Arthrosis of the ankle joint is a chronic pathology that at the initial stage affects cartilage tissue. Gradually, destructive and degenerative changes affect other structures of the articulation. The synovial bursa, bones, ligamentous-tendon apparatus, and muscle muscles are damaged. Arthrosis can develop as a result of injury to the ankle, metabolic disorders, or excessive physical exertion. The disease is also provoked by severe joint pathologies accompanied by an inflammatory process.
Absence of joint space in two joints.
Clinically, arthrosis is manifested by painful sensations that increase with movement, morning stiffness and swelling of the joint. To make a diagnosis, an X-ray examination is performed, and, if necessary, CT, MRI, and arthroscopy. Treatment consists of taking pharmacological medications and physiotherapeutic procedures. If they are ineffective, the patient is prescribed surgery.
Folk home remedies
River sand is excellent for joint inflammation and arthrosis.
Its prevention is to ignite in the oven and a little well. Pour sand into a container, put it on your ankle and sprinkle sand on yourself to cover the joint being developed. Keep the sick folk in warm sand for 40–60 minutes. Repeat the procedure daily. Instead of sand mustard, also use sea honey, which also has a long-lasting natural heat. Crushed butter shells will help stop the oil from destroying the joint. You need to eat garlic every day, crushed into various shells, you can add it to your usual food or use it in a glass of water and drink it.
I have recommended that the baths are excellent for relieving stress and restoring mobility. To do this, add a decoction of juniper (a few drops of essential oil) to the warm water.
Therapeutic exercise and massage
Exercise therapy is one of the main methods of treating foot arthrosis. It is used continuously during remission. Only regular exercise and massage can restore joint mobility and prevent complications. These procedures will help improve blood circulation in the joints, normalize metabolic processes, and strengthen muscles and ligaments. After all, immobility can lead to congestion, weakening of muscles and tendons, which aggravates the course of the disease.
Physical therapy exercises are done at any stage of arthrosis, but it is better that they are prescribed to the patient by a specialist. In addition, he will advise how to exercise correctly so as not to cause an aggravation. After all, movements should not cause pain, so you need to do gymnastics only during remission.
It is recommended to start classes with a foot massage to warm up the muscles. The first exercises should be simple; they are performed from a sitting position on a chair. The feet must be bare. First, rolls are performed from heel to toe, from the outside of the foot to the inside. It is also useful to roll a rubber spiky ball, rolling pin or special massagers with your foot. They also perform rotational movements with the feet, turns, raising and lowering the fingers.
Standing exercises should be performed if the patient is not overweight. This is walking in place on the entire foot, on the toes, on the heels. Holding the support with your hand, rise on your toes on two legs, then on one. This exercise should not cause pain. Walking on pebbles, sand, and massage mats is helpful.
Special exercises and massage will help strengthen muscles and maintain foot mobility.
Kinesitherapy for ankle arthrosis
Kinesitherapy is based on the use of specialized multifunctional simulators. Exercises ensure normalization of trophism and blood circulation in the joint and adjacent tissues. Exercises help relieve pain and improve mobility. All exercises are performed under the strict supervision of a kinesitherapist.
To undergo treatment for ankle arthrosis in our center, you must consult a doctor. At the appointment, the kinesitherapist examines and interviews the patient, performs myofascial topographic diagnostics and diagnostic testing on simulators. Based on the results of the consultation, an individual course of kinesitherapy or kinesitis taping is prescribed. Our center employs some of the best doctors and instructors who will definitely help you, with the help of kinesitherapy, return to a full life, a life in motion!
Conservative methods of therapy
The goal of conservative treatment of ankle arthrosis is to slow or stop the progression of degenerative pathology. Principles of therapy for foot arthrosis:
- improved metabolism promotes cartilage regeneration;
- self-defense mechanisms prevent dislocation or injury;
- muscle strengthening improves ankle stability and mobility;
- correction of hindfoot deformity;
- improving blood circulation.
Conservative treatment of arthrosis is selected individually based on the symptoms, cause and degree of development of the disease. This type of therapy includes all kinds of medicines and folk remedies. The basis of drug treatment, as a rule, consists of anti-inflammatory and painkillers. That is, therapy is divided into 2 groups: slow-acting and fast-acting.
Fast acting medications
Remember that NSAIDs negatively affect the digestive tract
This group of drugs is necessary to quickly relieve symptoms of the disease. Medicines belong to the NSAID group. These drugs relieve pain in a short period of time. They are the first group necessary for use in cases of moderate and acute pain. Rapid-acting medications include:
- "Ibuprofen";
- "Analgin";
- "Nurofen";
- "Diclofenac";
- "Nimesulide";
- "Koksib";
- "Arcoxia";
- "Brufen."
This group of drugs has a negative effect on the digestive tract. Therefore, it is forbidden to use them for a long time. Treatment of arthrosis with fast-acting medications should last no more than 10 days. Then the drugs are replaced with stronger or weaker ones, depending on the patient’s complaints. When using nonsteroidal anti-inflammatory drugs, you will also need to use medications that protect the gastrointestinal tract.
Therapy with chondroprotectors
The use of chondroprotectors is indicated for the restoration of cartilage tissue. It is possible to cure arthrosis of the ankle joint with these medications, but despite the fact that the disease is at the first stage of development. Unfortunately, if the pathology is already approaching the third degree, an x-ray shows the absence of cartilage, therapy with these drugs is useless. Chondroprotectors stimulate cartilage regeneration by eliminating cracks and microscopic defects. As a result, the cartilage regains its elasticity and density. There are three forms of the drug:
- Tablets, capsules and powder (“Arthra”, “Structum”, “Dona”, “Teraflex”, “Chondroitin AKOS”).
- Injections (“Chondrolon”, “Alflutop”, “Chondroguard”).
- Ointments (“Chondroxide”).
Doctors do not recommend taking chondroprotectors in any form if the patient is under 15 years old. It is possible to prescribe medicine before this age, but only if the child is in hospital under constant medical supervision.
Use of external products
Creams and gels will help you cope with your illness, don’t forget about them
Local treatment is indicated for moderate pain. Ointments, creams and gels do not provide enough pain relief. With a diagnosis of ankle arthrosis, therapy with external agents is indicated if the patient cannot take non-steroidal anti-inflammatory drugs. Medicinal ointments prescribed for arthrosis of the ankle joint and treatment can only be external:
- "Horsepower";
- "Butadion";
- "Bystrumgel";
- "Deep Relief."
External medications work better if you take painkillers at the same time.
Diagnosis and treatment of ankle arthrosis
For diagnostic purposes, the patient may be referred for radiography, computed tomography, MRI, ultrasound, scintigraphy, or puncture. Consultations with related specialists (rheumatologist, endocrinologist, neurologist) may be required.
Treatment goals for ankle arthrosis:
- pain relief;
- relieving inflammation;
- regeneration of cartilage tissue;
- increased mobility in the joint;
- improvement of metabolism in the articular joint and adjacent structures.
In the treatment of arthrosis of the ankle joint, the following can be used:
- drug therapy;
- physiotherapy;
- kinesitherapy;
- massage;
- physiotherapy;
- surgical intervention.
Patients are also advised to adjust their diet and lifestyle (reduce body weight, avoid long walking and standing).
However, surgical treatment is associated with risks and significant financial costs, and taking medications provides only a temporary effect and does not eliminate the cause of the disease. The Innovative Medical Center uses an effective method of treating degenerative-dystrophic lesions of the ankle - kinesitherapy.
What are the degrees of arthrosis?
In the Kellgren and Lawrence classification, the following stages of osteoarthritis are distinguished:
- Zero stage. There are no radiological signs (on x-ray). The diagnosis is made based on clinical signs, laboratory tests, and by excluding other possible pathologies. It is necessary to understand that often radiological changes appear somewhat later than the disease begins to develop, so stage zero does not exclude osteoarthritis itself. Even a visit to the doctor at this moment will most often yield nothing, since the doctor has no reason to suspect this disease.
- First stage. The presence of questionable signs of osteoarthritis on the radiograph. There are no changes in the bone structure itself, but there may be shadows from various compactions or, conversely, softening of the tissue.
- Second stage. Minimal changes in the structure of the joint on an x-ray. These include narrowing of the joint space and signs of softening of bone tissue.
- Third stage. Changes in the joint and periarticular tissues are of moderate severity. The image clearly shows changes in bone and cartilage characteristic of arthrosis.
- Fourth stage. Pronounced changes in the joint and periarticular tissues. This stage also includes ossification of the joint and other possible complications and consequences of arthrosis.
every six months The Larsen classification considers the following radiological signs of osteoarthritis:
- Zero stage. There are no radiological signs of osteoarthritis. The condition of the joint space and periarticular bone tissue corresponds to the physiological norm. It should be understood that in this classification, the absence of signs of osteoarthritis on an x-ray or computed tomogram does not exclude the disease as such, since clinical signs can develop much later.
- First stage. Narrowing of the joint space by less than half. This symptom can also occur in other diseases, but should alert the doctor and prompt him to further research.
- Second stage. The joint space is narrowed by more than half of normal. The gap narrows due to the proliferation of connective tissue and pathological changes in the cartilage tissue.
- Third stage. Formation of osteophytes (bone growths) in the periarticular area of the bone with compaction and replacement with connective tissue in the area above the cartilage (remodulation). These changes are mild.
- Fourth stage. Remodulation is of medium intensity, with a more pronounced proliferation of osteophytes and sclerosis of the peri-cartilaginous zone (the joint space begins to be overgrown with dense connective tissue). Often, osteophytes cause severe discomfort and pain, as they compress and damage the surrounding soft tissue. At this stage, the disease clearly manifests itself in the form of swelling, redness, and limited movement in the joint.
- Fifth stage. Intense, pronounced formation of osteophytes, which significantly deform the joint, limiting its mobility and causing severe pain during movement and anxiety in the affected limb.
arthroscopydirect visualization of the joint cavity using special instruments
Diagnostics
Since the symptoms of the disease are not always pronounced, and some signs are typical for other joint diseases, it is important to correctly diagnose arthrosis. Diagnostics is carried out in 2 stages. At the first stage, the doctor prescribes the necessary tests, the results of which make it clear whether degenerative changes in the joint have really begun. Then the second stage begins, namely determining the current stage of the disease. Here, X-ray diagnostics, CT, and MRI come to the rescue, allowing you to see how thin the cartilage tissue is and what condition the joints are in.
MRI image
Based on the results of the examination, a set of measures is selected that can stop destructive processes and relieve painful symptoms. As a rule, treatment is carried out at home and the patient does not need a hospital stay. Only severely advanced disease requires surgical intervention.
Prevention of arthrosis
Since the risk of disability with this arthrosis of the ankle joint is very high, it is necessary to try to prevent its development at all
It is important to observe the following preventive measures:
- Eat properly.
- Avoid injury to the ankle joint.
- Promptly treat any infectious and inflammatory processes in the body.
- At home, perform a complex of exercise therapy or gymnastics.
- See a doctor promptly if there are any signs of deterioration in the functioning of the joint.
If the causes of arthrosis of the ankle joint have been established, treatment of the disease can begin. Therapy should be comprehensive and include not only pills, but also a complex of physical therapy, as well as other ways to combat the disease. Only with this treatment of the left or right ankle can its mobility be maintained and its condition improved.
You can highlight a lot of useful information on the topic from the lecture of homeopathic doctor, physiotherapist, nutritionist Lyudmila Ermolenko:
https://youtube.com/watch?v=49xGl08ax7U
Clinical picture
Arthrosis of the ankle is a chronic recurrent disease. As it progresses, cartilage tissue is destroyed, in turn, triggering pathological processes. At the initial stage of arthrosis, symptoms are mild. Painful sensations appear simultaneously with stiffness of movement in the morning. Then the person “paces”, the body begins to produce bioactive compounds with an analgesic effect. If you seek medical help at this stage, treatment will not take much time. In the absence of medical intervention, arthrosis affects the entire hyaline cartilage, and then the ligaments with tendons. The intensity of symptoms increases:
- ankle pain does not disappear during the day and may intensify in the evening;
- the range of motion in the ankle joint decreases;
- pain occurs at rest, especially with a sharp change in temperature, hypothermia, relapse of any chronic pathology;
- walking, flexion and extension of the joint is accompanied by crepitus - characteristic clicks and crunching sounds;
- “gnawing” prolonged pain occurs at night and may be accompanied by muscle cramps;
- The ligamentous-tendon apparatus loses stability, which causes joint hypermobility, frequent dislocations, subluxations, and sprains.
Arthrosis of the ankle joint occurs in waves. At the remission stage, the pain disappears and occurs only with prolonged walking or lifting heavy objects. But soon, under the influence of negative factors, an aggravation occurs. The pain does not subside during the day, even at rest, and intensifies when supporting the foot.
With grade 3 arthrosis, the bones begin to deteriorate and change, taking on an X- or O-shape. The patient is often unable to fully support his foot, has a noticeable limp, and walks with a cane or crutches. Gradually the joint ossifies. If this happens in a straight position of the limb, then the person can step on the foot. When the bones are fused in a vicious bent position, he is able to move only with crutches, using one leg.
Destructive and degenerative changes often cause synovitis - inflammation of the synovial membrane. The skin over the ankle swells, turns red, and becomes hot to the touch. Sometimes synovitis manifests itself in symptoms of general intoxication of the body: increased body temperature, fever, indigestion, headaches.
Methods for treating arthrosis at home | Drugs and treatment procedures |
Course intake of tablets, use of ointments and gels | Non-steroidal anti-inflammatory drugs, chondroprotectors, ointments with a warming and distracting effect |
Physiotherapy | Rubbing with cosmetic oils, foot baths with infusions of medicinal herbs, sea salt, essential oils |
Folk remedies | Compresses with horseradish, cabbage, dandelion leaves, drinking propolis with milk, cranberry juice, ginger tea |
Diagnosis and treatment
Before starting treatment for arthrosis, it is necessary to identify the root cause of the disease. An objective examination by several specialists in different fields is required. You will also have to do x-rays and magnetic resonance imaging.
If you have a disease of the ankle joint, you can observe an unpleasant picture from the outside. The patient is suffering from his illness. He is constantly worried about pain, and the body quickly becomes overtired. Suddenly, hematomas may form on the foot from walking, and a sharply high temperature may rise.
Treatment with folk remedies for the ankle joint is different for each type of disease. If you resort to traditional medicine, you need to understand that it will not be able to completely eliminate joint disease.
It is safe to say that traditional medicine will be able to temporarily stop the progressive process of the disease and alleviate the general condition of the patient’s body.
Intensity of pathology development, symptoms
Regardless of the reasons, the disturbances caused by the influence of unfavorable factors on cartilage are identical. With chronic microtraumatization, after serious operations or injuries, post-traumatic arthrosis develops, the treatment of which at home is almost impossible.
The blood supply to cartilage tissue is disrupted, its nutrition suffers, which leads to delamination and thinning. The load on adjacent areas of bone tissue becomes uneven, and symptoms intensify.
Against the background of reduced mobility, nutrition of the cartilage and blood circulation in the ligaments and adjacent bones suffer. Marginal bone osteophytes appear, which at grade 1 are a compensatory reaction of the body to a violation of the structure of bone tissue and periosteum and reduce mobility by the time grade 2 arthrosis develops.
Signs of arthrosis
Symptoms of the disease
All symptoms of ankle joint disease manifest themselves differently in each person; there is no single rule, but there are common ones for everyone:
- When moving, a crunching or squeaking sound is heard in the feet.
- After physical activity, pain appears, accompanied by mild swelling. Painful sensations usually subside after a short break.
- Painful reaction to weather conditions, also reactions to hypothermia.
- Feeling of tension in the ankle, stiffness of movement.
- Invisible deformation of joints, the appearance of bone growths, changes in gait, lameness.
- Swelling, redness, temperature and heat appear in problem areas.
- An increase in the temperature of the whole body indicates arthrosis.
- With any deformation of the foot, calluses arise that are practically impossible to remove. Even if you managed to get rid of them, new ones appear after a few days, thus the body tries to even out the surface of the foot.
- In the most advanced stages, bone tissue grows outward, which interferes with normal human movement.
Signs and stages of ankle arthrosis
The chronic degenerative disease affects the cartilage lining the internal surfaces of the articular joint, and over time spreads to the capsule, synovium, bones and muscles.
Causes of ankle arthrosis:
- injuries (ankle fracture, ligament rupture);
- overweight;
- frequent microtraumas;
- previous ankle surgery;
- excessive physical activity (long standing, intense sports, working conditions);
- wearing shoes with heels;
- metabolic disorders;
- rheumatoid diseases;
- osteochondrosis of the lumbar spine.
The need for examination and treatment of arthrosis of the ankle joint is indicated by symptoms such as pain that increases with exertion, crunching, limited mobility, ankle subluxations, swelling, and atrophy of the muscles of the limb.
The disease has three degrees.
- This is the initial stage, which may not manifest itself. There may be pain after physical activity, which disappears with rest.
- Patients seek diagnosis and treatment of arthrosis because they are bothered by severe pain in the ankle joint that does not go away after rest. There is likely inflammation in the ankle area, which is accompanied by redness and a local increase in temperature.
- Without proper treatment, arthrosis of the ankle joint progresses and leads to ossification of the cartilage tissue. This causes excruciating pain in the patient. With every movement, a crunching sound is heard in the joint, and the mobility of the joint is limited. Lameness appears.
Application of infusions and position of tinctures
Garlic tincture for the treatment of arthrosis is prepared for the back: 1 part of crushed garlic is mixed with 10 parts of olive oil of any other plant. Leave for three days and apply one teaspoon per heel on an empty stomach.
Gelatin infusion adduction-abduction for regeneration of cartilage tearing off in case of ankle arthrosis. With a stir, pour a teaspoon followed by 100 ml of hot water. In the morning, add another 150 ml of water and a spoonful of honey. Mix everything and drink it halfway on an empty stomach.
rollsfoot movements
An infusion based on a calendula complex with the addition of equal parts of calendula leaves and nettle. Place the walking exercise in a thermos and pour boiling water over the exercises. Close tightly and leave overnight. The next day you can take half a glass for four days. It is recommended to make a new infusion every day.
Homemade alcohol based on radish is used for rubbing the joint. 250 ml of juice, 0.5 liters of alcohol and a few tablespoons of honey, pour into a dark container and intermittently in the refrigerator for 2 weeks. After&use twice a day.
Prevention of arthrosis of the foot joints
The following risk factors for the development of foot arthrosis are identified:
- Internal factors. Internal factors are those circumstances that cannot be changed and in most cases are predetermined either by genetic abnormalities or anatomical and physiological characteristics of a person. These factors include flat feet, asymmetry of the limbs, congenital pathologies of joints and connective tissue, excess weight, etc.
- External factors. The external circumstances of the occurrence of arthrosis of the foot include various stress mechanisms that affect the body from the outside and consist of the influence of the environment and a person’s behavioral stereotype. The greatest importance is playing sports, leading a standing lifestyle, wearing uncomfortable shoes, and hypothermia.
athletes, military personnel, dentists, surgeons, teachers, educators It is necessary to adhere to the following rules when choosing shoes:
- using shoes with more flexible soles and orthopedic insoles;
- timely change of shoes in cases where intensive growth occurs (in children and adolescents);
- Preference should be given to shoes that are appropriate for the location and weather.
nutrition
Drug treatment
Arthrosis is treated through systemic and local use of medications. Injections and oral administration are methods of systemic therapy; the use of ointments, creams, rubs, application of compresses are local therapy. To inject the drug, you must consult a doctor, especially if we are talking about intra-articular injections of glucocorticoids or hyaluronic acid. Injection chondroprotectors of 2–3 generations are administered intramuscularly; this manipulation can also be carried out at home.
Independently (but in accordance with the doctor’s recommendations), a patient with arthrosis can:
- take nonsteroidal anti-inflammatory drugs (Diclofenac, Nimesulide) to relieve pain;
- apply ointments and gels with NSAIDs (Fastum-gel, Voltaren), as well as with a warming, local irritant and vasodilating effect (Apizartron, Capsicam) to the projection area of the diseased joint;
- drink chondroprotectors (Arthra, Dona, Teraflex);
- carry out vitamin therapy.
Traditional methods
In addition to traditional therapy for foot arthrosis, it is recommended to use traditional methods. They will help reduce the amount of medications taken, alleviate the patient’s condition and speed up the recovery of joints.
Ointments and rubs
Various ointments are the best for pain relief for arthrosis. But pharmaceutical drugs are not suitable for everyone, as they have many contraindications. In this case, you can make the ointment yourself based on folk recipes.
Peppermint oil relieves pain and inflammation well if rubbed into joints. You can prepare an ointment from grated cloves of garlic and a spoon of olive oil. And based on butter, an ointment is made from crushed cinquefoil roots, juniper berries, birch buds or nettle leaves. To make it more effective, the oil with herbs needs to be simmered in a water bath for 15 minutes.
You can mix one and a half glasses of radish juice with honey, add a spoonful of sea salt and half a glass of red wine. Leave the mixture in the refrigerator for 2 weeks. Use to rub joints. And if you chop up a large aloe leaf and mix it with 100 g of honey, you will also get an effective ointment. You can also add 150 g of alcohol to it and leave for 2 weeks. Use the resulting product to rub your joints well for pain.
Compresses
When treating joints with folk remedies, compresses are most often used. They are easy to make; you can use ordinary ingredients that are always on hand. Such compresses have an analgesic and anti-inflammatory effect, warm and improve blood circulation in the joints. There are many recipes for compresses; you can choose one for which the patient has no contraindications. Usually, after applying the medicinal composition, the sore spot is wrapped in film and wrapped in a warm scarf. Leave the compress on for a period of several hours to a day.
- Dissolve 0.5 g of mumiyo in 100 g of honey. Leave the compress overnight.
- Apply a paste of fresh birch leaves to the joints for 30 minutes.
- Mix equal parts honey, sea salt, dry mustard and baking soda. Leave overnight.
- Soak gauze with medical bile, wrap the foot and wrap it. Leave the compress overnight.
- A warm compress of freshly cooked oatmeal relieves pain well. You need to keep it for about an hour until it cools down.
- Grind white chalk and mix it with kefir to make a thick paste. Apply the composition to sore joints before going to bed.
- Mash a fresh burdock leaf, spray it with triple cologne and tie it to the joint overnight. You can also spread honey on the leaf.
- A compress of mashed boiled potatoes warms joints well and relieves pain.
Baths
Treatment of arthrosis of the foot with folk remedies is not complete without foot baths. This method is very effective for relieving pain, nourishing cartilage tissue, and stimulating blood circulation. Water for baths should be warm, no more than 40 degrees, as too hot can cause an increase in the inflammatory process. You need to keep your feet in the medicinal composition for 15-20 minutes. Then it is recommended to wipe your feet dry and wrap them up. It is useful to have a massage after the procedure.
Many consider an effective bath recipe to be a mixture of turpentine, crushed baby soap, poured boiling water and salicylic acid. But this remedy may have contraindications. Therefore, herbal decoctions are more often used. Chamomile, juniper, thyme, and oregano are effective for baths. Sometimes you can add sea salt to them.
You can also take balneotherapy treatments at home, just like in a sanatorium. Now in pharmacies you can buy medicinal iodine-bromine salt, sea salt with various additives, and medicinal mud. Effective baths are obtained with Bishofite; it has the same effect as spa procedures.
Warm salt baths will help relieve pain, improve blood circulation, and prevent complications.
Products for internal use
You can restore metabolic processes using various decoctions or tinctures of medicinal herbs. They must be prepared and taken according to special rules; before treatment, be sure to consult a doctor.
- A decoction of burdock root - a teaspoon per glass of water - is taken a tablespoon 4 times a day for 2 weeks.
- Tincture of elecampane root is beneficial for joints. You need to infuse 50 g of dry roots in 500 ml of vodka for 2 weeks. Take a tablespoon 3 times a day.
- In the evening, pour 500 ml of boiling water over 30 g of buckthorn bark and 10 g each of fennel, mint, dandelion roots and parsley. In the morning on an empty stomach, drink 2 glasses of the resulting infusion.
- The cinquefoil tincture is useful for joints. It should be taken one tablespoon 3 times a day before meals.
Treatment at home
It is impossible to diagnose ankle arthrosis on your own; its symptoms are similar to those of many other joint diseases. After visiting a doctor, an x-ray examination will be performed. Its results will help determine the stage of the pathology, the degree of damage to cartilage tissue and the number of complications that have developed. The symptoms and treatment of ankle arthrosis are closely interrelated. at home . If serious injuries are detected, the patient is immediately prepared for surgery.
Pills
Pharmacological drugs in tablets are prescribed to patients with arthrosis of two types. Some are designed to make people feel better and relieve pain. Most often, non-steroidal anti-inflammatory drugs (NSAIDs) are included in the therapeutic regimen:
- Ibuprofen;
- Nimesulide;
- Ketoprofen;
- Diclofenac;
- Meloxicam.
NSAIDs quickly eliminate the most intense pain, relieve swelling and inflammation. They cannot be taken for a long time due to a pronounced side effect - ulceration of the mucous membrane of the gastrointestinal tract.
Orthopedists necessarily combine NSAIDs with proton pump inhibitors. These are the drugs Omeprazole, Pantoprazole, Esomeprazole. They reduce the production of hydrochloric acid, protecting the mucous membrane from aggressive influences.
In the absence of contraindications, all patients with arthrosis are advised to take a long-term (from 3 months to 2 years) course of chondroprotectors. This is the only group of drugs that can not only eliminate symptoms, but also restore damaged cartilage. The greatest therapeutic effectiveness is typical for the following drugs: Structum, Dona, Teraflex, Chondroitin-Acos, Glucosamine-Maximum.
Ointments, creams, gels, balms
Regular use of pills can disrupt the functioning of not only the stomach, but also the liver, kidneys, and organs of the cardiovascular system. Therefore, doctors prescribe medications to patients for local application to the ankle joint:
- ointments and gels with NSAIDs - Ortofen, Finalgel, Diclofenac, Voltaren, Indomethacin, Fastum, Artrosilen, Dolgit. External agents are applied in a thin layer to the area of swelling 2-4 times a day and lightly rubbed in;
- ointments and balms with a warming and distracting effect - Finalgon, Apizartron, Viprosal, Capsicam, Efkamon, Menovazin. The drugs can be used up to 4 times a day, but not under occlusive dressings;
- external products with chondroprotective effects - Honda, Shark oil with chondroitin and glucosamine, Teraflex, Arthro-active from the blue line, Dikul balms. Ointments are applied to the ankle 2-3 times a day.
Unlike tablets, the active ingredients of ointments do not penetrate the bloodstream, but accumulate in the joint cavity. They extremely rarely cause systemic side effects.
Products for local application can be combined, alternating, for example, warming gels and ointments with chondroprotectors.
Physiotherapy at home
To prevent arthrosis from progressing and affecting healthy tissue, it is necessary to improve blood circulation in the ankle joint. Nutrients and biologically active substances, as well as molecular oxygen, will begin to flow into it, helping to strengthen cartilage and increasing local immunity. Physiotherapeutic procedures help stimulate blood circulation:
- applications with paraffin and ozokerite;
- foot baths with the addition of 2-3 drops of essential oils of fir, juniper, pine, thuja, eucalyptus, thyme;
- rubbing cosmetic oils of almond, peach, apricot, jojoba, and tea tree into the damaged joint;
- warming the joint with a linen bag filled with flaxseeds or sea salt;
- foot baths with white or yellow turpentine, dry or liquid pine extract, sea salt.
To improve joint mobility, folk medicine uses baths with strong infusions of medicinal herbs - lemon balm, oregano, eucalyptus, marigold, St. John's wort, string, elecampane. To prepare them, 5 tbsp. spoons of dry plant material are poured with a liter of boiling water and left for about an hour. After filtering, mix with 2 liters of warm water. The procedure is carried out 1-2 times a day for 20-40 minutes.
Folk remedies
Treatment of ankle arthrosis at home is not complete without remedies prepared according to recipes from traditional healers. Previously, ointments and rubs with natural ingredients were actively used. Now there is no need to simmer pork fat and grind it with medicinal plants. On the shelves of pharmacies there is a wide assortment of gels and balms with cinquefoil, golden mustache, comfrey, badger, bear, and goose fats. But the use of many folk remedies is still relevant in the treatment of ankle arthrosis:
- A young large leaf of horseradish or cabbage is lightly kneaded and generously greased with thick honey. Apply to the joint, place a cellophane film on top and secure with thick fabric. Keep the compress for 3-5 hours;
- fresh dandelion leaves are ground to a paste and applied to the area of swelling. Wrap the leg in film and a thick scarf. The duration of the treatment procedure is 2-3 hours.
Traditional healers recommend drinking healthy drinks with a high concentration of bioactive compounds, vitamins and microelements to improve blood circulation. This is ginger tea, hot milk with propolis (a pinch of propolis per glass of milk), cranberry juice, vegetable juices, fruit compotes.
Drinking plenty of fluids also helps remove waste and toxins from the joint cavity.
Treatment at home is aimed at eliminating pain, swelling and stiffness. The most important thing is to stop the process of joint destruction. For this purpose, an integrated approach to the treatment of arthrosis is practiced. It consists of promoting health, improving blood circulation in the ankle, and preventing dangerous exacerbations of the disease.
ethnoscience
The disease arthrosis cannot be completely cured today. With the help of folk remedies and developed techniques, you can achieve the following results:
- Strengthening the body's immune system.
- Reducing swelling.
- Elimination of the inflammatory process.
- Suspension of the development of the disease.
Recipes for warming compresses:
- Heat salt or sugar in a hot frying pan (about two glasses of 200 g each). Before it cools down, pour the ingredient into bags (they can be made from large handkerchiefs or another piece of cotton). While the bags are hot, they need to be applied to the sore spot and held until they become cold.
- In the treatment of arthrosis, white cabbage has a therapeutic effect. The cabbage leaf should be lightly beaten with a mallet or rolling pin to release the juice. Place this cabbage leaf on the sore spot. Secure the compress with cling film and wrap it with a woolen bandage on top. Apply compresses every 4 hours. After a course of treatment of 5–7 days, severe pain disappears.
- Potatoes need to be grated on a fine grater. Apply the resulting potato liquid to the affected joint. Cover the sore spot and top with plastic wrap and wrap it with a woolen scarf. Potato compress relieves swelling, inflammation and pain. Apply every day at night for 7 days.
It must be remembered that these methods cannot completely cure the disease. Therefore, in addition to treatment with folk remedies, it is necessary to carry out drug treatment.
There are other folk remedies intended for the treatment of the ankle joint:
- Homemade ointment with medicinal herbs helps a lot. Collect one spoon (teaspoon) of each herb into a common pile: sweet clover, St. John's wort, hops. Finely grind to a powder consistency. Add baby cream to the resulting mass and mix everything. The herbal ointment should steep for 24 hours, after which it should be applied directly to the sore joint.
- Place literally 1 teaspoon each of willow bark, calendula, nettle, birch leaves into a bowl and pour boiling water over it. Infuse the herbs for about 8 hours. Take one glass of herbal liquid in the morning on an empty stomach. The course lasts 4 weeks, after a break of 2 months it can be repeated.
- A warm bath with pine needle extract instantly relieves swelling, pain and fatigue of the legs. Pour boiling water over pine cones, branches and needles of spruce and leave for twelve hours. To fill a bathtub with pine extracts you will need one and a half kilograms. About three hundred grams will be needed for a basin in which you can steam your sore foot.
Medicinal plants
Medicinal plants are used not only in pharmacology. Since ancient times, they have been used as a folk remedy to treat various diseases.
Herbal remedies for arthrosis include: yarrow, nettle leaves, dandelion flowers, burdock roots. It is easy to prepare a decoction of any of this plant:
- Place 500 grams of dandelions into a small saucepan and bring to a boil. Turn off the heat and let the broth brew for about five hours. The course of treatment is seven days.
- An infusion of nettle leaves is used as an anti-inflammatory agent. Pour about 100 grams of herb into a saucepan, bring to a boil and leave for thirty minutes. Take a tablespoon before meals. Fluid will begin to leave the body on the second day.
- Millennial has an analgesic effect. The herb is poured with boiling water and infused for six days in a dark place. Take 50 grams in the morning and evening.
- For burdock, only young roots of the plant are used in treatment. They need to be cut and pour about 100 grams of boiling water. The course of treatment is five days.
All these decoctions are used not only for the treatment of arthrosis of the ankle joint. They have a positive effect on the entire human body.
Traditional medicine for the treatment of arthrosis of the ankle joint
The use of folk remedies in the treatment of arthrosis of any joint is indicated for allergies to most of the main medications prescribed by doctors for this disease, as well as in situations where the use of conventional medications is impossible. For example, during pregnancy and breastfeeding, or with an abundance of prescribed medications, when many diseases need to be treated at the same time.
In order to cure arthrosis, or at least alleviate its symptoms, herbal preparations that have medicinal properties can be used. But, contrary to popular belief, medicinal plants and preparations based on them are not so harmless. You cannot prescribe treatment for yourself. It is necessary to consult a doctor and then begin a course of treatment.
We bring to your attention several folk methods used in the treatment of arthrosis
ankle joint.
Method number 1: use chalk
The first and main component is 100% chalk without impurities. And this is the main difficulty; it is difficult to find a product that does not contain impurities.
Next you need to take a fermented milk product. Kefir or yogurt is best. These products must be made independently at home. And it is best to prepare them not from store-bought milk, but from homemade milk.
These ingredients must be mixed together in a ratio of 1 to 2, that is, you need to take 1 part chalk and 2 parts fermented milk product (kefir or yogurt). The ingredients should be heated to room temperature and brought to the consistency of thick sour cream.
The compress must be applied to the sore spot, covered with a clean natural cloth and left overnight. Duration of treatment is 2-3 weeks. The compress must be applied daily, for the whole night.
Method number 2: oatmeal compress
An easy and effective way. To prepare a compress for the treatment of arthrosis of the ankle joint, you need to take regular rolled oatmeal, which is sold in any store. For one compress you need only 3, maximum 4 tablespoons without a slide.
- The amount of oatmeal for one compress should be mixed with 100 ml of chilled water, after which you need to cook this mixture over low heat in a saucepan until it is ready, like porridge, until completely boiled. There is no need to add anything additional.
- Leave the prepared mixture to cool, to approximately a temperature of 25-28°. After the compress has cooled to a comfortable temperature (in no case hot), you need to apply it to the sore ankle joint, cover with a clean cloth made of natural material and leave overnight.
The period of application of the compress is not limited. The only condition is to use a fresh mixture, as it better relieves pain and inflammation, but you cannot reheat yesterday’s mixture.
Method number 3: herbal decoctions
Arthrosis of the ankle joint can also be treated with decoctions of herbs and leaves. The main thing is to know which plants and leaves to use, the proportions and cooking methods to use. Good reviews when using a medicinal decoction of bay leaves. Its main effect is cumulative. With constant use, it slows down the development of arthrosis of any joint.
- To prepare a medicinal decoction for the treatment of arthrosis of the ankle joint, you need to take 10 grams of bay leaf, place it in a saucepan, pour 250 ml of boiling water and boil for 3-5 minutes, no more.
- After this, the broth must be filtered through clean gauze and left to cool to room temperature. The decoction should not be stored in the refrigerator or heated. Every day you need to prepare a new portion throughout the course of treatment.
This mixture will have a gentle effect on the inflamed joint, which will help relieve symptoms and also help slow down the progression of the disease. The medicinal decoction should be drunk in small portions throughout the day. It helps remove harmful substances from the body, which most often accumulate in the joints. The course of treatment is from 2 to 4 weeks, if necessary, you can pause for a month and repeat.
Method number 4: herbal decoction
For better effects, you can use a decoction of several herbs at once. Buy it at the pharmacy and mix calendula flowers, willow bark, nettle grass and birch leaves in proportions 1:1:1:1.
- To prepare a daily portion of the infusion, take one level spoon of each plant, mix in a saucepan, pour 500 ml of boiling water, cover with a lid, cover with a towel and leave in a warm place for 2-3 hours.
- When the specified time has passed, strain the medicinal broth through cheesecloth and drink a glass three times a day. The course of treatment is one month. Every day you need to prepare a new one.
Allergies during treatment with folk remedies
Despite all the advantages of traditional medicine, there are also disadvantages. The most common is allergies. Therefore, it is recommended to try small doses of traditional medicine, gradually increasing them. If allergic reactions occur, you should stop taking the drug and consult a doctor. You should be especially wary of products whose components you have not previously used.
Allergies appear within 24 hours. Therefore, after trying a small amount of the decoction, you must wait 24 hours; if there is no reaction, continue treatment. The reaction may be in the form of skin rash, nausea, vomiting, dizziness, increased or decreased blood pressure. If these symptoms appear, you should immediately consult a doctor.
Arthrosis is an inflammatory disease of the joints; if this disease occurs and develops, a person experiences discomfort and limited mobility of the affected area.
Traditional medicine recipes for the treatment of arthrosis of the ankle joint will help restore the joy of movement! Author: K.M.N., Academician of the Russian Academy of Medical Sciences M.A. Bobyr
What can be used
Infusions and decoctions of medicinal plants for internal use have proven themselves well in the treatment of osteoarthritis. They have a tonic effect on the entire body, remove harmful substances from it, and serve as a source of bioflavonoids, organic acids, phytoncides, fat- and water-soluble vitamins.
Among external remedies, preference should be given to those approved by official medicine. These are compresses with clay, applications with ozokerite, paraffin, bischofite. To prevent painful relapses, you can use compresses with vodka or alcohol and abandon them if the pathology worsens.
Homemade ointments should contain components that have a therapeutic effect specifically for diseases of the musculoskeletal system. These are essential oils obtained from coniferous trees and shrubs (juniper, fir, spruce, pine), gum turpentine, camphor oil.
Features of treatment
With arthrosis of the foot, all therapeutic measures should be aimed at eliminating the cause of degenerative processes, slowing them down, relieving pain and inflammation, as well as restoring the functions of the feet. Treatment should be comprehensive, but it is not necessary to go to the hospital or constantly visit the clinic. The patient can carry out all procedures at home independently. The main thing is that they are carried out according to the recommendations of the attending physician. After making a diagnosis, the specialist selects an individual treatment plan for the patient.
Typically, complex therapy containing different methods is used. According to the regimen recommended by the doctor, medications are taken that help relieve pain and inflammation, and also improve the nutrition of cartilage tissue. In addition to them, traditional methods of treatment can be used for the same purposes. Baths, compresses or wraps can replace many physiotherapeutic procedures, and they can be easily carried out at home.
In addition, it is very important to change your usual lifestyle, since arthrosis often develops due to inadequate load on the joints. Therefore, you need to choose soft, comfortable shoes that protect your feet from overload.
It is also important to avoid standing for long periods of time. But every day you need to perform special exercises for the feet, which will help avoid muscle atrophy and ankylosis of the joints.
A special diet is very important for arthrosis of the foot. After all, degenerative processes most often develop due to metabolic disorders and deterioration of tissue nutrition. In addition, excess weight often leads to increased stress on the joints of the limbs. And since this disease is chronic, the diet will need to be followed for a long time, preferably constantly.
Important: often, when a patient makes such a diagnosis, he has to completely change his lifestyle, diet, and habits. Only this will help him avoid disability due to complete deformation of the foot and constant severe pain.
How does arthrosis of the ankle joint manifest itself and how is it treated?
Arthrosis of the ankle joint is accompanied by degenerative processes in the cartilage tissue of the joints, which becomes thinner, becomes more brittle and vulnerable to physical influences.
Due to the fact that the cartilage is destroyed, the load on the bone increases, which also begins to wear out, and this leads to deformation of the joint.
What causes this pathology?
There are many reasons for the development of ankle arthrosis. The risk of its occurrence is increased by heavy physical stress on the joints of the legs, obesity, certain sports (ballet, dancing, football), traumatic injuries to the lower leg and foot. Other causes of arthrosis include walking in uncomfortable, tight shoes, prolonged standing in an upright position, genetic predisposition, metabolic pathology, and degenerative diseases of the spine.
Clinical manifestations of arthrosis
The first stage of this disease is characterized by not very intense pain that does not affect the musculoskeletal function of the lower extremities. Only excessive loads cause some discomfort.
In the second stage, the symptoms become more pronounced, the ankle joint begins to crunch, squeak, and in the morning, stiffness and pain appear in it with minor movements. In this case, it often happens that the affected joint swells greatly and becomes hot to the touch. The third stage is characterized by constant severe pain that does not depend on physical activity; it is present even at rest.
What treatment methods exist today for ankle arthrosis?
Before you begin treatment, you must first reliably establish a diagnosis. X-ray examination of the joint, as well as computed tomography of this anatomical area, will help confirm or refute this pathology.
The principles and methods of treatment should be selected individually only by a qualified physician.
The patient's first priority should be non-drug methods: physical therapy, which will have a beneficial effect on the regeneration of bone tissue, the extensibility of the ligaments of the joint capsule, will reduce body weight, improve metabolism, as well as therapeutic dietary nutrition, enriched with special components that nourish bone and cartilage tissue .
The use of various types of massage, rubbing of gels or ointments containing non-steroidal anti-inflammatory drugs onto the skin is also indicated. Physiotherapeutic techniques have proven themselves well, among which magnetotherapy, acupuncture, and reflexology occupy important places.
Therapeutic baths with hydrogen sulfide and radon and healing mud have also found their use.
All of the above methods are indicated for patients with the first stage of degenerative disease. For those whose pathological process has progressed further, surgical treatment is indicated, which is represented by several types of surgical intervention: arthrosis (in this case, all elements of the joint are completely removed, the function of the limb is compensated by neighboring healthy joints), arthroplasty (after this intervention, movement in the ankle joint preserved) and endoprosthetics (the function of the joint is completely taken over by a prosthesis made from specially prepared materials). The last surgical intervention, although technically the most difficult and the longest, after its implementation all movements in the affected joint become possible in full.
If the pain in the joints is very severe, then you do not need to endure it.
In this case, the use of non-steroidal anti-inflammatory substances, which have a good analgesic effect, is indicated. In advanced stages, corticosteroids can also be used. Author: K.M.N., Academician of the Russian Academy of Medical Sciences M.A. Bobyr