Treatment of arthrosis of knee compounds, treatment of gonarthrosis- Not the easiest task, not gently put.Therefore, before you start your tough struggle with this disease, find a good doctor, explore it and make a treatment plan with him.
Never try to make a diagnosis for yourself!
The fact is that the lesions of the compound, which resembles Arthrose, are very often mistaken to identify diagnosis of low-tempered people.It is better not to save time and money for medical consultation, because the error can be more expensive in every way.
However, this should not understand any doctors blindly and the essence of their recommendations, the mechanism of the mechanism of the effects of the medications appointed to you.The patient must understand the meaning of medical recipes and represent why certain therapeutic procedures are taken.
Thus, it is important to connect a number of therapeutic measures to solve a number of problems with the therapeutic treatment of gonarthrosis:
- to eliminate the pain;
- accelerate to improve and restore the nutrition of articular cartilage;
- To activate blood circulation in the affected association;
- Reduce pressure on the damaged joint of the bones and increase the distance between them;
- Patient strengthen the muscles around play;
- Increase joint mobility.
Below we will think about how to achieve this or treatment method:
1. Unregistered anti -inflamator drugs:
Non-Metrite Medications - NSAIDs: DIClofenac, Pyroxycs, Ketoprofen, Indomethacin, Butadion, Meloxikam, Healing, Nimulidi and their derivatives.
Arthrosis, non-inforchase, anti -inflamator medications are traditionally used to eliminate common pain and inflammation, it is impossible to start normal treatment in the background of severe pain.Only by eliminating acute pain with anti-inflammatory drugs, such as massage, gymnastics and pain can go to physiotherapy procedures.
However, the use of the disease "the manifestations of the disease" is undesirable to use the medication of this group.
After all, when pain is reduced, a deceptive impression of a treatment is created.Meanwhile, Artosis continues to advance: NSAIDs only eliminates the individual signs of the disease, but do not treat.
Moreover, in recent years, the synthesis of proteoglycans have received the harmful effects of long-term use of non-terminal anti-term drugs.Proteoglycan molecules are responsible for the flow of water in the cartilage, and the violation of their function leads to thirst of cartilage tissue.As a result, the cartilage affected by Artrosis begins even more.Thus, the pills taken to reduce pain in the middle of the patient can accelerate the destruction of this joint.
In addition, it is necessary to remember that non-meters can use anti-inflammatory drugs, all of them can affect the significant opposite instructions and long use.
2. Catering Protectors - Gucosamine and Xondroitin Sulfate:
Chondroprotants - glucosamine and xondroitin sulfate - These are ingredients who nourish the cartilage tissue and restore the harmful of playful cartilage.
Chondroprotants are the most useful medicine for the treatment of arthrosis.
Unlike harmless anti-inflammatory drugs (NSAIDS), it helps to restore arthritis and xondroit's sulfol, such as "database" and xondroit's sulfate, and help normalize "lubricant" properties.
A similar complex effect of joint chondens is irreplaceable in the treatment of the initial stage of arthropons.But there is no need to exaggerate these drugs.
The chondroprotants are less effective in the third stage of arthropons, when cartilage is almost completely destroyed.After all, it is impossible to grow a new witchcraft, or to return the deformed bones of GLUE with glue.
In the first or second stages of gonarthrosis, the chondropolists move very slowly and improve the patient's condition at once.To achieve a true result, you usually have to take at least 2-3 treatment courses with these drugs, which are usually up to six months and to one-half.
3. Therapeutic ointment and creams:
Therapeutic ointments and creams cannot heal the arthropons of knee joints in any way (even if advertisements are confirmed).However, they can lighten the patient's condition and reduce pain.And in this sense, ointments are sometimes very useful.
Thus, with the artery of the knee joint, which occurred without phenomenon without synovite, I recommend to warm my patients to improve blood circulation in joints.
To do this, extract the pepper fruits, etc.Use it.The listed ointments generally create a sense of warmth and comfort in the patient.Rarely have any side effects.
Ointments-based ointments are used to non-anti -inflamental substances in cases where the proceedings are complicated by Sinovit.Unfortunately, they are not as effective as we want - because the skin is not more than 5 - 7% of the active substance, it is not enough to develop a full anti -inflint effect.
4. Funds for compressor:
Compressors have a slightly great therapeutic effect compared to the ointments.
Local funds used in our time, in my opinion, three medications are the greatest attention: dimexide, Bishithytus and medical safra.
Dimexid- Chemicals, colorless crystal fluid, good anti -inflamy and analgesic effects.At the same time, unlike many other foreign items, Dimexide can really penetrate skin obstacles.That is, the dimexid applied to the skin, indeeds the body, and in the inside of those in the inside, the works, the focus of the disease.In addition, Dimexide has a absorption property and improves the metabolism in the field of application, which is the most useful in the treatment of arthrosis with the presence of synovites.
Bishofit- Oil derivative, Brin was removed during the drilling of oil wells.The first time focused on the therapeutic effect with Artozu, fame.Arthrose nodules in their hands occurred in their hands while working on oil wells.In the future, Bishophyte moves in a way that has a temperate anti-inflammatory and analgesic effect but also a warm heat.
Medical Safra- Mine from the bubbles of natural bile, cows or pigs.Even if there is a swallow and warming effect and is used in the same cases as a bischofit, but there are some reverse hints: skin pusters, lymphed diseases, lymph nodes and canals cannot be used by inflammatory diseases, body temperature.
5. Intra Intra-Separation Interjons (Injections in combination):
It is often used to provide an ambulance for arthrosis of knee combination.In many cases, a colonized injection can really relieve the patient's condition.But at the same time, injections of the combination with arthrosis are made more frequent.In my opinion, in my opinion, I want to talk to more detail.
Most, corticosteroid hormones are applied in common: triamcinone, betamethasone, hydrocortisone.
Corticosteroids are good for pain and effectively to pain and inflammation with synovite (swelling and swelling).The speed of the therapeutic impact is the reason for the fact that corticosteroid injections will gain special popularity among doctors.
However, this has led to the fact that hormone-oriented injections are carried out without the real need.For example, I have repeatedly met the combination of hormones for a preventive purpose for a preventive purpose to prevent further development of the arthropist.
However, the problem is not only the treatment of corticosteroids and cannot be treated.Thus, they cannot hinder the development of arthropons!Corticosteroids do not improve the situation of articular cartilage, strengthen bone texture and do not restore normal blood circulation.
Everything that the body's response can be able to reduce the inflammatory reaction to one or the other to one another.Therefore, it is meaningless to use the internal parts of hormonal medications such as an independent treatment method: they should only be used in the intricate therapy of arthrosis.
For example, due to the swelling of the compound due to the liquid accumulation of the II stage, the II discovered the gonarthrosis of the second stage.The collection of liquid (Sinovitine) complicates medical procedures: hand therapy, gymnastics, physiotherapy.In such a situation, the doctor is a one-sparkling injection to eliminate the synovi of the hormonal medicine and starts other active therapeutic measures in a week - this is a proper approach.
Now imagine another situation.The patient, as well as stage II gonarthrosis, but without collecting liquid and joint edema.Do you need to enter corticosteroids in combination in this situation?Of course, no.There is no inflammation - there is no "exposure point" for corticosteroid hormones.
However, although the intraction of corticosteroids is addictive, indeed a number of rules should be observed.First, the same combinations are less frequent to make the same compounds 1 times more often in 2 weeks.The fact is that the applicable drug will immediately be able to "work" and the doctor will finally be able to appreciate the impact of the procedure after 10-14 days.
You should also know that corticosteroids have brought more relief than the next.If the first picturesque administration of the drug is unlikely to give the second or third application of the same drug to the same place.If the first domestic injection is inexplicant, or the medication should be changed, or if the change of medicine has not helped, or rather, select the injection site.
After that, when you want to enter a corticosteroid combination, it did not give any result, it is better to refuse to treat the play with hormonal medications.Moreover, the injection of hormones in the same middle is more than four or five times, is extremely undesirable, eliminates the likelihood of side effects differently.
Unfortunately, in practice, at least three of the first three injections, you should face the extreme "determination" of doctors who are not able to play corticosteroids the same, without having at least minimum effects.Two such cases hit me more than others.
One of the patients, twelve injections of a Kenalog, the procedure was carried out daily, even ten-day continuously needed to assess the results of injection.İkinci xəstə diz eklemlerinin içərisindəki hormonlar içərisinə, intervalın (cəmi 3-5 günə baxmayaraq), eyni zamanda yoxsul yoldaşın müalicə kursu üçün iyirmi-iyirmi-iyirmi-iyirmi-incə enjeksiyonları aldı!
It seems that the doctor "moved too far" a little bit - good.Can it harm such treatment?Perhaps it turns out!
First, each injection and a needle was injured.Second, there is a joint risk of infection with delicate injection.Third, often hormones violate "rotten" joints "rotten", violating the structure of entry, combination and surrounding muscles.
And most importantly, the most important corticosteroids are condemn the condition of patients with joint damage, Mellitus, high blood pressure, obesity, kidney failure, stomach or guts, tuberculosis, ugly infections and mental diseases.Even joint cavity was applied, corticosteroids affect the entire body and can aggravate the course of these diseases.
Hyaluronic acid drugs in the knee exortion affected by Arthosus is more useful (a names of hyaluronic acid - another name for sodium hyaluronate).About 15 years ago went on sale.
Hyaluronic acid preparations (sodium hyaluronate) are called "liquid prostesses" or "liquid implants", because they are a healthy synovial liquid - that is, like natural "joint lubrication".
Hyaluronic acid preparations are very useful and effective drugs
In addition, hyaluronic acid increases the depths, elasticity and elasticity of cartilage.Hyaluronidase, "dried" and are thinner with arthrosis, the cartilage restores its shock.As a result of the weakening of the mechanic overloading, the patient's pain is reduced and mobility increases.
At the same time, the joints are properly managed in preparation for joint venture, hyaluronic acid, practically do not give side effects.
Hyaluronic acid is carried out in courses: total, during the treatment of every pain, 3-4 injections are required, the interval between injection is usually 7 to 14 days.If necessary, the course is repeated in six months or in a year.
In my opinion, the main and only serious shortage of hyaluronic acid medications is their high price.Thus, in 2020, hyaluronic acid in our market is represented in the main imported medications.
To return to the issue of deposit, I want to note that despite the relatively high preparations for the hyaluronic acid, many patients are allowed before these drugs, they must be used.
Given the cost of operation in combinations, the use of hyaluronic acid (even for several years) in any case, and in every sense, it is cheaper than the patient's knee exortion.Of course, this type of injection has ensured that the application of applied doctor.
It is important to know: Hyaluronic acid preparations are immediately destroyed in the middle of the inflammatory processes.Therefore, it is practically useless to introduce patients who continue to go back to the background of the arthritis.However, it is useful to use them with a continuous arthritis remission to treat the events of the secondary prose.
You should also pay attention to these moments with initial gonarthroos.For example, the patient's joint "explosion" is already in the collection of pathological fluids, and the "extinguishment" and excessive pathological fluids, or excessive anti -inflamational medications. And non-interventional anti -inflamational medications. And only non-interventional anti -inflamational drugs. And only in non-interventional elements, including inflamed elements, with hyaluronic acidto get acquainted.
In addition to corticosteroid hormones and hyaluronic acid, they try to present various chndroprotants to play.
However, these drugs are repeatedly low in the effectiveness of hyaluronic acid.Help patients with 50% power and estimate that their use is not possible in advance.In addition, the course of treatment requires 5 to 20 needles in the fight against the possible injuries of the joint and various complications.
6. Hand therapy and physiotherapy:
Hand therapy for gonarthrosis of I and II stage I and II gives a great result.Sometimes a few procedures are enough to feel a significant relief of the patient.In particular, if you combine special fifty therapy of random compounds, joint extensions, xondroprotants and integrate with intratricular injections of the point, it helps.
The combination of therapeutic procedures is more effective than the numerous physiotherapy measures offered in any clinic.I will give you an example of experience.
The doctor's practice.
47-DART of the Right knee joint of the II stage came to a woman's reception.He was 5 years sick from our meeting.Years for years, physiotherapy, laser, magnitude, ultrasound, phonophorez, etc. proposed in our regional clinics.appointed.a short course.
Absolutely desperately, the woman decided on extreme measures - had a course of treatment with the wormwood cigarettes for the eastern methodology.As a result, the knees were covered with wounds of wounds, but did not act better.Yes, and it was unlikely to be impossible, because my respect for all Eastern medications, I understand that the wormwood can not eliminate the bone deformity and increase the distance between the bones.
The woman almost agreed to almost surgical treatment, even after a reserve in numerous physiotherapy procedures and even worse.But then he still changed my mind and decided to try the complicated method I had to offer.
The first treatment session, "with a cruee", "We have managed to mix" together with a little hand mobilization. "Therefore, after the initial preparation, we planned the next session: within 3 weeks, the women took the chronondroprotector, self-up and squeeze with their own and dimexid.After 3 weeks, he began with a joint mobilization, then started a joint joint ("reduction") using hand manipulation.There was a click and suddenly the joint jointly began to move easier and more free.The woman felt a clear relief.
In the next two sessions using the mobilization, we have determined the obtained improvement, and then we determined the success of the two-way needs of the point.As we did not receive a very busy treatment, one and a half a year and a half after all, there were only six meetings), the woman finally kicked a stick with him and began to move very freely.
It's been two years since then.Twice a year, the patient takes the calves in a short course and sometimes comes to control techniques, here the situation is better than a year.Now the first stage of the arthropist will also be very difficult to assume - the patient's knee joint was almost completely restored.
Thus, along with the course of Chondroprotants, only six treatment sessions (manual therapy and the invention of the orenyl of the orenil) were more effective than five years of physiotherapy.
It is clear from this story (and for nothing), I consider physiotherapy important, but only a medical part of the medical program for gonarthrosis.In this sense, I like laser therapy, heat treatment (ozokeritis, paraffin therapy, therapeutic mud) and especially treating (treated with local cooling).
7. Diet:
The diet with Arthrosis is also very important.
8. Using reed:
Based on the bar, patients with arthrosis of knee joints are seriously helpful, because the wand continues to 40% of the cargo.
It is important to choose a stick for your height.Stay straight to do this, lower your hands and measure the distance from the wrist (but not from the fingertip!) Measure the distance.It should be a cane that is so long.When buying a stick, pay attention to his end - should be equipped with a rubber nose.Such a stick is depreciated and does not slip when you rest.
Remember that if your left leg hurts, then the stick should be held in your right hand and vice versa.Taking a step by a foot by the patient, move a part of the body weight into a stick.
9. Therapeutic gymnastics:
The most important treatment for arthrosis of knee compounds is a special therapeutic gymnastics.No man with almost a gonarthritis can get a real improvement in the state without therapeutic gymnastics.
After all, it is impossible to activate the muscles, to strengthen the blood vessels and gain blood flow and use special exercises.
At the same time, the doctor is almost the only way for the purchase of gymnastics, equipment or drugs for obtaining financial costs.Everything the patient needs is a rug or blanket thrown in two square meters in the room.
There is nothing more than a gymnastics specialist and the patient's desire to make this gymnastics.It is true that with such a dream, most of those who suffer do not burn.Almost every patient, I have to convince a patient I opened the arthropist, fi physiotherapy exercises.And only one person can be convinced only when surgical intervention is inevitable.
The second "gymnastics" problem, even the patients configured for physiotherapy exercises can not even find the necessary exercise kits.Of course, there are brochures for patients with arthrosis on sale, but the powers of a number of authors are suspected - some of them do not have medical education.
Thus, such "Teachers" always do not understand the mechanism of movements in the meaning and fruits of individual exercises.Often, gymnastics complexes are simply inappropriate to another from a brochure.At the same time, there are such recommendations in them that keeping your head is right!
For example, many brochures with the arthrosis of the patient's sharpening joints "carry at least 100 squats a day and walk as much as possible."
Often, such recommendations of patients have worsened so much before consulting a doctor and then falsified.Well, as a rule, I will try to explain why the situation of the patient's parties is just worse.
Let's imagine the merge as a bearing.Damaged with Arthrosis, the pain of pain already lost its ideal form."RULMAN" (or cartilage) the surface stopped being smooth.Moreover, cracks, holes and "burrs" appeared on it.Moreover, the lubrication inside the area was thickened and dried, it has not been enough.