1. What exactly is osteoarthrosis of the knee?
Osteoarthritis of the knee is a common and prevalent disease in middle-aged and elderly people, which seriously affects people’s health and normal life. Knee osteoarthritis is a non-inflammatory degenerative change of joint cartilage caused by old age or other reasons, and the proliferation of bone at the edge of the joint and the attachment of joint ligaments to form a bone flab.
2.What are the signs and symptoms of osteoarthrosis of the knee?
And the resulting joint pain, swelling, stiffness and functional impairment. Many names are commonly used, such as osteoarthrosis, degenerative joint disease, age-related arthritis, hypertrophic arthritis, deformational arthritis and so on. Commonly known as “bone spurs”. This disease belongs to the category of “paralysis” and “bone paralysis” in Chinese medicine. Chinese medicine has certain advantages in the treatment of this disease.
According to the international diagnostic criteria for osteoarthritis of the knee.
In the past few months.
(1) Frequent pain in the knee joint.
(2) Bone fragmentation at the edge of the joint.
(3) Synovial fluid analysis with typical osteoarthritic manifestations.
(4) Age ≥ 40 years.
(5) morning stiffness of the joint for ≤ 30 min during the onset of the disease.
(6) Friction sounds during joint movement.
The diagnosis of osteoarthritis of the knee can be made if (1) and (2), or (1), (3), (5) and (6) above are present. On the other hand, the absence of bone fragments, i.e., the absence of bone spurs on x-rays, can also be osteoarthritis. (Because the degeneration and destruction of cartilage cannot be shown on ordinary x-rays)
The characteristics of osteoarthritis are: first, degenerative changes in the cartilage of the joints. The second is the primary proliferative changes in the joints and the functional changes in the joints caused by the above. The usual term osteophytes and bone spurs refers to the imaging of the disease. 80-90% of people over 60 years of age have osteophytes and bone spurs visible on X-ray, but only a small percentage of people have clinical manifestations of osteoarthritis. Age is an important factor in the development of osteoarthritis, as are trauma, inflammation, cold and dampness, abnormal metabolite deposition, massive iron deposition after repeated bleeding, and intra-articular injection of adrenocorticotropic hormones, which can cause direct destruction of articular chondrocytes or matrix, as well as certain endocrine abnormalities such as diabetes mellitus, inversion deformity, abnormal joint structure or poor alignment, genetic immune response, and obesity. The osteoarthritis is not only a result of the disease. Therefore, osteoarthritis is not only due to wear and tear “aging”, but is a complex systemic and multifaceted cause.
According to Chinese medicine, the pathogenesis of osteoarthritis is based on the internal cause of liver and kidney deficiency, the external cause of wind, cold and dampness, and the pathological product of blood stasis and phlegm and dampness. Deficiency of liver and kidney or deficiency of qi and blood, weakness of resistance, wind, cold and dampness take advantage of the deficiency to enter and stay in the joints, paralysis and impassability. The joint becomes paralyzed due to stagnation of qi and blood and paralysis of the arteries. Animal experiments have shown that herbs that tonify the kidneys and invigorate blood can slow down the process of histological changes in OA and inhibit the development of the disease. It has been shown through research that treatment by activating blood circulation and removing blood stasis can improve hemodynamics and blood rheology in bone, and can significantly reduce the whole blood viscosity, plasma viscosity, red blood cell pressure product and plasma fibrin content of bone marrow blood to protect joint cartilage and prevent osteoarthritis of the knee. The treatment can be categorized into classification, specific treatment and staging.
How to treat?
1. Identification and typing
At present, there are 3 types of arthritis: Qi stagnation and blood stasis, wind-cold and damp paralysis, and liver and kidney deficiency. Different prescriptions are used for different types of symptoms, such as Chuanxiong, Niubizi, Radix Angelicae Sinensis, Red Peony, Safflower, Peach kernel, etc. to activate blood stasis; Qiangwu, Dushu, Fangji, Fangfeng, etc. to dispel wind and dampness; Shujihuang, Cuscuta, Duzhong, Cornu Cervi Pantotrichum, Dog’s Backbone, Epimedium, etc. to nourish liver and kidney and strengthen tendons and bones; clinical use of certain types of drugs is the main treatment and other drugs are also used. The clinical use of drugs is mainly based on certain types of drugs and the use of other drugs to assist in the treatment.
2.Therapeutic method of Chinese medicine
The external treatment of Chinese medicine mainly includes fumigation, herbal compress, and herbal ionization, etc. Through the external application of drugs, it can activate blood circulation, dispel wind and dampness, relieve the tension of muscles and joint ligaments, accelerate local blood circulation, reduce venous stasis, lower intraosseous pressure, promote the absorption of joint fluid, relieve pain and swelling, and thus improve joint function.
3.Tui na therapy
Research shows that patients with osteoarthritis of the knee have high intraosseous pressure and cartilage degeneration, and manipulation can improve local blood circulation in osteoarthritis of the knee, reduce intraosseous pressure and intra-articular pressure, and lower whole blood viscosity. For the prevention and treatment of joint injury by passive exercise and manipulation, Salter’s long-term research has confirmed that early and continuous passive exercise does promote cartilage regeneration and repair, and that repetitive flexion and extension of the joint stimulates the conversion of undifferentiated mesenchymal cells in cartilage tissue to chondrocytes, accelerating cartilage tissue repair. Previous studies have suggested that the therapeutic mechanism may be that the action of manipulation and passive joint movements promote the infiltration and diffusion of synovial fluid into the articular cartilage, improving the nutrient metabolism of the tissues, helping to improve the blood circulation around the joint, lowering the intraosseous pressure, and promoting the self-healing of the periarticular tissues.
What should I do if I have osteoarthrosis of the knee?
1.Treat it correctly.
2.Visit the doctor correctly.
3.correct treatment.
4. Correct maintenance
How should I look at the propaganda of some products in the market today?
Correct understanding, health care products can only achieve the auxiliary effect, not to replace the formal treatment, pay attention to science, do not blindly follow the trend.
What should I pay attention to in my daily life?
1.Adhere to the combination of correct treatment and adjuvant treatment.
2, listen to the professional advice of doctors, do not hear hearsay
3.Exercise correctly
4.Control your weight
5.Actively treat other diseases.