Therapeutic measures in the treatment of arthrosis of the knee

Arthrosis is a deformity of the knee joint, which is accompanied by an inflammatory process with characteristic signs of redness and swelling of the lesion. Treatment of arthrosis of the knee joint is a long and complex procedure.

This disease is most often diagnosed in the elderly and professional athletes. The effectiveness of rapid recovery depends on a correctly established rehabilitation plan and compliance with all prescriptions of the attending physician. Therefore, it is necessary to consider in more detail the degree of arthrosis and all methods of treatment of pathology.

Degrees of arthrosis of the knee joint

The course of arthrosis of the knee joint is divided into four specific stages that characterize the severity of the disease.

• First degree.The beginning of the disease is characterized by constant pain in the legs with a pulling character. At the same time, the mobility of the joints is limited, and a sharp movement produces a corresponding crunch. Increased physical activity increases the deformation of the joint. If you do not load the leg, then the pain practically does not manifest itself. X-ray shows narrowing of the joint space, destruction of the joint is not observed.
• Second major.Arthritis at this stage of the development of the disease is characterized by the appearance of severe pain in the joint, which limits movement and a person can no longer travel long distances alone. The joint wears out, a crunch is noted in the knee, and a limping gait appears. The gap in the joint is narrowed to a minimum, so-called osteophyte spikes are formed and inflammation may begin.
• Third degree.The most severe complication of arthrosis. The person can no longer move independently, and the pain in the knee does not stop even at rest. There are pronounced signs of arthrosis: complete deformation of the knee, absence of a joint gap on an X-ray, limitation of joint mobility.
• fourth degreecharacterized by complete destruction of the knee joint. In this case, a surgical operation in the form of joint replacement is recommended. Only a qualified specialist can determine the exact degree of arthrosis of the knee joint after a series of specially conducted examinations. If you have similar symptoms, you should immediately go to the hospital for an examination by a rheumatologist.

Basic methods of treatment

Treatment of osteoarthritis of the knee involves the use of a wide variety of techniques from medical therapy to alternative medicine. The process of rehabilitation and restoration of the knee can take a long time and requires the use of various methods, as well as compliance with all the manipulations prescribed by the doctor.

The course of treatment is determined by the attending physician, who determines the recovery plan depending on the degree of arthrosis, the age of the person. At the same time, every effort is made to avoid surgery and keep the knee intact.

Removing excess stress on the joint

One of the reasons for the increased load on the knee joints is the presence of excess weight, which puts pressure on the legs and can gradually lead to the formation of deforming arthrosis. If this diagnosis occurs with excess body weight, corrective measures should be taken to reduce the load on the joint. To do this, you need to follow a diet, do sports (use only permitted exercises, regularly exercise exercise therapy).

They also use a number of special bandages and installations to fix the knee joint and properly distribute the load on it. Such devices are orthopedic and are specifically designed to correct and restore the knee joint. The time of using devices and dressings is appointed or extended by the attending orthopedic doctor, who makes a decision after analyzing the complete clinical picture and studying X-rays.

The use of drug therapy

In the treatment of arthrosis of the knee joint with drugs, three groups of drugs are used: anti-inflammatory, non-steroidal analgesics, hormonal drugs, chondroprotectors. Positive results and progress in treatment are ensured by the correct combination of components in the therapeutic complex.

1. Use of nonsteroidal analgesics.These drugs are prescribed as pain relievers that stop the inflammatory process. Medicines are taken orally or used for external use (ointments, gels, patches). The effect of exposure occurs on average 4-5 days after the start of treatment. The total course of treatment is no more than 2 weeks, since further use causes the development of side effects in the form of indigestion, nausea and ulcerative manifestations.
2. Hormonal drugs.When the course of the disease is complicated, doctors prescribe the use of hormonal drugs that quickly eliminate pain and speed up the recovery process. The duration of treatment with these drugs is short-term, since they have a large number of contraindications for long-term use.
3. Preparations with chondroprotective action.They contain natural sources of structural elements of connective tissue in cartilage and perform the function of restoring the knee joint. The use of medication also helps to relieve painful symptoms. Medicines are available in the form of tablets, ointments, gels. The main method of using chondroprotectors is the introduction of the drug into the joint fluid.

The total duration of treatment is about 4 months. As practice shows, the results give positive changes that are clearly visible on radiographic images. Hyaluronic acid is called a joint fluid protector. It has a practically identical composition that actively nourishes and restores the primary structure of the knee joint.

surgery

Surgery of the knee joint is performed only in extreme cases, when other methods of treatment do not give positive results. Depending on the severity of the disease, the following methods of surgical intervention are distinguished:

1. Performing arthroscopy. The most delicate way of surgical intervention. This manipulation is performed in the initial stages of the pathology and partially restores the work of the knee joint. The procedure is performed using a special endoscope, first punctures are made and then the damaged parts of the joint are removed with the device. The operation is effective in younger people and quickly relieves pain;
2. The use of osteotomy is indicated for more severe deformity of the joint. The essence of the procedure consists in a special fracture of the bone and its further proper fusion. In this case, the joint is restored, the pain disappears. And also additionally use the necessary parts of artificial fabrics;
3. Performing endoprosthetics. This is one of the most difficult types of surgery. In this case, a complete replacement of the knee joint is performed with a special implant that performs all the functions of restoring flexion and further movement of a person. Most patients note quite positive consequences, in which the level of physical activity increases significantly.

Physiotherapy treatment

Physiotherapy is an effective method of treatment in the initial stage of the development of arthrosis. It is actively decreasing
pain, relieves muscle tension and partially restores the primary structure of the joint. There are the following types of physiological procedures:

• Conducting analgesic magnetic therapy. This procedure performs the general functions of recovery and pain relief in the body. The use of this method is effective in the first, second stage of the disease. The total duration of the treatment is 9-15 procedures lasting 30 minutes.
• The use of laser therapy as an anti-inflammatory. When using this technique, the following types are used: infrared radiation treatment, low frequency UHF, centimeter wave therapy. Such methods have a beneficial effect on the recovery of the joint. Saturate the connective tissue cells with nutrition, improve blood circulation. It should be noted that the use of UHF is combined with intra-articular administration of drugs, and centimeter wave therapy is effective in the initial stages of arthrosis. The average duration of the procedures is 10-20 times, and the duration is from 7 to 15 minutes.
• Physiological procedures with intensive impact. A wide variety of procedures are used to treat knee osteoarthritis. Several basic techniques should be discussed in detail.
• ultrasonic waves. The most famous treatment for this disease. Significantly improves the processes of blood circulation, nutrition in the joint, restores cartilage tissue. It is recommended to use within 14 days. The use of electrophoresis. The use of electric current in connection with the introduction of drugs. The advantage of this method is a significant recovery of the knee joint, while at the same time there is no heavy drug load on the body. The number of procedures per course is 10-12 times. The combination of several currents acting on the joint is the phenomenon of interference therapy. A distinctive feature of the method is the stimulation of atrophied muscles and the restoration of blood circulation processes in the lymphatic system. With the development of the acute stage, it is prescribed twice a day for two weeks. The use of pulsed alternating current also has an effective effect on the affected joint. This procedure is called darsonvalization and actively reduces pain while performing restorative functions in the knee. The full course of rehabilitation is 10-15 procedures lasting about half an hour for 15 days. Taking special therapeutic baths. They are an integral part of arthrosis treatment procedures. Combinations of water with sage, hydrogen sulfide, radon, bischofite, healing mud are very effective. These procedures have a strong analgesic effect and can be applied for local or general application. The duration of the session is 10-30 minutes. The average course of treatment is 10-20 days.

Traditional medicine in the treatment of arthrosis of the knee joint

The process of complex treatment of the pathology can stop the further progression of the disease, but it is impossible to completely get rid of the disease! Therefore, it is very important to use all techniques aimed at maintaining a stable condition and prolonging the established effect. One of the most effective ways is the recipes of traditional medicine in the form of compresses, bandages, ointments, tinctures, which have a beneficial effect on the lesion. The most effective means:

• Preparation of dandelion flowers.It is used fresh, boiled in boiling water and alcohol-based tincture. It is recommended to eat 7-8 dandelions daily. The tincture is taken three times a day, 100 ml before meals. An alcohol-based solution is applied to the affected joint every day for a month;
• Horseradish compress.This vegetable effectively reduces pain symptoms and partially restores the normal functionality of the joint. The process of making a bandage is simple: grated horseradish is applied to gauze and applied to the sore spot overnight. The procedure should be repeated daily for about 30 days;
• Use of aloe.The plant has natural anti-inflammatory, analgesic properties and is actively used in the treatment of arthrosis. You can make compresses based on flowers, as well as use crushed leaves or apply them to the affected area. The duration of treatment with this drug should last at least one month;
• Tincture based on gentian.The recipe for preparation is to use the herb together with alcohol and obtain a suitable solution for the prevention and treatment of arthrosis. The medicine is taken 3-4 drops a day or used as compresses. Treatment lasts one month;
• A mixture of mustard, sand and salt.All components of the composition must be well mixed, then placed on a baking sheet and warmed up well. The hot mixture should be applied to the affected area and not removed until the compress cools down. This method is effective in relieving pain, improving blood circulation in the joint. The procedure is not recommended during the acute course of the disease.

Calendula, burdock, juniper are also used in the treatment of the disease, as they have a beneficial effect on the recovery of the knee joint.

Non-traditional means for the treatment of arthrosis

Alternative medicine is used in the treatment of arthrosis. The most popular methods in this industry:

1. Treatment with leeches is called hirudotherapy. This method is very effective. Because the insects are attached to the points of biological impact on the joint. At the same time, they secrete special enzymes that have healing properties, improve metabolic processes and increase blood circulation in the joint. The time and duration of treatment is prescribed by a special doctor;
2. The use of acupuncture by inserting needles into the active points of the joint. A number of effective procedures in the treatment of arthrosis are also presented. They use direct acupuncture, point massage and special moxibustion sticks. The manipulation is performed only by a qualified specialist who prescribes the required number of sessions;
3. Treatment with hydrogen peroxide. The chemical compound is involved in all vital processes of the body, so it is also used in arthrosis. The medicine is diluted with water in a ratio of 1 cup to 3 drops of 3% H2O2 and drunk 2 hours after a meal. You can also use compresses based on peroxide;
4. Intake of gelatin. This component is a natural source of collagen, which is necessary for the strength of bones and joints. The use of gelatin also has a therapeutic effect on the course of arthrosis. The daily dose is 10 grams. And the duration of treatment by this method should be at least 90 days. It is also good to use foods and dishes rich in gelatin (chicken, pork offal, cartilage, giblets);
5. The use of stem cells. An innovative method for the treatment of arthrosis. Its uniqueness lies in stem cells, which have the ability to regenerate and reborn into new cell systems. They are obtained from human bone marrow and grown in a laboratory for 2 months. The cells are then injected into the affected joint. This therapy partially replaces the cartilage tissue and improves the mobility of the knee.

A combination of massage and manual therapy

Massage is a prerequisite for the treatment of this pathology. It is performed by a qualified massage therapist or a trained patient. It is recommended before starting the procedure to warm up the muscles with training therapy exercises and then perform manipulations. A good effect is added by the use of water procedures in conjunction with massage. Initially, the first sessions should last no more than 10 minutes, and then gradually increase to 20 minutes.

After the massage, the patient should feel a slight relaxation and no pain. If they are present, you should consult a doctor about the further continuation of the procedure. Manipulation helps well in the early stages of arthrosis.

Manual therapy is used in individual cases and is conducted by a special doctor. For its application, the patient must have certain indications. The essence of the method consists in the soft reduction of the joint and its extension. In this case, the muscles are activated and the process of restoring joint mobility begins. Manipulation should be carried out 3-4 times during the year.

Treatment, prevention of arthrosis with exercises

Performing special exercises called physical therapy is an effective method of treating arthrosis. To get the desired effect, you must follow the rules of complex gymnastic exercises:

1. The exercises are done only on the recommendation of the attending physician;
2. The motor mode should be several times during the day;
3. Exclusion of strong physical activity;
4. During training, you should take special breaks to relax the joint;
5. The combination of massage, therapeutic drugs and exercise therapy;
6. Exercises are performed with a calm course of the disease;
7. The ratio of normal muscle tension and motor activity should be observed. It is this technique that will strengthen the joint;

It is worth remembering that a set of special exercises for therapeutic gymnastics is prescribed purely individually and is selected by a doctor specializing in this field.

Methodology of the Doctor of Medical Sciences

This method of treatment was developed by a famous scientist, doctor of medical sciences. The essence of therapy is based on healing the patient using physiological procedures without the use of drugs.

After a thorough examination, an individual treatment scheme is prescribed. In this case, there is no additional load on the joint, but special simulators are used. As analgesics, the doctor suggests the use of ice and other cooling ingredients.

In parallel with this therapy, swimming, bath procedures, special massages, steam bath with subsequent cooling are recommended.

In medical practice, many positive cases have been shown in the treatment of arthrosis, when joint mobility is restored and the patient can lead a normal life.

Methodology of a rheumatologist

The famous doctor has developed his own method for treating arthrosis. It is based on a combination of medication, mechanical treatment of the affected joint.

This method is carried out according to the following scheme:

• The use of non-steroidal drugs;
• The use of chondroprotective drugs;
• External use of anesthetic type creams, ointments;
• Placement of compresses;
• Introduction of injections into the joint;
• Carrying out manual therapy;
• Physiological procedures;
• Therapeutic physical culture;
• Wearing special bandages, bandages, canes;
• Diets.

The effectiveness of the technique is confirmed by statistical data. In the first degree of arthrosis, more than 95% of patients are cured by this method. The second stage of the disease is rehabilitated in 80% of patients.

Treatment of arthrosis using modern treatment methods

Modern methods of treating arthrosis are actively combined with drugs and other treatment methods. The following types are used:

1. The phenomenon of kinesitherapy, in which a specially developed set of exercises is prescribed, which is aimed at achieving the most positive effect;
2. Introducing ozone into the joint is called ozone therapy. This is a type of physiological procedures that appeared relatively recently and gained popularity due to its high efficiency;
3. Use of homeopathic medicines of a diverse nature.
4. Application and use of biologically active substances.

These medications should only be taken as directed by your doctor.

These methods of treatment are used quite often in the treatment of arthrosis and, for the most part, give positive results. The combination of methods is chosen by a qualified rheumatologist.

Treatment of arthrosis in sanatorium-resort conditions

An indication for treatment of arthrosis in a special sanatorium complex is the development of degenerative-dystrophic arthrosis.

In the sanatorium, the patient is prescribed the following procedures:

1. Mud Wraps and Baths;
2. Physiological therapy;
3. exercise therapy;
4. Massage and manual therapy;
5. Modern methods of treatment of arthrosis.

Treatment of the sanatorium-resort type is prohibited with such contraindications:

• Severe deformation of the joint;
• Inflammatory process in the knee;
• Deterioration of the general condition;
• The last stage of the disease in the acute phase.

The correct performance of all prescribed procedures in the sanatorium and further improvement of the general condition, restoration of the joint, resumption of its mobility in 6 months is a confirmation of favorable treatment under these conditions. At the same time, general analyzes show a positive trend.

The average cost of treating osteoarthritis and feedback on the effectiveness of therapy

The cost of the complex treatment of arthrosis of the knee joint depends on the degree of the disease, the general condition of the joint, the stage of its deformation, the age of the patient and the ability of the body to recover.

It should be noted that the use of drugs with a chondroprotective effect is an expensive procedure, since the terms of their application are quite long. In the treatment of the pathology, a whole set of measures is prescribed, which also have a rather large price policy.

The last stages of arthrosis are characterized by complete deformation of the joint, which requires prosthetics. The prices for this operation are quite high. That is why the average cost of treatment is quite high, and it is best not to start the disease, but to treat it in the early stages of its appearance!

Reviews of patients with arthrosis who underwent complex treatment are expressed. Most people say that arthrosis is best treated in the early stages of the disease, with full compliance with all prescribed manipulations. At the same time, continuous preventive measures must be taken to prevent the development of the disease.

The third, fourth degree of the disease is practically not treated and doctors recommend surgery. Depending on the degree of knee deformity, various surgical operations are performed, from reconstruction to complete joint replacement. Postoperative periods and further remission time also recommend prophylaxis and new surgical interventions.

Finally, it is worth emphasizing the important point of the article and saying that arthrosis of the knee joint is a very serious serious disease that requires a lot of effort and time for partial recovery. Therefore, if you are prone to this disease, you must strictly follow all preventive methods to prevent the progression of this pathology!