Arthrosis and arthritis are diseases in which the joints are affected.Since the names of these disorders are consonant, many people have thoughts about their identity.They perceive these terms as synonyms, suggesting that this is the same disorder.However, arthrosis and arthritis are far from the same and there is a significant difference between it.To understand how arthrosis is different, let's find out what these diseases are.
What is arthritis?
Arthritis is a collective term which means inflammation of any articulation and more often indicates wider and more serious pathological disorders in the body.That is, the disease is inflammatory and can impress both one and different joints.
There are numerous disorders accompanied by the development of arthritis:
- rheumatism;
- gout;
- rheumatoid arthritis;
- Systemic lupus erythematosus;
- psoriasis;
- Emhramatosis.
In addition, there are reactive arthritis that develop following complications after infectious diseases:
- influence;
- syphilis;
- gonorrhea;
- mycoplasmosis;
- Chlamydia.
All these diseases are released in a separate group.
The inflammatory processes for arthritis mainly influence the synovial shell and the synovial fluid, causing a disease (synovitis).Consequently, the amount of this liquid increases, which is interpreted by the swelling of the affected joints.The cartilage that covers the surfaces of the bones is also inflamed and over time the erosion that expresses the bone is formed on it.
What is arthrosis?
Arthosis is a non -inflammatory dystrophic disease, associated with the deformation and destruction of the cartilage tissue within the joint.That is, pathological changes occur, which manifest themselves from the cartilage dystrophy that covers the surfaces of the bones.Although sometimes it is a long -term inflammatory process that causes thinning and cartilage damage.Arthosis is often observed in the elderly, since they wear cartilage tissue with age and osteoporosis also occurs, which negatively affects the condition of the entire support and motor system.
In some cases, arthrosis can occur at a young age in people who live long loads on the joints.This category includes athletes, people who suffer from obesity or people whose professional activity leads to rapid wear of the support system and engines.
The symptoms of the disease are caused by a violation of the cartilage functions, since they are diluted and deformed, the bone tissue grows, which leads to the inability of the entire amortization and friction performance of the bones that form the articulation.Consequently, the amount of synovial fluid is reduced, which should envelop the joint surfaces.
General reasons for the development of arthrosis and arthritis
Since arthrosis and arthritis influence the joints and, in general, the entire support engine is the motor system, these diseases develop following many factors.
Let's take a look at ten reasons that cause these disorders:
- hereditary factor;
- metabolic violation;
- immune factor (especially for arthritis);
- congenital diseases of connective and bone tissue;
- joint injuries;
- overweight, obesity;
- excessive physical activity;
- unbalanced diet;
- hypothermia;
- infections.
These are general reasons that can cause both arthritis and arthrosis.But this is where their similarity ends.In addition, diseases have only differences.
CAUSE CHARACTERIST OF THE DEVELOPMENT OF ALTRITITE AND HISTERY
Causes that cause arthritis:
- An unbalanced and monotonous diet, which causes a violation of metabolic processes and immunity (poor nutrition causes the development of infectious diseases and their agents penetrate the synovial liquid and cause arthritis);
- Strong hypothermia of the joint (during the night in the curtain, which swims in cold water, scarce shoes and poor quality clothes);
- any injuries (lengthening, bruise or fracture);
- smoking and obesity;
- A sedentary lifestyle.
The causes of osteoarthritis:
- 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 stadium in the development of osteoarthritis.As the most advanced diagnostic methods develop, the primary stage has been questioned, since in all cases the main cause of the development of arthrosis are metabolic disorders in the form of carbohydrate metabolism and ferrous enzymes.Therefore, arthrosis can occur due to arthritis, since the synovial fluid dystrophy 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 destruction of the cartilage.
What is the difference between arthritis from osteoarthritis
Let's take a look at how arthrosis is different.Since arthritis and arthrosis often influence the same joints, therefore, despite this, there is still a certain model in the location of the pathological process:
- Arthosis often develops on large joints of the lower ends (ankle, knee, hip).In addition, the pathological process develops in one articulation.Throughout life, all these joints experience very large loads, so it is not surprising that they consume and destroy due to destructive processes.Arthosis rarely affects the joints of the thumbs, the hands and intervertebral joints.
- With arthritis, the joints are influenced one by one, that is, the disease is characteristic of the "flight".Suppose that the articulation of the wrist was inflamed in one day, on the other - the elbow, on the third - the articulation of the shoulder.In addition, several asymmetrical joints can inflame themselves simultaneously.
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 the characteristic rigidity in the affected joints.To relieve stiffness, they must develop joints.Some patients play these phenomena such as norm, forgetting that healthy people do not need joint development after sleep.Their joints are always mobile and functional.With arthrosis, this rigidity is not observed.
- In the case of osteoarthritis, everything happens on the contrary.At rest, the patient is relieved, since pain occurs only when it moves and becomes more intense with a significant motor activity.Sometimes, with arthrosis, pain can also occur at night, but they are associated with the fact that the patient changes the position of the limbs concerned in a dream, which causes pain.
- The appearance of the joint with arthritis and arthrosis also differs.With arthritis, the joints of the metacarpal phalanx (convex bones of a compressed punch) swell and swell, blushed and become hot (increase in the local temperature).With arthrosis, these symptoms are not observed, the joint seems absolutely normal.Of course, in the future, a joint deformation can occur following the growth of osteophytes (bone growths on the joints), but also in this case there are no characteristic symptoms of arthritis.But with arthrosis, there is a crunch in the affected articulation, which is not with arthritis.
The general condition of patients in these diseases should be noted.With arthritis, a person, in addition to pain in the joint, feels weakness, general disorder: subfebral temperature, chills, headache, loss of appetite, reduction of 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 often leads to arthrosis, when the joint is destroyed and modified due to inflammation and also its mobility is disturbed.However, with arthrosis, inflammatory processes are observed in the joints.It is not so easy to understand the diagnosis, it is necessary to discover the main cause of the development of these disorders.The arthritis, as a rule, occurs against the background of the infections that have entered the joint tissue and, in the event of arthrosis, the joint deformation occurs due to injuries, in old age.Of course, sometimes inflammation can join, but this does not always happen.
Differential diagnosis of arthrosis and arthritis
In order to understand what reason there were problems with the joint, it is necessary to conduct a differential diagnosis.This diagnosis includes the following clinical tests:
- General blood test.
- General urine analysis;
- Biochemical blood test;
- Rheumatic tests;
- autoimmune rules (blood test for antibodies);
- Ray x of the joints concerned;
- examination of the synovial fluid;
- Radioisotopic scan of the skeleton (in some cases);
- computerized tomography (CT);
- Magnetic resonance imaging tomography (CT or MRI).
Blood test for arthritis and arthrosis
For adequate diagnosis of joint diseases, this procedure is mandatory and necessary.In the case of arthrosis, the clinical picture of the blood does not change at all, it can only slightly increase the ROE (reaction of the erythrocyte settlement) to 28-30 mm, usually with complications -inovite complications.With arthritis, the blood framework changes completely: leukocytes at 14,000 is completely observed, a movement of the formula of leukocytes on the left is observed, the reactive protein protein of level C (CRB) increases and the ROE at 40 - 80 mm.
C - Jet in the blood
For differential diagnosis, it is necessary to perform a biochemical blood examination.With arthritis, there is an increase in the inflammation of some immunoglobulins, sieomucoids and protein C - reactive, which is not observed with arthrosis.The exact factor that diagnoses the level of the inflammatory process in joint disorders is considered protein C - Reactive (CRB).Since the synovial fluid reacts with the increase of emerging inflammation proteins, with inflammatory and autoimmune processes in the body, its level increases to 10 mg/l and superior.Compared to healthy people whose reactive protein in the blood does not exceed 0.002 g/l.Therefore, the increase in the level of reactive protein in blood plasma eloquently indicates the development of arthritis.
The reactive protein (CRB) is a protein of a rapid phase that is synthesized in the liver.Activates the body's immune response to the invasion of an inflammatory factor.After 24 hours, the level of reactive protein in plasma increases ten times.With adequate treatment, the protein quickly decreases to normal indicators.With the arthrosis in the patient's blood, the reactive protein indicators remain normal.
X -Reggi of the joints concerned
This diagnostic method is the second most effective after clinical blood examination.In this case, arthrosis is diagnosed with precision, since the degree of bone deformation for the width of the joint gap can be determined on the X -ray.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 photo.
Differences in the treatment of arthritis and arthrosis
Arthritis and arthrosis have different causes and development mechanisms, so their treatment is slightly different.
With arthritis, it is necessary first of all to identify the cause of the development of inflammation and neutralize it as soon as possible.If arthritis occurrence has infectious etiology, the patient are prescribed antibiotics.With the autoimmune origin of the disease, cytostatic and hormones and with gottosa arthritis are prescribed, the correction of uric acid in the body is required, therefore, the treatment is carried out by hypoweminating drugs.
With arthrosis, the treatment aims to restore the cartilage tissue and the return of joint functions.Therefore, the treatment is carried out by chondroprotectors, hyaluronic acid, physiotherapy, health treatment -risolt, massage and physiotherapy exercises.
Since both arthritis and arthrosis are accompanied by a pronounced pain syndrome, anti -anti -inflammatory drugs non -pounds for internal and external use (tablets and ointments) act as painkillers, with these disorders.These drugs not only effectively eliminate pain, but also reduce signs of inflammation.
In the treatment of these disorders, both conservative and surgical therapy are used.It all depends on the level and scale of joint lesions.As a rule, this is the pharmacological treatment and the prostheses.
Since the very fact of chronic arthritis of the patient and arthrosis increases the probability of acute recurrence, the therapeutic strategy should be aimed at preventing and preventing relapse.The following treatment is prescribed for this:
- The use of non -pound -free anti -inflammatory drugs (NSAIDs).The medicines of this group effectively eliminate signs of inflammation, in particular with arthritis, but are always included in the therapeutic and arthrosis complex.
- The rapid elimination of muscle spasm that occurs in the muscles adjacent to the joint.Therefore, the access of drugs, nutrients and oxygen is provided.
- Normalization of metabolic reactions.This is possible only after interrupting the inflammatory process.
- Evacuation from the articulation of uric acid salts (if we are talking about a violation of metabolic processes).
- Normalization of acid metabolism - alkaline.
Modern medicine has succeeded in the treatment of arthritis and arthrosis, but despite this, not all cases of arthritis or arthrosis ends with full success.
Reaching success in the treatment of these diseases is to relieve the inflammation of the joint and muscle spasm, in the normalization of metabolic processes and acid balance -alkaline.As a result of these actions, the articulation begins to receive full nutrition, oxygen and restoration of metabolic processes.
The recipes of traditional medicine are very effective in the complex treatment of arthritis and arthrosis.Their use in this format is also approved by official medicine.It should be noted that medicinal herbs are only an auxiliary remedy in the fight against these disorders.Therefore, before proceeding with popular remedies, you should not lose recommendations to the attending physician.
Eating for arthritis and arthrosis
All joint joints, without exception, require special dietary diet.Since the symptoms of arthritis influence the whole organism, 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 therefore reduce the quality of his life, it is necessary to launch all the strength to combat these ailtumimenti.
In the context of joint pathologies, the body should receive all the nutrients, vitamins and minerals necessary with a certain prejudice.Normalize metabolic reactions and acid -alkaline balance are paid attention to products.
General nutritional recommendations can be the following:
- limit the consumption of red meat (pork, beef, lamb, deer, horses);
- refusal of products containing a large amount of fat and trans fat;
- a complete refusal of alcohol;
- Give preference to fish with low fat and seafood;
- Consume a large number of vegetables, fruit and herbs (in any shape);
- Consumption of cartilage -based dishes: flooding, jelly, jelly, jam;
- abundant drinking regime;
- Take food supplements with football, vitamins A, D and group V.
General prevention of arthritis and arthrosis
In the treatment of arthritis and arthrosis, the therapeutic strategy consists in the prevention and prevention of the relapse of arthritis and arthrosis.After all, the disease is easier to warn than to be treated.Therefore, the prevention of these disorders has the same principles:
- Avoid the hypothermia of the legs (foot joints).After all, it is this path that is the main thing in the exacerbation of chronic diseases and infection from viral infections.
- Timely relief of chronic disorders (tonsillitis, sinusitis, bronchitis).
- Refusal of uncomfortable high wheels.The unknown shoes create an additional load on the joints, which leads to their destruction, deformation and dash and, consequently, to osteoarthritis.
- The fight against excess weight.Excess weight is a signal of metabolic disorders and arthritis almost always occurs against the background of these violations.
- Moderate physical activity.The heavy work exerts pressure and load on the joint, due to which they are destroyed and inflamed.
- Make sure to join a healthy lifestyle: often walking in the air, rest and eat, engage in physiotherapy exercises, regularly visit a doctor.
Physical physical education for arthritis and arthrosis is a very important part of therapy in a compartment with massage, diet therapy and physiotherapy.It provides nourishing and oxygen painful joints and without this cannot occur their recovery and restoration.