Effective treatment of joints, synovitis, arthritis and arthrosis

Joint pain not only complicates life, but as a rule, it indicates inflammatory and destructive processes that gradually restrict movements and whether treatment or absence is not in irreversible deformation and disability.

Arthrosis is the second largest cause of disability after cardiovascular disease.At the same time, arthritis and arthrosis are often impressed by the still working population, that is, people are unable - or are forced to constantly overcome the pain to make a living.

So why does joint pain occur and what are the methods available to Russians today, which will not only temporarily relieve pain but will eliminate inflammation and prevent the destruction of the joint?

Arthritis and Arthrosis - Differences

Arthritis and arthrosis have similar names, since these two diseases affect the joints.They differ in the nature of changes in the joints.

NodearthritisThe pain is associated with inflammation of the joint tissue.In this disease, a synovial shell suffers, in which blood and lymphatic vessels, nerve endings are concentrated.Consequently, this affects both the feeding of the joint and the production of joint lubrication (synovial liquid), which nourishes the cartilage.

Arthritis can developAt any ageincluding children and adolescents (juvenile arthritis).In addition, the disease can be affectedAlmost all articulations, including small (fingertips) and various joint damage can also be observed -Polartritis.

Existing long arthritis leads to arthrosisSince the articulation, in particular, the cartilage tissue suffers for a long time with feeding deficiency, which comes from synovial fluid.It is important not to "extinguish" inflammatory reactions with anti -inflammatory drugs, namelyfight the cause of inflammation, for example, with the help of financing.

NodearthrosisFirst of all, observedCartilage Destructioncovering the bone surface (and with a neglected process - and the bone tissue itself).Cartilage fails to deal with the load that appears in it, and it begins to collapse faster than it can recover.The cartilage tissue is softened, the normal sliding of the joint surfaces is disturbed, any movements are accompanied by pain.

Arthrosis appears more oftenAfter 40 years.The injury of large joints such as knees (gonarthrosis) and hip joints (cOKSARTROSIS) is more common and is the cause of disability and disability.Less common occurs osteoarthritis of fingers, thumb arthrosis, temporomandibular joint, shoulder damage, elbow joint, etc.

Symptoms and signs

Arthritis symptoms:

• Synovitis, that is, swelling, increased sensitivity or pain when touching, limiting joint mobility;
• acute and painful pain, both in motion and at rest;
• The stiffness of the morning, due to the fact that edema develops at the joint time at joint time.It takes 40-60 minutes after the start of the movement.

With arthritis, general characteristics of inflammation can also be observed: fever, chills, sweating, general weakness.It can manifest itself by headaches, weight loss.Symptoms of the disease are also observed, which caused inflammation: damage to the heart with rheumatoid arthritis, lungs and other organs with tuberculosis, etc.

Arthrosis symptoms:

• The pain that occurs in daytime physical effort, not at rest.For example, knee pain and hip articulation when walking, running, crouching, climbing the stairs, etc.Then, when moving, the pain disappears (initial pains).There is intense knee and crisis pain by exposing to double.
• In the short term “initial pains” after periods of rest associated with the fact that the joint surfaces in which those of deletions were established (the result of the destruction of cartilage and bone tissue) rubbed.15-20 minutes after the movement began, the pain passes as the debris is pushed out.
• Continuous stupid night pains are more often in the early evening due to venous stagnation.

Arthrosis is often accompanied by inflammatory reactions.Respectively, pain and swelling are observed, as in arthritis, and the disease itself is calledArthrroso-arthritis.

With prolonged arthrosis, there is often a limitation of mobility due to degenerative changes in the muscles, tendons (the so -called contractures), occursJoint deformation.Therefore, the disease is often calledDeforming arthrosisordeformation osteoarthritis.

Stages and degree of osteoarthritis

There are several stages of osteoarthritis, which, as a rule, are recognized by radiological images:

• 1st degree osteoarthritis - Bone and cartilage changes are weakly expressed, as a rule, when performing computed tomography.Pain and swelling occurs after moderate physical activity.The swelling of the joint passes after rest.
• 2nd degree tissue osteoarthritis - Cartilage tissue begins to collapse, bone tissue growths (osteophytes) appear along the edges of the joint, the joint gap is narrow, which leads to constant pain.Swelling and pain become constant.
• Osteoarthritis 3-4 Destruction of the extensive cartilage of degrees, as well as deprived of bone tissue protection.There is constant swelling, the work of ligaments, muscle function, which leads to joint deformation is observed.The axial load at the joint is broken: “o” or “x” deformation at the joints.

Which doctor gets in touch?

If there are suspicions of arthritis or arthrosis, you will need to consult a doctor for the correct diagnosis.In a regular clinic, this problem is addressed to a traumatologist rheumatologist or orthopedist, with less frequency to the surgeon.In large diagnostic centers, you can come to an appointment with an arthropist.This is an expert who is directly involved in joint diseases.

Causes of arthritis and arthrosis

The main causes of arthritis:

• Rheumatoid(Sometimes they say rheumatic) autoimmune disease, when the body's protective immune cells for some unknown reasons begin to kill their own cells in the body, leading them as foreign (Rheumatoid arthritis).The nature of this disease is not completely clear.The disease most often affects women (3-5 times, according to various sources).Also found is juvenile rheumatoid arthritis (juvenile idiopathic arthritis) - a child form that occurs in children and adolescents under 16 years of age.
• Infectious diseases, where arthritis symptoms are observed, for example, tuberculosis, brucellosis, stroller -Borreliosis, etc.
• Non -infectious disease(psoriasis, systemic lupus erythematosus, etc.)
• Metabolic disorders, for example, gout.

The main causes of arthrosis:

• Wound- The most common reason.
• Congenital dysplasia(Violation of bone joint surfaces) of the joint (eg dysplastic cOKSARROSIS).In this case, the joints are excessively mobile, an increased load falls on them and the wear is faster.
• Existing long arthritis(rheumatoid arthritis, joint tuberculosis, etc.).Violations of metabolism in synovial fluid lead to insufficient cartilage nutrition, reducing the renewal of dead cell renewal processes and causes their destruction.
• Excessive physical activity, in particular, when involved in professional sports or monotonous production operations.Note that, in seamstresses, arthrosis of hand joints usually occurs in workers who use a backhammer - elbow and shoulder joints.In other words, first and foremost, the cartilage that experiences the maximum load for a long time suffers.
• Hormonal disorders.In women, this is often associated with menopause.

Regardless of what was a specific cause of arthritis or arthrosis, the main problem is the violation of the balance between the processes of destruction and restoration in articular tissues.

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

• accumulateExcess damaged and dead cellsthat the body has no time to remove;

• Sufficient new functional cells are not formed, which should replace dead cells and ensure the correct functioning of the joint.

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

With arthritis, damaged cells prevail in the synovial membrane and synovial fluid, and there the inflammation process is thrown there.Edema is a body reaction required to combat excess damaged cells in soft tissues.

With arthrosis, damaged cells prevail in cartilaginous tissue, where another protection mechanism works: replacing functional cells damaged by connective tissue (scars), which are unable to perform depreciation functions and have no property of elasticity, elasticity.

An excess of damaged cells can occur at a time due to lesion, hypothermia etc.In other cases, the accumulation of dead cells, a decrease in the functionality of joint tissue gradually occurs due to daily loads (eg, when practicing heavy or monotonous sports), impaired physical work, impaired interaction, metareal, hormonal and other physical processes.In this sense, it is of great importance in the treatment of arthritis and arthrosis of risk factors.

Risk factors

All risk factors for arthritis or arthrosis are associated with situations where cell death processes in the joint begin to prevail over recovery processes:

• Hypodinamia.A sedentary lifestyle leads to a small microvibration of muscle fibers, the development of tissue stagnant processes, insufficient lymphatic flow and hair flow and therefore leads to an increase in damage and premature death of healthy joint cells of the joint.
• Overweight.Excessive body weight increases the load in the support joints - hip and knee.In addition, the fat layer complicates the flow to the blood joints, which is why cartilage nutrition is disturbed.Note that women more than weight suffer from knee arthrosis 4 times more often than their slender colleagues.It is believed that a decrease in body weight by 1 kg reduces the load by walking to each knee or hip joint by 4 kg.
• Spine diseases(osteochondrosis, intervertebral hernia).In the spine of the spine, there is a spinal cord through which nerve impulses pass to the muscles.If the passage of impulses is broken, the muscles do not work harmoniously and insufficiently repay the blow by jumping, lowering the stairs, running and walking.Consequently, even with natural daily loads of the joints, joint joints are damaged and die more often.
• Elderly age.Body resources are gradually exhausted.The tissue tower occurs everywhere, including the joints, at different speeds, depending on the action of harmful factors and genetic predispositions.

Non -infectious infections and diseases in most cases are just a "trigger".Arthritis occurs, as a rule, in the presence of the above risk factors.Those ones.Inflammation occurs against the bottom of existing problems - insufficient blood flow, lymphatic flow, joint stagnation.Healthy cells, as a rule, effectively protect against infections and other "attacks".Therefore, it is important to treat not only the underlying disease that gave rise to arthritis, but also to the articulations themselves.

Based on this general understanding, the principles of effective joint treatment are followed.

Effective joint treatment principles

The longer and stronger the processes of destruction prevail over the recovery process, the faster the moment of irreversible changes begin.In this sense, it is important as quickly as possible to move the balance in the direction of recovery.

This is necessary:

• Clean FabricsFrom an excess of damaged cells formed as a result of lesions, infections, autoimmune disorders (rheumatoids, etc.).This is necessaryStrengthen lymphatic flow.
• Improve the blood supplyjoint tissues, which will lead to naturalImproving Cell Nutrition.As a result, the premature death process of cells will be interrupted, the restoration of the cartilage, the synovial membrane, the normalization of synovial fluid composition, etc., is stimulated.
• Restore innervationTissues.Harmed conductivity of the nerve paths of the spinal cord for the joint can sometimes be the main cause of the development of the disease.
• MaximumReduce loadIn the joints affected in the first manifestations of the disease, to avoid more premature cell death.Do not use heels, if possible to reduce weight, do not lift weights, walk and descend carefully, usually alternate physical activity with complete peace during the day, etc.This is an entire range of measures, which, as a rule, involves a serious change in the term of years of lifestyle.

Consider various types of treatment from the point of view of the first three of the principles of effectiveness above.

Drug Therapy (Drugs)

In case of inflammationThe following medications are used:

1. Anti -inflammatory drugs of hetepoid (NSAIDs).The main mechanism of action of these drugs is to slow down the inflammatory process and eliminate pain.Dead cell cleaning fabrics do not occur.They relieve the patient's condition, but do not decrease the progression of the process [3].These medicines are taken practicallyfor life, if there is no intolerance to them.In this case, side effects generally manifest: they negatively affect the condition of the stomach and intestine mucosa membrane and its prolonged usefull with the development of gastritis, ulcers, ulcerative bleeding.Some NSAIDs negatively affect cartilage, thus causing the development of arthrosis [4].
2. Hormonal drugs, which are usually introduced directly into the joint in the form of injection.They are used only according to the strict indications of the doctor and in extreme cases with intense pain, which is not eliminated by NSAIDs.Hormonal drugs suppress immunity and, therefore, the process of eliminating dead joints from the joints suffer.As a result of treatment, the intensity of inflammation decreases, a person feels relief.There are side effects: the production of their own hormones is reduced, metabolic processes, etc.can be violated.When the joint is introduced into the joint cavity, the effects of side effects on the body are generally lower when taking pills, however, they are also observed.The cause of the disease is not eliminated.
3. Cytostatic- A group of antitumor medicines that violate the growth, development and division mechanismsAll cellsbody.In the treatment of rheumatoid arthritis, they reduce the amount of antibodies that kill their own body cells.However, the processes of the formation of other cells, including hematopoiesis, are also violated.Tissue cleaning does not occur.

Thus, anti -inflammatory drug therapy aims only to remove symptoms of the disease, but not in the purification or nutrition of joint tissues.Medicines only decrease the speed, “freeze” the protective inflammatory process launched by the body.

Temporary elimination of pain is also dangerous because the patient stops "saving" the painful leg.And this exacerbates damage to cartilage and bones.Therefore, the disease inevitably returns, and pain increases only due to the occurrence of additional damage during the imaginary "break".And soon the only method is just the articulation prostheses.

Joint prostheses(Replacement of artificial joint) - Complex intervention, face and surgical, in which severe post -operative complications (infection, deep venous thrombosis, nerve inflammation etc.) are possible.A prosthesis is an artificial device that can replace the function of a particular organ.If the prosthesis is located within the human body, it is called endoprosthesis.Articulation endoprophetic is an operation to replace the joint components with implants, which have an anatomical form of a healthy articulation and allow the entire volume of movements.After these operations, the patient forgets joint pain and returns to active life.The center performs operations on the endoprothetic joints (knee, hip, shoulder, elbow) and small (fingertips).When an infection is united, osteomyelitis can develop, which requires the removal of the prosthesis and the affected areas of the bones.The functionality of the prosthesis is lower than that of the actual joint.During careless falls and movements, displacements, fractures of artificial joint fragments are possible, which requires a second operation.High risk of becoming a deactivated wheelchair.

To try to restore cartilage, the composition of synovial fluid, the following medications are used:

1. Chondoprotectors.They are designated to restore joint cartilage.These medications (mainly about eating supplements) are widely used.However, numerous studies showLack of effect, even compared to placebo!

2. Hyaluronic acid- An important component of cartilage.It is an important structural component of the cartilage matrix, protects it from wear.The drug based on it may be administered in the joint as injections only after eliminating the inflammatory process.The cost of an injection depends on the concentration of the drug and the manufacturer, a course involves several injections.The introduction of this acid temporarily protects the articulation against additional damage.HoweverAn artificially introduced drug does not encourage the production of its own acidTherefore, courses must be constantly repeated to maintain the effect.

In addition to drug treatment, there are additional methods:

• laser therapy;
• Cryotherapy (cold treatment);
• heating;
• Magnetotherapy;
• electromystimulation;
• phonophoresis (ultrasound);
• Drug treatment containing gold, etc.

However, the effectiveness of these methods in terms of cure of arthritis and arthrosis under a great question [5], since theydoes not guarantee the elimination of the main reasonDiseases - Violations of the balance between destruction and restoration of joint tissue.

A new understanding of the benefits of physical therapy exercises (exercise therapy)

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

During exercise, workingThe muscles create the energy of biological microvibration*What is needed for transport and metabolic processes at the cellular level.Lymphatic and blood vessels are not suitable for all body bodies for each micro-post.Cells do not have their own vehicles, so to move and get in touch with each other, they need to "shake them", which is guaranteed by the contractive activity of muscle fibers, ie muscle work.

The muscles create the energy of mycrivibration constantly (even during sleep), only power differs.The absence of microvibration indicates the death of a person.The level of microvibration, sufficient for nutrition and cleaning of all tissues, including joints, appears onlyWith physical muscle tension.

This is why exercise therapy is recommended in 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 intense pain;
• People in old age have an entire bouquet of diseases or a serious joint degradation that no longer allows exercises;
• Peoplewith a great weightThey can only be done by a limited amount of exercise (in a lying, sitting position) to restore the hip and knee joints, provided that when they walk and similar loads, the joints suffer overload and continue to collapse;
• Exercise therapy will be effective in frequent regular classes, when classes alternate with rest periods for the joint.As a rule, people are forced to work, have several family responsibilities that do not allow them to dedicate themselves completely (for a long time) only exercise therapy with rest periods.
• Exercise therapy can be ineffective if arthrosis was a consequence of physical overload and dystrophic changes in joint tissues.Muscle cells are already exhausted and additional load can lead to their death.
• Exercise therapy does not solve the problem of restoring the conductivity of nerve paths, that is, in the presence of LFK spine diseases, it will be ineffective as nerve impulses will come badly to the joint area.

Thus, exercise therapy is an effective treatment for arthrosis (but not arthritis) in not too old, with an unsuccessful stage of the disease in the absence of other aggravating diseases.

Cleaning and restoration of joint fabric using phonation

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

Foning consists of transmitting sound microvibration (frequency range of 30 to 20,000 Hz) to the body of a person or animal using a special compact medical device.Such solid microvibrations are natural to the body: in their physical characteristics, they are similar to biological microvibrations that create muscle tissue in maximum physical stress.

Thus, calling, applicable at home, this is this direct alternative to exercise.At the same time, the effect of this therapy is greater, as it is an external "clean" resource in relation to the body and does not require its muscle costs.Microvibration energy is punctual directed to the affected joint area at a depth of 10 cm.Due to the external source, muscle tissue was run out during the period of hypodinamia, physical overload, stress, hypothermia, restore its contractile activity and therefore the necessary level of mycrivibration (microdistan).

Despite its simplicity of exposure, the phone has numerous therapeutic effects:

• Improves lymphatic flow in the field of exposure and, consequently, helps clean tissues and early completion of the inflammatory process.ThatA single propertyThe physiotherapy method, which is inaccessible to drug therapy.At the moment, no medicine can directly affect lymphatic flow.
• Improves blood flow and therefore the nutrition of each cell;
• promotes joint lubrication;
• Contribute to the deposit of the deposit of the cells - the ancestors of all the functional cells of the body, including joint tissue cells;
• Improves the conductivity of nerve pathways with prolonged effects on the problem area of the spine.

In this case, the phone does not have a side effect, but has a long effect.

The effectiveness of the telephone (vibro -acoustic therapy) in the treatment of joints has been proven by numerous studies.

Scientifically proven effectiveness in the treatment of arthritis and arthrosis reaches 70-90%, depending on the study.