Components of the plan remedial measures gonartroza

Gonartroza reasons are varied, so do not start to self, especially at the initial stage of the disease. The doctor makes a treatment plan that helps to alleviate the condition, helps to avoid complications. Gonarthrosis Treatment includes the use of conservative and surgical treatments. Prescribing supplementation provides several pharmacological groups. This combined approach helps to achieve the following therapeutic effects:

• reduction in the severity of pain
• acceleration of the power of the articular cartilage and, as a consequence, the process of recovery
• increase the mobility of the affected joint
• improving the quality of life of patients with degenerative processes of joints

Treatment of bilateral gonarthrosis must start with reducing the severity of pain. This type of therapy is not in the main complex of the activities, but is an important part. Only after the pain persists, swelling and inflammation in the joints, you can proceed directly to the comprehensive treatment of gonarthrosis. This is due to the fact that a number of therapeutic measures can not be hold in the presence of pain, for example, a course of massage or physiotherapy.

Treatment of gonarthrosis of the knee should be directed at improving nutrition of cartilage tissue and its gradual recovery. This contributes to prescription drugs from the group chondroprotectors. A distinctive feature of their actions is the lack of a rapid therapeutic effect. It is slow-acting drugs, so a positive trend during the disease process can be seen only after three months or more.

The cure gonarthrosis patient should take at least six months to a year in some cases may require more prolonged use. If the process of destruction of cartilage is pronounced as in gonarthrosis third degree, then there is no point in taking chondroprotectors. In this case, the point of application of drugs have their action. Proved their effectiveness only in the initial stages of developing the disease. The question of how to treat gonarthrosis, you need to discuss with your doctor if this is unacceptable to take a decision on the admission of drugs on their own.

The range of therapeutic measures include the introduction of hormones Hormonal treatments - not only contraceptives   directly into the joint. Hormones are highly efficient in terms of reducing pain or swelling Prevention and treatment of edema - it is important to understand the root cause   joint, but they can not be considered a major therapeutic agent. Primary gonarthrosis respond well to treatment with the introduction of the joint hyaluronic acid. Gets protection by additional joint synovial fluid, so this method of treatment is often referred to as "liquid prosthesis." Despite a high efficiency, not all patients can afford the active treatment since its high cost.

Gonartroz and methods of physical therapy

To increase the effectiveness of drugs used allows the use of physiotherapy. Physiotherapy in gonarthrosis is an effective curative and prophylactic. It is recommended that health cures on average two to three times a year. Before you start a course of treatment, patients are advised to consult a doctor physiotherapist who can recommend how to treat gonarthrosis of the knee, will select the most effective physiotherapy.

Incorrectly assumed that the methods of physiotherapy is absolutely secure. For their use, there are certain indications and contraindications, and only an expert can determine the possibility of physical therapy in gonarthrosis. There is not only a local or a local effect on the area of ​​the affected joint, and systemic effects, so it can happen any worsening of existing chronic process. In the presence of an active inflammatory process in the joint, when there are signs of a purulent inflammation, the use of methods of physiotherapy is contraindicated.

In case of a unilateral joint disease therapeutic effect is generated if the drug is administered directly into the joint by using a special apparatus (electrophoresis method). Even after the completion of electrophoresis, the joint is preserved long "depot" administered drug, which will contribute to prolongation of the therapeutic effect achieved. Left-gonartroz in the initial stage of the disease respond well to treatment using ultrasound or magnetic fields are also on the joint area.

To obtain a stable therapeutic effect, it is recommended in complex therapeutic measures include massage. Massage in gonarthrosis knee can not only classical manual and mechanical, are used when various nozzles that create vibratory motion. During the massage treatment using various drugs in the form of ointments, creams, oils that are rubbed into the active region of the affected joint. Right hand gonarthrosis on the first or second stage, is an indication for prescribing a course of massage. Massage movements help prevent the progression of the degenerative processes in the joint, so it is important to start treatment promptly. In the last stages of the disease it is impossible to have a devastating impact on the process.

The procedure consists of several massage techniques that can be successfully combined to achieve a stable therapeutic effect. With the defeat of the knee joint is not limited to massage the affected area, it is important to massage the other parts of the body. It is important to first develop procedures thigh muscles on the affected side of the knee, and then proceed directly to the knee. The most intense movements during the massage can be done only on a prepared area of ​​the body, usually considered to be the middle of the procedure. It is recommended that a massage after a special set of exercises therapeutic exercises.

Marina Solovyov

What is a flat and its species

Flat feet - a flattening of the foot by lowering its vaults. Flat feet can be longitudinal (lowering of the longitudinal arch of the foot) and transverse (lower transverse arch of the foot). Sometimes the lateral and longitudinal flat feet combined.

A person can be born with flat feet, and then it is called congenital, but you can be born healthy, and further to obtain flat as a result of the illness or injury (work related to the long stay on his feet, injury, paralysis of childhood rickets, etc. ). Acquired flatfoot can be static, paralytic, rachitic and post-traumatic stress.

In the first months of life it necessarily examined by a doctor - orthopedist, which excludes various congenital musculoskeletal disorders, including flat. At birth, all children have the smoothing arch that holds up to about 4-5 years. Such age-related flat feet require observation (not treatment) to notice in time lag in the formation of the arch and take action. Usually these children special courses prescribed therapeutic exercises.

How does

The cause of congenital malformations flat feet are the structural elements of the foot during the prenatal period.

Causes of acquired flatfoot can be quite different. So, it is the result of a traumatic flat wrong accrete fracture foot bones or damage to the muscles and ligaments that strengthen the arch of the foot. Paralytic flat - the result of a violation of the nervous regulation of the muscles that support the arches of the foot, such conditions often after a stroke. Sometimes flatfoot is a consequence of bone disorders after suffering rickets Rickets - all about vitamins .

The culprits static flatfoot can overload associated with prolonged stay on your feet (eg, vendors), wearing shoes with very high heels. But such a flat may be the result of hereditary weakness musculo-ligamentous apparatus. Static longitudinal flat feet more often.

Longitudinal flat

When longitudinal flat Longitudinal flat - if it hurts to stand   flattened longitudinal arch and foot contact with the floor almost the entire area of ​​the foot, the length of the stop increases. And as the longitudinal flat negatively affects all kinds of leg movements, leading to an overload of the inner thigh muscle groups (their function - to support the lower leg), then it appears the pain and changes in shape, not only in the foot, but in the entire lower extremity.

At the initial stages of flatfoot appears fatigue in the legs, pain with pressure on the sole of the foot or the middle. The gait becomes shattered, with continuous load on the rear appears swollen feet. With further development of the disease pain becomes constant, worse when walking, the patient has difficulty even if not very long walk, it is difficult to find shoes. Further development of flatfoot is compounded by the addition of lower back pain, restricted mobility in the ankle and overall disability. Shoes make a patient only to order.

Signs cross flatfoot

When transverse flat Cross-flat - a disease of obese women   transverse arch of the foot flattens, the forefoot is based on the head of all five metatarsal bones, reduces the length of the stop, I toe deviates outwards and the average deformation and acquires hammer shape, pain and callus leather soles, the tension of the extensor tendons of the fingers. It occurs mainly in flat cross women, thus, the greater the weight of the body, the more pronounced and flat.

Gym

The main method of treatment of flatfoot is physiotherapy. It strengthens the muscles ligaments, restores a correct statement of the feet, lower limbs and the whole body, improves metabolism.

In severe disease do exercises in the supine position, and then gradually increase the load on the lower limbs. Commonly used exercises such as walking barefoot, climbing rope, swimming, various outdoor games. In addition to the physiotherapist appointed courses of massage and physiotherapy.

For the treatment of flat feet and orthopedic techniques used: stelki- special insoles, orthopedic footwear Orthopedic shoes - how to determine what is right for you? . Sometimes even have to resort to surgery.

In flatfoot is one feature: the earlier start to treat him (or even better - to carry out prevention), the better the result.

  Galina Romanenko