Osteoarthritis - Causes, symptoms, diagnosis, treatment

Everything you need to know about osteoarthritis - its causes, signs, varieties and diagnostic methods - will help detect the disease in the early stages. And effective treatment methods will allow you to get rid of this disease. Osteoarthritis is characteristic of people over 40. However, impartial statistics show in recent decades, a tendency to rejuvenate men and women aged 30 to 35 has started to suffer.Pain in the joints of the legs and bones

What is osteoarthritis?Osteoarthritis is a chronic joint disease accompanied by pathological changes in hyalin cartilage, then in adjacent tissues, a joint capsule and a synovial shell. The defeat is dystrophic and degenerative in nature, which leads to a change in the structure of joint tissues, the loss of their functionality. In accordance with the data of the same statistics, osteoarthritis is subject to 12% of the total population of the planet. From 62% to 65% of all the episodes of the disease falls to people over 60 years of age. 30 to 35% of cases of joint lesions to this pathology are in patients aged 40 to 60. And around 3% are young people aged 20 to 40.The danger of joint disease manifests itself by the fact that it is practically not completely hardened. Although during the diagnosis of pathology in the early phase of progression, it helps to preserve the functionality of the joint.Most often, cases of osteoarthritis lesion in these joints are diagnosed:Carpal joints;Cervical and lumbar spine;Knee seal;Hip seal;Shoulder joint;ankle joint;Metatarsophalangeal joint.The disease is more characteristic of the female population - representatives of the female half of the population suffer more often from this pathology at a more advanced age. The osteoarthritis of the interfering joint occurs in women 10 times more often than in the male population. Leg osteoarthritis

The likely consequences of osteoarthritisWith a timely treatment, the disease manifests itself by a less intensity of development and, therefore, a stop of degenerative and dystrophic changes. This means that a rapid surgical or therapeutic intervention allows you to maintain the functionality of the joint, the normal approach and eliminates pain.At the same time, the tightening of treatment leads to frequent and stable pain, lameness, swelling of the joint. Progressive pathological changes in tissues deprive the articulation of its usual functionality. In a short time, in the absence of competent treatment, osteoarthritis flows quickly into a chronic form. Such consequences give rise to the need for constant medical observation and regular treatment of the disease during periods of exacerbation.In order to avoid consequences and complications with the first suspicions of its development, you must contact specialist doctors. In the first phases of progression of the treatment of arthritis of the joints, a rheumatologist is engaged in treatment. In chronic form, the treatment of this pathology is carried out by an orthopedic traumatologist.

Types of osteoarthritisThis pathology of joints has several forms and varieties which differ in such criteria:causes (primary and secondary form);stages of osteoarthritis (three steps of progression are classified); Location of pathology (place of manifestation of the disease and type of joint);Location form (generalized and local form);The course of the disease (acute or chronic).Instead of the manifestation of symptoms, hip, knee, cystic, elbow, shoulder, ankle, cervical osteoarthritis are distinguished.According to etiological signs, the pathologies of primary nature are classified, developing in themselves without any prerequisite and a secondary disease. In the latter case, damage to the joint occurs due to the development of infectious diseases in adjacent tissues, mechanical disorders, the loss of physiological functionality of the joint, as well as a progressive inflammatory process, hypothermia, injury or other factors.LamenessThe classification classification involves local and generalized damage to the joints. In the first case, the disease and its symptoms cover a small part of the joint or its individual tissues and components. With a generalized form, several joints are affected or one of them with a complete cover of all the joint tissues.At different stages of the progression of the disease, a variable degree of intensity manifests itself. At the same time, symptoms and complications can be expressed brighter, more or less dynamically flee the process of destruction of the fabric and altered joint functionality.Depending on the course of osteoarthritis, they distinguish:acute shape;chronic form.The acute shape is generally manifested by an increased intensity of the development of symptoms and their severity. The painful sensations appear more strongly and the morphological changes in the tissues take place more dynamically. In a chronic form, the course of the disease is slowly, it manifests itself by separate signs during periods of exacerbation and is practically not subject to cure.

Degree of illnessDuring illness, medicine distinguishes three stages that have differences in signs of the disease, the intensity of damage and location. At the same time, the distinction in the three stages concerns the types of tissues which suffer from pathological changes.The first degree of development of joint osteoarthritis is the initial phase of the disease. It is characterized by a slight lesion of cartilage tissue and the loss of physiological functions in collagen fibers. At the same time, at the first stage, the minor morphological disorders of the bone tissue and the structural changes of the synovial fluid are noted. The cartilage of the joint is covered with cracks, the patient suffers from a slight pain in the location of the pathology.The second degree is the development of osteoarthritis with an increase in dynamics. This step is characterized by the appearance of stable pain, chroma. Notable morphological and dystrophic cartridges of cartilage are noted, during the diagnosis, bone growths are revealed. Osteophytes are formed - bone growths which are visible during a visual examination of the destruction site. At the same time, the processes of degenerative changes in the synovial capsule occur, which leads to its structural exhaustion. The disease of this phase can often worsen and be regular. The pain becomes gradually constant. The third degree is an active progression. At this stage, the synovial fluid is almost completely absent due to its degeneration and sudden bone tissue on each other. Joint mobility is almost completely absent, the pain becomes more tangible. The cartilage fabric is also absent due to degenerative and atrophic changes. The third degree of arthritis of the joints is considered to be impractical.OsteoarthritisIn addition to these three degrees of pathology development, there is a final stage - irrevocable destruction of all joint tissues. In this phase, it is impossible not only to lead productive therapy, but even to eliminate pain syndrome.The inflammatory process generally begins with a second degree of damage, in rare cases, in the absence of medical intervention - at the first stage. Thereafter, it becomes more difficult to stop it, which can lead to secondary pathologies, the development of pathogenic microflora in place of the location of the disease.To exclude serious consequences, treatment should start from the first degree and the use of intensive care methods. At the last stage associated with the complete destruction of the cartilage fabric, a single methodology for driving the patient of pain and the immobility of the joint is authorized - the endoprothetics with a complete or partial replacement of the components of the joint.

Causes of the diseaseReasons may be primary and secondary factors. In the elderly, the disease can occur with a mixed etiology, that is to say in the presence of primary and secondary causes. Their complex manifestation exacerbates the course of osteoarthritis and reduces the dynamics of recovery. The main cause of most types of this pathology is a violation of metabolism. Modified metabolic processes cause morphological abnormalities in cartilage and synovial fluid. Consequently, changes concern the entire joint and are often accompanied by the origin of local inflammatory households.In addition to metabolic pathologies, the causes of joint osteoarthritis are:Traumatic damage to individual tissues or the entire joint. This includes dislocations, fractures, ligaments, meniscus ruptures, penetrating wounds. This reason is more frequent in people involved in sports or whose activities are linked to dangerous working conditions and physical effort;An inflammatory process is a factor often acts as a secondary reason. Inflammation generally develops in patients with drop, psoriasis, rheumatic abnormalities, autoimmune pathologies. The joint joints are subject to patients at the exacerbation stage of infectious diseases, including tuberculosis, chlamydia, staphylococcus and other contagious diseases;The consequences of the aggravated form of respiratory diseases - flu, acute respiratory viral infections, acute respiratory infections;The increase in body weight of the patient - with a disproportionate load on the joints of his tissues, suffers from constant mechanical effects, which leads to morphological differences and the destruction of the structure of cartilage;Excessive hypothermia leading to the destruction of the integrity of the cartilage fabric and the loss of the structure of the synovial fluid; thyroid diseases.OsteoarthritisA place distinct in the etiology of osteoarthritis is a genetic factor. It is the genetic anomaly which is capable of provoking dysplasia of the joint tissues and the disorder of the physiological functions of the collagen fibers, responsible for the flexibility and the mobility of the joint.At the same time, other concomitant factors are the reasons for the development of this pathology: vitamin deficiency, intoxication due to excessive drug or overdose products, the advanced patient's advanced age, pathological processes of blood training and blood circulation, hormonal abnormalities and diseases of the Infectious reproductive system.

The mechanism of progression of the diseaseWhen one of the causes that cause the disease of joint with osteoarthritis appears, pathological processes are starting to develop there. The mechanism of their progression is not entirely studied, but the main stages of official medicine are known.At the initial stage, the structure of the cartilage fabric and abnormal changes in the synovial fluid occur. All this takes place due to violations of the metabolic processes in which joint tissues do not receive the necessary components in sufficient quantities or are deprived of some of them.Then, the elasticity of collagen fibers and the flexibility of cartilage are lost, due to the fact that in the body, with a lack of nutrients, hyaluronic acid does not have time to produce, which offers the softness and flexibility of the structural composition of collagen fiber. The cartilage dry gradually becomes brittle and cracks. The liquid in the synovial capsule is gradually exhausted and then disappears completely. On the fabric of the cartilage, roughness, solid bone neoplasms form. At the same time, the deformation of other joint tissues develops, their pathological degeneration, their dystrophy and the loss of physiological activity.For the patient, these changes mean the appearance of pain, lameness and the immobility of the joint.

OsteoarthritisThe signs of arthritis of the joints appear from its first degree, although they are sometimes not so pronounced. The characteristic phenomena for all stages of osteoarthritis are:Osteoarthritispain syndrome;crisp sounds while moving;inactivity or complete decrease in joint mobility;swelling;Conformation of the joint.PainPain usually occurs during movement. With an intense physical effort, painful sensations intensify and acquire a persistent trend. With all types of osteoarthritis, any place of their location, the pain is clear.In the initial phase, pain is weakly expressed, more often, they appear during the day. Usually the pain is in the short term and sets to rest. In chronic form and with an intensive progression of the acute shape of pain, pain syndrome manifests itself more often, has an increased period of manifestation, often disturbs even at night.