Чтобы сохранить суставы здоровыми и не допустить развития заболеваний, следует выполнять простые профилактические рекомендации. Нужно следить за осанкой, контролировать вес, принимать витаминно-минеральные комплексы, укрепляющие кости скелета, правильно питаться и вести активный образ жизни. Это поможет предупредить такие недуги, как артроз, артрит, остеохондроз.
Почему возникают и как распознать болезни суставов?
Чаще всего поражаются суставы верхних и нижних конечностей, позвоночный столб. Наиболее распространенными заболеваниями являются различные виды артритов, артроз, остеохондроз, остеопороз. Возникают недуги под влиянием следующих неблагоприятных факторов:
- невыявленные или недолеченные травмы;
- ожирение;
- недостаток витаминов и микроэлементов, особенно кальция;
- гиподинамия;
- неправильный рацион и недостаточное потребление воды;
- гормональный сбой;
- системные заболевания;
- ожирение;
- вредные привычки;
- хронические очаги инфекции.
Постоянное чувство усталости ног сигнализирует о развитии артрита.
Суставные заболевания развиваются постепенно и длительное время не дают о себе знать. О том, что болезнь прогрессирует свидетельствуют следующие симптомы:
- боли в суставах;
- припухлость;
- отечность;
- скованность или ограничение подвижности;
- головокружение, нарушение слуха и зрения, координации при остеохондрозе;
- мышечная слабость в пораженной конечности;
- частые переломы костей при минимальном воздействии на них.
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Как предупредить суставные болезни?
Соблюдение осанки
Если профессиональная деятельность связана с длительным пребыванием в сидячем положении, рекомендуется правильно оборудовать рабочее место. Это сбережет осанку и уменьшит нагрузку на суставы и позвоночник. Для профилактики болезней суставов следует придерживаться таких правил:
- За столом сидеть ровно, расправив плечи, немного приподняв подбородок.
- Стол должен быть удобным, по росту пользователя.
- Стул рекомендуется с подлокотниками, чтобы локти не были на весу.
- Высота стула должна регулироваться.
- Ноги устойчиво стоять на полу. Если такой возможности нет, то нужно использовать специальную подставку.
- Под спину можно подкладывать небольшую жесткую подушку.
- Обязательны перерывы каждый час, во время которых следует разминаться.
- Гаджеты следует располагать на уровне глаз. Это уменьшит нагрузку на мышцы и позвонки шеи.
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Прием витаминов и препаратов
Для профилактики заболеваний суставов рекомендуются комплексы, содержащие кальций, магний, фосфор, витамины D, С, К, В12. Перед применением следует проконсультироваться с врачом, заниматься самолечением запрещено. Витаминные медикаменты не заменяют правильного питания и физической активности. Эффективны следующие препараты:
- «АртриВит»;
- «СустаНорм»;
- «Коллаген Ультра»;
- «Кальцемин»;
- «Ортомол Артро плюс»;
- «Антиоксикапс»;
- «Доппельгерц актив Глюкозамин+Хондроитин»;
- «Компливит кальций D3»;
- «Декамевит»;
- «Пентовит».
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Снижение веса и физическая активность
Малоподвижный образ жизни и гормональные нарушения приводят к ожирению. Избыточная масса тела перегружает кости скелета, хрящи преждевременно истончаются и изнашиваются, особенно в области тазобедренных и коленных суставов. Чтобы снизить вес, рекомендуются следующие посильные занятия спортом:
- бег;
- длительные пешие прогулки;
- приседания;
- упражнения ножницы и велосипед;
- наклоны;
- занятия с палкой или мячом;
- вращательные движения конечностями;
- плавание;
- посильное поднятие тяжестей.
Следует помнить, что результативны только ежедневные физические нагрузки, которые укрепляют суставы и препятствуют лишнему весу.
Соблюдение диеты для профилактики болезней суставов
Чтобы сохранить структуру костей и суставов здоровыми, следует полностью отказаться от алкоголя. Спиртные напитки содержат много калорий, вымывают кальций, ухудшают работу почек, провоцируют ожирение и скопление мочевой кислоты в суставных соединениях. При суставных патологиях запрещена сдобная, жирная, жареная, копченая и маринованная пища. Рекомендуется употреблять не меньше 2-х литров чистой воды в сутки. Следует отдать предпочтение следующим продуктам:
- нежирному мясу и рыбе;
- овощам и фруктам;
- сухофруктам;
- орехам;
- макаронам;
- бобовым;
- молочным изделиям;
- нежирным сортам сыра.
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Лечение народными методами
Для внутреннего применения
Если заболевание уже есть, то предотвратить его прогрессирование можно следующим способом:
- Взять 10—15 г сухих почек березы.
- Залить 1 л кипящей воды.
- Емкость поставить на слабый огонь и потомить 30 мин.
- Снять с плиты и дать настояться.
- Принимать по 200 мл 3 раза в сутки.
Для профилактики суставных патологий знахари рекомендуют такое средство:
- Взять 200 г очищенных зубчиков чеснока и 500 г ягод клюквы.
- Ингредиенты измельчить в однородную массу.
- Отставить на сутки.
- По истечении срока добавить 1 л жидкого меда и перемешать.
- Принимать средство по 10 г 3 раза в день за четверть часа до приема пищи.
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Для внешнего применения
Чтобы укрепить суставы и избавиться от боли, для лечения и профилактики недуга целители рекомендуют следующий рецепт:
- Ядра каштана конского очистить от шкурки и измельчить.
- Залить 0,5 л нашатырного спирта.
- Дать настояться 7 дней.
- По истечении срока нанести на больной сустав, повязав теплой тканью.
Многие люди сегодня страдают от артроза. Болезнь коварна и крайне тяжело поддается лечению, поэтому при обнаружении симптомов крайне важно обратиться к квалифицированному специалисту. Не стоит затягивать с лечением, чтобы не усугубить терапию.
Описание
Артроз коленного сустава — это деформационные процессы в хрящевой ткани, запустившиеся по ряду причин. Болезнь быстро переходит в хроническую стадию, осложняется болевым синдромом, доставляет огромный дискомфорт заболевшему человеку. Без адекватного лечения артроз постепенно приводит к обездвиживанию пациента, утрате его конечностей функциональности. Если у пациента поражается одна нога, заболевание называют односторонним. Если обе ноги, то — двусторонним.
Деструктивные изменения в колене происходят в молекулах, из-за чего изменяются физико-химические характеристики клеток хряща.
Хрящевая ткань становится более мягкой и хрупкой, трескается и расслаивается. Определить подобные процессы позволит тщательное изучение эпителия, но если этого не случилось на ранних стадиях болезни, хрящи подвергнуться окончательному разрушению. Кости обнажаются, что вызывает нестерпимые боли у пациента.
Более остальных от этого заболевания мучаются представительницы прекрасного пола. Особенно те, кто не контролирует массу собственного тела, отказывается от спорта. В молодом возрасте спровоцировать развитие артроза может травма, а у пожилого человека эта болезнь провоцируется истончением хрящевой ткани, снижение уровня выработки гиалуроновой кислоты самим организмом.
Причины
Развитие болезни может быть спровоцировано множеством разнообразных факторов. Травма: перелом ноги, разного рода вывихи, разрыв мениска. Данные проблемы способны вызвать артроз коленного сустава даже у молодого человека. Сгибание и разгибание коленей становятся болезненными, поэтому для терапии применяется жесткая фиксация ноги. Но лечение травмы подобным образом осложняется ухудшением кровообращения в конечности, что и вызывает артроз в ряде случаев. Отдельно отметим проблемы с менисками. При разрыве или повреждении данной хрящевой прокладки колена словно цепенеет. При удалении мениска практически всегда ситуация перерастает в артроз.
Регулярные занятия спортом позитивно влияют на организм человека, однако уровень нагрузки должен соответствовать возрасту спортсмена. В противном случае повышается риск травмирования конечностей: переломы кости, растяжения связок и т.п. Особенно это характерно для немолодых пациентов, которые тренируются чрезмерно активно.
Микротравмы, которые поначалу могут не приносить боли или иного рода дискомфорта, приводят к серьезному повреждению суставов. Вот почему после 40 лет необходимо тщательно контролировать уровень нагрузки на коленные суставы во время спортивных занятий, выполнять движения плавно, без рывков. Откажитесь от наиболее опасных для колен видов спортивных занятий: бег по твердому асфальту, приседания с нагрузкой в виде штанги или гантелей.
Чрезмерно высокая масса тела, ожирение не вредят хрящевой ткани непосредственно, но они повышают риск травмирования менисков. Подобные проблемы у человека с нормальной массой тела вызывают ряд осложнений, тем более у полного. На ноги и так идет высокая нагрузка от веса тела, а если в добавок ко всему пациент страдает варикозом, то это может привести к появлению тяжелой формы артроза.
Человеку вполне по плечу тяжелые тренировки, разного рода упражнения на развитие гибкости и ловкости. Но со временем подобная физическая активность может спровоцировать микротравмы коленей, а затем, артроз.
Множественные повреждения доставляют боль и дискомфорт. Вместе со слабостью связочного аппарата чрезмерная подвижность суставов может привести к нарушению чувствительности конечностей. Болезни суставов во многих случаях становятся причиной развития артроза. Воспалительный процесс при артрите вызывает скопление синовиальной жидкости в суставах.
Нарушение обмена веществ, например, недостаток кальция способно провоцировать проблемы с костями и хрящами.
Нервные раздражители, частые стрессы, резкое изменение настроения человека может негативным образом сказаться на состоянии суставов. Поэтому специалисты рекомендуют чаще менять обстановку, вести подвижный образ жизни, не злоупотреблять физической нагрузкой, сменяя ее умственной активностью. Накопленная за многие годы усталость может привести к проблемам в конечностях, появлению отеков и воспалительного процесса.
Помимо этого, на здоровье коленного сустава могут повлиять эндокринные заболевания, климакс у представительниц прекрасного пола, длительный прием гормонов. Трение и деформация сустава приведет к отекам, болям и болезни под названием артроз коленного сустава.
Признаки артроза коленного сустава и диагностика болезни
Симптоматика болезни не сразу носит явный характер, но при обнаружении первых болей, дискомфортных ощущений после прогулки, стоит обратиться в поликлинику. Изучите признаки артроза коленного сустава, которые могут свидетельствовать о наличии данного заболевания, чтобы своевременно отреагировать на проблему.
Симптомы
Начальные стадии заболевания практически бессимптомны. Дискомфорт в колене можно почувствовать только после длительной нагрузки, при которой поверхности сустава трутся между собой. Но позже проблема осложняется скованностью в суставах, хрустящим звуком при движении. Только после проявления всех данных симптомов можно заметить деформацию, х- и о-образные искривления ног.
Последняя, третья стадия болезни затрагивает весь организм. Колени недостаточно подвижны, поэтому у пациента основная нагрузка перемещается на позвоночник, тазобедренные и голеностопные суставы. Может развиться коксартроз, плоскостопие, грыжа межпозвоночных дисков.
Основные симптомы заболевания:
- Болевые ощущения возникают постепенно от слабых до сильно выраженных. Боль может носить ноющий характер на протяжении нескольких месяцев и даже лет до тех пор, пока заболевание не перейдет в острую форму. При второй степени развития болезни дискомфортные ощущения выражаются более сильно. Их можно заметить не только после длительной ходьбы, но и в состоянии покоя.
- Деформационные процессы в колене. Они наиболее ярко выражены в случае запущенности заболевания. От обычной припухлости проблема переходит к изменению формы колена.
- Синовит. Этот медицинский термин подразумевает процесс скопления жидкости в суставе. При чрезмерно большом ее количестве, появляется киста Бейкера или плотное образование. Ситуацию можно исправить только на операционном столе.
- Хруст. Характерен для 2 и 3 степени, носит резкий характер, осложняется болью.
- Низкая подвижность. Такие признаки артроза коленного сустава заметны на последних стадиях и вызывают сильную боль.
Степени
Артроз имеет несколько стадий своего развития:
- Первая. Болезнь сопровождается слабой болью при резких движениях ногами. Нередко синовиальная жидкость скапливается в полости сустава, образовывается киста Бейкера. Повреждение хрящей носит незначительный характер, колено не деформируется, но может слегка опухать.
- Вторая. Суставная щель сужается, хрящи повреждаются. Снимок на рентген-аппарате может продемонстрировать разрастания костной ткани. Острые боли появляются при любом движении. В состоянии покоя они стихают, однако, потом снова дают о себе знать. Появляется хруст в колене. Сустав утрачивает свою подвижность, проявляется его деформация.
- Третья. Хрящевая ткань в некоторых местах очень истончается, оголяя кости. Рентгенограмма покажет отложение солей в суставной полости, также могут обнаруживаться свободные тела. Внешне колено меняется, болевые ощущения усиливаются даже в состоянии покоя.
Отложение солей приводит к развитию деформирующего артроза. Основными симптомами заболевания являются боль и хруст. Лечить болезнь более эффективно на ранних этапах, тогда шансы сберечь хрящи намного выше.
Диагностика
Зачастую пациенты обращаются к квалифицированному специалисту тогда, когда боль, хруст, ограниченность движения колена невозможно не заметить. Это запущенная стадия заболевания и лечить ее гораздо сложнее, нежели ранние стадии.
Квалифицированный специалист должен выслушать жалобы пациента, осмотреть суставы, отправить человека на рентген и ряд лабораторных исследований. И только на основе полученных результатов можно установить диагноз и назначить лечение.
Болезнь артроз коленного сустава и методы ее лечения
Артроз коленного сустава — довольно сложное заболевание, способы лечения которого разнообразны по своей сути.
К основным методам борьбы с проблемой относят:
- Лечение препаратами-хондропротекторами, анальгетиками, нестероидными противовоспалительными, сосудорасширяющими препаратами, кортикостероидами. Медикаменты снимают боль, опухлость и воспаление, способствуют восстановлению хряща.
- Массаж, кинезиторация лечат болезнь, артроз коленного сустава отступает, улучшается кровообращение сустава, запускается регенерация клеток хряща, возвращается подвижность.
- Применение нестандартных методов. Например, озонотерапия, при которой озон вводится в виде уколов. Терапия с озоном демонстрирует высокие результаты.
Отметим, что наибольшая эффективность достигается, если терапия проводиться комплексно. То есть, все эффективные методы борьбы с артрозом коленного сустава задействуются одновременно или последовательно для постепенного восстановления и выздоровления коленей.
Терапия лекарствами
Чтобы устранить боли в коленях врачи применяют нестероидные препараты. Например, Диклофенак, Пироксикам и др. В большинстве случаев это форма таблетки или уколов. Также можно подобрать препараты местного применения. Например, пластырь Нанопласт или раствор Димексида. В любом случае, назначать препараты должен исключительно квалифицированный медик.
Также пациентам с подобным заболеванием назначают длительную терапию хондропротекторами. Такие лекарственные средства в виде раствора для инъекций ответственны за восстановление суставного хряща, так как содержат хондроитинсульфат.
Это вещество входит в состав хрящевой ткани человека. Популярными хондропротекторами являются монопрепараты Артифлекс и Дона.
Помимо лекарственных препаратов также можно применить биодобавки с хондроитином и глюкозамином в составе. Например, Сустанорм, Стопартрит. Они не являются лекарствами, не подвергались клинической апробации, но в некоторых случаях их применение дает позитивные результаты.
Массаж
Массаж и мануальная терапия полезны, так как позволяют снять спазм мышц, уменьшить боли. Массажи для борьбы с такой болезнью бывают различных видов: подводный, баночный и т.п.
Подбор специальных упражнений, подходящих пациенту по уровню нагрузки, позволяет улучшить кровообращение в организме, снять психоэмоциональное перенапряжение, стимулировать регенерацию хрящевой ткани и т.п.
Хирургическое вмешательство
Запущенный артроз коленей требует хирургического вмешательства для устранения проблемы.
Существует несколько операций, которые назначаются пациентам с такой проблемой:
- Артродез или полное удаление суставной ткани, после которого осуществляется сращивание бедренной и большой берцовой кости, а также надколенника. Это радикальный способ, применяющийся крайне редко.
- Артроскопический дебридмент используется на 2 стадии болезни. С его помощью можно устранить боль, которую не удалось снять препаратами НПВС. Операция подразумевает удаление из полости больного сустава омертвевших частиц.
- Околосуставная остеотомия подразумевает подпиливание кости и выставление их под новым углом. Это позволяет сместить центр тяжести, изменить нагрузку на хрящи.
- Эндопротезирование подразумевает замену пораженного сустава протезом, отличается стойким эффектом.
Профилактика артроза коленных суставов: диета и упражнения
Правильное питание позволяет повысить шансы пациента на выздоровление при артрозе, потому что часто он обусловлен проблемами с обменом веществ в организме человека.
Пациенты должны отдавать предпочтение тем некалорийным продуктам, которые богаты витаминами и микроэлементами. А от голодания стоит отказаться. Питаться стоит от 3-х до 5-раз в день мелкими порциями. Исключите из рациона газировку, полуфабрикаты, жирную пищу, продукты с усилителями вкуса. Потребляйте больше белка, который содержится в сыре, твороге, крольчатине, курином мясе.
Упражнения
Профилактика артроза коленных суставов очень важна. Она включает лечебную гимнастику, которая выполняет важную функцию. Комплекс упражнений делается 3-4 раза в день.
Восстановительная терапия
Восстановительная терапия позволяет остановить процесс разрушения, усилить метаболизм в клетках хряща, стимулировать его укрепление. Применяется физиотерапия и в качестве дополнительного метода борьбы с артрозом. Показана пациентам ультразвуковая, микроволновая терапия, электрофорез, локальная баротерапия.
ЛФК при артрозе позволяет укрепить мышцы вокруг сустава, снизить нагрузку на него. Помимо этого, лечебная гимнастика приводит к восстановлению подвижности больного сустава, повышенной выработке суставной жидкости, улучшению питания суставной хрящевой ткани. Но помните, никакой боли при выполнении физических упражнений при артрозе быть не должно.
Также полезно при артрозе коленного сустава заниматься йогой, пилатесом, бодифлексом. То есть, теми спортивными направлениями, которые способствуют укреплению мышц, тонуса тела, корректировке массы тела.
Народные методы
Боли от артроза коленей можно облегчить в домашних условиях при помощи народных методов. Снять отечность колена поможет раствор пищевой соды, в который обмакивают бинт и наносят в область опухлости в ночное время. Также полезными при таком заболевании считаются примочки с уксусом.
При комплексной терапии артроза коленного сустава можно также применить лечебные травы: лопух, листья березы, чистотел. Из этих трав делают примочки и компрессы на ночь.
В статье «Что предпринять, когда болит колено» рассказано о причинах боли, и что делать, когда стало уже больно. Теперь поговорим о том, как постараться избежать этой неприятности.
Итак, первое. Нужно похудеть, и ходить пешком
Это снижает статическую нагрузку, и дает коленям умеренную динамическую нагрузку, чтобы не страдать от боли и не травмировать коленные суставы. Самые простые, но очень эффективные средства: (1) сбросить вес, и (2) тренировать мышцы ног. Тогда и остеоартроз будет не страшен. Сильные мышцы ног крепко держат колени в корсете, не дают костям и суставу «болтаться», а также снижают давление веса тела на него.
Для тренировки еще не придумали лучший способ, чем ходьба. Если сидите дома – заставьте себя регулярно, ежедневно выходить на улицу и ходить пешком, и не менее чем по полчаса. Дома тренируйте мышцы глубокими приседаниями, вытянув руки вперед, и не менее чем 12 раз. Сколько раз сможете присесть, столько и приседайте.
И не просто ходите. Старайтесь найти и подъемы, и спуски, и лестницы. Это усилит эффект тренировки. В метро поднимайтесь или спускайтесь, когда находитесь на эскалаторе. Тренируйте ноги.
Ну а если регулярные пешие походы усилили боль, значит обувь плохая. В модных туфлях эффекта не будет. Лучше всего подходит спортивная обувь с амортизирующей подошвой и шнуровкой. Она хорошо держит стопу ноги, не дает ей «болтаться», что предупредит боль в голеностопе.
Второе. Применять физические нагрузки на ноги и коленные суставы
Делаем растяжку «каната»
Если вы не знакомы с анатомией своего тела, то знайте, что по все длине ног, начиная от таза, по задней стороне бедра, далее под коленкой, и до самой голени тянется этакий плоский «канат» из соединительной ткани. В норме он эластичный, и помогает телу твердо стоять на ногах.
Но когда эластичность ухудшается, начинается «подтягивание» колена, нагрузка на него растет, появляется боль. Что делать? – тренировать этот канат, растягивать его. Лучший способ читайте здесь: авторская методика утренней зарядки, упражнение 24.
Укрепляем передние мышцы бедра
Эта мышца очень сильная. Она держит надколенную чашечку, и стабилизирует коленный сустав. Поддерживайте ее в хорошем рабочем состоянии.
Для этого, стоя прямо, положите руку на стол, или на спинку стула. Поднимите назад ногу, и согните ее в колене. Ухватитесь свободной рукой за лодыжку. Тяните ногу этой рукой дальше назад, и одновременно вверх. Почувствуйте напряжение мышцы бедра. Потом расслабьтесь, смените руки и ноги.
Если есть возможность, крутим педали на велотренажере
Велотренажер – это мощная штука для тренировки ног. Для большей эффективности поднимите седло повыше, чтобы ноги едва дотягивались до педалей в их нижнем положении, сопротивление педалей поставьте минимальное. И крутите себе на здоровье, порядка 25 минут.
Укрепляем суставные связки под коленкой
Сухожилия сильных мышц, которые находятся на задней стороне бедра, ограничивают подколенное пространство и соответственно стабилизируют коленный сустав сзади.
Положите прямую ногу пяткой на стул. Другую ногу немного согните в колене. Положите обе руки на бедро вытянутой ноги чуть повыше колена. Не сгибая спину, наклоняйтесь вперед. Почувствуйте напряжение мышцы бедра. Делайте так несколько раз и потом повторите на другой ноге.
Тянем коленку передней мышцей бедра
Это упражнение можно делать всегда и везде, когда вы стоите или сидите. Для этого выпрямите ногу (а если сидите, то две ноги сразу), и напрягите мышцы бедра, как бы подтягивая колени вверх.
Такая нагрузка, когда делаешь ее несколько раз в день, великолепно укрепляет мускулатуру коленей. Особенно хорошо делать это упражнения, когда вы вынуждены долго сидеть в транспорте, в самолете, на совещании, и тому подобное. Оно быстро снимает усталость коленей, и кроме того заставляет сустав выделять смазку, что тоже весьма для него полезно.
Сидим по-японски
Такая поза (фото справа) очень хорошо поддерживает эластичность мышц вокруг коленей. Для этого станьте сначала на колени, а потом опустите корпус тела мягким местом на пятки. Стопы ног при этом должны быть вытянуты назад и прижаты к полу.
Упражняйтесь в этой позе как можно более долго. Можете вообще что-либо делать, сидя таким образом на полу. Поза сидения на ногах по-японски очень эффективна для укрепления коленей, а если колени болят, то снимает боль.
Если колени развести в этой позе в стороны, как можно больше, то одновременно укрепляем связки тазобедренных суставов, что тоже весьма полезно.
Становимся в позу воина
Стоя, широко раздвиньте ноги, примерно на метр двадцать. Стопы держите параллельными друг дружке. Потом правую стопу поверните немного вовнутрь, а левую наружу. После этого поднимите руки в стороны, левую ногу согните в колене. Голову поверните влево. Немного напрягитесь и постойте, сколько сможете (примерно минуту). Смените положение на противоположное (в смысле ног), и повторите так несколько раз.
ЗАКЛЮЧЕНИЕ
Лучше предупредить, чем лечить. Применяйте эти рекомендации для профилактики боли в коленях, и вы избавитесь от проблем с ними.
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