Osteoarthritis : Treatment

Osteoarthritis : Treatment
Careful attention to their health, timely access to a doctor and strict compliance with all its requirements - the basis for efficient treatment of osteoarthritis.

Osteoarthritis - a chronic non-inflammatory disease of the bones of the joints, which is caused by cartilage damage joint surfaces.

If you are diagnosed with osteoarthritis, treatment is primarily aimed at preventing the further destruction of the articular cartilage and the preservation of the functioning of the joints.

Treatment of osteoarthritis: the basic principles

For patients with a diagnosis of "osteartroz" treatment based on the maximum unloading aching joints.Need sparing regimen, especially during an exacerbation, or any, even medical treatment will not bring the desired effect.

necessary to avoid prolonged walking and standing on his feet, carrying heavy loads, movement through the pain for a long stay in a fixed posture uncomfortable.

for unloading doctors recommend that patients wear special handling devices - locks (pat

ella, splints, slings, etc.).But they should be worn only during exercise.Houses and alone it is desirable to remove.

When difficulties while walking to use additional devices (canes, crutches, walkers, handrails, railings, comfortable handles).When deforming arthrosis with flat feet should be used individually made insoles (they are different for the longitudinal and transverse flat).

very effective method of unloading limb joints is a decrease in body weight due to the revision of the diet, and optimal physical activity.It was found that weight loss of 10.9 kg easier for arthrosis in 35-40% of patients.

Osteoarthritis: Treatment medicines

Drug treatment of osteoarthritis includes several directions.

1. Symptomatic drug therapy, providing a rapid analgesic effect

Sometimes these drugs are administered by injection for pain relief, especially when synovitis (accumulation of fluid in the joints).

With long-term use of the drugs in this group may experience serious adverse reactions on the part of the digestive system.A good alternative is to use them in the form of intramuscular injections and rectal suppositories, although it is also conserved small risk of side effects.

2. Symptomatic therapy hondroprotektorami (long acting formulations)

These substances affect the metabolism of the cartilage, stimulate collagen and slow the progression of osteoarthritis.They should take a long time (sometimes for several months) for arthrosis stage I and II, when there is no pronounced destruction of cartilage.

3. para-articular and intra-articular blockade

These tools are most often used with no effect on other types of therapy (usually injected steroids), because of the risk of complications are used for a short period of time.

4. Additional drug symptomatic therapy:

  • drugs to improve microcirculation in the joint tissues;
  • relief of muscle spasms, etc.

Local therapy of osteoarthritis: the treatment of ointments, gels, compresses

The therapeutic effect of topical therapy is based on the combined action of medicines and massage with application of ointment on the joint.Usually sold in the pharmacy network wide range of drugs in the finished form, the most suitable of which is assigned by the attending physician.

  • Osteoarthritis of large joints without severe swelling prescribe ointments, skin irritants and have a warming effect.They improve blood circulation in the joint, have analgesic effect and reduce muscle spasm periarticular.
  • To improve the elasticity of the ligaments and muscles and relieve pain, doctors often recommend an ointment on the basis of bee and snake venom.In some patients, they can cause allergic reactions, so they should be used with extreme caution and only after a doctor's prescription.
  • Ointments containing nonsteroidal anti-inflammatory drugs, used as anti-inflammatory pain relievers for arthritis, accompanied by synovitis (inflammation of the synovial joints), bursitis (inflammation of the mucous bags joints).Since their effect is rather weak, they are often used as an additional therapeutic agent as well as to carry out a massage.

packs have a more pronounced analgesic, anti-inflammatory effect and absorbing, well penetrate into the deeper layers of the skin and the surrounding tissue than ointments.

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Surgical treatment of osteoarthritis

Surgical treatment is indicated after failure of conservative treatment and unpromising.

  • Medical arthroscopy - the operation carried out by a special device - an endoscope, which is inserted into the joint tissue through a small (no more than 1-2 cm) incisions.This great advantage of arthroscopy as a minimal amount of damaged tissue that promotes faster healing and reduces the duration of hospital stay.Modern equipment allows for arthroscopic surgery on almost all joints.
  • Arthroplasty - operation carried out for the restoration of joint contractures and ankylosis (stiffness and fusion of joint surfaces), carried out during the long-term remission, ongoing at least a year.
  • joint resection - the operation of complete or partial removal of abnormal articular surfaces of bones articulate with the synovial membrane.This operation can be aimed at the restoration of joint mobility, and sometimes it is used to lock the joint.
  • Endoprosthesis - joint replacement surgery the patient on artificial (prosthesis).The operation consists in removing worn parts and abnormal joint and installing in their place a specifically designed metal-plastic construction of steel or titanium, performing the joint work.

Osteoarthritis: treatment by other methods

Other treatments osteoatroza sosave increasingly used in complex therapy.These include:

  • physiotherapy;
  • physiotherapy;
  • cryotherapy;
  • reflexology;
  • massage;
  • osteopathy;
  • mud;
  • ozokeritotherapy;
  • medicinal baths;
  • phytotherapy

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