Don't despise " Spur " , " osseous hyperplasia

Don't despise " Spur " , " osseous hyperplasia "
Shanghai Communications University medical college subsidiary Chen Xiaodong of dept. of orthopedics of Xinhua hospital

Well-known doctor's file

Chen Xiaodong

Head of the department bone of Shanghai Communications University medical college subsidiary Xinhua hospital, tutors of chief physician, professor, doctoral candidate. Professional committee's committee member of dept. of orthopedics of medical association of Shanghai, study group's committee member in national wound, scientific group's vice group leader of bone of wound of Shanghai, dept. of orthopedics of Shanghai quality committee members of control centre, surgery's professional committee's committee members of hand of medical association of Shanghai, learns(AO/ASIF) in world fixedly Lecturer ( China district) . " the the intersection of Chinese and the intersection of hand and surgical magazine ", " dissect with clinical " many of the intersection of magazine and editorial member. Good at the deformity of hip joint ' Hip dislocate and hip mortar bad in development and the hip is looked through, the hip is valgus) Make a diagnosis and give treatment, the artificial joint is replaced to treat hip joint and knee articulating bone arthritis, make a diagnosis and give treatment in treatment and perineural disease of the complicated joint wound. The expert's consulting hour: Tuesday afternoon, Thursday morning.

Symptom of bone arthritis

Bone arthritis is a kind of common disease of dept. of orthopedics, are also called bone arthritis, commonly called as " long spur " , " osseous hyperplasia " . It is by damaging the disease of articular cartilage, then influence whole joint structure such as the muscle, slippery membrane, ligament, cartilage, cause joint deformity and function to lose finally.

The main symptom of bone arthritis is that the joint pains, slight in initial stage, and then more and more obvious, aggravate after fatigue, have a rest and take a favorable turn. Patient discover joint activity inconvenient, upper and lower floor and squat down, stand difficult gradually, become flexible to need through the activity of certain time after or have a rest from morninging. When with slippery membrane inflammation, obvious swelling of the joint, the activity is restricted. Dysarthrosis, present turning over and flexing contracture,etc. inside of the joint when being serious.

Primary bone arthritis sees more the elderly over 50, women meet more, the good hair is shouldering a heavy task in joint positions such as bigger knee, hip,etc.. In countries such as Great Britain and America,etc., the crowd hits the bone arthritis patient Gao Da over 65 58% - 70% . In Shanghai, the community investigates that reports 80% suffer from the bone arthritis in the crowd over 55, among them 10% - 30% There is symptom.

Know bone arthritis correctly

With the senilization of the population of our country, bone arthritis patient is increasing constantly. But the national knowledge of bone arthritis is insufficient at present, the patient lacks of understanding to the harmfulness of this disease, there is worry to the surgery treatment too. And bone arthritis causes the joint to pain, especially more obvious while moving about, the function of the joint is limited when being serious, even disable, bring inconvenience to daily life or can't take care of oneself, life quality drops seriously. So, the prevention and making a diagnosis of bone arthritis is a question of deserving the close attention of everybody.

Dangerous factor of bone arthritis

The emergence of bone arthritis relates to a lot of factors:

1,Age: The intersection of bone and arthritis take place seldom before the 40 year old, generally common on 50 and after the 60 year old.

2,Gender: Women see more, and bone arthritis is often relatively serious.

3,Fat: Study and reveal, if overweight 20% of weight, the probability of the onset will increase by 40%. Meanwhile, once take place the intersection of bone and arthritis, because activity reduce, also can aggravate further while being fat.

4,The joint is damaged: Joint traumatism or operation will cause bone arthritis on later stage. The abnormal development of joint will cause bone arthritis of deuterogenesis too, perthes disease such as the hip joint. Strong repeated the intersection of joint and activity too can cause injury to joint, so heavy worker and professional athlete apt to take place bone arthritis.

5,Heredity: Bone arthritis of some positions has stronger family's sexual orientation, the nodular bone arthritis substantially as pointing minor details, ask, wish uncle publishes (heberden) also Tubercle. It proves morbidity heredity degree of the backbone, hip, knee and hand is above 50% to otherwise study.

6,Other joint diseases: If a kind of wind turns off, smooth membrane cartilage tumour and disease, continue and send bone arthritis.

How to slow down to have illness coming on

Can't totally prevent the emergence of bone arthritis yet at present, can reduce or delay its having illness coming on by some methods.

Notice the joint is cold-proof at first. The cold can aggravate the outbreak of inflammation, thus cause the joint to pain. So the cold-proof extraordinary importance of the joint. Can wear the knee-pad, or wear thicker resisting cold clothes, even if it is in summer, it is also very beneficial to wear the knee-pad in the room with air conditioner.

Secondly should avoid doing the sports weighted and doing exercises, for instance: Climb, climb the stair, walk even practise taijiquan etc. at a long distance. Because the load that the joint bears is the triple when walks in the level land in the course of climbing the stair, the damage to the joint is very great, so, the patient with arthritis should not climb more floors.

We maintain that some following activities are done:

The first kind is extension and unfolding sports of the joint, can do every day. , the activity of the low first class shank that for example resume, the extension sports of the hip, knee joint, crooked the leg, stretched one's legs, lay or sat can do ing.

The second kind is training for the muscle strength, or do every other day every day. As to bone arthritis of knee, need to carry on four heads of skin of strand and do exercises, can be in case of seat, stretch shank, make strand four skin, have nervous sense, insist 5 seconds, then put down the leg, relax, two legs are done alternatively, it takes 15 minutes each time. If insist on doing exercises, the strength of muscles has been strengthened, can also increase some resistance on the basis of shank.

For aerobic in third sport,it for example not swim, by bike, take a walk and jog, aerobics can increase the strength of muscles, can also improve functions of heart and lungs, favorable to the long-term improvement of the joint function.

Treatment to the ill of different periods

Bone arthritis is treated in early days, can select the walking stick for use in order to lighten the load of the joint, also can relieve pain and stiff through the physiotherapy, keep activity degree of certain joint, keep being given much trouble the muscle tension around the joint, increase the stability of the joint. Add drug therapy when symptom is obvious, relieve pain of the joint, improve the joint function.

Drug therapy can lighten symptom within some time, but there is not a medicine to make the course of disease of bone arthritis reverse and stop yet, so just give temporary relief without get a permanent cure. The only valid therapeutic method is the surgery in later period in China, mainly include cutting bone skill and artificial joint and replacing the skill. Cut the intersection of bone and skill, suitable for more the intersection of age and relatively small and bone the intersection of arthritis and the intersection of intensity and in weight patient, its advantage lies in keeping original joint deformity of simultaneous correction of one's own joint, the expenses are cheap, can relieve pain effectively. The skill is a kind of very ripe operation that the artificial joint is replaced, it does not all excise the bone joint, but have already abraded the joint surface destroyed to excise, and then put the artificial joint in as having a denture made, resume the smooth joint surface again, thus relieve pain effectively and improve the joint function, improve life quality, but certain operation complication exists, and the expenses are relatively expensive, advise the patient to go to the general hospital with relevant qualification to go to a doctor.

In a word, disease of progress that bone arthritis one kind develops with the age slowly, should be chosen different treatment measures in different periods of disease. We should correct the attitude while knowing this disease even more, overcome and fear the psychology, prevent actively, cooperate and treat, thus obtain ideal life quality and enjoy bright life.
Don't despise " Spur " , " osseous hyperplasia "