Osteochondrosis of the knee joint: symptoms and treatment
Osteochondrosis of the knee joint (dissecting) is a disease of a degenerative-degenerative type. It mainly affects people at a young age, in most cases has a favorable course and ends with the recovery of patients.
Classification of the disease
There are 3 types of disease depending on localization:
- König disease (joint cartilage is affected)
- Larsen-Johansson disease (the surface is affected above the knee)
- Osgood-Schlatter disease (the tibia is affected).
There are also 3 degrees of severity of the disease:
- the presence of minor pain in the joints
- the beginning of deformation of the cartilage tissue, the weakening of the muscular corset, the decrease in the amplitude of their movements
- the appearance of severe pain in the knee region, inflammation of the tissues with further deformation and destruction
The result that will be achieved in the process of treatment, largely depends on the degree of the disease, as well as the intensity of manifestations of symptoms.
Causes of development of the disease
Osteochondrosis of the knee develops for the following reasons:
- metabolic disorder
- disruptions in the endocrine system
- Excess weight;
- large physical activities
- genetic predisposition
- presence of injuries and other knee diseases
Symptoms of the disease
The main symptoms of the disease are:
- pain in the knee area
- small amplitude of knee movements;
- joints crunching when moving (characteristic symptom).
A characteristic external sign of 2-3 degrees of the disease is a change in gait. The patient, in order not to experience pain, unconsciously begins to move in a different way, which becomes noticeable to others. In the body, muscle contracture is developing, which increases the burden on the legs. Blood vessels narrow, which leads to the onset of a degenerative process in the joints. Pain in the knee region can be irradiated to other parts of the body.
With this kind of ailment, like König’s disease, the cartilaginous tissue begins to loosen up, and then dies. After that, the necrotic tissue is torn from the healthy tissue sites and continues to exist in the cavities of the knee joints. Usually this pathology is observed in men younger than 30 years.
Treatment of a disease
In order to diagnose pathology, radiography is used, on which the deformations of the joints and bones, the narrowing of the blood vessels and other imperceptible outward signs are clearly visible. Osteochondrosis of the knee joint can be treated with a conservative or an operative method.
Conservative methods suggest treatment with:
- medical-physical complex (LFK)
- taking medication.
As for the medicines used to treat the disease, chondroprotectors are used here, as well as agents that eliminate inflammation (nonsteroidal). Physiotherapy includes such procedures as electrophoresis, magnetotherapy. It is necessary to treat the patient with the help of a physical exercise complex carefully so as not to hurt him. Most exercises in the treatment are carried out when the patient lies on his back.
If the patient has Koenig’s disease, surgical intervention is used in her treatment. During surgery, doctors remove a fragment of bone or cartilage that has undergone necrosis. To date, operations are carried out in the most gentle mode, which allows you to quickly and without side effects remove dead tissue. If the symptoms indicate a significant violation of the bone or cartilaginous structure, then specialists resort to all kinds of knee plastic.