Deforming arthrosis (osteoarthritis) is a progressive disease, which leads to decay and degeneration of the articular surfaces and to win the cartilage, until the complete destruction of the joint.
Deforming osteoarthritis usually detected in elderly and senile age, when there are concomitant factors and diseases, several revealed studies, but does not manifest itself clinically.
Deforming osteoarthritis is the most common and the most common pathology of the joints. It is found in 70% of all diseases of the joints.
Reasons
The exact cause of deforming arthrosis of today is not clear, but highlight some of the factors that significantly increase the likelihood of its development. First of all, it is the most common aging and degenerative phenomena in the tissues, changes in the cartilage and joint bags.
Factors that affect the development of osteoarthritis can be divided into:
- external - these are the overload of the joints (for example, because of weight lifting), permanent injury, professional effects, hypothermia joints,
- internal is the effect of heredity stretched ligaments and joints, dysfunction of the ovaries and menopausal changes in women, vascular accident, violation of blood circulation in the tissues of the cartilage, obesity.
Deforming osteoarthritis, as one of the symptoms can be alcoholism or myxedema, acromegaly or treatment with hormones, congenital hip dislocation, Marfan syndrome (a hereditary disease characterized by excessive mobility of joints and lengthening of the bones). immobility of a joint)
The development stage
The development of deforming arthrosis of the there are several natural stages, to a succession of:
- reduce watery the cartilage, which leads to its thinning and drying
- the formation of cartilage defects and cracks,
- the destruction of the cartilage with a simultaneous sharp narrowing of joint space,
- the disappearance of the cartilage of the bone edges
- substitute to seal the ends of the bones that are left without a cartilage surface,
- malfunction of the joints sprains, fractures and malfunction of the limbs.
Symptoms of deforming arthrosis of the
First, the main manifestation of the form of osteoarthritis is
- pain in the joints, worse after exercise or at night
- affects individual joints,
- the affected joints are not symmetrical,
- although there is no symptoms, joint damage,
- no fever,
- there is a strong redness in the joints,
- there are no changes to the analyses.
The process often occurs in the knee, hip and joints.
If the disease progresses to the point of destruction of the cartilage, the pain occurs blockade joint, when walking develops severe pain, which does not move the legs and makes you stop. This happens because getting into the joint cavity pieces of cartilage or small bone fragments (joint "mice").
The joints at the phalanges was born, tie-dye, a very solid education, and the joints are not severely deformed, the muscles will not undergo atrophy, is immobilization of the joint.
The inside of the joints when moving or hear the crunch of the friction of rough surfaces against each other.
Because pain and mobility limitations can form contractures (muscle contractions), which shorten the leg or arm.
Deforming arthrosis of its manifestations similar to the different forms of arthritis, first of all it is necessary to distinguish rheumatoid arthritis.
Diagnosis
Typical criteria for the diagnosis of deforming arthrosis exists, it can be externally recognizable only in the nodes of the phalanges. Suspected osteoarthritis occurs when:
- the typical lesions of the joints,
- the long-term development of the disease for many years,
- the high age of the patient.
On the basis of diagnostics is radiological data that occurs before the period of clinical symptoms and pain.
Obvious narrowing of the joint space, changes with flattening and deformity of the joint surfaces, instability, joint dislocation and subluxations, noticeable regional growth bones osteosclerosis (excessive growth of bone density).
Because the progression of the process revealed bony spikes and bumps, the connection status can be wedge-shaped.
To complement the study of endoscopy, the study of blood, with no signs of inflammation.
It is necessary to carry out studies of periarticular fluid.
Treatment deforming osteoarthritis
The same symptoms can be signs of various diseases, and the disease can occur, not a textbook. Do not try to treat yourself — contact your doctor.
Treatment with traumatologists and orthopedists.
Methods of treatment of deforming arthrosis depending on the extent to which participation in the process of the joints, as well as the duration of the lesion and the presence of pain.
Firstly, the use of conservative treatment
- to reduce the stress on the joints
- weight loss
- the use of metabolic products of course, aloe, Humisol or vitreous intramuscular courses
- spread a stimulant of cartilage repair muscle prices.
Supplement treatment
- the use of drugs,
- anti-inflammatory therapy.
If there is inflammation of the joint, showing, of course, hormones – hydrocortisone the inside of the joint.
Also used a variety of massage, physiotherapy, effect, mud, heat. Helpful Spa treatment.
In advanced cases, to help surgical treatment – arthroplasty. In the future, showing disassembly of the joint, reducing body weight, walking support, cane or crutches, physical therapy.
Forecast
Deforming osteoarthritis without proper treatment is slowly but steadily progressive course. Lead to disability, and significant dysfunction of the joints and impaired mobility. Therefore, when you encounter the first signs of osteoarthritis are shown in the active treatment courses lasting 1-2 months.