The pain in the joints not only complicate life, but as a rule indicate dangerous inflammatory and destructive processes that gradually restrict movements, and if treatment or its absence is not in distrust deformation and disability.
Arthrosis is the second largest cause of disability after cardiovascular diseases.At the same time, arthritis and arthritis are very often affected by another work population, ie people become disabled - or are forced to constantly overcome pain to earn a living.
So why do the joints occur, and what methods are available to Russians today, which will not temporarily alleviate the pain, but eliminate inflammation and stop destroying the common?
Arthritis and arthrosis - Differences
Arthritis and arthritis have similar names, because both of these diseases affect joints.They differ in the nature of changes in joints.
InarthritisThe pain is connected with inflammation of common tissue.In this disease, the Sinovian grenade suffers, in which blood and lymph nervous endings are concentrated.Accordingly, this also affects the dish of the joint and the production of articulated lubrication (sinovial fluid), which nurtures cartilage.
Arthritis can be developedAt any ageIncluding in children and adolescents (juvenile arthritis).Moreover, illness can be affectedAlmost any jointsincluding small (arthritis fingers) and multiple joint damage can also be noticed -Polythritis.
Long existing arthritis leads to arthrosis, since the common, especially cartilage tissue has long suffer from lack of food, which comes from the synthic fluid.It is important that you don't "turn off" inflammatory reactions with anti-Irric drugs, namelyfight a reason of inflammation, for example, with the help of funding.
InarthrosisFirst of all, observedDestruction of cartilage, covering the surface of the bone (and with the ignored process - and the bones of the tissue itself).The ice rink stops wearing a load that appears on it, and it starts to cooperate faster than they can recover.The cartilage fabric is softened, almost sliding the articulated surfaces is disturbed, any drilling movements.
Arthrosis appears more oftenAfter 40 years.Lesia of large joints, such as knees (gonartrosis) and hook (coxartrosis), is more common and causing disability and disability.Fewer commonly occurring osteoarthrosis of fingers, thumb arthrosis, temporomandibular compound, shoulders, symbols, etc.
Symptoms and signs
Arthritis symptoms:
- Sinovitis, which, swelling, increased sensitivity or touch pain, limiting the mobility of the wrist;
- acute, pain pain, both in motion and at rest;
- Morning stiffness, due to the fact that the edem develops in a joint time in common time.It takes 40-60 minutes after starting movement.
In addition to arthritis, general characteristics for inflammation: fever, coldness, sweating, general weakness can be respected.It can manifest a headache, loss of weight.Symptoms of the disease are also noticed, which caused inflammation: heart damage with rheumatoid arthritis, lungs and other bodies with tuberculosis, etc.
Symptoms of arthrosis:
- Pain that occurs in daylight physical effort and not at rest.For example, it hurts in the knee and a hook for walking, running, squats, walking the stairs, etc.Then, when moving, the pain disappears (initial pain).There is a strong pain in the knee and crumbling when bending that goes.
- Short-term "initiation of pain" after the perception period of the fact that the articulated surfaces on which they are detriars (the result of destroying cartilage and bone tissue) on each other.15-20 minutes after the start of movement, the pain passes, because it is deterrent.
- Continuous stupid night pain are more often at the beginning of the night due to venous stagnation.
Arthrosis is often accompanied by inflammatory reactions.Pain and swelling, as in arthritis, and the disease itself is calledArthroso-arthritis.
With extended arthrosis, there is often a mobility limit due to degenerative changes in muscles, tendons (so-called contracts), occurJoint deformation.Therefore, the disease is often referred toDeformation of arthrosisorDeformation of osteoarthrosis.
Stages and stage of osteoarthritis
There are several stages of osteoarthritis, which in the rule, is generally recognized by radiological images:
- Osteoarthrosis 1. The degree - changes in bones and cartilage are poorly expressed, as a rule, during the implementation of calculated tomography.Pain and swelling occur after moderate physical activity.Swelling in common passing after vacation.
- OsteoArtlost 2. Degree - cartilage tissue begins, growing bones of tissues (osteophytes) by the edges of the joint, joint gap on narrowers, leading to constant pain.Swelling and pain become constant.
- A osteoarthiness of 3-4 degrees - extensible destruction of cartilage, as well as deprived of the tissue bones.Continuing constant swelling, ligament operation, muscle function, which leads to common deformation.Axial load in the joint is broken: "O" or "X" deformations in the joints.
Which doctor contact?
If there are doubts from arthritis or arthrosis, you must contact your doctor for the correct diagnosis.In a regular clinic, this problem is referred to a rheumatologist or traumatological orthopedist, less often to the surgeon.In big diagnostic centers, you can schedule an appointment with an arthrologist.This is a specialist who deals directly with shared diseases.
Causes of arthritis and arthrosis
The main causes of arthritis:
- Rheumatoid(sometimes say rheumatic) autoimmune disease, when protective immune cells of the body for some unknown reasons begin to kill their own cell cells, introducing them as parties (Rheumatoid arthritis).The nature of this disease is not completely clear.The disease more often affects women (3-5 times, according to different sources).Also found juvenile rheumatoid arthritis (minor idiopathic arthritis) - a children's form that occurs in children and adolescents under the age of 16.
- Contagious diseases, in which arthritis symptoms, for example, tuberculosis, brucelosis, are used, brucellosis, borrelosis, etc.
- Noninfective disease(Psoriasis, system lupus erythematosus, etc.)
- Metabolic disorders, For example, gout.
Main causes of arthrosis:
- Violation- The most common reason.
- Congenital dysplasia(violation of the joint surfaces of bones) in common (for example, dysplastic coxartrosis).In this case, the joints are excessively mobile, the increased load falls on them and wear is faster.
- Long existing arthritis(rheumatoid arthritis, common tuberculosis, etc.).Breaches of metabolism in the Sinovian liquid leads to insufficient nutrients nutrition, slowing down the processes of renewing dead cells and cause its destruction.
- Excessive physical activity, especially, when dealing with professional sports or monotonous production operations.It is noted that most often occurs in the shiners of the arthrosis of the hand joints, in workers who use Jackhammer - elbow and shoulder and shoulder.In other words, first of all, a cartilage that has a maximum load for a long time suffers.
- Hormonal disorders.It is often associated with menopause in a woman.
No matter what was a specific cause of arthritis or arthrosis, the main problem is a violation of the balance between the destruction and renovation process in common tissues.
At the cellular level, this means that in common:
- AccumulatiExcess of damaged and dead cellswhich body does not have time to remove;
- New functional cells are not sufficient, which should replace dead cells and ensure the proper functioning of the compound.
The difference in body reactions with arthritis and arthrosis is explained by the difference in the tissues of the joints affected.
With arthritis, damaged cells prevail in the synmic membrane and sinovial fluid, and the inflammation process appears.Edem requires a reaction of the body to combat excessly damaged cells in soft tissues.
In addition to arthrosis, damaged cells prevail in cartilage tissue, where the second mechanism of protection works: replacement of damaged functional cells with connective tissue (scars), which is not capable of performing depreciation functions, elasticity.
The excess of damaged cells can occur according to injuries, hypothermia, etc.In other cases, the decrease in rocforing cells, the decline in common tissue functionality occurs gradually due to daily burden (for example, when it engages in sports, severe or monotonous physical work), impaired and other processes, metabolic, hormonal and other processes.In this regard, it is of great importance in the treatment of arthritis and the arthrosis of risk factors.
Risk factors
All risk factors for arthritis or arthrosis are related to situations in which cellular death processes are in a common beginning of overcoming recovery processes:
- Hypodynamy.The sedentary lifestyle leads to a small microvibration of muscle fibers, the development of stall processes in tissues, insufficient lymph and capillary blood flow, and accordingly leads to increased damage and premature deaths of healthy wrists.
- Overweight.Excess body weight increases the load on support compounds - hip and knee.In addition, the oily layer complicates the flow on the blood joints, which is why the nutritional nutrition is disturbed.It is noted that women are more than weight suffering from the arthrosis of the knee 4 times more often than their slender peers.The reduction of body weight per 1 kg is believed to reduce the load when walking for each knee or hook joint for 4 kg.
- Spinal diseases(Osteochondrose, intervertebral hernia).In the spinal column there is a spinal cord through which nervous pulses cross the muscles.If the passage of the impulses is broken, the muscles do not work harmoniously and insufficiently amorously shocking when jumping, descending stairs, running and walking.Therefore, even with natural daily joints, joints of joints are damaged and die more often.
- Age.Body resources are gradually exhausted.The tower of fabric occurs everywhere, including in the joints, at different speeds, depending on the action of harmful factors and genetic predispositions.
Infections and non -ffective diseases in most cases are just a "trigger".Arthritis is generally going on in the presence of the above risk factors.They.Inflammation occurs against the background of existing problems - insufficient blood flow, lymph flow, joints in the joints.Healthy cells, as a rule, efficiently protects from infections and other "attacks".Therefore, it is important to treat not only a thorough disease that has created arthritis, but also joints.
Based on this general understanding, the principles of effective joint treatment.
Principles of effective common treatment
The longer and stronger destruction processes overcome over the recovery process, the moment the moment of irretrievable changes begins.In this regard, it is important to move the balance as soon as possible in the direction of recovery.
This is necessary:
- Clean fabricsFrom excess of damaged cells incurred as a result of injury violations, infections, autoimune (rheumatoids, etc.).This is necessaryStrengthen lymph flow.
- Improve blood supplyshared tissues, which will lead to naturalImproving cell diet.As a result, the process of premature death of cells will stop the renovation of cartilage, sinny membrane, the normalization of the composition of Sinovian fluid, etc., stimulates.
- Return the innervationFabrics.Founded conductivity of nerve trails from the spinal cord to the joint can sometimes be the main cause of disease development.
- MaximumReduce loadAt afforded joints in the first disease manifestations, to prevent further intermediate cells of the cell.Do not wear the heel, if possible to reduce weight, do not carefully take a walk and not lower physical activity with complete peace during the day, etc.This is a whole range of measures, which is generally involving a serious change in life mode.
Consider various types of treatment from the point of view the first three of the above principles of efficiency.
Precious therapy (medicine)
In case of inflammationThe following medications are used:
- Hetepoids Anti -inflamatory medications (NSAIDS).The main mechanism of the action of these drugs is slow down the inflammatory process and eliminate pain.Cleaning tissues from dead cells does not happen.They mitigate the patient's condition, but do not slow the progress of the process [3].These drugs are taken practicallyfor a living, if they have no intolerance.In this case, the side effects often manifest: negatively affect the state of the stomach and intestine mucosa and extended useleft to the development of gastritis, ulcers, ulcerose bleeding.Some NSAIDs negatively affect the cartilage, provoking the development of arthrosis [4].
- Hormonal medicines, which are usually introduced directly into the wrist in the form of injection.They are only used according to strict doctors' indications and in extreme cases with strong pain, which NSAID does not eliminate.Hormonal remedies are suppressing immunity, and in accordance with the process of elimination of dead cells from the joints.As a result of treatment, the intensity of inflammation decreases, a person feels relief.There are side effects: the production of own hormones is reduced, metabolic processes, etc.I can be broken.When the joint is introduced into a shared cavity, the effects of side effects on the body, in general, are noticed at all, in general compared to the pills.The cause of the disease is not removed.
- Cytostatics- a group of antitumor drugs that violates the growth, development and mechanisms of divisionAll cellsOrganism.In the treatment of rheumatoid arthritis, reducing the amount of antibodies that kill their own cell cells.However, the processes of the formation of other cells were violated, including hematopoes.Cleaning fabrics does not happen.
Thus, anti-infalmatory therapy medications aims to remove the symptoms of the disease, but not in the treatment or nutrition of common tissues.Medications are just slowing down, "freezing" the protective inflammatory procedure is initiated with the body.
The temporary elimination of pain is also dangerous because the patient stops "spare" the painful leg.And it worsens damage to cartilage and bones.Therefore, the disease is inevitably return, and the pain increases only for the occurrence of additional damage during an imaginary "Lull".And soon the only method is just a joint prosthetics.
Shared prosthetics(Replacement of compound with artificial) - complex, gathering, surgical intervention, in which serious postoperative complication (infection, thrombosis of deep veins, nerve inflammation, etc.).Denture is an artificial device that can replace the function of a particular organ.If the prosthesis is within the human body, then it is called endoprotez.EndoProsthetics Joint is an operation for replacing articulated components with implants, which have an anatomical form of a healthy wrist and allow the entire amount of movement.After such operations, the patient forgets the pain in the joints and returns to active life.The center is conducted by operations on the endopripetics of large (knees, hips, shoulders, elbows) and small (joints of fingers) joints.When an infection is joined, osteomyelitis can be developed, which requires removal of prostheses and affected bone areas.Denture functionality is lower than the one from the actual compound.During the falls and inconspicuous movements, dislocations, fragments of the phrases of the artificial joint, which requires another operation.High risk to become a wheelchair.
In order to try to return the cartilage, the composition of the Sinovian fluid, the following medications are used:
- Chondroprotectors.They are assigned to renew the articulated cartilage.These drugs (mainly about dietary supplements) are widely used.However numerous study emissions showLack of effect even compared to placebo!
- Hyaluronic acid- Important component of cartilage.It is an important structural component of the cartilage matrix, protects it from wear.The medicine on it can be applied to a compound in the form of injections only after eliminating the inflammatory process.The cost of one injection depends on the concentration of the medicine and the manufacturer, one course includes several injections.The introduction of this acid temporarily protects the wrist from further damage.HoweverArtificially introduced medicine does not stimulate the production of own acidTherefore, courses must be constantly repeated to maintain effect.
In addition to medication treatment, there are additional methods:
- Laser therapy;
- Kriotherapy (cold treatment);
- heating;
- Magnetotherapy;
- electronismization;
- phonoporesis (ultrasound);
- Gold drug treatment, etc.
However, the efficiency of these methods in terms of healing from arthritis and arthrosis under a great question [5], of themdo not ensure elimination for the main reasonDiseases - a violation of the balance between destroying and renovating common tissue.
New Understanding the benefits of exercise of physiotherapy (exercise therapy)
Medical exercises, aerobic training, swimming - an effective means of preventing and treating arthrosis.They are aimed at restoring the mobility of the joint and increase in blood flow in this area, and accordingly, the cleaning and renovation of common tissue can be encouraged.
During physical exercises, workMuscles create energy of biological microvibration *What is needed for transport and metabolic processes at the cellular level.Lymph and blood vessels are not suitable for each body body, on each micro-post.Stations do not have their own vehicles, therefore, to move and contact each other, they need to "shake them", which ensures the contractal activity of muscle fibers, that is.
Muscles create a microvision energy (even during sleep), only power is different.The lack of a microvibration indicates a person's death.Microwibration level, sufficient for nutrition and cleaning all tissues, including joints, including joints, occursWith physical tension of muscles.
Therefore, exercise therapy is recommended in the treatment of arthrosis and has a healing effect.
Unfortunately,Medical physical education has serious limitations:
- Exercise therapy can only be reported after the inflammation during the remission;
- Exercises are not recommended for strong pain;
- People in old age have a whole bouquet of illness or serious degradation of common no longer permitting exercise;
- Peoplewith a great weightThey can only be done with a limited amount of physical exercises (in bearing position, sedented) to restore hip and knee joints, because when walking and similar burdens, the joints are being overloaded and continued;
- Exercise therapy will be effective in frequent regular classes, when they continue to replace with periods of vacation for a compound.As a rule, people are forced to work, have numerous family responsibilities that do not allow them to completely dedicate themselves (long time) only exercise therapy with periods of vacation.
- Exercise therapy can be inefficient if the arthrosis was a consequence of physical overload and dysty changes in the tissues in the wrist.Muscular cells are already exhausted, and additional load can lead to their death.
- Exercise therapy does not solve the problem of nerve trail conductivity, ie in the presence of the IFK spine, it will be inefficient, as nervous impulses will weaken the zone.
Therefore, exercise therapy is an effective treatment for arthrosis (but not arthritis) in not too old with the failed phase of disease in the absence of other aggravating diseases.
Cleaning and renewing of shared tissue using the phonation
However, there is a way out of the situation!The energy of biological microvibration can be obtained from outside using vibro-acustic therapy (phonation).
Foning consists in transmitting sound microvibration (frequency range of 30 - 20,000 Hz) into a person or animal body using a special compact medical device.Such sound microvibrations are natural for the body: in their physical characteristics are similar to those biological microvisions that create muscle tissue on maximum static physical stress.
So, the phone calls, applicable at home, this 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 in relation to the body and does not require its muscle costs.The energy of the microvibration is focused on the same, to the area of the affected joint, to a depth of 10 cm.Due to the external source, muscle tissue exhausted during the mortody period, physical overload, stress, hypothermia, renew their contractile activity, and therefore the required level of microvision (MicroDistan).
Despite its simplicity of exposure, phone calls has numerous therapeutic effects:
- Improves the lymphatic flow in the field of exposure, and accordingly help clean the tissue and early end of the inflammatory process.ThisUnique real estatePhysiotherapy method, which is unavailable for drug therapy.Currently, no drug can directly affect the lymph flow.
- improves blood flow and, accordingly, eating each cell;
- promotes shared lubrication;
- Contribute to the exit from stem cell warehouse - the obstacle of all functional cell cells, including common tissue stations;
- Improves the conductivity of nerve roads with extended effects on the problematic spine area.
In this case, the phone has no side effect, but it has a long-term effect.
The efficiency of telephoning (vibro-acustic therapies) in the treatment of joints are proven to numerous studies.
Scientifically proven efficiency in treating arthritis and arthrosis reach 70-90%, depending on the study.