Osteoarthritis — a chronic degenerative changes of the articular cartilage, which inevitably leads to deformation of bone tissue. Synonyms of osteoarthritis, according to the latest International classification of diseases, 1989, are the terms: osteoarthritis, osteoarthritis, deforming osteoarthritis, deforming osteoarthritis, artrose-arthritis. Consider the symptoms and possible treatments of the disease.
The word "osteoarthritis" — late Latin, is composed of two Greek roots: osteon — "bone" and arthron "joint", and-osis — ends, indicating chronic, destructive form of the disease, in contrast to the end -itis, speaking about the acute inflammatory process. For this reason, it is important to distinguish arthrosis, or osteoarthritis, arthritis is one chronic disease, and the other is mostly an acute inflammatory character. However, in practice they may be combined.
In fact arthritis is different from arthritis that the disease covers the joint (the joint capsule (capsule) located inside the synovium, subchondral bone, ligaments and periarticular muscles), not just the articular cartilage.
Osteoarthritis of the first things that strike the knee joints, then go on the prevalence of hip joints and joints of the thumb in the lower extremities. Less likely to suffer from osteoarthritis of the ankle and distal interphalangeal joints located on the ends of the fingers. Other joints affected by osteoarthritis is extremely rare.
There are four main common symptom of osteoarthritis is:
The main difference between arthritic pain from arthritis pain is that in the first case, pain occurs when driving and mostly in the afternoon, and the second does not depend on the movement and usually appear at night. Arthritis pain is more acute and intense.
In medicine it is accepted to distinguish three degrees (stages) of osteoarthritis:
At the end of the third stage of osteoarthritis there is a complete destruction of the joints, accompanied by its complete or partial immobility unnatural mobility — neoarthrosis. Usually, at this stage doctors verdict about the replacement of the damaged joint. For example, osteoarthritis of the hip joint ends of the bone intergrowth surfaces — ankylosing, or snapping of the joint, and it occurs in an unnatural position that violates the biomechanics of the musculoskeletal system.
There are several principles in the treatment of arthritis, among them:
The above chart is a classic in the treatment of arthritis, will also focus on pharmacotherapy and diet.
First, what is the purpose of pharmacotherapy is the reduction of pain syndrome and inflammatory processes. Therefore, the doctor immediately after diagnosis assigns the "gold standard" in the treatment of arthritis and arthritis — non-steroidal anti-inflammatory drugs, or NSAIDs. As a rule, be administered intravenously or intramuscularly, not to irritate the gastric mucosa and faster to obtain a therapeutic effect. Local application of these funds can be considered only as a Supplement, as the effectiveness of the ointments and gels is extremely low.
The NSAIDs begin with the lowest effective dose, avoiding long-term use. It initially used the most "harmless" drugs. To reduce the risk of damage to the gastric mucosa prescribe omeprazole.
During periods of exacerbation of osteoarthritis using intra-articular corticosteroids hormonal. Also assigned chondroprotectors-substances that help restore cartilage and improve the quality of synovial fluid. They feature a long course admission to first effect. However, if within six months no sign of their impact is not detected, these drugs abolished. Hyaluronic acid, or rather of medicines based on it, are used along with chondroprotectors, as it also is part of the connective tissue, forming a sheath of articular cartilage cells — chondrocytes. Drugs are injected intra-articular. Also may be administered platelet-rich blood plasma of the patient, this procedure is called PRP therapy.
A strict diet, as in gout, during the treatment of osteoarthritis does not exist, for example, there is no need to abandon meat and offal. Especially important are those products, which are dominated by the b vitamins and C. Generous fluid intake is encouraged, but alcohol is absolutely contraindicated.