Arthrosis and arthritis are diseases in which joints are affected.As the names of these diseases are consonants, many people think of their identity.They perceive these terms as synonyms, suggesting that this is the same disease.However, arthrosis and arthritis are far from it, and there is a significant difference between it.To understand how different arthrosis is, let's find out what these diseases are.
What is arthritis?
Arthritis is a collective term that means inflammation of any joint and, most of the time, indicates more extensive and serious pathological disorders in the body.That is, the disease is inflammatory and can impress one and several joints.
There are several diseases that are accompanied by the development of arthritis:
- rheumatism;
- drop;
- Rheumatoid arthritis;
- Systemic lupus erythematosus;
- psoriasis;
- Hemhramatosis.
In addition, there are reactive arthritis that develops as a result of complications after infectious diseases:
- flu;
- syphilis;
- gonorrhea;
- mycoplasmosis;
- Chlamia.
All of these diseases are released in a separate group.
Inflammatory processes for arthritis mainly affect synovial shell and synovial fluid, causing a disease (synovitis).As a result, the amount of this liquid increases, which is interpreted by the swelling of the affected joints.The cartilage that covers the bone surfaces is also inflamed and, over time, the erosion that expresses the bone is formed in it.
What is arthrosis?
Arthrosis is a non -inflammatory dystrophic disease, which is associated with the deformation and destruction of cartilage tissue within the joint.That is, pathological changes occur, which are manifested by the dystrophy of the cartilage that line the bone surfaces.Although sometimes it is a long -term inflammatory process that causes tuition and cartilage damage.Arthrosis is often observed in the elderly, as they use cartilage fabric with age, and also occurs osteoporosis, which negatively affects the condition of the entire bracket and engine.
In some cases, arthrosis may occur at an early age in people suffering from long joint loads.This category includes athletes, people who suffer from obesity or people whose professional activity leads to rapid wear of the support system and motor.
Symptoms of the disease are caused by a violation of cartilage functions, as they are reduced and deformed, bone tissue grows, which leads to the inability of the total performance of depreciation and friction of bones that form the joint.As a result, the amount of synovial fluid is reduced, which should involve joint surfaces.
General reasons for the development of arthrosis and arthritis
Because arthrosis and arthritis affect joints and, in general, the entire support engine is the motor apparatus, these diseases develop as a result of many factors.
Let's look at ten reasons that cause these diseases:
- hereditary factor;
- metabolic violation;
- Immune factor (especially for arthritis);
- Congenital diseases of connective tissue and bone;
- joint injuries;
- overweight, obesity;
- Excessive physical activity;
- unbalanced diet;
- hypothermia;
- infections.
These are general reasons that can cause arthritis and arthrosis.But this is where their resemblance ends.In addition, diseases have only differences.
Characteristic causes of the development of arthritis and arthrosis
Causes causing arthritis:
- An unbalanced monotonous nutrition that causes a violation of metabolic processes and immunity (poor nutrition causes the development of infectious diseases, and its agents penetrate synovial fluid and cause arthritis);
- Strong joint hypothermia (at night in the tent, bathing in cold water, shoes and clothes with poor quality);
- any injuries (stretching, injured or fracture);
- Smoking and obesity;
- A sedentary lifestyle.
The causes of arthrosis:
- hereditary factor;
- Elderly age;
- injuries;
- metabolic diseases.
Previously, the primary (when the cause of the disease was unknown) and the secondary (when the cause was known) the stage in the development of arthrosis.As the most advanced diagnostic methods develop, the primary stage has been questioned, because in all cases the main cause of the development of arthrosis is metabolic disorders in the form of carbohydrate metabolism and ferrous enzymes.Therefore, arthrosis can occur as a result of arthritis, since the dystrophy of synovial fluid is nothing more than a metabolic disorder.In dystrophic processes, the blood circulation of the joint is disturbed, which leads to a deterioration of nutrition and the destruction of cartilage.
What is the difference between arthritis of arthrosis
Let's see how different arthrosis is.Since arthritis and arthrosis usually affect the same joints, yet there is still some pattern in the location of the pathological process:
- Arthrosis usually develops in large joints of the lower ends (ankle, knee, hip).In addition, the pathological process develops in just one articulation.Throughout life, all these joints experience very large loads, so it is not surprising that they wear out and destroy due to destructive processes.Rarely, arthrosis affects the articulations of the thumbs, hands and intervertebral joints.
- With arthritis, joints are affected one by one, that is, the disease is characteristic of "flying".Suppose the pulse joint has been inflamed in one day, on the other - the elbow, in the third - the shoulder joint.In addition, several asymmetrical joints can be inflamed at once.
In addition to the characteristic location of the pathological process, there is a difference between arthritis and arthrosis in symptoms:
- With arthritis, pain occurs at night when a person is at rest.And in the morning, patients feel characteristic in the affected joints.To relieve rigidity, they need to develop joints.Some patients interpret these phenomena as the norm, forgetting that healthy people do not need joint development after sleep.Its joints are always movable and functional.With arthrosis, this rigidity is not observed.
- In the case of arthrosis, everything happens to the contrary.At rest, the patient is relieved, since pain occurs only when moving and becomes more intense with significant motor activity.Sometimes, with arthrosis, pain can also occur at night, but they are associated with the fact that the patient alters the position of the affected limbs in a dream, which causes pain.
- The appearance of the articulation with arthritis and arthrosis also differs.With arthritis, the phalanx joints metacarp (convex bones of a compressed wrist) swell and swell, stroke and get hot (increases the local temperature).With arthrosis, these symptoms are not observed, the joint seems absolutely normal.Obviously, in the future, joint deformation can occur as a result of osteophyte growth (bone growth in joints), but even in this case there are no characteristic symptoms of arthritis.But with arthrosis, a crisis is observed in the affected joint, which is not with arthritis.
The general condition of patients should be noted in these diseases.With arthritis, a person, in addition to pain in the joint, feels weakness, general diseases: subfill temperature, chills, headache, loss of appetite, decreased body weight.With arthrosis, the problem is only in a non -functional and painful joint, and general symptoms are not observed.
It should be noted that arthritis usually leads to arthrosis, when the joint is destroyed and modified as a result of inflammation and its mobility is also disturbed.However, with arthrosis, inflammatory processes are observed in the joints.It is not so simple to understand the diagnosis, you need to find out the root cause of the development of these diseases.Arthritis, as a rule, occurs against the background of infections that entered the joint tissue and, in the case of arthrosis, joint deformation occurs due to lesion in old age.Obviously, sometimes inflammation can join, but it doesn't always happen.
Differential diagnosis of arthrosis and arthritis
To find out why there were problems with the articulation, it is necessary to make differential diagnosis.This diagnosis includes the following clinical tests:
- General blood test.
- General urine analysis;
- Biochemical blood test;
- rheumatic tests;
- Autoimmune standards (blood test for antibodies);
- X -ray of the affected joints;
- Examination of synovial fluid;
- skeletal radio -scan (in some cases);
- Computed tomography (CT);
- Magnetic Tomography - Resonance (CT or Magnetic Resonance).
Blood test for arthritis and arthrosis
For proper diagnosis of joint diseases, this procedure is mandatory and necessary.In the case of arthrosis, the clinical image of the blood does not change, can slightly increase the ROE (reaction of erythrocyte settlement) to 28-30 mm, usually with synovitis complications.With arthritis, the blood frame changes completely: leukocytes increase to 14,000, a change in the left leukocyte formula, C - reactive protein (CRB) and ROE to 40 - 80 mm increase.
C - Blood jet
For differential diagnosis, a biochemical blood test should be performed.With arthritis, there is an increase in inflammation of some immunoglobulins, seromucoid and C - reactive protein, which is not observed with arthrosis.The exact factor diagnosing the level of the inflammatory process in joint diseases is considered C - Reactive Protein (CRB).As synovial fluid reacts with increased protein to emerging inflammation, with inflammatory and autoimmune processes in the body, its level increases to 10 mg/l and more.Compared to healthy people whose blood reactive protein does not exceed 0.002 g/l.Thus, increased reactive protein level in blood plasma eloquently indicates the development of arthritis.
C - Reactive protein (CRB) is a fast phase protein that is synthesized in the liver.Activates the body's immune response to the invasion of an inflammatory factor.After 24 hours, the reactive protein level in the plasma increases ten times.With proper treatment, protein decreases rapidly to normal indicators.With arthrosis in the patient's blood, reactive protein indicators remain normal.
X -I -affected joint
This method of diagnosis is the second most effective after clinical blood test.In this case, arthrosis is accurately diagnosed, since the degree of bone deformation by the width of the joint gap can be determined on the radiography.For arthritis, this method is not significant, although it is certainly prescribed as a diagnostic technique.However, this method is imperfect, since the degree of damage and destruction of the cartilage tissue cannot be seen in the image.
Differences in the treatment of arthritis and arthrosis
Arthritis and arthrosis have different causes and development mechanisms;Therefore, your treatment is a little different.
With arthritis, it is necessary first and foremost to identify the cause of the development of inflammation and neutralize it as soon as possible.If the occurrence of arthritis has an infectious etiology, the patient receives prescribed antibiotics.With the autoimmune origin of the disease, cytostatic and hormones are prescribed and, with gotic arthritis, the correction of uric acid in the body is necessary, so the treatment is performed by hypowemating medications.
With arthrosis, treatment aims to restore cartilage tissue and the return of joint functions.Therefore, the treatment is performed by chondroprotectors, hyaluronic acid, physiotherapy, health resistance treatment, massage exercises and physical therapy.
As arthritis and arthrosis are accompanied by a pronounced pain syndrome, non -esteroid anti -inflammatory drugs for internal and external use (tablets and ointments) act as painkillers with these diseases.Such medications not only effectively eliminate pain, but also reduce signs of inflammation.
In the treatment of these diseases, conservative treatment and surgical therapy are used.It all depends on the level and scale of joint injuries.As a rule, this is treatment of medicines and prostheses.
As the very fact of arthritis and chronic arthrosis of the patient increases the likelihood of acute relapse, the therapeutic strategy should aim to prevent and prevent relapse.The following treatment is prescribed for this:
- The use of non -non -esteroids anti -inflammatory drugs (NSAIDs).The medications of this group effectively eliminate signs of inflammation, especially with arthritis, but are always included in the therapeutic complex and arthrosis.
- The rapid elimination of muscle spasm that occurs in muscles adjacent to the joint.Thus, the access of medicines, nutrients and oxygen is provided.
- Standardization of metabolic reactions.This is only possible after interruption of the inflammatory process.
- Evacuation of the articulation of uric acid salts (if we are talking about a violation of metabolic processes).
- Standardization of Acid - Alkaline metabolism.
Modern medicine has achieved the treatment of arthritis and arthrosis, but nevertheless, not all cases of arthritis or arthrosis ends with full success.
Achieving success in treating these diseases is relieving inflammation of joint and muscle spasm, the normalization of metabolic processes and acid -alkaline balance.As a result of these actions, the articulation begins to receive complete nutrition, oxygen and restore metabolic processes.
The recipes of traditional medicine are very effective in the complex treatment of arthritis and arthrosis.Its use in this format is approved even by official medicine.It should be noted immediately that medicinal herbs are just an auxiliary remedy in the fight against these diseases.Therefore, before proceeding with folk medicine, you should not seek recommendations to the assistant doctor.
Eat for arthritis and arthrosis
All joints of the joints, without exception, require special food nutrition.As the symptoms of arthritis affect the whole body, in some cases its course is complicated by serious disorders in the work of the heart, kidneys and liver, and arthrosis can immobilize the patient, lead to disability and thus reduce the quality of his life, it is necessary to throw all the forces to combat these diseases.
In the context of joint pathologies, the body should receive all the nutrients, vitamins and minerals needed with a certain bias.The normalization of metabolic reactions and acid -alcaline balance receive attention to products.
General nutrition recommendations may be as follows:
- Limit the consumption of red meat (pork, beef, lamb, deer meat, horses);
- rejection of products containing a large amount of fat fats and fats;
- a complete alcohol rejection;
- give preference to low fat fish and seafood;
- consume a large number of vegetables, fruits and herbs (anyway);
- Consumption of cartilage -based dishes: flood, jam, jam, jelly;
- abundant regime of drink;
- Take food supplements with calcium, vitamins A, D and Group V.
General prevention of arthritis and arthrosis
In the treatment of arthritis and arthrosis, the therapeutic strategy is to prevent and prevent the relapse of arthritis and arthrosis.After all, the disease is easier to warn you than treating.Therefore, the prevention of these diseases has the same principles:
- Avoid legothermia of the legs (foot joints).After all, it is this way that is the main thing in the exacerbation of chronic diseases and viral infections infection.
- Opposite relief of chronic diseases (tonsillitis, sinusitis, bronchitis).
- Refusal of high uncomfortable shoes.Unknown shoes create an additional joint load, which leads to their destruction, deformation and hyphen and, as a result, to arthrosis.
- The fight against overweight.Overweight is a sign of metabolic disorders, and arthritis almost always occurs against the background of such violations.
- Moderate physical activity.Heavy work exerts pressure and load in the joint as a result of which they are destroyed and inflamed.
- Be sure to join a healthy lifestyle: often walk in the air, rest and eat, get involved in physical therapy exercises, visit a doctor regularly.
Physical Physical Education for Arthritis and Arthrosis is a very important part of therapy in a compartment with massage, therapeutic diet and physiotherapy.It provides painful joints with nutrients and oxygen and, without it, their recovery and restoration cannot occur.