joint- A disease that has developed over the years has caused major damage to certain joints.Most of the time, painful changes can affect large joints - knees, hips, shoulders, etc.Pain and difficulty complicate one’s life in their physical and emotional plans and, considering the fact that arthritis is usually found at a young age, can intervene in achieving professional and personal goals.This is why it is important to diagnose the disease as quickly as possible and start complex treatments for arthritis.
Joint therapy
In the initial stages of arthritis, conservative methods that do not involve surgery were used.At the same time, the methods used allow pause of the disease development, maintaining exercise activities, reducing the severity of the major symptoms of arthritis and generally improving human quality.
- Drug treatment
Second-hand medicine
- NSAIDS;
- gk;
- Cartilage protector.
- PRP Therapy
- Medical Sports
- Massage and manual therapy
- Extended Therapy (Training)
- physiotherapy
Physical therapy methods are widely used in joints:
- Magnetic therapy;
- uhf;
- attribution;
- Ultrasound therapy;
- Balneotherapy;
- Surgical treatment.
Treat joints with drugs
In patients, it is common that the use of analgesic drugs (in the form of tablets or intramuscular-intramuscular) is the most important way to eliminate arthritis pain.In fact, the use of medication is a quick way to relieve pain and should be prescribed only in acute periods.The fact is that widely prescribed drugs targeting these targets have serious side effects, which are prolonged, especially uncontrolled intake.We are talking about adverse effects of digestion, cardiovascular, nervous system, which can lead patients to hospital beds (gastric bleeding, heart rhythm disorders, effects on the liver and kidneys, etc.).
Nonsteroid anti-inflammatory drugs
A set of drugs used:
NSAID- Non-replacement anti-inflammatory drugs, many of which are released without prescriptions and are widely accepted by patients alone.The group includes drugs of various chemical structures, the most famous of which are diclofenac, indomethacin, nenproxen (classic NSAID), and more modern, to Meloxicam, Nimesulide, Nimesulide, Ketorolac.The listed drugs have obvious anti-inflammatory and analgesic effects, reducing pain in joints and adjacent muscle tissues, but not affecting the development of the disease.They are only used to reduce symptoms at all stages of the disease.Effective with concomitant synovitis (accumulation of fluid in joints).
GKS- Glucocorticoid drugs (hydrocortisone, triamcinone, beta-xamethasone) have the strongest anti-inflammatory and analgesic effects.The percentage of their introduction is valid.However, patients are often negatively associated with the use of these drugs in treatment, which is related to possible side effects: these are infectious complications, worsening of ligamental condition, joint surface and cartilage degeneration.However, the risk of these complications is small for the periodic risk of these complications.
Cartilage protector- Glucosamine and chondroitin are natural ingredients of cartilage. When taken orally, they gradually restore the cartilage, normalizing its density and elasticity.These active ingredients are commonly used in complexes and are part of a variety of pharmaceutical and auxiliary products.Cartilage protectants do not have rapid analgesic effects, based on their long-term use of drugs, which is related to partial recovery of cartilage.Recommended at all stages of the disease.
PRP Therapy
PRP therapy (PRP-Platelet rich plasma) or PLASE Mobravitization, autologous therapy, one of the most modern recovery medicine methods for sports injury, for sports injury and mononutritional diseases.
The nature of the programIt is in that in this case, platelet-enriched plasma is introduced directly in the damaged area.Taking medications is obtained from the patient's own blood, so the method is not only considered very effective, but also safe for humans.Growth factors and other biologically active substances (serotonin, cardiac hormone, prostaglandin, etc.) are contained in plasma rich in platelet cells, which helps activate the regeneration and synthesis of their own alkaline substances.
The platelet-rich plasma is introduced in percentile and directly into the affected joints, due to partial recovery of the tissue - mainly cartilage.
The method of stage 1-2 of osteoarthritis is most suitable.It shows good results and allows you to delay the rapid development of the disease due to platelet release growth factors.This method is relatively new, but has proven to be very efficient.PRP therapy was first used in surgery, and today the technology is successfully used in many medical fields, including rheumatology and orthopedics, neurology and cosmetics.Performing self-harm treatment can allow you to improve joint function without any other active interventions.
Sliding fluid tread- A group of hyaluronic acid-based drugs that are introduced directly into the joint cavity (injected) and act as a knitted lubricant in the presence of almost complete absence of natural synovial fluid (it provides the role of joint surface lubrication).They are used later in the arthritis.
The medical treatments in this group are also called "synoxical fluid prosthesis" and "synoxical fluid biological alternatives".The effects after drug administration are long - from 6 to 13 months, depending on the medical product used.
Some are usedOther drug groups- Treatment (high) doses of muscle relaxants in group B, vitamins in group B, but all of them have only auxiliary value in joint treatment.
Medical Sports
Special therapeutic gymnastics exercises can be used at all stages of arthritis, even during the aggravation.Such measures can relieve pain and prevent obvious limitations of joint movement.However, in patients with arthritis, the method is unpopular because most of them are wrong because they feel it is necessary to limit any exercise.On the contrary, the timely start of physical exercise can help heal faster and reduce symptoms, mainly pain.
Extremely effective physical therapy exercises in water, joint movements in unloading positions (lying, sitting in suspended positions), performing moderate walking on flat surfaces.For example, for obvious pain syndromes, special bandages can be applied to the joints if necessary, but you need to start physical education as early as possible.
Massage and manual therapy
Mechanical action on joints, muscles and ligament instruments can reduce the severity of pain, increase mobility, improve blood circulation and metabolism in affected joint areas, relieve muscle spasms, and normalize muscle function.
Extended Therapy (Training)
In hospitals or medical nursing homes, traction therapy can be performed based on special methods using various cargoes - this is combined transportation (hip, knee).The standard traction scheme is designed for 28 days, with gradually increasing load and exposure time.Using classic techniques, use simulators more modern.Their effectiveness is almost the same, but the simulator is more comfortable for patients.
physiotherapy
In the initial stages of arthritis, the use of various physical therapy techniques allows us to significantly relieve pain syndrome and increase mobility of affected joints.Physical therapy courses help slow down the pathological process and extend the period without intensification.
Joint therapy widely used in joint therapy
Magnetic therapy- Pass local effects through constant or alternating low-frequency magnetic fields.In the affected joint areas, metabolic processes are accelerated, blood circulation and nutrients are added to the joint structure, and the synthesis of the regeneration process and the synthesis of the substances required to work together is activated.Magnetic therapy has an anti-height, analgesic, and anti-inflammatory effects of almost the first course of treatment, which positively affects the general condition of the patient.Magnetic therapy has been successfully used in hospitals and nursing homes, in which various modified medical devices are used.A huge advantage for patients with arthritis is the possibility of independent magnetic therapy sessions at home and under the control of the attending physician.Use portable devices in time for magnetic therapy, allowing you to stop developing pain, i.e. aggravate or start the preventive course - i.e. maintaining a normal well.The positive torque of magnetic therapy can also be called the beneficial effect of surgery on cardiovascular and nervous system states.Given that most patients with arthritis are mid- and older patients, the mild sedation and stabilization effects of magnetic therapy will be very useful in existing chronic diseases (artery hypertension, coronary heart disease, atherosclerosis, etc.).
Ultrasound therapyIt combines with drugs with anti-inflammatory, analgesic, restorative effects (the effects of hydrocortisone, chondroitin sulfate, indomethacin, etc.) - advanced or pronunciation.Ultrasound increases tissue permeability to drugs, so their main effects are enhanced.Even without medicinal ingredients, this method is very effective for arthritis: ultrasound has mechanical effects on tissues, activates local immune and recovery processes in joints and adjacent muscles, expressing analgesic and anti-inflammatory effects.
Laser Therapy- One of the most commonly used and widely used programs.The therapeutic effect is based on the reflex expansion of blood vessels, which is higher than the focus of the pathological process.This leads to improvements in local blood flow, activation of metabolism, removal of underestimated metabolism, and a decrease in pain intensity.Laser treatment due to low penetration depth has the lowest obvious systemic effect while enhancing the therapeutic effect of other procedures.
Shockwave therapy- High energy exposure method.It is based on the piezoelectric effect.The impact of piezoelectric discharge on pathological priorities is achieved through a variety of influences.In viable cells are destroyed, resulting in activation of local immunity.Stimulates abdominal (no active) cells, which helps in the regeneration process.At the same time, the intensity of pain syndrome is greatly reduced (although the process itself is painful).The unquestionable advantage of this method is that it is used every 4-7 days.
T-word beauty therapy- The therapeutic effect of bidirectional power pulse current on the body.The bimodal current used in this approach rhythmically stimulates skin receptors, which indirectly leads to activation of descending physiological mechanisms that inhibit pain and leads to a reduction in pain in the patient until complete analgesia.Therefore, such procedures are effective for severe pain.
Electrical stimulation- Current exposure to muscle tissue.With the joint nature of the large joints, the work of the surrounding muscles is disturbed, which can cause atrophy in some people and overload in others.Gait disease is developing.When exposed to alternating currents according to a special procedure, the muscles descend rhythmically, performing a job that leads to a recovery of its volume and function.
Cryotherapy- Unfortunately, a simple and effective treatment is rarely used.The local effects of low temperatures reduce the sensitivity of pain receptors and the synthesis of biologically active substances that stimulate the development of inflammation.After cryotherapy, reflex expansion of blood vessels occurs, accelerating local blood flow and activates the recovery process.This method is particularly effective in combination with shock wave therapy.
Balneotherapy
Hydrogenation is outdoor bath in nursing homes and resort conditions, where radiographic arthritis causes especially effective in joints.Ra radioactivity attenuation products dissolved in water have a general effect on the human body.The most important effect is the activation of the metabolic process.
Similar, although less obvious effects are characterized by the treatment of mud (pelvis), hydrogen sulfide and carbon dioxide.
Surgical treatment
When joint mobility is strictly limited or lacking, the surgical approach is to litigate later in the arthritis, which can affect the patient's quality of life.Around the world, various methods of combining endoplant are used to allow you to fully restore the amount of exercise and to restore active life to patients at any age.
The strategies and quantity of surgical interventions are determined by the subject physician and the selection is based on parameters such as the patient's general condition, age and presence of concomitant disease, overweight, etc.The best results after the endopulmonary worm in young and mid-term patients (almost fully recovering exercise volume), but older people also have significant improvements in this case, as after successful surgery and recovery, they can fully provide their own plans in the domestic plan and move not only within the apartment, but also within the apartment, and limit their communication.
prevention
Arthritis is a direct disease group, mainly developed due to age-related joint changes, and the influence of external negative factors is enhanced.Pay attention to the state of the musculoskeletal system, preventing joint diseases and early joint diseases can keep sports active and avoid large-scale medical interventions in the future.