Effective treatment of joints, synovitis, arthritis and arthrosis

Pain in the joints not only complicates life, but, as a rule, it shows the process of inflammation and harmful inflammation that gradually prevents movement, and if the treatment or absence is not in irreparable deformation and defects.

Arthrosis

Arthrosis is the second largest cause of cardiovascular disease.At the same time, arthritis and arthrosis are often attacked by the still -working population, that is, people become disabled - or they have to always overcome pain to earn a living.

So why does joint pain occur, and what method is available to Russia today, which will not only relieve temporary pain, but eliminate inflammation and stop the destruction of joints?

Arthritis and arthrosis - the difference

Arthritis and arthrosis have the same name, as both diseases affect the joints.They are different from the nature of the change in the joints.

OnArthritisPain is associated with inflammation of the joint tissue.In this disease, the synovial shell suffers, where the blood vessels and lymph, the nerve endings are concentrated.Therefore, this affects both joints and the production of articular lubrication (synovial fluid), which nourishes cartilage.

Arthritis can developAt any ageincluding children and adolescents (juvenile arthritis).In addition, the disease may be affectedAlmost any joints, including small (finger arthritis), and double joint damage can also be observed -Polyarthritis.

Existing arthritis leads to arthrosis, because of the joints, in particular, cartilage tissue suffers for a long time from food deficiency, which comes from synovial fluid.It is important not to "extinguish" an inflammatory response to an anti -inflammatory drug, that isagainst the cause of inflammation, for example, with the help of financing.

OnarthrosisFirst of all, observedThe destruction of cartilage, covering the surface of the bone (and with a neglected process - and the bone tissue itself).The cartilage stopped to overcome the burden that appeared on it, and he began to collapse faster than he could recover.The cartilage fabric is softened, the normal sliding of the articular surface is interrupted, any movement is accompanied by pain.

Difference in arthritis and arthrosis

Arthrosis more often appearsAfter 40 years.Large joints, such as knees (gonarthrosis) and hip joints (coksartrosis), are more common, and are the cause of defects and defects.Lack of osteoarthrosis of the finger, thumb arthrosis, temporomandibular joints, shoulder damage, elbow joints, etc.

Symptoms and signs -to

Symptoms of arthritis:

  • Synovitis, namely swelling, increased sensitivity or pain when touching, limiting joint mobility;
  • acute pain, pain, good in movement and rest;
  • Morning stiffness, due to the fact that edema develops in time together.It takes 40-60 minutes after the start of the movement.

With arthritis, general features of inflammation can also be observed: fever, chills, sweating, general weakness.It can be indicated by headaches, weight loss.Symptoms of the disease are also observed, which causes inflammation: damage to the heart with rheumatoid arthritis, lungs and other organs with tuberculosis, etc.

Symptoms of arthrosis:

  • The pain that occurs in the physical effort during the day, and does not rest.For example, pain in the knees and hip joints while walking, running, squats, walking up the stairs, and more.Then, when moving, the pain is gone (starting the pain).There is severe pain in the knee and crisis when bowing.
  • The short "starts" after the rest period associated with the fact that the articular surface in which the detrit is resolved (the result of the destruction of cartilage and bone tissue) rubbing one another.15-20 minutes after the start of the movement, the pain passes, as the detrit is rejected.
  • Persistent night pain is more often at the beginning of the night due to venous stagnation.

Arthrosis is often accompanied by an inflammatory reaction.Each -Masing, pain and swelling are observed, such as in arthritis, and the disease itself is calledArthroso-arthritis.

With prolonged arthrosis, there are often mobility restrictions due to degenerative changes in the muscles, tendons (so -called contractions),deformed together.Thus, the disease is often calledsummarize arthrosisorAltering osteoarthrosis.

Level and level of osteoarthritis

There are several stages of osteoarthritis, which, as a rule, is recognized by radiological images:

Stage of osteortrosis
  • Osteoarthrosis of the first degree - a weak bone and cartilage change, as a rule, when performing computed tomography.Pain and swelling occur after moderate physical activity.The swelling of the joints passes after the break.
  • Osteoarthrosis of the 2nd degree - cartilage tissue begins to collapse, bone tissue growth (osteophytes) appears along the edge of the joints, narrow joint gaps, leading to persistent pain.Swelling and pain are constant.
  • Osteoarthrosis 3-4 degrees-cartilage destruction, as well as loss of bone tissue protection, is observed.There is continuous swelling, ligaments, muscle function, which leads to joint deformation, is observed.The axis load in the joints is broken: "O" or "X" deformation on the joints.

Which doctor to contact?

In the event of suspicion of arthritis or arthrosis, you should consult your doctor for proper diagnosis.In ordinary clinics, this problem is aimed at rheumatologists or traumatologists, less frequently to surgeons.At a large diagnostic center, you can get an appointment with an arthologist.These are experts who are directly involved in joint disease.

Causes of arthritis and arthrosis

The main cause of arthritis:

  • Rheumatoid,Rheumatoid arthritis).The nature of the disease is not completely clear.The disease more often affects women (3-5 times, according to various sources).Juvenile rheumatoid arthritis (adolescent idiopathic arthritis) is also found -a form of children in children and adolescents under the age of 16.
  • Contagious, where symptoms of arthritis are observed, for example, tuberculosis, brucellosis, borreliosis tick -borne, etc.
  • Disease is not a cafe(Psoriasis, systemic erythematosus lupus, etc.)
  • Metabolic disorders, for example, gout.

The main cause of arthrosis:

  • Injury- The most common reason.
  • Congenital displacement(infringement of the articular surface of the bone) joints (for example, displaced coksartrosis).In this case, excessively portable joints, increased loads on them and thirst faster.
  • Existing arthritis(Rheumatoid arthritis, joint tuberculosis, and others).Violation of metabolism in synovial fluid leads to inadequate cartilage nutrition, slowing down the process of dead cell -cell renewal and causing its destruction.
  • Excessive physical activity, in particular, when involved in professional sports or boring production operations.It has been observed that in tailors most commonly occurs arthrosis of the joints, in the workers using elbow and shoulder joints.In other words, first of all, the cartilage with maximum load for a long time suffering.
  • Hormone disorders.In women, this is often associated with menopause.

Regardless of the cause of certain arthritis or arthrosis, the main problem is a violation of the balance between the process of destruction and recovery in the joint tissue.

At the cellular level, this means that in the joints:

  • accumulateDamaged and dead cellswhich the body does not have time to remove;
  • The death of a cell
  • Not enough new function cells formed, which should replace dead cells and ensure proper joint function.

Differences in the body's reaction to arthritis and arthrosis are explained by differences in affected joint tissue.

With arthritis, damaged cells occur in the synovial membrane and synovial fluid, and there the process of inflammation is launched there.Edema is the body's reaction needed to combat excessive damaged cells in soft tissue.

With arthrosis, damaged cells occurred in cartilagin tissue, where other protective mechanisms work: replacing damaged cells with connective tissue (scar), which cannot perform depreciation function and have no elasticity, elasticity.

More damaged cells can occur at a time due to injury, hypothermia, and others.In this regard, it is very important in the treatment of arthritis and arthrosis of risk factors.

Risk factors

All risk factors of arthritis or arthrosis are associated with situations where the process of cell death in the joint begins to overcome the recovery process:

Risk factors
  • Hypodynamia.Inactivity lifestyle leads to small microvibration of muscle fibers, the development of stagnant processes in tissues, inadequate lymph flow and capillary blood flow, and, thus, causes increased damage and premature death of healthy joint cells.
  • Overweight.Excessive weight increases the burden on the support joints - hips and knees.In addition, the fat layer complicates the flow to the blood joints, so the cartilage nutrition is disrupted.It is said that women are more than weight suffering from knee arthrosis 4 times more often than their slimmer friends.It is believed that weight loss per 1 kg reduces the load when walking for each knee or hip joint by 4 kg.
  • Spinal disease(osteochondrosis, intervertebral hernia).Inside the spinal column is a spinal cord where nerve impulses pass to the muscles.If the impulse path is broken down, the muscles do not function in harmony and do not have enough to shoot when jumping, lowering the stairs, running and walking.Therefore, even with the natural load of the joints, the joints are damaged and die more often.
  • Old.The source of the body is gradually running out.Fabric tower occurs anywhere, including joints, at different speeds, depending on the action of damaging factors and genetic tendencies.

Infections and diseases that are not up -to -date in most cases just “triggers”.Arthritis occurs, as a rule, in the presence of the above risk factors.Them.Inflammation occurs in the background of existing problems - inadequate blood flow, lymph flow, stagnation in the joints.Healthy cells, as a rule, effectively protect against other infections and "attacks".Therefore, it is important to treat not only the basic disease that causes arthritis, but also the joints itself.

Based on this general understanding, the principles of effective treatment of joints follow.

The principle of mutual treatment is effective

The longer and stronger the destruction process occurs on the recovery process, the sooner the irreversible changes begin.In this case, it is important as soon as possible to move the balance towards recovery.

This is necessary:

  • ClothFrom excess damaged cells formed by injury, infection, autoimmune disorders (rheumatoid, etc.).This is necessaryStrengthen the lymph flow.
  • Increase blood supplyjoint tissue, which will lead to a naturalEnhance the nutrition of cells.As a result, the process of premature death of cells will stop, cartilage recovery, synovial membrane, normalization of synovial fluid composition, and so on, stimulated.
  • Restore conservationcloth.The impaired conductivity of the nerves from the spinal cord to the joints can sometimes be a major cause of the development of the disease.
  • MaximumReduce the loadIn joints affected in the first manifestation of the disease, to prevent premature cell death.Do not wear heels, if you can lose weight, do not lose weight, walk and down carefully, often alternative physical activity with complete peace during the day, and more.These are many steps, which, as a rule, involve serious changes in lifestyle.

Consider various types of treatments from the point of view of the three principles of effectiveness above.

Drug therapy (drug)

In case of inflammationThe following drugs are used:

Treatment of arthritis and arthrosis
  1. Hetepoenene Anti -Inflammation of Drugs (NSAIDs).The main mechanism of this drug action is to slow down the inflammation process and eliminate pain.The cleaning tissue from dead cells does not occur.They reduce the patient's condition, but do not slow down the development of the process [3].These drugs are taken practicallylifetime, if there is no intolerance to them.In this case, side effects are often shown: negatively affecting the state of the mucous membranes of the stomach and intestines and its prolonged useFull of development of gastritis, ulcers, ulcerative bleeding.Some NSAIDs negatively affect the cartilage, thus provoking the development of arthrosis [4].
  2. Hormone, which is usually introduced directly into the joints in the form of injections.They are only used according to the strict signs of the doctor and in extreme cases with severe pain, which is not eliminated by the NSAID.Hormone drugs suppress immunity, and thus the process of eliminating dead cells from suffering joints.As a result of treatment, the intensity of the inflammation decreases, one is relieved.There are side effects: hormone production itself is reduced, metabolic processes, etc., can be violated.When the joints are introduced into the joint cavity, the side effects of the body, in general, are lower than when taking tablets, however, are also observed.The cause of the disease is not eliminated.
  3. Cytostatics- a group of antitumor drugs that violate the growth, development and division mechanismAll the cellsorganisms.In the treatment of rheumatoid arthritis, they reduce the amount of antibodies that kill their own cells.However, other cell formation processes, including hematopoiesis, are also violated.Cleaning of fabric does not occur.

Therefore, anti -anti -drug therapy is only intended to eliminate the symptoms of the disease, but not on the purification or nutrition of joint tissue.Medicines only slow down, "freeze" the process of protective inflammation launched by the body.

The removal of temporary pain is also dangerous because the patient stops "replacing" the foot.And this exacerbates damage to the cartilage and bone.Therefore, the disease is inevitable, and the pain only increases due to the occurrence of additional damage during the "longing".And soon one methods are just prosthetic joints.

Prosthetics together

Prosthetics together(Artificial joint replacement) - complex, expensive, surgical, in which serious postoperative complications are possible (infection, deep vein thrombosis, nerve inflammation, etc.).Prosthesis is an artificial device that can replace certain organ functions.If the prosthesis is located in the human body, then it is called endoprosthesis.Endoprosthetics joints are an operation to replace the components along with implants, which have a healthy anatomical form of joints and enable the entire motion.After such surgery, the patient forgets about pain in the joints and returns to active life.The center carries out operations on large endoprosthetics (knees, hips, shoulders, elbows) and small joints (finger joints).When infection is connected, osteomyelitis can develop, which requires removal of prosthesis and affected areas.The function of the prosthesis is lower than the actual joint.During the fall and careless movement, dislocation, fractures of artificial joints are possible, which requires a second operation.High risk of being a wheelchair disabled.

To try to restore cartilage, synovial fluid composition, the following drugs are used:

  1. Chondroprotectors.They are assigned to restore the cartilage together.These drugs (especially on supplements) are widely used.However, many studies showLack of effect is also compared to placebo!
  2. Chondroprotectors
  3. Hyaluronic acid- An important component of cartilage.It is an important component of the cartilage matrix, protecting it from wear.The drug is based on it can be administered into the joints in the form of injections only after eliminating the inflammation process.The cost of one injection depends on the concentration of the drug and the manufacturer, one course involves several injections.The introduction of this acid temporarily protects the joints from further damage.HoweverMedicines introduced artificially do not stimulate its own acid productionTherefore, the course must always be repeated to maintain the effect.

In addition to drug treatment, there are additional methods:

  • laser therapy;
  • Cryotherapy (cold treatment);
  • heating;
  • magnetotherapy;
  • electromyostimulation;
  • Phonophoresis (ultrasound);
  • Treatment with medicines containing gold, etc.

However, the effectiveness of this method in terms of healing from arthritis and arthrosis under the big question [5], because theyDo not ensure elimination of the main causeDisease - a violation of balance between destruction and recovery of joint tissue.

New understanding of the benefits of physiotherapy training (exercise therapy)

Medical training, aerobic exercises, swimming - an effective way to prevent and treat arthrosis.They aim to restore joint movement and increase blood flow to this area, thus stimulating the cleaning and recovery of joint tissues.

Microvibration

During physical training, workMuscles produce biological microvibration energy*which is needed for transport and metabolic processes at the cellular level.Lymph and blood vessels are not suitable for every body, to each micro post.Therefore, the cells do not have their own vehicles, to move and contact with each other, they need to "shake" them, which is determined by muscle fiber contraction, which is muscle work.

Muscles produce micrivibration energy (even during sleep), just different power.The absence of microvibration indicates one's death.Microvibration levels, sufficient for nutrition and cleaning of all tissues, including joints, only ariseWith physical muscle tension.

That is why exercise therapy is recommended in the treatment of arthrosis and has a healing effect.

Unfortunately,Medical Physical Education has a serious restriction:

  • Training therapy can be done only after removal of inflammation during forgiveness;
  • Training is not recommended for severe pain;
  • People in the old age have a bouquet of disease or serious joint deterioration that no longer allows for exercise;
  • Peoplewith a large weightThey can only be done with a limited amount of physical exercise (in a position to sit, sit) to restore the hip and knee joints, because during walking and similar loads, the joints suffer and continue to collapse;
  • Training therapy will be effective in regular classrooms, when the class alternates with a period of rest for the joints.As a rule, people have to go to work, have some family responsibilities that do not allow them to fully devote themselves (for a long time) only exercise therapy with a rest period.
  • Exercise therapy can be ineffective if arthrosis is the result of physical load and dystrophic changes in tissues in the joints.Muscle cells are depleted, and additional loads can cause their death.
  • Exercise therapy does not solve the problem of restoring the conductivity of the nerve road, that is, with the presence of LFK spinal disease, it will be ineffective, as nerve impulses will be bad to reach the area.

Therefore, exercise therapy is an effective treatment for arthrosis (but not arthritis) at age is not too old with an unsuccessful level of disease with the absence of other worsening diseases.

Cleaning and recovery of joint tissues using phonation

However, there is a way out of the situation!Biological microvibration energy is available from the outside using vibro -acoustic therapy (phonation).

The phoning consists of sending sound microvibration (frequency range of 30 - 20,000 Hz) to the body of a person or animal using a special compact medical device.Such sound microvibration is natural for the body: in their physical features, they are the same as biological microvibration that produces muscle tissue at maximum static physical pressure.

Scientific research

Therefore, calling, which applies at home, is a direct alternative to physical training.At the same time, the effect of the therapy is higher, as it is an external "clean" source of the body, and does not require the cost of its muscles.Microvibration energy is directed to the point, to the affected joint area, to a depth of 10 cm.Due to external sources, muscle tissue is depleted during hypodynamia, physical load, stress, hypothermia, restoring their contraction activity, and therefore the required level of micrivibration (microdistan).

Despite the simplicity of its exposure, the signing has many therapeutic effects:

  • Increase the flow of lymph in the field of exposure, and, thus, helps to cleanse the tissues and early completion of the inflammation process.TheseUnique propertyPhysiotherapy method, which is not accessible to drug therapy.Currently, no drug can directly affect the lymph flow.
  • Increase blood flow, and, thus, nutrition of each cell;
  • encourage joint lubrication;
  • contributing to the exit of the stem cell depot - the ancestors of all the body's functional cells, including joint tissue cells;
  • Increase the conductivity of the nerve stripes with prolonged effects on the spinal problem area.

In this case, the call has no side effects, but has a long effect.

The effectiveness of phoning (vibro therapy -acoustic therapy) in the treatment of joints is proven by many studies.

The scientifically proven effectiveness in the treatment of arthritis and arthrosis reaches 70-90% depending on the study.