Geriatric osteoarthrosis

  Knee degenerative joint degeneration senile degeneration, which we can also call osteoarthritis, can occur in any joint throughout the body. However, because the knee joint is often subjected to weight and other loads. That’s why primary deformational arthritis is most common in the knee joint. So people with obese physique and heavier knee joint load, the symptoms of osteoarthritis of the knee joint appear earlier and heavier. its main symptoms are pain, joint interlocking and limitation of movement, appearance of the knee joint often has the appearance of joint effusion. x-ray examination: plain film shows narrowing of the joint space, tibial spur formation.  Degenerative arthritis Some older adults often have back pain, leg pain, and joint pain. It is medically known as degenerative arthritis, also known as hypertrophic arthritis. It is also called senile arthritis because it is most often seen in older adults. Age-related degeneration is the main cause of degenerative arthritis. After middle and old age, all tissues and organs undergo degenerative changes; bone and joint tissues are no exception. Degenerative changes tend to occur in weight-bearing joints and joints that are more active, and excessive weight bearing or overuse of certain joints can promote the occurrence of degenerative changes. In addition, factors such as intra-articular fractures, diabetes mellitus, and the long-term inappropriate use of adrenocorticotropic hormones can contribute to the formation of degenerative changes and accelerate the development of existing degenerative changes. The main damage of degenerative changes in old age is in the cartilage of the joints, which degenerates, softens, loses elasticity, splits and falls off. Endochondral ossification forms bony flaps at the edges of the joints, and the central cartilage of the joints may become thickened and hyperplastic due to maximum wear and tear or even disappear, causing narrowing and unevenness of the joint cavity and deformation of the bone ends. This often results in limited motion and joint deformity. Joint pain is the main symptom of degenerative arthritis, and is dull and painful. The pain is most pronounced in the morning or after the joint has been in a certain position for a long time, and can be relieved with a little activity. The pain is most pronounced in the morning or after the joint has been in a certain position for a long time. Patients feel that the joint is inflexible, which is more obvious after rest. The joints may become stiff and may make a rough grinding sound when moving. These symptoms may worsen as the pathology worsens. In addition to pain, there is localized joint swelling, oozing, muscle atrophy, and even joint deformity and restricted movement.  Degenerative changes in the bone and joint We give a talk about the decline of osteoarthrosis in people. Generally, after the age of 35, the intervertebral discs between the vertebral bodies are subject to degeneration. Elasticity and toughness are reduced, resulting in the destruction of the physiological balance of the joint capsule. The body has to adjust itself to these changes in the internal environment and establish a new balance, while new bones grow at the edge of the vertebral body, which is what we usually call osteophytes, or bone spurs. In middle-aged and elderly people, some secondary osteophytes occur during the growth process, which is a self compensatory response of the body and a protective mechanism of the human body, so that some people suffer from osteophytes without any clinical discomfort. However, with the growth of age, the bone spurs also grow, and once they cannot regulate themselves, changes in the internal environment and metabolic dysfunction occur. The soft tissues around the bone spur become congested, edematous, inflamed, and adherent. This is called osteoarthritic degenerative disease, and must be taken seriously.  What is degenerative joint disease?  If the patient feels soreness, swelling and numbness in the neck, shoulder, back and upper limbs, this is a lesion in the cervical spine that compresses the nerve root. This is called cervical spondylosis nerve root type. If the patient has clinical manifestations such as headache, otorrhea, blurred vision,, memory loss, nausea and weakness. This is the cervical lesion compressing the basilar vertebral artery, which is the cervical spondylosis vertebral artery type. If patients feel difficulty in walking, individual patients have a feeling like stepping on cotton under their feet, and there is a general obstruction to movement, this is a cervical lesion compressing the spinal nerve, which is medically known as the spinal cord type of cervical spondylosis. This disease is more harmful to the human body and should be treated promptly.  Degenerative osteoarthropathy Degenerative osteoarthritis occurs mostly in older people over the age of 55, with a slow onset and involvement of mainly weight-bearing joints, such as the hip and knee. It can also involve the small joints of both hands, but mainly the distal interphalangeal joints (in the case of rheumatoid arthritis, the distal interphalangeal joints are mostly involved). The symptoms include joint swelling, pressure pain, impaired mobility, and fluid accumulation in the joint cavity. There is no symmetry in the distribution of symptoms and no morning stiffness. Laboratory tests generally show no abnormal findings or minimal changes, and X-rays may show bony growth and narrowing of the joint space. In the absence of joint deformation, non-steroidal drugs can relieve the symptoms. The disease progresses slowly without the joint deformities characteristic of rheumatoid arthritis, and the prognosis is relatively good.  In elderly osteoarthritis, because of the obvious osteophytes in the knee joint, joint effusion often exists, and pain is more obvious when the knee joint is active, patients should reduce the activities of both knee joints at this time, and if necessary, crutches to reduce the weight of both knee joints and reduce the inflammatory response of the knee joint. The elderly can first do joint irrigation treatment with magnesium sulfate and high sugar to protect the cartilage and reduce the inflammatory response. If there are more bone spurs, arthroscopic knee treatment is recommended to remove the bone spurs and reduce the irritation of the synovial membrane to reduce the inflammation.