Arthritis, arthrosis are diseases with an inflammatory course, in which the synovial membrane of the joint is affected and effusion accumulates in the cavity. The knee joint is a complex problem, when pain during degenerative-dystrophic processes is exhausting and sharply worsens the quality of life. Injections are the most accessible method of therapy:
- quickly eliminate pain at the bottom of the knee, side and inside;
- relieve swelling;
- normalize the condition of cartilage tissue.
The most effective are intra-articular injections (pain injections), which instantly eliminate side effects at the site of inflammation and do not affect other internal organs.
Intramuscular and intravenous injections
Intramuscular and intravenous injections
- the medicine enters the blood instantly, and not after several hours, which is important when the patient’s condition is rapidly deteriorating;
- those drugs that are not able to be absorbed in the gastrointestinal tract can be absorbed (this occurs both due to the characteristics of the drugs themselves and in certain conditions of the patient).
Neither the first nor the second advantage for arthrosis matters. This is a chronic disease that lasts for years. Although both chondroprotectors and NSAIDs are available in the form of injection solutions, their use in this form is extremely rare. Because these same drugs exist in tablets, and they are cheaper and easier to use.
Intra-articular injections are practiced for various diseases:
- arthrosis;
- arthritis;
- gout;
- carpal tunnel syndrome;
- adhesive capsulitis;
- bursitis;
- synovitis;
- tendinitis, etc.
They are prescribed for acute pain in the joint, for damage to ligaments, tendons and articular cartilage. In many cases, this method becomes an addition to the complex treatment of osteoarthritis or other diseases. Injections can reduce the amount of painkillers, which is especially important in case of undesirable consequences for the gastrointestinal tract. Different drugs are administered intra-articularly - depending on this, different results are expected.
Hyaluronate
Hyaluronate
Hyaluronic acid preparations are not cheap. But when administered, a long-lasting analgesic effect is achieved. It lasts from 6 to 12 months. During this period, the person does not take NSAIDs at all, or reduces the dosage of painkillers to a minimum, which reduces the risk of side effects and complications.
Hyaluronic acid itself is completely safe. This is a natural substance in our body that is found in the skin, joints and many other tissues. When injected into a joint, hyaluronate improves the composition and production of synovial fluid. The substance acts as a lubricant, therefore reducing friction of the articular surfaces. The effect lasts for a long time not only due to the introduced hyaluronic acid, but also due to stimulation of the production of endogenous hyaluronate.
Platelet Rich Plasma
The drug is prepared immediately before its administration. Blood is taken from the patient. It is centrifuged to remove unnecessary cells. Many platelets remain in the plasma. By removing the liquid, their concentration increases significantly. This plasma is then injected into the joint.
The function of platelets is not only to form a blood clot, but also to accelerate tissue healing. They secrete growth factors. Once inside the joint, these factors stimulate metabolic processes in the cartilage tissue, stimulating the restoration of articular surfaces. As a result, the development of arthrosis slows down.
Glucocorticoids
Subtleties of performing joint injections
For intra-articular injections, a syringe with a long needle is used. The specialist must hit it exactly into the joint space. To avoid mistakes, such manipulations are often performed under ultrasound guidance. If necessary, before administering the drug, fluid is pumped out of the joint, since complications may occur if it is present.
Contrary to popular belief, joint injections are a painless procedure. According to most patients, they cause the same sensations as regular intramuscular ones.
To ensure that the medicine is evenly distributed inside the joint, simple movements must be performed after the injection. Sometimes the doctor will apply a tight bandage. There is no other complex rehabilitation and recovery period after intra-articular injection. The doctor will only recommend not to put any strain on the affected joint for a while, not to lift heavy objects, and to give up alcohol for a few days.
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Intra-articular injections feel comparable to intramuscular injections
Hyaluronic acid
It is also called a “synovial fluid prosthesis”, since hyaluronic acid acts as a lubricant that protects the joint from injury. It normalizes the composition of the synovium, which becomes denser and more viscous. Hyaluronic acid perfectly relieves pain and inflammation, activates the processes of self-regeneration of cartilage. Its most common use is in patients with arthrosis. With this remedy, injections are often made into the hip joint and knees. The standard course of treatment consists of 3-5 procedures with a week interval between them. The effect lasts for a long time, up to 1 year. The most frequently prescribed drugs with “natural lubrication” are Gialgan, Hi-Flex, Gialsin.
Indications for injection
Pain blockade by injection is not performed on every patient. Initially, doctors try standard, conservative treatment methods and only after them resort to relief. But the situation changes radically if there are indications for injection:
- the substance is introduced into the glenohumeral joint in the presence of spondyloarthrosis, capsulitis, rupture or degeneration of the rotator cuff;
- pain relief with Lidocaine is prescribed to those patients whose pain has become chronic or intensifies with any body movement;
- with bicipital tendinitis, the presence of degenerative processes in the muscle structure, destruction of cartilage tissue.
It is impossible to immediately begin treatment by blocking the pain syndrome; this may prevent the further development of symptoms. If this happens, the doctor will not be able to diagnose the cause of the problem and eliminate it. Pain can be relieved only after all diagnostic procedures have been completed, conservative treatment methods have been tried and drug therapy has been administered.
Types of injections
Many drugs are used for injection. The wide range is due to the large number of patients; not everyone is suitable for a certain drug (allergies or other reasons).
The most common group of drugs are steroids if there are problems with the shoulder joint. Corticosteroids help restore the integrity of the rotator cuff, and intra-articular injections reduce pain.
Most often, steroids or lidocaine are used for relief. The medicine has a short duration of action, but it relieves the uncomfortable symptom well.
Contraindications for chondroprotectors
Since the active ingredients of drugs of this pharmacological group are compounds natural to the human body, they have an extremely meager list of contraindications. Moreover, the majority of cases in which their use is unacceptable is due to the lack of clinical trials conducted on this group of patients. Therefore, manufacturers do not have objective evidence of their safety in such situations and cannot authorize the use of their drugs for treatment:
- pregnant and breastfeeding women;
- children under 12 years of age;
- people who are intolerant to any component of the drug, including excipients.
Oral chondroprotectors are prescribed with caution in the presence of diseases of the gastrointestinal tract.
Causes of development of arthrosis of the shoulder joint
- Excessive prolonged load on the shoulder, including of a professional nature (for example, builders, plasterers, loaders).
- An acquired or congenital defect of cartilage, ligaments and other structures, against which the joint quickly wears out even under normal load.
- Hand injuries - dislocations, fractures, bad falls.
- Deposition of salts in the joint cavity due to metabolic disorders.
- Constant microtrauma over a long period of time, for example due to regular sports activities.
- Chronic and acute inflammation of the joints.
Shoulder arthrosis is a hereditary disease: if your parents were ill, be vigilant
Degree of development of arthrosis of the shoulder joint
Aching pain in the shoulder is an initial sign that cannot be ignored. If arthrosis is not treated, the load on the problem joint is not reduced, and you generally believe that “it will hurt and stop,” events will develop according to this scenario.
- The first degree of the disease is accompanied by aching pain that intensifies at night. The person can still move the arm freely, but already notices a limitation in the amplitude of movement, especially when moving the limb back. An x-ray shows a “ring symptom” - the glenoid cavity resembles an oval ring.
The first stage of shoulder arthrosis can last several years
- The second degree makes itself felt with much more vivid symptoms. The pain intensifies and does not stop, hand movements are accompanied by a characteristic crunch, and the amplitude is significantly reduced. The image shows a narrowing of the joint space, bone growths and thickening of the bone surfaces. In some cases, atrophy of the shoulder muscles is also found.
At the second stage, joining your hands behind your back is a real feat!
- The third degree is always accompanied by severe joint deformation and constant pain. At this stage, it is almost impossible to move your hand - only pump with a small amplitude. In the area of the junction of the scapula and shoulder, bone outgrowths are visually visible. The position of the hand becomes unnatural: the patient reflexively looks for the least painful position.
Do you keep putting pressure on your sore joint? There is a high risk of developing arthrosis of the third degree
How is arthrosis of the shoulder joint treated?
Classical medicine offers a traditional treatment regimen for arthrosis, aimed at reducing symptoms and preventing complications. It includes:
- non-steroidal anti-inflammatory drugs to relieve pain and tissue swelling plus painkillers;
- local anti-inflammatory ointments;
- chondroprotectors that restore the structure of cartilage.
To improve the trophism of the affected joint, doctors recommend starting its dosed development with the help of physical therapy, and to consolidate the effect, regularly undergoing physiotherapeutic procedures. In different cases, therapeutic baths, dry heating, magnetic therapy, mud therapy and other manipulations are indicated. All this is allowed only during the period of remission.
Physical therapy for second or third degree arthrosis should be performed only under the supervision of a specialist. But for preventive purposes, in order to strengthen the shoulder joint, you can exercise even before alarming symptoms appear. For example, according to this simple scheme:
Features of Mermaids new generation collagen chondroprotectors
Our clinic offers the best environmentally friendly collagen available today. And we are happy to recommend it to all our patients, because we vouch for its effectiveness. Marine collagen contains 20 amino acids necessary for the body. And also its composition includes only the most natural products, such as hydrolyzed collagen from the skin of Arctic cod, beta-carotene, B vitamins (B1, B2, B3, B5, B6, B7, B9, B12), vitamin C from acerola, zinc, organic selenium, silicon from horsetail, anthocyanins from Scandinavian blueberries.
The bioavailability of the drug that we use is significantly higher than other chondroprotectors, which means that most of the drug can accumulate in cartilage and skin within 6 hours. The low molecular weight of the drug and its use in the form of soluble powders ensures rapid absorption into the blood and easy digestibility. Also, with 6-8 weeks of use, you will be able to notice the effect - the skin will be protected from UVA and UVB rays, it will become more elastic, smooth, and moisturized.
The main and important types for maintaining health and beauty are types 1, 2 and 3 of collagen. Humans are 90% type 1 collagen. This fibrillar protein is the main component of the skin, ligaments, blood vessels, tendons, fibrocartilage, bones, sclera and cornea of the eye.
Mermaids collagen consists primarily of type 1 collagen. Just by increasing collagen types 1 and 4, deep wrinkles will smooth out on the skin. In addition, our product helps women with cellulite problems improve the appearance of their skin. With long-term and regular intake (up to 2 years) of 5 g of collagen, bone mass becomes denser due to stimulation of bone cell synthesis. Marine collagen has proven itself very well as an anti-inflammatory drug for osteoarthritis; it will be a safe and effective way to treat pain, as it does not cause adverse reactions. But collagen is good not only for cartilage, bones and joints, it also helps cleanse the walls of blood vessels from atherosclerotic plaques due to the presence of proline and lysine in the composition.
The marine type of collagen is the most favorable and suitable type for humans. It is very well absorbed, as it is similar to human.
Marine collagen works in different ways. For example, in older people it more often fills the joints, strengthening them. In young people, connective tissue is restored, positive changes occur in hair, nails and skin. Human life systems themselves choose where collagen is most needed and where there is damage. When the right places are saturated, collagen peptide molecules are redirected to other organs and tissues. By continuing to consume marine collagen, you can achieve your desired goal.
The very initial sensation will be an increase in energy, normalization of brain function, concentration, and excellent well-being.
For your convenience, you can purchase Mermaids marine collagen directly from our clinic or courier delivery is possible. You can also leave a request and we will contact you.
So what is collagen? Collagen is a protein that affects connective tissue, namely stimulates its synthesis. On its own, our body is capable of producing only 50% of the protein we need, the rest we must get from the outside (for example, from food). And the easiest way to supplement the lack of protein is with collagen peptide.
Another advantage of new generation collagen, in addition to its naturalness and effectiveness, is that it does not contain fat, which makes it possible for dietary use. Also, this collagen does not contain GMOs and is a halal and kosher product.
What can a lack of collagen lead to? Our body becomes depleted with age, so its ability to synthesize collagen on its own decreases. As a result, regenerative processes in organs and tissues are disrupted, which causes the development of many diseases. Externally, we can see such manifestations as dryness, uneven skin color, redness and wrinkles, followed by crunching in the joints. Collagen can be compared to the “glue” that holds our body together. Without collagen, the body “dries out.” Therefore, doctors and nutritionists recommend including it in your diet after 35 years for everyone without exception. Even small preventive courses can bring great benefits to the body.
The classic course of preventive collagen intake is 3 months of intake, a month break and 3 months of intake. The body receives the missing amount of certain amino acids to synthesize its “native” collagen molecule.
It is very important to pay attention to additional components in the composition that enhance the effect of collagen, increase its bioavailability and trigger collagen synthesis in the body.
Vitamin C. Without it, collagen synthesis is impossible. Only in the presence of vitamin C do amino acids bind and collagen fibers form correctly. In addition, in order for the amino acids to come together into a collagen molecule, B vitamins, iron, zinc, selenium, and silicon are needed.
All these elements are present in Mermaids Marine Collagen.
The main beneficial properties of Mermaids collagen include:
- Promotes weight loss;
- Improves sleep quality;
- Makes the skin elastic;
- Strengthens bones and prevents fractures, accelerates recovery after fractures;
- Improves flexibility and mobility of joints;
- Strengthens the intestinal walls;
- Makes the skin elastic, thereby smoothing out wrinkles;
- Strengthens hair, nails, teeth.
Approach to treating the disease in our clinic
At the Moscow Medical School, the treatment of acute inflammatory processes in the joints is treated with special attention. First of all, the patient is carefully examined and an emergency examination is carried out to identify indications for urgent hospitalization. When such indications appear, the patient is sent to the hospital.
If the disease is not severe, then treatment is carried out in the clinic using:
- the most modern methods and medications developed on the basis of advanced scientific and medical institutions;
- traditional eastern techniques, used for centuries in China and Tibet to treat such diseases; Our center’s doctors have been trained in these techniques in leading clinics in China.
Treatment allows the symptoms that bother the patient to be eliminated as quickly as possible. The patient feels improvement after the first session of acupuncture (ART). After eliminating the inflammation, patients undergo a course of rehabilitation, allowing them to forget about the diseased joints forever. The specialists of the Paramita clinic will be able to help any patient!
We combine proven techniques of the East and innovative methods of Western medicine.
Read more about our unique method of treating arthritis
In what cases are hormones prescribed?
In the later stages of arthrosis of the hip joint or any other, when pain almost always bothers the patient and painkillers do not help, a stronger remedy may be prescribed. This is an emergency treatment measure that can quickly relieve pain and improve well-being. Unfortunately, this coin also has a downside, especially if you resort to this method more often than necessary.
Kenalog, diprospan and other corticosteroid drugs quickly stop inflammation, eliminate edema and swelling. However, they do not cure arthrosis at all, do not restore nutrition to the cartilage and do not improve the condition of the joint. This is only an ambulance - a powerful blow to the body, especially if you resort to such treatment for osteoarthritis too often.
No organism can withstand frequent injections of hormonal drugs.
