How is knee osteoarthritis treated, symptoms at each stage of the disease

Nobody is insured against diseases such as osteoarthritis of the knee, symptoms do not allow free movement, painful sensations cause discomfort.

healthy joint and osteoarthritis of the knee joint

Medical statistics say that the knee part is most often affected. Medical scientists have assigned the name gonarthrosis to this phenomenon, which aims to destroy the hyaline knee cartilage.

Overview of osteoarthritis

Metal parts also wear out over time and need to be looked after when they interact with one another. In addition, they are fed with lubricant, which is treated with destructive substances. This is roughly how organs and joints work in the most perfect machine - a man. Every detail, whether soft tissue, bone components, blood vessels or cartilage, needs to be properly nourished with vitamins and lubricated with useful substances.

When errors occur and no power supply is provided, it means that the gradual destruction of the most vulnerable part of the body begins. The property of cartilage, which is unfavorable to humans when it breaks down, the presence of constancy and irreversibility in the process.

Doctors try to suspend it, patients carry out processes:

  • therapeutic methods.
  • you are using medication.
  • use the recipes of folk healers.

For centuries people have been collecting ways to alleviate suffering. Therefore, the effectiveness of tinctures, ointments from environmentally friendly products, medicinal plants is not rejected.

For what reasons does the malaise begin

With increasing age, people develop various rearrangements in the body, arthritis of the knee begins. Symptoms and treatment are worth depending on the degree of progression. If sick:

  • suffers from pain for a long time;
  • deals with the inconvenience of freedom of movement;
  • The diagnosis is made with a delay.

In this case, the treatment process is only made more difficult, only surgical interventions with prostheses are possible. Conversely, a timely visit to the doctor will stop the further destruction of the joints with optimal therapy.

Not everyone, including the elderly, suffers from osteoarthritis. From this it follows that in his whole life he did not acquire any disease-causing factors. Your doctors have been divided into a separate list based on practical medicine observations.

The main reasons for the development of a disease with the destruction of the cartilage in the joints are the following cases:

  • acute knee injury;
  • chronic diseases of this area;
  • congenital abnormalities;
  • disturbed formations in the joints since infancy and subsequent periods of growing up;
  • osteomyelitis;
  • chondrocalcinosis;
  • rheumatism;
  • overweight;
  • diabetes mellitus;
  • acromegalitis;
  • frostbite of the feet;
  • hypothyroidism;
  • regular, long-term physical activity on the knee joint.

Thanks to the "provocateurs" listed, gonarthrosis malaise begins to develop. You should follow medical recommendations for bed rest when treating infectious infections. Naturally modulating flu, various acute viral infections of the respiratory tract, or acute respiratory infections can reward the patient with a dangerous complication, one of which is only osteoarthritis.

How does the disease manifest itself?

Depending on the severity, if the diagnosis of knee osteoarthritis, symptoms, treatment, doctors divided by degree, in order to facilitate the description and presentation of the clinical picture for the attending physician. The manifestation of the disease is indicated by the following signs:

  • Joints start to crackle with certain movements. These noises and sensations must be taken seriously in order to ensure that no favorable moment for the timely start of treatment is missed. It is the neglected disease that progresses and leads to joint deformity.
  • Gradually, painful sensations appear. Only in the first moments they are insignificant, over time there is an increase, and when there is stress, the pain increases in strength and duration.
  • Movement is difficult. This phenomenon occurs due to the special structure of the tissues in the joint. It contains films that protect nerve endings. When the destructive process begins, they are deprived of some kind of fence and can move freely.
  • The patient has difficulty fully bending and flexing his legs at the knee. The amplitude of the movements involuntarily decreases because of fear of enduring increased pain, regardless of whether it is independent at that moment or not.
  • Cramps occur that seem to block the knees. Legs freeze in a certain position, in order to move them, change direction, you need to overcome acute pain syndrome. The origin of this blockage is associated with a deformation of the joint structures. Due to the knee ligaments displaced from their place due to injury, bone tissue is captured in one position.
  • Knee displacements are possible. This usually occurs when the disease has progressed and the limbs no longer obey their owners to perform the functions nature intended.

Everyone is responsible for their own health. The appearance of the first signs of malaise should alarm, recommend going to the clinic. Only help, medical advice, can interrupt the destructive processes that have begun in the body and protect against surgical interventions.

Which doctor you should contact

Often the patient has no idea who to turn to when problems arise in the body. This problem can easily be solved if the patient comes to a normal social clinic. Of course, you will have to go through the offices until you find the doctor who specializes in treating the current illness.

When visiting a commercial establishment, not all consultations are free. To get a voucher to the right specialist, you need a payment. Therefore, it is better to know immediately which doctor will relieve the pain in the knees and help them move without problems.

These problems are handled by the arthrologists who perform them:

  • diagnosis,
  • preventive measures,
  • Development of a treatment card,
  • is healed.

Just because not every medical facility has closely focused specialists, they usually go to a therapist when they contact a regional polyclinic:

  • he advises the patient,
  • checks,
  • refers doctors to this profile.

The following specialists are responsible for joint treatment:

  • Rheumatologists,
  • Orthopedists,
  • surgeons.

A rheumatologist monitors a patient with mild joint pain and, once the diagnosis has been established, calculates a treatment card for systematic medical interventions.

Which doctor should I contact for treatment of pain associated with osteoarthritis of the knee joint

The occurrence of acute, sharp pain of a prolonged nature requires this doctor to change to a surgeon. Any worsening of the discomfort may lead to surgery, which allows the affected areas to be treated with synthetic drugs and dentures installed. This decision is made not only by the surgeon, but also by the traumatologist, physiotherapist.

If the disease persists and there is severe pain when moving, a selection of special means is required. This will be treated by an orthopedic surgeon, he will determine which loads are possible and the limitation of certain areas by physical influences.

Often the disease flows in its own direction, complications arise that affect various organs, up to pathological formations. Then treatment includes those doctors whose specialization influences this direction.

The assessment of the joint condition is supported by radiologists and ultrasound machines with a complete decoding of the affected areas.

Separation of powers

In order not to get a disability in the future, you need to know that there is an arthritic risk group of people including those who suffer:

  • be overweight;
  • osteoporosis;
  • genetic predisposition;
  • metabolism;
  • injured;
  • athletes of certain types.

Observations have shown that the disease is not sharp and instantaneous. The process is slow and can take a long time. If discomfort initially arises during difficult physical work, then the person does not lag behind even in a calm state. On this basis, a dangerous disease was divided according to the degree of its aggravation.

The first degree is characterized by a symptom-free course. The following sensations occur:

  • Legs get tired quickly,
  • In the morning it is difficult to get out of bed and move.

During the day, a person stretches, a little pain subsides. If you see a doctor at this point, you can use an X-ray to find irregularities on the surface of the cartilage and bone. The necessary gaps in the elements of the knee joints are narrowed. This stage of the disease is difficult to determine, specialists often prescribe an X-ray.

Joints begin to crackle as the condition worsens. When the second stage begins with more pronounced symptoms, the sounds will become constant with each movement over time. Painful attacks from any load are intensified, their continuation is delayed. The affected part reacts disruptively when moving, but disappears from a quiet position.

Regular changes in sensations occur in a constant mode due to progressive synovitis and tissue changes. This is expressed in the impossibility of bends and changes in shape, while pathological fluid accumulates in the joints.

With the third degree it becomes difficult to endure pain, it lasts all day, does not subside at night, sleep in this state is impossible. The weather works too, a person feels its changes with their affected area. X-rays show various joint curvatures, cartilage also changes its appearance, and formations of deformed tissues grow on the bony surfaces. This stage is dangerous with a disability, excludes independent movement without surgery, prosthetics.

Diagnosis

A first visit to the doctor cannot lead to anything if a person turns to unpleasant sensations at the beginning. The disease will not go away on its own, and a continuation of the manifestations is necessarily possible. The following steps are required:

  • periodic X-rays;
  • Comparison of dynamic processes;
  • identification of problem areas;
  • survey.

Definition of the disease, diagnosis is made in stages:

  • by primary examination of the bones they are examined;
  • watch the change;
  • Check how far the leg can be bent.
  • measures the folding angle;
  • determines the occurrence of edema.

After visual examinations begin practical, for this the patient is sent to research with the help of medical equipment to identify the internal clinic of the disease. Tests can help rule out diseases with similar symptoms.

What is the treatment and preventive measures

After a thorough check of the laboratory data received, images of the devices are assigned:

  • medicinal products;
  • massage rubbing with manual therapy;
  • operation;
  • recovery procedure.

Search for medical supplies:

  • Pain relief,
  • partial tissue repair,
  • Increase in joint mobility.

Healers attach great importance to massage procedures, physiotherapy exercises and proper nutrition. An endoprosthesis is used only if medical manipulations do not produce a positive result.

Arthroplasty of the knee joint in osteoarthritis

The installation is carried out by experienced surgeons, with appropriate analyzes for a specific weight class. In overweight people, the installation is not carried out, it does not withstand the load and breaks in the knee.

Prescription drugs belong to the category of the following substances:

  • anti-inflammatory,
  • non-steroidal group,
  • Chondroprotectors,
  • Creams, ointments, rubs,
  • compressor trains.

Non-hormonal anti-inflammatory drugs eliminate pain because they are so acute that it is impossible to start with massages and gymnastics. Doctors use all possible methods to relieve pain and lessen the discomfort of existence.

As the progression increases, they turn to hormonal drugs by injection.

Medicines of this category have side effects on the body, they are prescribed in an urgent need in accordance with short courses of admission. They are intended to be used in the event that fluid collects in the joint space and is disposed of by administering the drug.

In the list of drugs there are also substances with direct targeting to eliminate the causes of arthritic disorders. These funds can alleviate the fate at the onset of the disease. They must contain chondroitin, glucosamine sulfate, they belong to the chondroprotective group.

The intra-articular injection of hyaluronic acid is an expensive procedure. In this way, the abrasion of cartilage tissue is prevented. Of course, it is impossible to do without pain relievers, anti-inflammatory drugs such as creams.

Ointments and gels achieve greater mobility and alleviate suffering.

Only the attending physician will determine what is suitable for his patient on the basis of long-term observations, examinations, the individual characteristics of the organism and its perception of drugs.

The recommendations of specialists sound in one direction to prevent arthritic formation. You need to eat right, control your weight.

Statistics suggest that obese people in particular are exposed to injuries in the knees and have had the opportunity to press on limbs with a large body mass throughout their lives.

People who are at risk of physical activity should be selected with minimal limb stress. With the help of swimming, a short morning walk, some can cope with osteoarthritis.

06.03.2021