the Pains, swellings and the deformation of joints, then the typical symptoms of degenerative disease. Disease this touches over 60% persons 60 year of life above more often, women. The degenerative disease is the the most frequent disease of joints. With reason of degeneration of joints, what thirteenth person accepts the analgesic medicines every day.
degenerative Process touches the most often large joints mainly, genual joints and hip joints. The change sick leave can also appear in spine as well as in some joints of hands.
the damage of joint gristle is the Cause of affection ( the protective covering in joints the os layer) and lying under gristle of only os then. Such damage calls out inflammation neighbouring tissues.
the degenerative Disease of joints comes into being as a result of "waste” of joints. Mechanical resentments, the solid burdening in draught of whole life joints brings to mechanical ścierania gristle. The larger burdens the joints be subjected in case of overweight and the obesity (!), in case of defects of attitude or the disorders of sense.
in formation degenerative disease there is aging only gristle also Part – with age comes to laxity her fibrous structure, which enfeebles resistance on burden. Genetic factors have sure meaning also.
Gristle undergoes in chronic states of inflammable joints damage also (in such diseases how rheumatological inflammation joints, bottom moczanowa).
Organism defends before damage of joint gristle, therefore regeneratory changes beside damaging gristle processes set simultaneously. At last however it comes to damage of surface of joint, the creating of erosions and the cyst under gristle. Synovial membrane undergoes inflammable changes - stuffing from inside joint layer. The reproductive processes bring to rise of cicatricial tissue and the new layer of os under gristle. joint such is however degenerate, his uneven surface is the cause of pain of, rigor, difficulties movement.
the most Important and the pain of joints is the the most nagging symptom of degenerative disease. It steps out during movement, and it are diminishes it retreats in rest. The rigor is in joints the next symptom of disease, particularly after period of longer stillness ( the morning rigor). After rozruszaniu, which tzw. can accompany cracking in oss, then the feeling of rigor passes. joints can be painful in touch, excessively warmed and obrzęknięte. We round joints of fingers of hands to affirm the bumps can often. It the deformation of joints in advanced disease was observed was, oss be directed in relation to me under incorrect angles. Maybe the accesses also to limitation of movability of occupied joints.
the degenerative Disease is not the same, what different diseases of joints. Completely different sickness individual, having different sbasis and cause as well as rheumatological np. be treated differently inflammation joints. It exists the row of rheumatic diseases which can be symptoms pains and the swellings of joints.
the injury of joint, posttraumatic deformation of joint, inflammation on infectious background can be with Cause of joint affections ( oil np. the inflammation the joint) or the caused with presence of crystals inflammation (np. in bottom moczanowej), the multiple overflows of blood to joint (in haemophilia).
In dependence from clinical painting and the doctor's suspicions the row of laboratory investigations, was executed was, having on aim exclusion different causes of affection. My this huge meaning for proper causal treatment of disease. Moreover important the realization of picture of radiological joint for diagnosis is.
Koksartroza.
the degenerative Changes of hip joints ( the coxarthrosis) belong to the most frequent and the the most important forms of disease. The burden of hip joint is very large. Patients complain on pain in neighbourhood of groin, though it can radiate he to knee, being the cause of diagnostic mistakes also. Pain diminishes during rest. The limitation of movements later adds also. The Chory has with foundation of leg the difficulty on leg, frequent the shortening the ill limb is np. on result of contracture in joint. It the puts in in place of wears out joint in this figure of degenerative disease was used was artificial endoprotezy often (operacyjnie).
Gonartroza.
Then the degenerative disease of genual joints ( the gonarthrosis). Degeneration genual joint steps out more often at women, especially older and obese. Pain is to diagnosis of degenerative disease of knee basis in joint and his neighbourhood nasilać near movements, near getting up, near walking after stairs, in time carrying heavy objects and retiring in rest. The leczony gonartroza brings to contracture and the deformations of joints.
Change in spine.
the joints of spine are Frequent putting degenerative changes. Intervertebral pessary, that is structure undergo degeneration separating circles from me as well as intervertebral joints. On pictures of rtg at over fishings of studied dorosłych to be visible the degenerative changes of spine, though this does not mark automatically, that they call out the pain symptoms. Pain appears in movement, and it retreats or diminishes in rest, which differs him from different causes of pain of backs. The limitation of movability of suitable sections spine is the later symptom. Degenerative changes (np. osteofity – osseous wyrośla) goes out from vertebral core nerves can press, being be the cause of sciatica brachial neuralgia. Though they are then neurological diseases, then the stepping out degenerative disease of joints at their sbasis lies universally.
the Change in joints of fingers of hands.
degenerative disease can concern these joints Also.
there is no way on durable curing the degenerative disease of joint Unfortunately, but suitable conservative treatment can reduce pain affections, to bear or to enlarge in joints the range of movements even and to limit disability.
the reduction of obesity is the Important way of relief of joints and the overweight ( the diet of, practice, the rehabilitation). Kinezyterapia this treatment movement under rehabilitated's control. The rehabilitation this one of elements of preparation to possible planned treatment operating the degenerative changes. It in degenerative disease of knee walks about strengthener the czworogłowego muscle mainly it will pretend, and in case of degenerations of hip joint about strengthener the muscles of bottom limbs as well as the hip hoop.
it At chorych with degenerative disease of hip joint comes in measure of progress of disease to considerable limitation of range of executed everyday actions: walking of, dressing, of toilet. The necessary then suitable orthopaedic supply is in cane and the cubital spheres, and in measure of progress of disease, if this indispensable is also in special chodziki or the balkoniki. They reduce the burden of joint and the pain affections in consequence reduce as well as they make possible more efficient moving.
At chorych from degeneration and carrying light stabilise scale visits with instability helpful knees. Proper choosing orthopaedic equipment has huge meaning.
To pharmacological treatment was safe should be led according to recommendations and under doctor's control.
there are no medicines which would cause the withdrawing the of sick leave setting in synovial membrane of joint changes touched with degenerative disease unfortunately At present. The treatment complies only the soothing symptoms of disease.
In initial period of degenerative disease of knees can treatment beginning from local applying in figure analgesic medicines it greases and embrocate in skin 4 żeli-5 fizykoterapia gives razy daily Good effects from utilization antiphlogistic żeli, np. popular ultrasounds.
it complies passed Medicines in degenerative disease mainly in aim the decrease of pain generally. Niesteroidowe antiphlogistic medicines, tzw. are effective medicines in fighting degenerative pain NLPZ ( they are then boundary strip different paracetamol, diklofenak, piroxycam, ibuprofen, naproxen, ketoprofen). With attention on working side doctor decides analgesic medicines about their applying. It should comply acting medicines osłonowo on stomach simultaneously. The effectiveness of individual analgesic medicines and antiphlogistic it is practically comparable, though the considerable differences step out in reaction on these medicines at different persons. Paracetamol is oral analgesic medicine of first choice and - if it is effective - preferred oral analgetykiem to chronic applying. It after different medicines was one should reach, when paracetamol turns out ineffective. It was one should remember about this, it that was not one may cross 24 hour dose.
was can Not to leave behind about numerous workings of undesirable medicines from group of niesteroidowych antiphlogistic medicines (NLPZ). The most frequent and the most dangerous complications after NLPZ concern alimentary line, haemogenous arrangement and kidneys. The ruthless przeciwwskazaniem to their is applying the active ulcerous disease of stomach and the duodenum.
it it one should was was was about this also, it that was not one should apply two simultaneously or more medicines from this group, because the risk of pronouncement of results of side meringues of enlarging the effectiveness of treatment grows then considerably.
New antiphlogistic medicines and analgesic, which this rofekoksyb was synthetize was recently and celekoksyb - do not call out workings side which they be connected with traditional niesteroidowymi antiphlogistic centres.
At chorych from degeneration the genual joint, when the exudation in knee appears in joint pit and the local symptoms of inflammation ( the pain, reddening, the excessive warming up and the swelling), applying be well-founded the dostawowo of steroidowych preparations the time from earlier drawing aside from accumulated joint there the liquid. Not should oneself however to inject to large joints the steroidów more often than 3-4 razy in year, with fear before intensification the damage of joint gristle.
it joins from new having medicines Hopes to act on joint gristle ochronnie (metaloproteazy, hialuronowy acid, sulphate chondroityny). In she treatment the degenerative disease of joints it requires part of these centres however really settlement.
Ill with advanced degenerative disease, at which the pain affections do not retreat after medicines and which the more and more larger difficulties have in executing the everyday actions they should get in touch with orthopaedist in aim the considering of indications and the possibility of operating treatment. Alloplastyka is with total exchange of joint radical operation, that is foundation endoprotezy (internal artificial limb) genual joint or hip. At decided chorych's majority intervention this assures considerable decrease pain and improvement in moving.
the Above mentioned article the state the only outline of knowledge about degenerative disease of joints. It it one should was was, that not all joint affections be caused by degenerative disease – cause can be different – wówczas also treatment and is conduct completely different. You in case of doubt to be successful after advice to doctor should. Doctor has relating diseases, their prophylaxis knowledge and treatment. Only medical leaning on personal examining patient, interview with sick leave advice and conduct guarantees additional investigations always safe, such, which can give desirable wholesome effect.