Osteoarthritis, OA. About degenerative arthritis of the hands, neck, back and knees.

Osteoarthritis (OA) is an almost inevitable part of life, but some are affected in a relatively early age. Sports injuries, failure stress, genetics etc are factors that can accelerate the process. The areas most affected are the hands, neck, back, hips and knees. The pain comes from the joint where the cartilage is degraded, and from secondary muscle tension. The typical symptoms are pain and stiffness in the joint. Commissioning Pain and stiffness are often the first sign, gradually developing pain under load and eventually experienced also at rest. Chiropractic combined with ease of movement of the wrist via eg cycling or swimming is a good palliative and preventive effect, but does not remove the existing osteoarthritis. In cases of severe osteoarthritis, surgery may be necessary.

Osteoarthritis or simply arthrosis

The word arthritis should not be taken literally. The changes look indeed as if the knee is worn to a greater or lesser degree, but rarely can find a clear cause of degenerative arthritis. Degenerative arthritis (osteoarthritis) is nowadays a widespread disease. It is the most common disease of the joints, which affects virtually all of age. 8 out of 10 have osteoarthritis, once they have crossed the 50 years. It starts with the smooth cartilage lining the joint surfaces starts to become thin and uneven due to wear. Eventually it disappears altogether. At the same time thickened joint capsule and forming more joint fluid, whereby the joint becomes thicker. In the earliest stages of osteoarthritis, there is often only slight discomfort with pain, but as the change is to increase the pain. For many it means a life marked by pain and persons with osteoarthritis of the knee are experiencing many problems in everyday life. Maybe you can not do his job, you can not get his daily exercise, you have to give up hobbies and refrain from traveling.

Osteoarthritis and non-prescription 'Glucosamine'

Glucosamine can relieve pain in mild to moderate arthritis, especially in osteoarthritis of the knees. According to clinical trials, it can also improve the mobility of the joints and prevent degradation of cartilage in the joint. Many people with arthritis (osteoarthritis) is also non-prescription product Glucosamine and much indicates that it is one of the best ever and safest natural remedies for pain and stiffness in mild to moderate osteoarthritis, especially in knees and hips. The product is cheap and the side effects get. However, Glucosamine is not a miracle cure, but can apparently alleviate pain and improve mobility - and probably slow down some destructive processes in arthritic joints, which is common arthritis medications can not. - What about my other arthritis medications? Is it the case that Glucosamine reduces pain you can cut down on other pain relievers such as NSAIDs, which are typically taken as needed, and thus get rid of gout medication side effects in the stomach. You get prescribed medication by a doctor, you should not discontinue treatment, but of course only speak with the doctor. Glucosamine may not be used as emergency treatment, as the effect starts only after 2-4 weeks. Glucosamine efficacy in severe osteoarthritis is not documented.

Symptoms of osteoarthritis of the knee. Knee Replacement?

The symptoms of osteoarthritis of the knee is primarily pain, localized on the inner or outer side of the knee or diffusely throughout the knee region. There are often harshness from the knee, sometimes small interlock cases and pain aggravated by climbing stairs, especially if the patella is involved. There is frequently a swelling of the knee, in the early period of view and to the exertion, subsequently a constant swelling, and partly caused by increased fluid in the joint, and partly due to thickening of the joint capsule, which is the strong connective tissue sheath which extend as a sleeve entire the way round the knee joint. The constantly increasing volume of synovial fluid, often causing swelling of the back of the knee, forming a so-called Baker cyst. This is to be understood as a hernia of the knee joint, the fluid bags out through the back of the joint capsule, and presents itself as a swelling in the popliteal space. Error position of the knee is quite frequent: Usually the patient is wheeled leg just caused by osteoarthritis of the inner joint chamber. When osteoarthritis is localized in the outer joint chamber, developed knock-knees. Later in the process there will be problems with bending or stretching the knee maximally. In the case of osteoarthritis in 2 or 3 of the knee joint chambers, and these are severe symptoms, the person will probably be proposed insertion of an artificial knee joint.

The knee operation

Normally constructed rygbedøvelsen and only very rarely used anesthesia. By an epidural, you can usually even keep up with what's happening. An experience most, however, want to be apart, so, in connection with the operation itself is often given a sleeping pill, which quickly is out of the body, so you again are fully conscious when the operation is completed. Emphasis is a drop in the back of the hand, through which the given liquids and medicine. During surgery, one lies on his back. The operation performed by a specialist in orthopedic surgery. At surgery puts an incision of 20-30 cm in front of the knee joint. The doctor removes the worn cartilage in the knee and a little of the worn bone and meniscus and anterior cruciate ligament. The adjoining portions of the femur, tibia and the patella bone is prepared for insertion of the knee prosthesis, which is then placed. If there is a wrong position of the knee, loosening one of the lateral ligaments, so the knee can be corrected. The wound is closed, and emphasis is often a drain for drainage of blood. The skin is closed with metal clips. It will put a bandage on the knee and an ice cuff to discourage swelling and pain in the knee. The operation lasts about an hour.

Osteoarthritis and herniated

Slipped disc affects people of all ages but is most often seen in 30-50 years of age. It is often due to an age-dependent deterioration of the protective tapes the connective tissue ring of the disc also called disc, which is the shock absorbent core between the vertebrae. Through a vulnerability in the connective tissue ring can the gummy substance in the disc bulge and press on a nerve root. The weakness in the disc, but may occur as a result of an unfortunate, sudden back strain.

Back surgeries

Back surgeries in all types of disorders of the spine from the neck to lower back are herniated, narrowing of the spinal canal (spinal stenosis), osteoarthritis and displacement of the vertebrae (back surgeries rigidifying also called deser) and surgery for osteoporosis (vertebroplasty). Or new surgical techniques, with emphasis on minimizing the degree of intervention, so you quickly get back on their feet for example, rigid fixation of the damaged part and where possible restoration of normal movement such as disc prosthesis.

Rigidifying back surgery

For example, osteoarthritis of the lumbar spine can cause chronic pain in the lumbar region. In some cases, radiation pain also in the legs, due to lack of space for the nerves in the spinal canal. The most common cause is osteoarthritis of the lumbar spine (spondylosis), but there are often lags between two vertebrae (luxation) or a shift between the lowest lumbar vertebra and the sacrum (spondylolis-thesis). Patients with such conditions may, in some cases have the benefit of a stabilizing back surgery. The surgery is called a spondylosis - colloquially "Dese".

Inserting a disc prosthesis

In the same manner as with the artificial hip and knee joints, it is for certain groups of patients now also possible by means of a back operation, to replace the worn out pulley (disc) with a disc prosthesis comprising two metal plates with a shock-absorbing plastic core. The surgery typically offered young people under 50 years old and going through the stomach. In operation, removed the whole of the degenerated disc and the disc is replaced by a prosthesis, consisting of a polyethylene core. The prosthesis is attached between the vertebrae to the disc which was sitting, and hence is stable. The prosthesis allows a normal / natural movement of the vertebrae. Already a few hours after surgery to get up and go under their own power and will typically be discharged after 2-4 days, after which a period wears a soft custom corset.


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