Federal program for the treatment of joints. Complex prophylactic day hospital programs

Chronic many pain In the joints - the first sign of arthrosis or arthritis. Secondary symptoms are crunch, stiffness of movements, swelling of the joint, total lethargy, weakness, not allowance. If you have at least 2 symptoms from this list - your joints are amazed by arthrosis or arter. The pain in the joints is only the beginning, follow follows the joint deformation, muscle atrophy, unbearable pain, an increase in body temperature, swelling of the joint. The result of all this is only one - a wheelchair, a loss of ability to work.

Many who already have characteristic symptoms of defeat joints, simply do not pay attention to this, thinking that there is nothing special about it. However, according to doctors, any pain and discomfort in the joints is a sign that the joint began to collapse.

As part of the "Healthy joints" program, every Russian can get a means for the treatment of joints for free. This year, a new development of the Russian scientist called "Artidex" participates in the program. Many famous doctors call it a real salvation of pain in the joints. It allows you to completely get rid of pain, restore the joint and eliminate the risk of further development dangerous pathologies Literally in a few weeks.

More about the federal program "Healthy joints" We were asked to tell the leading orthopedic and rheumatologist of the country, a doctor of the Higher Category, Professor Mikhail Vladimirovich Zavyalova

Zavyalov M. V.:

If people knew, in what condition they had joints, they would have started their treatment now. And this is not a joke at all!

As previous studies, conducted by our Institute, have 84% of people over 25 years old are critical. And if you don't undertake anything now, then soon we will face a sharp increase in the number of people who applied to medical institutions on the destruction of the joints and the development of hazardous diseases.

The main danger is that cartilage in the joint quickly dries and thinned. As a result of the bone, forming the joint, they begin to rub each other, causing unbearable pain, from which even the strongest painkillers do not save in the running stages.

In addition, with the friction of the bones of each other, their integrity is disturbed, microcracks appear in which infection is in the background of which internal organsmay develop cancer tumors . As a result, the joints begin to fall into place, which often leads to the need for urgent surgical intervention and even complete amputation of the joint and the subsequent disability. Many people with affected joints can only live in injections, which themselves are very painful.

The destruction of the joints is very quickly. If this process does not stop on time, then the joint will be completely destroyed

Why did you start talking about this problem now? And why is she paying so much attention today?

Just before this was never. In general, the thinning of the joints and the loss of elasticity is a natural process, and it happens to everyone. However, if before all this was observed in the elderly aged - the joints began to bother in 60-70 years, now they already hurt for 30 years. But if they start to hurt in 30, then imagine what will be at 40, in 50 years?

We associate such aggravation of joint problems with the lifestyle of a modern person. After all, we all disastrically moved little, eat products without vitamins and breathing dirty air. A cartilage tissue is very susceptible to negative influences.

Mikhail Vladimirovich, you argue that you managed to find a way out of the current situation. Tell me more?

The Ministry of Health will definitely cannot close the eyes to such an important problem for each person, so the question was withdrawn to the federal level and launched special program "Healthy joints." During her, every resident of the country is given the opportunity to get cream IS FREE

"Artidex" - a means of a new generation, which is directed not only to eliminate pain, but also on full recovery Sustav. The components of the cream penetrate deeply in the tissue and affect the cause of the disease - regenerates the destroyed cartilage cloth and returns it elasticity.

Cream is designed by Russian scientists and is characterized by extremely high efficiency. As we have shown the clinical trials, it helps in 88% of cases. Even in highly launched cases, the joints are restored completely in 2-3 weeks.! It is much faster than when using any other means.

An important advantage of this tool is also the fact that it has a fully natural composition, and therefore can be used at home without any restrictions. The vegetable components are chosen in it in such a way as to strengthen each other's actions.

The "Artidex" includes:

1. Pants Altai Marala. Suspend the inflammatory process, as a result of which the destruction of the joints and cartilage tissue is stopped.
2. Hoods of medicinal plants. It is the most powerful painkillers that does not contain toxic substances for the body.
3. Useful vitamins and oil. Restore the elasticity of the cartilage tissue, which leads it to the original state before the end of the disease.
4. Extracts of rare plants. Act as an immunostimulator, stop in the body an autoimmune process, which is a starting point of the disease

The amputation of the inflamed joint. Do not bring to the most terrible! Treat the joint diseases as early as possible!

Mikhail Vladimirovich, you said that Artideks cream can be obtained free of charge? Can it do any person?

Yes, absolutely any resident of our country. The truth is one but. At the moment, the federal program is valid only in the territory.

This is due to the fact that the pharmacy chains refused to help us in the implementation of this fund, motivating their reluctance to the fact that it is economically unprofitable for them. No matter how cool, pharmacies are still commercial organizations that are more interested in receiving profit than in the improvement of the population.

Then we decided to implement the "Artedex" through a specially created site. However, it is impossible to work immediately to the whole country, so we decided to hold a federal program in turn in all regions of the country. Now it is held in. It is the inhabitants of this region today can get "Artidex" for free

To what period will the program in? After that, get cream for free residents of this region will be impossible?

Quite right. The deadline for the end of the federal program in. It is before that time (inclusive) it is necessary to leave a request on the site.

At the moment, ARTIDEX has already received several tens of thousands of people. Daily we get a lot positive feedback On him, as well as words of thanks. This tool helps everyone.

There are different ways to treat knee joints Depending on the state of the disease. Methods of treatment of the knee joint:

• health gymnastics;
• wellness massage;
• pills;
• non-traditional healing;
• application of medical devices (bandage, prosthesis);
• surgical intervention.

• Diseases of knee joints
• Treatment and prevention
• Stretching - optimal prevention
• How to treat arthritis and arthrosis
• Development of joints
• How to treat joints by folk methods

Arthris and Lipartitrite, arthritis and lipartitrite are the most widespread - the diseases of the knee. The surgeon or orthopedist will help when establishing the cause of painful sensations and faithful diagnosis. It is better to appeal to them at the beginning of the treatment process.

Diseases of knee joints

Injuries - the common problem of knee joints, which are one of the large joints in the human body. They include tillage, femoral bones and a patella.

Bundles fasten the knee joint. So that the joint is better slid, there are three bags in it - synovial shells with different wounds, as well as the joint liquid. In the joints there are also muscles, bundles, cartilage (meniscus), which are part of the ligament of the patella.

The knee joint can be injured due to sharp turns of the body, when the feet are fixed, which is why the binders of the joints can break. Therefore, the most frequent damage to the knee joints are sports. Such types of injury occur if the shock force is quite large (auto-work, professional bruises of football players, fighters, blows when falling from height).

Bundles of the joint have the property of non-parashability. Sometimes there is only a bunch of ligaments, sometimes - the full of their gap, in which the breach of the gait and the instability of the foot in the joint is visible. Less often such a injury occurs like a stretching of knee joints. It appears when loaded, the strength of which is more elasticity of ligaments. However, the stretching is more often happening with ankle joint.

Among other ailments, the knee joints can be distinguished by the Kistan Sustav. It is a stretching of a synovial bag under the knee. The cyst is easy to identify with the help of the ultrasound of the knee joint.

Treatment and prevention

If the knee joints do not treat such methods as surgical intervention, use medical Massage and physical education ethnoscience, the use of special devices (bandage, for example), then it is necessary to replace the sick knee joints into healthy. The prosthetics include the replacement of the facility of the bone of the knee joint into metallized or plastic components. The procedure passes with anesthesia and lasts from 1 to 3 hours.

Knee operate and remove excess growths. Damaged parts are replaced by new - from artificial materials. In the knee joints are repaired not suitable parts or knee is replaced entirely.

On how to cure the knee joints and what measures to take the joints are healthy, will be told below. There is such a symptom as "mouse in the knee." It is manifested as follows: Kneened knee, limited movement. The pain in the articular slot is sudden, but you can tolerate. The more movements, the greater the pain. "Mouse" here is a piece of cartilage, which broke away from Meniska and moves in the joint. The knee encourages if this piece falls into the joint slot. "Mouse" may arise in a particular place.

In case of painful sensations, it is not necessary to overcome them and tolerate. In this case, the movement will strengthen the pain. You can sit down in the pose, and with caution to bend it-blending. Thanks to such a simple class, the articular gap expands and the painful sensations weaken. "Mouse" left crevice in the joint and moved to the articular bag, where he continued his correct movements. Most likely, such pinching will repeat, but it is not necessary to treat it. "Mice" do not live for a long time, and therefore after a while they will leave.

Stretching - optimal prevention

The possibility of repeated injury to the knee rises. Therefore, the treatment is becoming increasingly and is neglected.

So that there are no similar injuries in the future, it is necessary to give more to the joints of the opportunity to move. So they will be easier to withstand loads. To prevent injury, follow these steps:

• Lesson 1 sitting on the floor, arrange the right leg right in front of yourself. The feet of the opposite foot - on the hip right. Left knee must lie on the floor. Next, do the same exercise with the other foot.
• Lesson 2 sitting on the floor, combine the soles of the legs. Knees should touch the floor.
• Lesson 3 Using Posa from 1 lesson, making tilts alternately to every straight leg.
• Lesson 4 Using Posve from 2 classes, lean forward.
• Lesson 5 sitting on the floor or on a stool, put a widespread legs, press the feet to the floor and move the hands of the knees towards each other.

Each lesson is desirable to play a couple of times a day for 1-2 minutes. With regular execution of these exercises, the joint will not be concerned.

How to treat arthritis and arthrosis

Prolonged diseases in the joints require treatment. Mobility, deformation, inflammation - signs of protracted arthritis or arthrosis. These are quite common symptoms. For their treatment, medicines and therapeutic charging will be suitable. Below are the exercises for the treatment of articular diseases. They are very lungs and when they are fulfilled, there is no pain. By time, charging can be carried out from 10 minutes, gradually increasing time.

• Lesson 1 sitting on a stool, either on the table, breathe legs down and chat them (at the same time: right leg forward, left - back) with a distance between them about 10 centimeters. This is a painless exercise. Performed 5-10 minutes several times a day.
• Lesson 2 sitting on a stool, soles to press to the floor. Then, alternately tear the heels from the floor, while holding the socks pressed to the floor.
• Lesson 3 Pose is the same as in the second lesson. Now from the floor it is necessary to pull socks alternately. Heels - on the floor.

In the execution of the above-mentioned occupations of pain does not appear. Pain is not useful for joints. And if it appeared, then it is necessary to stop the implementation of therapeutic physical education.

With severe diseases of the joints, classes 2 and 3. They can easily be performed, even being in the theater or bus. Therapeutic gymnastics is silent and convenient performed. However, these movements are not enough to cure. It would be nice to add medical treatment to them, since the tendons, muscles and articular bag also affects.

Development of joints

Cerencing the knee joints can be yourself. They need to work, using 3 varieties of blows: through palm, through finger, slap. Swallops contribute to the influx of blood into the zone of the affected joint, having an impact on the skin. Putting through the pressed fingers affect the articular bags, tendons, muscles, ligaments. Accents through the finger work gently, after them there is no bruising.

The lesson is good to start with patters through the fingers along the affected area, to determine which it is necessary to put the palm onto the knee and bend-break the leg. Tapping on the knee cup must be applied on the side. Muscles are in a relaxed state. The strength of the strikes varies, depending on the state of the joint. For progressive disease - weak tapping, for recovery or slightly dismissal - strong.

Performing exercises, you can feel a little pain. It is not applied to the poned cup of patches. The affected areas need to tap carefully: first on a straight leg, then on bent. Exercise ends in pattering. The heavier joint disease, the less you need to enjoy physical education. All classes spend only after consulting a doctor.

How to treat joints by folk methods

Treating folk remedies together with traditional medicine is simply necessary for good results. Consider several recipes on how to cure the knee joint by folk remedies.

• Lavra decoction.
  It is necessary to boil 25 laurel leaves for about 5 minutes. Give to stand the brave of 3-5 hours. This infusion is an excellent means against salt deposits. Use it 12 hours after cooking, drinking in small sips. Treatment lasts three days, in each of which the drink is preparing again. After the course there is a week pause, then the course is repeated again. Before drinking decoction, you need to clean the intestines. If a this condition not fulfilled, it can manifest allergic reaction. The process is carried out 1-2 times a year.
• Mixture based on rye seeds.
  250 g of rye seeds pour 2 liters of water and boil. When the mixture is cooled, it must be strain and add 500 g of vodka, 1 kg of honey and 3 h. Barberry root. The mixture is stirred and placed on 21 days in a dark place. Use 3 tbsp. l. Before taking food. The course will end when you drink 9 liters of the mixture.
• Recipe with horseradish.
  Mix 1 kg of chopped horseradish and 4 liters of water, boil 5 minutes. In the cooled mixture put half a honey. A decoction to store in the refrigeration chamber. To be treated with this recipe well a couple of times a year. In the food of the disease, it will be useful to include cottage cheese with an elevated calcium content (add 1.5 tbsp. Spoons of calcium chloride and half alert of milk).

The composition is heated to 50-60 degrees, then cooled. The resulting mixture is fastened and defended in the dark. In the morning, cottage cheese is ready to use. This method, together with charging and drugs, wonderfully heals the knee joint.

Useful articles:

In accordance with the recommendations of the European Anti-Watch League immediately after installing the diagnosis, methotrexate are prescribed with rheumatoid arthritis. Experts of the American Board of Rheumatologists also propose to apply primarily the "Golden Standard" of the treatment of systemic disease. The drug is responsible for the principles of the Treat to Target - T2T program ("Treatment until the goal"), which was developed in 2008 by representatives of 25 European countries, North and Latin America, Australia and Japan. It includes strategic therapeutic approaches that ensure the best results in the treatment of pathology.

Description of the drug methotrexate

Methotrexate is a cytostatic preparation from the antimetabolite group, folic acid antagonists. Cytostatics are called antitumor drugs that violate the processes of growth and tissue development, including malignant. They negatively affect the mechanism of dividing and recovering cells. The most sensitive to cytostatics of rapidly divided cells, including bone marrow cells. Due to this property, cytostatic preparations are used to treat autoimmune diseases. The coal formation of leukocytes in the blood-made bone marrow fabric, they suppress the immune system.

Immunosuppressive therapy is the basis for the treatment of rheumatoid arthritis, since the disease is autoimmune. With autoimmune pathologies, the body's protective forces begin to fight their own cells, destroying healthy joints, fabrics and organs. Immunosuppressive therapy suspends the development of symptoms and slows down the destructive processes in articulations. Cytostatics hold back growth connective tissue In the joint, which gradually destroys the cartilage and subchondral bone areas (adjacent to the articulation coated with cartilage cloth).

The action of methotrexate is based on the blocking of dihydroofolatreductase (enzyme splitting folic acid). The drug disrupts the synthesis of thymidin monophosphate from dsexyuridin monophosphate, blocking the formation of DNA, RNA and proteins. It does not allow the cells to enter in the period S (phase of the synthesis of the daughter molecule DNA on the Matrix of the Parental DNA Molecule).

Methotrexate refers to the preparations of the first row used in the basic therapy of rheumatoid arthritis. It is inhibited by the development of not only immunocompetent cells, but also synovocytes (cells of the synovial membrane) and fibroblasts (the main cells of the connective tissues). The oppression of the process of reproduction of these cells helps prevent the deformation and inflammation of the articulation. Methotrexate stops bone erosion, which arise as a result of an attack of actively smaller tissues of the synovial shell of the joint.

Methotrexate with rheumatoid arthritis allows you to achieve a stealing remission. The clinical effect is maintained even after its cancellation.

Toxicity methotrexat

Methotrexate is the most toxic folic acid antagonist. Due to the disruption of methylation of deoxyuridin monophosphate, its accumulation and partial conversion to deoxyuridenthosphate occurs. Deoxyuridinitrichosphate is concentrated in the cell and is embedded in DNA, causing the synthesis of defective DNA. In it, Timidin is partially substituted with Uridin. As a result of pathological processes, Megaloblastic anemia is developing.

Megaloblastic anemia is called a condition in which the deficiency of vitamin B12 and folic acid occurs in the body. Folic acid (along with iron) takes part in the synthesis of red blood cells. These blood cells play an important role in the blood formation and functioning of the whole organism.

With a lack of folic acid, erythrocytes modified and size are formed. They are called megaloblasts. Megaloblastic anemia causes oxygen starvation of the body. If a pathological state observed for a long timeIt leads to the degeneration of the nervous system.

In the treatment of methotrexate, adverse reactions characteristic of megaloblastic anemia arise. The function of the blood formation occurs. Upon exceeding the recommended doses, arise:

• nausea;
• vomiting;
• diarrhea.

If, in the presence of similar symptoms, the drug does not cancel, serious diseases of the digestive tract are developing. Sometimes the kidney tubular acidosis is observed (reducing the withdrawal with urine acids) and the cork blindness (violation of the vision function).

Methotrexate in the body practically does not disintegrate. It is distributed in biological fluids and is 80-90% by the kidneys unchanged. In case of violations of the kidney, the drug drug accumulates in the blood. His high concentrations can cause kidney damage.

With long-term treatment, cirrhosis of the liver and osteoporosis can develop (especially in childhood). Against the background of methotrexate reception arises:

• dermatitis;
• stomatitis;
• sensitivity to light;
• hyperpigmentation of the skin;
• photophobia;
• furunculosis;
• conjunctivitis;
• tear;
• fever.

Extremely rarely due to therapy with methotrexate are alopecia (hair loss) and pneumonitis (atypical inflammatory process in the lungs).

The studies have confirmed the connection of the manifestation of side effects in the treatment of methotrexate with a disadvantage in the organism of folic acid. In the process of therapy of rheumatoid arthritis, folate cell reserves are rapidly reduced. At the same time, an increase in the concentration of homocysteine \u200b\u200bis observed. Homocysteine \u200b\u200bis called an amino acid formed during methionine metabolism. Gomocysteine \u200b\u200bcleavage requires a sufficient level of folic acid. With its disadvantage, the level of homocysteine \u200b\u200bin the blood is critically rising. Its high concentration increases the risk of atherosclerotic damage to vessels and speeds up the processes of thrombosis.

A large increase in the concentration of homocysteine \u200b\u200bis due to the tendency to its accumulation in patients with rheumatoid arthritis. Methotrexate treatment enhances the negative process, especially at the stage, when the achievement of the therapeutic effect requires increasing doses of the drug.

The purpose of folic acid during the treatment with methotrexate allows to reduce the hazardous level of homocysteine \u200b\u200band reduce the likelihood of unwanted consequences. It helps reduce the risk of developing critical states in patients who have concomitant cardiovascular diseases.

Treatment with folic acid avoids other adverse Reactionsarising from the treatment of methotrexate. If it is prescribed immediately after the start of the course of therapy of the basic drug or during the first 6 months of treatment, the frequency of disorders from the gastrointestinal tract decreases by 70%. Folic acid allows you to minimize the risk of developing mucous membranes and alopecia diseases.

Folic acid at rheumatoid arthritis is taken daily throughout the entire period of treatment with methotrexate. The drug dosage is selected by the doctor individually. An exception is the day of reception of methotrexate.

The daily dose can be taken in the morning of the next day. This will allow you to stop adverse reactions in the earliest stages of their development. In addition, the mode of receiving folic acid can be assigned, in which its weekly dose drinks 1 time per week. The drug should be used no earlier than 12 hours after receiving methotrexate.

Therapy by methotrexate of rheumatoid arthritis

Treatment of rheumatoid arthritis methotrexate sometimes starts even before confirming the diagnosis, especially in cases where pathology quickly progresses. The longer the disease is developing, the higher the probability of disabled and the death of the patient. Therefore, the activity of the rheumatoid process must be braked as soon as possible.

As a rule, a disposable weekly injection of moderate doses drug Allows you to achieve desired result Already 1-1.5 months after the start of treatment. In some cases, double or triple doses of the drug are needed to cause the necessary clinical effect and support it.

Since complete remission occurs extremely rarely, the treatment continues for a long time. The minimum course of treatment lasts half a year. In 60% of cases, it is possible to obtain the necessary clinical result. To secure it, the monotherapy continues for 2-3 years. With long use, the efficiency of methotrexate is not reduced.

Cancellation can not be canceled. Termination of treatment may cause aggravation of the disease. If you need to adjust the dose towards lowering, it makes it gradually.

If monotherapy does not have the necessary impact on the pathological process, methotrexate is combined with one or two drug therapy medicines. The best treatment results were observed after applying the combination of methotrexate with Leflomide. Leflomoid (Arava) has a similar action. If you take both drugs, they will strengthen each other's action.

Persistent positive result Provides therapy by methotrexate in combination with cyclosporine or sulfasalazine. Sulfanimide preparation Sulfasalazine helps to achieve a significant improvement in the well-being of patients who develop slowly.

When pathology is difficult to treat, the doctor prescribes a combination of 3 drugs: methotrexate, sulfasalazine and hydroxychlorochin. When using combined circuits, medium dosages of drugs are prescribed.

During the treatment of methotrexate and for 6 months after its cancellation, it is necessary to use reliable ways of contraception. The drug remedy negatively affects the development of the fetus and can cause a spontaneous abortion. Men have a decrease in the number of sperm.

Treatment of psoriatic arthritis

Psoriatic arthritis is called chronic systemic diseaseassociated with psoriasis. Psoriatic arthritis Diagnose in 13-47% of patients with psoriasis. Numerous studies have confirmed the autoimmune character of the inflammatory process in the joints. Therefore, for its treatment, the preparations of basic therapy are most often used. They allow you to slow down the progression of pathology and achieve positive changes that are unattainable with other methods of treatment.

The modifying properties of methotrexate under psoriatic arthritis do not cause doubts. They proved long-term experience. The drug demonstrates the optimal ratio of efficiency and tolerability compared to other cytostatic drugs.

Methotrexate with psoriatic arthritis is used not only to slow down the destructive processes in the joints, but also to reduce dermatological manifestations. The medication is a drug of choice in the treatment of generalized exudative, erythrodermic and pustile psoriatic arthritis. It helps to facilitate the condition of patients suffering from the most severe forms of dermatosis.

The treatment program is developed by a doctor individually. Start therapy with small or medium doses. Pricks make weekly. In the absence of the result, the dosage can be doubled. After the emergence of a persistent therapeutic effect, the dose is reduced. Methotrexate can be taken not only parenterally, but also inside.

A significant improvement in the state of patients occurs after 3-4 weeks after the first reception of the drug. By the end of the second month, all the indicators of the articular syndrome decrease by 2-3 times. Excellent results demonstrate therapy by methotrexate against skin manifestations. Almost all patients stop the progressive stage of psoriasis. Such high efficiency of the drug is due not only to its immunosuppressive action, but also anti-inflammatory.

For 6 months of therapy, the positive dynamics of dermatosis develops in 90% of patients, as evidenced by numerous reviews. Almost every fifth patient managed to get a complete remission of the articular syndrome.

Medicinal Reviews

Reviews of the results of the use of methotrexate indicate its effectiveness. But many patients complain about adverse reactions.

1. Natalia, 53 years old, Kazan: "In the first 2 years, pain was gone, sleeves slept. Unfortunately, the inflammatory processes began to increase. "
2. Valentine, 62 years old, Vyshny Volochek: "Kohl once a week injections during the period of exacerbation. During the remission, I try not to prick. When he was treated for half a year and went to the sanatorium, she ran like a girl. "
3. Maria, 47 years old, Samara: "The tool perfectly eliminates the aggravation of the disease. Unpleasant only side effects In the form of nausea, and sometimes vomiting. Especially after easy breakfast. "

It should be remembered that the unauthorized appointment of methotrexate may adversely affect health. This drug is appointed only by the attending physician!

Trochanterite hip joint

Trochanteite is a inflammatory disease in which a trochanter is amazed femoral bone. This is the topmost point of the hip to which a large number of tendons and muscles are attached.

At first glance, it is very difficult to distinguish trochanter and such a disease as Coxarthrosis (arthrosis of hip joints). But at about half of the cases in patients with a diagnosis of Coxarthrosis, with a detailed examination, the cause of the pain is derived by trochanter. This is not a rare pathology, it is simply not recognized.

Important to remember! Trochanterite is good and quickly treatable if he has not switched to chronic form. Therefore, it is necessary to exclude this disease, first of all, in pain in the hip joints.

The essence of the disease

As already mentioned, pathological changes In Trochanterite, they affect the large skewers (trochanter) of the femoral bone (the extreme upper groove point of the thigh) and the tendons that are attached to it. Hence the name of the nosological form of pathology. Cause such inflammation can be both infectious and noncommunicable causes.

The main function of Trokhanter is that it is the place of attaching a large number of muscular tendons of the berry zone and the hip area. Above this bone structure On top of the muscles under the skin there is a small sinovial bag (Bursa), which performs a protective role, and also contributes to the relief of movements in the thigh. This anatomical education is very often drawn into the pathological process and inflates, the hip borer is developing. Therefore, sometimes you can meet another name of Trochanterite - the spinning bursitis.

Remember! With trochanterite, a large spit of femur, muscle tendons, which are attached to it and a synovial bag located nearby. The process is most often unilateral, but bilateral defeats may also be found.

According to the ICD-10 (international classification of diseases of the 10th revision), this pathology is assigned cipher M70.6.

Causes of Trochanter and its types

Troochanteritis is predominantly ill, as men initially, the tendons are more durable and hardy, intended for various kinds of loads. Peak pathology is observed in the period of menopausal restructuring, which is associated with the development of osteoporosis, the weakening of the tension of the ligaments, with a decrease in their elasticity against the background of the deficiency of estrogenic hormones. But the disease is not excluded in younger patients, but for this you need a long-term impact of provoking factors.

As a rule, the trochanter is debuting after heavy overload of the hip joint (long-term walking, running, wearing weights), also symptoms appear against the background of colds and other infectious diseases. Sometimes the inflammation of the trochanter begins after injury in the hip area (even insignificant). Very often, patients note that the pain in the thigh appeared after they added dramatically in weight, so the excess body weight also relates to predisposing circumstances.

Tropochante development risk factors:

• belonging to the female floor;
• age (the older man, the more chances of getting sick);
• systemic osteoporosis;
• exchange and endocrine diseases;
• excess body weight;
• deforming osteoarthritis;
• too active or, on the contrary, a passive lifestyle;
• suffered injuries in the hip region;
• frequent infectious diseases, foci of chronic infection in the body;
• tuberculosis (active or in history).

Triches of Trochanterite:

1. Aseptic, or non-infectious. The most common option of pathology, which is based on inflammation due to overloads of the tendons, which are attached to the trochanteer.
2. Septic, or infectious. It occurs when the penetration of pathological microorganisms (bacteria, viruses) in soft near-chosen fabrics. Infection can get here with blood with common infectious diseases From chronic foci of infection.
3. Tuberculosis. This is a rare form of pathology. It is a separate version of tuberculosis infection. At the same time, not only large spit and soft oloming fabrics are affected, but also the other part of the bone with the development of osteomyelitis. This is a severe disease that is difficult to treat. It is found primarily in children.

Symptoms of Trochanterita

Most often, patients with Trochanterite tell a doctor about such a symptom as pain. It occurs in a large spit area, which can be easily forgiven under the skin. The pain is enhanced when pressed on this zone, with active movements. At rest pain pass.

About other causes of pain in the area of \u200b\u200bhip joint when walking can be read here

The pain extends along the outside of the hip (in the Halifer zone). But in the case of the transition of the process into a chronic form and the absence of treatment, pain becomes very intense and worried about the person even at night, without giving sleep. You can also note characteristic symptom Strengthening pain in a position on the sore side.

It is important to remember! Unlike the arthrosis of the hip joint, the trochanterite does not observe the restriction of movements in the thigh. Due to pain, the patient can spare a sore limb, but passive movements are not limited. It can easily check the doctor during examination.

If described clinical picture Increased temperature, swelling outside the hip, redness of the skin of this area, then you need to suspect septic or tuberculous trochanter.

Diagnostics

The diagnosis is exclusively clinical, since there are no specific diagnostic methods. Main clinical pathology criteria:

• hip pain at side position;
• pain in the zone of the Halifa when pressed in this area with a finger on some points;
• preserved mobility in the hip joint.

All other additional studies are carried out in order to eliminate similar diseases, first of all, Coxarthrosis.

Diagnostic program:

• General analysis of blood and urine, biochemical study, revision.
• X-ray of hip joints.
• Ultrasound joints and soft tissues.
• In severe cases, CT or MRI are carried out.

Treatment of Trochanteritis

It is necessary to treat trochanter in accordance with its etiology. First of all, it is necessary to exclude the infectious nature of inflammation, since in this case the therapy is specific. It differs from the treatment of aseptic form of the disease. Antibacterial is prescribed to patients, and in the case of tuberculosis - anti-tuberculosis therapy.

As a rule, with adequately selected drugs medical treatment Enough. But sometimes complications are developing in the form of suppuration, the formation of abscesses and cold nodules in the field of hip. This situation requires already surgical treatment. Perform an autopsy and rehabilitation of all uluses.

Most often have to deal with aseptic trochanterite, in the treatment of which several methods apply.

Mode

Perhaps this is one of the main principles of successful therapy. The sore limb you need to create full functional peace. Otherwise, the load will only enhance inflammation and pain.

Medical therapy

To eliminate inflammatory changes and owl syndrome Apply medicines from a group of non-steroidal anti-inflammatory funds. They are prescribed in injections, in tablets, as well as in the form of ointments or gels for external use. Most often resort to the use of such drugs such as diclofenac, ibuprofen, aceclofenac, meloxico, ketorolac, indomethacin, celecoxib. As a rule, it is enough to eliminate the pain of 7-10 days of regular administration of these medicines.

In severe cases, when the pain cannot be eliminated by medicines from the NSAID group, it is resorted to the local administration of glucocorticoids periarticular (in soft by-cutting fabrics). Such a procedure is called blockade. For it, the GCS prolonged action is used, for example, a diprospin, Kenalog. Local anesthetics (Lidocaine, Novocaine) are also added to such injections. As a rule, 1-3 such procedures need to eliminate pain syndrome.

Physiotherapeutic treatment

Among physiotherapeutic procedures are particularly effective for the treatment of trochanterite are:

• laser therapy,
• shock-wave therapy
• paraffin thermal applications,
• magnetotherapy,
• phonophoresis with hydrocortisone,
• electrophoresis.

Postisometric relaxation

This is a special therapeutic technique, which is designed specifically for the treatment of pathology of tendons and muscles. The postisometric relaxation is in the interaction of a physician with a patient, in which the passive stretch of the desired ligaments or muscles takes place by giving parts of the patient's body of certain positions.

As a rule, in 90% of cases for the treatment of Trochanterite, you need to undergo a course of 8-10 sessions (for 20 minutes each) every other day. And this can be enough for healing. The only minus is a waste of time, so patients rarely resort to this treatment technique, and absolutely in vain.

Physiotherapy

Gymnastics in Trochanterite is assigned mandatory, but after elimination acute pain. Physical exercises Able to strengthen the thigh muscles, intensify the bloodstream in this area, which contributes to a speedy recovery. It is only important to remember that it is impossible to perform movements that lead to progression of damage to the sick tendon. The LFC complex must be gentle.

Popular treatment

Homework folk remedies They will help reduce pain when inflammation of a large spit, but they, unfortunately, do not affect the cause of the ailment. Therefore, you should not use folk recipes As the main treatment, they can only be applied as an addition to the main therapy.

Thus, trochanter is quite common, but often undiagnosed disease, which leads to the transition of pathology in chronic form and development permanent pain In the hip. Often, people perceive such symptoms like Arthrosis, and do not seek help, considering that nothing can be done. This is a very big mistake, since in half the cases the cause of this pain is inflammation of a large skeleton of the femoral bone, which is very good therapy.

The most complete answers to questions on the topic: "Program Healthy joints."

The musculoskeletal system of a person is a framework on which a person's body is built, which allows us to easily move, gives a feeling of freedom. During the life, the bone-muscular system transfers quite a few tests and in subsequent severity appear, stiffness, pain in the joints, crunch. The joints lose their former flexibility, activity is lost.

Doctors are confident that the easiest and most convenient way To take care of the health of the joints - the reception of high-quality biologically active additives to food. The main components for the normal operation of the joints are glucosamine, chondroitin and collagen.

A specially selected program for joints will protect and preserve the health of the musculoskeletal system, remain flexible and active at any age.

The program contributes to the return of the joints to the state physiological norm , giving joy and freedom of movements.

The complexes of the complex complement each other and enhance the effect.

When bones hurt, stiffness, crunch and discomfort in the joints, are experiencing pain when walking, as well as the problem with the spine, use comprehensive program "Health joints."

Reviews: Susta

Advantages of the program

Products are developed by the French pharmaceutical phytoconcerne of Arcopharma using the newest information technologies, certified according to international GMP standards and ISO 22000.What confirms the highest quality and safety. Clinical trials based on leading sectoral institutions, laboratories and clinics.

Program products have unique formulas, are effective, simple and easy to use. It is enough 2 times a day to take capsules, drinking a glass of water.

The program contains the most effective composition for joints: complex vitamins A., E., C., B6., as well as copper, selenium, omega- 3. And of course chondoitin, glucosamine, MSM..

The program "Healthy joints" includes products:

• ENJOYNT / ENJOUNT-R - Return joints to physiological norm
• Detox + / Detox R (or Nutrimax +) - Removes inflammation
• Ursul, in the next month mega / Mega R., Media + / Medisoy R. (for women) - fights various infections
• Enjoynt harpago gel - improves blood microcirculation

Price, Composition, Permissive documentation, DATA Instructions See on product name links

Enjoynt. - The innovative complex is designed to combat the destruction of the connecting bone tissue. It helps to restore damaged cartilage, stimulates the production of collagen, strengthens the bone-muscular system.

Enjoynt - Triple protection of joints: chondoitin and glucosamine protect joints and synovial fluid; MSM removes inflammation and pain; Bamboo promotes bone remineralization.

The program "Healthy joints" is recommended for use in complex treatment arthritis, arthrosis, osteochondrosis, osteoporosis, as well as for prevention of development degenerative changes In the joints. Diseases associated with the wear of intermediate cartilage are most often found in people of middle and older, as well as athletes. But inflammatory diseases Joints (rheumatoid, reactive arthritis, behtereva disease) are characteristic of the younger generation. If you want to move more, play sports, cope with increased physical exertion, to be successful and modern, you should think about strengthening joints.

What is the basis of the "Healthy joints" program?

The components of the "Healthy joints" program contain biologically active substances: chondroitin and glucosamine, improving the structure of the cartilage tissue of the joints.

Chondroitin - Main structural elementwhich is involved in the construction and restoration of cartilage tissue protecting the joint from wear. The main task of chondroitine is to maintain water in the tissues, which creates good depreciation when moving and increases the strength of the connective tissue. Chondroitin inhibits the action of specific enzymes that destroy the connective tissue, simultaneously stimulate restorative and metabolic processes.

Glucosamine is used to synthesize collagen and the formation of connective tissue. In other words, our body spends glucosamine to build cartilage, ligaments, tendons, nails, hair and even heart valves. Glucosamine, being one of the components for the production of chondroitin, stimulates the body to create a building material for the cartilage tissue of the joints. With age, the generation of glucosamine in the human body decreases, so an additional source of this substance is necessary.

• provides nutritional support for the formation of cartilage, tendons, ligaments and bones;
• normalizes activity immune system and metabolism;
• reduces inflammatory processes;
• prevents the damaging effect of free radicals on the body;
• improves digestion, facilitates digestion of proteins and fats.

Advantages of applying healthy joints program:

• 100% natural productderived from sea cabbage and seafood;
• integrated effect on the body;
• excellent tolerance, safety, lack of addiction with long use;
• efficiency at any age.

Part programs "Healthy joints" The following dietary supplies and food products are included:

Glucosamine source, collagen, triterpene glycosides, amino acids, chondroitin sulfate, BB group vitamins, calcium (1 pcs).

Scheme of the application of the program "Healthy joints".

The first 15 days:

in the morning, lunch is an extract from bivalve mollusks of 1 capsule;

Subsequent 15 days:

Lunch, evening - Arrophish 2 capsules.

Final 15 days:

in the morning, lunch, evening - product from caviar sea hero 2 capsules;
Lunch, evening - extract from the holoturia 1 capsule.

Contraindications: intolerance to individual components of the product.
Not a medicine. Before use, consult your doctor.
Storage conditions: in a dry place at a temperature of from 0 ° C to 22ºС.

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Federal program to combat diseases of the musculoskeletal system (joints). Bubnovsky Sergey Mikhailovich Russian Doctor, Doctor Medical Sciences, Professor. The founder of modern kinesitherapy - alternative (neurology and orthopedics) of the treatment method chronic diseases and injuries of the musculoskeletal system, the landmark in which is not placed on medications and wearing corsets, but on the domestic reserves of the body and understanding the patients of their own body. "Remember the simple truth, and do not listen to anyone: the joints are always treated, even in the deepest old age" a month and a half ago, the federal program "Healthy Russia to combat impaired musculoskeletal system" started. More about the federal program "Healthy Russia We asked to tell Doctor of Medical Sciences, Professor Bubnovsky Sergey Mikhailovich. This doctor claims that 18-year-old Osteochondrosis will be cured for a couple of months. What will fully cure an ancient grandmother with the most launched arthritis for 78 days. And he says pain, he says, with the right approach Day! And, for 48 years of activity, he confirms every statement of practice. Immediately after the broadcast on the TV channel Russia-1 (on the topic "How to preserve the joints at any age"), we agreed to give an interview to the famous professor Bubnovsky Sergey Mikhailovich. - Hello, Sergey Mikhailovich. Tell me whether the statement is true that diseases of the joints and osteochondrosis are "mandatory" satellites spray age? - Hello Irina! Of course, this is not true. Mandatory mature age satellites are excessive confidence in the doctors who are treated for 10 years, but still will not cure. And in fact, the joints, Hondrozes and the entire skeleton are amazingly treatable at any age. This is no miracle, but ordinary science. Moreover, if you know the secret and attach a little discipline - it is possible to recover even at home and very quickly, what thousands of my patients make. "And what is this secret?" - Secret - in understanding why you have a hurt. In general, in encyclopedias are up to 147 possible causes The development of osteochondrosis and arthrosis, but the consequence of iron is one - joints, the vertebrae and cartilage lose their elasticity, hence and pain. They wear out due to poor blood supply. So the secret is to restore the blood supply to the joint, we cure it! - Yes, but it is considered that it is almost impossible to restore blood supply after 40 years? - Stupidity is all! I pulled myself from wheelchair After the accident, and this is more busy than the 40th anniversary. - What are the first signs of deterioration of the joints after 40? The first signs can be considered when the patient reduces the joints of the hands or legs. It happens most often because of the physical overload of the joint, lifting weights, such as heavy bags, uncomfortable shoes, repeated movements all this leads to overload. The articular cartilages are destroyed, the bones begin to touch with each other, so you feel discomfort. As a result, it first appears stiffness and swelling, and then the limb can be completely different. Also, a huge role is played by the increased salt of salt in the body. If you bring hands or legs, you need to urgently limit yourself to the consumption of products and fluids containing sodium: it is not recommended to drink: mineral water tomato juice brine alcoholic beverages Tang, Kumy ( dairy products With sodium content It is not recommended to eat: Salted oil, margarine All kinds of solid and soft cheeses Smoked meat, ham, bacon, saltin, meat cutting, jelly, canned sausage meat, sausages (industrialized sausages and other meat products are added various preservatives and stabilizers, Many sodiums) Meat and fast food dishes (canned or frozen) smoked and canned fish and seafood crabs, lobsters, shrimps, crayfish (if not cooked without salt) Canned vegetables (except special, where not salt is used as a preservative) Chips, sour cabbage fried and salted nuts, peanut butter sauces, gravy, ketchup, refueling for salad, marinada (except for home without salt) All kinds of quick preparation soups bully cubes - Have you pulled out other from the wheelchair? - And repeatedly. But most of My patients are ordinary people for 40, whose diseases appeared "with age." They come with very similar problems: osteochondrosis, arthritis, arthritis, radiculitis, nerve pinching. These diseases exhaust and interfere with living. They cry, they hurt them, they even go hard. And, it would seem, ordinary people are not athletes and not disabled. And complain - "For what it is for me, why am I?". And I answer: let's not carry, but to restore blood supply. - And how to restore blood supply at this age? - I treated people with the help of movement and complex from 96 exercises on simulators. This is extremely effective, but very heavy and long method. People hurt, difficult, they lack time to visit the hall. But you need to be treated !!!