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Joints And Bones

Deforming arthrosis: Symptoms and Treatment

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Deforming arthrosis (osteoarthritis) - a progressive pathology, leading to degeneration and degeneration of articular cartilage damage surfaces and, up to its complete destruction in the joint.

Typically arthrosis deformans is detected at an advanced and senile age, in the presence of co-factors and diseases are often detected during the surveys, but manifests itself clinically.

Deforming arthritis - the most frequent and common pathology of the joints. It occurs in 70% of all diseases of the joints.

Causes

The exact cause of deforming arthrosis of today is not clear, but it highlights some of the factors that significantly increase the likelihood of its development. First of all, it is a common aging and degenerative effects in tissues, cartilage changes and joint capsules.

Factors affecting the development of osteoarthritis can be divided into:

  • external - these include overloading joints (eg, due to weight lifting), permanent injury, professional influence, hypothermia joints,
  • domestic - is the impact of heredity and overstretched ligaments laxity of joints, dysfunction ovaries and menopausal changes in women, vascular accident, impaired blood circulation in the tissues of the cartilage, obesity.
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Arthrosis deformans, as one of the symptoms can be alcoholism or myxoedema, acromegaly or hormone therapy, congenital dislocation of the hip, Marfan syndrome (a hereditary disease characterized by excessive joint mobility and elongation of long bones). joint immobility)

Stages of development

In the development of arthrosis deformans there are a number of regular sequential steps succeeding one another:

  • decrease watery cartilage, which leads to a thinning and drying it,
  • formation of cartilage defects and cracks
  • destruction of cartilage while a sharp narrowing of the joint space,
  • the disappearance of cartilage from the bone edges,
  • compensatory seal the ends of bones, which were without the cartilage surface,
  • disruption of joints dislocations, fractures and impaired limb function.

Symptoms of deforming arthrosis

First of all, the main manifestation of a deforming arthrosis

  • pain within the joint, worse after exercise or at night,
  • affects individual joints,
  • affected joints are not symmetrical,
  • while there is no common manifestations of joint damage,
  • no fever,
  • no severe redness of joints,
  • There are no changes in the analyzes.

The process is more common in the ankle, knee, hip or interphalangeal joint.

If the disease progresses to the degree of cartilage destruction, there is a painful joint blockade, walking manifest severe pain that does not move the legs and forces to stop. This is due to enter into a joint cartilage pieces or small bone fragments (joint "mouse").

In the area of ​​the joints on the phalanges arise nodules, very solid education, and the joints were severely deformed, the muscles do not undergo atrophy, no ankylosis (joint immobility).

Inside the joints when moving audible crackle due to uneven frictional surfaces together.

Because of the pain and mobility limitations may form contractures (muscle contractions), which shortens the leg or arm.

Deforming arthrosis in its manifestations is similar to the different forms of arthritis in the first place it is necessary to distinguish from rheumatoid arthritis.

Diagnostics

Common criteria for the diagnosis of deforming arthrosis does not exist, it can be externally recognizable only by nodules on the phalanges. Suspected osteoarthritis occurs when:

  • Typically, the affected joints,
  • long-term development of the disease for many years,
  • elderly patients.

Basis of diagnosis - X-ray data that occurs before the period of clinical symptoms and pain.

Manifests joint space narrowing, changes with flattening and deformation of the joint surface, instability in with joint dislocation and subluxation, visible edge overgrowth of bone, osteosclerosis (excessive increase in density bones).

With the progression of bone spikes are identified and hummocks, joint space can become a wedge.

Complementing the research arthroscopy, The study of blood with no signs of inflammation.

It is necessary to conduct research periarticular fluid.

Treatment of deforming arthrosis

The treatment takes traumatology and orthopedics.

Methods of treatment of deforming arthrosis depend on the degree of involvement in the joints, as well as the duration of the lesion and the presence of pain.

First of all, conservative therapy is used

  • decrease stress on the joints,
  • weight loss,
  • the use of metabolites - the rate aloe, gumizol or vitreous intramuscular courses
  • use stimulants cartilage repair - arteparon, hondroksid, rumalon, mukatrin intramuscular injections courses.

complements treatment

  • applying quinolone preparations (ofloxacin),
  • anti-inflammatory therapy (diklogen, ibuprofen, indomethacin).

If there is an inflammation in the joint, shown hormones course - hydrocortisone into the joint.

Applied also complex massages, physical therapy action, mud, heat exposure. Useful for spa treatment.

In severe cases, surgery helps - arthroplasty. Subsequently illustrates joint discharge, decrease in body weight, with reliance on walking stick or crutches, physiotherapy.

Forecast

Deforming arthrosis without the required treatment has slowly but steadily progressive course. It leads to substantial disability and dysfunction of joints, movement disorders. Therefore, at occurrence of the first signs of osteoarthritis is shown active therapy lasting courses for 1-2 months.

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