Knee hurt are on a daily time, but a most stronger is on the night.

 Galina written to us, as he is having deforming  gonoarthrosis for both knee joints for 3 level, as staying at home, and surgery not done, as heart and lungs problems having, asking specialists for help me in my hard situation, my age is 85 y.old.Also other patients asked in us for legs aches fight. 

And adult peoples  are often having knee aches, as by clinical and roentgenologic signs for ageing for joints is osteoarthrosis. And  by localization process these are gonoarthrosis as pathology for knee joints, coxarthrosis are hip joints, spondiloarthrosis as vertebra disease, wrists for joints and bones are on the big finger.

And peoples calling hiss arthrosis, arthritis, gout, other therms , but symptom here not changing is ache joints. Reasons here are inborn defects for development, genetically, professions, tied with physical over loads, obesity, low mineral density for bone tissue is osteoarthrosis, professional sport. In osteoarthrosis suffering a hyaline cartilage, covering joint bone, and he is thinning, and other joints parts damages as subchondral bone, tensions, muscles.

And on a morning time feeling stiffness, mobility aches, crunch, limiting mobility, non stability joint, change his kind , bones sprawls.Ache  reason is inflammation for synovial membrane, abundant liquid synovial  filling in joint, tensions sprains, and ligaments as of his non stability. And patients asking about a why burning ache happening on the night?And  on the night hours as on calming time of venous congestion is rising pressure in bones, that on a daily time rare happening, when you are moving , but less. Long chronic hurt leading to forming in central nerve system as a calling nidus for irritation, which supporting ache feeling. And of course these are all affecting on the life quality, and you cannot to do a physical work, bad sleep, pessimism having, lowering perception for positive emotions, and leading to anxiety -depressive condition.

Cure depends on from a lot, as self-help, and a one reason for pathology knee and hip joints a obesity, thus you can lose weight, take will in fist, but a fast weight loosing not needing. And on begin check your ration and regime for meal, if energy with meal getting less, than you are loosing, thus you will weight lost slowly, and if  you're not having diseases, where eating by hours, thus eat, when you are hungry.

And last dinner before till 4–5 hours to sleep, if you feel hungry, not torment, drink glass of kefir, eat apple.

Avoiding candies, pies, cakes, cookies sweet, drinks , change sugar on raisin, limiting salt/day, and norm just 5 gr/day by a calculating in meal, products. Add melted meat, fatness milk products, fruits, vegetables, avoiding fat sausages, butter oil. Useful is fat fish, as with omega 3 unsaturated fatty acids are decreasing inflammation. And other anti-inflammatory products are ginger, fresh celery roots, black currant, blueberry.

Moderate physical exercises adding, care joints against high loading, as a high loading, will not benefit for you, just misfortunes till knee, but   benefit till ankle.

Weak muscles, non stability for joints are needing everyday trains, or dosage walks. Begin with 20-min  walk, slowly rising her duration, and doing small stops. Avoiding are runs, jumps, squats.

 An effectivity here is Scandinavian walk, with sticks using are entering not just low extremities and shoulder waist, that is improving cardiovascular system, rising blood circulation, and feeding all muscles. Avoid take from a floor are heavy items, not carry are hard bags, use carts on wheels , walk on steps keeping for handrails, and to walk with cane is the best idea, as he is giving additional support and unloads. Avoid sit a long time before TV, or on the bench with bending knees, not descend on four, such position destroy blood circulation in legs. In not stability knee joints wear on a daily time elastic kneecaps, shoes are comfortable, not press feet, heel is width, stable on 4 cm.In flat feet,  put in  shoes special insole. 

And for cure is a first decrease hurt, and thus using NSAID  , but in long using they are causing complications for cardiovascular system gastrointestine, kidneys, thus doctor need to prescribe theirs by your disease's accounting. Indometacin, Piroxicam are bad affecting on cartilage, but keeping his are Meloxicam, Nimesulid, Aceclofenac, Cetoprofen , good analgetic is paracetamol. In moderate achres use creams, ointments or gels with NSAID , AND apply on right dosages and in depending from a size joint for 3 times/day for 2 weeks. Help and good local remedies are irritating, warming effects as Capsaicin. And in strong aches, doctor can prescribe on a short time is Tramadol, if hurt tie with pressing nerve roots as neuropathic ache, and using anti convulsants ,which neurologist prescribes. And for a cure osteoarthrosis are base groups as slowly effecting remedies , so as processes for regeneration a cartilage tissue slowly happening , and long time using Chondroitin  sulfate, and Glucosamine hydrochloride and theirs combinations, Diacerenin/Artrodarin, Artrocer,  Diaflex/,   Piascledin 300 . These remedies prescribing for the long time as for 3 months by courses and with rest for 2-3  months. At the same time using preparations for intramusculary  cure, for 2 courses/year on 15-20  injections, these are Alflutol,  Chondrolon, Dona, Chondrogard,  Mucosat,  Rumalon.  And in pronounced narrowing a gap for knee joint, ARE PRESCRIBING   into joint entering for hyaluronic acids preparations as Sinvix,  Gialgan, Fidia, Duralan, Ostenil, they are amortizing padding serving and lowering inflammation. 

Glucocorticosteroids entering just in knee joints in abundant forming synovial liquid as Cyst Baker, preliminary remove her. Osteoarthrosis having with a lowering density mineral bone tissue by osteoporosis, thus use preparations Calcium,  Vitamin D. Destroy for mineral exchange causing muscles spasm, cramps, theirs stopping with remedies, contains Magnesium.

Addition therapy are magnet and laser therapy, manual therapy. And in a long incoming stage for osteoarthrosis are with many osteophytes, joints disability mobility, strong ache are doing arthroplasty . When a having problem with meniscus , about a cure which asked Evgenia are using sparing surgery methods , and including Artroscopy.

By Balabanova Rimma, Professor, M.D. 

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