First, how is osteoarthritis caused?Osteoarthritis is usually called hyperosteogeny, belonging to age-related diseases, mostly at the age of
First, how is osteoarthritis caused?
Osteoarthritis is usually called hyperosteogeny, belonging to age-related diseases, mostly at the age of 50 after onset, and when the body is aging, or because of trauma or disease, articular cartilage degradation, loss of elasticity, resulting in cracks, erosion and ulcer, the cartilage surface roughness. Not smooth cartilage surface friction, so that further deterioration of cartilage damage. The integrity of the articular cartilage damage, subchondral bone plate due to the lack of protection of cartilage, abnormal pressure caused by the local hyperplasia (bone formation), which produce osteoarthritis.
Two, what kind of people get osteoarthritis? Why are these people prone to osteoarthritis?
The etiology of primary osteoarthritis is unknown. It is generally believed that it is associated with obesity, aging, trauma, endocrine, cartilage and other factors. Obese patients with joint bearing increases, the human body to maintain the center of gravity of knee varus deformity can occur, so that both sides of the knee joint space load imbalance, leading to degeneration, the accumulation of micro damage can cause subchondral bone sclerosis, effects of articular cartilage on weight-bearing resistance, leading to cartilage degeneration, slide up and down the stairs it looks heavy damage, can be passed to the articular cartilage overload in a very short period of time. Secondly, with the increase of age, the incidence of osteoarthritis is increasing. According to reports, 15 to 44 year old population, the incidence rate of less than 5%, the incidence rate of people aged between 45 and 64 is 25. 3%, and more than 65 years of age, the incidence rate of up to more than 60%. In addition, gender is also closely related to the occurrence of osteoarthritis, the incidence of osteoarthritis in women before menopause is similar to that of men, but after menopause, the incidence of osteoarthritis in women is significantly higher than that of men. The special occupation population, the higher incidence of the osteoarthritis, such as miners due to the squat or squat, caused by increased incidence of knee osteoarthritis. Many occupation movement and excessive strain can also cause osteoarthritis, such as football, weight-bearing flexion can lead to osteoarthritis of the knee. A small number of osteoarthritis patients with familial.
Three, several kinds of osteoarthritis?
Osteoarthritis can be divided into primary and secondary osteoarthritis in two categories, mainly for primary articular cartilage degenerative aging disease, with age increasing, cartilage aging is a normal physiological evolution, but can It differs from man to man. on the basis of heredity, some students earlier, faster also, some happened late, slow progress and general fatigue condition and excessive burden on joint. Secondary osteoarthritis is the first other diseases such as trauma, bone necrosis, and so on, and gradually lead to articular cartilage lesions.
Four, what are the common symptoms of osteoarthritis?
Common symptoms include joint pain, stiffness, limitation of motion, or reduction in joint stability. The most common symptoms were pain, activity increasing, relief, long activities have stiff sense after the break, at the start of symptoms is not heavy, then gradually appeared when the pain and fatigue after pain, because of subchondral bone involvement, patients will feel dull pain and joint stiff stiff feeling in the rest rest when. Over a long period of time in a fixed position, you can feel pain at the beginning of the activity, but a little later, but the pain relief. The pain is often a certain relation with the changes in the weather, the condition gradually development of friction when the joints are large when the cartilage loss become free bodies in joint, with joint lock suddenly turn (joint stuck feeling), but there are also some patients with hyperosteogeny found only in the shooting X-ray film (spur) however, itself doesn't have any symptoms, the medicine will be called no symptoms of osteoarthritis.
Five, osteoarthritis often need to check?
Osteoarthritis is usually based on the patient's medical complaints and doctors can make the diagnosis, but sometimes still need some related auxiliary examination:
(1) for patients with fever and joint pain patients should check routine blood, ESR and C-reactive protein C examination to exclude rheumatism, rheumatoid arthritis and septic arthritis.
(2) imaging examination: X-ray: X-ray can joint abnormalities in the general record of the lesions, reflect the degree of joint damage progression and response to treatment, it is a routine examination in patients with osteoarthritis; the magnetic resonance imaging (MRI): MRI of bone, articular cartilage, meniscus, ligament, synovium and joint effusion could be clearly displayed.
(3) examination of synovial fluid, traumatic arthritis, septic arthritis and gouty arthritis has diagnostic value.
(4) arthroscopy and synovial biopsy, arthroscopic examination of the lesion, and the removal of synovial tissue for pathological examination, but also under arthroscopy to do some treatment, such as free body removal and synovectomy.
Six, the method of treatment of osteoarthritis?
The aim of osteoarthritis treatment is to relieve symptoms, improve joint function, reduce deformity and reduce the risk of disease progression. For those who are not serious symptoms can be treated by physical therapy, physical exercise and self adjustment, do not necessarily need medication. The characteristics of the disease can be automatically alleviated or recurrence, when symptoms control, can stop taking medicine, do not have long-term medication. Treatment includes non drug treatment, drug therapy and surgical treatment. Non drug therapy, including the establishment of a reasonable way of life, such as the adjustment of labor intensity, to protect the affected joint; always keep optimistic mood, eliminate depression, attitude to fight actively; to pay attention to self-protection, to avoid joint inappropriate weight, sports, physical therapy and medical assistant instruments; obesity is the only influence predictive factors of osteoarthritis patients, overweight should lose weight, help to prevent disease progression; appropriate outdoor exercise, proper exercise will not only further damage caused by the joints, and helps relieve symptoms; physical therapy can increase local blood circulation, increase the range of motion exercises exercise strengthens the corresponding muscle strength, can increase the protective effect on the joints, also has obvious effect on pain and improve function; selection The shoes and socks, with outer soles (pad of varus knee joint protection; party), inconvenience of joint activities, and to reduce the available cane cane joints.
Seven, how to carry out physical exercise in patients with osteoarthritis?
Patients with osteoarthritis can improve the functional energy through proper physical exercise, and emphasize the idea of joint rest. Physical exercise should be according to the specific circumstances of patients within the lesion range, from patients with automatic exercise, step by step, including increased joint mobility exercises to enhance muscle strength around the joint exercise and endurance exercise. Patients with severe symptoms, only at the beginning of contraction of muscle contraction and not active joints, and the best can exercise in the water, because the body weight of the water only reached 1/8. Step by step, gradually increase the amplitude of the action, the first choice is not the form of weight, until the pain disappeared and then do weight training.
Eight, can spur through exercise wear off?
The spur itself is due to joint degeneration, once there is never disappear with exercise, exercise just helps to relieve the symptoms of patients with delayed joint degeneration. Long bone symptom, mainly to see if there is inflammation. The world is not a can be reduced or removed upon the elixir, but it is regression of inflammation. As long as the elimination of inflammation, reduce the exudation and swelling, it will relieve the pain, which is clinically cured. Therefore, the treatment is actually spur inflammation. It also answered the osteoarthritis after treatment, symptoms and mysteries still spur elimination.
Nine, climbing or climbing stairs every day for the elderly knee joint is beneficial?
Knee joint load with the movement of the human body and gait patterns have great changes, the knee standing position is 0.43 times the weight of the body weight, walking up to the weight of up to a factor of 3.02 times, up to the size of up to 4.25 times. Often see some old people in the mountains when the situation can not go downhill, this is because when climbing the joint weight is four or five times normal, the joint is difficult to bear. The elderly have to take the stairs, must hold the railing or wall, don't step on the stairs, to the feet all in one step, then the next step, reduce joint bearing.
Ten, osteoarthritis of the drug therapy, including what?
Many causes of pain in patients with osteoarthritis, most of the reason is not inflammation, or only mild inflammation, most of the available analgesic, paracetamol is a good choice, if the analgesic response to treatment is poor, can use non steroidal anti-inflammatory drugs such as ibuprofen and diclofenac drugs. Pain itself is a protective reaction of the body, and its presence can remind patients with osteoarthritis to reduce the burden on their joints, avoid excessive use. If the excessive use of symptomatic drugs, forget their joints are sick and as usual to engage in excessive load of activity, will inevitably increase the involvement of joint injury. Therefore, in order to protect the affected joints, appropriate use of analgesics. Anti-inflammatory drugs should be used only when pain occurs during rest or during daily activities.
Twelve, intra-articular injection of drugs can cure osteoarthritis?
Intra articular injection of drugs is mainly based on the physical and chemical characteristics and biological characteristics of the joints, by changing the internal environment of the joint, so that it is close to normal, promote the repair of articular cartilage, relieve symptoms, to achieve the purpose of treatment. Such as sodium hyaluronate injection can improve the quality, protect the cartilage, synovial fluid to relieve pain sensitivity, reduce joint wear by lubricating joints, reconstruction of osteoarthritis has been disrupted the balance, but because of osteoarthritis is a degenerative disease progression can only delay osteoarthritis, and not achieve the purpose of cure.
Thirteen. What are the advantages and disadvantages of intra-articular steroid injection in the treatment of osteoarthritis?
The existence of synovitis, intra-articular injection of corticosteroid corticosteroids can obtain curative effect. Hormones can improve symptoms, but if the use of large doses of hormones will hinder the process of cartilage repair, injection itself may damage the articular cartilage, and the risk of infection. Should not be repeated use, repeated use may aggravate the destruction of joints.
Fourteen, joint debridement can cure osteoarthritis?
Osteoarthritis occurs when the cartilage is damaged, which can lead to pain, swelling, and movement disorders. Joint debridement by arthroscopy or arthrotomy to joint debridement, free body cartilage, meniscus debris removal, remove loose cartilage and other joint inflammation in pieces, and grinding osteophyma, serious degeneration of meniscus, articular cartilage and synovial tissue, articular cavity repeated washing, improve joint cavity environment, can play a role in easing the symptoms.
Fifteen, joint debridement for patients with osteoarthritis?
Debridemnt to complete most of the articular surface, but the patient sense of weight-bearing joint pain, difficult to work and life; free bodies in joint, due to limited joint mobility and interlocking; palliative treatment is not high on the treatment requirements of patients, which is mainly suitable for suitable for mild and moderate chronic arthritis patients. Overall, the worse the patients, the worse the effect, the shorter the duration of operation, the earlier the recurrence. The effect of joint debridement is relatively temporary, and can play a role in delaying joint replacement. Currently, arthroscopic debridement is performed with less injury and faster recovery.
Sixteen, how to prevent osteoarthritis? Osteoarthritis patients need to pay attention to what?
Should pay attention to adjust and change their way of life in patients with osteoarthritis in daily life, its purpose is to improve the symptoms, control the progress of the disease, to maintain the normal function of the joint, avoid deformity and disability, improve their physical and mental health and social activities. Change the way of life involves a wide range, including adjusting the intensity of physical labor, change bad habits and habits, adjust the diet, to ensure adequate sleep, etc.. Second, avoid overwork, overwork is one of the most taboo because of chronic diseases, patients with chronic diseases in the body and diseased tissue organ tolerance ability is low, need more rest than healthy people, too tired to make the sick body unbearable, will inevitably result in adverse consequences. Furthermore, keep a balanced diet so as to absorb enough nutrients to maintain good health. The focus of the joint protection is:
(1) use less joints and reduce joint load;
(2) to protect the functional position of the joint, the joint flexion and extension of the tendons, ligaments and joints are not excessive, friction and extrusion;
(3) do not do the same action for a long time or make the joint fixed in the same position, to develop the habit of regular full stretch;
(4) avoid excessive movements;
(5) when the pain occurs, the action should be stopped immediately;
(6) with the aid of instruments to protect the joints;
(7) the action shall be taken to prevent slipping, falling or sprain;
(8) pay attention to the joints when the weather is cold;
(9) to reduce weight and avoid excessive joint load.
Seventeen, arthroscopic treatment of osteoarthritis what is it?
When medications and other treatments are not available, they may be treated with arthroscopic debridement or lavage. Arthroscopy can conduct a comprehensive inspection of the joint, accurate understanding of the scope and extent of osteoarthritic lesions; can also be used for cleaning and washing of articular cartilage and meniscus, the debris out of osteophyma, severe degeneration of meniscus and articular cartilage, synovium to grinding, and repeated washing, articular cartilage debris can stimulate inflammation synovium and joint effusion, removal caused by flushing the joint mechanical dysfunction of cartilage or meniscus debris, can immediately relieve symptoms, improve function, and by improving the internal environment of the joint, can prevent the degeneration of articular cartilage. But the traditional joint incision debridement after soft tissue healing and recovery of muscle function requires at least a few weeks, sometimes even longer, and the application of arthroscopy significantly reduce these complications, the advantages of small trauma, quick recovery.
Eighteen, what is the operation treatment of osteoarthritis?
With osteotomy and joint debridement, arthrodesis and arthroplasty for osteoarthritis commonly used surgical therapy. Osteotomy for knee osteoarthritis by orthopedic, osteotomy to correct joint line of force and stress distribution, relieve pain and time delay joint replacement. Joint debridement refers to the operation of the knee joint, the repair of the damaged cartilage, the removal of meniscus and synovectomy. It is suitable for patients with mild and moderate chronic osteoarthritis, better clinical effect; arthrodesis is fixed on the articular function on medicine, which is the most commonly used in daily life with the position, this operation can obtain a stable, painless, weight-bearing joints, but the loss of joint activity to lose a life, and the ability to work. Artificial joint replacement for the extensive destruction of joints, severe deformity, pain, joint lesions can significantly reduce pain, improve the joint function of patients, improve the quality of life.