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.
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
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.
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:
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.
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.
Surgical treatment is indicated after failure of conservative treatment and unpromising.
Other treatments osteoatroza sosave increasingly used in complex therapy.These include:
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