Grade 2 knee fibroids can not only impair the patient's motor activity, but also impair the overall quality of life. The reason for this may not be just pain and inability to exercise, which seemed insignificant until recently.
Comparing the changes that happened between the early stage of the disease and its second stage, a person begins to understand: without proper treatment, the situation will only get worse.
Cause of the disease
Usually, the reason for the disease transition to stage 2 is irresponsible treatment attitude and non-compliance with the doctor's recommendations about physical activity and lifestyle changes.
In joints already affected by the disease, blood circulation and metabolism are slowed down to the point that tissues cannot receive nutrients and oxygen without outside help. When treatment is refused or delayed "to later", there is an increase in destructive processes in the joint and the consequent transformation of the disease from their mild stage into a more severe disease.
Symptoms
Stage 2 of knee fibroids is characterized by the following manifestations:
- increased pain: pain of a certain frequency (after a night of sleep, prolonged rest, exertion); Joint stiffness
- , usually in the morning, disappears after short walks; The
- knee enlarges, the pain is relieved - all physiological bulges and indentations in the joint are no longer identified. In an upright position, this may manifest as "hanging" skin on the kneecap. In the squat position, one knee (affected by gonarthrosis) is clearly visible, much larger than the other, healthy and spherical;
- when moving the knee, characteristic cracking can be heard;
- the flexing and stretching movements of the joint are greatly restricted.
People with level 2 gonarthrosis rarely get better without pain relievers, as knee pain starts to be a nuisance even during rest. This is due to the spiny-like growth on the bone tissue of the joint, which irritates and damages all structures of the knee.
How this diagnosis is made by a doctor
In most cases, a patient complaining of deteriorating health has been diagnosed with gonarthrosis, and a healthcare provider may order an X-ray examination to evaluate changes. Modification has occurred in the joint.
If the doctor has reason to suspect that other diseases related to gonarthrosis, CT, MRI and lab blood tests may be recommended. This is necessary to rule out infection that can enter the joint through the bloodstream and a complex course of gonarthrosis, with damage to soft tissues.
Complications of the disease
In the absence of treatment or an inadequate attitude towards it, level 2 gonarthrosis can quickly get past the "terminal stage" and transition to the terminal stage in which the painBecome a regular companion and the joints undergo irreversible changes and deformations.
In addition, impaired joint tissues become susceptible to infection and any viral or bacterial systemic diseases can cause serious complications during the degenerative joint process. The most common, but not least dangerous, is infection of the joint cavity with the formation of pus-containing substances, which can spread to soft tissues - muscle, skin.
Treatment
In the treatment of grade 2 genital warts, the focus is on pain relief, slowing or completely stopping degenerative joint processes, preventing complications and improving knee mobility.
Medicines
Drugs used in the treatment of grade 2 gonarthrosis are divided into the following groups:
- Anti-inflammatory drug.They include the latest generation of nonsteroidal anti-inflammatory drugs (NSAIDs), which eliminate inflammatory processes in the joints and, therefore, relieve pain.
- Chondroprotectors.This class of drugs helps to protect the cartilage tissue from further destruction and enhances its regeneration.
- Hyaluronic acid preparations,are analogues of the natural lubricant of the inner surface of the joint. By reducing friction in the knee joint, these drugs prevent further wear and tear of the cartilage. In some cases, injections of hyaluronic acid in the joint are indicated (for example, with very poor blood circulation in the joint, this prevents other forms of the drug from reaching the affected tissues).
- Support.These include vitamin preparations, immunostimulants, biologically active extracts from plants (aloe, chamomile, etc. ), designed to improve blood circulation in joint tissuesand thus accelerate their metabolism.
Physiotherapy, massage, exercise
Treatments such as physical therapy, massage and exercise can be considered as adjunct to the treatment of second degree knee fibroids and are rarely used asindependent treatment.
Physiotherapy (UHF, electronegativity, ultrasound therapy, magnetotherapy) is used to improve blood circulation in the joint and stimulate the healing process in the joint.
One of the most effective physical therapies for arthritis treatment is MLS laser therapy with the ability to adjust the laser radiation power. The therapy uses constant and pulsed wavelengths, whereby deep penetration into the tissues is achieved and a marked clinical effect is achieved. MLS laser treats all diseases of the joints, bone necrosis, herniation and other diseases of the musculoskeletal system.
It is recommended to perform massages of the schedule 10-15 sessions, one session per day or every other day. Massaging, improves blood supply in joints, normalizes metabolic processes in joints and provides a more effective effect of the drug on tissues affected by the disease.
In the diagnosis of 2nd degree knee arthritis, massages with the use of drugs (chondroprotectors, anti-inflammatory or irritating ointments, cooling and anesthetic external agents) are usually indicated. factors.
Complex physiotherapy exercises are indicated for the participating physicians after evaluating the effectiveness of drug treatment and are selected taking into account the individual characteristics of the course of the disease andgeneral health of the patient.
Lifestyle editing
Lifestyle adjustments are one of the most important conditions for effective treatment. With gonarthrosis disease degree 2 you must adhere to the following rules:
- Reduces the load on the diseased joint.For this, orthotics are used, allowing you to distribute the load during movement in such a way that the knee joint is least affected. It's important to choose the right club for your height - it should be from your wrist to the floor as you stand.
- Diet.For this condition, eat foods containing animal protein (eggs, meat, fish, whole milk), carbohydrates (baked goods, sweets) and foods and beverages that containContains synthetic flavors, sweeteners, preservatives.
- Weight loss.Obesity is one of the risk factors that increase the likelihood of metabolic disorders in all tissues, including joint tissue. Also, being overweight is an unnecessary stress to the joints.
Surgical treatment
Surgical treatment can be divided into two categories: arthroscopy and endoscopy.
Each surgery has its own list of indications for which intervention will be most effective.
Arthroscopy
Arthroscopy is a less traumatic surgical method in which surgery is performed using lighting, surgical devices and miniature video inserted into the joint cavity through the perforation. small.
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- the presence of osteoblasts (osteoblasts) interfere with joint mobility; The
- deformations of joint tissues, can be repaired without large-scale surgical intervention;
- requires surgical gallbladder imaging, which can significantly slow disease progression and restore joint mobility.
Contraindications to arthroscopy are acute infectious diseases, blood clotting disorders and a small range of motion in the joint - inability to fully expand or flex the joint that does not allow the performing ofnecessary operations.
Hormonal drugs
Internal Medicine - replace the knee joint with an artificial knee joint made of a durable and hypoallergenic material, with the same structure as natural bone tissue.
From time to time, the prosthesis takes over all the functions of the "native" joint and allows you to return to normal life.
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- is ineffective after long-term conservative therapy;
- progresses rapidly;
- changes in the joint significantly impair a patient's motor activity, cause severe and frequent pain and / or pose a risk of disability.
Of the absolute contraindications there is only any systemic pathology that makes any surgical operation impossible.
The attending physician weighs the risks and benefits of surgical treatment, and, based on their conclusions, makes a decision about whether surgery is necessary or to continue a course of treatment. conserve.