Restoration of the cartilaginous tissue of the spine with folk remedies, medicines and preparations | Rheumatologist

How to restore the cartilaginous tissue of the knee joint, treatment with drugs, physical activity. Correction of the diet, the use of folk remedies.

Is it possible to restore the cartilage tissue of the knee joint

Don. A modern Italian remedy, its main substance is glucosamine sulfate. It has an excellent effect on the metabolic processes that occur in the cartilage, relieves the inflammatory process and pain. The drug taken copes well with arthritis, osteochondrosis, arthrosis. The powder is consumed once a day for at least 6 weeks.

A revolutionary solution for joint restoration – chondroprotectors in injections

The creation of chondroprotectors has become a real breakthrough in the treatment and prevention of articular pathology. Chondroprotectors in injections can slow down cartilage degeneration in osteoarthritis and other diseases. These drugs should be used in the early stages of the disease, when the process can be slowed down and even reversed. In the later stages, chondroprotectors have a low evidence base for effectiveness. The minimum course of continuous treatment is 4 weeks.
The need for the appointment of chondroprotectors arises in such situations:

  • prevention of degenerative cartilage pathologies;
  • degenerative diseases of the joints of 1-2 degrees;
  • as part of complex therapy for inflammatory processes in tendons, ligaments and muscles: periarthritis, tendinitis, ligamentitis;
  • postoperative period after diagnostic or therapeutic interventions on the joints or spine;
  • in the treatment of bone fractures.

Drugs in injections are administered intramuscularly and intraarticularly. Intra-articular injections are quite effective, but at the same time they have a high cost. They are also called liquid joint prostheses.

Chondroprotectors in injections are not prescribed as an independent remedy for the treatment of joints. The peculiarity of the drugs is that they are effective only together with exercise therapy, diet therapy and other medicines (NSAIDs, analgesics).

Structum. Based on chondroitin sulfate, produced in gelatin capsules for oral administration. It is used for osteochondrosis, arthrosis. Contraindications are thrombophlebitis, as well as children under 15 years of age. Artradol. A domestic remedy that improves metabolic processes in tissues, restores, hinders destructive processes that affect connective tissue.

Surgical operations

Restoration of joints with gonarthrosis of the 3rd or 4th radiological stage is impossible by conservative methods. The patient undergoes arthroplasty or replacement of the knee joint with a prosthesis. But in some countries of Europe and Asia, surgical operations are carried out to implant artificial cartilage tissues on the bone surfaces. How to restore joints with the latest technologies and avoid arthroplasty:

  • transplantation. During the operation, the patient's own cartilage tissue is transplanted, taken from healthy joints, or hyaline cartilage obtained by cell culture is used;
  • sanation is a surgical intervention by endoscopic method. The doctor excises the damaged areas of the joint, polishes the remaining structures. The operation stops the progression of the disease and stimulates cartilage metabolism.

The most complex and effective method is a special treatment of the articular surfaces, after which microscopic cracks appear on them. The penetration of blood cells and stem cells through them contributes to the formation of new, healthy cartilage tissues.Образовавшаяся структура непрочная, легко повреждается при незначительной физической нагрузке. Поэтому реабилитационный период продолжается несколько лет.
Восстановление хрящевой ткани коленного сустава народными средствами невозможно. Народная медицина предлагает употреблять куриные хрящики и большое количество блюд с желатином в виде холодца, студня, фруктового и ягодного желе. Несмотря на высокое содержание в них коллагена, он не попадает в суставные полости, поэтому не регенерирует гиалиновые хрящи.

Полезные для суставов эффекты

Доказано, что внутримышечные уколы хондропротекторов обладают низкой степенью биодоступности, поэтому необходим длительный курс лечения протеогликанами.

Препараты на основе протеогликанов стимулируют работу хрящевых клеток – хондроцитов.

Glucosamine способствует синтезу хондроитина и гликопротеинов, оказывает антиоксидантное действие. Его главным эффектом является снижение активности разрушительных ферментов – коллагеназ и металлопротеиназ, снижение активности провоспалительного вещества интерлейкина‐1.

Chondroitin ингибирует ферменты разрушения сочленений. Он стимулирует синтез новых хондроцитов, удерживает в хряще гиалуроновую кислоту, увеличивает количество жидкости в суставе.

Гиалуроновая кислота действует как естественный амортизатор для сустава, предупреждая дальнейшее разрушение хряща. Молекулы кислоты задерживают воду, сохраняя объем синовиальной жидкости.

Чтобы получить эффект от лечения, необходимо принимать хондропротекторы регулярно, курсами, раз в 6 месяцев. Эти курсы можно повторять в течение 2–3 лет при 1 стадии артроза, 3–4 лет при 2 стадии артроза и 5–6 лет при 3–4 стадии остеоартроза. Во время терапии активируются анаболические процессы, перестает разрушаться хрящ, он становится более эластичным и устойчивым к травмам.

Причины возникновения разрушения

Разрушение хрящевой ткани позвоночника провоцируют воспалительные заболевания, повреждения на генетическом урповне. Хрящ обладает относительно низким потенциалом для регенерации. К преградам для его восстановления относят:

  • незначительное количество клеток, способных к превращению в хондроциты в месте дефекта;
  • ограничение движений в суставе продолжительное время;
  • отсутствие дозированной механической нагрузки;
  • недостаточное количество синовиальной жидкости, смена состава.

Хрящевая ткань позвоночника разрушается при неправильном питании, в результате дефицита воды, при пассивном образе жизни. Последнее особенно актуально для людей пожилого возраста. Несбалансированное питание, злоупотребление алкоголем, жирной, жареной пищей, недостаток в рационе витаминов – ведущие причины разрушения хрящевой ткани, нарушения функции позвоночника.

Негативные повреждающие факторы:

  • non-healing injuries;
  • infections;
  • metabolism disorder;
  • exposure to radiation;
  • Heavy metals poisoning;
  • excess body weight;
  • autoimmune process;
  • Chronic supercooling.

With excessive static-dynamic loads during professional sports, there is a bone-cartilaginous restructuring, pathological changes arise in the bodies of the vertebrae and intervertebral discs (MPD).

Honda Evalar. Related to dietary supplements, produced in Russia. The main substances are chondroitin sulfate, glucosamine hydrochloride.Honda Evalar should not be used by pregnant, lactating women. Side effects of chondroprotectors of this company can be allergic reactions. Formula-C Combined Russian remedy for the treatment of arthrosis, arthritis, osteochondrosis. It is good to use it for patients who have had injuries in the area of ​​​​articular structures. He perfectly copes with pain without auxiliary means, regenerates cartilage tissue. It has practically no contraindications, it needs to be taken for more than 2 months.

We choose the method of administration: intramuscular injections or intra-articular injections

Chondroprotectors in injections can be administered intramuscularly and intra-shop. The choice of the introduction method depends on the pathology of the patient, the tread preparation, the patient's capabilities to pay for treatment.

Intra-articular injections of chondroprotectors There should be a qualified specialist, they cannot be performed independently at home. For intra-articulous administration, the preparation of 1 generation is suitable – alflutop, preparations 2 generation based on hyaluronic acid, as well as the Hondronolone agent. The frequency of treatment courses depends on the pathology stage: at the first stage, the treatment is carried out once a year, at 2 stages – 2-3 times a year.

It is necessary to know that intra-articular injections are ineffective in patients with signs of slander inflammation.

If the arthritis is worried, synovitis, tendinitis – injections of the protectors of cartilage in the affected joint to do is useless, the active substance collapses under the action of pro-inflammatory agents. The average course of injections inside the joint is 5 times with an interval of at least 3 days, in the perfect version, the break is 7-10 days.

If time intervals are not followed, it is impossible to track the patient's reaction on the intra-articular injection of the chondroprotector, also increases the risk of infection in the area of ​​the injection and development of synovitis.

The most effective intra-artic injections of hyaluronic acid preparations at 1 stage of osteoarthrosis.

Proper formulation of intramuscular injections

Intramuscular administration of chondroprotectors – lighter manipulation that patient or his relatives can be carried out at home. The course of treatment is longer, on average, 25-35 injections are. Repeated courses are possible after 6 months. The cost of drugs for intramuscular administration is below.

With this method of introducing less bioavailability, since proteoglycans are heavier to penetrate the blood into the synovial fluid, and then in cartilage. But the number of side effects is less, the integrity of the articular bag is not disturbed.

Other types of injections

Artra. American drug, widely used for arthrosis, osteochondrosis. It is based on glucosamine, chondroitin sulfate. Children under 15 years of age should not use the drug. Can be consumed by people with diabetes, bronchial asthma. Refers to the best chondroprotectors. The rating of the drug is very high, has a large number of positive reviews.

Recently, domestic medicine in the fight against this ailment uses gas injections. Preparations are injections of high purification carbon dioxide introduced into articular tissue with a medical gun. Therapy contributes to improving the blood supply to the joint, the normalization of metabolic processes.

In addition, these injections reduce pain syndrome and quickly restore motor activity. Therapeutic course through these techniques is 4-6 procedures.Manipulations are carried out in 3-4 days. Also use the classic method of relief pain and inflammatory process at the place of exacerbation using special blockades. They are: intra-art and okolosserts. Blocks are carried out by:

  • anesthetics;
  • antibiotics;
  • antiseptics;
  • hyaluronic acid.

Due to their influence in the patient:

  • muscle spasms reduced;
  • The blood supply is improved;
  • eliminates the swelling of the fabrics;
  • Metabolism is normalized.

The number of procedures should select a doctor, according to the severity of the disease.

Top Injection Tools of the New Generation

Protectors of cartilage in jokes for the joint are produced in the form of ready-made solutions for intramuscular or intra-articular administration, in the form of lyophilisate for the preparation of a solvent solution.

In the form of solutions, chondroprotectors 1 and 2 generations are produced for the formulation of injections.

The solutions of the first generation in ampoules

Medicine 1 generation – Alflutop

First generation preparations are prescribed to patients as a course of intramuscular or intra-articular injections. Preparations of the first generation are natural tools. Their base is concentrates and extracts from small marine fish, cartilage trachea and brain calves. The second and third generation of protector for cartilage – artificially synthesized proteoglycans.

The chondroprotectors of the first generation in injections are used less often than the preparations of the second generation due to a minor clinical effect. These tools are shown for the prevention of degenerative processes, the complex treatment of bone fractures, combined therapy 1 or 2 of osteoarthrosis. In order to prevent the destruction of cartilage and stimulate the processes of collagen and hyaluronic acid production, it is necessary to make injections over 4 weeks. Chondroprotectors in ampoules, the names of which are listed below, can be administered both to the body cavity and intramuscularly.

The names of the first generation drugs:

  • Rumalon is a solution for injection, Brysttsalov-A, CJSC, Russian Federation. The active ingredient is a concentrate from the cartilage trachea and brain of calves.
  • Alflutop is a solution for injection, zentiv, Romania. The active ingredient is a concentrate of bones of small marine fish.

Funds have an anti-inflammatory effect.

Fundamentals of second order

The chondroprotectors of the second generation contain one synthesized current component – proteoglycan. The most common – aminosahara (glucosamine hydrochloride, glucosamine sulfate) or polysahara (hyaluronic acid, chondroitin sulfate).

Galuronic acid and mucopolysaccharides are produced. The first are applied less frequently due to the high cost of drugs, the second – due to the low evidence base in comparison with the means based on glucosamine or chondroitin.

With chondroitin sulfat

Перечень хондропротекторов в уколах на основе хондроитина сульфата натрия:

  • Хондролон – лиофилизат для приготовления раствора. Производитель – Микроген НПО ФГУП, Россия.
  • Артоксан – лиофилизат для приготовления раствора. Производитель – РОТАФАРМ ЛИМИТЕД, Великобритания.
  • Артрадол – лиофилизат. Производитель – ФГУП Курская биофабрика «БИОК», Россия.
  • Хондрогард – раствор для в/м введения. Производитель – ЗАО ФармФирма Сотекс, Россия.
  • Мукосат – раствор для в/м введения. Производитель – РУП Белмедпрепараты, Беларусь.
  • Инъектран – раствор для в/м введения. Производитель – ООО Эллара, Россия.
  • Драстоп – раствор для в/м введения. Производитель – УОРЛД МЕДИЦИН ЛИМИТЕД, Великобритания.

С глюкозамином

Хондропротекторы вводятся внутримышечно, комбинируя раствор с лидокаином для устранения болезненности в месте укола.

Глюкосат – раствор для в/м введения. Производитель – БИОФАРМА ФЗ ООО, Россия.

  • Дона – раствор для в/м введения. Производитель – МАДАУС ГмбХ, Германия.

С мукополисахаридами

В некоторых классификациях эта группа лекарств относится к хондропротекторам 1 поколения из‐за естественного происхождения компонентов.

Список препаратов для внутримышечных уколов:

С гиалуроновой кислотой

На основе гиалуроната натрия выпускается ряд препаратов:

Остенил – раствор для в/м введения. Производитель – TRB Chemedica AG, Германия.

Остенил, Ферматрон и Синокром продаются в виде одноразового шприца, в котором содержится лекарственный препарат в количестве 1–2 мл. Гиалган фидия выпускается во флаконах.

Детальнее об уколах препаратом Ферматрон читайте здесь.

Список медикаментов третьего поколения

Препараты третьего поколения хондропротекторов не выпускаются в форме растворов для уколов. Это объясняется тем, что вводить внутримышечно можно только один действующих компонент: глюкозамин или хондроитин. А в хондропротекторах третьего поколения, которые выпускаются в таблетках или капсулах, присутствуют 2 действующих вещества – протеогликана.

Эти препараты эффективны в таблетированной форме.

Представители хондропротекторов третьего поколения:

  • Артра – таблетки. Производитель – Юнифарм, Инк., США.
  • КОНДРОнова – капсулы. Производитель – Панацея Биотек Лтд, Индия.
  • Терафлекс – капсулы. Производитель – Контракт Фармакал Корпорейшн, США.
  • Тазан – таблетки. Производитель – Синтез, Россия.

Эффективность консервативной терапии

It is important to know! Врачи в шоке: «Эффективное и доступное средство от АРТРОЗА существует. " Read more.

Перед тем как восстановить хрящевую ткань в суставах, требуется тщательная диагностика для установления причины произошедших деструктивно-дегенеративных изменений. Наиболее информативна рентгенография. На полученных изображениях хорошо заметны все суставные элементы: хрящи, синовиальная сумка, костные поверхности.Formed osteophytes (the bounded edges of the bone plates) usually indicate the development of severe pathology of the knee – gonartroz. The diagnostician evaluates the state of hyaline cartilage. With gonarthrosis 1 or 2 severity, partial restoration of tissues is possible. If the patient has a disease of 3 or 4 radiological stages, then the cartilage will not be regenerated. In this case, bone-cartilage transplants or endoprosthetics are carried out.

Patients often asked orthopedes, whether the cartilage cloth in the knee is restored. So far, drugs are not synthesized, the reception of which would allow to reverse the disease. But partial recovery is possible in compliance with all medical recommendations, including concerning the change in the usual lifestyle. To enhance the functional activity of the knee joint, the following conditions must be respected:

  • The reason for the wear of the cartilage was detected and treatment was carried out to eliminate it. Some degenerative pathologies, for example, rheumatoid arthritis, cannot be finally cured. But the reception of drugs suspends the disease to the resistivity;
  • Physical exertion strictly dosed. Doctors recommend avoiding sharp, traumating loose joints, exercises, perform frequent movements with minimal amplitude. Gymnastic complexes developed by Bubnovsky and Gitt were well established in Gonarthrosis's therapy;
  • Salt, products with a high content of fats and simple carbohydrates are excluded from the diet. Most of the daily menu must be fresh vegetables and fruits, lean meat, cereal porridge. In the absence of contraindications, at least 2 liters of net non-carbonated water should be used daily.

In order for chondrocytes to be produced in sufficient quantities, a lot of viscous fluid should be produced in a synovial capsule. It is necessary to ensure smooth slip of bone surfaces. The synovial fluid supplies the articular structures with molecular oxygen, nutrient and biologically active substances. The most efficient and budget way to increase its production is to regularly engage in therapeutic physical education.

Features of the action of drugs

What is chondroprotectors? Chondroprotectors are medicines that affect the site where the problem is located. The active components of the components help reduce the number of effusion in the joint bag.

It is worth noting that chondroprotectors are the names connecting a different-type group of drugs and biological supplements. These drugs contribute to the dynamic restoration and savings of cartilage integrity. Of course, treatment takes a lot of time, you will need a rate at least 2 months. Components of chondroprotectors are chondroitin sulfate, glucosamine.Tablets also have auxiliary components: antioxidants, vitamins, minerals.

Are chondroprotectors effective? Reception of drugs helps reduce inflammation, normalizes the general structure of the porous cartilage tissue. As a result, the pain begins to serve. The feature of these funds is the fact that they contribute not to the development of new tissues, but the regeneration of the old cartilage. But, the effective result will be then if there is at least a small layer of cartilage in the damaged joint.

Medicines can be used with analgesics. With changing pathologies of the motor apparatus, these tablets will have an effective result only when the disease is in the initial stage of development.

Chondrovit. Produced in Ukraine in the form of capsules. The effectiveness of chondroprotectors of this type is that they normalize the functional state of the joints, regenerate cartilage tissue, and also have an anti-inflammatory effect. Alflutop. The active substance is an extract of Black Sea fish. This drug is aimed at restoring metabolism, relieving inflammation. Instructions for use: for osteochondrosis, it is used intramuscularly at 10 mg per day for 20 days. In case of damage to the joints, an intra-articular method is used - 20 mg for each joint 1 time in 3 days. After 6 injections, treatment continues intramuscularly.

Treatment

During arthrosis, treatment is being taken by medicine or surgical. The latter suggests the replacement of the joint. The purpose of medicinal therapy is an attempt to suspend the destruction of the cartilage, while maintaining the mobility of the joints. Therapy is aimed at lifting inflammation, solving pain, regeneration of the regeneration of cartilage tissues. Use for this:

  • anti-inflammatory nasteroids;
  • hormonal injections in the joint;
  • local means in the form of creams, gels and ointments for warming the joint and improved blood flow;
  • chondroprotectors.

Anti-inflammatory nasteroid drugs

The development of articular cartilage disease of the knee

Medicinal preparations for the joints of this type are scared by swelling and inflammation, remove heat and painkulate. Popular painkillers:

  • Voltaren;
  • Sodium diclofenac;
  • Ibuprofen.

NSAIDs do not provoke drowsiness, euphoria, addictive, but long-term use leads to problems with the work of the digestive tract. Therefore, injections in the joints of the Diclofenak drug are prescribed to eliminate acute pain. It is also possible to use injections to eliminate the pain of the cettenary medication, injection forms of arthrosylene or flamx. When an injection is performed into a damaged joint. Before the next injection, they are waiting for 8 hours.

Chondroprotectors and corticosteroids

When pathology in the stage of exacerbation, hormonal injections are appropriate. Preparations with hormones help quickly suppress inflammation, but long-term use destroys the joint, causing adverse reactions. Because of this, doctors prescribe only hydrocortisone, Kenalog and Diprosport, which give a low probability of consequences.

Chondroprotectors relate to drugs that help recover new elements of cartilage tissue. Preparations help the finishing regenerate, preventing destruction. Ingredients of chondroprotectors – chondroitin sulfate and glucosamine, which are necessary to restore the synovial fluid.

In the pharmacy chondroprotectors are available in the form:

  • solutions for injections;
  • creams, gels and ointments;
  • Tablets, powders and capsules.
  1. Animal origin.Tablets also have auxiliary components: antioxidants, vitamins, minerals.
  2. Are chondroprotectors effective? Reception of drugs helps reduce inflammation, normalizes the general structure of the porous cartilage tissue. As a result, the pain begins to serve. The feature of these funds is the fact that they contribute not to the development of new tissues, but the regeneration of the old cartilage. But, the effective result will be then if there is at least a small layer of cartilage in the damaged joint.
  3. Medicines can be used with analgesics. With changing pathologies of the motor apparatus, these tablets will have an effective result only when the disease is in the initial stage of development.

Treatment

  1. During arthrosis, treatment is being taken by medicine or surgical. The latter suggests the replacement of the joint. The purpose of medicinal therapy is an attempt to suspend the destruction of the cartilage, while maintaining the mobility of the joints. Therapy is aimed at lifting inflammation, solving pain, regeneration of the regeneration of cartilage tissues. Use for this:
  2. anti-inflammatory nasteroids;
  3. hormonal injections in the joint;
  4. local means in the form of creams, gels and ointments for warming the joint and improved blood flow;

chondroprotectors.

Anti-inflammatory nasteroid drugs

  1. Medicinal preparations for the joints of this type are scared by swelling and inflammation, remove heat and painkulate. Popular painkillers:
  • Voltaren;
  • Sodium diclofenac;
  • Ibuprofen.
  1. NSAIDs do not provoke drowsiness, euphoria, addictive, but long-term use leads to problems with the work of the digestive tract. Therefore, injections in the joints of the Diclofenak drug are prescribed to eliminate acute pain. It is also possible to use injections to eliminate the pain of the cettenary medication, injection forms of arthrosylene or flamx. When an injection is performed into a damaged joint. Before the next injection, they are waiting for 8 hours.
  • Chondroprotectors and corticosteroids
  • When pathology in the stage of exacerbation, hormonal injections are appropriate. Preparations with hormones help quickly suppress inflammation, but long-term use destroys the joint, causing adverse reactions. Because of this, doctors prescribe only hydrocortisone, Kenalog and Diprosport, which give a low probability of consequences.
  • Chondroprotectors relate to drugs that help recover new elements of cartilage tissue. Preparations help the finishing regenerate, preventing destruction. Ingredients of chondroprotectors – chondroitin sulfate and glucosamine, which are necessary to restore the synovial fluid.
  • In the pharmacy chondroprotectors are available in the form:
  • solutions for injections;
  1. creams, gels and ointments;
  • Tablets, powders and capsules.
  • Animal origin.It is well tolerated, quickly act, but they are able to cause allergies. Among this category Alflutop and Rumalon.
  • Synthetic preparations. Chondroxide, Mukosat, Hondronolone and others.

Complex drugs containing all sorts of combinations of components – Teraflex and the arter.

The classification of chondroprotectors is based on the methods of administration:

Intramuscular injections are a common method of receiving chondroprotectors. So the Hondrohard, Arthradol, Hondronolone, Alflutop and other drugs are introduced. This option is suitable for those for reasons can not swallow tablets or someone sick kidneys.

  • Intra-articular injections are an effective method, since it quickly gives a long result. Repeat manipulation is required only annually. This option is suitable for Fermatron and Halgan preparations. The disadvantages of such a technique include the fact that the injection of the joints is made in stationary conditions. Often chondroprotectors for this technique are injected into the knee joints.
  • Tablets and capsules – a frequently used drug introduction method. Reception does not require the presence of aseptic conditions, specially trained nurses. Suitable for the use of the house yourself. Disadvantages: long-term treatment, medication burdens and liver.

Gels, ointments and cream – addition to pills.

Classification of drugs

  • The classification of chondroprotectors is divided according to the composition, generation, method of application.
  • The first classification divides these funds in the time of their introduction to medicine, consists of 3 generations:
  • I generation (Alflutop, Rumalon, Martruin, Artparon) – agents of natural origin, consist of plant extracts, animal cartilage;
  • II generation – the composition includes hyaluronic acid, chondroitin sulfate, glucosamine; Very good drugs produces a pharmaceutical company Evalar;
  • III generation – a combined means – chondroitin sulfate + hydrochloride.
  • Another chondroprotectors classification is divided into groups, depending on their composition:
  • drugs, the main substance of which is chondroitin (Chondrolon, Chondrex, Mucosat, Structum);

mucopolysaccharides (Arteparon);

  • preparations consisting of a natural extract of animal cartilage (Alflutop, Rumalon);
  • drugs with glucosamine (Don, Artron flex);
  • the best chondroprotectors of complex action (Teraflex, Artron complex, Formula-C).
  • There is also a classification, in the essence of which their release form is located:

injection chondroprotectors (Elbon, Chondrolon, Moltrex, Adgelon), any of these injections are more effective than capsules, tablets, since they begin their action immediately; intramuscular injection is used; course of treatment – 10-20 days for 1 injection, then treatment with tablets continues;

capsules, tablets (Dona, Structum, Artra, Teraflex), their characteristic feature is that they begin to act only after 2-3 months, but after half a year an excellent result is observed; despite the fact that these drugs are used for a long time, they are normally tolerated by the body and have practically no side effects;

substitutes for the fluid present in the joint (Fermatron, Sinocrom, Ostenil, Synvisc), they are used by direct injection into the joint; the course of treatment is usually 3-5 injections, but it happens that the desired result is already noticeable after the first injection; if you need the need for re-treatment, then this is possible only after six months.

  • The list of chondroprotectors is quite diverse, so you do not need to select them yourself. You should first visit a doctor, he will prescribe the right medicine, because in each situation it is selected individually for each person.
  • Liquid prosthetics
  • If oral administration of hyaluronic acid (HS) is not effective enough, then its intra-articular administration is effective for joint restoration. The purpose of the treatment is to improve the rheological properties of the synovium and stimulate the metabolism of cartilage tissues. Local therapy with hyaluronic acid preparations is often used as the main treatment for osteoarthritis of the knee, especially those that are periodically complicated by synovitis (inflammation of the synovial membrane).В ортопедии и травматологии практикуется внутрисуставное введение ГС для снижения дозировок применяемых глюкокортикостероидов и НПВС за счет повышения функциональной активности колена. После проникновения этого хондропротектора в суставную полость он оказывает терапевтическое действие в течение нескольких месяцев. Пациентам назначают препараты одной из двух групп, отличающихся физико-химическими и биологическими свойствами:
  • средства с натрия гиалуронатом. Химическое соединение состоит из прямых полимерных цепей, в которых чередуются N-ацетилглюкозамины и глюкуроновая кислота в форме дисахаридов;
  • гиланы. Активный ингредиент лекарственного средства состоит из перекрестно-сшитых молекул гиалуроната. Карбоксильные и ацетиловые группы находятся в свободном состоянии, плохо растворяются в воде, что определяет гелеобразную текстуру препаратов.
  • Indications and contraindications
  • Итак, препараты хондропротекторы можно использовать для профилактики и лечения таких заболеваний:

шейный, грудной, поясничный остеохондроз;

periodontalosis;

травматические нарушения сустава;

Inflammation of the cartilage tissue of the joints, its destruction, is associated with various adverse factors, as a result of which the cartilage becomes loose in structure, similar to a porous sponge. Its structure becomes rough, begins to dry out and cracks appear on it.

артрозы (гонартроз, коксартроз);

периартриты, артриты;

послеоперационный период;

  1. дистрофические повреждения в хряще.
  2. Использование данных препаратов возможно не всегда. Имеются следующие противопоказания:
  3. беременность, во время лактации;
  4. аллергическая реакция на составляющие препарата;

последний этап дистрофических, дегенеративных заболеваний костной системы;

дети до 12-летнего возраста.

С предусмотрительностью применять натуральные хондропротекторы при нарушении пищеварительной системы.

  • Рекомендации для пациентов
  • Любое лекарственное средство должно применяться только по предписанию врача. Чтобы от суставов хондропротекторы оказали благоприятный результат, использовать их необходимо на раннем этапе развития болезни. Пациент должен соблюдать следующие рекомендации:
  • не нужно нагружать поврежденный сустав очень сильно;

A person should not be too complete, with a decrease in body weight, and articular pains are reduced;

Do not make movements with a load on the damaged joint;

not to overeat the lower limbs;

  1. conduct therapeutic physical education;
  2. Do not forget about rest;
  3. Purchase hiking.
  4. What is a cartilage tissue?
  5. The skeleton of each person consists of bone and cartilage tissue. In this tandem, the bones are responsible for the strength of the structure and ensure the strength of the skeleton.
  6. Cartents belong to the options for connective tissue and are responsible for the elasticity of the connection of individual elements of the skeleton with each other, depreciation readiness. Due to the readiness of the cartilage tissue, it is capable of resisting compression loads.
  7. The structure of the joint man
  8. Diseases under which apply
  9. These funds can be treated by the following pathologies:
  10. Osteochondrosis. Chondroprotectors are used for the treatment of the disease to receive inside (Don, Honda Evalar, Teraflex, Arthr, etc.). They renew the impaired cartilage cloth, relieve pain. In a complex with other means, their effectiveness increases.

Arthritis. Use drugs (chondroxide, don, structum) to a row with anti-inflammatory, painkillers. Systematic treatment helps reduce swelling, pain, joint joints. In case of damage to large joints (knee) use intra-articular injections.

Arthrosis. Effective chondroprotectors for the treatment of arthrosis (Arthron Flex, Don, Honda Evalar, alflutop), encourage the production of intra-articular fluid, normalize its lubricating actions.

Coxarthrosis. It is better to choose medications with glucosamine, chondroitin sulfate (teraflex, chondroxide), they activate the renewal of cartilage, improve the metabolism.

What do you need to take into account in sports nutrition?

The cartilage fabric suffers in strong physical exertion. For this reason, it is recommended to use a special diet with nutritional support.

To ensure it, sports nutrition is introduced:

Natural source of food organic sulfur in the form of methylsulphenylmethane.

Contributing to the increase in the flexibility and mobility of the joints and the health of the cartilage tissue chondroitin.

Involved in the formation of cartilage tissue glucosamine.

Because of these changes, the joint cannot function normally, because instead of gently sliding, the joints begin to rub against each other.Over time, this process progresses - bone spacing occurs, due to which the articular area increases. Osteophytes appear in the patient - bone growths.

These substances are part of special products for sports nutrition. They are available in tablet form, as nutritional mixtures and cocktails. It is convenient to purchase drugs in sports nutrition stores.

List of the most effective

What chondroprotectors can have an effective effect and how to choose? You can select a list of drugs of the best drugs for therapy and restoration of joints:

Teraflex. Produced in the UK in the form of capsules. The composition contains glucosamine, chondroitin. Promotes the restoration of cartilage, used for more than 3 weeks. Should not be consumed by people with phenylketonuria.

Rumalon. It is a natural remedy, made from cartilage tissue of calves, as well as bone marrow. Possessing natural substances capable of creating allergic reactions, the user should be careful.