Deforming arthrosis of the shoulder joint is a common pathology, especially in older patients. This disease is chronic and rapidly developing. It is diagnosed equally often in patients of both sexes. Due to degenerative disorders, not onlyDamage is observed in the cartilage tissue of the joint, but also in the bone tissue. The cause of the problem are micro-traumatic injuries in the shoulder joint and the inflammatory processes that develop in it. The cartilage tissue gradually becomes thinner, microcracks on itappear, in which salts accumulate. Then destructive processes gradually affect the bones, which become denser, grow and eventually change their physical shape. In the initial stages of the disease the person does not experience any problems. It occurs and this disease continues to progress for a long time. Actually, this is its danger. Let us dwell in more detail on the causes, symptoms, as well as how and with what to treat deforming arthrosis.
Why does pathology arise?
Among the causes of arthrosis of the shoulder joint, experts name the following conditions and factors.
traumatic injuries
Shoulder injuries include intra-articular fractures, dislocations, and bruises. Fractures are characterized by the fact that the fracture line is located in the articulation cavity. In addition to the bone, it also affects the cartilage, causing additional injuries. Occurs: Ligaments tear, capsule gets damaged.
Shoulder dislocation is one of the most common injuries, which often leads to complications, joint deformity and the development of arthrosis. As a result, the joint can completely lose mobility.
Right shoulder dislocations are more commonly seen in right-handed people, and left shoulder dislocations are more commonly seen in left-handed people.
Injuries occur as a result of a strong blow, for example due to an accident, fall or playing sports. Injuries do not cause the bones to move, the cartilage tissue is not destroyed, but its normal nutrition is disrupted, causing post-traumatic arthrosis. Can also happen.
increased load
Excessive load on the shoulder joint is seen in certain groups of people:
- Professional athletes: Volleyball players, tennis players, track and field athletes.
- Builders, plasterers, loaders.
- Dachnikov.
They all have to perform the same movements with their arms raised for a long time. Therefore, they experience microcracks and injuries, sprained ligaments, excessive strain on muscles, and disrupted functioning of blood vessels. There is a deficiency of nutrients in the joint and it becomes deformed.
If a person does not monitor the load and does not take preventive measures, glenohumeral arthrosis may occur.
joint deformity
Some articular pathologies can provoke the development of deforming arthrosis.
- Synovitis. Its cause is an infection that causes intense formation of intra-articular fluid. Due to the accumulation of fluid, the joint becomes swollen and painful. Often this problem is seen in connection with a shoulder injury. IfIf synovitis is not treated, there is a high chance of complications. The disease is treated with therapeutic agents. NSAIDs provide pain relief. In addition, the patient may receive a surgical procedure to drain the fluid accumulated inside the joint. Must undergo puncture. The shoulder is then immobilized in a fixed position. Synovitis of an infectious nature is treated with antibiotics. In the most difficult situations, surgical treatment is performed.
- Arthritis of the shoulder joint of various origins. Its symptoms: swelling of the shoulder and severe pain in the joint.
- Bone necrosis also causes arthrosis of the shoulder joint. This disease, caused by injury or genetics, is characterized by the fact that bone cells begin to die. Depending on the stage of the disease and the individual characteristics of the body, medication is used to treat the condition. Or provides surgical correction. Chondroprotectors restore bone tissue, and NSAIDs help to cope with pain. The use of drugs is complemented by physiotherapy, massage and exercise therapy.
heredity, congenital, acquired deformity
Various anomalies in the structure of the shoulder (congenital or acquired) almost always deform it. The result of muscular dystrophy is insufficient nutrition of the joint tissues and then arthrosis of the shoulder.
If a person lacks collagen, this will also provoke the development of pathology.
The likelihood of developing shoulder arthrosis is much higher in people whose relatives had similar problems, including coxarthrosis, gonarthrosis, because underdevelopment of cartilage tissue is inherited.
blood vessel disease
The condition that increases the likelihood of arthrosis of the shoulder joint is considered to be various disturbances in the functioning of blood vessels.
- Physical inactivity also significantly increases the likelihood of developing pathology. This is caused by insufficient physical activity. The disease is characterized by apathy, drowsiness, loss of appetite and insomnia. One of the most common complications of physical inactivity is cardiovascularThere are diseases, such as atherosclerosis. The disease is treated conservatively; It is also necessary to follow diet and exercise therapy.
- Destroying endothelium. The pathology is caused by impaired blood circulation, resulting in a decrease in oxygen supply to the vessel tissues. Thus, their performance becomes limited, and then they collapse.
- Poor nutrition and insufficient physical activity lead to obesity and impaired metabolism, which lead to difficulty in blood circulation in the joint tissues. The result of the process is the development of arthrosis.
- Varicose veins, in which blood flow in the vessels slows down, is also one of the conditions that provoke degenerative changes in the joints.
Hormonal imbalance and weak immunity
Impaired hormonal levels and low immunity can become factors causing destructive tendencies in joint tissues.
- The changes occurring in a woman's body due to menopause are characterized by metabolic disorders. The lack of calcium in the bones during this period is the result of a decrease in estrogen levels in the female body. The result of these processes is possible arthrosis of the joints.
- Psoriasis is a chronic non-infectious pathology caused by various causes (stress, decreased immunity, impaired metabolism, etc. ). The disease is systemic, therefore, under certain conditions, not only the skin, but also internal organs, bones and jointsmay also be affected.
- Men often suffer from arthrosis due to gout. This is caused by excess deposition of uric acid in the form of small crystals in the joints. Symptoms of pathology include swelling and pain in the joints. Externally, their manifestation is similar to that of gout. Can be observed at times of paroxysmal exacerbation. Most often this happens at night. Shoulders feel hot and the skin turns red. In advanced stage, arthritis can become a provoking factor for the development of pathology. Avoid complicationsFor, arthritis should be treated with medication, not forgetting about diet and exercise therapy.
- Low immunity can be the cause of arthrosis due to the exacerbation of inflammatory processes in the joint cavities.
impaired metabolism
Lack of intake of various vitamins and microelements (especially calcium, phosphorus, vitamin D) into the body often causes lack of nutrition of intra-articular fluid, cartilage and bone tissue of the joint, which, in turn, leads to degenerative. Causes dystrophic changes in them.
Due to diabetes, the blood vessels become thinner, blood flow in them decreases and the periarticular tissues do not receive enough nutrients. All this leads to arthrosis.
age related changes
With age, bones and cartilage tissue become thinner and weaker. The likelihood of developing shoulder arthrosis increases rapidly after the age of 50.
Often, shoulder arthrosis is observed due to a complex exposure to the listed conditions.
symptoms
Deforming arthrosis of the shoulder joint is known as a disease that develops gradually over a long time. Initially, it shows practically nothing, however, in the later stages of development the following symptomsAre seen.
- Shoulder pain. Its character, often aching, twisting, bothers a person in the morning after a night's rest. May occur before weather changes. If physical activity is necessary on the affected shoulder, the pain becomes intense and pronounced. . As the condition worsens, the pain syndrome appears even at rest. Wearing an orthosis solves the problem.
- Motor activity of the affected arm is impaired due to severe pain. Exacerbation is often caused by hypothermia or sprained ligaments. The patient cannot raise his arm or perform normal movements. He experiences unbearable pain when trying to move his back. If therapy is not started in time, complete immobilization of the upper limbs can occur.
- Cramps and creaks in the joint are not very noticeable at first and may be barely noticeable. Later they become intense and can be heard not only by the patient, but also by the people around him.
- Inflammation in the joint is manifested by edema, swelling, local increase in skin temperature and redness.
- Stiffening of the joint is felt due to the growth of bone tissue - osteophytes, which manifests itself as the disease progresses.
disease development
The disease goes through three stages in its development. The symptoms in each stage are similar to each other, however, they differ markedly in intensity.
arthrosis first degree
Arthrosis of the shoulder joint of the first degree causes mild pain in the morning and evening. The patient "develops" the joint with effort before making movements. A slight cramp in the shoulder is possible if a person jerks his arm sharply. . No pain is felt when resting.
second degree
Arthrosis of the shoulder joint of the second degree is manifested by more severe pain, a crackling sound is clearly heard in the shoulder. Mobility of the arm is still preserved, but already significantly reduced. The destructive process alreadyis only present, the joint tissue gradually becomes thin, and dystrophy is observed. Ligaments, cartilage, and bones are affected. Wearing a special orthopedic device – an orthosis or splint – helps to reduce the intensity of pain. Is available.
arthrosis 3 degree
The third degree of the disease is the most severe. Symptoms of arthrosis significantly change a person's quality of life. The patient is only able to bend his arm slightly, he experiences constant intense pain in the shoulder, and in the jointDeformity is seen. The muscles become partially atrophied. The problem is solved by surgery. In its absence, there is a possibility of complete immobility and disability.
Treatment
It is completely impossible to cure arthrosis deformans. You can only slow down its progression and influence the symptoms. Doctors offer two types of treatment for deforming arthrosis of the shoulder joint: therapeutic and surgical. .
medical treatment
As therapeutic correction of the patient's condition, doctors suggest using the following groups of drugs.
- Non-steroidal anti-inflammatory drugs. The main goal at this stage of treatment is to relieve inflammation and pain. The drugs suppress inflammatory processes and relieve pain. It is important to remember that NSAIDs are used for a limited period of time. They are prescribed in both tablet and injection form.
- Treatment of arthrosis of the shoulder joint includes the use of corticosteroids. They help relieve inflammation, thereby preventing the development of pathology.
- Chondroprotectors for arthrosis are prescribed in the non-acute stage to restore damaged cartilage and bone tissue. These drugs are based on various active substances: glucosamine, chondroitin sulfate, hyaluronic acid. They prevent the destruction of cartilage tissue andhelp to restore it. But the effectiveness of the use of chondroprotectors can be expected only in the early stages of the disease, because the main condition necessary for their action - cartilage tissue must remain in the affected joint. Otherwise, these drugs helpAll these medicines are prescribed by a doctor. You can expect positive results from their use after six months of use.
- External agents (ointments, gels, creams) are also widely used in the treatment of arthrosis.
- Analgesics also provide pain relief and are used irregularly.
Surgery
The operation is performed in the third degree of development of pathology. It includes artificial replacement of the shoulder and scapula. Surgical treatment has contraindications, often the older age of the patient.
How to treat arthrosis of the shoulder joint will be decided by an orthopedist or traumatologist.
Additional methods of conservative treatment of shoulder arthrosis include exercise therapy, massage, and traditional medicine. A prerequisite for these methods is that they cannot be used during the acute period.
With arthrosis of the shoulder, physical therapy can significantly alleviate the patient's condition. In the set of exercises, you need to select simple movements (circular movements, lifting, flexion-extension of the arm). Gymnastics without overloading, is done at a calm pace.
self treatment
For home treatment you can use folk recipes. But their use must be agreed with the attending physician.
- Rubbing a painful joint is of great help with arthrosis. The rub is prepared from 50 grams of elecampane root and 125 ml of vodka. The tincture is left in a dark place for two weeks, then rubbed the shoulder before going to bed. goes.
- Oatmeal compress is easy to make on your own. Take 30 grams of flakes per half liter of water and boil for 8-10 minutes. The decoction is moistened with gauze several times, then applied to the affected joint for half an hour.
- You can use cabbage leaves as a compress (at night). They cope well with pain.
- Herbal baths are recommended for the treatment of arthrosis deformans. Mustard, mint and burdock are used to prepare them.
Like any other joint disease, arthrosis of the shoulder joint cannot be ignored. Its treatment should be carried out comprehensively, follow the doctor's orders: take medications in a disciplined manner, perform a complex of exercise therapy. . To prevent arthrosis, you should not put too much pressure on your joints, avoid excessive cold, and pay attention to your diet.