Progressive disease with a slow course with periods of exacerbation and resolution of symptoms (remission). The course of the disease depends on the location of degenerative changes (most commonly joints of the hip, knee and spine) and on the degree of their severity. Older people who are overweight fall ill most often.
- przebyte urazy ostre i przewlekłe ( np. urazy sportowe, długotrwała, wymuszona pozycja podczas pracy, przeciążenia),
- wady wrodzone układu kostno – stawowego
- zaburzenia endokrynologiczne ( cukrzyca, niedoczynność tarczycy, otyłość),
- czynniki genetyczne( częste występowanie rodzinne),
The disease mainly affects articular cartilages, which initially become thinner due to the reduced water content. Cartilage is penetrated by blood vessels, inflammatory exudates accumulate, which together with cytokines (pro-inflammatory factors) lead to the destruction of the joint. Cysts that weaken the bone form in the cartilage and the surrounding bone. The detached bone and cartilage parts are absorbed or deposited in the synovium of the joints. Thickening of the articular capsule and periarticular ligaments occurs. At the same time, repair processes are taking place (bone outgrowths are formed on the osteochondral boundary), the inflammatory process leads to scarring. In later stages, atrophy of skeletal muscles surrounding the joints occurs. The progress of the disease leads to the limitation of joint mobility and deterioration of motor skills. The onset of the disease depends on the degree of joint overload, irregularities in the structure of articular cartilage and periarticular tissues.
- oint pain which occurs with movement after a period of rest,,
- rest pains (at night),
- limitation of joint mobility
Changes in osteoarthritis depending on the location of changes:
- small joints of the hand - bony eminences - Heberden’s nodes (distal interphalangeal joints) and Bouchard’s nodes (proximal interphalangeal joints).
- knee joints - cysts - popliteal cysts often causing cracks of the bursa and exudation of the synovial fluid between the muscles of the lower leg, which results in swelling of the lower leg.
- sspine joints - abnormal (dehydrated) intervertebral discs cause reduction of the intervertebral space (often described in x-ray of the spine, reduction in the height of the intervertebral discs). The pain occurs not only during movement (e.g. during head movements - cervical spine pain), but also in the standing position (with coexisting scoliosis). Dull back pains are the evidence of the involvement of sacral-rib joints. The limitation of spinal mobility results from the involvement of at least three adjacent vertebrae. The contents of the intervertebral disc may prolapse (the so-called herniated nucleus pulposus), which is manifested by sudden, severe spine pain.
- narrowing of natural spaces for nerve structures (nerve roots coming out of the spinal cord) can give neurological symptoms resulting from the pressure on these structures. The most common are so-called root symptoms - pain with radiation along the course of the oppressed nerve. For example in the so-called sciatica there is lumbar pain along with radiation to the extremities along the lateral surface of the thigh and lower leg. There may be sudden residual neurological symptoms - weakness and reduced sensation within the limb and disorders in passing urine and stool - they are an indication for urgent hospitalization, as the only effective treatment can be a decompressive surgical intervention.
- slipping of the vertebra (so-called spondylolisthesis), also with possible neurological symptoms
- sudden blockage of the joint caused by detachment of fragments of bones and cartilage and their movement to the synovial cavity.
PREVENTION AND TREATMENT
- losing weight by 5 kg can reduce the risk of disease by as much as 50%
- correction of posture defects is necessary
- relieving the affected joints (the walking stick should always be on the side opposite to the affected joint), limiting lifting of heavy objects
- moderate physical activity with periods of rest relieving the joint.
Pharmacological treatment may be associated with a high risk of complications.
- non-steroidal anti-inflammatory drugs (e.g. ketoprofen, diclofenac) - are associated with the risk of damage to the stomach mucosa (in 30% of patients stomach and duodenal ulcers develop) and with other side effects, especially in chronic use.
- other painkillers (e.g. paracetamol)
- intra-articular medications (glucocorticoids, hyaluronates) - repeated administration can lead to joint destruction
- surgical treatment (e.g. endoprosthetics, osteotomy correcting the axis of the lower limb), arthrodesis - immobilization of the joint, arthroscopy).
SPA treatment is effective and free of side effects. Such treatment uses natural minerals, physiotherapy and kinesiotherapy. Health resorts care about prevention of osteoarthritis and health promotion.
Medications based on natural, SPA minerals are intended for patients who, due to contraindications to conventional SPA treatments or lack of time, cannot take advantage of treatment in a health resort. If the patient has already undergone treatment in a health resort, then using these medications at home extends the effects of the treatment.
These medications are rubbed into the affected joints; they relieve pain and have anti-swelling and anti-inflammatory effects. The use of the medications in 2-3 weeks series allows you to fight pain and improve mobility. They can also be used in local physiotherapy practices. Treatments using peloid iontophoresis (with reumogel), as well as sulphide iontophoresis and phonophoresis (ultrasounds with the addition of the medication bals sulphur gel), treat the affected joints and spine.
Medications produced by P.F. SULPHUR ZDRÓJ are safe; unlike most other anti-rheumatic medications, they do not have side effects, even with long-term use.
Your joints can also be supported by sulphur SPA products. They are produced in the standard of medications, so they are characterized by high quality and effectiveness.
HEALTH RESORT AT HOME:
If you can't treat yourself at a health resort, help your joints in your own home!
- sulphide bath san ordinary bath at home will become a sulphide bath if you add Busko sulphide SPA the only one in Poland based on sulphide brine. You can also use it as a shower gel
- Busko sulphide mask made from sulphide brine for bathing, showering and body compresses. The original one is white (it does not contain yellow lanolin).
- peloid bath - smell a pine wood forest by adding to your bath
- compresses of peloid „plus” – enriched with almost 20% of concentrated aqueous peloid extract
- peloid butter – for rubbing and peloid massages of the joints and spine. The butter contains the most valuable concentrated ingredients of peloids and natural essential oils (clove, rosemary, ginger), which have a warming effect. Using the butter for classical massage strengthens its healing effect.