A pair of arthritis don't be osteoporosis by mistake

A pair of arthritis don't be osteoporosis by mistake
Interview and write /staff reporter Chen Jun B

The waist leg aches, the muscle bone-ache is perplexes the elderly's old trouble manily. As to this, they often get used to enriching the calcium or using analgesic blindly, what is more to regard bone arthritis as osteoporosis by mistake all the year round, have delayed treating.

As to the understanding of bone arthritis, what blind areas and mistaken ideas are there? The reporter specially interviews the tenth bone head of the department Professor Cai ZhengDong of the People's Hospital in Shanghai, listen to him talking about the law of the prevention and cure of bone arthritis.

Ms. Chen is over 80 years old this year, it is her old trouble for many years that the waist leg pains, especially the knee pains and makes her worried endlessly. Ms. Chen thought this is caused by osteoporosis, the soup of bone, calcium tablet were taken very much, but old trouble can not be broken all the time. Ache, get unable walk, she can only depend on, stop, ache slice come on, relieve.

From the beginning of this year, old women even normal walking has encountered difficulties. Under family's urgency, she has come to dept. of orthopedics of the hospital to do a detailed inspection, the doctor diagnoses what Ms. Chen suffered from is bone arthritis, because has not got the correct treatment even after stalling for a long time, the knee joint in both sides has already been deformed seriously, has needed to carry on the knee joint operation substitution. After the operation, old talents returned to normal and walked and lived at last.

Bone-ache can't be judged oneself

Shanghai ten head of the department of the People's Hospital bone Cai ZhengDong Professor point out bone arthritis call osteoarthrosis, the intersection of regression and the intersection of and the intersection of bone and arthritis,etc. too, the crowd over 50 of main good hair, women exceed men. Clinical investigation finds, the incidence of osteoarthrosis accounts for 29% in 59 to 69 years old crowd, account for 70% in 75 year old or the above-mentioned crowd. It is obvious, regression bone arthritis is a kind of typical senilization disease.

Osteoporosis is a kind of common old age degenerating disease too, will both be shown as bone-ache with bone arthritis, but pain that osteoporosis causes usually the skeleton ache all over, and is often continuation.

Bone arthritis can take place to all joint of whole body, but kind to take place bigger knee joint, hip joint, backbone,etc. shouldering a heavy task, mainly pain is obvious when showing as the joint beginning activity, pain is lightened after moving about slightly, and as more or joint of shouldering a heavy task when activity too much, pain can be aggravated. Sometimes, pain is the radioactivity, for instance, the hip joint can be radiated inside the thigh, near the knee joint while paining.

The bone arthritis patient will present the joint stiffly while having illness coming on early, when being in some integrative location for a long time such as the knee joint, will present the activity unfavorably, will start the difficulty. Will present the joint gradually the unstable, joint crooks and stretches reducing and ability of walking of scope of activities to drop with the aggravating of disease, it is very obvious that ability such as especially the upper and lower steps, squating down, running, jumping drop. The patient may present the deformity of lower extremities in some osteoarthrosis later period, among them the deformity of knee joint is the most common, the patient even wants to rely on the walking stick to walk.

Professor Cai ZhengDong reminds, once the elderly present bone-ache, don't judge for oneself easily, it is inadvisable to enrich the calcium blindly or take analgesic at will, should go to the hospital to do the relevant inspection in time, ask the professional doctor to make accurate diagnosis, so as not to misdiagnose, leak the emergence that is examined.

Four respects of attention of checking erroneous ideas at the outset

Professor Cai ZhengDong points out, though bone arthritis is comparatively common in the elderly, but can prevent effectively in daily life, should accomplish the following four points mainly:

First, try hard to prevent the joint from shouldering a heavy task. The elderly had better not frequently upper and lower stair and mention heavy object, in case that joint load too big aggravating jointing, retreating, changing.

Second, keep the weight, prevent the fat. Because the fat will aggravate the burden of the joint, the weight exceeds standard, reduce weight actively.

Third, participate in the outdoor sports appropriately, prevent excessively doing exercises. The elderly are favorable to physically and mentally healthily participating in the outdoor sports actively, but should pay attention to avoiding excessively doing exercises, so as not to cause the joint, ligament and muscle to damage.

Fourth, rational diet. Eat more food containing protein, calcium, such as milk and milk product, beans and soyfood, fishes and shrimps, kelp,etc., unless it can supplement, calcium on protein, last osteoporosis,also can nutrition cartilage and joint, lighten joint inflammation.

The regular treatment does not believe the folk prescription

As to the treatment of the early bone arthritis, mainly lie in protecting the joint, lightening symptom. The patient should restrain the joint from shouldering heavy work to move, avoid that has too stood for a long time or walked at a long distance, can use the cane to give much trouble the load of the joint in order to lighten. Meanwhile, the ill joint will certainly be should pay attention to cold-proofly and avoiding the chilled, disease can stay in bed in a short time while breaking out, totally apply the brake.

Acute joints generate heat, swelling one, should carry on the part and have a cold compress first, employ and give a hot compress to after bringing down a fever and subsiding swelling. Can treat infrared ray, ultrashort wave, acupuncture and moxibustion, wax treating, massage,etc. in chronic one under the guidance of doctor.

It is essential too for the appropriate function to temper. Rational exercise can resume contractile force of muscle, flexible degree of joint and prevent and cure osteoporosis. Professor Cai ZhengDong says, many patients will do exercises blindly, do disco, even run, climb etc., will increase joint load instead, cause the further damage of the cartilage, aggravate symptom.

Correct exercise means that tries hard to crook and stretch the activity under the situation not weighted of joint, propose healthy limbs shoulder a heavy task standing, suffer from the limb and crook and stretch the joint, or the seat carries on the joint and crooks and stretches doing exercises. Try not to squat down and aggravate the activity of joint load in a moment. The best method to temper the hip joint, knee joint is to practise sit-ups, straight leg to raise etc. on the bed. In addition, swimming is an item of sports events very suitable for the regression knee bone arthritis patient, it have overweight burden to knee joint, can enable sufficient activity of muscle.

As to the thing that not take a favorable turn yet through regular drug therapy, and influence walking and patient in later period of daily life, should as soon as possible operation,don't last those so-called folk prescription, plaster.

About the Experts

Cai ZhengDong Tongji University attach to ten head of the department, bone of the People's Hospital, the professor, doctoral supervisor, post-doctor guide teacher, centre director, bone of Tongji University and soft tissue tumour of Shanghai first aid injury and diagnose the centre director. The speciality is good at bone tumour and surgery and artificial joint surgery.

The expert's consulting hour: Every Monday morning
A pair of arthritis don't be osteoporosis by mistake