Osteoarthritis of the knee joint of 2 degrees. Treatment folk remedies, gelatin, mud, injections, gymnastics on Bubnovskogo, in motels and the home. Initial signs of a bilateral, deforming, group disability

Osteoarthritis - degenerative-dystrophic pathology of the knee. It is the most common type of osteoarthritis. The disease destroys the cartilage that serves as protection of the tibia. 2 Widespread disease severity. It is treatable, but it's a long process.

When running gonarthrosis joint suffering completely. Underlying bone element becomes harder, it starts to grow.

Reasons gonartroza

One provoking factor of occurrence of the disease can not be selected. A whole range of relevant factors. 20% of cases of gonarthrosis points to old injuries.

Provocateurs disease:

• tibial fracture, fibula;
• damage to the cartilage of the joint lining;
• sprain, ligament rupture;
• untreated injuries;
• excess stress on the joints.

After 35 years of feeling the age-related changes in the body, some are beginning to engage in sports. The sharp rise in physical activity implies pathology of the knee. Fraught with consequences fast running, sit-ups.

Overweight gives additional stress on the joints occur microtrauma, tears ligaments. Complicating gonartroza for varicose veins.

The most common instigators of pathology:

• spinal trauma;
• different types of arthritis;
• gout;
• weak ligaments;
• obesity;
• failures in metabolism;
• neurological disease spectrum;
• head injury.

Osteoarthritis can occur 3 months after the injury, or occur within 5 years.

Classification

Given the mechanism of nucleation, the development of pathology, specialists determine the type 2 disease. Primary - idiopathic gonarthrosis, appears in older people, not on the basis of traumatic. It is bilateral. Secondary mind precede developmental disorders, bruises, sprains. It manifests itself in youth, adulthood and be one-sided.

Osteoarthritis is divided into 3 types of localization:

• sided - joint disease of the left foot;
• left-handed - joint disease of the right leg;
• sided - 2 feet.

Important! Degeneration of joint tissues may start at different times, different intensity.

The degree of development of gonarthrosis

The neglect of gonarthrosis, the more time, effort, money will be spent on treatment. Therefore, it is crucial to diagnosis, well-built medical course.

1 degree of the disease difficult to detect. Visual changes are not present. Evident discomfort, fast leg fatigue. There may be a tingling characteristic crunch. limited movement of the joint periodically. There is a slight narrowing of the joint space, the change in bone tissue.

2 degree easily amenable to diagnosis. The disease is characterized by pain that occur after walking. Crunch intensifies. There is atrophy of quadriceps femoris, the difficulties in full extension of the limbs. Joint space becomes even smaller osteophytes grow. Bone ends are squeezed.

3 stage pain becomes palpable, evident even during the rest period. In the joint area of ​​swelling observed, it is not ruled out a blockade knee. Almost no cartilage. Joint deformation, changing axis. Fold, unfold the legs becomes difficult.

Treatment is prescribed in view of pathology step. The worse the disease, the more serious drugs are prescribed.

Symptoms and signs of pathology

Osteoarthritis 2 degrees knee joint, treatment of which can be complicated by co-morbidities, in the first stages of development causes the bright features. Healthy knees are not visually distinguishable from the affected.

I felt the pain, pulling character, which can be confused with restless legs. Common symptoms include: stiffness in the joint, discomfort behind the knee. Some patients complain about the difficulty of movement in the morning, after a long period of rest is necessary to disperse.

With the passage of gonarthrosis, pain increases, appears more often. Bend the leg becomes problematic, there is lameness. Discomfort is not excluded even during the rest period. It speaks about the physical changes - the deformation, coarsening of bone tissue.

Placing a hand on his knee in bending the legs, you can hear a click and feel his hand. Painful area is more often on the inside leg. Sometimes the problem aggravates synovitis. The contours of the tribe visibly smoothed. The patient's condition deteriorates. Pathology takes an acute form.

Diagnostics

Methods of diagnosis, there are several. The best option - a comprehensive approach.

Productive types of survey:

View survey	diagnostic measures	Characteristic
inspection orthopedist	Palpation of the problem zone; measurement of bone; determining mobility of the affected area	Even an experienced hardly make an accurate diagnosis, when it comes to the initial degree of gonarthrosis.
clinical tests	Blood analysis with an emphasis on red blood cells; finding the level of fibrinogen; biochemical analysis of blood and urine tests.	The survey will provide a detailed clinical picture.
X-ray diagnostics	X-ray picture is taken within 5 minutes. Specialist prepares description.	At the initial stage of the picture does not show tissue changes. At a later stage of development, will show a wide range of deformation of bones, cartilage.
Ultrasonography	Painless method without radiation exposure.	To get the full picture of the development of the disease, ultrasound examination should be carried out in tandem with X-ray diagnostics.
Magnetic resonance imaging	The joint study of the layers of tissue deformation detail visible.	The most advanced version. Advantage - high precision. Disadvantage - the high cost of the procedure.

To verify the accuracy of the diagnosis, it is necessary to pass at least 3 types of studies submitted 5. This will determine the effective option to combat the problem.

inspection orthopedist

When the first symptoms of gonarthrosis need to promptly contact a qualified, practicing the treatment of the musculoskeletal system. Experienced podiatrist will be able to correctly assess the condition of the patient, the possible risks.

The doctor carefully probe the problem area, performs linear scaling bones, assess the level of joint mobility.

Clinical researches

Specialist gives direction on analyzes. Blood nurse will take from a finger. In gonarthrosis blood does not show major changes. It only narrows the range of search. It may manifest accelerated erythrocyte sedimentation - a clear sign of inflammation in the body, the development of rheumatic diseases. Exceeding the performance leukocytes confirm the infectious process, reflected in the joint health.

In carrying out biochemical analysis, blood is taken from a vein. The person must appear for an examination in the morning on an empty stomach. The presence of arthritis manifest increased levels of inflammatory markers. Arthrosis they would normally. To verify the accuracy of the diagnosis, it is better to continue the diagnosis.

X-ray examinations

The main method of instrumental diagnosis of osteoarthritis of different types is considered to be the passage of X-ray examination. The picture is made in several projections.

The main factor, the speaker of the arthrosis - narrowing of the joint clearance caused by wear layer. Seal bones, tissue growth indicates the presence of other pathologies.

Osteophytosis, osteosclerosis appear as a defense response after the increased load on the locomotor apparatus. The impressive size of osteophytes the neglect of osteoarthritis. Education arise from the edge of the joint area, on a plot ligament connections.

In the initial stages of osteophytes, up to 0.2 cm., Is somewhat. Later they grow, grow together, creating a one-piece comb.

Ultrasonography

Ultrasound - a fast, secure, affordable method for detecting soft tissue deformation, damage detection, accumulation of joint fluid. The procedure lasts no more than 30 minutes. Radiated Ultrasound waves are harmless to the human body.

These ultrasound depend on the doctor's expertise. With a lack of experience, the results can be subjective. Therefore, the diagnosis, ultrasound delivered according to best to double-check.

MRI - Magnetic Resonance Imaging

Osteoarthritis 2 degrees knee joint, which treatment must be based on a survey docked therapy based on magnetic waves. They show a picture joint, down to the smallest elements.

Diagnosis as accurate as possible. Able to identify the disease with minimal changes in the cartilage, meniscus, ligaments.

After receiving the MRI data, it is necessary to visit a podiatrist in order to eliminate the possibility of errors specialist in charge of decoding performance imaging.

Methods of treatment of gonarthrosis knee grade 2

If you do not take action quickly peretechot pathology in a complex shape.

Experts tend to complex therapy. This reduces the therapeutic period, enhances the effect.

It demonstrates high effectiveness in medical treatment combined with a course of injections, poultices, performing complex exercise. Auxiliary function is performed fizionaznacheniya, manual therapy.

Course Objective:

• make joint mobility;
• restore the gap between the articular surfaces of bones;
• Strengthening adjacent muscles;
• normalization of blood circulation in the area of ​​pathology.

Exercises Evdokimenko

Osteoarthritis 2 degrees treated with therapeutic physical training complexes. It demonstrates the effectiveness of a technique developed by rheumatologist, the author of books on the treatment of the musculoskeletal system, knee joints, Paul Evdokimenko.

The course involves a wide range of exercises, allowing you to select suitable training scheme based on individual patient needs.

It is necessary to perform 3-5 exercises daily.

LFK options:

1. Exercise. Lie on your stomach, put your hands at your sides. One leg, without bending at the knee, lift 15 cm, to stand still for 20 seconds. Repeat the task to 15 times on each leg.
2. Being in the same position, bend the right leg, lift, hold for 5 seconds. Repeat 10 times on both legs.
3. Lying on your side, bend the top leg raised to 40-35 degrees. After waiting 20 seconds, repeated 5 times. Complete the exercise, turning over on his side.
4. Sitting on a chair, straighten your right leg, stand still for 30 seconds. Repeat with the left leg.
5. Rub the thighs on all sides.

After each type of exercise needed to rest for 1-2 minutes.

Exercises Popov

Osteoarthritis 2 degrees of the knee treatment involves versatile. Light physical activities - a prerequisite to combat degenerative diseases.

Exercises doctor Popov method:

1. Lie on your back, pull your knees to your stomach. 5 approaches.
2. The exercise "bicycle" to easy fatigue in the muscles.
3. Lying on your back, sit up, leaning on his elbows. Cross your legs, repeating the movement of scissors.
4. Bend the right leg, severing the foot off the floor. After 5 seconds to do the same with the left foot. 4 Repeat.

class time should not exceed 20 minutes.

Exercises Bubnovsky

Exercise combined with kinesitherapy - the essence of the doctor S.M.Bubnovskogo techniques.

1. Lying on the bed, slowly bend the legs, feet slipping on the bed.
2. Make a knee made of natural fabric, put him ice cubes. To tie the product to the affected area - 20 steps on their knees around the room.
3. Squatting, take a deep breath when bending the knee. 10 repetitions.

Perform complex exercises can be up to 3 times a day.

medication

Pain, limited mobility, provoked gonarthrosis, reduced quality of life. Reduce discomfort, unpleasant sensations may medication. It is based on the drug is working in three areas: reduction of pain, stop the development of pathology, rehabilitation.

Medicines Group:

• pills;
• injection;
• ointments;
• compresses;

Self-medication is prohibited. The course of treatment should pick a doctor.

anti-inflammatory drugs

After identifying the problem, doctors prescribe non-steroidal anti-inflammatory drugs.

preparations:

• Kalmopirol.
• Ibuprofen.
• Indokollir.
• Diclofenac.

Some tablets have analogues produced in the form of ointments, suppositories. Means reduce pain, the development of inflammation, but does not eliminate the disease. The tablets should not be taken more than 3 months. Any adverse effects.

analgesics

In gonarthrosis we not do without painkillers.

Effective means:

• Acetylsalicylic acid.
• Ibuprofen.
• Fenibulbutazon.
• Voltaren Emulgel.
• Nise.
• Nemisulid.

Medications have a voluminous list of side effects. It is necessary to get a complete list. If you experience any discomfort, re-apply to the doctor to replace painkillers.

chondroprotectors

Widespread in gonarthrosis got hondroprotektory - medicines used for the formation of the lubricant in the disease outbreak, stop the collapse of the cartilage tissue of the joint, restore them.

Preparations made of animal-based, plant components: some species of fish, seafood, legumes, avocados.

Chondroprotectors able to:

• compensate for the lack of building materials joint tissue;
• knees back functionality;
• restore damaged structures;
• get rid of the stiffness.

Course duration 3-5 months. The period depends on the capabilities of the selected drug, the disease stage.

chondroprotectors:

• Arthritis.
• Struktum.
• Formula C.

Available drugs for osteoarthritis is oral, injectable use. The most productive considered hondroprotektory 3 generations, based on hyaluronic acid.

Traditional methods of treatment, means of recipes

Osteoarthritis 2 degrees knee joint, which treatment may be based on People's ways you can try to correct the homemade means:

• ointments;
• compresses;
• formulations for the bath;
• infusions,
• decoctions.

recipes:

1. Minced 1 chili, add 1 aloe leaf, 1 tablespoon chelidonii, add 0.5 liters. vodka. A month later, the tincture is ready. Eat 2 tsp before the dinner meal.
2. 100 g of celery, lemon 1, 50 g of garlic, scroll through a meat grinder. Pour the mixture was 1 liter. water warm. After one day, you can start receiving - 50 ml before breakfast.
3. 1 chicken egg yolk to connect with 1 tsp turpentine, 1 tsp apple cider vinegar. The mixture was used for grinding the knee, followed by warming the affected part. Compress to do before going to bed to ensure the feet rest.
4. 3 burdock sheet put on one another. Put them hot dishes. Attach plants to the knee, after brushing it with vegetable oil. Insulate.
5. Thoroughly mash cabbage leaves, put honey, cover the joint. Insulate cloth.
6. Boil the potatoes. Mashed potatoes wrapped in cloth, to attach to the problem area. Withstand 30 min.

People's choice of method depends on the clinical picture of the patient.

surgical care

There comes a time when medical treatment of gonarthrosis in the later stages, losing effectiveness. Exit - surgery.

This measure does not need to be afraid. The main thing to choose a good clinic, get acquainted with the work of practicing surgeons, strictly follow the recommendations of doctors.

Endoprosthesis

The need for surgery occurs on the average, the last stages of the disease. Popular ways to combat the effects of osteoarthritis - hip replacement.

In the course of surgery on the affected joint prosthesis vary from metal, ceramic material or plastic.

Over time, the implanted joint wears out, the structure weakens. By the end of product life cycle, the pain returned.

Endoprosthesis - a complex procedure, which is performed only first-class professionals. Problematic internal particles are removed, the prosthesis is introduced.

Forecast

Since operations until removal of sutures, the patient is under medical supervision. The hospital conducted drug therapy, physical therapy, to avoid possible complications. They may be different - from vein thrombosis to pneumonia. A day after the surgery the doctor recommended physiotherapy.

rehab continues after discharge. Because how well will take place during this period, it will determine the future performance of the limbs.

After gonartroza 2, 3 degrees, it takes a month of regular exercise on the extension - flexion of the knee joint. At the same time the patient develops walking with crutches. When the visible progress, changes them on a cane. Fully recovered, the person starts to move independently.

Rehabilitation treatment takes about 3 months. With a strict implementation of the recommendations of doctors, implanted into the joint will last more than 15 years. Implants prove that disability is obtained after gonarthrosis - not a sentence.

Registration of the article: Vladimir the Great

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