There are many pathologies of joints, they vary by origin, development mechanisms, symptoms and treatment methods.Often, among others, arthritis and arthrosis are diagnosed.The disease is the same, but it has some important differences.Differential diagnosis is required for proper selection of therapy and timely prevention of complications.To avoid misunderstandings and confusion, you need to think about how different arthrosis is, and what are the two diseases.
What is arthritis and arthrosis, how are they different
Arthritis, arthrosis - two different diseases that affect the joints.Although the consonant of the term, this is not the same diagnosis, and more is not synonymous.They have both general and different signs, so they cannot be confused.
Arthrosis is a joint pathology of degenerative-dystrophic, which is a feature:
- damage to cartilage tissue with ligaments, muscle, synovial shell gradually, bone in a destructive process;
- non -inflammatory character;
- Chronic course forms;
- It develops locally, without affecting the body as a whole.
Arthrosis occurs mainly in adulthood, after 45 years, in women against the background of body aging, wearing the musculoskeletal system.Sometimes it appears younger due to significant physical efforts, severe injuries, poor working conditions.According to international classifications, MKB-10, the M15-M19 code is provided.
Arthritis is a collective term that includes any joint disease:
- is inflammation;
- It is more frequent in acute form, turning to chronic;
- affect bone tissue and joint cavity;
- It occurs as a systemic lesion, with the involvement of several articular compounds and target organs at the same time in the pathological process.
Adults under the age of 40, as well as children, are subject to arthritis.The disease can be reversed, successfully treated subject to timely medical help.According to the classification, the ICD-10 has a M00-14 code.
Arthritis and arthrose pathology are often related.Incomplete arthritis with age leads to dystrophic changes in the cartilage.Instead, arthrosis during the suppression period is accompanied by tissue inflammation.A common disease is called arthroso arthritis.
A type of disease
Arthritis in official medical classification is divided into species according to several criteria.Depending on the shape, acute (severe inflammation, can be cured to cure) and chronic (pathology that cannot be treated with severity).According to the degree of damage to the joints, there is monoarthritis (in one joint), oligoarthritis (in 2-3 joints), polyarthritis (various inflammation).
The most popular arthritis classifier is considered to be the original:
- Rheumatoid - the main cause lies in the genetic disorders of the autoimmune properties;
- Contagious (septic) - the development of pathogenic microflora directly in the articular cavity;
- reactive - secondary complications of respiratory infections, genitourinary, intestines;
- traumatic (post -traumatic) - formed due to mechanical damage to bones, tendons, muscles, ligaments;
- gouty - a violation of metabolic processes in the body;
- Rheumatic - develops after bacterial infections in the body.
Arthrosis is characterized by chronic exclusive forms with damage to one articular compound.It affects the mobile joints in the human body - feet (knees, ankles, feet), hands (shoulders, elbows), and jaw and vertebral areas.
Depending on the localization, it is divided into:
- knee (gonarthrosis);
- hip (coksartrosis);
- ankle;
- brachial;
- elbow;
- hands;
- toes;
- spondylarthrosis;
- cervix (unkwertbral);
- Nomplete landing (VMS).
Therapy largely depends on the type of articular pathology, especially arthritis.
Differences of causes of arthritis and arthrosis
Arthritis and arthrosis occur in the background of many bad factors.The second common provocator -two diseases are:
- genetic tendency;
- injuries (bruises, dislocations, subluxation, stretching, fractures);
- Congenital anomalies in the development of the musculoskeletal system;
- metabolic and hormone disorders;
- severe chronic diseases (rheumatism, tuberculosis, diabetes mellitus, thyroid problems);
- improper lifestyle (low activity, poor nutrition, overweight, bad habits);
- Significant physical and emotional burden.
Listed deviations affect the body as a whole, which significantly increases the risk of articular disease.But there are more direct and obvious reasons for each disease separately.
Very important in the development of arthritis games:
- Viral infections, fungus, bacterial origin (influenza, salmonellosis, hepatitis, tonsillitis, intestinal infections, borrell, syphilis);
- Autoimmune pathology (psoriasis, double sclerosis, red lupus);
- metabolic violation (gout);
- bone disease (osteoporosis, osteomyelitis, osteochondrosis, osteoarthrosis);
- allergic reactions;
- low immunity;
- Surgical operation on the joints.
The impulse for pathology can be a shallow hypothermia, poor sanitary life, an unbalanced diet.
What is the difference between arthrosis and arthritis?Degenerative changes in cartilage for arthrosis, in addition to the common causes listed, occur on the grounds of:
- age -related disorders of the musculoskeletal system;
- the process of inflammation that is not used in the joints (arthritis, synovitis);
- poor blood circulation (atherosclerosis, varicose);
- Professional activity (athlete).
Usually, articular pathology is the result of several internal and external factors at once.
The difference between arthritis and arthrosis in symptoms
Symptoms of two diseases in general manifestations are quite similar.Inflammatory damage and non -inflammatory joints are characterized by:
- pain in various intensity;
- feeling of stiffness and stiffness;
- Crunch and crak while walking;
- discomfort after rest;
- painful reactions to weather changes, physical activity;
- External deformation of the affected area.
At the same time, the nature and time of the unpleasant sensation, the severity and intensity of the pathological process vary significantly.
With these signs, you can understand what the disease is in front of you - arthritis, arthrosis, what is the difference between them:
- Pain for arthritis occurs suddenly -Suddenly against relative health background, with arthrosis, it gradually increases when dystrophic changes in cartilage develop -from months to several years;
- Arthritis is painful at night and morning, decreasing after joint development, arthrosis, on the contrary, restoring and increasing significantly when moving (at the last stage it is always present);
- Arthritis is always accompanied by inflammation with swelling, redness, hyperemia, local temperature increases, for arthrosis, such courses are features only during severity;
- Arthritis is systematic, which involves the left and right joints of the foot or arms in the same process, as well as affecting the heart, light, skin, vessels, nervous system.Arthrose lesions usually do not exceed one pathological joint;
- In the early stages, its appearance is distinguished -with arthritis, tissue inflammation is clear, where it is swollen and hot, with arthrosis no visual change, and only in cases of better than both diseases, real joint defects;
- General well -being with arthritis is worsening - rising temperatures, weaknesses, weaknesses, appetite, weight loss (in chronic form this sign may not be present).Symptoms of such symptoms do not interfere with the patient with arthrosis, only painful and less working joints are the focus.
At different stages of the disease, the clinical picture may vary significantly.It is possible to make the right diagnosis only after the complete examination.
Diagnosis of differential arthrosis and arthritis
At the first signs of the joint disease, it is necessary to sign up to consult a doctor.An arthrologist is involved in such a pathology, who knows exactly how to recognize arthritis and arthrosis and what their difference is.If there are no specialists in the clinic, you can visit orthopedic, traumatologists, osteopaths, rheumatologists, surgeons.With arthritis, depending on the etiology of the disease, additional consultation of infectious diseases, immunologists, neuropathologists, endocrinologists, cardiologists may be needed.
Based on the confrontation and early diagnosis, it is difficult to make the right diagnosis.
A number of instrumental research is required:
- Radiography to determine joint conditions, injury recognition, neoplasms;
- CT and MRI for detailed consideration not only the joint cavity, but also the soft tissue;
- Ultrasound - is carried out if there is a contraindication for X -ray and tomography.
All of these methods are quite informative, apply to both pathology.
If arthritis is suspected, you cannot do without a laboratory test that allows you to identify the cause of the disease and determine the general condition of the body:
- blood tests for leukocytes, ESR, special markers;
- Urine analysis for uric acid salts;
- rheumatic tests to detect rheumatoid factors;
- immunological tests to evaluate the condition of the body's immune defense;
- PCR diagnostics on pathogens of infection;
- Arthroscopy for synovial liquid fences for analysis.
A set of methods selected individually based on clinical pictures and preliminary examination of the specialist.Full examination does not take much time, but it is very important to make a differential diagnosis and prescribe appropriate treatment.
Differences and features in the treatment of each disease
Both of these diseases involve special therapy, without arthritis pass through a chronic form, and arthrosis prevents performance.
The general principle of treatment is similar, but the task is different:
- With arthritis, the main goal is to relieve inflammation, eliminate painful symptoms, prevent complications to other organs;
- With arthrosis, due to the inability to fully cure the disease, the main therapeutic emphasis is to relieve pain and stop the dystrophic process in the cartilage.
Complex Steps -Medical steps should include medicines in the form of tablets, ointments, creams, solutions, powders, injections.As an additional method, folk recipes, physiotherapy, and therapeutic training are used.In advanced cases, you cannot do without surgical intervention.
Therapy is carefully selected according to individual instructions.There is no universal remedy for arthritis and arthrosis, self -medication is prohibited.
Arthritis and arthrosis - what is the difference in drug treatment
Pharmaceutical drugs are part of the second treatment of diseases.You cannot do it without them with arthritis due to the presence of a strong inflammation process.In their therapy used:
- Anti -inti -Non -medicine in the form of tablets, powders, ointments.The drugs of this group only stop inflammation and unpleasant symptoms.
- Immunosupressors.Oppress their own immunity with autoimmune origin.
- Corticosteroid hormone.Choose severe pain with a tablet or intra -articular injection.
- Antibiotics.They have antibacterial effects with the presence of infectious processes in the body and joints.
NSAIDs and corticosteroids are effective during the period of arthrosis, when inflammation and severe pain are attached to the pathological process.In addition, the disease involves the use of:
- Chondroprotectors to restore cartilage and stop the destruction of joints.Long, powder is used to receive orally, intramuscular and intra -articular injection.
- Oral Painkiller.
- Vasodilator drugs to improve blood flow.
- Musorelaxants from hypertonicity and muscle spasming.
- Vitamin complex to improve metabolic processes and prevent systemic complications.
Chondroprotective agents and vitamins are also shown in several forms of arthritis, especially in chronic form.
Proper therapy is selected according to the results of the examination, taking into account the age and well -being of the patient.
Ointment from arthritis and arthrosis
Symptom therapy is the same for arthritis and joint arthrosis.Various creams, ointments, gels work domestically, eliminate inflammation, pain, swelling, discomfort.In addition, they have no systemic effect on the body.
Can reduce the condition:
- Anti -anti -ingredients based on special ingredients;
- Anti -Ssteroid Anti -Medicine Medicines;
- painkillers and heating;
- Local medicines that increase blood flow and elasticity of muscles based on snakes and bees;
- ointment with shark fat, activates metabolic and regenerative processes in the joints;
- Rubbing with analgesic and anti -anti -anti -anti -anti -anticipation.
Local funds rarely cause side effects, but do not forget about possible skin allergic reactions.
Traditional medicine
People's methods are good assistants in the treatment of arthritis and arthrosis.Home recipes based on natural components have the effects of symptoms that are mostly used as additional tools.
With inflammation with arthritis, you can do:
- Compress at night from burdock leaves, white cabbage, aloe vera, wash first and slightly decreased to secret the juice;
- Warm baths from pine needles, steaming joints in boiling healing;
- grinding the affected area from the egg yolk, spoon of apple vinegar and turpentine grass;
- Sage herbs, wort and braids St.John, burning 2 tablespoons of the boiling water in half, taking 0.5 cups before meals.
To reduce the condition with arthrosis will help:
- compress from ginger root, scarring on the scars and attached to the joints to stimulate blood circulation and heating effects;
- Rubika for 50 g of honey and 1 teaspoon.mummy healing;
- pepper patches or mustard compress as a thermal procedure;
- Bath based on boiling mint leaves or salt soda solution.
All recipes can be used for both diseases, but only after consulting with the attending physician.Home treatment can help, eliminate unpleasant sensations and hazards, causing allergic reactions and severity.
Exercise for arthritis and arthrosis
The purpose of therapeutic gymnastics is the recovery of joint mobility and prevention of deformation.
In the same way, this task is important for all articular pathologies:
- For hip areas - squats at the right angle, swing their feet forward and backwards, "bike" and "scissors" exercises in positioning;
- For the knee - sitting on the heel from the position above the knee and rising, the "bike" exercise - standing the circular motion standing with the knee with a closed foot, slowly moving with "geese";
- For the ankle - to massage everyone separately, turn the clock clockwise and fight, stretch the socks from you and to yourself;
- For brushes and fingers - make a circular movement with a brush in different directions, squeeze and shot the hand, rotate the round object in your hand;
- For shoulder tie - to rotate back and forth, lift his hands and shoulders alternately.
All exercises can only be done during the disease of the disease by solving a doctor.
Additional therapeutic techniques
Joint treatment is not limited to medical and people's methods.It is important to perform comprehensive therapy, especially at the recovery stage after acute and joint mobility recovery.
Experts recommend:
- massage to reduce pain and develop affected joints (dots, honey, manual techniques);
- Physiotherapy procedures to improve cell metabolism, accelerate tissue regeneration, prevent complications (magnetotherapy, ultrasound, electrophoresis, paraffinopia);
- alternative medicine (hirudotherapy, acupuncture, kinesitherapy);
- Proper nutrition (diet) with dominance of fruits and vegetables, is the rejection of harmful foods and alcohol;
- Sanatorium-resort treatment with full therapeutic service complex.
In advanced cases, and this is often the case with arthrosis, you need to use radical surgical methods.Sinectomy, arthroplasty, endoprosthetics, arthrodesis will help the joints restore the joints.Prior to this, the disease was better not to allow, implementing all medical prescriptions.
Conclusion
We offer brief information on arthrosis and arthritis disease, what is the difference in all important criteria:
| Criteria | Arthritis | Arthrosis |
| Etiology | Inflammatory diseases, mostly acute forms | Degenerative-Dystrophic Course, Chronic Exclusive |
| Cause | Infection, autoimmune and metabolic disorders | Age -related changes in the musculoskeletal system, arthritis below |
| Injury, hormone failure, large angles, inactive and unhealthy lifestyle, chronic pathology | ||
| Symptom | Appearance suddenly —the, spoken, there are normal drawbacks | Growth gradually, the symptoms are local |
| Pain, cramps, stiffness, stiffness during walking, external deformation (at the last stage) | ||
| Diagnostics | Blood and urine laboratory tests | - |
| X -ray, ct, mri | ||
| Treatment | NSAIDs, corticosteroids, immunosuppressants, antibiotics | Chondroprotectors, analgesics, muscle relaxants, hormones, vitamins |
| Prophesy | In most cases, complete recovery, rarely - transition to chronic form | The gradual destruction of joints, followed by loss of mobility, defect, need for surgery |