What are some tips to help treat osteoarthritis of the knee?

Hello everyone, recently many of you have asked me what exactly are the treatments for osteoarthritis of the knee? Today I will briefly share with my friends the treatments for osteoarthritis of the knee.

1. Chinese medicine treatment China's traditional Chinese medicine is a huge treasure trove of therapeutic formulas, methods are many, a combination of medicine and needles, the combination of internal and external dressings, the whole body, local combination of prevention and treatment of a combination of good efficacy, the specific dialectical treatment of a different argument.

2. Physical rest Combination of work and rest, appropriate rest; this disease generally does not lead to serious disability, can let the patient in the range of activities allowed by the condition, not excessive weight bearing, cold and damp, avoid sitting for a long time, especially should not be a long time to bend the knee less than 90 °; recommended weight loss to reduce the weight bearing. At the same time, pay attention to local warmth.

3.Functional training The main focus is on active non-weight-bearing activities, first do muscle strength exercises, and then gradually practice to increase joint activity.

4. Physical therapy can relieve pain and muscle spasm, help improve blood circulation, reduce swelling, can be used hot compresses, preferably wet hot compresses, hot air baths, hot spring baths can also be effective. Heat or ultrasound therapy can be used to relieve pain in the subacute phase, and induction electricity can be used for muscle atrophy. Ultra-laser, ultra-short wave, microwave, iontophoresis are all effective in reducing inflammation and relieving pain. It should be noted that the acute joints red, swollen and hot pain, can not be hot compresses, heat therapy, high blood pressure, heart disease should be used with caution, and in the summer when the temperature is high, it is more important to pay attention to.

5. Reasonable use of braces For knee instability, swelling or mild deformity, you can intermittently use casts, splints, braces, knee braces or elastic adhesive tapes to increase the stability of the knee joint, reduce the abnormal activities, eliminate swelling, reduce joint wear and tear, and can correct and prevent deformity. In the acute stage of redness, swelling, heat and pain or severe pain, it is also necessary to apply a brace to immobilize the joint.

6. Application of anti-inflammatory painkillers These drugs are still effective in the treatment of the disease, although they can not stop its development, but can relieve symptoms and eliminate pain. Commonly used for the anti-inflammatory pain, compound aspirin, pau d'arco, as well as ibuprofen, feprazone, naproxen, fenbid, fu-talin, etc., can also be used chlorzoxazone, shujin, etc., can be added with vitamin B1, C, E, etc., acute inflammation should be given to the treatment of biotoxin.

7. Blocking therapy There are two kinds of local pain point blocking and intra-articular injection.

(1) Pain point injection: commonly used drugs for 2% lidocaine, 0.75% bupivacaine or 1% ropivacaine, plus the appropriate amount of corticosteroid hormone (such as prednisolone, dexamethasone, trimethoprim, compound betamethasone (Depo-Proximil), etc.), once a week, 3-5 times for a course of treatment. Hormones are double-edged swords, but a small amount of use can relieve pain symptoms. Some people advocate intra-articular injections no more than 5 times a year.

(2) Joint cavity injection: it can be inserted through any point around the patella, but it is more commonly used in the outer superior, inner superior, and outer edge of the hip bone. From the patellofemoral gap stabbed, first pumped joint fluid, and then injected drugs, corticosteroids can reduce inflammation and swelling, inhibit hyperplasia, pain, especially synovial inflammation, but there are text, may accelerate the cartilage lesions, so it is not appropriate to use more, tiotropium joint cavity injection, although it can inhibit synovial hyperplasia, but because of the systemic adverse effects, less, sodium hyaluronate can enhance the joints, synovial lubrication, can be applied. Some of the use of sodium hyaluronate and compound betamethasone (Depo-Pharm) joint intra-articular injection of early and mid-stage osteoarthritis has a good effect on late osteoarthritis also has a certain treatment, traumatic arthritis, synovitis patients with treatment of the name of the double sure, especially on the dry syndrome efficacy is clear.

8. Knife mine needle knife therapy for some knee pain, especially osteoarthritis, fasciitis, peripatellar inflammation, such as anterior knee pain efficacy, knee, lateral operation is correct, the selection of the appropriate indications can be applied, after the knee is rich in nerve and blood vessel pain when injected with caution.

9 surgical therapy for the serious symptoms of surgical treatment, arthroscopic surgery can be used, but also feasible osteochondral resection, free body removal, hemilunar, day arthroplasty, joint fusion and knee joint artificial joint replacement and other surgeries.

The above methods are commonly used in the clinic, not comprehensive, according to the patient is the actual situation to choose.