What is osteoarthritis?
Osteoarthritis is the wear and tear of joint structures. It usually refers to the destruction of joint cartilage. In principle, this wear and tear can occur on all joints of the human body. However, osteoarthritis is increasingly developing in hip and knee joints.
How does osteoarthritis develop?
A change in pressure in the joint causes the cartilage to soft first (chondromalacia).
The wear develops, the cartilage ruptures and is unable to distribute pressure more poorly. This is where the first pain occurs.
If the defective cartilage is further stressed, the cartilage is increasingly broken down. As a result, the distance between the bones is reduced and the load on the bones increases.
In the final stage, the Cartilage is almost completely broken down and the bones rub directly against each other, causing severe pain for those affected.
symptoms of osteoarthritis
- Severe pain
- Restricted mobility
- Stiffness of the Joint
Causes of Arthrosis
Physicians generally differentiate between primary and secondary osteoarthritis.
Primary osteoarthritis is the wear and tear of a healthy joint for no apparent reason. The cause of primary osteoarthritis is unknown. Favourative factors include:
- overload (physical work, too much physical activity)
Secondary osteoarthritis is caused by joint injuries. Especially in the case of fractures in the knee and ankle joints, even the smallest axial deviations result in a shift in the pressure load. This burden then results in osteoarthritis.
How is osteoarthritis treated?
For all forms of osteoarthritis, the rule is “who rests, rusts.” But how should you move when pain limits this?
A detailed therapy concept is required here. This includes correcting the axle position and, if necessary, reducing excess weight. Under guidance, the muscles around the affected joint are strengthened. The focus is on building muscles and thus strengthening the joint-carrying muscles. By strengthening the muscle in this way, the patient's pain can be reduced.
Further strengthening takes place by itself, as reducing pain can increase the patient's activity again. However, patient motivation is important. Because without the patient's cooperation, there is no effective therapy.
If satisfactory results are not achieved as a result of the above mentioned initial measures, the further procedure depends on the age of the patient.
Especially in the initial stages of osteoarthritis, there are good opportunities to regenerate cartilage using the body's own substances without surgery.
1. Cartilage induction/cartilage regeneration
In the case of cartilage damage from the third degree onwards, cartilage regeneration can only be carried out through surgery. Our many years of experience show that cartilage induction followed by stem cell therapy from lower abdominal fat achieves the best results in cartilage regeneration. This therapy can be performed on knee and ankle joints.
From the age of 65, cartilage regeneration takes place with high-molecular hyaluronic acid. This therapy can be performed on the shoulder, hip, knee and ankle joints.
2nd joint replacement
If osteoarthritis is in its final stages and all conservative measures have been exhausted, all that remains is joint replacement. Here, the patient should actively approach the doctor. Because anyone who can no longer go about everyday life without pain should address the issue of an artificial joint.
11. How is the recovery process going?
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 procedure. In any case, it will take several weeks before you can walk again without crutches after knee surgery, until you can fully exercise your knee again, usually up to six months, in some cases even 12 months.
In the case of a cartilage cell transplant, for example, the knee is usually able to regain normal strength only one year after the operation. The recovery process for cruciate ligament ruptures also takes a very long time; a full load may take place after six months at the earliest. This is more difficult to assess during meniscus surgery. The healing process can take from one week to six weeks. Whatever knee surgery you have, it is very important that physiotherapy starts immediately after the operation and that the recovery process is well supervised by professionals. Therefore, do not miss the follow-up tests. They contribute to the fact that
Whatever knee surgery you have, it is very important that physiotherapy starts immediately after the operation and that the recovery process is well supervised by professionals. Therefore, do not miss the follow-up tests. They help make the operation worthwhile for you and hopefully you can move (almost) pain-free again.