Treatment of osteoarthritis of the knee joint

  The government has just retired from the second line of Wang moncler outlet, this period of mood can be bad, why? The neighbors said, the children are filial, grandchildren full of life how can still be bad mood? Master Wang said: ah, you do not know ah, my knee leg pain, but I can not sleep and eat ah, a variety of pain relief western drugs, imported drugs, Chinese medicine, acupuncture, electroshock, physical therapy, massage, small needle knife, etc., 18 weapons I am using one all, but the leg pain is still good and bad, and gradually aggravated, now is not walking, not weight-bearing okay, but as long as walking, or pain ah, the children The children took me to the big hospitals in Beijing and Shanghai several times, and the specialists said to perform joint replacement, but this is a major operation, I am afraid to think about it!  My family is very anxious this time. After a series of physical examination, the doctor gave the diagnosis of osteoarthritis of the knee joint. “The doctor diagnosed osteoarthritis of the knee joint. What exactly is this disease?” Faced with a series of questions, the doctor began to patiently answer them one by one.  ”Osteoarthritis of the knee is a chronic joint disease in which the main changes are secondary osteophytes and degenerative changes in the cartilage surfaces of the joints. Its main manifestations are joint pain and immobility. X-rays show narrowing of the joint space, especially the medial space, dense subchondral bone, fractured bone trabeculae, sclerosis and cystic changes. There is lip-like hyperplasia at the joint edge. In the later stage, the bone ends are deformed, the joint surface is uneven, and the meniscus is cracked. The cartilage in the joint is spalled and the bone fragments into the joint, forming an intra-articular free body.”  ”Symptoms of osteoarthritis of the knee vary widely, but most patients do not have a typical presentation, especially in early cases, and only a few have symptoms. Patients are mostly middle-aged and elderly patients over 50 years of age. The disease starts slowly and has no systemic symptoms. The disease usually develops in multiple joints, but there are also cases of single joint onset. The affected joints may have leg pain with increased activity, which improves after rest. The pain is often not severe, so it is associated with climate change. Sometimes there may be acute pain episodes with joint stiffness and occasionally a grinding sound in the joint. The stiffness of the joint increases after prolonged sitting, but improves after a little activity, which is called “rest pain”. At a later stage, the joint swells, enlarges and restricts movement, and the leg pain is more severe, so that you cannot walk with weight and the pain is severe.  ”The actual treatment? Mr. Wang asked again.  ”The most basic treatment for this disease is to reduce the weight-bearing and excessive large activities of the joints, the diseased joints should be loved, climbing sports are strictly prohibited to slow down the process of the disease. Obese patients should reduce their body weight to reduce the load on the joints and slow down the development of the lesion. Crutches or walking sticks can be used to reduce the burden on the joints. Physical therapy and appropriate exercises can be used to maintain the range of motion of the joints, and splints, braces and canes can be used when necessary to help control the symptoms in the acute phase. Anti-inflammatory and analgesic drugs can reduce or control the symptoms, but they cannot change the progression of the lesion and only serve as a cure during acute pain episodes. Intra-articular injections of sodium vitrate or prednisolone (prednisolone acetate) can control symptoms at 2-week intervals, or acupuncture, physical therapy, etc.”.  ”I have used all these conservative treatments, but the effect is still not good, only the road to joint replacement? Mr. Wang asked again.  For more serious cases, artificial joint replacement can be performed if the system can tolerate the surgery.  ”I don’t want to have a joint replacement! What else can I do?”? The doctor said, “I don’t want a joint replacement.  The doctor said, “Oh, don’t worry, for patients who do not want to have joint replacement, or whose physical condition does not allow joint replacement surgery, our hospital is now the first to introduce a minimally invasive surgery called osteotomy to solve this problem! This surgery is not big, small trauma, low cost, fast recovery, fast results, especially suitable for patients who do not want to perform joint replacement, or older, physical conditions do not allow joint replacement surgery, then you can bring the X-ray film Saturday to the orthopedic clinic room 1 consultation ah!  ”Okay, I understand this time, I’ll bring the film next time for you to see! Thank you”!