Osteoarthritis of the knee 1st degree: causes, symptoms and treatment

Typically, patients with osteoarthritis of the knee joint of 1 degree there is a "start-up pain", some are very stiff and hardly noticeable increase in the knee. Usually, the symptoms does not cause patients discomfort, in mind which at this stage they do not seek help. However, this stage of disease is crucial for effective follow-up treatment. So, the disease occurs because of aging or due to an occupational injury. Pathology often leads to permanent deformation of the joint and to the fact that the knee cannot move – i.e. contributes to patient disability.

osteoarthritis of the knee

What is this disease?

Osteoarthritis of the knee 1st degree is the most common disease of the articular apparatus. Revealed osteoarthritis more often among males (from 45 years to 64 years) and elderly women and old ages (65 and over).

Osteoarthritis (also deforming arthrosis of the knee) is a pathology of the articular cartilage covering the condylus of the femur and tibia bones. The disease develops over many years and is associated with a gradual (non-inflammatory!) destruction of the hyaline cartilage of the joint.

In a healthy knee articular surfaces of the bones are covered with thick elastic and hyaline cartilage. The latter ensures smoothness and smoothness of motion, and is a natural "shock-absorber".

When blood circulation cartilage becomes dry, giving the articular surfaces characteristic "roughness". Inside the cartilage there is often cracked, and he was much thinner. In the end, the shape of the joint changes, the movements in it are severely restricted and will soon disappear completely.

Why do I get the pathology?

Previously it was thought that the main cause of osteoarthritis of the knee joint of 1 degree is the deposition in joints of calcium salts. However, today proved that provokes the disease of violation of circulation in the cartilage, and calcification is only a consequence.

So, for osteoarthritis of the knee joint of 1 degree will result in the following status:

  • injuries and congenital developmental disorders of the knee (torn ligaments, intraarticular fractures, damage to the menisci, as well as all sorts of dysplasia);
  • metabolic and immune processes (lupus, gout, rheumatism);
  • infectious lesions (tuberculosis, gonorrhea, syphilis);
  • inflammation of the joints (psoriatic, reactive and rheumatoid arthritis);
  • the weakness of the ligamentous apparatus.
  • reduced blood clotting (hemophilia) that contribute to continuous bleeding into the joint cavity.

By the predisposing factors include old age and menopause in women, excessive body weight, increased load on the lower limbs, knee surgery previously, poor nutrition with deficiency of micronutrients, toxicity of drug and alcohol substances, hypothermia and General unfavorable environmental conditions.

Symptoms

the symptoms of osteoarthritis of the knee

Knee osteoarthritis of 1 degree develops gradually. So, the first to appear weak dragging pain in the knee when running, walking or climbing stairs. Pain often has a "starter" character: i.e. it appears at the beginning of the movement, whereas decreases or disappears completely during times of considerable activity.

Sometimes over the knee a slight swelling, redness and warming of the skin are determined rare. Subjectively, patients experience stiffness, which is often compared to "a case on his knee."

In some cases, at the first stage may develop inflammation of synovial sheath – synovitis. The latest one appears on the background of weakening of immunity and infection in the body.

So, to the marked increase in symptoms with articular bag (knee-type balloon) and inflammation of the affected area.

Deformities of the knees at this stage is not marked. However, with careful examination one can notice a certain smoothness of the topography of the knee, which is particularly visible after prolonged physical activity.

How is it identified?

In medical practice for the establishment of gonarthrosis conduct a thorough collection of patient's complaints (starting pain) and clinical examination (smoothness of the terrain and the increase in circumference of the affected knee).

The "gold standard" of diagnosis is radiography. However, changes in osteoarthritis of the knee joint of 1 degree are not visible on standard radiographs. Therefore, for early detection of disease often use a computer or magnetic resonance tomography.

Treatment

Therapy is recommended to begin with arthrosis of the knee joint of 1 degree.

Medication

To drugs at this stage of the disease rarely. Usually in exacerbations of osteoarthritis it is recommended to rest the joints and limbs. When expressed pain syndrome and possibly the use of anti-inflammatory drugs in the form of gels or ointments, to write them can only your doctor.

As a therapy aimed at the inhibition of cartilage loss using a joint Supplement in pill form.

However, the greatest emphasis is recommended on non-pharmacological treatment – physical therapy, diet and therapeutic exercises.

exercises for osteoarthritis

Physical therapy

In the period of exacerbation of osteoarthritis of the knee joint of 1 degree is recommended physiotherapy with laser, ultraviolet radiation and magnetic field. In stable phase, preference is given to thermal effects.

Diet

Dietary advice aimed at reducing body mass when it is abundant. It is also necessary to diversify a diet with the aim of improving the vitamin and trace element compositions. In the menu it is recommended to add lean meats (chicken, rabbit, Turkey), jelly, fish oil and jelly, rich in collagen. The latter is the main "building protein" in cartilaginous tissue.

Physiotherapy

To perform a health physical education is required for the period unexpressed hospital ("remitting" of osteoarthritis). Following doing exercises slowly and smoothly.

The regularity of sessions should be at least 3-4 times a week.

  • Lying on your back, pull on socks and myself.
  • In the same position, alternately raise and lower the lower limb straightened in a knee joint. Socks hold in tension.
  • Position: the same. Raise legs and cross your lap. The knees keep straight, and socks strained.
  • Lying on your back, retighten the foot to the buttocks, bending the knee joint. Alternately raise your legs, trying to touch the knee to the chest.
  • In the same position, remove the foot from the ground and repeatedly bend and unbend the knee, simulating the pedaling of a Bicycle.
  • Position: lying on your side, support arm bent at the elbow, forearm tightly rests on the floor, legs straight. Raise free lower limb up, hold at the maximum point of a few seconds, then slowly lower. Repeat for the other leg.
  • Position: sitting on a chair, feet firmly on the ground. Straighten one knee and hold in such as 30-45 seconds. Then repeat for the other foot.

These exercises should begin with 5 repetitions, eventually increasing this number to 15. To complete the medical complex you can easily massage the affected areas.

Prevention of osteoarthritis

In order to prevent osteoarthritis of the knee joint of 1 degree is recommended:

prevention of osteoarthritis
  • to prevent injuries and to control congenital development disorders of the knee (torn ligaments, intraarticular fractures, damage to the menisci, as well as all sorts of dysplasia);
  • to diagnose metabolic and immune processes (lupus, gout, rheumatism);
  • to treat infectious lesions (tuberculosis, gonorrhea, syphilis) and inflammation of the joints (psoriatic, reactive and rheumatoid arthritis);
  • to prevent the weakness of the ligamentous apparatus, and that knee-weakening;
  • targeted therapy in hemophilia to prevent bleeding into the joint cavity – hemarthrosis.

Of particular importance is prevention in high-risk groups: the elderly, female gender, excess body weight, increased load on the lower limbs. Also "triggers" are knee surgery previously, poor nutrition with deficiency of micronutrients, toxic narcotic and alcoholic substances. In some cases, osteoarthritis can contribute to hypothermia and overall adverse environmental conditions.

Remember, osteoarthritis is a disease which sooner or later leads to deformation and to the fact that the joint stops moving. Therefore, the only help is the early treatment of osteoarthritis of the knee joint of 1 degree.

20.07.2019