Deforming arthrosis (osteoarthritis) is a progressive disease, in which the surfaces of a dystrophy and a Degeneration of the joint and the defeat of the cartilage, up to its complete destruction in the joint.
In General, deforming osteoarthritis in advanced and old age, in the presence of Co-factors and diseases that often shows itself in the investigation, but not clinically.
Deforming osteoarthritis – the most common and widespread disease of the joints. It occurs in 70% of all diseases of the joints.
Causes
The exact cause of osteoarthritis does not deform, today settled, but some of the factors highlighted, clearly the likelihood of developing to increase. Above all, it is the General aging process and degenerative phenomena in the tissues, changes in the cartilage and joint capsules.
Factors influencing the development of osteoarthritis can be divided into:
- external - to an overload of the joints (e.g., heavy lifting), permanent injury, professional influence, sub-cooling of the joints include,
- internally, the influence of heritability with stretched ligaments and joints, functional disorders of the eggs is hives and Menopause changes in women, cardiovascular disaster, disorder of blood circulation in the tissue of the cartilage, obesity.
Deforming arthrosis, as one of the symptoms. in the case of alcoholism or myxedema, acromegaly or for the treatment of hormones, if the congenital dislocation of the hip, Marfan syndrome (a hereditary disease characterized by excessive mobility of the joints and elongation of the tubular bones)Immobility of the joint)
Stages of development
In the development of deforming arthrosis, there are a number of legitimate successive phases which replace one another:
- remove the aquosity of the cartilage, the thinning and drying out,
- the formation of defects in the cartilage and cracks,
- the destruction of cartilage and the simultaneous abrupt narrowing of the cartilage space,
- the disappearance of the cartilage with the bone-edges,
- compensatory sealing of the ends of the bone, which is still without a cartilaginous surface,
- Disorder of the joints with dislocations, fractures, and impaired function of the limbs.
Symptoms of deforming arthrosis
Above all, the most important Manifestation of deforming arthrosis is
- Pain on the inside of the joint, worse after physical exertion or at night,
- affected individual joints,
- the affected joints are not symmetrical,
- the General symptoms is not the defeat of the joints,
- no fever,
- No strong reddening of the joints
- no changes in the analyses.
The process occurs most frequently in the knee, hip, or interphalangeal joint.
If the disease progresses, the degree of destruction of the cartilage, results in painful blockage of the joint, when strong pain is manifested, to move the legs and makes a. This happens for the reason, the penetration into the joint cavity pieces of cartilage or small fragments of bone (joint mouse).
In the area of the joints of the finger bones nodular, very solid training, where the joints are not deformed, strong, the muscles undergo atrophy, no rigidity of the joint.
In the interior of the joints, the movement of grinding due to the friction of uneven surfaces against each other.
Due to the pain and limitations of mobility, contractures (muscle contractions) can, cut the feet or hands.
Deforming osteoarthritis in their manifestations similar to various forms of Arthritis, in the first place, it is necessary to distinguish with rheumatoid Arthritis.
Diagnosis
Typical criteria for the diagnosis of deforming arthrosis does not exist, you can see externally, only the node on the phalanges. The suspected osteoarthritis occurs when:
- typical lesions of the joints,
- long-term development of the disease for many years
- The age of the patient.
The basis of the diagnostic radiological data, the still to the time of the clinical manifestations of the pain syndrome.
Joint space narrowing, manifested a change, with a flattening and deformation of the surfaces of the joint, instability in the joint with dislocation and Subluxation, marginal noticeable bone growths, osteosclerosis (excessive increase in bone density).
With the progression of the showed a bony spikes and bumps, the patella can be wedged in a gap.
The study of arthroscopy, a blood test with the absence of signs of inflammation supplements.
It is the implementation of the research periarticular fluid.
Treatment of deforming arthrosis
The same symptoms may be signs of various diseases, and the disease may not go according to the textbook. Try not to be self-treated — talk to your doctor.
Treatment busy trauma team and orthopaedic surgeons.
The methods of treatment of deforming arthrosis depending on the degree of participation in the process of the joints, as well as the duration of the lesions and the presence of pain.
Initially used conservative therapy
- reduced load on the joints,
- Weight reduction,
- the application of the metabolite – rate Aloe, gumizol or glass body intramuscularly courses,
- Use of stimulants to restore the cartilage injections intramuscularly rates.
Complements the treatment
- the use of drugs,
- Anti-inflammatory therapy.
When there is inflammation in the joint, the course of hormones – the hydro-cortisone inside the joint.
Apply also complex massages, physiotherapeutic effect, mud, thermal action. Useful Treatment.
In advanced cases, surgical treatment – arthroplasty joint replacement helps. In the further relief of the joint, to reduce body weight, go with the feet on a walking stick or crutches, and physiotherapy.
Prediction
Deforming arthrosis without the required treatment has been a slow but steadily progressive course. Leads to disability and a significant functional disorders of the joints, disorders of movement. Therefore, when you encounter the first signs of osteoarthritis is an active therapy, continuous courses for 1-2 months shows.