WHAT IS ARTHRosis?
Arthrosis is non-inflammatory rheumatism of the joints. It progresses with pain in one or many joints. Along with the pain, there may be joint stiffness, noise in the joint, limitation of movement and deformities. In fact, there is no such thing as excess lime in the body. Changes in arthrosis begin in the joint cartilage after cartilage degeneration (wear and tear). As the disease progresses, bone protrusions form at the edges of the joints. It can be defined as joint wear or aging seen in one or more joints. It primarily occurs in joints that are highly functional, mobile and/or bear body weight, such as the spine (especially the waist and neck regions), hips, knees, feet and fingers. The pain is relieved with more movement and rest, but in some cases it manifests itself as stiffness after long periods of inactivity, but this stiffness does not exceed half an hour. The cartilage is gel-like and has layers, it acts as a shock absorber against weight, and the synovium surrounding the joint and cartilage provides lubrication. The main cause of arthrosis is excessive mechanical load on the joint cartilage surface and the cartilage's inability to bear this load. Arthrosis is more common in people who work in jobs that require heavy physical activity, people who do heavy exercise, people who do jobs that involve a lot of repetitive movements, hobbies or exercise activities. Being overweight is an important risk factor.
RISK FACTORS
Age: Arthrosis is moderate-advanced. It is a disease of old age. The incidence of the disease increases with age. It is due to the loss of elasticity with aging and the decrease in regeneration, that is, tissue regeneration.
Heredity: The contribution of heredity is very evident, especially in the type known as "nodular osteoarthritis", which causes swelling in the finger joints.
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Gender: Osteoarthritis of the knees and hands is more common in women. Hip joint osteoarthritis is seen equally in men and women.
Weight: Excess weight and obesity increase the load on the joint, increasing the possibility of developing knee osteoarthritis in particular.
Structural disorders in the joints: such as congenital hip dislocation, flat feet, scoliosis, or later due to accident, trauma, disease Structural disorders that develop due to reasons such as these disrupt the functioning of the joint and increase the risk of developing osteoarthritis.
Joint diseases: Osteoarthritis can occur without any other accompanying disease, or it can be caused by inflammatory diseases seen in the joints. It may also develop due to structural disorders in the joint. It is due to reasons such as joint involvement in gout and inflammatory rheumatic diseases.
Overuse of joints: Overuse of certain joints due to professional reasons or lifestyle increases the risk of osteoarthritis.
ARTROSIS LEVEL AND CALCIFICATION TREATMENT
Arthrosis is a painful disease that makes joint movements difficult, which is more common in the elderly than in young people. It occurs as a result of the withdrawal of joint fluids that provide structural movement in the part where the bone structures meet in the joint area, damage and irregularity of the joint surfaces. This damage to the cartilage structure is a condition that is of the same size and causes the same pain in the elderly and young people. It is more common in women than in men.
Cholesterol, aging, vascular diseases, kidney diseases, and metabolic disorders are the factors that trigger the emergence of the disease. The basis of the disease is the defects in the hereditary structure of the cartilages, disproportionate body size (obesity) compared to the arm and leg muscles, and as a result of this situation, damage to the tissue due to excessive load on the joints, trauma situations and constant work done with excessive load on the joints cause arthrosis.
A person with arthrosis can notice the disease immediately, but the extent of the disease and the extent of the damage should be examined through clinical tests and x-rays, and treatment methods should be chosen accordingly. It is also very important to take fluid from the problematic joint area, examine the fluid and understand the extent of the situation. To start treatment, the patient should first be discussed and natural methods should be preferred as the first treatment method. These natural ways are methods such as light exercise, weight loss to reduce the load on the joint, lightening work, and it is recommended to use painkillers to reduce the pain.
If the arthrosis has not reached advanced levels, the healing water in the hot springs is recommended. It is said that it is good for joint areas and suitable for treatment. It has been determined that two drugs, glucosamine and chondroitin, are effective in creating the slippery fluid in the joint areas and repairing the cartilage tissue in the joint areas. If the disease has reached an advanced stage, surgery is required. During the surgery, the lower part of the body is anesthetized and a knee prosthesis is inserted. After the surgery, most patients are satisfied with the operation and recommend this treatment.
HOW IS IT TREATED?
There is no direct treatment for arthrosis, in general It is aimed to reduce complaints and symptoms and prevent further cartilage damage. First of all, to reduce pain and inflammation, non-steroidal anti-inflammatory drugs, hot or cold application according to examination findings, but in acute attacks, cold application, physical therapy, exercise, kinesiotape treatment, dry needling, mesotherapy, etc., as well as oral, intramuscular or intra-joint chondroprotective treatments. (cartilage preserving) treatment can be performed. Hyaluronic acid intra-articular injection increases joint lubrication by supplementing the decrease in synovial fluid. Glucosamine chondritis is more effective at the initial level. Physical therapy and rehabilitation are the most logical and cheapest treatment methods available. It relieves the symptoms of the disease and slows down the progression of arthrosis without harming the patient. For arthrosis, 15 to 21 sessions of treatment are usually sufficient. In addition to drug treatment, it should primarily aim to reduce the load and trauma on the joint. For this, joint stability must be restored. Inactivity causes or exacerbates arthrosis by both decreasing joint metabolism and increasing load on the joint as a result of weakening of the muscles around the joint. In this respect, movement is necessary, but excessively strenuous movement or sports activities can also cause arthrosis. Surgical treatment is performed in severe cases where there is no response to medication, physical therapy and other treatments.
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