Preparations for increasing cartilage in joints. Treatment and restoration of joint cartilage. Combination drugs

If joints and ligaments are constantly subjected to great physical stress, this will inevitably lead to degenerative changes in their tissues and bones, the development of dystrophic processes, impaired functionality and pain. You can fight the disease in different ways.

The traditional and in most cases the most effective method is complex treatment, which uses various pharmaceutical drugs.

Their main advantage is that they quickly relieve pain and stop the inflammatory process, they are accessible and convenient to take.

What drugs are best to choose for restoring ligaments and all joints, what is their difference, and how to use them correctly?

These drugs are designed to quickly eliminate pain - the inevitable companions of any articular pathologies. According to the composition and action, preparations for ligaments and joints and analgesics are divided into three groups:

1. Containing acetaminophen. Such drugs are available in pharmacies without a prescription, Tylenol tablets are a classic example of analgesics in this group. With their help, you can relieve aching and moderate pain.
2. Opioids. They can only be bought with a doctor's prescription, such drugs effectively and permanently relieve even very severe pain.
3. Combined drugs. These tablets and injections contain both acetaminophen and opioids.

If the joints and ligaments hurt very badly, the doctor prescribes the following medications:

Tramadol, Morphine, Methodone, Vikadin, Oxycontrin, Oxycodone

All of them have a number of contraindications, often provoke side effects and can be addictive. They are prescribed solely for the purpose of reducing pain, these drugs do not have another therapeutic effect.

But at the same time, the impact on the digestive tract is minimal, while the pain syndrome is really effectively and permanently eliminated. And the joints and ligaments are strengthened.

Non-steroidal anti-inflammatory drugs

These funds act in several directions at once. If drugs from the first group can only relieve pain without affecting the cause of its occurrence, then NSAIDs stop the inflammatory process. The most popular medications are:

Aspirin, Ibuprofen, Diclofenac, Indomethacin, Nimesulide, Diflunisal, Aceclofenac, Sulindac, Etodolac, Ketoprofen, Flurbiprofen, Nabumetone.

These drugs act as follows: during inflammation, the human body produces special enzymes - prostaglandins. At the same time, they serve as protection for the mucous membrane of the digestive tract. NSAIDs suppress their growth and stop inflammation. But at the same time they make the stomach and intestines very vulnerable.

• Diclofenac;
• Flurbiprofen;
• Indomethacin.

Effectively fight pain:

1. Ketolorac;
2. Ketoprofen;
3. Diclofenac;
4. Indomethacin.

For various pathologies of the gastrointestinal tract, high acidity, gastritis, and peptic ulcers, medications from the latest generations of selective action are selected. This:

• Meloxicam;
• Celecoxib.

Some drugs from this group may increase the risk of developing diseases of the cardiovascular system, so in no case should you start treatment with them without a doctor’s prescription.

DMARDs – disease modifying antirheumatoid drugs

Medicines in this group are included in complex drug treatment; they can significantly slow down the growth of the disease or completely stop its development. This includes drugs such as:

• Arava;
• Plaquenil;
• Imuran;
• Cytoxan;
• Neoral.

They are prescribed in cases where the risk of irreversible destruction of cartilage, ligaments and bones is very high - with rheumatoid and juvenile arthritis, with its psoriatic forms.

These medications have very few contraindications, have almost no side effects and are not addictive.

But their effect does not appear immediately. Weeks and sometimes months pass before the first result is noticeable. Therefore, they are prescribed only in combination with other, faster-acting drugs - hormonal and non-steroidal anti-inflammatory drugs.

Medicines from this group are prescribed with caution for impaired renal and liver function, hypertension, and after vaccination.

Chondroprotectors

The main effect of these drugs is to restore and strengthen joints and ligaments. First of all, cartilage is protected from destruction. With long-term use of drugs, the following effect is achieved:

1. Reducing inflammation.
2. Inhibition of degenerative processes in joint tissues.
3. Normalization of metabolic processes and nutrition;
4. Accelerated cartilage regeneration.

Thanks to chondroprotectors, it is possible to reduce the dosage of NSAIDs, and sometimes completely abandon them. But chlodroprotectors also act very slowly; the course of treatment is at least 6 months.

In addition, they are effective only at the initial stage of the disease. If the cartilage is completely destroyed, treatment with chondroprotectors makes no sense and restoration is impossible.

The most commonly prescribed drugs are:

Chondrolone, Structum, Artra, Teraflex, Elbona, Chondroitin AKOS.

Glucocorticosteroids

The human adrenal glands produce a natural hormone – cortisol. It is necessary to maintain numerous metabolic processes in the body. Corticosteroids are its synthetic analogue.

Thanks to their additional introduction into the body, it is possible to control the inflammatory process and fight pain.

Corticosteroids are available in various forms:

• Pills;
• Injections;
• Drops;
• Sprays;
• Ointments.

The most common drugs are Diprospan, Metipred, Celiston, Prelnisolone.

Corticosteroids are much better at treating inflammation than NSAIDs. But with their long-term use, the body becomes extremely susceptible to various types of infections.

You can take hormonal medications only as prescribed by a doctor, according to the regimen specified by him. You cannot change the dosage or regimen of medications on your own, much less abruptly stop treatment with hormones.

In this case, the adrenal glands will not be able to quickly adapt to new conditions. The level of cortisol in the body will drop to a critical level, and this is very dangerous.

Medicines for intra-articular injections

If the pain syndrome is very strong, if the joint is swollen and the limb is immobilized, the doctor may prescribe intra-articular medications to quickly eliminate these symptoms. For this, the following glucocorticosteroids are used:

1. Diprospan.
2. Hydrocortisone.
3. Celeston.
4. Kenalog.

Intra-articular administration of chondroprotectors is also shown - it is not for nothing that they are often called a "liquid prosthesis for joints and bones." The most popular are Dyurolan, Sinvisk, Ostenil, Fermatron.

These drugs significantly improve the quality of synovial fluid, increase its production, stimulate the nutrition of cartilage and bones, and metabolic processes in their tissues. But their cost is quite high.

Preparations for topical use

Various ointments, gels, and rubs are good because the medicine quickly penetrates directly into the source of inflammation, without affecting the organs of the digestive tract. Well proven:

1. Fastum-gel.
2. Voltaren gel.
3. Ointment Indomethacin.
4. Ointment Butadion.
5. Ointment diclofenac.
6. Menovazin solution.

All these medications should be included in the complex therapy of joint pathologies. As independent therapeutic agents, they are ineffective, although they can be used for a long period.

Strengthening ligaments and joints with medications

With the development of articular pathologies, periarticular tissues – muscles and ligaments – are often also affected. They need support and strengthening. In pharmacies you can find a wide range of different medications and supplements that help strengthen connective tissue.

But, unfortunately, most of them do not give the expected effect. And some do not meet the standards of real medicines at all. In addition, it is important to understand which drug acts on cartilage and bone tissue in order to choose the one that will solve the problem, and not temporarily mask it.

Only a doctor can make the correct prescriptions by studying the patient’s medical history, observing the dynamics of the disease and the effectiveness of the treatment already carried out in his case. Self-medication in this case can lead to complications and even accelerate the development of the disease.

Today, the best drugs that help restore ligaments and tendons, strengthen them and maintain their functioning are:

1. Chondroitin sulfate – promotes the regeneration of the cartilage layer, increases tissue elasticity.
2. Glucosamine sulfate is a building material for joints, making them stronger.
3. Collagen also significantly strengthens joints, in particular articular ligaments. Accelerates tissue regeneration, maintains their tone, and has a beneficial effect on the skin.
4. Vitamin D and calcium. These supplements must be taken in this particular combination, because without vitamin D, calcium is not absorbed well enough by the body. This complex supplement helps strengthen and grow bones and prevent the development of inflammation.
5. Methylsulfonylmethane. This substance suppresses pain and can inhibit the inflammatory process. This remedy in itself does not affect ligaments and joints, does not strengthen them and does not promote the regeneration of cartilage or bones. But it improves the general condition of the patient, which is also important.

Below are some examples of drugs, their effects and features of use.

This is a combination product that contains both chondroitin sulfate and glucosamine sulfate. The drug improves tissue nutrition, normalizes blood circulation and metabolic processes, so that damaged cartilage is restored faster. At the same time, swelling and pain as the main symptoms of the inflammatory process of ligaments and bones go away.

Correct use of this medication in many cases allows patients to completely abandon nonsteroidal anti-inflammatory drug therapy. Artra is not prescribed to pregnant and lactating women; another contraindication is renal failure.

The problem of cartilage restoration is relevant for more than 80% of people over 65 years of age suffering from. A universal remedy has not yet been invented that restores the structure of cartilage and completely cures the pathology. However, there are drugs for restoring joint cartilage tissue that have chondroprotective and regenerative effects.

View of the affected cartilaginous surface.

None of the existing drugs for joint restoration can cure osteoarthritis. Some of them slow down degenerative processes, make the patient feel better, but do not save them from pathology.

Stages of arthrosis of the knee joint. Note the narrowing of the joint space.

All medications are only effective, but IV are also powerless. If the pathology involves not only joints, but also bones, no drug will help. In this case, it is possible to get rid of chronic, difficulty walking, limited joint mobility and other unpleasant symptoms only through surgery.

Chondroprotectors

Popular and widely used medications for restoring joint cartilage tissue are. Until recently, there was active debate in scientific circles about the effectiveness of these drugs in the fight against osteoarthritis.

Chondroprotectors increase the resistance of cartilage to damaging factors, relieve pain, relieve and even increase the activity of chondrocytes. The drugs are effective in restoring joint cartilage tissue in people with the initial stages of osteoarthritis.

There are three generations of chondroprotectors. The first includes drugs made from natural ingredients (,), the second - single drugs (Dona, Structum, Artradol), the third - combined drugs (, Artra, Glucosamine-Chondroitin Plus, Condronova). III generation drugs are the most effective.

Chondroprotectors are available in the form of ointments, tablets, solutions for intramuscular or intra-articular administration. External forms are used mainly for treatment and. Intramuscular and intra-articular injections are rarely prescribed, although injection of drugs increases their bioavailability.

Table 1. Popular chondroprotectors

Liquid synovial fluid prostheses

Liquid implants are hyaluronic acid preparations for intra-articular administration. They restore normal composition and viscoelasticity, improving the trophism of cartilage and slowing down its destruction. Hyaluronic acid preparations are injected directly into the joint cavities.

Medicines containing hyaluronic acid:

• Synvisc;
• Ostenil;
• Giastat;
• Fermatron;
• Go On.

Liquid synovial fluid grafts are usually available in ready-made syringes. Medicines only need to be injected into the joint cavity. Only a doctor has the right to perform the procedure. The manipulation is performed in a room specially equipped for this purpose.

Hyaluronic acid preparations are indicated for the restoration of joints and cartilage in the initial stages of arthrosis. They help to significantly relieve pain and improve the functional state of joints. To get a good effect, injections should be done 2-3 times a year.

Hydrolyzed Collagen

Initially, bodybuilders took the drink to strengthen bones, ligaments and joints. Later, scientists found out that this substance restores cartilage tissue and relieves pain. Collagen strengthens bones by stimulating osteoblasts.

Today in clinical practice the drug CH-Alpha is used, containing the hydrolyzate of drinking collagen FORTIGEL. The recommended dose of the medicine is 10 grams per day. The drug is taken 1 time per day with meals. The average course of treatment with drinking collagen is 2 months.

To achieve results, take collagen hydrolyzate along with combination products. Before starting treatment, be sure to consult your doctor.

Cellular engineering products

Scientists are working on developing methods for the complete restoration of cartilage tissue in joints. But their attempts to create artificial cartilage have so far been unsuccessful. However, in clinical practice, cell-engineered products are already used that effectively restore a person’s own cartilage tissue.

Cell engineering products are more effective than conventional drugs for joint restoration. Their price is high, and production is fraught with difficulties and risks. For example, growing cell cultures can be complicated by microbial contamination. Injecting a contaminated product into a joint will lead to serious complications.

Video from Boris Tsatsouline about the side effects of chondroprotectors:

Cell engineering drugs for cartilage tissue restoration:

• Chondrolon;
• DeNovo-NT;
• Cartigel;
• Chondro-Gide;
• BioSeed-C.

Cell-engineered constructs are made from autologous chondrocytes taken from the patient himself. The resulting cells are cultured in nutrient media, the necessary components are added to them, and they are introduced into the synovial cavity. Such drugs effectively restore cartilage tissue. They are ineffective in the last stages of arthrosis, when bones are involved in the pathology.

In our country, it is not yet possible to produce cell engineering drugs. Such technologies are being developed in the USA, Korea and some European countries.

Since osteochondrosis is a systemic disease that affects not only intervertebral discs, but also affects other important organs and systems, treatment should be carried out comprehensively. Medicines for the treatment of osteochondrosis perform the following tasks:

• Anesthesia
• Elimination of the inflammatory process
• Improving blood circulation in affected tissues
• Restoration of cartilage tissue
• Restoring joint mobility
• Relieving depression caused by constant pain.

Damaged cartilage tissue cannot recover completely. This is an irreversible process. But thanks to a properly selected set of medications and procedures, the patient’s condition can be significantly improved and the destruction of discs can be stopped.

Drug treatment of osteochondrosis consists of several stages:

• Eliminate pain and relax muscles
• Elimination of inflammatory processes caused by damaged spinal cord nerve roots.
• Restoration of cartilage tissue and mobility.

Treatment of osteochondrosis with non-steroidal anti-inflammatory drugs

To treat pain, the patient is prescribed analgesics and non-steroidal anti-inflammatory drugs for osteochondrosis (NSAIDs), which eliminate pain, swelling and inflammation. Medicines are prescribed both externally (ointments, gels, rubs) and internally (injections, tablets). There are several groups of NSAIDs.

1. Diclofenac group

Diclofenac is the most common drug for the treatment of osteochondrosis and the main active ingredient of many medicines: Diclak, Voltaren, Ortofen, Diclobene, Dicloran plus, Diclo-F, Dicloberl, etc. The drug increases the analgesic effect of other analgesics and relieves inflammation. But it is not prescribed to pregnant and lactating women, patients with peptic ulcers and children.

2. Ibuprofen group

Ibuprofen-based drugs have almost the same properties as diclofenac-based drugs. But these drugs can be prescribed to pregnant and lactating women and children under the supervision of a doctor, since ibuprofen is easier to tolerate. Preparations based on ibuprofen: Nurofen, Dolgit, Ibuprom, Ibupron, Reumafen.

3. Indomethacin group

Indomethacin-based drugs have characteristic anti-inflammatory and analgesic properties that act directly on the affected tissue. But such drugs in large doses or when applied extensively to the affected area cause side effects (abdominal pain, damage to the gastric mucosa, indigestion) within a few days. Therefore, contraindications for drugs of the indomethacin group are the same as for the diclofenac group. The drugs include: Indovazin, Indomethacin, Arthrocid, Inteban, Indocid, Indobene.

4. Ketoprofen group

Drugs in this group relieve inflammation and pain ten times faster than ibuprofen drugs, but also have side effects. The group of drugs includes: Fastum Gel, Bystrum Gel, Ketonal, Flexen, Febrofid.

5. Nimesulide group

Drugs in this group belong to a new generation of anti-inflammatory drugs. They do not have such serious side effects as the drugs described above. Therefore, they are often prescribed to patients with diseases of the musculoskeletal system, in particular osteochondrosis. The drugs are prescribed mainly externally. With prolonged use, undesirable reactions are possible: itching, redness of the skin, peeling.

Group drugs: Nise, Nimesil, Nimulid, Nimika.

All non-steroidal anti-inflammatory drugs are prescribed for osteochondrosis and as painkillers.

Vasodilators for the treatment of osteochondrosis

As a result of pain and muscle tension with osteochondrosis, narrowing of blood vessels occurs. This leads to oxygen starvation of tissues and dysfunction of internal organs. To prevent such consequences, vasodilators are prescribed for osteochondrosis.

To restore blood circulation in the affected tissues, Pentoxifylline, Trental, Eufillin, Xanthinol nicotinate are prescribed. The drugs dilate blood vessels and improve tissue nutrition. For a better restorative effect, Berlition (a lipoic acid preparation) is prescribed.

Muscle relaxants for the treatment of osteochondrosis

Pain relief in the treatment of osteochondrosis is supplemented with muscle relaxants. The drugs relax muscles and have a calming effect. When muscles relax, blood circulation is restored, pain is reduced, mobility is restored, and faster regeneration of affected tissue occurs. Without drugs from this group, the healing process will take much longer.

Baclofen, Mydocalm, Sirdalud (Tizanidine), Cyclobenzaprine, etc. are used to treat the disease. These drugs are very effective for muscle spasms, but have unwanted side effects. Therefore, taking muscle relaxants is carried out under the supervision of a doctor. Mydocalm, unlike other drugs, does not have a sedative effect and goes well with non-steroidal anti-inflammatory drugs.

Preparations for the restoration of cartilage tissue

When treating osteochondrosis, it is important to restore cartilage tissue and achieve stable remission of the disease. For recovery, chondroprotectors and a complex of vitamins are prescribed.

Chondroprotectors are drugs that have anti-inflammatory and restorative properties and improve joint mobility. They are prescribed orally or externally. Medicines containing chondroitin and glucosamine (Oseoartisi, Teraflex) are widely used. Local medications include Chondroxide and Collagen Ultra ointment.

Vitamin and mineral complexes improve calcium metabolism and restore damaged ligaments and tendons. Such preparations include complexes containing vitamins B, D, E, A, C, calcium, and phosphorus. When osteochondrosis develops against the background of osteoporosis, Calcium D3 nycomed is prescribed.

B vitamins reduce pain and restore the sensitivity of affected nerve fibers. Vitamin B complex is included in such drugs as Neurobion, Neuroplex, Milgama, Neurorubin, etc. Vitamins A, C, E act as antioxidants and improve metabolic processes.

Sedative drugs

In case of illness, not only drugs for the treatment of osteochondrosis are prescribed, but also sedatives. Prolonged pain syndrome can cause stress and depression, which causes ineffective treatment of the underlying disease.

In such cases, tincture of valerian, motherwort, and soothing teas are prescribed. For severe disorders, antidepressants are prescribed (Gidazepam, Eglonil, Donormil, etc.). Prescribing antidepressants and sedatives sometimes reduces the consumption of analgesics and anti-inflammatory drugs.

The quality of treatment of the disease will depend only on the correctly selected complex and method. Therefore, do not self-medicate. This may lead to undesirable consequences. The doctor should tell you what drugs to treat osteochondrosis after the examination.

Vasodilators are medications that reduce the tone of the smooth muscles of the walls of blood vessels, as a result of which their lumen increases. The muscle tone of the vascular walls is constantly maintained by nerve impulses arriving here via sympathetic nerve fibers (regulating almost all functions of the internal organs). Thus, pharmacological agents can dilate blood vessels in two ways:

1. by weakening the nerve impulse (neurotropic vasodilators),
2. by directly influencing the vascular muscles (myotropic vasodilators).

Vasodilator drugs prescribed for osteochondrosis

With osteochondrosis, against the background of degenerative changes in the intervertebral joints, a pain syndrome develops, accompanied by inflammation and swelling of the surrounding tissues. In this case, sympathetic nerve fibers are affected, and the flow of impulses going to the blood vessels is weakened. As a result, the vessel spasms, its lumen decreases, and the blood supply to the internal organs is disrupted. Oxygen starvation leads to disruption of metabolic processes in tissues, and organ functions are disrupted. If all these phenomena persist for a long time, then diseases of the internal organs involved in the pathological process may develop.

To prevent this from happening, vasodilator drugs are always prescribed in the complex therapy of osteochondrosis. These drugs exert their effect indirectly: microcirculation in the pathological focus improves, blood stagnation is eliminated, metabolic processes are normalized, nerve impulse is restored, and the healing process proceeds faster.

The main vasodilators prescribed for osteochondrosis:

• Eufillin. This drug is a bronchodilator (drugs that dilate the bronchi). In addition, having an antispasmodic effect, it can significantly improve cerebral and peripheral blood circulation. Therefore, eufillin is used to treat various neurological diseases, for example, with osteochondrosis. Most often this drug is used for electrophoresis. This procedure helps to restore microcirculation and trophic processes in the intervertebral cartilage.
• Pentoxifylline (Trental) is a drug that improves microcirculation and rheological properties of blood, has an indirect vasodilating effect, and is indicated for circulatory disorders of various localizations.
• Xanthinol nicotinate is a vasodilator that improves microcirculation and has antiaggregatory activity. The drug causes expansion of peripheral vessels and improves collateral circulation, oxygenation and metabolic processes in tissues.
• To enhance the restorative effect, Berlition (lipoic acid) is prescribed. This is a metabolic drug, the main mechanism of action of which is to increase endoneural blood flow, restore energy processes in the nerve and the normal functioning of neurovascular bundles in relation to internal organs. The drug improves trophic processes in neurons, causes dilation of blood vessels, and thus has a restorative effect on all cellular processes. Therefore, Berlition is indicated for osteochondrosis.
• Actovegin (deproteinized calf blood extract). The drug contains a large number of different nutrients (nucleosides, amino acids, oligosaccharides and intermediate products of fat metabolism). It restores peripheral blood circulation and vascular tone, stimulates all metabolic processes in our body. This drug has a pronounced therapeutic effect on patients with cerebrovascular disorders. The therapeutic effect of Actovegin is associated with the restoration of impaired blood circulation and the development of collaterals. In addition, it improves the transport of oxygen to tissues and organs, reducing hypoxic effects on tissues.

Vasodilators for cervical osteochondrosis

With cervical osteochondrosis, the blood supply to the organs of the head, including the brain, is primarily affected, since with this pathology a persistent spasm of the vertebral arteries develops, which play an important role in the vertebrobasilar circulation. The patient is bothered by constant headaches, dizziness, nausea, movement disorders, lethargy, and general weakness. Therefore, treatment regimens for the cervical spine always include drugs that improve cerebral circulation. Such drugs include vinpocetine, piracetam and other nootropic drugs. They stimulate carbohydrate and protein metabolism in the brain in various forms of cerebrovascular insufficiency.

• Vinpocetine is a corrector of cerebrovascular accidents with vasodilating, neuroprotective and antihypoxic effects. It selectively enhances cerebral blood flow, improves oxygen delivery to the brain.
• Piracetam is a nootropic drug that improves metabolic processes and blood supply to the brain.

The treatment of osteochondrosis is complex, each drug is prescribed to achieve a single effect, although there are also combined drugs. Only a doctor can choose an adequate treatment regimen in each case. Therefore, do not tolerate pain, contact the clinic in a timely manner, this will help to avoid various unpleasant complications.

Tablets from arthrosis of the joints are diverse, since this disease has a different genesis and manifestations.

Characteristics of arthrosis

Arthrosis is a degenerative-dystrophic (usually chronic) pathology of the joints. The results of this disease are:

• destruction of cartilage tissue;
• capsule transformation;
• changes in the synovium;
• dystrophic processes in ligamentous and bone tissues.

This is one of the most common diseases of our time. It is especially characteristic of the elderly, although sometimes joint diseases develop even at a relatively young age - at 35-40 years.

Among the variety of joint lesions, the following stand out:

• gonarthrosis - damage to the joints of the knees;
• coxarthrosis - a disease of the hip joint;
• spondyloarthrosis - arthrosis of the small joints of the spine;
• arthrosis of the shoulder joint.

This disease can occur in one joint, then it is called "monarthrosis". In the case of multiple lesions, this pathological process is called polyarthrosis.

This disease manifests itself in acute and chronic stages. During an exacerbation of the disease, severe pain appears; in a chronic process, pain in the joints becomes constant, mild and aching.

Causes of arthrosis

The main reason for the development of pathological processes in the joints is metabolic disorders. It is for this reason that cartilage loses its elasticity.

The mechanism of destruction is the loss of proteoglycans by cartilage. These are specific protein compounds that constantly maintain cartilage in a healthy state. It is proteoglycan that forms the main substance of the very connective tissue that is involved in the construction of interstitial layers, performing the function of a lubricant of joints.

These substances perform the function of binding extracellular water and cations. They also fix calcium ions in foci of ossification.

Since the role of proteoglycans in maintaining joint health is extremely important, drug treatment of arthrosis is often based on restoring their presence in the joints.

All causes can be divided into two parts - metabolic disorders themselves and factors stimulating the development of pathological processes.

The destruction of articular cartilage can lead to:

• hormonal imbalance;
• decreased intensity of blood supply to the joint;
• hereditary predisposition;
• age-related changes;
• traumatic injuries;
• rheumatoid arthritis;
• psoriasis;
• lupus erythematosus;
• syphilis;
• tuberculosis,
• encephalitis;
• too much body weight;
• inflammatory processes in the joints;
• poor nutrition;
• prolonged exposure to low temperatures;
• long-term intoxication of the body;
• colds;
• pathologies of the thyroid gland;
• hemophilia;
• impaired blood supply to the femoral head;
• professional risks.

General principles of treatment of the disease

There are three ways to treat this disease:

• medicinal, that is, the use of preparations of the pharmaceutical industry;
• external methods of exposure (rubbing, compresses, etc.);
• traditional methods (treatment with herbs, bee products, etc.).

It is sometimes necessary to treat arthrosis for a lifetime, if the acute stage of the disease becomes chronic. Especially long-term treatment is for those who fell ill with polyarthrosis as a result of complications after infectious diseases, has a hereditary predisposition or hormonal imbalance.

This does not mean that arthrosis is incurable. You just need to take the treatment of this disease seriously. It is necessary to influence not only the joints themselves, the causes of their disease should also be eliminated.

In the treatment of arthrosis of any nature, there is a strict rule: if the drug does not have a positive effect on the course of the disease for several months, it must be canceled and replaced with another drug with different characteristics.

Drug treatment

Medicines for arthrosis are usually aimed at relieving pain and eliminating inflammation. If the patient is just beginning to develop the disease, being in the acute stage, drugs for arthrosis must be prescribed intravenously or intramuscularly. Non-steroidal anti-inflammatory drugs are usually used.

Local preparations (ointments, gels, rubbing, etc.) will give the desired effect only at subsequent stages of treatment, when the most powerful and effective drugs for arthrosis of the joints are used.

Taking anti-inflammatory non-steroidal drugs is often started with small doses, determined on an individual basis. Usually, the first drugs for the treatment of arthrosis are prescribed together with a drug that seems to have nothing to do with the joints. We are talking about tablets or capsules called Omeprazole. This remedy is aimed at supporting the gastrointestinal tract during the period of taking a large number of medications.

Before taking anti-inflammatory nonsteroidal drugs, they must be tested for side effects and tolerability.

After the patient has begun to treat his arthrosis, the medicine should relieve the main symptoms. When the pain and signs of acute inflammation go away, it is necessary to prescribe chondroprotectors. Despite the fact that they do not fight inflammation, these are the most effective medications for arthrosis. Their function is to help the body restore destroyed cartilage tissue. An example of a popular chondroprotector is Glucosamine.

These drugs need to be used for a long time. Moreover, over the age of 50, it is advisable to use them as prophylactic agents. The fact is, over time, the body itself no longer produces the substances from which cartilage tissue is built. So you have to replenish them with various medications and dietary supplements.

Many doctors prescribe vasodilators to their patients. This is necessary in order to increase blood flow in the body. This usually has a positive effect on the condition of the joints. Vasodilator drugs are especially effective during the period when hip arthrosis is being treated. The fact is that its transformation disrupts the blood supply to other organs. Vasodilation is also necessary so that blood can more easily penetrate into the joints themselves.

Non-steroidal anti-inflammatory drugs COX-1

Medicines in this group, known by the abbreviation NSAIDs, are considered the main means of treating osteoarthritis and arthritis. They are aimed at eliminating inflammation or at least reducing the intensity of its development. Unlike drugs whose therapeutic effect is based on hormones, these drugs have fewer side effects and, of course, contraindications.

In modern medicine, all drugs of this type are usually divided into two categories: cyclooxygenase inhibitors COX-1 and COX-2, which means they are divided into the first and second types of drugs. This division is based on the composition and specific effects of the main components of the drugs.

Which drugs in this group are used for arthritis?

1. "Aspirin". It is one of the oldest means of combating inflammation, high and constantly changing temperature, and pain of various origins. Moreover, this is the very first medicinal drug that was produced to combat inflammatory processes. Usually it is prescribed first, as soon as the knee hurts or other symptoms of joint damage appear.
   This veteran of the pharmaceutical industry relieves pain and provides first aid to joints. However, with serious lesions, it is, of course, impossible to cure with Aspirin alone.
   When taking acetylsalicylic acid, you must remember that tablets of this drug have a bad effect on the digestive system, especially on the gastric mucosa. In addition, they reduce blood clotting.
2. "Diclofenac". After acetylsalicylic acid, this drug is one of the most popular among all NSAIDs. Diclofenac was first produced a long time ago - about fifty years ago. It is made in the form of tablets and ointments. This means that it can be used for acute arthrosis, including for the treatment of arthrosis of the hip joint. It is also used for chronic arthrosis, but during exacerbations.
   "Diclofenac" can be used simultaneously as a means of relieving pain and inflammation.
   Depending on the manufacturers, diclofenac is also produced under other names: Clodifen, Voltaren, Dicloberl, Ortofen, Olfen, Diklak, Vurdon, etc.
3. "Ibuprofen." The use of this drug to fight inflammation also has a long history. It is prescribed in the same cases as Aspirin, since it is ineffective in severe forms of the disease. For example, it makes no sense to take it in case of stage 2 coxarthrosis. However, some analgesic effect will still be guaranteed.
   This drug is produced under the brand name “Ibuprofen” in Russia. Foreign manufacturers gave it other trade names: Bolinet, Ibuprom, Burana, Brufen, Ibalgin, Nurofen, MIG-400, Faspik, etc.
4. "Indomethacin". This drug is considered to be one of the most potent anti-inflammatory and analgesic drugs from the category of non-steroidal anti-inflammatory drugs COX-1. It is produced in tablets, gels, ointments and even rectal suppositories, which allows it to be actively used as a medicine for arthrosis of the hip joint.
   Like every drug with a strong therapeutic effect, Indomethacin has many contraindications and side effects.
   “Indomethacin” is popular not only among consumers, but also among manufacturers, therefore it has many trade names: “Indovazin”, “Metindol”, “Indovis EC”, etc.
5. "Ketoprofen". This drug is comparable in strength and nature of effect to Ibuprofen. It is used for all forms of arthrosis, but it especially helps if the foot or knee hurts. However, its purpose goes far beyond pain relief. Since Ketoprofen is produced not only in tablets, but also in the form of gels, aerosols, rubbing balms, injection solutions and rectal suppositories, it can be used for coxarthrosis of the hip joint.

Non-steroidal anti-inflammatory drugs COX-2

This group of drugs is classified as a new generation of updated drugs. Since manufacturers took into account the shortcomings in the group of COX-1 drugs, the new generation of drugs has a pronounced selective effect. This reduces the risk of unwanted side effects in the gastrointestinal tract. At the same time, the overall tolerability of these drugs was increased in this group.

In addition, drugs in the COX-1 category have a bad reputation for their destructive effects on the cartilage tissue of the joints. Later generations of drugs from the COX-2 group have lost such properties, which increases their value in the fight against arthrosis of any localization.

Among them, the most popular representatives are the following drugs.

1. Meloxicam. This remedy has a very strong effect. Experts usually prescribe it for coxarthrosis of the hip joint and other severe forms of articular lesions. The active substance of this product is movalis. The main advantage of Meloxicam is the possibility of long-term use. This remedy can be treated continuously for several months, which increases the therapeutic effect and reduces the risk of exacerbation. This is especially important for coxarthrosis of the hip joint.
   Manufacturers produce Meloxicam in the form of tablets, suppositories, ointments, and injection solutions. The tablets of this drug are especially powerful because they have a prolonged effect, so you can take 1 piece of them once a day.
   Medicines containing the active substance movalis are produced under the following brands: “Mataren”, “Artrosan”, “Melbek-forte”, “Movasin”, “Melbek”, “Mesipol”, “Lem”, “Mirlox”, “Meloflam”.
2. "Celecoxib". This remedy has a strong anti-inflammatory effect. This is especially valuable given the low number of side effects in the gastrointestinal tract. "Celecoxib" has a wide spectrum of action. When used, it is possible to treat arthrosis of the foot, knee and hip joints.
3. "Nimesulide". A typical representative of drugs with updated composition. It not only relieves pain and reduces the rate of development of inflammatory processes. It also has pronounced antioxidant properties. This combination of properties inhibits the destruction of articular cartilage.
   Nimesulide is produced in the form of tablets, gels and granules for the production of solutions. Such a wide range allows the drug to be used at different stages of the disease.
   Other names of the drug are “Aulin”, “Remisid”, “Nise”, “Mesulide”, “Nimegesik”, “Aktasulide”, “Flolid”, “Aponin”, “Kokstral”, “Nimid”, “Prolide”, etc. .d.

Contraindications and precautions

There are no absolutely safe drugs. At a minimum, any tablets affect the gastrointestinal tract, even those that treat it. And most of the new NSAID tablets also have a negative effect on the cardiovascular system.

All NSAIDs in the treatment of arthrosis are contraindicated in pregnant and lactating women. Special precautions should be taken by people suffering from pathologies:

• gastrointestinal tract;
• liver;
• kidney;
• of cardio-vascular system.

What to do if, for example, your leg hurts and your stomach is affected by gastritis? If you cannot get by with external means, then in this case you need to drink crushed tablets, diluting them in a small amount of water. They do not dissolve in water, but small particles are absorbed faster and cause less harm to the gastrointestinal mucosa.

The worst thing to do, for example, is to treat coxarthrosis with a diseased liver or damaged kidneys. The fact is that NSAIDs have a strong effect on blood flow in the kidneys. In this case, water and sodium are retained in the body. If this factor is not taken into account, then stable hypertension and increased pathological processes in the kidneys and liver can be caused.

Especially big problems often arise when treating a person with drugs for arthrosis of the hip joint. Due to its anatomical features, this lesion is difficult to treat with external means. The solution may be to use short-term courses and formulate an individual dosage.

If a person has problems with the functioning of other organs, then drugs for coxarthrosis (especially at the early stage of the disease and during an exacerbation) are best selected in the form of injection solutions. They act faster, are easier to remove and do not affect the gastrointestinal tract.

If you need to treat arthrosis of the foot, then sometimes it makes sense to replace NSAIDs with topical agents, since there is little muscle and fat tissue in the foot, which makes it easier for drugs to penetrate during physical therapy or compresses.

Typically, the treatment of joint problems does not have a clear division into the stage of taking NSAID drugs and other therapeutic agents. The combination of taking anti-inflammatory drugs and chondroprotectors with external agents gives quick results and reduces the load on the gastrointestinal tract, liver and kidneys.

During the remission stage, both NSAIDs and chondroprotectors are often discontinued, replacing them with therapeutic procedures in the form of compresses and rubbing. However, as mentioned above, patients of retirement age should take chondroprotectors periodically as a preventive measure.

Cartilage tissue acts as a cushion between bones

Cartilage is a type of connective tissue. It consists of chondrocytes and intercellular substance. Cartilage is divided into three types:

• hyaline;
• elastic;
• fibrous.

The main difference between cartilage tissue and other types is the absence of blood vessels and nerve endings inside.

The role of joints and cartilage, the consequences of their destruction

Hyaline cartilage plays the most important role as the elastic foundation of the skeleton. Metabolic disorders, injuries, increased stress, heavy lifting, and excess weight weaken it. At the same time, it is erased and thinned. This can serve as a reason for the development of joint diseases. As a rule, if the cartilage has worn away, the knee joints, as well as the joints of the neck and lower back, are more likely to suffer from this.

Slowly ongoing diseases of the joints, such as osteochondrosis, inflammation and thinning of the knee joint, as a rule, are associated with degenerative disorders in the articular, cartilage tissue. To avoid destruction, which causes thinning of the cartilage, and for its structural restoration, chondroprotectors are used, with the help of which treatment is carried out in a shorter period of time. These are drugs that have a targeted effect on the production of new cells in joint and cartilage tissues. They are also used to form a sufficient amount of synovial fluid.

If for some reason the cartilage tissue begins to break down and wear out, this immediately provokes the destruction of the cartilage. This exposes the rough surface of the bone. The hyaline cartilage located opposite, constantly in contact with bone tissue, also begins to collapse. As a result, synovial fluid partially stops being produced, and the joint lacks lubrication and adequate nutrition. As a result, the cartilage slowly dies and changes occur in the joint, leading to the loss of its original functions. An example of this is osteochondrosis.

Chondroprotectors prevent this process from developing. These drugs slow down the development of diseases and the increase in pain in the knee joint, improve blood circulation in the area of ​​the affected joint. Treatment usually lasts 5-6 months, but tangible improvements usually occur within 2-3 weeks. This is the norm, which is observed in most cases.

Chondroprotectors contain substances produced in the body and necessary for the production of synovial fluid, which serves to maintain hyaline cartilage in normal shape. The main components of chondroprotectors are chondroitin sulfate and glucosamine.

How to take chondroprotectors correctly

It must be borne in mind that only incompletely destroyed hyaline cartilage can be restored. Therefore, treatment should begin as early as possible, when the first symptoms appear, for example, unpleasant pain when moving. If joint and cartilage cells die, drug treatment becomes powerless.

A fairly long period of taking medications is also important: experts recommend not stopping treatment after 2-3 courses. Restoring connective tissue of joints is a rather long process. Chondroprotectors become an indispensable source of joint support; if the medication is not stopped in a timely manner, the destructive processes will resume.

On average, treatment continues for quite a long time, from a year to 1.5 years. This allows you to achieve reliable, positive results and consolidate the results obtained. The exact dosage in each individual case is different, and it should be prescribed by a specialist.

Treatment with medications of this type is usually easily tolerated by patients. They have practically no side effects, but the dosage rate must be observed. But it must be taken into account that they are prescribed with caution to people suffering from diabetes mellitus due to the glucose contained in the drugs. They are also not recommended for pregnant women and young children.

Selection of medications

To alleviate the patient's condition and eliminate back pain, external agents are often used - gels, ointments, creams, balms. Tablet forms of drugs for oral administration are also used. At the moment, there are a huge number of means to combat such a disease as osteochondrosis, which complicates the choice of medication. Considering the rather high price of drugs and the long period of treatment for osteochondrosis and other diseases of the joints and cartilage, it is recommended to consult a specialist, and he will help you make the right decision on choosing a medicine.

In the treatment of diseases such as osteoarthritis, osteochondrosis, arthrosis and others, several types of drugs are used:

• restoring cartilage tissue of joints;
• anti-inflammatory;
• muscle relaxants;
• sedatives;
• vasodilators.

In order to get rid of pain, especially if the neck hurts, the patient is prescribed antiphlogistic and anesthetic drugs that help eliminate pain, swelling and inflammation. As a rule, when treating the knee joint, they are prescribed in the form of ointments, rubbing gels and for internal use in the form of tablets and injections. These drugs are divided into several groups.

Nonsteroidal anti-inflammatory drugs

Diclofenac is the main component of many common medications used to treat diseases of the knee joint and intervertebral discs. Medicines in this group have an anti-inflammatory effect and enhance the effect of analgesics. The drug has contraindications; it is not recommended for pregnant and nursing mothers, children and people suffering from peptic ulcers. The daily dosage of the drug is indicated on the packaging.
The group of similar drugs includes diklak, voltaren and others. These drugs are prescribed not only for the treatment of the knee joint. They are effective when treating any diseases of the musculoskeletal system. Osteochondrosis is no exception here.

Ibuprofen. Drugs containing ibuprofen have similar properties. They are similar to diclofenac-based medications, with the difference that ibuprofen is prescribed to pregnant women and young children diagnosed with osteochondrosis. This is due to the fact that this substance is easier to tolerate by the body. The group includes Nurofen, Reumafen and others.

Indomethacin. Medicines containing this active ingredient have special antiphlogistic and anesthetic properties. They treat osteochondrosis and inflammation of the knee joint. In large doses, they can have side effects in the form of digestive disorders and irritation of the intestinal mucosa, so the intake rate must be observed and cannot be exceeded. Contraindications are similar to diclofenac preparations. The group includes indomethacin, inteban and others.

Ketoprofen. Medicines containing ketoprofen relieve inflammation and pain much faster than medicines containing ibuprofen, but they have rather unpleasant side effects and many contraindications. The group includes ketonal, fastum gel and others. They are used for pain in the knee joint, they are used to treat osteochondrosis and many other diseases.

Nimesulide. This is a group of new generation anti-inflammatory drugs. Has no strong side effects. Prescribed to patients with diseases of the musculoskeletal system as a means of external use. Helps well with pain in the knee joint. With prolonged use, irritation and itching may occur at the site of application of the drug. For osteochondrosis, such drugs are recommended by all pharmacists. The group includes Nise, Nimulid and others.

Vasodilators and muscle relaxants

Xanthinol nicotine is an effective vasodilator for tension pain

Due to muscle overstrain, blood vessels narrow, preventing normal blood flow, and the knee joint most often suffers from this. This leads to functional disorders in the functioning of organs and oxygen deficiency. In order to eliminate these consequences, similar drugs are prescribed. To improve blood circulation in the joint, xanthinol nicotinate is most often recommended. To improve nutrition and accelerate recovery processes, products containing lipoic acid are prescribed.

Treatment of pain syndrome, which can provoke osteochondrosis, is often supplemented by taking muscle relaxants. They relax, soothe muscles, help normalize blood circulation and reduce pain in the knee joint. Under the influence of these drugs, joint mobility is restored. At the same time, tissues affected by the disease are regenerated faster.

The following diseases are treated with drugs such as cyclobenzaprine, mydocalm and others: osteochondrosis, osteoarthritis of the knee joints. They are very effective for spasms, but have side effects. In this regard, their use should be under the supervision of the attending physician. Mydocalm does not have a sedative effect, unlike its analogues, and goes well with the simultaneous use of non-steroidal anti-inflammatory drugs.

Medicines that restore cartilage tissue and sedatives

One of the main directions in the treatment of joints is the process of rehabilitation of cartilage tissue. For this purpose, the above-described chondroprotectors and vitamins are prescribed. Vitamin preparations help normalize metabolism. In particular, improving calcium metabolism contributes to the rapid restoration of hyaline cartilage, ligaments and tendons. Such products include calcium, centrum and others, which contain vitamins of groups such as B, D, E, A, C, as well as calcium and phosphorus.

For problems with the musculoskeletal system, not only those drugs that act directly on the disease itself are used, but also sedatives. This is necessary due to the fact that prolonged pain causes a feeling of depression. And this can significantly interfere with the treatment of the underlying disease.

In such situations, it is advised to take tinctures of medicinal plants such as motherwort and valerian. For more severe disorders, antidepressants are prescribed: gidazepam, donormil and others. Sometimes, when using antidepressants, the rate of taking anesthetics and drugs with anti-inflammatory effects is reduced.

The quality and productivity of treatment directly depends on the correctly chosen methods, accurate diagnosis and qualifications of the treating staff. Therefore, it is not recommended to practice self-medication, as it can provoke complications and exacerbations of diseases and aggravate the situation. Often the consequences are irreversible.

The choice of medications and dosage rates should be entrusted to an experienced doctor. Based on the results of research and analysis, he will make the right decision. At the same time, the recovery process will require much less time and money.

The older we get, the more attention we should pay to our joints and spine. With age, the natural processes of renewal and restoration of cartilage tissue, as well as synovial fluid, slow down significantly. For the prevention and treatment of joint pathology, it is recommended to change the diet, dosed physical activity and use special chondroprotective medications.

How to restore cartilage tissue?

With active physical activity, joints, be it elbow, knee or hip, quickly wear out. To prevent the development of a degenerative-dystrophic process, it is necessary to promote the rapid restoration of cartilage, ligaments and other joint elements. What products can be used to treat and restore cartilage tissue of the joints and spine:

• Medicines (chondroprotective drugs in the form of tablets, ointments, creams, injections).
• Nutrition.
• Ethnoscience.

Any medications for the shoulder, elbow, knee or any other joint that provide restoration of cartilage structure must first be approved by the attending physician.

Medications

Currently, one of the main medications for the restoration of affected joints and cartilage is considered. In addition, these medications also prevent the development and progression of degenerative processes in the musculoskeletal system. There are several classifications, but we will dwell in more detail on the one that is based on the composition of chondroprotectors:

1. Preparations containing chondroitin sulfate (, Mucosat, Structum).
2. (Artron, Flexamine, Dona).
3. Preparations based on mucopolysaccharide (Arteparon).
4. Combined drugs (Movex, Triaktiv, Artrodar).
5. Medicines with chondroitin and glucosamine (Teraflex, Artron complex).
6. Preparations from natural ingredients of animal origin (Alflutop, ).

In cases of severe joint destruction (for example, grade 2 or 3 knee arthrosis), chondroprotective drugs used to restore cartilage are ineffective.

Chondroxide

The main effect of Chondroxide is to stimulate the production of proteoglycans, helping to accelerate the processes of restoration of cartilage and bone tissue, as well as increasing the production of synovial fluid. In addition, this medicine slows the progression of degenerative disorders and has an anti-inflammatory effect.

Chondroxide is contraindicated during pregnancy and breastfeeding. The optimal duration of treatment with this drug is at least 6 months. As clinical experience of use shows, the chondrotector effect lasts for 4–5 months. If necessary, repeated courses of therapy are recommended. A package of Chondroxide tablets can be purchased at a pharmacy for 600 rubles. The drug is available by prescription.

Artron

The drug Artron has all the main therapeutic effects and actions that are characteristic of chondroprotectors. It is recommended to take Artron for at least 1.5 months. Typically, the clinical effect develops gradually and is observed after several months. In each specific case, an individual course of treatment is selected, taking into account the nature and course of the disease.

Artron helps reduce the need to use painkillers and anti-inflammatory drugs. The therapeutic effect is enhanced by simultaneous use with drugs containing chondroitin sulfate. At the same time, the drug should not be used by the following categories of people:

• Pregnant women.
• Nursing mothers.
• Children.
• Serious pathology of the kidneys and liver.
• Hypersensitivity to the active ingredients of the drug.

Sometimes there are cases of the development of adverse reactions in the form of nausea, vomiting, increased gas formation, various skin rashes and the appearance of itching. The average price for a pack of Artron tablets (30 pieces) ranges from 700–750 rubles.

The selection of the optimal chondroprotector is carried out by a medical specialist for each patient individually.

Teraflex

One of the popular combined chondroprotectors is considered to be one that contains glucosamine, chondroitin sulfate and ibuprofen. Thanks to three active substances, Teraflex not only has a pronounced chondroprotective effect, but also provides an anti-inflammatory effect.

However, the drug should not be used in patients with erosive and ulcerative pathology of the gastrointestinal tract, high potassium levels in the blood, bleeding disorders, renal and/or liver failure, as well as children under 18 years of age. In addition, it is not recommended to use during pregnancy and breastfeeding. There may be adverse reactions that disappear after stopping taking Theraflex:

• Nausea.
• Abdominal pain.
• Diarrhea.
• Flatulence.
• Skin rashes and itching.

Combining the use of the drug with other medications is possible only with the approval of the attending physician. With long-term treatment with this combined chondroprotector, blood counts and the performance of the kidneys and liver should be monitored. Available in pharmacies without a prescription. The average price for a package of Teraflex tablets (30 pieces) is approximately 780 rubles.

Rumalon

The drug Rumalon is a chondroprotector of animal origin. It is obtained from cartilage tissue and bone marrow of calves. Indications for the use of Rumalon are similar to those for other chondroprotectors. Contraindications include hypersensitivity to the active components of the drug and rheumatoid arthritis. Also, Rumalon is not prescribed to pregnant women, nursing mothers and children.

Side effects may include allergic reactions. However, such cases were recorded extremely rarely. Interactions with drugs from other pharmacological groups have not been established. To purchase this medicine, you need a prescription from your doctor. Ten ampoules of Rumalon solution cost about 1,500 rubles.

As a rule, to restore cartilage tissue in any joints (elbow, knee, hip, etc.), long-term use of chondroprotective drugs is necessary. The average therapeutic course lasts from 6 months to a year.

Nutrition

To maintain healthy joints it is necessary. However, in no case should you consider your diet as a panacea for any joint pathology. A balanced diet cannot prevent various destructions of cartilage tissue, but can significantly contribute to its restoration. Products that will be useful for the effective restoration of cartilage tissue of joints (shoulder, elbow, knee, etc.) and the spine:

1. Red pepper. In terms of the amount of vitamin C, red pepper can be compared to lemon and currants. Vitamin C is involved in the formation of the structural protein collagen, which helps strengthen ligaments, bones, cartilage and joints. Also rich in vitamin C are foods such as rose hips, citrus fruits, sea buckthorn, green bell peppers, herbs, etc.
2. Salmon. The calcium, vitamin D and omega-3 fatty acids contained in salmon will have a beneficial effect on the body's musculoskeletal system. These nutrients and trace elements are also present in trout, sardines, and mackerel.
3. Chicken eggs. Without sufficient amounts of sulfur and selenium, normal collagen formation is impossible. You can replenish your sulfur and selenium reserves by daily consuming not only eggs, but also many other available foods (chicken, cod, legumes, radishes, cabbage, garlic).

Numerous scientific studies have proven the beneficial effects of dosed physical activity and a balanced diet rich in healthy foods in the treatment of joint and cartilage diseases.

Folk remedies

Today, many patients use traditional medicine recipes in the treatment of various joint diseases. It should immediately be noted that the use of any therapeutic methods must first be agreed with the attending physician. Several folk remedies used to restore damaged cartilage tissue of joints:

• Chicken cartilage. Every day on an empty stomach in the morning we eat one teaspoon of chopped boiled chicken cartilage. You can additionally use broth from them.
• Chestnut tincture. The cooking recipe is quite simple and not labor-intensive. Grind the chestnut fruits and inflorescences. Fill with alcohol. The proportion should be as follows: for 0.5 liters of alcohol you need to take 150 grams of fruits and approximately 50 grams of chestnut inflorescences. Insist for 7 days. The tincture is used for rubbing into affected joints.
• A decoction of rye grains. Add a glass of rye grains to two liters of water. Boil for about 10 minutes, strain and let the broth cool. Then add half a liter of honey, vodka and 1 tablespoon of crushed barberry roots to the decoction. Mix and leave the liquid in a dark, cool place for 3 weeks. A decoction of rye grains infused with vodka is recommended to take 3 tablespoons three times a day before meals.

To effectively restore cartilage in the spine and joints (hip, knee, elbow, etc.), it is necessary to use an integrated approach to treatment and use all modern therapeutic methods.

Restore synovial fluid

Large joints require a normal amount of synovial fluid to function optimally. Currently, many medications have been developed that promote the production of intra-articular fluid. The most common medications from this group:

• Fermatron.
• Synocrom.
• Hyalur.

Fermatron

To restore the properties of synovial fluid, Fermatron is used, which is injected into the joint. In addition, this drug reduces inflammation, relieves pain, improves joint mobility, stimulates the production of hyaluronic acid, etc. In most cases, one injection per week is recommended. The therapeutic course averages 3-4 injections.

The clinical effect lasts for quite a long time. There are practically no side reactions. The use of Fermatron during pregnancy and breastfeeding depends solely on the attending physician. The combined administration of several drugs into a joint at once together with Fermatron is not recommended. The price of one injection of this medicine, which is produced by the British company Enzyme, is almost 6,300 rubles.

Sinokrom

Sinokrom will help improve the condition and production of synovial fluid in large joints. The recommended course of therapy consists of five injections, which are administered exclusively inside the joints. The clinical effect usually lasts for 4–6 months. It is possible to prescribe repeated courses of treatment. Contraindication for use is hypersensitivity to the active substances of the drug.

When using Syncrom, some patients experienced local adverse reactions such as joint pain, redness or swelling. If severe side effects are observed, it is necessary to remove the drug from the joint. The development of an allergic reaction (skin itching, rashes, etc.) was extremely rarely observed.

Clinical studies on the use of Synocrom in pregnant women and children have not been conducted. The question of its appointment for such patients is decided on an individual basis.

The cost of one injection is approximately 3,500 rubles.

Hyalur

Hyaluroma solution, which is injected into large joints, can be used as a temporary replacement for synovial fluid. The drug relieves pain and improves the mobility of affected joints. After one therapeutic course, the clinical effect can last up to six months or more. Hyalurom is not used in the following cases:

• Infectious joint damage.
• The presence of open and infected wounds in the area of ​​the planned administration of the drug.
• Blood clotting disorder.
• Hypersensitivity to the active components of the drug.

The introduction of Hyalurom into the joint is carried out only by an experienced specialist. An approximate treatment regimen includes 3 injections over 3 weeks (one injection every 7 days). Today, the price of one Hyalurom injection is 5,200 rubles.

The intake and use of medications in the form of tablets, capsules, ointments, gels or injections that restore cartilage tissue and synovial fluid in the knee, hip or other joint should be agreed with your doctor. Self-treatment without consulting a specialist can lead to serious consequences.