Keller's disease - a disease of the bones of the foot that usually occurs in childhood and adolescence. It is osteochondropathy - phased process of destruction and subsequent restoration of bone tissue.

What happens to the bone disease Keller

When the disease is disrupted blood flow to the bones of the foot, because they do not get enough nutrients and oxygen. Bone tissue begins to die off, a process called aseptic necrosis.

Changes in bone that occur when osteochondropathy Osteochondropathy: bone and joint diseases It can be divided into several stages:

• Step necrosis. During this period the bone die beam - structural elements of the bones.
• Stage compression fracture. In place of the dead tissue begin to form new bone elements, but they are not yet strong enough. Such beams bone can not withstand mechanical stress, break and are wedged into one another.
• Stage fragmentation. Osteoclasts (bone cells that destroy it) resolves dead bone beams.
• The reduction step shape and bone structure.

Causes and types

By the development of the disease Keller led by the following factors:

• Foot Injury
• Wearing a tight, uncomfortable or not selected by shoe size
• Flatfoot
• Endocrine diseases
• Hereditary predisposition

Depending on what kind of foot bones are affected, the disease is of two kinds. Keller's Disease I - the defeat of the navicular bone of the foot, which is located at its inner edge. When illness Keller II lesions occur in the heads II and III metatarsal bones of the foot (the articular surfaces are connected to the phalanges).

Symptoms of the disease and its diagnosis Keller

I Keller disease often occurs in boys between the ages of three to seven years. On the back surface of the inner edge of the foot appear tenderness and swelling. Against this background, the child begins to limp. Usually it affects only one foot. The duration of illness is about a year, then the pain stopped.

The disease begins Keller II are usually unnoticed and is more common in adolescent girls. The disease can be bilateral. In the head region II or III metatarsal bones appear weak pains in the first load on the forefoot, and after a while and rest. There is a lame, walking in shoes with thin soles or barefoot on uneven surfaces becomes difficult. On the dorsum of the foot in the area of ​​development of pathological process appears edema Prevention and treatment of edema - it is important to understand the root cause . Finger, which is located near the head of the affected metacarpal bone is shortened, and the amount of movement in the joint is limited. This state lasts for about two years.

Depending on the location of the processes of destruction and restoration of bone tissue is determined by the form of the disease.

Treatment and prevention

Treatment of disease Keller I in most cases conservative (without surgical intervention). The foot is fixed plaster cast that reduces stress and provides its support. This fixation is made for up to one month. After removing the plaster child can not run, jump, and a long walk. You also need to use special individual soles, which can reduce the pressure on the scaphoid. This leads to a reduction in pain and provide good conditions for the restoration of supply of bone tissue.

Must be assigned to funds that improve the exchange of calcium and phosphorus. Osteohel drug not only improves calcium metabolism, but also has anti-inflammatory, analgesic effect. It belongs to a group of homeopathic remedies and normalize metabolic processes in the bone tissue. These same properties Traumeel C, which is used as an ointment or tablets. During treatment, the patient should take calcitriol (regulates calcium and phosphorus metabolism), vitamins B, E and mineral supplements containing calcium bioavailability (well absorbed in the body) form.

Physical therapy is used to treat the disease in conjunction with other methods. Courses are conducted electrophoresis with analgesics, calcium chloride, nicotinic acid, is appointed magnetic. At the stage of fragmentation is also used UHF.

During this operation, in the scaphoid form small channels that quickly sprout new blood vessels. Power bones is significantly improved, so she quickly recovers and the pain disappear. This technique can significantly reduce the time of treatment of the disease Keller I. After the surgery appointed listed medications, physical therapy. Wearing orthopedic insoles Orthopedic insoles - what are they for? Preferably made-to-order, it is also a must.

For the treatment of disease Keller II imposed a plaster boot for up to one month. After his removal need to wear orthopedic shoes Orthopedic shoes - how to determine what is right for you? To support the arches of the foot. At the same time prescribe physical therapy and foot baths.

When Keller's illness I and II is necessary to massage the muscles of the foot and lower leg, because this procedure improves blood circulation in the tissues. Children with this disease and should be dealt with physiotherapy.

Proper treatment of the disease usually leads to a complete restoration of the bone. But if the disease is not treated Keller in time, the result will be an irreversible deformation of the foot.

Preventing disease Keller comes to these events:

• Wearing comfortable shoes;
• Reducing the mechanical stress on the foot;
• Compulsory access to a doctor for injuries of the foot;
• Early treatment of all foot deformities.

Degenerative dystrophic (metabolic) diseases of joints and spine now occupy one of the top places among the causes of disability. Therefore, treatment of these diseases are given special attention. In recent years, a number of drugs that restore cartilage, arthritis - one of them.

Metabolic diseases of joints and spine

Exchange joint disease (osteoarthritis), and spine (osteochondrosis) are found in the majority of elderly people, and people with high physical activity. Osteoarthritis - is a metabolic disorder in the cartilage, which is accompanied by destruction of the cartilage and then bone. In patients with osteoarthritis of disturbed function of the joint, they are experiencing a lot of pain. It affects most large joints, but may be affected, and small joints of the feet, hands and spine. When osteochondrosis changes begin in the intervertebral discs.

A feature of these diseases is a constant grueling pain of patients, so they are often prescribed drugs group NSAIDs (non-steroidal anti-inflammatory drugs), and, in some cases, and glucocorticoid hormones. And they both have a lot of side effects, can accelerate the destruction and stops the growth of the cartilage of the joints. So today in the complex treatment of osteoarthritis and osteochondrosis include chondroprotectors - drugs that protect the cartilage of the joints of the various influences. It is to such drugs is arthritis.

How does Artra

Artra helps to restore the metabolism in the cartilage. It consists of two active substances - glucosamine and chondroitin. Each tablet arthritis (they are specially coated) contains 500 mg of glucosamine and chondroitin Glucosamine - a building material of an organism . Glucosamine and chondroitin - aminosaharidy that make up the cartilage intervertebral discs and articular cartilage.

Chondroitin is a natural component of cartilage, it is part of the foundations of cartilage. Action chondroitin is that it protects the cartilage from destruction, it restores the tissue and the viscosity of synovial fluid. Protection from destruction is carried out by stimulating the metabolism Metabolism: The basis of life of all living things   and the suppression of the action of enzymes that destroy cartilage. Chondroitin also has a slight anti-inflammatory and analgesic effect.

Glucosamine stimulates the formation of substances which then become the building blocks of cartilage, joint casings, and synovial fluid. It protects the cartilage from chemical damage, including the metabolic disorders caused by drugs taken as analgesics - NSAIDs and glucocorticoids. Just as chondroitin, it has some anti-inflammatory and analgesic effect.

Arthritis generally with the right long-term use slows the progression of degenerative processes in the joints and spine, restores the cartilage and synovial fluid viscosity. This drug also reduces the dose and duration of anti-inflammatory pain medications, have many side effects. After treatment of the drug for six months for a long time, improved joint function, are in pain.

To help

Artra help adults and elderly people suffering from metabolic diseases of joints and spine: osteoarthritis, degenerative disc disease, periodontal disease (periodontal tissue metabolic diseases), spondylosis (spinal cord injuries with the deformation of the vertebrae by bone growths), chondromalacia patella Chondromalacia patella - pay attention to the pain   (destruction of the cartilage of the patella), with deformed joints from injury, increased functional load on the joints (obesity, high physical activity). Moreover, arthritis used for the prevention of metabolic diseases of the joints in the elderly.

Long-lasting therapeutic effect is achieved when taking arthritis for at least six months.

In some cases, Artra contraindicated

Contraindications for the use of arthritis is idiosyncrasy of its components the body of the patient, severe kidney disease in violation of their function, pregnancy and breastfeeding, children under 15 years.

With caution is prescribed for arthritis blood clotting and a tendency to bleeding, asthma, diabetes Diabetes - threatening and incurable disease .

Do you have arthritis side effects?

They are quite a bit. In some patients, while taking arthritis can appear stomach pain, bloating, constipation or diarrhea. Sometimes there is dizziness. As with any other drug in the arthritis may be allergic.

Chondroprotector arthritis can greatly facilitate the lives of patients with diseases of the joints and spine.

Galina Romanenko