead, bone structure, had known or patellar patella. The upper edge of the rear surface makes clear. with thighs. The Latin of the patella is called patella, and thigh – femora. If so, the translation of the Russian word femoroasetabular successful femoral-patellar. This is an independent partner and a part of the knee joint complex. The amount of the patella in the correct position system, the connective, but sometimes that has a configuration initially as a result of injury or shift, causing instability.
Offset, patellar instability – fundamental factors leading to the development of the so-called patellofemoral osteoarthritis. His reasons are valid traumatic cartilage injury, patellar strokes, with outputs. Experts generally the term patellofemoral pain syndrome, and Clinical Pathology mechanism of development is different because of the classic, typical of osteoarthritis. This disease can be treated, because the thinning of the cartilage (chondromalacia) is 3. stage, the prognosis is very positive. But in the absence of an appropriate treatment of this disease, gonarthrosis pass.
The causes of the disease
What is arthrosis, knee joint, and what the reasons why? We already have a name – injury and patellar instability patellofemoral syndrome is launched (I see doctors frequently periartroz).
For this reason, knee osteoarthritis are:
- congenital weakness, Nov-fiber apparatus, stabilizing the knee joint;
- lower extremity Vascular Pathology (varicose veins, thrombophlebitis) is disrupted blood flow to the knee;
- long-term quality and periarticular tissues in inflammatory processes of the glenoid;
- endocrine diseases, especially diabetes;
- lower extremity trauma.
People who have been diagnosed with osteoarthritis the knee joint DOA-facing ankle, koksartroz, flat feet. The outsole of the foot ankle or hip joint infringement when an increasing load of function of the knee. The prevalence increases with age osteoarthritis of the knee joint. The reason for this slowdown and foreign exchange transactions with renewal processes, circulatory collapse, natural wear and tear of cartilage tissue changes, hormonal background.
Gonarthrosis at a young age more common in individuals with hereditary predisposition, genetic disorders, connective tissue. Heavy physical labor, athletes and people who exposed him on the foot with a load. Excess weight very damaged knee joints.
Symptoms
Any localizing symptoms of arthritis is growing slowly, scene by scene. And gonarthrosis patients experiencing discomfort Scene 1:
- feet quickly get bored;
- occurs through the action early, short-term pain, tightness, stiffness, but these symptoms disappear in about half an hour;
- the pain must be renewed after a long load, but after it passes the holidays.
2 stages in a fairly small load, thus causing the pain, and I went on a vacation longer than necessary. Because in this phase, the inflamed synovial sheath is usually mechanical pain align emerging inflammatory and rest. For knee synovitis is characterized by increased at the expense of the accumulation of inflammatory effusion glenoid cavity, skin, often redness, you will, a warm touch.
If early contractures (limitation of joint mobility) is mostly connected with painful sensations during movement, to some extent, as a disease, the knee joint progresses, contractures are permanent. Grow osteophyte blocking movements, shortened and loses its elasticity vineyard, dark night, Nov reduces the production of joints for lubricant – synovial fluid. 3 phase is significantly reduced amplitude movements, but some patients were so much more than just the rocking motion of the knee. Finally, at a late stage, the joint deformed bone growth, leg, knee, curling (X-shaped or O-shaped deformation).
Let's separate what are symptoms of patellofemoral syndrome and knee osteoarthritis what are the joints? The last characteristic:
- running because the pain is localized in front is being felt in the knee are squats, increase, chair, escalators;
- swelling in the area of the patella;
- clunky hiking;
- movements and clicks while doing the movements, and pain at the same time do not occur.
Walking inflatable knee replacement, and is characterized by pain syndrome gonarthrosis , but the pain is felt on the skin, the joints, often suffers is the inner side of her. It is often accompanied by motion, pain and crepitus. Thus to determine precisely the localization process, the required function tests and X-rays.
Diagnostic methods
Diagnostic DOA put after a comprehensive review of patient. First, the doctor listens to complaints, analyze History, examines legs, potatoes, runs joints, passive motion, and the patient enabled to accomplish a series of prompts. Gonarthrosis is one-way and two-way. A unilateral cases, a healthy extremity is compared with sick. Assess range of motion, Nov loops measure the strength of the thigh and the lower leg, the length of the leg. Nov gonarthrosis accompanied by atrophy of the affected leg because the volume is reduced and the and connective is abbreviated.
Then, physical examination findings, and laboratory determination of hardware:
- basic diagnostic method of osteoarthritis – X-ray displayed yesterday, running at least 2;
- CT – type of X-ray research, in which layer-by-layer image of the joint;
- assessing status, cartilage, soft tissue, skin, joint fluid ULTRASONOGRAPHY provides;
- MRI highly informative diagnostic method;
- if you have assigned tests to distinguish osteoarthritis, arthritis, and other inflammatory diseases.
A diagnosis and determining the severity of gonarthrosis of the knee joint based on the data in X-rays.
- Small, irregular cracks are usually the small joints of the first joint space narrowing osteophytes on the edges of the tapering as sites.
- Contraction joints lumens and 50% more, more than one large osteophytes, seal, bone (osteosclerosis) places a great burden. The visible rear pockets osteosclerosis of enlightenment – mestopodsolnce space.
- Joint is almost a complete lack lumens, osteosclerosis, rough osteophytes, deformation joint surfaces, bone softening and height, the axis of curvature of the limb.
Treatment
The next question is: what are osteoarthritis, knee, joint, and how to cope with it? A variety of treatment methods for this disease, it is extremely important and a comprehensive approach, combination drug .. etc., and non-drug therapy. You should start with the treatment load limitation knelt down. You should not give it up for running, jumping, heavy lifting, for patients who need to lose weight to lose weight.
Whose muscles have atrophied because of a sedentary lifestyle, move more than necessary, but not excessive knee joints. Shoes should be comfortable, and walking it is recommended to use a cane, and get support orthopedic, orthotics, and other burning devices, unloading and joint stability. Not necessarily you need to stick to a diet.
Medication treatment etc.
How the treatment of osteoarthritis, accompanied by pain if it is? Cropped using them most often non-steroidal anti-inflammatory drugs, mouth to mouth, and use in the form of ointments, gels. Optional a decisive ointment. The inflammatory process can be shown along with local time intensive joint injections of hormonal drugs. However, this treatment can only alleviate the symptoms, short courses to spend it accordingly.
You need to combine 1-2 symptomatic treatment during periods of long adoption chondroprotectors. These drugs slow the destruction of cartilage and at an early stage, even contribute to the restoration. Relieve your pain and mobility intro-articular hyaluronic acid injections.
Osteoarthritis drugs can be vasodilators and to develop a drug that someone taking them is shown .. etc micro blood joint infringement. Nov Nov helps to remove spasms relaxant. A cure for Arthritis A drug with a specific vehicle savers neutralizing activated protein disrupts cartilage tissue cartilage .. etc.
Non-drug therapy
When shown gonarthrosis knee joint, and drug-free treatment. Treatment techniques include:
- physiotherapy treatment – electrophoresis, ultrasound, magnetic therapy, laser therapy, UHT milk, UFOs and other;
- applique paraffin, to ozokerit;
- dimexide with a compress of medical bile, to bischofit;
- the massage itself mainly with the effect of the joint and surrounding muscles;
- manual therapy – joint traction or a soft reduction;
- Exercise therapy, therapeutic exercises. Master learning exercises and videos, with photo descriptions complexes, but it is better to start courses under the control of the instructor.
A number of clinical testing for an innovative treatment – stem cell treatments. He recovers cartilage tissue without resorting to rapid intervention.
As shown gonarthrosis Scene 1 of only 2 starting with conservative treatment surgical intervention can be done. Osteoarthritis is the most progressive process:
- arthroscopic debridement – delete, osteophyte formation, cartilage through a small incision in the lands of the dead;
- arthroscopic chondroplasty – "fix" articular cartilage;
- joint – artificial joint replacement.
The first two are in the operations center follow-up is performed, usually in 2 stages to give a temporary effect in 1-2 years. The total shown in the 3-stage osteoarthritis of the knee, this is the only way to avoid a disability. After 15-20 years of Service are being used with increasing frequency of matches required re-operation.
Gonarthrosis or osteoarthritis of the knee joint, including the three most common types of osteoarthritis. Only for the development of osteoarthritis knee pain may not show, but the ligament or meniscus damage, arthritis and a number of other diseases. Therefore, anxiety symptoms and examined from time to time I need to see a doctor.
The first symptoms of osteoarthritis usually progresses as slow loss of function of the knee joint the exact joints to go through a few years. Completely can not be the treatment of gonarthrosis, but if at an early stage to start treatment, and phase delay development a further possibility of the brake that causes a disability.