What is degenerative osteoarthritis of the knee
Degenerative osteoarthritis is a chronic degenerative osteoarthropathy, which is a series of symptoms caused by joint proliferation and degeneration. Among the joints of the human body, the knee joint has to support the weight of the whole body, but also to stand, squat, jump, run and walk, making the knee joint very active and most prone to knee joint strain, so degenerative osteoarthritis of the knee joint is the most common.
There are two types of degenerative osteoarthritis of the knee: primary and secondary.
Primary D is closely related to the age of the patient and is mostly seen in middle-aged and older people over 50 years of age.
Secondary one is mostly due to trauma (knee, bone, meniscus, knee dislocation, etc.); joint deformity (knee inversion, valgus); joint pathology (inflammatory joint pathology, endocrine disorders, ischemic necrosis). And cause premature and severe degenerative changes in the knee joint.
Clinical manifestations of degenerative osteoarthritis of the knee
Pain in the knee joint, aggravated after exercise and alleviated after rest, inconvenient walking, limited extension and flexion of the knee joint, difficulty in squatting, painful ascending and descending stairs, or stabbing pain from sudden activity, and often accompanied by the phenomenon of weak legs wanting to fall. The knee joint straightens to a certain degree causing pain, and often emits a twisting sound during the extension and flexion of the knee joint. In severe cases, muscle atrophy of the lower limbs may occur, and joint effusion and synovitis may also occur.
Chinese medicine’s understanding of degenerative osteoarthritis of the knee
Chinese medicine includes degenerative osteoarthritis of the knee joint in the category of “bone paralysis”. It is believed that when people reach middle age, the liver and kidneys are insufficient, the qi and blood vessels are not regulated, and the tendons and bones lose their moistening, which is compounded by trauma, strain, and wind, cold, and dampness.
Prevention of degenerative osteoarthritis of the knee joint
It is impossible to cure degenerative osteoarthritis of the knee, regardless of the conservative treatment domain surgery.
Prevention of degenerative osteoarthritis of the knee
It is not yet possible to prevent osteoarthritis completely, but there are some measures that can reduce or delay the occurrence of osteoarthritis.
1. Reduce weight, try not to wear high-heeled shoes, and protect the joints from injury, such as avoiding repeated impact or torsion of the joints.
2, avoid overload activities and labor, minimize the burden on the knee joint, and reduce doing frequent ascending exercises. If there is damage to the cluster bone, meniscus, or knee ligaments, they must be treated promptly. Intra-articular fractures or dislocations should be reset in a timely manner and treated symptomatically. When a deformity is found around the knee joint, it should be promptly orthopedic.
3, appropriate VitA, VitC, VitE and VitB supplementation have a certain preventive effect on osteoarthritis of the knee joint.
Treatment of degenerative osteoarthritis of the knee joint
1.Chinese medicine treatment
Integrated Chinese medicine treatment is currently the ideal treatment method.
2.Acupuncture treatment
Function: To unblock the meridians and regulate qi and blood, so as to achieve the purpose of “pass is not but”. Warm acupuncture can warm up the meridians and relieve pain, disperse cold and clear the channels, eliminating the phenomenon of cold disease.
3.Tui na lifting therapy
Effects: Relieve muscle spasm, relieve pain, loosen adhesions of soft tissues around the joint, and improve the function of the knee joint.
4.Small needle knife treatment
Effect: Through the needle knife, the adhesions between soft tissue and soft tissue, and the adhesions between soft tissue and bone are loosened, so that the soft tissue damage is restored to its dynamic balance, and the joint is restored to its mechanical balance, thus achieving the purpose of treatment.
5.Therapeutic internal and external application of Chinese medicine
Chinese medicine internal treatment: under the guidance of Chinese medicine diagnosis and treatment, Chinese medicine is used to nourish liver and kidney, regulate blood and Qi, invigorate blood and relieve pain, dispel wind and dispel cold.
External application of Chinese herbal medicine: Adopt drugs that invigorate blood circulation, reduce swelling and facilitate water circulation to achieve the purpose of pain relief.
6.Fumigation of Chinese medicine
Effects: activating blood circulation and removing blood stasis, clearing Qi and blood, reducing swelling and pain, and relieving spasm.
7.Knee joint intracavitary irrigation treatment
After intracavitary flushing of the knee joint, sodium vitreous acid is injected to remove the tiny foreign body in the joint cavity, reduce the inflammation in the joint cavity and smooth the joint.
Sodium vitreous acid: Sodium vitreous acid is the main component of the joint bone fluid. In the joint cavity to play the role of slippery bone, reduce friction between tissues, while playing the role of elasticity, cushioning the role of stress on the joint cartilage, protect the joint cartilage, promote the healing and regeneration of joint cartilage, relieve pain, increase joint mobility.
8.Western medical treatment
Including non-surgical treatment (physical therapy can promote blood circulation and improve the inflammatory response; drug treatment can be anti-inflammatory and analgesic), minimally invasive treatment, surgical treatment (joint fusion, joint replacement)
Rest and exercise
Pay attention to rest, do some simple and easy housework or exercise appropriately, and try to keep the functional activities of the knee joint.
Food therapy
1. 30g of Chinese wolfberry, 60g of round-grained rice, the above two flavors will be poured and washed dry to earn, boil into porridge. Morning and evening warm consumption. It has the effect of nourishing the liver and kidney. Used in patients with kidney yin deficiency.
2, angelica 30g, ginger 5g, lamb 250g. stewed soup for consumption. It has the effect of nourishing the blood, warming the menstruation and dispersing cold. For people with blood deficiency feeling cold and damp.
Daily precautions for patients with degenerative osteoarthritis of the knee
Stand soon, walk for a long time, pay attention to the knee joint to keep warm, and choose appropriate functional exercises according to the condition.
Functional exercises for the knee joint
The principle of functional exercise for the knee joint is to practice active non-weight-bearing activities, strengthen the muscles to maintain and improve the range of motion of the joint, and stabilize the balance of the joint.
Functional exercise can promote local blood circulation, protect and enhance the elasticity and toughness of soft tissues, reduce the chance of morbidity and prolong the interval between disease episodes.
1.Knee extension activity
Sit on the edge of the bed or chair, put both feet flat on the floor, straighten one knee as much as possible and keep it straight until it feels sore and swollen, then slowly flex the knee, alternating between the two legs, and repeat 5-10 times. And with a towel around the same side of the ankle, gradually to the arm try to pull the calf for 1 to 2 minutes, alternating between the two legs, repeated 5 to 10 times.
2.Knee flexion activity
Patients lying prone, both lower limbs flat on the bed, one knee flexion to the hip, and maintain the flexion position until there is a sense of soreness, and then slowly straighten the knee, alternating between the two legs, repeated 5 to 10 times.
3.N rope muscle exercise
Patients lying on their back, both lower limbs flat, one knee flexed as far as possible to the chest, and fixed thighs with hands, and then gradually straighten the knee, when there is a sense of soreness and swelling flexed knee, and then slowly flattened. Alternate between the two legs, repeated 5 to 10 times.
4.Quadriceps exercise
The patient lies prone. Both lower limbs are placed flat and the knee joints are flexed bilaterally.