More than half of people over the age of 40 regularly experience joint pain. The causes are caused by mechanical trauma, prolonged hypothermia, age-related changes in bone tissues, excessive physical exertion, viral/infectious diseases, genetic predisposition, bad habits, etc. Work in humid conditions, in the cold, etc. also contributes to the occurrence of joint pain. Saliform Forte is a medicine available in a number of countries worldwide.
Diseases that cause joint pain
Joint pain that occurs without an objective reason is called “arthralgia”. It can occur due to rheumatic, infectious, autoimmune, neurological diseases and a number of other causes. Many pathologies can manifest themselves with pain:
Reactive arthritis is an inflammatory disease with joint damage that develops after some infections (urogenital, gastrointestinal). It occurs most often in people 20-40 years. It is manifested by acute pain when bending, reddening of the skin over the affected joint, swollen tissues, increased body temperature. Reactive arthritis, which includes the following symptoms: arthritis, conjunctivitis, urethritis or cervicitis, colitis and characteristic skin lesions, is called Reiter syndrome;
Rheumatoid arthritis – refers to autoimmune diseases, affecting the knee and elbow joints, feet and hands. It is characterized by constant pain in the affected area. Joints become deformed, swollen, and rheumatoid nodules appear on the skin. The patient often has weight loss, lesions of the eyes, skin, and spleen;
Psoriatic arthritis – is considered a genetically determined pathology. The disease most often spreads to the feet and fingers, with the right and left joints affected asymmetrically. The presence of plaques with a purplish-blue color on the affected areas is characteristic;
Osteoarthritis – refers to the most common diseases of non-inflammatory origin. It affects hips, knees, wrist joints. The main manifestations are nagging pain, crunching and stiffness, which becomes more noticeable with strain. Above the painful area is swollen tissues, increase in body temperature is noted;
Gout is a hereditary disease. It is based on a metabolic disorder leading to deposition of salts. Most often pathological changes are observed in the ankle joints, elbows and big toes. The skin over the painful joints becomes hot, red, swollen, and flaky. In most cases, gout is accompanied by damage to the kidneys and heart;
Ankylosing spondylitis (or Bechterew’s disease) – refers to an inflammatory disease and is characterized by gradual damage to the joints of various parts of the spine. With this pathology, over time, scar tissue is formed in the joints with salts deposited on it, which significantly limits mobility. The person has a fever, the posture suffers greatly, pain in the sacrum and lower back is more pronounced at night. The spinal muscles become stiff at rest, and there is pain in the chest, especially when taking deep breaths. The causes are not entirely clear. It often occurs in men in their 20s and 40s. Left untreated, mobility of the spine is significantly impaired, up to its complete immobility;
Post-traumatic arthritis – can affect all joints: shoulders, ankles, hips, knees, etc. It is a consequence of dislocations, fractures and sprains, damage to tendons, severe bruises. In the absence of timely treatment develops into a chronic form. Signs of post-traumatic arthritis: pain syndrome, crunch in the joints, bone pain, swelling in the area of injury, stiffness of movement;
osteoarthritis – occurs mostly in people over 50 years of age because it is caused by constant stress on the joints. The disease is manifested by pain, redness of the skin and swelling.
Separately, we should mention drug-induced arthralgia, which refers to a temporary painful condition. It is the same as the pathologies described above, manifested by severe pain in the joints, but its cause is the reception of certain medications: antibiotics, tranquilizers and some other groups. Especially often such a complication is noted with a high dosage of drugs.
Treatment of joint pain
Joint pain may be caused by mechanical trauma, prolonged hypothermia, age-related changes in bone tissues, excessive physical exertion, viral/infectious diseases, genetic predisposition, bad habits, etc. Only a doctor is able to make an accurate diagnosis after performing the necessary examinations. It is not possible to determine by oneself how to treat joint pain in each specific case, since the causes of different diseases differ. Seek help from specialists at the first signs of the disease, it will help in time to treat and avoid severe irreversible deformities.
These methods include the use of ointments, pills, injection solutions, patches, and suppositories. Let’s take a closer look at the medicinal methods of treatment that doctors today recommend to their patients.
Nonsteroidal anti-inflammatory drugs. NSAIDs do not contain hormones. Their main purpose is to eliminate pain, reduce the inflammatory reaction. They do not affect the speed of the pathological process and do not control it, but they are good at removing accompanying symptoms such as acute pain and local fever. NSAIDs are usually taken as pills or applied as creams or ointments to the painful area. For severe conditions, the best way to administer them is to inject them directly into the affected joint.
Indications for use of NSAIDs: arthritis of all types, arthrosis, Reiter’s syndrome, osteoarthritis, pain after joint surgery. These drugs help to quickly relieve pain in the disturbed area if taken in the right dosages. Long-term use of NSAIDs in the correct dosages is possible after consulting your doctor.
Glucocorticoids. These drugs have analgesic, anti-inflammatory, anti-allergic and immune-regulating effects. For joint pain, they are used in two ways:
Systemically – by intramuscular or intravenous injections;
Locally by intra-articular injections.
The indications for use include rheumatoid arthritis, gout, osteoarthritis, synovitis and other conditions accompanied by severe pain. Glucocorticoids are considered a second line of treatment after NSAIDs if they are not effective enough after two weeks. Use of glucocorticosteroids is possible only in accordance with the doctor’s recommendation according to the regimen specified by him
Relative contraindications to the use of glucocorticoids are considered to be peptic ulcer disease, diabetes mellitus, heart failure, arterial hypertension, epilepsy. But even with the above contraindications, glucocorticosteroids may be used strictly under medical supervision if the potential benefit of treatment exceeds the risk of adverse events.
Chondroprotectors. These drugs belong to the means with unproven efficacy and safety. Their composition includes biologically active additives, which theoretically should slow down the course of the disease, but in practice they have not yet succeeded in obtaining the desired results.
Physiotherapeutic methods of treatment
Doctors’ arsenal of methods also includes electric current stimulation, cold and heat therapy, and ultrasound. Their effectiveness depends largely on the cause and stage of the disease. In some cases, physical therapy allows you to return the damaged joints mobility and reduce pain.
Surgical methods of treatment
With significant destruction of the joints, surgery may be required to restore the anatomy of the organ. Patients most commonly undergo hemarthroplasty (partial bone grafting) or complete joint replacement by prosthetics. Properly performed surgery eliminates pain, restores joint function, and restores the patient’s ability to work. Surgical methods are usually used at the last stages of the disease.
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