{"id":2635,"date":"2022-05-30T12:41:51","date_gmt":"2022-05-30T09:41:51","guid":{"rendered":"https:\/\/ladisten.com\/?p=2635"},"modified":"2022-06-22T17:27:02","modified_gmt":"2022-06-22T14:27:02","slug":"lechenie-artroza","status":"publish","type":"post","link":"https:\/\/ladisten.com\/en\/blog\/lechenie-artroza\/","title":{"rendered":"Treatment of arthrosis"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">It is said that after 40 years, life is just beginning. This is true if plans for the future are not spoiled by diseases that present themselves with age. After 40 years, millions of the world&#8217;s inhabitants develop <a href=\"https:\/\/ladisten.com\/en\/pathology\/deformiruyushhij-artroz-simptomy-diagnostika-lechenie\/\">deforming arthrosis<\/a> \u2013 a painful, unpleasant and dangerous pathology that can lead to disability.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/ladisten.com\/en\/services\/lechenie-deformiruyushhego-artroza\/\">Treatment of arthrosis<\/a> in Ladisten is one of the most modern methods to combat the disease. After the correction, the patient confidently returns to a normal active life.<\/span><\/p>\n<h2><b>Definition: what is arthrosis<\/b><\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-1023\" src=\"https:\/\/ladisten.com\/wp-content\/uploads\/2020\/02\/lechenie-deformiruushego-artroza-1.jpeg\" alt=\"\u041b\u0435\u0447\u0435\u043d\u0438\u0435 \u0434\u0435\u0444\u043e\u0440\u043c\u0438\u0440\u0443\u044e\u0449\u0435\u0433\u043e \u0430\u0440\u0442\u0440\u043e\u0437\u0430\" width=\"240\" height=\"320\" srcset=\"https:\/\/ladisten.com\/wp-content\/uploads\/2020\/02\/lechenie-deformiruushego-artroza-1.jpeg 240w, https:\/\/ladisten.com\/wp-content\/uploads\/2020\/02\/lechenie-deformiruushego-artroza-1-225x300.jpeg 225w\" sizes=\"auto, (max-width: 240px) 100vw, 240px\" \/><\/p>\n<p><span style=\"font-weight: 400;\"><strong>Osteoarthroses<\/strong> are a group of diseases that affect the joints\u00b9. This is manifested in the abrasion of the interarticular cartilage and the reduction of synovial fluid (serving for lubrication), as a result of which the bones touch each other. This effect causes severe pain and restricts one\u2019s movement.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The international classification of diseases in its 10th revision describes osteoarthrosis in the positions M15 &#8211; M19<a href=\"https:\/\/classinform.ru\/mkb-10\/m15-m19.html\" target=\"_blank\" rel=\"noopener noreferrer\">\u00b2<\/a>. It includes several types depending on localization. Each of the processes has its own separate name. For example, arthrosis of the knee joint is called gonarthrosis in the ICD-10.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In the definition of arthrosis, Wikipedia emphasizes that it is a degenerative-dystrophic disease. That means there is a change, deformation and destruction of tissues. A synonym for the name is deforming osteoarthrosis (DOA). Arthritis is a pathology of a different nature associated with inflammation. It is important to distinguish these two diseases because the symptoms are very similar.<\/span><\/p>\n<h2><b>Symptoms of arthrosis<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">There are 4 main signs of arthrosis that can be marked out:<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\"><strong>Pain during movement.<\/strong> In the initial stages, it is poorly expressed, and with time it increases after physical activity. In the last stages of the disease, the pain practically does not go away and does not allow the person to move.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\"><strong>Crunch.<\/strong> It occurs as a result of friction of the affected bones. The crunch also develops as the process progresses &#8211; at the first stages it is barely audible, while at the last ones it is loud and painful.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\"><strong>Reduction of the motion range of the affected limb.<\/strong> The movement is limited due to pain and osteophytes which form at the ends of the bones.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\"><strong>Visually noticeable joint change.<\/strong> It bulges out, swells and brings psychological discomfort.<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">Drug therapy can significantly reduce unpleasant symptoms but the disease does not go away. The treatment of arthrosis requires an integrated approach.<\/span><\/p>\n<h2><b>Causes and types of arthrosis<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Arthrosis may be caused by different reasons. The main ones are as follows:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">limb injuries;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">excess weight;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">improper nutrition;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">inflammation and rheumatism;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">alcohol abuse;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">endocrine pathologies;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">weakness of the ligaments;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\"><a href=\"https:\/\/ladisten.com\/en\/pathology\/valgusnaya-deformaciya-nog\/\">valgus<\/a> and <a href=\"https:\/\/ladisten.com\/en\/pathology\/varusnaya-deformaciya-nog\/\">varus<\/a> leg deformities;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">temperature drops.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Some factors can be avoided. For example, alcohol drinking is prohibited in case of arthrosis, because it aggravates the development of deformity.<\/span><\/p>\n<p><strong>In addition to localization, the disease is divided according to the degree of development (according to Kellgren-Lawrence)<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC1006995\/\" target=\"_blank\" rel=\"noopener noreferrer\">\u00b3<\/a>:<\/strong><\/p>\n<ol>\n<li><span style=\"font-weight: 400;\"><strong>Stage one.<\/strong> There is some narrowing of the articular cavity;<\/span><\/li>\n<li><span style=\"font-weight: 400;\"><strong>Stage two.<\/strong> The articular cavity is visible, osteophytes are already present;<\/span><\/li>\n<li><span style=\"font-weight: 400;\"><strong>Stage three.<\/strong> Moderate osteophytes and pronounced narrowing of the articular cavity. Deformation of the bones may appear;<\/span><\/li>\n<li><span style=\"font-weight: 400;\"><strong>Stage four.<\/strong> Large narrowing of the articular cavityt and large osteophytes. The bones are completely deformed.<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">The stages are determined by X-ray diagnostics.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Sometimes even teenagers complain of joint pain. If it is pronounced, it is most likely a manifestation of juvenile arthritis.<\/span><\/p>\n<h2><b>Diagnostics and treatment: traditional methods, methods of evidence-based medicine<\/b><\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-2370\" src=\"https:\/\/ladisten.com\/wp-content\/uploads\/2020\/06\/Coxa-Valga-operaciya.jpg\" alt=\"\u041e\u043f\u0435\u0440\u0430\u0446\u0438\u044f \u043f\u0440\u0438 \u043b\u0435\u0447\u0435\u043d\u0438\u0438 Coxa Valga\" width=\"1200\" height=\"1200\" srcset=\"https:\/\/ladisten.com\/wp-content\/uploads\/2020\/06\/Coxa-Valga-operaciya.jpg 1200w, https:\/\/ladisten.com\/wp-content\/uploads\/2020\/06\/Coxa-Valga-operaciya-300x300.jpg 300w, https:\/\/ladisten.com\/wp-content\/uploads\/2020\/06\/Coxa-Valga-operaciya-1024x1024.jpg 1024w, https:\/\/ladisten.com\/wp-content\/uploads\/2020\/06\/Coxa-Valga-operaciya-150x150.jpg 150w, https:\/\/ladisten.com\/wp-content\/uploads\/2020\/06\/Coxa-Valga-operaciya-768x768.jpg 768w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/p>\n<p><b>&#8211; Who treats arthrosis? <\/b><span style=\"font-weight: 400;\">This question is asked by patients who experience joint pain for the first time. They do not know who to turn to because there is a need to accurately diagnose the disease.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">To begin with, one should visit a therapist. According to general description of symptoms and medical history, he or she prescribes consultations of narrow experts, mainly the following ones:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><b>rheumatologist. <\/b><span style=\"font-weight: 400;\">The doctor dealing with treatment of arthritis \u2013 that is, inflammation (the symptoms of arthritis and arthrosis are often similar);<\/span><\/li>\n<li style=\"font-weight: 400;\"><b>trauma surgeon or orthopedist.<\/b><span style=\"font-weight: 400;\"> Performs surgical treatment of arthrosis.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Diagnostics of the disease are carried out using laboratory tests and X-rays.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Methods of therapy depend on the stage of joint destruction as well as on the individual characteristics of the organism.<\/span><\/p>\n<p><b>Speaking about traditional methods of treatment, herbal decoctions can be mentioned. They are drunk or rubbed into the joint:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">dandelion root;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">cabbage leaves and juice;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">elecampane root;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">onion decoction;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">fir needles.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Also honey, lemon, glycerin and crushed eggshells are used. Various homemade ointments are made of them.<\/span><\/li>\n<\/ul>\n<p><strong>OARSI recognizes three areas of evidence-based medicine that can be used for treatment of arthrosis:<\/strong><\/p>\n<ol>\n<li><span style=\"font-weight: 400;\"> \u00a0 <\/span> <b>medicamental. <\/b><span style=\"font-weight: 400;\">It involves using drugs that relieve inflammation and pain, reduce the general signs of the process;<\/span><\/li>\n<li><b><\/b><span style=\"font-weight: 400;\"> \u00a0 <\/span> <b>non-medicamental. <\/b><span style=\"font-weight: 400;\">This includes various physiotherapy techniques, ultrasound, gymnastics, laser therapy etc.;<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 <\/span> <b>surgical.<\/b><span style=\"font-weight: 400;\"> If you do not know how to stop arthrosis with a 100% result, there is only one answer &#8211; surgery. It may be performed in different ways. <a href=\"https:\/\/ladisten.com\/en\/services\/lechenie-deformiruyushhego-artroza\/\">One of the safest and most minimally invasive operations is performed in Ladisten modern orthopedics clinic<\/a>.<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">During the manipulation, the patient\u2019s bone in cut in a certain place. In 3-5 months, new healthy bone tissue is formed. There is no need to wait for it to take in the body as it should be done in the case of prosthetics.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">After the bone is cut, <a href=\"https:\/\/ladisten.com\/en\/apparaty-veklicha\/\">Veklich fixation device<\/a> is placed on the limb. The operation is performed through incisions up to 5 mm in length, so there are no large scars afterwards. The main point is that the Veklich device does not include dangerous spokes and thanks to that, the use of it prevents infection, reduces the risk of soft tissue damage and speeds up rehabilitation.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There are situations when one can do without surgery. It all depends on the size of the joint and its location. But for vital parts, surgical treatment is necessary. For example, the treatment of arthrosis of the knee is closely associated with surgery.<\/span><\/p>\n<h2><b>Prevention of arthrosis<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Treatment of arthrosis is a long-term struggle for a healthy joint. It is better to prevent the development of pathology having nipped it in the bud. It is especially important to eliminate risk factors that can be dealt with. It\u2019s better for you:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">to lose weight;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">not to abuse alcohol. If you look for information about arthrosis of the knee joint and its treatment, you will find that patient forums are full of statements that knees hurt after heavy alcohol drinking. This substance contributes to the production of stress hormones and triggers inflammation, increases fluid pressure in the periarticular capsule;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">to do regular exercise and minimize sedentary lifestyle.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If there is a genetic predisposition, you can visit preventive massage courses two times a year to stimulate metabolism and strengthen the musculoskeletal system.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Experts of Ladisten advise balancing physical activity. Intense training can negatively affect the joints, but swimming, Pilates and exercise therapy help to normalize metabolic processes in the joints and nearby tissues.<\/span><\/p>\n<p><b><i>Be healthy!<\/i><\/b><\/p>\n<hr \/>\n<p>\u00b9M. H. Atkinson, Osteoarthritis. Canadian family physician Medecin de famille canadien vol. 30 (1984): 1503-7<\/p>\n<p><span style=\"font-weight: 400;\">\u00b2https:\/\/classinform.ru\/mkb-10\/m15-m19.html<\/span><\/p>\n<p><i><span style=\"font-weight: 400;\">\u00b3J. H. Kellgren and J. S. Lawrence.<\/span><\/i> <span style=\"font-weight: 400;\">&#8220;Radiological Assessment of Osteo-Arthrosis&#8221;, Ann Rheum Dis. 1957 Dec; 16(4): 494\u2013502<\/span><\/p>\n<p><span style=\"font-weight: 400;\">4<\/span> <span style=\"font-weight: 400;\">Zhang W, Nuki G, Moskowitz RW et al. OARSI recommendations for the management of hip and knee osteoarthritis: part III: Changes in evidence following systematic cumulative update of research published through January 2009. Osteoarthritis Cartilage. 2010;18:476-499<\/span><\/p>","protected":false},"excerpt":{"rendered":"<p>It is said that after 40 years, life is just beginning. This is true if plans for the future are not spoiled by diseases that present themselves with age. After 40 years, millions of the world&#8217;s inhabitants develop deforming arthrosis \u2013 a painful, unpleasant and dangerous pathology that can lead to disability. Treatment of arthrosis [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[],"class_list":["post-2635","post","type-post","status-publish","format-standard","hentry","category-blog"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>\u0411\u043b\u043e\u0433 \u043a\u043b\u0456\u043d\u0456\u043a\u0438 \u0441\u0443\u0447\u0430\u0441\u043d\u043e\u0457 \u043e\u0440\u0442\u043e\u043f\u0435\u0434\u0456\u0457 \u0442\u0430 \u0442\u0440\u0430\u0432\u043c\u0430\u0442\u043e\u043b\u043e\u0433\u0456\u0457 Ladisten<\/title>\n<meta name=\"description\" content=\"\u0421\u0442\u0430\u0442\u0442\u0456 \u043f\u0440\u043e\u0432\u0456\u0434\u043d\u0438\u0445 \u043b\u0456\u043a\u0430\u0440\u0456\u0432 \u043a\u043b\u0456\u043d\u0456\u043a\u0438 \u2b50 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