Osteoarthritis of the knee joint 1 and 2 degrees: treatment
The knee joint osteoarthrosis is a disease in which it affects almost all joint tissues and elements. First, the cartilage becomes thinner, loses its elasticity, becomes rough. Then change the bone – so osteoartroz the knee joint is called deforming (DOA).
As a result, the range of motion of the affected joint is significantly reduced, changing its form, and the patient suffers from severe pain even at rest.
To treat DOA in various ways, including the methods depend on the severity of the disease.
Symptoms of osteoarthritis of the knee
Deforming osteoarthritis of the knee is a degenerative-dystrophic changes in joint tissues. DOA observed mainly in elderly patients due to the wear and tear of the cartilage tissues, disorders of metabolic processes in the body excess weight.
The more a person extra pounds – the more pressure on the joint. After forty years he can not withstand large loads and it starts to deform and break. This process can be very lengthy, DOA has multiple stages of development.
If diagnosed osteoarthritis of the knee joint of 1 degree, the symptoms may be completely absent until the disease won’t pass to the next stage. Changes in the structure of cartilage is not always possible to detect even with x-ray, ultrasound or computed tomography. Because the treatment is not started in time when you can do some folk remedies and physiotherapy.
The next stage of the disease destruction go further to other tissues – meniscus, ligaments and tendons. If you do not start to treat DOA, deformed bone. Without a long, complex treatment of osteoarthritis of the knee inevitably leads to disability.
When the growth of bone tissue formed outgrowths – osteophytes of the knee joint. They put pressure on the soft tissues, muscles and nerves. When thickened joint capsule, the capsule becomes inflamed.
Because the patient experiences symptoms such as aching at first, then unbearable pain, stiffness in the joint.
Why develop DOA
What becomes the trigger for the pathological changes in joint tissues, is still uncertain.
Allocated only some external and internal factors that may be prerequisites to the development of DOA. On this basis, the following risk groups:
- Professional athletes are regular heavy loads on the joints when doing sports result in early wear of the cartilage;
- Patients who are obese – every extra kilo further pressure on the joints;
- Those over forty years, the nutrition of tissues deteriorates with age;
- All who suffered a serious knee injury or surgery – more than 30% of cases are post-traumatic in nature.
It is noted that the DOA symptoms in women of older age are more frequent than in men. In some cases, the disease is associated with genetic predisposition.
Thus, heredity, hormonal changes, metabolic disorders also affect the formation of osteoarthritis of the knee.
How to recognize illness
Symptoms can manifest themselves differently depending on the nature of and stage of the disease, characteristics of the patient. The older the person, the greater the weight, the faster and harder it will be leaking osteoarthritis of the joints.
At the initial stage of the disease, patients usually complain only a little stiffness in the joints, mainly in the morning.
The discomfort is felt if a person is forced for a long time in one position, to sit, stand or walk. If you increase physical exertion, the patient experiences pain.
Then the pain become more intense and longer. In the later stages of the disease the pain may disturb even in a state of complete rest, during sleep.
Time to recognize the disease and begin treatment will have the additional characteristics:
- Pain in the knee joint in flexion and extension of limbs when squatting.
- The feeling of tiredness even after minor exertion.
- Stiffness of the joint and limited mobility – bone growth is low, but the narrowing of the articular cavity can already be detected by x-rays.
With further education and the growth of osteophytes and the absence of pain does not stop even during the holidays. The man begins to limp, walk slowly, avoiding bends and twists. When driving you can hear a characteristic crunch in the damaged joint. The very knee swells, changes form, becomes more.
At this stage the disease can be successfully treated using medication. Osteoartroz third degree often leads to disability in most cases restore the function of knee joints in this stage only surgical treatment (prosthesis).
When osteoartroze in the running form, the deformation of the joint is visible to the naked eye – is the curvature of the lower extremities in the shape of the letter «O» or the letter «X». The crunch in the joint is heard with every movement, the patient suffers from severe pain in the knee and cannot walk without support.
If an x-ray, you will notice that the cartilage is almost completely destroyed, injured ligaments and meniscus, articular gap is almost absent, and the bones partially fused together.
Treatment at this stage is possible only surgical removal of the destroyed joint and the implantation of the prosthesis.
How does osteoarthritis of the first degree
To identify the disease at this stage can very rarely, but still should pay attention to symptoms such as fatigue occurring after physical activity, feeling some stiffness in the joint, pain when the usual load will be increased.
Usually osteoarthritis in the knee joint at the initial stage of development it is revealed only in case if the patient goes to a doctor for examination on another occasion. Narrowing of the joint space, which can be seen on x-ray is still very low, and osteophytes are often absent or subtle.
Osteoarthritis of the second degree
At this phase the knee began to bend and unbend, can swell and swell.
With pressure on the diseased joint the patient feels the pain. Because of pain gait changes, it becomes slow, careful.
On the x-ray image clearly shows the narrowing of the joint space, bones become thicker, the surface of joints grow.
Gonarthrosis of the third degree
At this stage the patient is already considered invalid. Changes joint and bone visible, mobility is severely restricted. Treatment of folk remedies is not effective, medications bring only temporary, minor relief.
Cope with pain and return mobility is possible only through surgery.
Methods of treatment of deforming osteoarthritis
The treatment of such pathologies as osteoarthritis deformans of the knee joint requires a comprehensive. First and foremost, it eliminates the factor that provoked its development. Patients suffering from obesity need to lose weight. If the problem is hormonal imbalance, then you need to normalize the hormones.
Professional athletes are advised to temporarily stop a heavy load and protect the joints. The drugs used for the traditional complex treatment of osteoarthritis:
- Painkillers from the group of analgesics;
- Chondroprotector – medicines that protect the joint from further damage and promote cartilage regeneration;
- Nonsteroidal anti-inflammatory drugs.
Since almost all patients seek medical help due to severe pain, initially assigned to those drugs that can effectively stop pain. Further, it is important to stop the inflammatory process and restore the cartilage if it’s still available.
With very strong pain treatment hormonal therapy. They are administered intra-articular. This:
- Diprospan (is the blockade of the knee joint)
- The hydrocortisone.
Chondroprotectors can be taken orally, injected intramuscularly or intra-articular. This medicines such as chondroitin and glucosamine. Quick and lasting results are obtained by the treatment with hyaluronic acid, to enhance the quality of joint fluid. But its intra-articular administered only once.
The effectiveness of medications depends on the chosen scheme of treatment and the willingness of the patient to strictly comply with all doctor’s orders. In this disease, like osteoarthritis of the knee, it is important not to stop treatment before the time – then the forecasts are very favorable.
Folk remedies to get rid of the disease on the second, and especially third stage impossible. Although most doctors recommend to consume various supplements containing chondroitin and collagen.
Important diet – the diet should be balanced, low-calorie but rich in proteins and vitamins.
In the diet of the patient is necessary to include lean meats, poultry, seafood and fish from the salmon family, fresh vegetables and fruits yellow and green colors, greens.
How to treat osteoarthritis folk remedies
To relieve pain and inflammation or at least reduce them, using the tools of home cooking based on medicinal plants. Here are the most available and tested recipes:
- Oil of celandine. Use fresh stalks of a plant. You need to collect shoots, chop them. Three tablespoons of the thus-prepared raw material filled with oil, after which the mixture infuse for two weeks. The resulting tool is used for rubbing the affected joints;
- Compresses of the leaves of burdock. This tool is tested by many patients, relief is felt after the first session. You need to take some young leaves of burdock, stack them on top of each other. Then top to put a pot of hot water. Thus the steamed leaves applied to knee fleecy side. Pre-knee smeared with oil, the leaves of burdock is applied to the cloth, after which wrap a bandage fixed and insulated with a handkerchief. Keep this compress can all night and do it every day for two weeks.
Very useful in osteoarthritis rubbing camphor oil or applying Shilajit. Another proven and absolutely safe remedy for this disease is the application of blue medical clay. You can buy it in powder form at the pharmacy.
The clay is placed in a porcelain or ceramic dish, gradually add the warm water and pound until you get a thick mixture. It passed on a piece of gauze or bandage is then placed on the sore knee. On top of applique is fixed with a bandage and insulated woolen cloth – a handkerchief or scarf. Compresses made of blue clay should be kept at least two hours.
Folk remedies widely used in the treatment of osteoarthritis of the knee, so almost no contraindications, do not cause any side effects and in most cases much more affordable than medicines. But do not forget that to succeed is possible only in the complex treatment.
Thus, to cure esteatose deformans of the knee joint, as soon as possible to consult a doctor and conduct a thorough examination to establish the cause of the disease. Relieve acute pain and inflammation will help medication, is also appointed massage and physiotherapy.
Then, when the acute stage has passed, you can continue to be treated at home using folk remedies, exercises from physical therapy and adhering to a balanced diet. Once a year we have to rest in a dedicated sanatorium.