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Knee degenerative osteoarthritis protection

 

 

GuoJianHua Chongqing orthopaedic hospital of traditional Chinese medicine

 

 

China's traditional Chinese medicine to

 

 

 

 

        Degenerative osteoarthritis is a chronic degenerative osteoarthropathy, is because of joint hyperplasia degeneration lead to a series of symptoms. The clinical manifestations of the knee joint pain, after motion is aggravating, after the break reduce, walk not convenient, extensor knees joint limited, squat difficulties, stairs pain obvious, or sudden activity occurred sting, and often with soft leg to drop phenomenon. Knee unbend to a certain degree of pain in the knee's flex process often send sound a twist. Serious will appear lower limb muscle atrophy, still can appear joint effusion, concurrent synovitis. In the human body joint, knee except to support body weight outside, will be standing, squat, jumping, running, walking motion, make knee joint activities were very frequently, the most vulnerable to knee strain, so knee degenerative osteoarthritis is the most common. The disease have primary and secondary two kinds, primary and the age of patients have close relations, see more at 50 years old crowd. Secondary much due to trauma (the knee, the patella, meniscus, knee joint dislocation, etc.), joint deformity (genu varus and valgus), joint disease (inflammatory joint disease, endocrine disorders, ischemic necrosis), cause knee to the early onset of serious degenerative change.

 

        The doctor of traditional Chinese medicine will be knee degenerative osteoarthritis included in the "involving the bone" category. Think that middle-aged people, liver and kidney deficiency, blood disorders, bones and muscles lost its moisten, together with trauma, strain and feel wind cold dampness evil, so that in the phlegm and blood stasis stop, choroid impassability, bones and muscles, alongwith and disease. Suffer from knee degenerative osteoarthritis, whether conservative therapy or surgery are not may heal, that "can with what method cure knee degenerative osteoarthritis" propaganda is false. This paper mainly introduces the knee degenerative osteoarthritis prevention and nursing.

 

        Preliminary prevent

 

        Currently can not be completely prevent osteoarthritis occurs, but by some measures, can reduce or delay the occurrence of osteoarthritis.

 

        1. Lose weight, as far as possible not to wear high heels, protect the joints don't damage, such as avoid joint by the repeated impact or torsion.

 

        2. Avoid overload activities and labor, as far as possible to reduce the burden of the knee joint, reduce do frequent ascent motion. If there is patella, meniscus and knee ligament damage must be treated. Intra-articular fracture or dislocation to timely reset, symptomatic treatment. When found around the knee joint deformity is to timely orthopedic.

 

        3. Take appropriate VitA, VitC, VitE and supplementary VitB on knee osteoarthritis has a certain preventive effect.

 

        To heal

 

        Western medicine treatment including non-operative therapy (such as physical therapy can promote the blood circulation, improve inflammatory reaction; drug treatment can diminish inflammation analgesia), minimally invasive treatment, surgical therapy (such as ankle arthrodesis, joint replacement). The doctor of traditional Chinese medicine comprehensive treatment is the ideal treatment. At present our soft injury area comprehensive therapy of traditional Chinese medicine are: acupuncture therapy, massage therapy, acupotomy therapy, Chinese medicine internal and external treatment therapy, Chinese medicine fumigation treatment and knee joint cavity flushing treatment, etc. Through the clinical observation, curative effect is better.

 

        Acupuncture treatment has dredges the channels and collaterals, regulate qi and blood effect, especially temperature acupuncture can by the temperature acetanilide, removing dispersing cold, cold pain to eliminate the phenomenon. Massage therapy can relieve muscle spasms, alleviate pain, release the joint around the soft tissue adhesions, improve the function of the knee joint. Acupotomy treatment, through to the surgeries soft tissue and soft tissue between the adhesion, soft tissue and bone between the adhesion of pine solution, the soft tissue injury recovery the dynamic balance, make joint restore its mechanical balance, so as to achieve the goal of therapeutic management. At the same time in the syndrome differentiation and treatment of traditional Chinese medicine, under the guidance of the kidney tonic, regulate qi and blood, invigorate the circulation of blood and pain, cold wind scattered traditional Chinese medicine oral medication treatment, use blood know luo, detumescence and water drugs external or fumigation to promoting blood circulation to remove blood stasis, unobstructed qi and blood, relieve swelling and pain, relieve spasm. Can also be knee joint cavity flushing, then sodium hyaluronate injection, to clear articular cavity inside small foreign body, reduce joint cavity inflammation, smooth the arthrosis role. The above methods according to the clinical situation flexible choose.

 

        Guard Richard

 

        Knee degenerative osteoarthritis more for the elderly, should give thoughtful care, not only in during be in hospital, and discharged after all to give psychological, life, diet of proper care: eliminate the lonely and lonely feeling, more conversation, let patients feel kind, warm, Help patients often change posture, help patients local massage; Pay attention to rest, appropriate to do some simple easy housework or movement, try to keep the function of knee joint activities; Soon station, long line, pay attention to knee warm; Diet to 30 grams of Chinese wolfberry, 60 grams of japonica rice, will last two taste elutriation clean, boiling into porridge. Sooner or later, warm edible, nourishing kidney and liver, the kidney and gas function, is suitable for the kidney Yin deficiency patients, or angelica from 30 grams, the ginger 50 grams, 250 grams of mutton, stew edible, enrich the dispersing cold by the temperature of the function, is suitable for the blood deficiency of feeling cold dampness.

 

        Functional exercise

 

        Functional exercise can promote local blood circulation, protection, enhance soft tissue elasticity and toughness, reduce the chance of extended attack clearance time. The principle of knee joint function exercise based on active don't load activity is given priority to, practice joint activities, enhance the muscle strength, to keep and improve the joint range of activity, stable joint balance force.

 

        Knee extensor activities

 

        Patients sit on the bed or chair, will double foot flat on the floor, as far as possible unbend side of the knee joint, and maintain a straight to acid bilges feeling, again slowly buckling knee, two legs alternate, repeated 5 ~ 10 times. (see chart 1)

 

        Knees activities

 

        Patients prone position, double lower limbs keep flat on the bed, the side of the knee flexion try to rely on to the hips, and keep QuQuWei to acid bilges feeling, then slowly unbend knee, two legs alternate, repeated 5 ~ 10 times. (see chart 2)

 

        Popliteal rope muscle exercise

 

        Patients supine, double lower limbs on flat surface, the side of the knee flexion try to stick to the chest, with the hand fixed thigh, then gradually straighten knee, when there is acid bilges when feeling buckling knee, again slowly set level. Two legs alternate, repeated 5 ~ 10 times. (see chart 3)

 

        Quadriceps femoris exercise

 

        Patients prone, double lower limbs on flat surface, buckling side of the knee and ankle towel around the same side, gradually to hip try to pull crus, lasts for 1 ~ 2 minutes, two legs alternate, repeated 5 ~ 10 times. (see chart 4)