Knee Artery: Symptoms, Treatment

Among the diseases of the muskuloskeletal system is an osteoarthrosis leader.The vast majority of the planet's population up to the age of 60 has the initial signs of changes in articular cartilage and already already have manifestations of osteoarthrosis.The most common version of this disease is osteoarthrosis of knee joints.

Still, "Arthritis" or "Arthritis"?

Don't mix these two concepts.Arthrosis is primarily the process of changing the structure of the joints, and arthritis is an inflammation that can occur against the background of both the "uncut" structure, arthrosis.

The changes in bone with Arthrosis can be compared to knight growth in a tree trunk, which approaches the concrete fence, and growing over the fence.

Normally, the surface of the bones facing each other is separated by two-layer cartilage and meniscus (additional cartilage tiles).In addition to the role of "Tampon" between the bones, cartilage provides the slip and mechanical correspondence to each other.Meniscus, which loses large or small (but often) injuries and elasticity, can be more or less partially split.

With age and especially inherited prone, articular cartilage is thin.Therefore, the bones of the hips and lower legs, which are developing the knee joint with their upper ends, are dangerously approaching each other, and friction can occur.

Usually, another unpleasant event occurs in parallel with the tenderness of the cartilage over the years: the amount of fluid is decreasing.This liquid is not just a purely mechanical "grease" of the combination.It provides nutrition of bones, menisians and joint cartilage.The violation of all these structures "Supply" is a real disaster for the joint!

If the combination has a physical overload, the growth of bones appears on the surfaces of the bones and is more like growing, sign or spikes.The knee joint, so downloading so much for downloads, the lifting of weights (including the weight of your own body), with emphasis on knees, stairs, worked shoes, straight legs and many others.It is now easy to imagine what is happening and appearance inside the knee joint during the development of arthrosis.

How does it work together?

Each of us has seen a joint cartilage, for example, a common cartilage in chicken bone.Covers areas of contact with bones.Under articular cartilage is a subchondral or misleading bone.The human muskuloskeleteti system is built in a similar way.

Most of the person's compounds consist of bones, synovial (articular) crust and inner liquid.

What will be playful with Arthosis?

Under the influence of all cargo remembered, it has a squeezing and growth of the fine bone, as a result, the trauma of articular cartilage increased.

The products of the cartilage of the cartilage due to Microtrauma falls in synovial fluid.This is the essential ingredients for the synovial shell by nature and the birth of inflammation.The formation of the synovial liquid is generally a kind of conveyor, which is a kind of "conveyor" similar to a sustainable period of enrichment.In addition, it is less than the joint liquid hyaluronic acid.It's worth talking about this pickle.

Hyaluronic acid provides the viscosity of the synovial liquid, creates "a" lubrication effect "between" buffer "and bones, reduces the frictions against each other.Thanks to this article, the article in the sequence is similar to egg protein, not water.The other important role of hyaluronic acid is to ensure that nutritional substances in the cartilage of the spark is deeply surrendered to the cartilage, because the nutrition has no place because the blood vessels are not suitable for the cartilage directly.In the same way, the "spent" items are erected from the cartilage, use the "spent": use of hyaluronic acid molecules.

Thus, an advanced bone seal is created for articular cartilage and unbearable conditions.

The cartilage takes a signal to adapt this extreme conditions and it starts to change, and it is called repairing another way.This is mainly indicated by the reduction of cartilage elasticity.

The bone is tough in the deceased in the deceased, and at the same time, the cartilage itself was partially impregnated with calcium - calcium.

Symptoms

The development of arthrosis begins with a little pain in the knee visible after walking stairs, physical activity, long-term walking.Such light pain may seem a few months or even years.Then they become more pronounced.At the initial stage of the development of the disease, knee bones are not deformed, but a slight swelling can be observed.

In the second stage of the development of the disease, pain is closer and occurs after a little load.In addition to pain, a crisis appears in the knee joint, which is different from the usual soft abuse of a healthy combination with pain.In addition, the deformation of the combination is noticeable, touching bones are more wider and rough.More than 90 degrees knees are problematic.

In the third stage of the disease, the knee pain is severe and permanent, and even in the remaining period.The movement of the knee is minimal, often does not bend more than 90 degrees and does not extend until the end.The deformation of the joint bones is so strong that there is a valgus (x-shaped) or legs (o shape) curvature.

Diagnosis

Inspection

In the early stages of the disease, the joint does not change, mobile, the muscles around them are preserved and strong enough.Only in the interior surface of more joint, the palpation of certain points (pressure) is assigned to local (local) pain.The doctor asks the patient to play a few squats, put his foot on the knee, puts his face on the wall, and the flexion-extensions are conducted by himself.In this case, you can set the pain from pain and limiting the volume of actions, click on the crisis and joints.In the interior inflamed component, the size of the merger is "pumped" with liquid that appears.With the most processing process, the bending in the knee may not be partially or completely disappeared, when examined, the surface of the screen is uneven, boundary, limbs (displacement of extreme axle ").

Laboratory and instrumental research

• Includes a Mandatory Laboratory Research ProgramGeneral, biochemical and immunological blood tests, urine analysis.The general blood test will be focused: the growing degree of Eritrosit settlement showing increased levels and inflammation of leukocytes.Metabolic metabolic indicators are important in the blood biochemical analysis, the level of "liver" enzymes.The presence or absence of systematic inflammation in immunological analysis will be determined - this is proven by the level of C-jet protein.Urinary analysis will reveal the content of "sand" - uric acid crystals.
• Sinovial (articular) liquid analysisIt is determined if there is a sufficient amount of liquid.That is, when playful is swollen, swollen.In conformity of sterilization, the doctor pierces the joint capsule in a serious established place, and the needle in the joint venture and then removes the liquid.Part of the material received enters the laboratory for analysis.At the end of the procedure, the antitipefire drug from the glucocorticosteroid group is mostly included in the joint venture (such as diprospane).
• radiography.The image of both knee joint is mandatory, this patient needs to compare the knee healthy.In the picture, the expanse of the joint cavity (the state of meniscus and cartilage, the presence of bone spit, or lack of osteophytes, the destruction of bones (destruction).
• Ultra of knee jointsProtection of meniscus will answer questions related to the presence or absence of cysts, inflammatory violence and uric acid crystals.
• Mri (Magnetic Resonance Appearance).This research is assigned if an ultrasound does not fully meet the questions of an expert.MRI is mandatory for patients who plan to carry arthroscopy.
• Arthroscopy.Allows you to be looking, that is, it personally assesses the state of the combination.The method is invaluable for controversial diagnoses, the suspicion of traumatic damage to the meniscus and ligaments (then it is possible to remove torn meniscus or ligaments during direct research).

Treatment of arthrosis of knee combination

Comprehensive treatment principles cover the following:

1. Detailed awareness of patient disease

2. Using physiotherapy exercises: in a false condition, special exercises for swimming joints
3. Protect optimal body weight
4. An orthosis (soft bandage or at least wearing an elastic dressing, a joint burden - on the road, while walking, etc.
5. Non-forest methods (physiotherapy).This type of treatment gives excellent results with the knee joint (gonarthrosis) arthrosis.As can be seen, it is due to the existence of factors such as the magnets and laser radiation of the partners.You can use magnetic currents, UHF, Cryo-exposure (fridge from Greek) to treat the knee combination.Physiotherapy procedures are widespread, treatment courses are usually short - 10, daily or every day in maximum meetings.Only the diseases of tumor processes, thyroid diaper and pelvis organs, as well as the possible contraindicities of systemic (autoimmune), can be remembered.
6. Drug therapy.

Principles of osteoarthritis therapy:

• Break out of pain
• Postpone the further destruction of joint structures
• Restore the lost joint function.

Nonsteroid drugs

Medicines from NSAID Lee NSAID for pain relief - non-anti -infulatory drugs are used.Used in the form and application form (applied to the skin).Programs (local therapy) are a very effective way, especially when it comes to the early stages of the disease.Before using a jelly or cream that contains the NSAID, you need to be rash, pustule or crack, to be sure to change the skin.The general order of local treatment is to use the selected cream or gel a day at least twice a day and unpleasant feelings - to be completely abolished.Intramuscular administration of painkeyscales is not recommended, because using a syringe, the risk of side effects does not decrease, but contrary.In the case of the same inflammatory situation, a large amount of liquid, introtated glucocorticosticoids, but it should be noted, but this procedure is not more than 3 months.

Chondroprotants

Higher "Step" with osteoarthritis is the preparations of the anti-inflictive effect of the anti-infloyment or glucosamine.They, like NSAID, are fighting inflammation at the level of thin joint structures, but the side effects are small, and most importantly, they maintain antienced a few months later.

Chondroprotants are also a collective name for a group of medicines that are "building bricks" - chondroitin sulfate and glucosamine.Despite the high price treatment that appears with the foods, the convenience and effectiveness for patients is difficult to be very limited.First, these items accepted inside are perfectly absorbed from the stomach and "along the way" drug loss is minimal.Second, they are able to invest in inflammation, and in addition, they are reliably slow down the destruction of the joint cartilage!Most of the time they have a very long "Ace", which lasts for several months, because they are identified and sometimes up to six months.

Hyaluronic acid -based medications are so hyaluronats.It is sold in the form of syringes designed for these parliamentary management.Hyaluronets is an artificial synovial liquid.The effect of treatment in this way can last up to 12 months.

Surgical treatment of artery artrosis of knee joint

As with arthrosis of hip joints, there is a loss of serious changes and a loss of functionality.With Gonarthroz, the two types of interferes are currently performed: artrodis (inactive combination) and endoprostetics.The first operation is rarely played in rarely due to special indicators if possible for any reason the installation of endoprosts.The result of this operation is that the knee is inactive.But it doesn't hurt.Endoprostetics operation is more profitable in terms of function.It should be noted that this operation is not carried out by the great body - the risk of complications in the postoperative period is very large.Installation of prostheses until the removal of the joint damaged parts and function is completely restored, until it exceeds three weeks.

How can funny osteoarthrosis threaten?

Osteoarthrosis is not returned over time, but only aggravated, especially when protecting provocative factors.Review the main threat to the health and life of an osteoarthritis patient.

• Chronic pain of various intensity- Especially a very important risk factor in the elderly.Constantly experienced unpleasant feelings can cause sleep disorders, mood and even depression reduced background.It is difficult to guess which chains of adverse events are drawn.
• Pathology of the veins.Permanent inflammation in the knee, bone spikes-osteophycomes-growth, injuring the mechanic of popliteal ships, can cause the development or progress of the vascular vascular vascular vessels.Sometimes orthopedists refuse to use the rows of the varicose nodes, but the vessels will start the veins until the changes in knee joints.
• Reduced limb function.With a remote process, it can completely lose the ability to move together, and it is often a sign of disability.
• Participation of other joints.We found out how an ordinary phenomenon looked like straight legs, the combination of the knee could lead to "pull" and the development of osteoarthrosis.In the same way - along the chain - in the opposite, the knee joint has participated in the painful process.If the patient refuses to wear a cane, if he refuses to wear a rush, the arthropist of hip joints develops very soon.The legs are twisted, the gait becomes "duck".
• inactivity.These serious complexity of the disease occurs in the cases where the bones of the bones of the bones are very destroyed, along with each other (this "ankylosis") is joint painful or impossible.In this case, only surgery can help the patient, but technically possible.General is extremely dangerous: This leads to obesity, osteoporosis, muscle atrophy and rapid development of the diseases of the internal organs.In addition, a person immobilized should certainly always care for himself.
• Incapability.Unfortunately, there are a number of states that make the operation impossible, and one of them is "indifferent" osteoarthritis in patients with more than 8 serious diseases.

Prevention

• Exclude joint injuries.Apparently: There is nothing easy.For a while, the stairs, dancing, walking on high heels, run away, avoid running, not difficult.In practice, it turns out that there is a point that causes the most protests in parts of the patients.A person is not ready to abducts some important points in their daily life, if it suffers recently.However, if you do not comply with these recommendations, there is a danger of a speedy reduction in the quality of life and disability.
• It is an extremely important recommendation to reduce weight and keep optimal restrictions!This or fat people will not be able to evaluate this, regardless of how many miraculous influences of this vehicle.Because although the joints are loaded with overweight, microtraums are repeated daily.It can reduce all efforts to "no".In addition, the obesity for some treatment methods is directly instructions.
• Walking with support.The universal rule is that it is a universal rule to empty the partnership using support: a cane, stick or grip should be in the hands of the affected limbs.That is, if the knee hurts, the cane should be kept on the left and vice versa.
• Straight legs.Apparently, how can the arthrosis of straight legs and knee joint?It turns out.If the leg is properly built (not about transversaries, not about transverses), redistributed in the combination of the knee.In this case, the severity of the body, which is one step, does not fall to the center of the combination, but on the right or left.Therefore, the right or left meniscus suffers more and we are worse faster than more suffering.The next meniscus comes from the "turn" of articular cartilage, which cannot cope with its function.This process ends with the formation of "arthrosis" changes in the middle of the knee (bone growth).