What is osteoarthritis?
Osteoarthritis is the wear and tear of joint structures. It usually refers to the destruction of the joint cartilage. In principle, this wear and tear can occur in all joints of the human body. However, arthrosis occurs more frequently in hip and knee joints.
How does osteoarthritis develop?
Due to a changed pressure situation in the joint, the cartilage softens first (chondromalacia).
Wear develops, the cartilage tears and is less able to distribute the pressure. This is where the first pain develops.
With further loading of the defective cartilage, the cartilage is increasingly degraded. This reduces the distance between the bones and the load on the bones increases.
In the final stage, the cartilage is almost completely degraded and the bones rub directly against each other, causing severe pain for those affected.
Symptoms of arthrosis
- Severe pain
- Restricted mobility
- Stiffness of the joint
Causes of arthrosis
Doctors basically distinguish between primary and secondary arthrosis.
Primary osteoarthritis is the wear and tear of a healthy joint for no apparent reason. The cause of primary arthrosis is unknown. Promoting factors are:
- Overload (physical work, too high a level of sporting activity).
Secondary arthrosis occurs due to joint injuries. Particularly in the case of fractures in the knee and ankle joints, even the smallest axial deviations lead to a shift in the pressure load. This load then ends in arthrosis.
How is osteoarthritis treated?
With all forms of arthrosis, "you snooze, you rust". But how should you move when pain restricts this?
A detailed therapy concept is necessary here. This includes a correction of the axial position and, if necessary, the reduction of excess weight. The muscles around the affected joint are strengthened under supervision. The focus is on building up the muscles and thus strengthening the muscles around the joint. This strengthening of the muscle can reduce the patient's pain.
Further strengthening takes place by itself, as the reduction of pain can increase the patient's activity again. However, the patient's motivation is important. Because without the patient's cooperation there is no effective therapy.
If the above initial measures do not achieve satisfactory results, further action depends on the age of the patient.
Especially in the early stages of osteoarthritis, there are good possibilities to regenerate the cartilage with the body's own substances without surgery.
1. cartilage induction/cartilage regeneration
In the case of cartilage damage of the third degree and higher, cartilage regeneration can only be achieved by surgery. Our years of experience have shown that cartilage induction followed by stem cell therapy from the lower abdominal fat achieves the best results in cartilage regeneration. This therapy can be performed on the knee and ankle joints.
From the age of 65, cartilage regeneration is carried out with high-molecular hyaluronic acid. This therapy can be performed on the shoulder, hip, knee and ankle joints.
2. joint replacement
If the arthrosis is in the final stage and all conservative measures have been exhausted, the only option is joint replacement. Here, the patient should actively approach the doctor. For those who can no longer cope with everyday life without pain should consider the issue of an artificial joint.
11. what is the recovery process?
This question is very individual and cannot be answered in general terms. It depends on the individual case and in particular on the type of surgical intervention. In any case, it will take several weeks before you can walk again without crutches after a knee operation, and it usually takes up to six months, and in some cases even 12 months, before you can put full weight on your knee again.
In the case of a cartilage cell transplant, for example, the knee can usually only be loaded normally again one year after the operation. The recovery process for cruciate ligament tears is also very long; full weight-bearing is not permitted until six months at the earliest. This is more difficult to assess in the case of meniscus surgery. Whatever knee surgery you have, it is very important that physiotherapy begins immediately after the operation and that the recovery process is well supervised by specialists. Therefore, do not miss the follow-up examinations under any circumstances. They help to ensure that the
Whatever knee surgery you get, it is very important that immediately after the operation physiotherapy begins and that the recovery process is professionally well accompanied. Therefore, do not miss the follow-up examinations under any circumstances. They help to ensure that the operation is worthwhile for you and that you can hopefully move (almost) pain-free again.