Effective treatment of joints, synovitis, arthritis and arthrosis

The pain in the joints not only complicates life, but usually also indicate dangerous inflammatory and destructive processes, which gradually restrict the movements, and if the treatment or its absence is not insane deformation and disability.

Arthrosis is the second largest cause of the disability according to the cardiovascular diseases.At the same time, arthritis and arthrosis are very often influenced by the still working population, ie people are hindered - or they are forced to constantly overcome the pain in order to make a living.

Why does joint pain occur and which methods are Russians available today that not only relieve pain temporarily, but also eliminate the inflammation and stop the destruction of the joint?

Arthritis and arthrosis - differences

Arthritis and arthrosis have similar names because both diseases affect the joints.They differ in the type of changes in the joints.

AtarthritisPain is associated with inflammation of the joint tissue.This disease suffers a synovial bowl on which blood and lymphatic vessels are concentrated.Accordingly, this influences both the food of the joint and the production of joint lubrication (synovial fluid) that nourishes cartilage.

Arthritis can developAt any ageincluding children and adolescents (juvenile arthritis).In addition, the disease can be affectedAlmost all joints, including small (arthritis of the fingers), and several joint damage can also be observed - - -Polyarthritis.

Long existing arthritis leads to osteoarthritisSince the joint, especially the cartilage tissue, suffers from the lack of feed, which comes from synovial fluid for a long time.It is important not to "delete" inflammatory reactions with anti -inflammatory drugs, namelyFight the cause of the inflammationFor example with the help of financing.

AtArthrosisFirst observedDestruction of cartilageCovering the surface of the bone (and with a neglected process - and the bone tissue itself).The cartilage stops dealing with the load that appears on it, and it begins to collapse faster than he recovers.The cartilage is softened, the articular surfaces are normally disturbed, all movements are accompanied by pain.

Arthrosis appears more oftenAfter 40 years.The lesion of large joints such as knees (gonarthrosis) and hip joints (CoksartRose) is more common and the cause of disability and disability.Osteoarthrosis of the fingers, osteoarthritis of the thumb, the temporomandibular joint, the shoulder damage, the elbow joint, etc. occurs less often.

Symptoms and signs

Symptoms of arthritis:

• Synovitis, ie swelling, increased sensitivity or pain when touching and limiting the mobility of the joint;
• Acute, painful pain, both in motion and in peace;
• Morning stiffness because an edema develops during the joint period during the joint period.It takes 40-60 minutes after the movement begins.

In arthritis, general features that are characteristic of inflammation can also be observed: fever, chills, sweating, general weakness.It can be manifested by headache, weight loss.Symptoms of the disease are also observed that caused inflammation: damage to the heart by rheumatoid arthritis, lungs and other organs with tuberculosis, etc.

Symptoms of arthrosis:

• The pain that occurs in physical exertion a day, and not in peace.For example, pain in the knee and hip joint when walking, running, squat, walking through the stairs, etc. Then the pain disappears (starting pain).There is severe pain in the knee and knee when you bend the bending of the wiping.
• Short -term "starting pain" after rest periods associated with the fact that the articular areas on which the detrites (the result of the destruction of cartilage and bone tissue) settle.15-20 minutes after the start of the movement, the pain fits how Detrit is pushed out.
• Due to constant stupid night pain, 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 mentionedArthrosotar theatrics.

In the case of longer osteoarthritis, there is often a restriction of mobility due to degenerative changes in the muscles, tendons (the so -called contract reactures) that occurJoint deformation.Therefore the disease is often calledDeformation arthrosisorDeforming osteoarthritis.

Stages and degrees of arthrosis

There are several stages of osteoarthritis, which are usually recognized by radiological images:

• Osteoarthrosis of the 1st degree - changes in bones and cartilage are usually weakened weakly when carrying out computer tomography.Pain and swelling occur after moderate physical activity.The swelling of the joint is calm.
• Osteoarthrosis of the second degree - cartilage tissue begins to collapse, the growth of the bone tissue (osteophytes) occurs along the edges of the joint, the joint column narrows, which leads to constant pain.Swelling and pain become constant.
• It is observed There are constant swelling, the work of the ligaments, muscle function, which leads to a common deformation, is observed.The axial load in the connection is interrupted: "O" or "X" Deformation in the joints.

Which doctor should you contact?

If there is suspicion of arthritis or arthrosis, you must consult a doctor for the correct diagnosis.In a regular clinic, this problem is addressed to a rheumatologist or traumatologist, which is less often on the surgeons.In large diagnostic centers you can reach an appointment with an arthrologist.This is a specialist who is directly involved in common illnesses.

Causes of arthritis and arthrosis

The main causes of arthritis:

• Rheumatoid(Sometimes they say rheumatic) autoimmune diseases when the protective immune cells of the body start to kill their own body cells for some unknown reasons and to take them as strangers (foreign (foreignRheumatoid arthritis).The type of this disease is not entirely clear.The disease often affects women (3-5 times according to different sources).Juvenile rheumatoid arthritis (juvenile idiopathic arthritis) is also found - a child form that occurs in children and adolescents under the age of 16.
• Infectious diseaseswhere arthritis symptoms are observed, e.g.B. tuberculosis, brucellosis, tick borreliosis etc.
• Non -infectious disease(Psoriasis, systemic lupus erythematosus etc.)
• Metabolic disordersFor example gout.

The main causes of arthrosis:

• Injury- The most common reason.
• Congenital dysplasia(Violation of the joint surfaces of the bones) of the joint (e.g. dysplastic coksart rose).In this case, the joints are excessively mobile, an increased load falls on it and the wear is faster.
• Long existing arthritis(Rheumatoid arthritis, common tuberculosis, etc.).Violations of the metabolism in the synovial fluid lead to inadequate food for the cartilage, which slows down the processes of the renewal of dead cells and provokes the destruction.
• Excessive physical activityEspecially in professional sports or monotonous production operations.It is noted that in sailor most frequently an arthrosis on the hands of the hands occurs in workers with a Jackhammer -Ellbogen and shoulder joints.In other words, first of all, the cartilage, which experiences the maximum stress for a long time, suffers.
• Hormonal disorders.This is often associated with menopause for women.

Regardless of a specific cause of arthritis or arthrosis, the main problem is the violation of the balance between the processes of destruction and restoration in the joint tissue.

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

• accumulatedExcess damaged and dead cellsWhat the body has no time to remove;

• Not enough new functional cells are formedthat should replace the dead cells and ensure the correct function of the joint.

The difference in the reactions of the body with arthritis and osteoarthritis is explained by the difference in the affected tissues of those affected.

In arthritis, damaged cells have been in the synovial membrane and the synovial fluid, and the inflammatory process is started there.Edema is a necessary body reaction to combat excess damaged cells in soft tissues.

In the case of osteoarthritis, damaged cells in cartilaginous fabrics, where another protective mechanism works: replacement of damaged functional cells with connective tissue (scars), which is unable to carry out depreciation functions and do not have the property of elasticity.

A surplus of damaged cells can occur at a time due to injuries, hypothermia, etc.In other cases, the accumulation of dead cells is accumulated, the functionality of the joint tissue is decreased after gradually due to daily loads (for example when playing sports, severe and monotonic physical work), an impaired inner vation, metabolic, hormonal and other processes.In this regard, it is of great importance in the treatment of arthritis and osteoarthritis of risk factors.

Risk factors

All risk factors for arthritis or arthrosis are associated with situations in which the processes of cell death in the joint prevail on the processes of recovery:

• Hypodynamy.A sitting lifestyle leads to a small microvibration of muscle fibers, the development of stagnating processes in tissues, inadequate lymph flow and capillary blood flow and accordingly leads to increased damage and early death of healthy joint cells of the joint.
• Overweight.Excess body weight increases the load of the support joints - hip and knee.In addition, the layer of fat complicated the river to the joints of the blood, which is why the nutrition of the cartilage is disturbed.It is noted that women suffer more than weight 4 times more than their knee osteoarthritis than their slim colleagues.It is believed that a decrease in body weight per 1 kg reduces the load when walking for each knee or hip joint by 4 kg.
• Spinal diseases(Osteochondrosis, intermediate writing Hernie).There is a spinal cord in the spine through which nerve impulses get to the muscles.When the passage of impulses is broken, the muscles do not work harmoniously and amortize the blow when jumping insufficiently, lower the stairs, running and walking.Accordingly, the joints of the joints are damaged and died more often even with natural daily loads of the joints.
• Older age.The body's resources are gradually exhausted.Tower of the fabrics occurs everywhere, including in joints, at different speeds, depending on the effect of harmful factors and genetic predispositions.

Infections and non -infectious diseases in most cases are just a "trigger".Arthritis usually occurs in the presence of the above risk factors.This.Inflammation occurs against the background of existing problems - inadequate blood flow, lymph flow, stagnation in the joints.Healthy cells usually protect effectively from infections and other "attacks".It is therefore important not only to treat the underlying disease that led to arthritis, but also the joints themselves.

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

Principles of effective joint treatment

The longer and more the destruction processes prevail over the restoration process, the faster the moment of irreversible changes begins.In this regard, it is important as soon as possible to move the balance in the direction of recovery.

That is necessary:

• Clean fabricsFrom a surplus of damaged cells caused by injuries, infections, autoimmune (rheumatoids, etc.) disorders.That is necessaryStrengthen the lymph flow.
• Improve blood supplyJoint fabric that becomes naturalImprovement of cell nutrition.As a result, the process of premature death of cells will stop restoring the cartilage, the synovial membrane, the normalization of the composition of the synovial fluid, etc.
• Restore inner vationFabrics.The impaired conductivity of the nerve paths from the spinal cord to the joint can sometimes be the main cause of the development of the disease.
• MaximumReduce the loadOn the affected joints in the first manifestations of the disease to prevent the further early cell death.If you do not wear paragraphs to reduce weight, do not lift weights, do not take off carefully and often climb with full peace, etc. from the day, etc. This is a whole series of measures that usually include a serious change in the lifestyle year.

Consider different types of treatment from the perspective of the first three of the above principles of effectiveness.

Therapy for medicines (medicines)

In the event of inflammationThe following drugs are used:

1. Hetepoide Enti -Inflicted Medicines (NSAIDS).The main mechanism of action of these medicines is to slow down the inflammatory process and to eliminate the pain.Cleaning fabric from dead cells do not occur.However, they relieve the patient's condition, but do not slow the progression of the process [3].These drugs are taken practicallyfor lifeif there is no intolerance for them.In this case there are often side effectsWith the development of gastritis, ulcers, ulcerative bleeding,.Some NSAIDs negatively influence the cartilage and thus provoke the development of osteoarthritis [4].
2. Hormonal medication, which are usually introduced directly into the joint in the form of injection.They are only used in accordance with the strict information of the doctor and in extreme cases with severe pain, which NSAIDS do not remove.Hormonal medication suppress immunity, and accordingly the process of eliminating dead cells suffers from the joints.As a result of the treatment, the intensity of the inflammation decreases, one person has relief.There are side effects: the production of your own hormones is reduced, metabolic processes, etc. can be violated.When the joint is inserted into the joint cavity, the effects of side effects on the body are generally lower than when taking tablets.The cause of the disease is not eliminated.
3. Cytostatics- A group of antitumor drugs that violate growth, development and division mechanismsAll cellsOrganism.When treating rheumatoid arthritis, they reduce the number of antibodies that kill their own body cells.However, the processes of the formation of other cells, including hematopoiesis, are also violated.The cleaning of fabrics does not occur.

Therefore, the anti -inflammatory drug therapy is only aimed at eliminating the symptoms of the disease, but not on the cleaning or nutrition of the joint tissue.The medication only slow down, "freezing" the protective process that started the body.

The temporary elimination of pain is also dangerous because the patient stops "saving" the painful leg.And this worsens damage to cartilage and bones.Therefore, the disease inevitably returns, and the pain only increases due to the occurrence of additional damage during the imaginary "dleed".And soon the only method is only the prosthetics of the joint.

Common prosthetics(Exchange of joint with artificial) - a complex, expensive, surgical intervention in which serious postoperative complications are possible (infection, thrombosis in deep vein, inflammation of the nerves, etc.).A prosthesis is an artificial device that can replace the function of a certain organ.When the prosthesis is in the human body, it is referred to as an endoprosthesis.The endoprosthetics of the joint is an operation to replace the joint components with implants that have an anatomical form of a healthy joint and enable the entire volume of the movements.After such operations, the patient forgets pain in the joints and returns to active life.The center carries out operations on the endoprosthetics of large (knees, hips, shoulders, elbows) and smaller (joints of the fingers).If an infection is connected, osteomyelitis can develop that requires the removal of the prosthesis and the affected bone areas.The functionality of the prosthesis is lower than that of the real joint.During the falls and careless movements, transfers, fragments of the artificial joint are possible, which requires a second operation.A high risk of being hindered a wheelchair.

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

1. Chondroprotectors.They are assigned to restore the common cartilage.These drugs (mainly through dietary supplements) are widespread.However, numerous studies showLack of effect also compared to placebo!

2. Hyaluronic acid- An important component of the cartilage.It is an important structural component of the cartilage matrix, protects it from wear.The drug based on it can only be administered in the form of injections in the joint in the form of injections.The cost of an injection depends on the concentration of the drug and the manufacturer.One course includes several injections.The introduction of this acid temporarily protects against further damage.HoweverAn artificially introduced drug does not stimulate the production of its own acidTherefore, the courses must be repeated constantly in order to maintain the effect.

In addition to drug treatment, there are additional methods:

• Laser therapy;
• Cryotherapy (cold treatment);
• Heat;
• Magnetotherapy;
• Electromyostimulation;
• Phonophoresis (ultrasound);
• Treatment with gold -containing medication etc.

The effectiveness of these methods in relation to healing through arthritis and arthrosis under a big question since theyDo not grant the elimination of the main reasonDiseases - violations of the balance between the destruction and restoration of the common tissue.

A new understanding of the advantages of physiotherapy exercises (training therapy)

Medical exercises, aerobic training, swimming - an effective means of preventing and treating osteoarthritis.They aim to restore the mobility of the joint and increase blood flow in this area and can accordingly stimulate cleaning and restoring the joint tissue.

Work during physical exercisesMuscles create the energy of biological microvibration*This is required for transport and metabolic processes at the cellular level.Lymph and blood vessels are not suitable for every body body for every microposten.Cells do not have their own vehicles to move and contact each other.You have to "shake" them, which is ensured by the contractile activity of muscle fibers, i.e. muscle work.

The muscles constantly create the energy of the micrivibration (even while sleeping), only the performance differs.The lack of microvibration indicates the death of a person.The degree of microvibration, which is sufficient for nutrition and cleaning of all tissue, including joints, is only createdWith physical muscle tension.

For this reason, training therapy is recommended in the treatment of osteoarthritis and has a healing effect.

Unfortunately,Medical physical education has serious restrictions:

• Training therapy can only be carried out after the removal of inflammation.
• Exercises are not recommended for severe pain.
• People in old age have a whole bouquet of diseases or a serious mutual deterioration that no longer allows movement.
• Peoplewith a great weightThey can only be carried out by a limited amount of physical exercises (in a lying position) to restore the hip and knee joints, since when walking and similar loads experience the joints overload and collapse.
• Training therapy will be effective in frequent regular classes when classes alternate for the joint.As a rule, people are forced to go to work, to have a number of family tasks that do not allow them to only devote themselves to therapy with rest times (for a long time).
• Exercise therapy can be ineffective if osteoarthritis was a consequence of physical overload and dystrophic changes in the tissue in the joint.Muscle cells are already exhausted and additional stress can lead to their death.
• Training therapy does not solve the problem of restoring the conductivity of the nerve paths, i.e. in the presence of diseases of the LFK spine, it will be ineffective because nerve impulses reach the joint area poorly.

Therefore, training therapy is an effective treatment of osteoarthritis (but not arthritis) in ancient old age with an unsuccessful stage of the disease, since there are no other aggravating diseases.

Cleaning and restoring joint fabric using phonation

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

The foning consists of the transmission of sound microvibrations (frequency range 30 - 20,000 Hz) into the body or animal body using a special compact medical apparatus.Such sound microvibrations are natural for the body: in their physical properties they are similar to biological microvibrations that create muscle tissue with maximum static physical stress.

The phonizing at home is therefore this direct alternative to physical exercises.At the same time, the effect of such a therapy is higher, since it is an external "clean" resource in relation to the body and does not need its muscle costs.The energy of the microvibration is pointed to the area of the affected connection to a depth of 10 cm.Due to the external source, the muscle tissue was reduced during the period of hypodynamy, physical overload, stress, hypothermia, restoration of its contractile activity and thus the necessary microvibration level (microdistan).

Despite its simplicity of exposure, phoning has numerous therapeutic effects:

• Improves the lymph flow in the exposure area and helps accordingly to clean tissue and to end the inflammatory process early.TheA unique propertyThe method of physiotherapy, which is not accessible to drug therapy.At the moment, no medication can affect the lymph flow directly.
• improves blood flow and according to the diet of every cell;
• promotes the common lubrication;
• contribute to the output from the depot of stem cells - the ancestors of all functional cells of the body, including joint tissue cells;
• Improves the conductivity of the nerve paths with longer effects on the problem area of the spine.

In this case, the phoning has no side effect, but a long effect.

The effectiveness of phonent (vibro acoustic therapy) in the treatment of joints has been demonstrated in numerous studies.

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