Arthritis

Causes, Symptoms and Treatment of Shoulder Osteoarthritis

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osteoarthritis of the shoulder joint The shoulder has a complex and completely unique structure.

The shoulder joint, unlike the others, moves due to muscles and tendons.

There are many diseases that affect this organ, but the most common ones are arthritis and osteoarthritis.

Contents of the article

  • Description of the disease and the causes of
  • How does the disease manifest itself?
  • Disease stages and diagnosis
  • Treatment: aims and methods
    • Traditional medicine
  • Preventive measures

Description of the disease and the causes of

Osteoarthritis is a joint disease that involves degenerative-dystrophic changes in cartilaginous tissue. As a result, the motor capacity of the affected joint is rapidly decreasing.

The disease affects cartilages and tissues in which there is insufficient circulation or they lack micronutrients. According to WHO, the age of patients in the range of 45 to 60 years. Against the background of osteoarthritis can begin pathological changes in bone tissue - osteoporosis.

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The disease develops slowly and, often, unnoticeably. The manifestation of obvious symptoms indicates an acute form, which immediately goes into a chronic, in the absence of complex therapy.

It is almost impossible to fully recover from such a chronic illness. Therapy in this case is aimed at reducing the periods of exacerbation and reducing the pain syndrome. shoulder pain

Osteoarthritis of the shoulder joint implies dystrophic changes in the hyaline cartilage. Thinning of this tissue threatens with the appearance of osteophytes - growths on the edges of bones that have bare from pathological changes.

In the progressive course of the disease, an abnormal aging of all cartilaginous tissues adjacent to the joint occurs. Salt deposits begin to appear in them, which aggravate and spread the inflammatory process, adding discomfort to the patient.

Abnormalities in the functionality of the shoulder are often irreversible.

The following factors may provoke the appearance of shoulder osteoarthritis:

  • , dysplasia congenital or acquired;
  • of the endocrine system;
  • congenital pathology;
  • diabetes mellitus;
  • rheumatological ailments.

People at the age of 45 years who are sedentary or have a genetic predisposition are at risk.

How does the disease manifest itself?

The osteoarthrosis of the shoulder joint has a clear symptomatology, due to which it is possible to diagnose the disease and start treatment. Pain syndrome manifests itself at the time of shoulder movement.

crunches his shoulder If the disease has already progressed to grade 2 and caused the formation of osteophytes, then with the rotation of the hand there will be a click and a crunch.

As the articular tissue is damaged, the motor activity will decrease until the joint is finally blocked.

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To recognize the osteoarthritis of the shoulder joint of the 1st degree is not easy, but the following symptoms allow one to be on the alert and consult a specialist:

  • aching pain in the shoulder joint at the end of the day;
  • on awakening, a swelling in the shoulder area is felt and a slight deformation is not visible;
  • after sleep, there is stiffness and discomfort when rotating with the shoulder.

These phenomena indicate a degenerative process in the cartilaginous tissues of the shoulder. It can be slowed down or completely stopped, if the timely and comprehensive approach to the issue of treatment.

Stages of the disease and diagnosis

Diagnosis of osteoarthritis involves the passage of a number of instrumental and clinical procedures.

Clinical Phenomena from anamnesis and Diagnosis:

  • pain in the affected area with intensive training or other physical exertion, as well as in the evening;
  • nodules in the shoulder joint;
  • manifestations visible on the X-ray( presence of osteophytes or sclerotic changes);
  • positive synovial fluid analysis;
  • morphological changes detected by CT and MRI studies;
  • detection of abnormalities in blood and urine tests.

Passing the procedure of radiography will allow the specialist to reliably diagnose and determine the stage of the disease. brachial joint

Stages of development of the disease:

  • minor, but distinctly noticeable changes in bone tissue;
  • reduction of joint space and osteophytes;
  • more pronounced narrowing of the joint gap and an increase in osteophytes;
  • absence of joint space and deformation of the epiphyses.

When diagnosing "osteoarthritis" the patient is recommended to undergo an x-ray at least once every 8-10 months. This is required for correction of therapy and timely application of more radical measures in treatment.

Treatment: goals and methods

Shoulder joint osteoarthritis is treated with medication or by surgery. The second option is used in exceptional cases, when the disease has reached the 4th stage and replacement of the joint is required.

Medication groups:

  1. Chondroprotectors .These drugs carry the bulk of the therapy - the restoration of cartilaginous tissue. These drugs are long-lasting, since the effect of them is visible only after six months of use, and sometimes later. Chondroprotectors act productively exclusively at the first stages of the disease. With complete destruction of cartilage, these drugs are useless. Most often apply a course of injections directly into the shoulder.
  2. Nonsteroidal anti-inflammatory drugs are designed to stop the spread of the inflammatory process to the tissues and partially to stop the pain syndrome.
  3. Muscle relaxants relieve spasms from the affected muscles, restoring the joint ability to move.
  4. Analgesics .
  5. medicines for the normalization of blood supply .
The selection of specific drugs should be carried out exclusively by a doctor. Illiterate self-treatment may threaten the increase in the recurrence of the disease and the aggravation of its severity.

Medication Therapy Drug therapy usually lasts 14 days, followed by a break for a month and a repetition. This scheme concerns chondroprotectors and NIP.Miorelaxants and painkillers are used directly in days of exacerbation of osteoarthritis.

In addition to medical treatment, a course of physiotherapy is required. They stimulate blood supply in the affected tissues, thereby accelerating the recovery process. Cryotherapy and massage allow for a while to remove the pain.

Surgical treatment involves the replacement of a damaged joint with an endoprosthesis. In Russia, only a few clinics are ready to perform such an operation. A partial or complete replacement of the shoulder joint is possible.

Complex LFK for the shoulder joint - super exercises:

Traditional medicine

Traditional medicine recipes are aimed at reducing pain and improving the nutrition of the diseased cartilage, but their validity leaves doubts. bath with sea salt

To relieve discomfort and pain, it is recommended to take baths with sea salt and fir oil. It will also help compress from needles or hay, but it is not recommended to do it more often than twice a week.

Cabbage leaf, fixed on the shoulder with food film, perfectly warms the affected area and relieves pain and spasm. Kashitsa from onions and honey will give the same effect. Folk methods allow the body to relax from the action of medications and regain its strength.

Preventative measures

People who have a genetic predisposition or just an age older than 45 years are advised to pay attention to the prevention of joint diseases. Osteoarthritis often has a chronic course, which periodically replaces the exacerbation.

Secondary prophylaxis is aimed at preventing recurrence and slowing down the destructive processes in the cartilage. A special role is given to the diet, which implies a significant reduction in salt intake. The motor mode should be measured, without strong physical exertion and intensive training.

During the exacerbation of the disease, the joint requires maximum rest. It is recommended only a small charge in sparing mode. Alcohol consumption should be excluded.

Osteoarthritis is a serious disease of the shoulder joint, which can completely deprive it of its ability to move. Only comprehensive and timely therapy can exclude the consequences of the disease and minimize pain.

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