Effective treatment of joints, synovitis, arthritis and arthrosis

The pain in the joints not only complicates life, but also usually indicates dangerous inflammatory and destructive processes that gradually restrict movements and, if treatment or lack is not indispensable deformation and disability.

Arthrosis is the second largest cause of disability after cardiovascular disease.At the same time, joint inflammation and arthrosis are often affected by the still -functioning population, meaning that people become disabled - or are forced to constantly overcome pain to live.

So why do joint pain occur, and what methods are available for Russians these days, which not only temporarily relieves pain but also eliminates inflammation and stops the destruction of the joint?

Arthritis and arthritis - differences

Arthritis and arthrosis have similar names as both diseases affect the joints.They differ in the nature of the joint changes.

-CirclearthritisPain is caused by inflammation of the arthritis.This disease suffers from a synovial shell in which the blood and lymphatic vessels are concentrated in the nerve endings.Accordingly, this affects both joint consumption and the production of joint lubrication (synovial fluid), which nourishes the cartilage.

Arthritis may occurAt any ageincluding children and adolescents (juvenile arthritis).In fact, the disease can be influencedAlmost any joint, including small inflammation of the fingers) and multiple joint damage -polyarthritisOr

Long existing arthritis leads to arthrosis, since the joint, especially cartilage tissue suffers for a long time from feed deficiency derived from synovial fluid.It is important not to “quench” inflammatory reactions to anti -inflammatory drugs, namelyFight the cause of inflammation, for example, with financing.

-Circlejoint jointFirst and foremost observedThe destruction of the cartilage, cover the bone surface (and with a neglected procedure - and the bone tissue itself).The cartilage ceases to cope with the load on it and crash faster than it manages to repair.The cartilage tissue is softened, the normal slippage of the joint surfaces is disturbed, and every movement is accompanied by pain.

Arthrosis appears more oftenAfter 40 years- Large joints such as knee (gonarthrosis) and hip joints (coksarthrosis) are more common and the cause of disability and disability.Fingers are less common in osteoarthrosis, thumb arthrosis, temporomandibular joint, shoulder damage, elbow joint, etc.

Symptoms and signs

Symptoms of arthritis:

• Synovitis, that is, swelling, increased sensitivity or pain when touched, limiting joint mobility;
• acute, sore pain, both in motion and rest;
• Breakfast stiffness because edema develops in common time.It lasts 40-60 minutes after moving.

In the case of arthritis, the general characteristics of inflammation can also be observed: fever, chills, sweating, general weakness.You can manifest your headache and weight.Symptoms of the disease were also observed, which caused inflammation: heart damage to rheumatoid arthritis, lungs and other tuberculosis organs, etc.

Joint symptoms:

• Pain during daily physical effort and not at rest.For example, pain in the knee and hip joint walking, running, squatting, walking on stairs, etc., then moving the pain to disappear (starting pain).There is severe pain in the knee and crunch when bending.
• Short -term "starting pain" after rest periods, with the fact that the joint surfaces on which the detrites are arranged (the result of cartilage and bone destruction) are rubbed.15-20 minutes after moving, the pain disappears as the detrite is pushed out.
• Continuous stupid night pains are more often at the beginning of the night due to venous stagnation.

Arthrosis is often accompanied by inflammatory reactions.Pain and swelling are observed as in arthritis and the disease itself is calledArticular arryritisOr

Mobility is often limited during prolonged joint arthrosis due to degenerative changes in muscles, and tendons (so -called contractures) occur.joint deformation“Therefore, the disease is often calledDeformation of arthrosisorDeformation of osteoarthrosisOr

Sections and extent of osteoarthritis

There are many stages of osteoarthritis that are usually recognized by radiological images:

• Degree osteoarthrosis - bones and cartilage changes generally expressly expressed, usually when computerized tomography is performed.Pain and swelling occur after moderate physical activity.The swelling of the joint passes after rest.
• Degree osteoarthrosis - the cartilage tissue collapses, the increase in boneophytes (osteophytes) appears along the edges of the joint, narrowing the joint gap, which leads to constant pain.Swelling and pain become constant.
• Osteoarthrosis is deprived of 3-4 degrees of cartilage destruction and bone tissue protection.Continuous swelling, the work of the ligaments, the muscle function that leads to joint deformation can be observed.The axial load of the joint is interrupted: "O" or "X" deformation in the joints.

Which doctor should you consult?

If you have suspicions of arthritis or arthrosis, you should consult a doctor about the correct diagnosis.In a regular clinic, this problem should be treated as an orthopedic or traumatologist, less often for the surgeon.In large diagnostic centers, you can get a negotiation with an artrologist.This is a specialist who is directly involved in common illness.

The arthritis and the cause of arthritis

The main causes of arthritis are:

• Rheumatoid(sometimes they say rheumatic) autoimmune disease when the body's defensive immune cells begin to kill the body's own cells for unknown reasonsRheumatic arthritis).The nature of this disease is not entirely clear.The disease affects women more often (3-5 times according to various sources).Juvenile rheumatoid arthritis (juvenile idiopathic arthritis) is also found - a child form that occurs in children under 16 and adolescents.
• Infectious diseases, in which the symptoms of arthritis can be observed, for example, tuberculosis, brucellosis, tick -toorreliosis, etc.
• Non -infectious disease(Psoriasis, systemic lupus erythematosus, etc.)
• Metabolic disorders, such as gout.

The main causes of arthrosis:

• Injury- The most common reason.
• Congenital dysplasia(Violation of bone joint surfaces) is the joint (such as dysplastic cocsartrosis).In this case, the joints are too moving, increased load on them and wear faster.
• Long existing arthritis(Rheumatoid arthritis, joint tuberculosis, etc.).Violation of synovial fluid metabolism leads to inadequate nutrition of the cartilage, slowing down the process of renewal of dead cells and provoking its destruction.
• Excessive physical activityEspecially if you carry out professional sports or monotonous production operations.It should be noted that in the seamstress, they are most often used for arthrosis of the joints of the hands, in the Jackhammer elbows and employees using shoulder joints.In other words, above all, the cartilage that has long suffered the maximum load.
• Hormonal disorders- In women, this is often associated with menopause.

Regardless of what was the concrete cause of arthritis or arthrosis, the main problem is the balance between the joint tissues between the destruction and the restoration process.

At a cellular level, this means that in the joint:

• accumulateExcessive injured and dead cellswhich has no time to remove the body;

• Not formed enough new functional cells, which must replace dead cells and ensure the joint function correctly.

The difference between the reactions of arthritis and arthrosis in the body's reaction is explained by the difference in tissues of the affected joints.

In the case of arthritis, damaged cells dominate the synovial membrane and synovial fluid, where the inflammation is launched.Edema is a necessary body reaction in soft tissues to combat excess injured cells.

In the case of arthrosis, damaged cells dominate in the cartilage tissue, where another defense mechanism operates: replacement of damaged functional cells with connective tissue (scars), which is unable to perform devaluation functions and has no elasticity or elasticity.

The surplus of injured cells is injury, hypothermia, etc.This may occur in other cases, in other cases, the accumulation of dead cells, the decrease in the functionality of the joint tissue gradually due to daily loads (such as sports, heavy or monotonous physical work), impaired insertion, metabolic, hormonal and other processes.In this regard, it is of great importance in the treatment of arthritis and the arthrosis of the risk factors.

Risk factors

All the risk factors of arthritis or arthrosis are related to situations in which the cell death process begins in the process of healing:

• Hypodynamics- The sedentary lifestyle leads to small microvibration of muscle fibers, the formation of stagnant processes, the formation of lymphatic flow and capillary blood flow, and consequently lead to increased damage and premature death of healthy joint cells of the joint.
• Overweight- Excessive body weight increases the load on the joints - hips and knees.In addition, the fat layer complicates the flow of blood on the joints, so the nutrition of the cartilage is disturbed.It should be noted that women have more than weight in the knee -arthrosis four times more often than their slender companions.It is believed that the loss of body weight reduces the load to 4 kg when walking at 1 kg / 1 kg knee or hip joint.
• Spinal diseases(Osteochondrosis, vertebrae hernia).There is a spinal cord through which nerve impulses pass through the muscles.If the impulses are interrupted, the muscles do not work harmoniously and do not depreciate the blow enough when they jump, lower the stairs, run and walk.Accordingly, even with the natural daily load of the joints, the joints of the joints are damaged and died more often.
• Elderly- Body resources are gradually exhausted.The tissue tower occurs everywhere, including the joints, at different speeds, depending on the effects of harmful factors and genetic predisposition.

In most cases, infections and non -infectious diseases are only "triggering".- arthritis usually occurs in the presence of the above risk factors.Those.Inflammation occurs in the background of existing problems - not sufficient blood flow, lymphatic flow, stagnation in the joints.Healthy cells usually effectively protect infections and other "attacks".Therefore, it is important not only to treat arthritis, but also the treatment of the joints underlying.

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

Principles of effective joint treatment

The longer and stronger the destruction processes above the recovery process, the faster the moment of irreversible changes begins.In this respect, it is important to move the balance towards healing as soon as possible.

This is necessary:

• Pure tissuesInjury, infection, autoimmune (rheumatoid, etc.) are an excess of injured cells as a result of disorders.This is necessaryConfirm the lymphatic currentOr
• Improve your blood supplyjoint tissues that lead to naturalTo improve cell nutrition- As a result, the premature death process of the cells stops, the restoration of the cartilage, the synovial membrane, the normalization of the synovial fluid composition, etc.Normalizes.
• Should be restoredtissues.The main cause of the disease can be the impaired conductivity of the nerves from the spinal cord to the joint.
• MaximumReduce the loadThe first manifestations of the disease on affected joints to prevent further early cell death.Do not wear heels, if it is possible to reduce weight, do not lift weights, do not walk or get carefully, often alternate with complete peace during the day, which is a whole measure that usually results in a serious change in the years of lifestyle.

Note the various treatments in the first three aspects of the above principles of efficiency.

Medicine (medicine) treatment

In case of inflammationThe following drugs are used:

1. Hetepoidne Anti -inflammatory drugs (NSAIDS)- The main mechanism of action of these drugs is to slow down the inflammatory process and eliminate pain.Cleaning of tissues does not occur from dead cells- They facilitate the patient's condition but do not slow down the progress of the process [3].These drugs are practically takento lifeif there is no intolerance to them.In this case, side effects are often manifested: they negatively affect the condition of the stomach and intestinal mucosa membrane and their longer usefull of gastritis, ulcers, ulcerative bleeding- Some NSAIDs negatively affect the cartilage, thus provoking the formation of arthrosis [4].
2. Hormonal drugswhich are usually introduced directly into the joint injection.They are used only in strict indications by the doctor and in extreme cases with severe pain, which are not removed by NSAIDs.Hormonal drugs suppress immunity and suffer according to the process of eliminating dead cells.As a result of the treatment, the intensity of the inflammation is reduced and people feel relieved.There are side effects: the production of their own hormones is reduced, metabolism processes, etc.Can be offended.When the joint is taken into the joint cavity, the side effects on the body are generally lower than when taking tablets.The cause of the disease is not eliminatedOr
3. Cytostatics- A group of anticancer drugs that violates growth, development and division mechanismsAll cellsorganization.Treatment of rheumatoid arthritis reduces the amount of antibodies that kill the body's own cells.At the same time, they violate the processes of the formation of other cells, including hematopoiesis.Cleaning of tissues does not occurOr

Thus, anti -inflammatory medication is only aimed at removing the symptoms of the disease, but not to cleanse or nutrition of joint tissues.Medicines only slow down and "freeze" the body inflammatory process.

Temporary elimination of pain is also dangerous as the patient ceases to "save" the sore leg.And this exacerbates the damage to the cartilage and the bones.Therefore, the disease will inevitably return and the pain increases only due to further damage during the imaginary "break".And soon the only method is just the joint prosthetics.

Common prosthetics(Replacement of the joint is artificial) - complex, expensive, surgical intervention in which severe postoperative complications are possible (infection, deep vein thrombosis, inflammation of nerves, etc.).Prosthesis is an artificial tool that can replace the function of a certain organ.If the prosthesis is located inside the human body, it is called endoprothesis.Endoprostanics of the joint is an operation that replaces the joint components with implants, which have a healthy joint anatomical and allow the total movement volume.After such operations, the patient forgets the pain of the joints and returns to active life.The center performs operations on the endoprosttics of large (knees, hips, shoulders, elbows) and small (finger joints) joints.When the infection is connected, osteomyelitis may develop, which requires the removal of the prosthesis and bone affected areas.The functionality of the prosthesis is lower than that of the real joint.Fractures of falls and negligent movements, dislocations, and fragments of artificial joints are possible, which requires a second operation.High risk of becoming a wheelchair chairmanOr

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

1. Chondropotectors- They are assigned to restore the common cartilage.These drugs (primarily from dietary supplements) are widely used.However, many studies show thatLack of effect is still compared to placebo!

2. Hyaluronic acid- An important component of cartilage.This is an important structural element of the cartilage cap, protecting it from wear.The drug based on it can only be administered to the joint injections after eliminating the inflammatory 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 joint from further injuries.On the other handAn artificially introduced drug does not stimulate its own acid productionTherefore, courses should be repeated continuously to maintain the effect.

There are additional methods in addition to drug treatment:

• laser therapy;
• cryotherapy (cold treatment);
• heating;
• magnetic therapy;
• electromyostimulation;
• phonophoresis (ultrasound);
• Treatment with gold drugs, etc.

However, the effectiveness of these methods for the healing of arthritis and arthrosis based on a large question [5]Do not assure the main causeDiseases - Violation of the balance between the destruction and restoration of joint tissue.

New understanding of the benefits of physiotherapeutic exercises (exercise therapy)

Medical exercises, aerobic training, swimming - an effective means of preventing and treating arthrosis.Its purpose is to restore joint mobility and increase bloodstream in this area and stimulate joint tissue cleaning and restoring it accordingly.

During physical exercises during workMuscles create the energy of biological microvibration*which is necessary for transport and metabolism at the cellular level.Lymph and blood vessels are not suitable for every body of the body, for each micro column.The cells do not have their own vehicles, so they must "shake" those that are provided with the tightening activity of the muscle fibers, the muscle work.

The muscles constantly (even during sleep) create the energy of micrivibration, only the force is different.The lack of microvibration indicates the death of a person.The level of microvibration is sufficient for nutrition and cleaning of all tissues, including joints, arisesWith physical muscle tensionOr

Therefore, we recommend exercise therapy for the treatment of arthrosis and has a healing effect.

Unfortunately,Medical physical education has serious restrictions:

• Exercise therapy can only be performed after removal of inflammation during remission;
• Exercises are not recommended for severe pain;
• Elderly people have entire bouquets of diseases or severe joint degradation that no longer allow for exercise;
• Peoplehigh -weightThey can only be performed with a limited amount of physical exercises (in the case, in the seat) to restore hip and knee joints, as the joints are overloaded and continues to collapse during walking and similar loads;
• Exercise therapy will be effective in frequent regular classes when classes alternate with the joint rest period.As a general rule, people are forced to go to work, with a number of family responsibilities that do not allow them to fully dedicate themselves (for a long time), only to restore exercise.
• Exercise therapy can be ineffective if arthrosis is the result of physical overloading and dystrophic changes in joint tissues.Muscle cells are already exhausted and further load can lead to death.
• Exercise does not solve the problem of restoring nerve pathways, so it will not be effective for LFK spinal diseases, as nerve impulses are badly reached in the joint area.

Thus, exercise therapy is an effective treatment for joint (but non -arthritis) treatment, not too old, and in the absence of other aggravating diseases, the disease is unsuccessful.

Cleaning and restoring joint fabric with thread

However, there is a way out of the situation!The energy of biological microvibration can be achieved from the outside using vibro -acoustic therapy (phonation).

Foning consists of transmission of the microvibration of the audio (30-20 000 Hz) into a person or animal body with a special compact medical device.Microvibrations of such a sound are natural for the body: in their physical properties, they are similar to biological microvibrations that create muscle tissue at maximum static physical stress.

Thus, calling at home is a direct alternative to physical exercises.At the same time, the effect of such therapy is higher because it is an external "clean" resource relative to the body and does not require muscle costs.The energy of the microvibration is directed to the area of the affected joint at a depth of 10 cm.Due to the external source, muscle tissue is exhausted during the period of hypodynamia, physical overload, stress, hypothermia, restores its contraction and therefore the necessary micrivision level (microdistan).

Despite the simplicity of exposure, calling has many therapeutic effects:

• It improves the lymphatic current in the exposure area and helps to cleanse the tissues and early to complete the inflammatory process.ThisUnique propertyA method of physiotherapy that is inaccessible for medication.Currently, no drug can directly affect the lymphatic current.
• improves bloodstream and, accordingly, nutrition of each cell;
• promotes joint lubrication;
• Contribute to exit stem cells - ancestors of all functional cells of the body, including joint tissue cells;
• It improves the conductivity of nerve pathways, which has a longer effect on the problematic area of the spine.

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

The efficiency of telephony (Vibro -acoustic therapy) has been proven by many studies in the treatment of joints.

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