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L'arthrose ne peut être guérie mais un traitement médical et une bonne hygiène de vie peuvent ralentir l'évolution de la maladie.
prise de médicaments antalgiques (paracétamol ou anti-inflammatoire non stéroïdiens) est généralement nécessaire pour atténuer la douleur et calmer l'inflammation.Dans les cas plus sévères, des injections d'acide hyaluronique ou des infiltrations de corticoïdes peuvent être envisagéesEn cas d'obésité, la perte de poids peut aider à soulager le genou. Des exercices de rééducation ou de la kinésithérapie peuvent permettre de surmonter certaines difficultés, tout comme l'emploi de certaines aides techniques.
Roughness knee disease is caused by the erosion of soft cartilage that covers the joint, which helps to smooth the surface of the movement. Where it occurs first weakness in the cohesion of the cartilage, which leads to cracking of the surface and then begin gradually eroded to the surface to become naked grandeur of cartilage, which is protected. And accompanied by erosion inflammation of the membrane lining of the joint (the membrane Alcinovi) and is responsible for the secretion of fluid that helps lubricate the joint surface and this inflammation leads to the occurrence of leak (water pool) and knee swelling.
Roughness knee reasons:
There are many factors that help the occurrence of the roughness of the knee:
Genetics: where several studies have proven the existence of genetic factors help occurrence of roughness and that the probability of occurrence of roughness increases if parents suffer from harshness.
Overweight: and it is one of the most important factors that lead to the roughness knee and especially in Egypt and the Arab world, especially in women. Since excess weight represents overloads cartilage surface of the joint.
Bowlegs: where it leads to the occurrence of an excessive load on specific parts of the joint.
Age: growing cartilage vulnerable with age and thus increasing the chance of a roughness with age.
The sex of the patient: After the age of fifty increasing incidence of toughness in women than in men.
Knee injuries: knee injuries such as fractures and the occurrence of cutting ligaments or cartilage semicircular helps the occurrence of roughness if not treated properly early.
Repeated stress of the knee: like a lot of falling and climbing stairs and sitting for long periods of time in a squatting position
Rheumatic diseases such as rheumatoid arthritis and gout lead to roughness in the latter cases.
Symptoms of osteoarthritis:
Pain: a basic complaint and pain usually increases gradually with the deterioration of the disease, and increases with the effort, such as climbing stairs. In early cases, but there is no pain during walking and movement, but in the latter case there may be a pain even while sitting or sleeping. This is usually due to inflammation of the membrane lining the joint. It is important to accurately determine the cause of pain for appropriate treatment, the pain may be a result of the following factors:
- Inflammation of the membrane lining of the joint - and cutting a cartilage Hilali
- Particularly the bones to each other - and the presence of bony excrescences
Swelling of the knee: the result of inflammation of the membrane lining of the joint, and the presence of leak (water) knee.
Over the lack of movement of the joint: so that the patient is unable to bend the knee or individual to another over her.
Curvature of the legs: This curvature is caused by erosion of cartilage in one side of the knee (usually the inner side) more than the opposite side. And increase the curvature lead to increased load on the already eroded and increased curvature greater.
Diagnosis:
It is usually diagnosed roughness knee exact disclosure of the patient to determine the causes of pain and degree of joint range of motion, and it affected. And enough work ordinary rays on the knee to verify the diagnosis and the degree of roughness where Radiology show a narrowing of the space between the bones of the knee as a result of the erosion of cartilage between them and the presence of bony growths.
And it may be resorting MRI in a few cases, if there is a doubt about the existence of other other knee injuries cause pain more than roughness. It may also be resorted to some blood tests if there is a doubt there is a general disease such as rheumatoid arthritis or gout.
the cure:
It was customary in the past that the roughness of the joints, especially the knee disease has no cure and it is one of the symptoms of aging. However, this concept has changed in recent years after it became affordable for most cases of modern science roughness knee treatment. But this treatment does not necessarily mean that the knee back to normal completely, but is intended to be the treatment of pain and the patient can exercise his life normally. What is important is the proper diagnosis to determine the cause of pain when the patient, as it is not all of getting older infected toughness and toughness is not every patient is suffering from the same pain. And it divided the treatment of knee roughness in general to treat conservative (non-surgical) and surgical treatment.
Conservative treatment (non-surgical):
And always be resorted to him first, especially in the early cases of roughness. And conservative treatment includes:
Changes in lifestyle and in order to reduce the loads on the knee joint and through the general instructions of the roughness and is very important.
Localized injections in the joint.
Compresses and topical paints.
Medications are and help to reduce the symptoms of the disease according to the patient's condition and may include:
Pharmaceutical and nonsteroidal anti-inflammatory such as aspirin and paracetamol to reduce pain and swelling, especially during acute episodes of pain control it. And La Paz that the patient continues on reduced doses between these episodes for limited periods. The overuse may lead to side effects, and especially on the stomach.
Glucosamine sulfate materials and Alkondroatin and are substances may be useful in the early cases in reducing pain and swelling. And usually it requires treatment of these materials several months to give good results.
Physical Therapy: and is beneficial to reduce pain and strengthen knee muscles and improve the range of movement of the joint. And physiotherapy may include short-wave or ultrasound, or laser beams, as well as an exercise to strengthen the quadriceps.
Topical paints
Use a crutch: the patient may need to use a light stick in hand, Etco them when you walk relatively long distances and to reduce the load on the knees, it's hard to scientifically falling weight on the knee at least significantly when using a stick to lean.
Proper nutrition
Thermal frequency for temporary relief of pain treatment
Surgical treatment:
And it is resorting to him if conservative treatment fails to overcome the symptoms of the disease and especially in the latter cases. And surgical treatment may include one of the following methods, which are determined based on the patient's condition:
Endoscopic surgery to clean the joint and processing tearing cartilage grafts semicircular and damaged cartilage. But Othbtb recent study to be made binoculars knee surgeries in cases of advanced roughness knee joint is only a temporary impact does not exceed six months, even for cases that have cut cartilage Hilali. The study pointed out that many patients improve his condition appropriate exercise regardless of the surgery. And it does not advise a telescope in such cases, unless there is a body flail Bamufsal leads to a sudden halt in the movement of the knee.
Surgeries neutralization bowlegs
Joint Replacement Surgery
