The arthrosis of the shoulder joint: symptoms and treatment, prevention. How and what to treat arthrosis of the shoulder joint: a list of drugs, drug treatment, gymnastics

Joint pains are extremely weighing our lives. Let's find ways to get rid of unpleasant sensations

In today's science of treatment, there are two types of joint diseases: it can be an independent process in the body and the manifestation of another disease (painful process).

Arthrosis - a prolonged disorder in the joints of the joints, can manifest itself with changes in the endocrine system, be the result of injuries, with too much weight, when the course of all metabolism changes in the body are violated, and with too high physical exertion on the joints (ballerinas, athletes, driver ).

How to understand that the changes in the joints have begun?

With arthrosis, I can undergo changes as the largest joints (joints of the shoulders, pelvis and hips, knees, joints of the elbows or ankle joint), and small joints, such as the spine (spondyloanthrosis). The process of changes in the joints begins with cartilage, bones that cover the surface of the joint. The cartilage is constantly changing and becomes thinner, it also applies to the bones and the inner joint bag - the synovial shell. Sometimes the bone grows so that the studs of the bone itself are formed.

The disease begins with the fact that not very sharp pains appear in the joints of the joints after a state of rest that pass when a person begins to move (“diverges”). Then the pains increase, they appear at prolonged loads and, in the end, become constant. The joints themselves swell, it becomes painful, if you press it, probe it, if the joint often appears a crunch.

The shape of the joint is subjected to changes, the liquid accumulates in large compounds. An increase in pain occurs with a very large load, on the altered joint. With arthrosis, a pronounced narrowing of the joint gap and a change in the shape of the articular ends of the bones occurs.

In medicine, several types of symptoms are distinguished with the onset of changes in the shoulder joint.

Symptoms that say that changes have begun in the joints of the shoulders:

• The pains appear after sleep, they are not great and often they simply do not pay attention to them. Then the pain increases even with not very large loads. And finally, the pain permeates the body at rest.
• A crunch characteristic of this disease appears in the joints. This suggests that the articular surfaces were erased.
• The patient often cannot move normally with his hand. The hand cannot make ordinary movements. The shoulders are fettered and do not move. This indicates the growth of bone tissue (spikes).
• The joints change, become painful when pressed, which indicates that synovial fluid is delayed in the joints. It becomes too many, and she “pushes” the joint inside.

There are pain at rest, and not stopping pains for a long period. You need to measure body temperature. Typically, the temperature is normal and there are no changes in the blood indications.

Treatment of arthrosis

The treatment of arthrosis is as follows:

• Reducing the load on the joint.
• Wearing orthopedic bandages.
• Exercise therapy.
• Physian.
• Introduction to the joint of additional oxygen.
• Treatment with pharmacological drugs.
• Changes in nutrition.
• Treatment in resorts and sanatoriums.

In the treatment of drugs, special attention is paid to removing pain and inflammation in the shoulder joints. Mostly intravenous and intramuscular administration of non -steroidal anti -inflammatory drugs are prescribed. The doctor can also prescribe ointments, but they are not always effective.

With severe pains, the appointment is made only by the attending physician.

• Acetylsalicylic acid is often prescribed 1.6-2.5 g per day.
• When the course of the disease worsens, an indomethacin is used 25 mg 2-4 times a day.
• Treatment is also prescribed by the course, a freak 1-2 teaspoon 2-4 times a day for 35-45 days. This drug is used inside before meals and dissolved in half a glass of water, a hissing fluid is formed.
• From ointments, 5% diclofenac, Voltaren Forte, traumel gel are prescribed. Ibuprofen or diclofenac is also prescribed in capsules in a dosage of 0.5 mg three times a day.
• Pyroxics, drotaverin 2 tablets three times a day. Diklobertl in capsules 1 time per day.
• Polkortolon according to the system: 3 tablets at once in the morning 6 days, then reduce 2 tablets 6-7 days, 1.5 tablets 7 days, 1 tablet for several months and 0.5 tablets supporting dose, 0.25 tablets constantly.

Since the pain indicates the disease, and not the symptoms, its long -term elimination is possible only with the elimination of its cause. If the abuse of the shoulder joint is irreversible, the long -term administration of drugs may be required.

The perception of pain may change depending on the psychological state of a particular person, for example, pain can increase in a state of anxiety or fear. Anxiolytics are effective when pain is combined with a sense of anxiety. Opioid drugs act on the brain and spinal cord, reducing the perception of pain. Non -steroidal anti -inflammatory drugs act at the place of pain, preventing the stimulation of nerve endings.

• Treatment under medical supervision often begins with the appointment of paracetamol and NSAIDs; In case of inefficiency, these drugs can be prescribed in combination.
• Codeine can also be used - a weak opioid drug. Now there are a wide series of drugs for oral administration, so the need for injections rarely occurs even with significant pain.
• When taking over -the -counter drugs, consult a doctor, if the pain persists for 48 hours, occurs again, intensifies or differs from the one that was observed earlier.

Local anesthetics

These drugs are used to prevent pain. They can be used externally and injectable. Local anesthetics block the passage of nerve impulses in the place of their administration, violating all the sensations with the nerves with which they are in contact. However, they do not violate consciousness.

• Local anesthetics are usually injected, but they can also be applied to the skin.
• Some local anesthetics are produced in the forms for injection to combination with epinephrine (adrenaline).
• Epinephrine causes narrowing of blood vessels and prevents the elimination of local anesthetic from the injection site. This lengthens the time of his anesthetic action.
• Local anesthetics in the form of creams and ointments are often used to painkille the skin before injection in people who are afraid of injections.

With local use of ointments, it is much easier to control their action, achieving the most pronounced favorable effect with minimal side effects. Preparations for local use are produced in the form of creams, ointments and lotions. When using drugs for local use, it is important to accurately follow the instructions, avoiding the excess of the recommended dose or longer than the application is necessary. This will avoid adverse effects associated with the absorption of a large amount of active substance in systemic bloodstream.

The main groups of drugs:

• buprenorfin
• codeine
• fentanil
• medaton
• trumadol
• paracetamol
• dolobene gel

Nonsteroidal anti -inflammatory drugs

NSAIDs reduce pain and inflammation in the joints with arthrosis, osteoarthritis, but do not stop their progression, therefore, additional treatment is often prescribed. The effectiveness of NSAIDs in different patients varies. Sometimes it is necessary to apply several different drugs until the optimal one is found. NSAIDs are also often prescribed to reduce pain in the shoulder joint, back pain, with gout.

The main NSAIDs:

• azeclofenac
• aspirin
• diclofenac
• diflunisal
• flurbiprofen
• ibuprofen
• indomethacin
• ketoprofen
• mephenamic acid
• meloxicam
• nabometon
• drings
• pyroxics
• tenoxicam

The use of simple analgesic agents with an anti -inflammatory effect relieves pain in most cases. In severe inflammation, injections of more powerful anti -inflammatory drugs are prescribed directly to the affected area. With severe progressive arthrosis of the shoulder joint, the use of anti -Russian drugs can stop the progression of the disease and reduce the severity of its symptoms.

Prevention of arthrosis of the shoulder joint

To ensure the immobility of the shoulder joint and thereby decreasing pain use bandages to maintain the shoulder joint. It is used both ordinary and more professional as a “dezo” bandage. Orliman (Spain) produces a special bandage for fixing the shoulder joint.

1. To ensure preventive measures for arthrosis, it is necessary to balance the motor mode. The movement should be light, without too much load on the joint.
2. Be sure to keep the joints in the warmth, they should not freeze. To do this, use special warming bandages for the shoulder joint.
3. It is necessary to adjust the nutrition. With arthrosis, a specially selected diet is used.
4. Reduce weight. Excess weight also adversely affects the joints.
5. Be sure to adhere to a healthy regime of the day. There is in time and go to bed. You need to sleep at least eight, ten hours. At this time, the joints rest.
6. Be sure to follow the load on the joint, because arthrosis is the most common disease of athletes, especially those who rashly visit the gym. I repeat, monitor the load.
7. You can use chondroitin with glucosamine for prevention, this drug is prescribed to both athletes and just older people to prevent joint changes.

Therapeutic gymnastics with arthrosis of the shoulder joint

Be sure to adhere to some recommendations:

• You begin all loads in the form of exercise therapy only when there are no acute pain. If your joints hurt, you can only harm the load.
• Before proceeding with therapeutic gymnastics, be sure to consult your doctor. It is possible that some exercises are specifically contraindicated to you.
• All ICC measures are aimed at first to load the joints, and then relax, reduce the load. Sign up for a consultation with the attending physician so that he will choose which exercises are shown to you.
• A feature of exercise therapy for arthrosis of the shoulder joint is immobility when the exercise is performed with bated breath in one position. This allows you to remove the excessive load on the joints.

Rules before using exercise therapy:

• first of all, measure blood pressure, it must be normal.
• secondly: absolutely any load should be carried out softly, without unnecessary shocks.
• thirdly: the amplitude of movements should increase, from small to more intense.
• fourth: exercises do in different positions of the body.
• fifthly, the regularity of all classes is necessary.
• and the last, if you suddenly have any pain, the exercises should be stopped.

Description of the exercises

1. Sit on a chair or bench, lean your hands in your knees or put in front of you. Make swaying at the elbows, not too wide 1.5-2.5 cm. 5 movements, 3-4 approaches.
2. You can sit down, or you can do it standing. Movement shoulders in a circle forward and also in a circle back. 10 movements of 4-5 approaches.
3. Stand the right hand with your right hand back and back, help with your left hand a little slide with your palm down the shoulder blade. Do carefully in the extreme movement for a few seconds. Make 3-4 approaches in two hands.
4. Brighten your shoulders, your legs are 30-40 cm from each other. Put the right hand on the left shoulder, and the left hand on the right. Hug yourself and squeeze yourself so that the palms slide to the spine, slow down. Exhale and lower your hands. Make 4-8 approaches.

   

5. Become a 90 degrees to the wall at a distance of 35-40 cm, lean your hands into the wall. Spread your legs. Leaving your hands in one position, without moving, lean down to your knees. You will bend in the back and shoulder joints. Locate, wait for 30 seconds, exhale, straighten out. Exercise repeat 5-6 times in 4-5 approaches.
6. The exercise is performed standing. Cross your hands from behind, take your left palm by the right elbow, pull it a little to the left, slow down for 30 seconds. Exercise to perform two hands 7-8 times in 4-8 approaches.
7. Standing cross behind the brush. Pull your arms down. Locate for 30-40 seconds, exhale, relax. Exercise perform 5-6 times in 4-7 approaches.

This article is an introductory nature and will not replace you with a doctor’s consultation. If you have pain and an assumption for arthrosis of the shoulder joint, be sure to contact the clinic. Do not self -medicate.

Video: Arthrosis of the shoulder joint