Pain in the joints not only complicates life, but, as a rule, show dangerous inflammatory and devastating processes that gradually limit movements, and if its treatment or absence is not in deformation and irreversible disability.

Arthrosis is the second largest cause of disability after cardiovascular disease.At the same time, arthritis and arthritis are often hit by the still working population, that is, people become disabled - or they are forced to constantly overcome the pain in order to gain living.
So why do joint pain appear, and what are the methods available to Russians today, which will not only temporarily relieve pain, but will eliminate inflammation and stop the destruction of the joint?
Arthritis and arthritis - changes
Arthritis and arthritis have similar names, as both of these diseases affect the joints.They vary in the nature of the changes in the joints.
onarthritisPain is associated with inflammation of the joint tissue.In this disease, a synovial shell suffers, in which blood and lymph vessels are concentrated, nerve endings.Accordingly, this affects both the eating of the joint and the production of articular lubrication (synovial fluid), which feeds the cartilage.
Arthritis can developAt any ageincluded in children and adolescents (juvenile arthritis).Moreover, the disease may be affectedAlmost every node, including small (finger arthritis), and multiple joint damage can also be observed -polymorritic.
Existing long arthritis leads to arthritis, since the union, in particular, the cartilage tissue suffers for a long time from lack of food, which comes from synovial fluid.It is important not to "extinguish" inflammatory reactions with anti -inflammatory drugs, respectivelyFight the cause of inflammation, for example, with the help of funding.
onarthrosisFirst of all, observedThe destruction of the cartilage, covering the surface of the bone (and with a neglected process - and the bone tissue itself).The jump ceases to cope with the load that appears on it, and it begins to collapse faster than it can heal.The cartilage fabric is softened, the normal slide of the articular surfaces worries, every movement is associated with pain.

Arthrosis appears more oftenAfter 40 years.Large joint lesion, such as knees (gonartrosis) and hip joints (coxarthrosis), is more common, and is the cause of disability and disability.There is less common osteoarthritis of the fingers, thumb arthrosis, temporary joint, shoulder damage, elbow joint, etc.
Symptoms and signs
Symptoms of arthritis:
- Synovitis, that is, swelling, increased sensitivity or pain when touching, limit the motility of the joint;
- acute pain, hurts, both in motion and at rest;
- Breakfast stiffness, due to the fact that edema develops in the common time in the common time.It takes 40-60 minutes after the movement begins.
With arthritis, the general characteristic characteristics of inflammation can also be observed: fever, chills, sweating, general weakness.It can be manifested with headaches, weight loss.Symptoms of the disease are also observed, which caused inflammation: heart damage with rheumatoid arthritis, lungs and other organs with tuberculosis, etc.
Symptoms of arthrosis:
- The pain that appears in the physical exercise of the day, not at rest.For example, knee pain and hip knot when walking, running, clarifying, walking up the stairs, etc.Then, when you move, the pain disappears (the pain of the onset).There is severe knee pain and clashes when bending-excavated.
- Short -term "initial pain" after periods of rest associated with the fact that the articular surfaces in which the detrites were placed (the result of the destruction of the cartilage and bone tissue) rubs each other.15-20 minutes after the movement begins, the pain passes, as the detrit is driven out.
- The constant stupid pains of the night are most often at the beginning of the night due to venous stagnation.
Arthrosis is often associated with inflammatory reactions.Respectively, pain and swelling are observed, as in arthritis, and the disease itself is calledArthroso-arthritis.
With prolonged arthrosis, there is often a restriction of mobility due to degenerative changes in the muscles, tendons (so -called contractions), occursdeformity.Therefore, the disease is often calleddeformity of arthrosisORdeformity of osteoarthrosis.
The stages and degree of osteoarthritis
There are several stages of osteoarthritis, which, as a rule, are familiar with radiological photographs:

- Osteoarthrosis of the scale of 1 - changes in the bone and cartilage are poorly expressed, as a rule, when performing computed tomography.Pain and swelling occurs after moderate physical activity.Ellingance of the union passes after the break.
- The 2nd degree osteoarthrosis - the cartilage tissue begins to collapse, the growth of bone tissue (osteophytes) appear along the edges of the joint, narrowing the joint gap, which leads to persistent pain.Ellingance and pain become constant.
- Osteoarthrosis 3-4 degrees destruction of the cartilage cartilage, as well as deprived of the protection of bone tissue, has been observed.There is constant swelling, ligament work, muscle function, which leads to joint deformation.The axial load on the joint is broken: deformation "o" or "x" in the joints.
Which doctor to contact with?
If there is suspicion of arthritis or arthritis, you should consult a doctor for the correct diagnosis.At a regular clinic, this problem is addressed to an orthopedist rheumatologist or traumatologist, less often the surgeon.In large diagnostic centers, you can get an appointment with an arthrologist.This is a specialist who is directly engaged in common diseases.
Causes of arthritis and arthritis
The main causes of arthritis:
- Rheumatoid(Sometimes they say autoimmune rheumatic disease), when the body's immune cells for some unknown reasons begin to kill their body cells, taking them as strangers (Rheumatoid arthritis).The nature of this disease is not entirely clear.The disease most often affects women (3-5 times, according to various sources).Rheumatoid arthritis for minors (idiopathic juvenile arthritis) has also been found - a form for children that occurs in children and adolescents under the age of 16.
- Infectious, in which the symptoms of arthritis are observed, for example, tuberculosis, brucellosis, tick -born borreliosis, etc.
- Non -infectious disease(psoriasis, systemic lupus erythematosus, etc.)
- Metabolic disorders, for example, gout.
The main causes of arthrosis:
- hurt- the most common reason.
- Congenital dysplasia(Violation of the articular bone surfaces) of the joint (for example, dysplastic coxarthrosis).In this case, the joints are extremely mobile, an increased load falls on them and the coating is faster.
- The existing long arthritis(Rheumatoid arthritis, joint tuberculosis, etc.).Metabolism violations in synovial fluid lead to insufficient ease nutrition, slowing down the renewal processes of dead cells and provoke its destruction.
- Physical activity, in particular, when dealing with professional sports or monotonous production operations.It is noted that in the tailor the arthritis of the wrist joints most commonly occurs, in workers using a jackhammer - elbow and shoulder joints.In other words, first of all, the cartilage that has experienced the maximum load for a long time suffers.
- Hormonal disorders.In women, this is often associated with menopause.
Regardless of what was a specific cause of arthritis or arthritis, the main problem is to violate the balance between the processes of destruction and restoration in the common tissue.
At the cellular level, this means that in the union:
- gatherExcessive damaged and dead cellswhich the body does not have time to remove;
- Form new functional cells are not formed, which must replace dead cells and ensure the correct functioning of the joint.
The difference in body reactions with arthritis and arthritis is explained by the change in the tissues of the joints being affected.
With arthritis, damaged cells predominate in the synovial membrane and synovial fluid, and there is the process of inflammation there.Edema is an indispensable reaction of the body to fight excessive damaged cells in soft tissue.
With arthrosis, damaged cells predominate in cartilage tissue, where another protection mechanism operates: replacement of functional cells with connective tissue (wound), which is not capable of performing depreciation functions and does not have property of elasticity, elasticity.
An excess of damaged cells can occur at a time due to damage, hypothermia, etc.In other cases, the accumulation of dead cells, a decrease in the functionality of the joint tissue gradually occurs due to daily loads (for example, when playing sports, heavy work or physical monotones), damaged internal, metabolic, hormonal and other processes.In this regard, it is of great importance in the treatment of arthritis and arthrosis of risk factors.
Risk factors
All risk factors for arthritis or arthritis are associated with situations where the death processes of cells in the joint begin to prevail over recovery processes:

- Hypodinamine.A decreased lifestyle leads to a small microvillation of muscle fibers, the development of stagnant processes in the tissue, insufficient flow of lymph and capillary blood flow, and, accordingly, leads to increased damage and premature death of healthy joint cells.
- Excess weight.Excess body weight increases the load on the supporting joints - hip and knee.Moreover, the fat layer complicates the flow in the blood joints, which is why cartilage food is disturbed.It is noted that women more than weight suffer from knee arthritis 4 times more often than their thin peers.It is believed that a decrease in body weight per 1 kg reduces the load when walking for each knee or hip joints by 4 kg.
- Spinal cord(osteochondrosis, intervertebral hernia).In the spinal column there is a spinal cord through which the nerve impulses pass into the muscle.If the impulse passage is broken, the muscles do not work harmoniously and insufficiently depreciate the stroke when jumping, lowering the stairs, running and walking.Therefore, even with natural daily joints of joints, joints of the joints are damaged and dying more often.
- Old age.Body sources gradually become impoverished.The fabric tower occurs everywhere, including in joints, at different speeds, depending on the action of harmful factors and genetic predispositions.
Infections and non -infectious diseases in most cases are just a "trigger".Arthritis occurs, as a rule, in the presence of the above risk factors.Those inflammation occurs against the backdrop of existing problems - insufficient blood flow, lymph flow, stagnation in the joints.Healthy cells, as a rule, effectively protect against infections and other "attacks".Therefore, it is important to treat not only the underlying disease that caused arthritis but also the joints themselves.
Based on this general sense, the principles of effective treatment of joints follow.
Principles of effective common treatment
The longer and stronger the processes of destruction prevail over the recovery process, the sooner the moment of irreversible changes begins.In this regard, it is important as soon as possible to move the balance in the direction of recovery.
This is necessary:
- Pure fabricsBy an excess of damaged cells formed as a result of damage, infection, autoimmune disorders (rheumatoids, etc.).This is necessaryStrengthen the lymph flow.
- Improve blood supplyjoint tissues, which will lead to naturalImproving cell food.As a result, the process of premature cell death will stop, stimulate cartilage restoration, synovial membrane, normalization of synovial fluid composition, etc.,
- Reset intrigueFabrics.Damaged conductivity of nerve trails from the spinal cord to fusion can sometimes be the leading cause of the development of the disease.
- MAXLowering the loadIn the affected joints in the first manifestations of the disease, to prevent further death of premature cells.Do not wear heels, if possible to reduce weight, do not lift weights, walk and get down carefully, often alternative physical activity with full peace during the day, etc.This is a whole range of measures, which, as a rule, involves a serious change in the way of living.
Consider different types of treatment from the point of view of the three money of the above principles of effectiveness.
Drug therapy (drug)
In case of inflammationThe following medicines are used:

- Anti -inflammatory drugs of Hetepoidene (NSAIDs).The main mechanism of action of these medicines is to slow down the inflammatory process and eliminate the pain.Tissue clearing from dead cells does not occur.They relieve the patient's condition, but do not slow the progress of the process [3].These medicines are practically takenfor life, if there is no intolerance to them.In this case, side effects often manifest: adversely affect the condition of the gastric mucosa and intestines and their prolonged usePacked with the development of gastritis, ulcers, ulcerative bleeding.Some NSAIDs adversely affect the cartilage, thus provoking the development of arthrosis [4].
- Hormone, which are usually entered directly into the joint in the form of injection.They are used only according to the strict indications of the physician and in extreme cases with severe pain, which is not eliminated by NSAIDs.Hormonal drugs suppress immunity, and accordingly, the process of eliminating dead cells from the joints suffers.As a result of treatment, the intensity of inflammation decreases, a person feels relief.There are side effects: its hormone production decreases, metabolic processes, etc., can be violated.When the joint is inserted into the joint cavity, the effects of side effects on the body, in general, are lower than to take tablets, however, it is also observed.The cause of the disease is not eliminated.
- Cytostatics- a set of antitumor drugs that violate the mechanisms of growth, development and divisionAll cellsorganism in the treatment of rheumatoid arthritis, they reduce the amount of antibodies that kill their body cells.However, the processes of other cell formation, including hematopoiesis, are also violated.Cleaning fabrics does not happen.
Thus, the anti -inflammatory therapy of the medication is only aimed at removing the symptoms of the disease, but not in the cleansing or nutrition of joint tissue.The drug only slows down, "freeze" the inflammatory protective process launched by the body.
The temporary elimination of pain is also dangerous because the patient ceases to "save" the injured leg.And this exacerbates cartilage and bone damage.Therefore, the disease inevitably turns, and the pain increases only due to the appearance of additional damage during imaginary "drowsiness".And soon the only method is only the prosthetic of the Union.

Prosthetic(Replacing the joint with artificial fusion) - a complex, expensive, surgical intervention, in which serious post -operative complications are possible (infection, deep vein thrombosis, nerve inflammation, etc.).A prosthesis is an artificial device that can replace the function of a particular organ.If the prosthesis is inside the human body, then it is called endoprostese.The endoprostetics of the joint is an operation to replace the common components with the implants, which have an anatomical shape of a healthy joint and allow all volume of movements.After such surgeries, the patient forgets the pain in the joints and turns into active life.The center conducts operations in the endoproshetics of the large joints (knee, hip, shoulder, elbow) and small (finger joints).When an infection is joined, osteomyelitis can develop, which requires the removal of the prosthesis and the affected bone areas.The functionality of the prosthesis is lower than that of the real union.During the fall and careless movements, displacements, fractures of artificial joint fragments are possible, which requires a second operation.High risk to become disabled in cart.
In order to try to restore the cartilage, the composition of synovial fluid, the following medicines are used:
- Chondroprotectors.They are assigned to reset the joint.These medicines (mainly for dietary supplements) are widely used.However, numerous studies showLack of effect even compared to placebo!
- Hyaluronic acid- an important component of the cartilage.It is an important structural ingredient of the cartilage matrix, protects it from clothing.The drug based on it can be administered in union in the form of injections only after eliminating the inflammatory process.The cost of an injection depends on the concentration of the drug and the manufacturer, a course includes several injections.The introduction of this acid temporarily protects the union from further damage.STILLAn artificially introduced drug does not stimulate its own acid productionTherefore, courses must be repeated constantly to maintain the effect.

In addition to treating medicines, there are additional methods:
- Laser therapy;
- Cryotherapy (cold treatment);
- heating;
- magnetotherapy;
- electromyostimulation;
- phonophoresis (ultrasound);
- Treatment with gold -containing medicines, etc.
However, the effectiveness of these methods in terms of healing from arthritis and arthritis under a major question [5] as theyDo not ensure elimination of the main reasonDiseases - violations of balance between destruction and restoration of joint tissue.
A new understanding of the benefits of physiotherapy exercises (exercise therapy)
Medical exercises, aerobic training, swimming - an effective tool to prevent and treat arthrosis.They are aimed at restoring coupling mobility and increasing blood flow to the area, and accordingly can stimulate the purification and restoration of the joint tissue.

During physical exercise, workingMuscles create biological microvibration energy*which is needed for transport and metabolic processes at the cellular level.Lymph and blood vessels are not suitable for any body of the body, for each micro-post.Cells do not have their own vehicles, therefore, to move and contact each other, they must "tighten" them, which is provided by the contractual activity of muscle fibers, ie, muscle work.
Muscles constantly create the energy of myondo (even during sleep), only power changes.Lack of microvibration indicates a person's death.Microvibration level, sufficient for food and cleaning all tissues, including only joints, only arisesWith physical tension of muscle.
This is why exercise therapy is recommended in the treatment of arthrosis and has a healing effect.
UnfortunatelyPhysical medical education has serious restrictions:
- Exercise therapy can only be performed after removal of inflammation during remission;
- Exercises are not recommended for severe pain;
- People in old age have a whole flock of diseases or a serious joint degradation that no longer allows for exercise;
- Peoplewith a large weightThey can only be made of a limited amount of physical exercises (in a lie position, sitting) to restore hip and knee joints, as when walking and similar loads, the joints experience overload and continue to collapse;
- Exercise therapy will be effective in frequent regular classes when classes alternate with periods of union.As a rule, people are forced to go to work, have a number of family responsibilities that do not allow them to fully devote themselves (for a long time) only exercise therapy with rest periods.
- Exercise therapy can be ineffective if arthritis was a consequence of physical overload and dystrophic changes in tissue in the union.Muscle cells are already depleted, and additional loads can lead to their death.
- Exercise therapy does not solve the problem of restoring the conductivity of nerve trails, that is, in the presence of LFK spine diseases, will be ineffective, as nerve impulses will reach poorly in the joint area.
Thus, exercise therapy is an effective treatment for arthritis (but not arthritis) at a very old age with an unsuccessful stage of the disease in the absence of other aggravating diseases.
Cleaning and restoring joint tissue using fonition
However, there is a way out of the situation!Biological microvibration energy can be obtained externally using vibro -acoustic therapy (fonition).
Foning consists of transmitting sound microvibration (30 - 20,000 Hz frequency range) in a person or animal body using a special compact medical apparatus.Such healthy microvibrations are natural to the body: in their physical characteristics, they are similar to those biological microvibrations that create muscle tissue in maximum static physical stress.

Thus, calling, home applicable, is this direct alternative to physical exercise.At the same time, the effect of such therapy is higher, as it is an external "pure" source in relation to the body, and does not require its muscle costs.Microvibration energy is directed in view, to the area of the affected joint, at a depth of 10 cm.Due to the external source, depleted muscle tissue during the period of hypodynamia, physical overload, stress, hypothermia, restoration of their contractual activity, and therefore the necessary level of micrivibration (micodistan).
Despite its simplicity of exposure, calling has numerous therapeutic effects:
- Improves the flow of lymph in the field of exposure, and, accordingly, helps cleanse the tissue and early completion of the inflammatory process.itA unique propertyThe method of physiotherapy, which is inaccessible for medication therapy.At the moment, no medicine can directly affect the flow of the lymph.
- improves blood flow, and, accordingly, feeding each cell;
- promotes joint lubrication;
- contribute to the exit from the stem cell depot - the ancestors of all functional cells of the body, including the cells of the joint tissue;
- Improves the conductivity of nerve pathways with prolonged effects in the area of the spine problem.
In this case, calling does not have a side effect, but has a long effect.
The effectiveness of calling (vibro -acoustic therapy) in the treatment of joints was confirmed by numerous studies.
Scientifically proven effectiveness in the treatment of arthritis and arthritis reaches 70-90% depending on the study.