Самая большая нагрузка в течение дня происходит на коленные суставы. Объясняется это тем, что человек постоянно находится в движении, а значит, сгибает и разгибает ноги в области колен. При возникновении неприятных или болезненных ощущений большинство людей не бьют тревогу, считая, что это вскоре пройдет. На самом деле появление болей может сигнализировать о развитии довольно серьезных болезней. Почему болит колено при сгибании и разгибании? Как правильно диагностировать проблему, и какие лечебные мероприятия необходимы в возникшей ситуации?
Сухожильные и хрящевые структуры коленного сустава
Строение колена
Коленные суставы – это сложный механизм. Он представляет собой своеобразный узел, где соединяются мышцы, сухожилия, связки, а также кости бедра и голени. Для плавности походки и нормального движения сустава в колене имеется мениск (хрящевая прокладка), который выполняет амортизирующую роль во время ходьбы. Сама коленная чашечка защищает от ударов и повреждений во время падений или сильных физических нагрузок. В силу сбоев и нарушений со стороны организма человека, происходит истончение хрящевой прокладки, снижение выработки синовиальной жидкости и т.п. Это приводит к различным дегенеративным процессам колена. В дальнейшем оно хрустит, а затем возникают неприятные и ноющие ощущения, перерастающие в постоянную сильную боль. В зоне риска люди, которые:
- Имеют недоразвитые мышцы в области сустава;
- Профессионально занимаются спортом и имели травмы ног;
- Работают в тяжелых условиях;
- Страдают от лишнего веса;
- Женщины после 45 лет;
- Генетически предрасположены к подобным проблемам (есть родственники с болезнями суставов).
Причины болей
Почему болит колено? Существует множество негативных факторов, которые приводят к появлению болевых ощущений как кратковременного, так и хронического характера. Важно проанализировать интенсивность и локализацию проявления болей при сгибании и разгибании колена. К причинам локального характера относят:
- Травмы колена;
- Смещение коленной чашечки;
- Растяжения и разрывы связок суставной сумки;
- Повреждение мениска при травме;
- Бурсит коленного сустава;
- Перелом костей;
- Вывих или же привычный подвывих коленного сустава.
Боль в колене может иметь много причин, это могут быть как травмы, так и болезни
Провоцировать хруст и болевые ощущения при сгибании и разгибании колена могут следующие болезни:
Болеть колено может на фоне системных заболеваний, которые сможет диагностировать только опытный врач по итогам тщательных исследований. К таким относят: туберкулез кости, артропатия Шарко, болезни Педжета, Лайма или же Осгуда-Шляттера. Причиной болей могут стать суставные проблемы, например, подагра, ревматическая полимиалгия, красная волчанка или артрит ревматоидный.
Причиной болей в колене могут быть возрастные изменения сустава
Чрезмерные нагрузки на конечности при занятии спортом, во время беременности или увеличения веса человека, приводят к появлению неприятных ощущений. Если этот фактор не убрать, то вскоре боль станет постоянной и нарастающей. Достаточно часто врачи диагностируют патологию сверху колена или под ним. Надколенно-бедренный синдром возникает даже в состоянии покоя и продолжается при сгибании и разгибании. Причиной этого является накопление жидкости в колене в результате возрастных особенностей организма человека.
Важно! Одной из причин резкой боли может стать защемление нервных окончаний, которые провоцирует ношение узкой обуви на каблуке. Поэтому с такой проблемой чаще обращаются именно представительницы женского пола.
Симптомы
Обычно организм подает сигнал о нарушениях и проблеме в виде болезненных ощущений. Поэтому игнорировать боль ни в коем случае нельзя. Тревожным сигналом являются следующие симптомы:
- Возникновение острой боли без какой-либо причины (без травмы и ушибов). После применения обезболивающего средства симптомы проходят.
- Ноющая боль, которая регулярно проявляется во время рабочего дня и по его завершении. Обычно после отдыха проходит, но затем снова возвращается.
- Появление хруста в колене даже при малейшем движении.
- Отечность и покраснение сзади колена, сбоку и на его поверхности.
- Повышение температуры кожи в области коленного сустава.
- Распирающая боль в суставе пульсирующего характера.
- Изменение внешнего вида (деформация).
Важно! При появлении хотя бы одного симптома необходимо сразу же обратиться к специалисту за консультацией и лечением.
Признаками наиболее распространенных заболеваний, которые сопровождаются болью при сгибании и разгибании колена являются:
- Гонит (артрит). Воспалительный процесс околосуставной области или же самого сустава сопровождается болью при ходьбе по лестнице, общим недомоганием, покраснением пораженной части и повышением температуры. Кроме того, возникает сильный отек мягких тканей. Проявляется метеочувствительность и усиление ощущений при смене погодных условий.
- Артроз (деформирующий). Изменение и разрушение хряща сопровождается ноющей болью, которая наиболее выражена ночью во время отдыха. Больному сложно ходить по лестнице. Кроме того, возникают «стартовые» боли, когда вначале ощущения довольно сильные, а затем все проходит.
- Бурсит. Процесс воспалительного характера в синовиальной сумке возникает на фоне травм и проникновения инфекции. Сопровождается такими признаками, как образование отечности сустава, покраснения, повышения температуры. Человеку каждое движение доставляет очень сильную боль.
- Подагра (артрит реактивный). Возникает в результате накопления мочевой кислоты. Сопровождается болью, которая может пропасть на несколько месяцев, а затем снова повториться. С каждым разом боли усиливаются так, что больному сложно нормально передвигаться.
- Ревматоидный артрит. Часто страдают женщины после 30 лет. Возникают сильные боли, неприятные ощущения ломоты в суставах (каждое утро), часто повышается температура. Многие отмечают появление бессонницы и потерю аппетита.
- Киста Бейкер. Под коленом при сгибании человек ощущает очень сильную боль, которая локализуется сзади.
Важно! Если возникла резкая боль, которая перерастает в жжение, в результате прыжка, бега или травмы конечности, то важно сразу же обратиться к травматологу, ортопеду.
Диагностика
Для того чтобы выявить причину возникновения боли при сгибании и разгибании колена и провести лечение, врач проводит следующее:
- Внешний осмотр (выявление изменений размера и формы коленного сустава);
- Рентгенография суставов (делают в двух позициях, в плоскостях);
- Компьютерная или магниторезонансная томография (выявление отклонений в костных тканях, бурсах или же связках);
- Исследование крови (определение нарушения обмена веществ, ревматоидных клеток и т.п.).
При подозрении на разрывы и переломы прощупывается верхняя и задняя часть колена, также врач проверяет, сможет ли нога согнуться и разогнуться без нарушений. При этом движения легкие и без нажимов.
Для постановки точного диагноза специалист проводит полное исследование и рекомендует приемлемую тактику лечения
В результате полного исследования опытный специалист ставит точный диагноз и рекомендует приемлемую тактику лечения с учетом причины болезни и ее запущенности.
Лечение
При местных повреждениях рекомендуют использовать мазевые повязки, а также компрессы. Также назначают противовоспалительные препараты, после чего переходят к физиотерапевтическим процедурам и лечебной физкультуре. Если колено сильно опухло, тогда назначают противоотечные средства для снижения симптоматики. Снять болевые ощущения рекомендуют такими препаратами, как Ибупрофен, Кетанов, Панадол, Аспирин. При накоплении жидкости потребуется ее откачка. Если пациенту поставили диагноз артрит или же другое дегенеративное разрушение хрящевой ткани, тогда необходимо применять хондропротекторы. Потребуется применение средств, улучшающих кровообращение, трофику тканей. Не менее важным в лечении является массаж, радоновые ванны, грязевые аппликации, магнитотерапия, электрофорез. Многие после травм обращаются к услугам остеопата, который значительно улучшает состояние конечностей.
Коленный сустав до операции, слева, и после операции протезирования сустава, справа
Если ситуация не меняется, а боли становятся сильнее на фоне разрушения хрящевой ткани и сустава, тогда нужно проводить хирургическое лечение. В результате операции сустав может сохраняться (при травмах или переломах). В некоторых случаях его частично или полностью удаляют и заменяют протезом.
Выделяют три вида операций:
- Артроскопия. Через небольшие надрезы на коже извлекаются фрагменты отколовшегося мениска или хряща. Подобная процедура не сложная, а срок реабилитации составляет не более 2 недель.
- Замена составляющих сустава. Протезирование разрешенной части.
- Эндопротезирование. Рекомендуют при разрушении хряща, а также отмирании костной ткани. Полностью устанавливается искусственный сустав.
Важно! При своевременном выявлении проблемы и лечении, а также дальнейшем выполнении всех рекомендаций можно избежать хирургического вмешательства и добиться полного выздоровления.
Народные средства
Если колено сильно опухло и разгибается с хрустом и болью, то вместе с лекарственными препаратами можно использовать народные рецепты, которые помогут улучшить состояние больного. Для этого используют капустный лист, который немного мнут до выступления сока и прикладывают к опухшему месту. Сверху его оборачивают полиэтиленом и хлопчатобумажной тканью. Процедуру проводят на ночь.
При болях в колене вместе с лекарственными препаратами широко используются средства народной медицины
Не менее эффективными считаются следующие рецепты:
- Три раза в день выпивать отвар из семени льна. Готовится он легко: две ложки семян залить стаканом кипятка и проварить еще минут десять. После чего настаивать около одного часа.
- Противовоспалительным действием обладает чай из можжевельника (ягод).
- Снять отек и воспаление поможет настой из клевера и петрушки.
- При различных изменениях в суставах рекомендуют пить чай из травы мяты и листьев березы (100 гр. Сбора на 200 мл. кипятка).
- Сок моркови, тыквы, огурца способствуют витаминизированию организма и улучшают защитные функции организма.
Профилактика
При возникновении сильных болей во время сгибания и разгибания пациенту рекомендовано исключить любую нагрузку на колени. При травмах и ушибах всегда назначают постельный режим, а спустя несколько дней умеренную лечебную гимнастику. При более серьезных заболеваниях проводится медикаментозная терапия. Чтобы закрепить результат и предотвратить развитие проблем с коленными суставами необходимо пересмотреть свой рацион питания. Из рациона нужно исключить соль, а также продукты, задерживающие жидкость в организме человека. Основную часть пищи должны составлять овощи и фрукты. Полезно употреблять кисломолочные продукты, миндаль и грецкие орех. Для восстановления хрящевой ткани нужно делать основной упор на витамин С, который содержится в капусте, луке, киви, лимонах. Полезно пить гранатовый сок и достаточное количество чистой воды.
Суставные боли — это одна из самых распространенных причин обращения к врачу. По-статистике, каждый второй человек когда-либо в жизни испытывал боль в колене.
Наиболее частыми причинами боли в колене при сгибании являются перегрузки, травмы и заболевания. И если с травмами все более-менее ясно, то с заболеваниями, проявляющими себя болью в суставах все намного сложнее. Список провоцирующих неприятные ощущения болезней очень большой.
О каких болезнях может свидетельствовать боль
Почему болят колени при сгибании? Самыми частыми заболеваниями суставов, сопровождающимися острой, тупой, стреляющей, жгучей или приступообразной болью являются артрит и подагра.
При артрите: наблюдается очень сильная боль, которая усиливается при движении, сопровождается покраснением, отеком и воспалением колена, а также местным и общим повышением температуры.В основе артрита лежит воспалительный процесс, который может длиться годами и привести к инвалидности.
При подагре: боль носит приступообразный характер. Усиливается при сгибании. Приступы часто повторяются, длятся от нескольких минут до нескольких дней.
Другие условия, не связанные с перегрузками или травмами, которые могут стать причиной болей в коленном суставе при сгибании это:
- Остеоартрит. Характеризуется болью, которая усиливается утром.
- Болезнь Осгуда-Шпаттера. Часто наблюдается у детей старшего школьного возраста. Характеризуется болью при сгибании и припухлостью передней части колена.
- Киста Бейкера. Болезнь, характерным признаком которой являются боль и опухание сзади колена.
- Инфекция. Боль коленных суставов может свидетельствовать об инфекции кожи, кости или сустава.
- Рассекающий остеохондрит. Боль вызвана отмиранием части хряща, вследствие нарушения подачи крови и т.д. Боль чрезвычайно сильна при сгибании.
Растяжение связок коленного сустава также вызывает сильный болевой симптом.
О том, почему в коленях хрустят суставы и как это вылечить, читайте в этой статье.
Как лечить больное колено
Медикаментозное лечение боли в колене направлено преимущественно на устранение причины заболевания. Народные средства – на снятие основных симптомов болезни. Как правило, врач назначает целый комплекс мероприятий после проведения обследования. Стандартное обследование в больнице включает подробный опрос пациента (анамнез) и определенные исследования: осмотр, УЗИ, рентген колена, компьютерную томографию, МРТ.
Медикаментозное лечение
Наиболее безопасные формы нестероидных противовоспалительных препаратов – мази, кремы и гели. Применять их следует по предписанию врача, строго по инструкции.
Мази, в состав которых входит диклофенак натрия. Например, препараты Ортофен, Вольтарен и другие. Применяются для снятия воспаления. Мазь наносится тонким слоем на поврежденный участок 1 раз в сутки. Длительность применения составляет 2-3 дня и более, по предписанию врача.
Мази, в состав которых входит кетопрофен. Например, такие популярные препараты как Быструм-гель или Фастум гель. Мазь наносится тонким слоем на поврежденный участок 2-3 раза в сутки.
Гели на основе нимесулида. Например, Найз гель. Применяется 2-3 раза в сутки не дольше 10 дней.
Другие популярные противовоспалительные средства: Индометацин, мазь Бутадион 5% и Апизартрон.
Эффективными являются кремы, направленные на снятие отека и уменьшение боли в колене при сгибании. Например:
Кремы на основе ибупрофена в комбинации с другими вспомогательными веществами. Например, крем Долгит. Применяется наружно. Наносится 3-4 раза в сутки в течение 3 – 5 недель.
Диетическое питание для уменьшения болей
Уменьшить дискомфорт, связанный с болью в колене при сгибании, помогает сбалансированная диета. Меню может отличаться, в зависимости от того, какое именно заболевание является причиной боли, однако существуют общие рекомендации.
При боли в колене рекомендуется ввести в рацион такие продукты как:
Жирные кислоты Омега-3, которыми богаты различные виды рыбы (лосось, скумбрия, треска, тунец и др.) являются естественным противовоспалительным средством и, соответственно, помогают снять болевой синдром, вызванный различными заболеваниями суставов. Побочные эффекты при этом отсутствуют.
При дегенеративных заболеваниях коленного сустава следует включить в свой рацион зелень: шпинат, зеленый лук, петрушку и др. Согласно исследованиям, проведенным австралийскими учеными, употребление в пищу зелени помогает снять боль и другие симптомы артрита. Это связано с тем, что зелень содержит большое количество лютеина, зеаксантина и квертицина, и обладает сильным противовоспалительным действием.
Проивовоспалительным действием обладают и некоторые специи. Например, карри или куркумин. Специи ингибируют ферметы, провоцирующие воспаление и отек и снимают боль.
При ревматоидном артрите помогает диета, состоящая из овощных и фруктовых соков: апельсинового, томатного, морковного, сельдерейного или капустного. Длительность такой диеты составляет три недели, схема следующая: первая неделя – один «голодный» день, вторая неделя – два дня и третья – три дня.
Средства народной медицины против боли
Снять боль в колене помогают лечебные примочки и припарки, а также прочие народные средства:
- Примочки, популярные рецепты:
На ночь к больному месту прикладывают смесь ряженки с хлебом (пропорции: 0.5 стакана ряженки, 0.5 стакана хлеба и 0.5 ложки).Снимет боль примочка из листа лопуха (капустного листа). Его необходимо смочить в холодной воде и, пушистой стороной, приложить к воспаленному колену.
- Хорошо зарекомендовали себя также припарки:
В течение месяца, перед сном, можно парить больную ногу в отваре шалфея (пропорции: 100г шалфея на 6 литров воды). Длительность процедуры: 30 минут – 1 час.
Хороший терапевтический эффект дает также отвар ромашки с солью (пропорции: 200г цветков на 10л воды). Припарки делают один раз в сутки. Длительность процедуры: 1 – 1.5 часа
При болях в колене большой популярностью пользуется спиртовая настойка (пропорции: 200 г рубленого корня переступня на 500 мл спирта). Смесь необходимо настоять в течение двух недель. Затем использовать ежедневно: втирать легкими массажными движениями в течение пяти минут. При этом терапевтическое воздействие оказывают как компоненты настоя, так и сам массаж.
Оперативное лечение в особо тяжелых случаях
Современный метод лечения патологий суставов — артроскопия. Целесообразен в тех случаях, когда медикаментозное лечение и физиотерапия не дали существенного результата.
Во время артроскопии хирург делает небольшой разрез и при помощи артроскопа производит хирургическое вмешательство: удаление поврежденного мениска, вапоризацию и далее. Таковы основные меры борьбы с болью в колене, наблюдающейся при сгибании.
В дополнение к основному лечению лечебная физкультура помогает укрепить мышцы, вернуть деформированный сустав в нормальное положение, восстановить его функции. Это может быть гимнастика, спортивная ходьба, упражнения в воде, упражнения, направленные на разработку сустава и др. В домашних условиях для достижения эффекта бывает достаточно просто приподнять вверх выпрямленные ноги.
Если колено опухло
В домашних условиях снять припухлость и ослабить боль в колене помогут болеутоляющие и противовоспалительные лекарственные препараты. Хорошо помогает аспирин и ибупрофен (меньше, чем аспирин, повреждает желудок). Поможет смягчить боль, но не снимет воспаление парацетамол.
Данные препараты могут оказать негативное воздействие на микрофлору кишечника и вызвать боли в желудке. Поэтому рекомендуется принимать их на фоне средств, снижающих кислотность желудка, только после предварительного употребления пищи.
Помимо приема медикаментов, если колено опухло также необходимо: ограничить движение, приложить холодный компресс и наложить повязку. Как правильно накладывать повязку, показано в видеоролике.
Как снять острую боль в колене
При первых приступах боли при сгибании колена необходимо принять болеутоляющие лекарственные препараты (анальгин, ибупрофен) и использовать холодный компресс — пакет со льдом на 20 минут.
Снять острую боль в колене помогают также глюкокортикостероиды, которые вводятся внутрисуставно. Достаточно действенными могут быть различные нестероидные противовоспалительные препараты (кремы и мази).
Если «домашние» средства не оказали эффекта в течение 2-3 дней, необходимо обратиться к врачу общей практики! Врач общей практики проведет осмотр и, при необходимости, перенаправит вас к другому специалисту.
Боль в колене при сгибании и разгибании свидетельствует о воспалении сустава и требует лечения. Значительный труд возлагается на суставы колен при движении человека. Все время они подвержены интенсивным нагрузкам. В каких случаях возникает боль в суставе и как с ней бороться?
Причины и симптомы воспаления
Следствием неправильного лечения травмы бывает воспаление сустава. Боль в колене при разгибании имеет такие причины:
- переохлаждение;
- инфекционная природа;
- травмы различного происхождения;
- укусы;
- аллергия;
- порез.
От открытого ранения возбудители инфекции попадают в мягкие ткани, а затем в сустав, где и разгорается воспаление. Поэтому даже царапину следует незамедлительно обрабатывать, иначе будет беспокоить боль в коленном суставе при сгибании.
Основные симптомы недомогания:
- болят колени при сгибании;
- появляются отеки;
- гипертермическое состояние.
Если при разгибании болит колено, то может появляться неуверенность движений и слабость. У людей преклонный лет возможно появление либо усиление боли при погодных переменах.
Отеки могут возникать по большому количеству причин. Колено опухло и болит при сгибании – возможный результат не только внешнего повреждения, но и болезней всего организма. Только специалист найдет причину появления болезненных симптомов и определит, что и как лечить.
Опухнуть колено может от аллергической реакции на укус насекомого. Они переносят инфекцию, которая вызывает рожистое воспаление.
Если трудно определить причины возникновения отека, необходимо делать пункцию. Такая довольно тяжелая и неприятная процедура помогает установить более точный диагноз.
Болевой синдром при заболеваниях
Боль в коленном суставе при сгибании может появится в связи со следующими причинами:
- Повреждение или слишком сильная физическая нагрузка.
- Патологическое развитие хряща надколенника или хондромаляция.
- Развитие артроза.
- Ревматоидный артрит.
- Посттравматический артрит.
- Остеоартрит.
Во время активного роста, в возрасте до пятнадцати лет, чаще у мальчиков, если после физкультуры вдруг появилась боль в колене при разгибании, значит возможна патология Осгуда – Шляттера.
Развитие артроза проявляет себя болями в коленном суставе, неудобствами при движении. Симптоматика артроза проявляет себя при ходьбе, а после выполнения упражнений – пропадает. Далее появится скованность в движениях, станет больно сгибать колено, и может пропасть возможность ходить.
Важно! Бурсит – это воспаление синовиальные сумки, еще одна возможная причина возникновения болезненных ощущений в колене. При этом недомогании уменьшается подвижная способность суставов, воспаленный участок отекает.
Часто подобное недомогание появляется у людей с избыточным весом или у тех, кто неправильно подобрал обувь.
При патологическом развитии хряща надколенника или хондромаляции резкая боль появляется, когда пациент спускается вниз по лестнице. От постоянного пребывания в одном положении боль переходит в ноющую, а при движении в коленках слышен хруст.
Ревматоидный артрит вызывает такие болезненные симптомы:
- больно согнуться в пояснице;
- тяжело разогнуть колени;
- сустав может опухать и отекать;
- гипертермия на месте воспаления;
- лихорадка.
Он разрушает хрящ коленного сустава. Им заболевают как взрослые, так и маленькие дети. Ревматоидный артрит поражает один или сразу два коленных сустава.
Посттравматический артрит – поражение колена, которое развивается после травмы. Он способен протекать без явных признаков. Через значительный промежуток времени проявит себя болью в коленном суставе. Это проявление – ответ на вопрос, почему болит колено при сгибании.
Недомогание коленного сустава возникает при остеоартрите. Подобное разрушающее заболевание способствует истощению хрящей коленного сустава.
Способы борьбы с недугом
Если болит колено при сгибании и разгибании, лечение откладывать нельзя. Какой бы ни оказалась природа возникновения боли – патологией необходимо заниматься. Что делать при болях:
- Сначала следует уменьшить нагрузку на суставы.
- Во время обострения недуга целесообразным является назначение постельного режима с последующей активизацией работы и постепенной разработкой конечности.
- В случае невозможности применить иммобилизацию назначают использование трости или костылей.
- Обувь при проблемах с суставами нижних конечностей должна быть мягкой и удобной, возможно, с ортопедическими стельками.
Если есть боль в коленном суставе при сгибании и разгибании, то лечение направлено на уменьшение проявления болезненных симптомов и повышение функциональности нижней конечности.
Терапевтические методы
Вариант лечебных мероприятий, инвазивных или неинвазивных, подходящий пациенту, врач сможет определить только после тщательного осмотра пациента и ознакомления с результатами анализов лабораторных исследований. К какому врачу обращаться – читайте тут.
Неинвазивное лечение
Максимально щадящее и минимально травматичное для организма лечение – неинвазивная методика. Это терапевтические мероприятия без использования хирургических манипуляций:
- Начинают их с применения препаратов, которые снимают воспаление и уменьшают боли. Их выписывают при гонартрозе, бурсите.
- Чтобы снизить боль в коленном суставе при сгибании обычно назначают нестероидные средства, которые убирают воспаление.
Желательно выбирать селективные медикаменты, они не уничтожают слизистую желудка. Убрав симптомы воспаления, можно воспользоваться другими видами возможного лечения:
- физиотерапией;
- занятиями плаванием;
- лечебной физкультурой;
- полезно будет пройти курс массажа.
Что же делать, если очень сильно болит колено при сгибании и разгибании? В подобном случае назначают уколы в колено нестероидными препаратами против воспаления.
Хондропротекторы созданы для защиты и питания хрящей. Они показывают лучший результат и почти без побочных реакций. Лечение должно проводиться беспрерывно: одноразовое применение ничего не даст.
Вместе с этим накладывают специальную повязку, фиксирующую больной сустав, которая способствует снятию воспаления. Основная цель иммобилизации – ограничить движения для купирования очага воспаления.
Еще один терапевтический метод – массаж. Он способствует возрастанию мышечного тонуса и улучшению кровотока в пораженном суставе.
Важно! Локальный массаж производится, только если исключена инфекция и снят болевой синдром.
Немалое значение при лечении имеет и соблюдение диеты: стоит исключить жареное, соленое. Максимально сократить употребление алкоголя. Большой вес плохо воздействует на амортизационные возможности коленных суставов.
При необходимости облегчения боли, снятия внешних признаков воспаления, для воздействия на очаг поражения можно применить локальное лечение аппликациями из мази или специального геля, компрессов. В такой терапии почти отсутствуют побочные явления.
Интересно! Компрессы по эффективности лучше, чем мази.
Как срочную помощь применяют уколы препаратов на основе глюкокортикоидов. Их вводят внутрь сустава. Гормоны могут убирать воспаления, уменьшая болевой синдром при синовите. Если после первой инъекции нет положительного результата, необходимо поменять лекарство.
Считается, что полезнее вводить в полости суставов медпрепараты на основе гиалуроната. Такие препараты образуют на суставе пленку. Она препятствует возможному разрушению, улучшая скольжение между поверхностями суставов.
Инвазивное лечение
Инвазивный способ или операция назначается, если медикаментозное лечение оказалось бессильным. Вследствие большого разнообразия форм повреждения, манипуляции хирурга также могут быть разные. Операция с помощью артроскопа проводится в том случае, если необходимо улучшить или возобновить кровоток, для устранения наростов или кусочков хряща при остеоартрозе. О лечебной и диагностической артоскопии мы уже писали подробнее. Также артроскопия показана:
- для уточнения диагноза;
- для ввода медикаментозных препаратов.
Протезирование используется при сильных травмах, гонартрозе и других заболеваниях, когда спасти сустав уже невозможно. Чтобы избежать эндопротезирования, следует лечить патологию на ранней стадии.
Лечение народными средствами
Что делать, когда болит колено? Действия при травматизации колена должны быть следующими:
- Постараться полностью обездвижить конечность.
- Приложить к больному месту лед, поскольку охлаждение предотвращает возникновение кровоподтека чувство боли.
- Вызвать скорую помощь.
Для определения уровень сложности повреждения и назначения лечения необходимо обследование медика.
Внимание! Переохлаждение способно привести к обморожению
Целители подскажут, что делать, чтобы облегчить течение симптомов такого неприятного недуга, и какое лечение народными средствами лучше.
Йод при солевых отложениях в суставе
Если в суставах колен имеются соли, тогда рекомендуется народное средство на основе йода. Для этого следует в стеклянной посуде смешать по 50 мл йода и нашатырного спирта, настаивать 1 день в теплом месте. Такая растирка подходит только в тех случаях, если у пациента нет инфекции в суставе.
Компресс из картофеля
Отлично себя зарекомендовал в борьбе с болью картофель. Достаточно натереть 1 картофелину и добавить в нее чайную ложку керосина, перемешать и наложить на поврежденное место перед сном на 20 минут.
Можно использовать картофель в сочетании с хреном. Для этого нужно взять оба компонента по 100 г, измельчить их и выложить полученную кашицу на колено. Укутать теплой тканью и держать 40 минут.
Скипидарный состав
Для устранения неприятных признаков полезно применять средство на основе скипидара и куриного желтка. Достаточно взять 1 желток и смешать его с небольшим количеством скипидара. Затем добавить 20 г яблочного уксуса. Компресс желательно делать перед сном.
Бабушкина растирка
Эффективно при боли в коленных суставах приготовить растирку. Для этого нужно соединить 100 г водки с валерьянкой. Затем растолочь 10 таблеток Анальгина и развести 200 г тройного одеколона. Все ингредиенты смешать. Настаивать 3 суток, периодически встряхивая. Растирать полученным средством больное место.
Травяные отвары
Полезно применять в комплексе с основным лечением отвары из различных трав. Наиболее эффективным является средство на основе цветов бузины и ромашки. Для его приготовления нужно взять в одинаковом количестве оба ингредиента и залить кипящей водой. Настаивать 15 минут, затем выложить травы в марлю и прикладывать полученный травяной мешочек к колену.
Девясил
Для компрессов можно приготовить состав на основе девясила. Следует залить медицинским спиртом 100 г девясила. Настаивать 3 дня, затем смазать коленный сустав растительным маслом и сделать компресс.
Конский каштан
Многие рекомендуют использовать при лечении плоды конского каштана. Для этого необходимо взять 300 г плодов и залить их спиртом. Держать смесь в темном месте 2 недели, ежедневно встряхивая. Не процеживать.
Для профилактики болезней суставов нельзя мыть руки или ноги в холодной воде, в сырую погоду следует держать ноги в тепле. При соблюдении всех рекомендации и своевременном лечении, боль в колене утихнет, а основное заболевание будет вылечено.
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