The surfaces of the bones that make up the wrist are covered with special, hyal cartilage - smooth, providing the lowest friction force during motor skills of articulated surfaces.If arthrosis is diagnosed, this means that the cartilage is in the destruction process.
Adaptation, the destructive process refers to bones, and then in a shared capsule.The disease has a universal code according to the ICD 10-M15-M19, counting it on the class of bouds and connective tissue pathology.
According to medical statistics, 12% of the world population suffers from osteoarthritis, most of which are older than 65 years.However, every year there is a alarming tendency to increase the number of ill diseases.The diagnosis is not fatal, but the arthrosis is insidious with its relapses and threats of complete disability.
Mechanism of appearance
The disease is gradually developed, four phases can be conditionally alleviated:
- Initially, an area appears in the cartilage area that is shipped with blood or damaged.Gradually, in the presence of traumatic factors, the region is not renewed, but, on the contrary, it is growing.
- The body, trying to renovate destructive cartilage, replaces damaged areas on mineralized tissues that do not have a clear structure.Such a fabric, generally, with an inferior replacement for a smooth, sliding and elastic hyaline cartilage.
- Gradually, the surface of the cartilage becomes in scars and bone growth - osteophytes.
- Healthy areas with loads several times have increased, they are carried very quickly, and as a result of the whole cartilage is converted into one large scar.
If the pathological process is not stopped, the wrist will undergo the following negative changes:
- Bones are included in the destruction process;
- Sinovian shell is on;
- The shared capsule becomes thicker, I lose elasticity;
- The Lumen of the Jaza common decreases quickly;
- Bones, regardless of friction, are deformed, such as a compound as a whole;
- Wrist fabrics are rising, which takes on full loss of movement opportunities.
Types of arthrosis

This disease affects absolutely of any articulated surface!At the same time, despite the same mechanism of pathology, it is classified in several species.
So depending on which compounds are sick, they differ:
- knee joint arthrosis or pateloformal arthrosis (abbreviated gonartrosis);
- Hook joint arthrosis (shortened coxartrosis);
- Arthrosis of the head of the wrist;
- Interphalanced arthrosis;
- ankle joint arthrosis;
- Arthrosis of hand;
- Cervikal arthrosis;
- Jaw arthrosis;
- arthrosis plusephalanx wrist;
- Iliac arthrosis;
- Keyboard-acrocomial arthrosis;
- Time arthrosis;
- Arthrosis of Pete;
- arched arthrosis that affects the arched processes of vertebrae (shortened spondylarteness);
- Arthrosis of the aspect of the joint of the spine joints;
- An invocent arthrosis;
- Ribs-Room Arthrosis;
- Taran-plastic arthrosis.
According to the specifics of the pathological process in cartilage tissue, they differ:
- Deformation of arthrosis is the name of the disease that has passed into terminal (final) phase;
- Arthrosoartritis - the presence of a classic inflammatory process is characteristic;
- chronic;
- Acute arthrosis.
For the reasons of pathology, they differ:
- Dystrophic arthrosis of joints associated with critical metabolic disorder;
- Loma arthrosis is caused by appropriate injuries;
- Post -traumatic arthrosis.
There is another classification - by whether the disease is independent or caused by causing factors:
- Primary, - arises in a completely healthy cartilage, second name - idiopathic arthrosis or appears with older senile changes;
- Secondary, - caused by many reasons.
Symptoms of arthrosis
There are quite typical signs of arthrosis of all localizations, which, depending on the degree of pathology development differ in their seriousness:
- Pain, pain, intensification with high humidity and hypothermia;
- reduction of common mobility;
- Crispy, creaking and crossing sounds in the dreading surface movements;
- external changes in the outline of the compound;
- swelling and swelling;
- Redness of the skin.
Pain
Very initial signs of violations seem to feel weak or moderate, short pain, which almost never occur at night, but usually appears only with a load on the wrist surface.
When the inflammatory processes moved to its final phase, the patient starts to feel unbearable, "bite" pain due to blood stagnation and growing pressure in the common bag.The pain is characterized by a long duration, at any time of the day, and whether the area is affected in the rest or movement.
Wrist sage
This symptom is characteristic of a rather neglected disease.At the same time, in the early stages, the patient still feels in the morning, after he woke up, discomfort when moving in the form of a sense of a restriction.
With the advancement of destructive reactions, patients are informed:
- Default movement amplitude limit;
- Inability to change the position of limbs at rest, even try to handle manually jointly;
- Strong fixation (contraction) in a certain joint position, which has long been in the state of lack of motor activities.
Finally, in the fourth phase of pathology, anthriosis is formed in the form of replacing articulated tissues to scars, with a complete loss of functionality.
Sounds in the wrist
Krunk can be accompanied by any bone dysfunction and cartilage, not only caused by arthrosis.
However, this disease is characteristic that sound:
- occurs only in the joints that hurt;
- accompanied by difficulty moving;
- It has the ability to intensify with the advancement of pathology and fall to the formation of antrilosis.
Change the look of the compound
Appropriate changes appear at the later stages.So, the shaft of the affected limb is curved, and the articulated region itself is distorted - growing in size, the form is ugly modified.
All this indicates irreversible wrist destruction, within which a new fabric is not formed, and does not have a certain structure.
If such a pathogenic process appeared in the knee, it means that the load and plusplaneplagne compounds increase the load on the ankle joints, which will also damage them over time.
Causes of arthrosis
Pathology can also occur in one compound and spread to several.This disease can least occur in a young age - vitality is still enough for self-relief.
However, for all age groups, the causes of influence in their direction are: there are:
- Internal - some diseases, bad habits, unbalanced nutrition, etc.;
- External, - injuries, professional factor.
Internal causes provoke negative changes in common factors in the form of inflammation in the community.Vary between inflammation of various origin:
- Infectious (intestinal wand and stick Kocha, viruses, chlamydia, staphylococci, pale treponema, etc.);
- rheumatism;
- Gnane arthritis;
- Autoimuna Nature;
- gout;
- Psoriasis.
In addition, the causes of internal exposures include innate or acquired violations of cartilage tissue and malnutrition structure, which can be associated with:
- Genetic failures and mutations;
- Intrauterine development anomalies, including perinatal injuries;
- age;
- Osteoporosis, IE"Shower" from bone tissue components of the elements;
- Hormonal disorders and overload, including menopause;
- Violations of normal metabolism;
- Lack in the diet of vitamins and trace elements;
- diseases that attract muscular weakness;
- Internal extended intoxication.
Deterioration of many diseases of the muscle-bone skeleton also implies degeneration of cartilage.
External causes of disease development are such factors that damage the compound as:
- Frequent hypothermia;
- dislocations;
- Strong strokes;
- fractures;
- Menisc injections;
- Powerful physical activity (for example, weight lift);
- Professional sports;
- Surgical joint intervention.
Degree of arthrosis
According to the clinical events and the process of advancing the disease, four phases of arthrosis are different:
- The first-degree arthrosis, this is the initial phase of arthrosis, characterized by hidden symptoms in the form of negative changes in the composition of the synovial fluid and weakening muscle fibers, if it appears, then only physical effort;
- Arthrosis 2. Degree - This is already a feeling of pain due to the destructive bone combination and the formation of osteophytes, reflex neurotrophic regulation is disturbed and sound crumbs appears;
- Arthrosis 3. The degree is characterized by significant degenerative changes in the community, its visible deformation with the curved person of limbs, the ligament is shortened, and the compound is pathological mobile;
- The fourth degree arthrosis is complete anchylosis, complete contractual and severe pain even at rest.
All four phases act uneven: During the pathological period, the harshers and moments of remission are possible.
Treatment of arthrosis
They clinically proved that treatment and prevention in the form of provocative factors of Croatian cartilage factors, although they do not eliminate disease in the initial phase, but stop their development and rebuild joint functionality.
Basically, small and moderate weight disease is treated with conservative methods.In the event of a serious destruction of the cartilage, which included the destruction of bones, the surgical endoprosthika was indicated.
Moreover, the basic principle in treatment is:
- A comprehensive approach that implies the use of several therapeutic methods;
- Intensity, ie the concentration of efforts to remove disease causing disease and consequences.
Treatment to folk drugs
It is treated all over the way, but at home, you can additionally resort to healing the recipes of people healers of people who offer efficient treatment of health problems through herbs and bee products.
Of plants use:
- Leaf-shaped decoction, tincture on vodka and specially prepared oil used outside, directly to the inflammation area;
- Treatment of arthrosis with honey was established as a reliable local potion, in the shape of a tire removed inflammation and nurtures the skin, muscles and cartilage;
- Kupbage Leaf - better than white cabbage - is a little knee, and they wrap it a painful place, isolated with a wool cloth at the top and holding all night;
- aloe juice in the form of compression and rubbing in the skin;
It also helps in Bundoka Arthrosis Knee Shared Kljena: The sheet is tied to the inflammatory place, which is isolated for the whole night.
Preparations for arthrosis
Medicinal treatment in connection with the classical method of therapy is divided, depending on the form used, into drugs:
- External use, in the form of fat for arthrosis, rubbing, lotions;
- Injections;
- arthrosis pills;
- Capsules.
Grease
Pharmacological industry produces medical fats based on natural, very active components:
- Vishnevsky ointment;
- Heparin fat.
The Vestain tool, which contains 1% Diclofenac helps well: a gel-shaped volten is applied to the skin.
Injections
Injections not only intravenously and intramuscularly, but also directly in the area of damage, for example, non-steroid group, proved very well in treatment.
Thus, intraarticular injections are introduced into damaged tissues:
- Glucocorticoids that improve cartilage tissue nutrition that mitigate inflammation and increase elasticity - diprospatial, hydrocortisone, etc.
- Chondroprotectors and intra-carticular fluid analogues, - individual, carbon;
- Hyaluronic acid as lubricants and analgesics.
Preparations in the form of tablets and capsules
Thus -calated hondroprotents for arthrosis containing structural elements Hyalin cartilage are in medicinal therapy and thus return it.
These drugs are produced in the form of tablets and capsules intended for oral use through gastrointestinal tract (oral).In addition, patients are prescribed by NSAIDs - anti -infalmic drugs for arthrosis of non-steroid group, stopping acute pain and release of drives.
Anesthetics agents are also used in the form of a blockade of the Novocaine.
Additionally prescribed complex vitamins for arthrosis.
Medical Žučka is recommended in the natural remedies of local action, it is used in the form of compresses on the skin.
Exercises for arthrosis
Special exercises and therapeutic gymnastics (exercise therapy), which the complex gives physical activity on an unhealthy part of the body saves, proved.
Dr. Bubnovsky and Evdokimenko have developed their own complexes of therapeutic exercises.
Massage with arthrosis
Very useful affects treatment and medical massage, which improves microcirculation and diet of deep tissues.
Diet with arthrosis
In this state, it is important to adhere to the correct, rational diet in order to improve the patient's state slightly.Recommended abstinence from overeating, exclusion of animal fats and fried food.
Which doctor treats ArthroSV primarily in the complaints of pain in the bone joints should go on a therapist.He was a summarized the history of the patient and in detail that he would ask him to refer to the desired narrow expert.
It can be, depending on the cause of illness and its type, doctors of such profiles as:
- orthoped;
- Traumatologist;
- surgeon;
- rheumatologist.