Osteoarthrosis of peripheral joints

Description:

This chronic degenerative disease of joints which cornerstone the degeneration of a joint cartilage with subsequent change of bone joint surfaces, development of regional osteophytes, deformation of a joint, and also development of moderately expressed synovitis is.

Osteoartoroz's symptoms of peripheral joints:

Osteoarthrosis metacarpal запястяого thumb joint.

It is observed at women usually in the climax period, usually bilateral, shown by pains on an inner edge of a wrist (in the place of a joint of the I metacarpal bone and trapezoid bone of a wrist) at the movements of a thumb. Restriction of movements of a thumb and a crunch is at the same time noted. The expressed stage of a disease carries out to considerable deformation of a brush. However usually pains disturb a little, restriction of mobility is expressed slightly.

Osteoarthrosis of an elbow joint.

Perhaps some restriction of mobility (extension of a joint is preferential) is shown by oxycinesias in a joint, that is caused by considerable bone growths around a joint surface of an ulna.

Osteoarthrosis of a shoulder joint.

Is followed by damage of a subacromial joint that causes painful restriction of assignment of a shoulder aside. At the movements in a shoulder joint the crunch is noted. The small atrophy of adjacent muscles is possible. Deformation of a shoulder joint is not noted. Humeral arthrosis primary happens very seldom, it is a secondary osteoarthrosis more often.

Osteoarthrosis of a sternal and clavicular joint.

It is often combined with a humeroscapular periarthritis. The swelling and deformation of a sternal and clavicular joint, pain at the movements are characteristic. On the roentgenogram of this joint narrowing of a joint crack and osteophytes is found.

Osteoarthrosis of an ankle joint.

Usually posttraumatic origin, causes walking disturbance, deformation of a joint.

Osteoarthrosis of the first metatarsophalangeal joint.
Most often happens bilateral and it is mostly caused by flat-footedness, sometimes an injury, professional factors. The main symptoms are morbidity and restriction of mobility of a thumb of foot, difficulty when walking, a finger deviation to the outer side (halux valgus), deformation of a joint (at the expense of osteophytes). The deformed joint often is injured (in particular, inconvenient footwear), quite often there is an inflammation of a circumarticular bag (bursitis). At a X-ray analysis narrowing of a joint crack, a cyst, an osteosclerosis (subchondral) and an incomplete dislocation or a complete dislocation of a head of the first polyusnevy bone are defined further.

Osteoartoroz's reasons peripheral joints:

Disturbance of exchange processes is the cornerstone of a disease that is reflected in a condition of a joint. Joint cartilages receive less necessary nutrients and gradually prematurely wear out, even at middle-aged persons. Similar changes happen in a joint when aging.

Osteoartoroz's treatment peripheral joints:

At an osteoarthrosis appoint:
- An electrophoresis of chlorine, novocaine, lidocaine, an apifor on the affected joint. Current 10-15 мА. Duration of influence is 20-30 min. daily. Course of treatment of 15 procedures.
- Ultrafonoforez of a hydrocortisone, Trilonum of B, analginovy ointment on the affected joint. Intensity of ultrasound of 0,2-0,4 W/cm2, continuous mode. Duration of influence is 5-6 min. on one joint daily. Course of treatment of 10-12 procedures.
- Helium-neon laser radiation on the affected joint. Density of a flow of the power of 0,5-2 MW/cm2. Duration of influence is 5-8 min. on one joint daily. Course of treatment of 15 procedures.
- Infrared laser radiation on the affected joint. An influence technique contact, scanning. The mode continuous or pulse with a frequency of 1000-1500 Hz. and power in an impulse of 6-10 W. Duration of influence is 6-8 min. on one large joint daily. Course of treatment of 10 procedures.
- High-intensity pulse magnetotherapy. The inductors "N" and "S" of the device "AMIT-01", "AMT2 AGS" have from two sides of an extremity over the struck area and slowly move around his large joint, and in the field of brushes and feet on the palmar, bottom and back parties. Amplitude of magnetic induction 400-800 мТл at the expressed pain syndrome, in process of its easing the field at implementation of the subsequent procedures is gradually increased to the maximum value. An interval between impulses of 20 ms, in process of weakening of a pain syndrome it is increased to 100 ms. Duration of impact on one joint of 5-10 min., general time of 10-20 min. daily. Course of treatment of 5-10 procedures.
- DMV-therapy on the affected joint. At impact on one joint use a cylindrical radiator, at impact on two - rectangular which have over both joints at once. Power of radiation is 40-50 W. Duration of influence is 10-15 min. daily. Course of treatment of 10 procedures.
- Phototherapy by a lamp of Gesk, red radiation spectrum. Duration of influence is 20-30 min. 3 times a day in the period of an aggravation.
- Phototherapy by a lamp of Bioptron, the polarized light. Duration of influence is 20-30 min. 2 times a day in the period of an aggravation.
- Thermomassage couch of "CERAGEM". Temperature is 50 °C, duration of influence is 30 min. daily. Course of treatment of 10-12 procedures.
- Thermochair "Graviton". Temperature is 50 °C, duration of influence is 30 min. Course of 10 procedures.
- Naftalanovy therapy. Duration of influence is 15-20 min. daily. Course of treatment of 15 procedures.
- Turpentine bathtubs from a white emulsion. Procedures are carried out every other day. Course of treatment of 10 bathtubs.
- Local cryotherapy by dry cold air on the affected joint. Temperature of an air flow is -30 °C, duration of influence is 10-15 min., a technique labile. Course of treatment of 10 procedures.

At emergence of a synovitis are limited to use only by magnetic and laser therapy.