Arthritis - A disease has developed for many years with the dominant damage for some joints.Typically, painful changes affect large joints - knees, hips, shoulders, etc.The pain and difficulty in moving in them complicates the life of a person in a physical and emotional plan, and the fact that muscle disease is often found at young age, it can interfere with achieving professional and individual goals.That is why it is important to diagnose the disease as soon as possible and start the complicated treatment of arthritis.
Treatment of arthritis
At the initial stage of arthritis, conservative methods are not related to surgery.Meanwhile, methods used to suspend the development of the disease, maintain motor activity, reduce the severity of the main symptoms of joint muscle disease and often improve the quality of humans.
- Drug treatment
Used drug groups
- NSAIDS;
- GKS;
- Chondroprotector.
- PRP therapy
- Medical physical education
- Massage and manual therapy
- Expansion therapy (traction)
- Physiotherapy
Physiotherapy methods are widely used for arthritis:
- Magnetic therapy;
- Uhf;
- Thermal freedom;
- Ultrasound therapy;
- Balne therapy;
- Surgical treatment.
Treatment of arthritis with drugs
Among the patients, usually the use of analgesic effect (oral in the form of tablets or injection - intramuscular injection) is the most important method to eliminate pain in the joints.In fact, the use of drugs is a rapid pain relief method, only specified in the acute phase.The fact is that the drugs are widely prescribed for these goals that have a serious side effect when prolonged and especially with uncontrolled consumption.We are talking about unwanted effects from digestive, cardiovascular, nervous systems, with high probability that can take patients to hospital beds (stomach bleeding, arrhythmia, affecting the liver and kidney, etc.).
Anti -inflammatory drugs do not change
Used drug groups:
NSAID -The anti -inflammatory torch is not without substance, many of them are released without prescribing and widely accepted by patients.This group includes drugs of different chemical structures, the most famous among them are Diclofenac, Indomethacin, Nenproxen (classic NSAID), more modern with Meloxicam, Nimesulide, Ketorolac.The listed drugs have significant anti -inflammatory and analgesic effects, relieving pain in joint and adjacent muscle tissue, but does not affect the development of the disease.They are only used to reduce symptoms at all stages of the disease.Effective with simultaneous inflammation (accumulating fluid in the joints).
GKS - Glucocorticosteroid (hydrocortisone, triamcinone, betamethasone) has the strongest anti -inflammatory and pain relief effect.That is to encourage and effectively for their introduction percentage.However, patients often negatively related to the use of these drugs in treatment, related to possible side effects: these are infectious complications, impaired condition of ligaments, joint surfaces and cartilage degeneration.But with the risk of Peri -The false of these complications, the risk of these complications is minimal.
Chondroprotector - Glucosamine and Chondroitin are the natural ingredients of cartilage, when used oral, contributing to gradually recovering cartilage, normally turning its density and elasticity.These activity components are often used in complexes, part of different drugs and auxiliary products.Chondroprotector does not have the effect of rapid pain relief, improving development with the use of long -term drugs based on them, related to the recovery of a part of cartilage.Proposed at all stages of the disease.
PRP therapy
One of the most modern recovery methods, used for sports injuries and Mono-dystrophic diseases of joints, is PRP (PRP-Platelt-Clich Plasma) or Mobravitization Plase, autonomous therapy.
The nature of the procedure It includes the introduction of plasma enriched with platelets, directly at the damaged place, in this case into the joints.The drug is used to get from the patient's blood, so this method is considered not only highly effective but also safe for humans.Growth factors and other biological activities (Serotonin, Bradykinin, Prostaglandin, etc.) in plasma thrombosis are enriched by thrombocytopenic cells, contributing to activating the regeneration and synthesis of their own basic substances.
Plasma plasma, enriched with platelets, is included in both the percentage and directly into the affected joint, so the recovery of a part of the tissues is achieved - mainly cartilage.
The method at 1-2 stages of osteoarthritis is most applied.It shows good results and allows you to delay the rapid development of the disease due to the release of platelet growth factors.This method is relatively new, but has proven its high efficiency.PrP therapy is first used in surgery, today this technique is successfully used in many medical fields, including rheumatism and orthopedic, nervous and aesthetic.Conduct automatic therapy that allows you to increase the function of the joint without any other positive intervention.
Animal liquid heart - A group of drugs based on hyaluronic acid, which is directly taken into the joint (injection) cavity and plays the role of knitting lubricant in the case of natural discharge almost completely non -exist (it offers the role of lubricant of the joint surface).They are used in the final stage of muscle disease.
The medium measures of this group are also called Muslims' neuromuscular translators, and biological replacement for fluid fluid.The effect after using the drug is long - from 6 to 13 months, depending on the medical product used.
Some are used Other drug groups - Antispasmodics, muscle relaxants, vitamins of group B in the dose of treatment (high), but all of them are only auxiliary value in the treatment of arthritis.
Medical physical education
Special exercises of gymnastics can and should be used even in severe process, at all stages of joint muscle disease.Such measures may relieve pain and prevent significant limitations in the movement of joints.However, among patients with arthritis, this method is not common, because most of them are confused, believing that with pain, it is necessary to limit any movement.In contrast, the timely start of physical exercises, contributing to recovering faster and reducing symptoms, mostly painful.
Especially, effective physiotherapy exercises in the water, joint movement in the loading position (lying, sitting, hanging in a hanging position), walking moderately on a flat surface.For example, if necessary, with a clear pain syndrome, a special tape can be imposed on the joint, but you need to start physical education as soon as possible.
Massage and manual therapy
Methods of mechanical impact on joints, muscles and ligament movements allows reducing the severity of pain, increasing mobility, improving blood circulation and metabolism in the area of affected joints, reducing muscle spasms, normalizing muscle function.
Expansion therapy (traction)
In a hospital or medical treatment department, pulling therapy is possible - this is a common traffic (hip, knee) by a special method of using different goods.Standard traction diagram is designed in 28 days, with gradual increase in load and time of contact.Classic techniques are used and more modern using emulators.Their effects are almost the same, but the emulators are more comfortable for the patient.
Physiotherapy
The use of different physical therapy techniques in the early stages of muscle disease allows us to achieve a significant decrease in pain syndrome and increase the ability to move in affected joints.Physiotherapy courses contribute to slowing the pathology and extends the time without worsening.
Widely used for arthritis Physiotherapy
Magnet therapy - Local effects by low frequency or alternating magnetic field.In the area ofThe joints are affected, metabolic processes are accelerated, blood circulation and nutrients for common structures, the process of regeneration and synthesis of separate substances necessary for the common work is activated.Magnet therapy has anti -analgesic effects, anti -inflammatory magnetic anti -inflammatory almost the first session, positively affecting the general condition of the patient.Magnet therapy is successfully used in hospitals and treatment houses, where medical equipment uses of different modifications.A huge advantage for patients with muscle disease is the possibility of courses from independence at home, according to the purpose and under the control of the doctor attending.Timely use mobile devices for magnetic treatment that allows you to stop developing pain, starting to get worse or take a precaution course - meaning maintenance of normal health.A positive moment of chemotherapy can also be called the beneficial effect of procedures for the state of the cardiovascular and nervous system.With the fact that most patients with arthritis are people of average and progressive age, with an existing chronic disease (arterial hypertension, coronary heart disease, atherosclerosis, etc.), the mild and stable sedative effect of magnetic therapy will be very helpful.
Ultrasonic therapy It is used more often in combination with the effects of drugs with anti -inflammatory drugs, analgesics, restoration effects (hydrocortisone, chondroitin sulfate, indomethacin, etc.) - ultrasound or pronunciation.Ultrasound increases the permeability of tissues for drugs, so their main actions are enhanced.Even if there is no medicinal ingredient, this method is still highly effective for muscle disease: ultrasound has mechanical effects on micromassage (micromassage), activates recovery and local immunity in joints and adjacent muscles, an pain and anti -inflammatory effect is expressed.
Laser therapy - One of the most common and widely used procedures.The treatment effect is based on the reflex expansion of the blood vessels on the center of the pathology.This leads to the improvement of local blood flow, trigger metabolism, eliminate metabolism underestimated and reduce pain intensity.Laser therapy due to low depth has a clear minimum system effect, while enhancing the effectiveness of other procedures.
Shocking wave therapy - High contact method.It is based on the voltage effect.The effect of electrical discharges on psychological gravity is achieved by some effects.Cells cannot be destroyed, leading to local immunity activation.Gybernic cells (inactive) are stimulated, contributing to the regeneration process.At the same time, the intensity of pain syndrome is significantly reduced (although this process is very painful).The undoubtive advantage of the method is the use of the method every 4-7 days.
Therapy - Method of treatment effect on the body with impulsive flow.The flow in this method stimulates skin receptors, indirectly leading to the activation of the physiological mechanisms that gradually decrease in inhibited pain and lead to patient pain relief, to relieve pain.Therefore, such procedures are effective for severe pain.
Soil stimulating - Exposure to electric current on muscle tissue.With arthritis of large joints, the work of the surrounding muscles is disturbed, this leads to atrophy of some and overload of others.Disorders are developing.When exposed to an alternating current according to a special program, muscles decrease smoothly, perform a certain job, resulting in their mass restoration and function.
Refrigerated therapy - A simple and effective treatment, unfortunate, rarely used.The local effect of low temperatures reduces the sensitivity of the pain receptor and the synthesis of biological active ingredients stimulates the growth of inflammation.After treatment with cold pressure, the expansion of the reflexes of the blood vessels occurs, the local blood flow is accelerated and the recovery process is activated.This method is especially effective in combination with shockwave therapy.
Balne therapy
In hygiene and resort conditions, hydrogenation is performed in a medical bathroom, including radon muscle disease, especially effective for arthritis.A common impact on the body is performed by radon radioactive dissipation products in water.The most important effect is to activate metabolic processes.
A similar effect, although the effect is less pronounced than the characteristic of mud (peloids), hydrogen sulfide and carbon dioxide.
Surgical treatment
Surgical methods are used in the final stage of joint muscle disease, when the ability to move generally is limited or absent, this affects the quality of life of the patient.Worldwide, different methods of the common endrosthetic are used, allowing you to completely restore moving volume and bring patients back to positive life at all ages.
The tactics and volume of surgical intervention are determined by the doctor, this choice is based on parameters such as the general condition of the patient, the age and the presence of simultaneous diseases, overweight and others.The best results after Endoprosthetic obtained in young and medium patients (recovering almost completely moving volume), but the elderly also has a significant improvement in conditions, because after successful operation and recovery, they can restrict in the domestic plan and not only move.
Prevent
Arthritis belongs to the group of simplicity and development is mainly the result of changes related to age in joints, enhanced by the effects of negative external factors.Pay attention to the condition of the skeletal muscle system, the prevention of joint diseases and muscle treatment in the early stages helps maintain movement activities and avoid major medical intervention in the future.