There are many joint pathologies, they vary from origin, development mechanism, symptoms and treatment methods.Most of the time, among others, arthritis and arthrosis are diagnosed.Diseases are similar, but have some important differences.Differential diagnosis is necessary for the correct selection of therapy and the timely prevention of serious complications.To avoid misunderstanding and confusion, you should find out how arthrosis differs and what are the two diseases.
What is arthritis and arthrosis, how they differ
Arthritis, arthrosis - two different diseases that affect the joints.Despite the consonance of the terms, this is not the same diagnosis, and even more not the synonyms.They have general signs and various, so they should not be confused.
Arthrosis is a degenerative-distributional joint pathology, which is characteristic of:
- Damage to cartilage tissue with the gradual involvement of ligaments, muscles, synovial shell, bones in the destructive process;
- non -inflammatory character;
- chronic form of the course;
- It develops locally without affecting the body as a whole.
Arthrosis occurs mainly in adulthood, after 45 years, in women at the bottom of the aging of the body, the wear of the musculoskeletal system.Occasionally, it appears in younger people due to significant physical effort, heavy injuries, adverse working conditions.According to the international classifier, MKB-10, an M15-M19 code is assigned.
Arthritis is a collective term that includes any joint diseases:
- It is inflammatory;
- It is more often searching acutely, becoming chronic;
- affects bone tissue and joint cavity;
- It occurs as a systemic lesion, with the involvement of several joint compounds and target organs at the same time in the pathological process.
Adults under 40, as well as children, are subject to arthritis.The disease is reversible, successfully treated, subject to the search for timely medical help.According to the classifier, the ICD-10 has an M00-14 code.
Arthritic and arthone pathologies are often interconnected.Incomplete arthritis aged leads to dystrophic changes in cartilage.In turn, arthrosis during periods of exacerbation is accompanied by inflammation of the tissues.An articular disease is called arthrose arthritis.
Types of diseases
Arthritis in the official medical classification is divided into species according to various criteria.Depending on the form, acute (severe inflammation, subject to cure) and chronic (incurable pathology with exacerbations).According to the degree of joint damage, there is monoarthritis (in a joint), oligoarthritis (in 2-3 joints), polyarthritis (multiple inflammation).
The most popular classifier of arthritis is considered according to the origin:
- Rheumatoid - The root cause is in autoimmune genetic disorders;
- Infectious (septic) - the development of pathogenic microflora directly in the joint cavity;
- Reactive - secondary complication of respiratory, genitourinary and intestinal infections;
- Traumatic (post -traumatic) - is formed due to mechanical damage to bones, tendons, muscles, ligaments;
- Exchange (GOUTHY) - In violation of metabolic processes in the body;
- Rheumatic - develops after a bacterial infection in the body.
Arthrosis is characterized by an exclusively chronic form with damage to a joint compound.It mainly affects movable joints in the human body - legs (knee, ankle, foot), hands (shoulder, elbow), as well as the areas of the jaw and vertebral.
Depending on the location, it is divided into:
- knee (gonarthrosis);
- hip (cOKSARROSIS);
- ankle;
- brachial;
- elbow;
- hands;
- leg thumb;
- Vertebral column (spondilartrosis);
- Cervical (unkwertbral);
- Landing-Nichete (VMs).
Therapy depends largely on the type of joint pathology, especially arthritis.
The difference in the causes of arthritis and arthrosis
Arthritis and arthrosis occur against the background of many adverse factors.The common provocates of both diseases are:
- genetic predisposition;
- lesions (bruises, displacements, subluxation, stretching, fractures);
- Congenital anomalies in the development of the musculoskeletal system;
- metabolic and hormonal disorders;
- severe chronic diseases (rheumatism, tuberculosis, diabetes mellitus, thyroid problems);
- Inadequate lifestyle (low activity, low nutrition, overweight, bad habits);
- Significant physical and emotional loads.
Listed deviations adversely affect the body as a whole, which significantly increases the risk of joint disease.But there are more direct and obvious causes of each disease separately.
Of great importance in the development of the arthritis game:
- viral, fungal bacterial infections (influenza, salmonelosis, hepatitis, tonsillitis, intestinal infection, borrell, syphilis);
- Autoimmune pathologies (psoriasis, multiple sclerosis, red lupus);
- metabolic violation (gout);
- bone diseases (osteoporosis, osteomyelitis, osteochondrosis, osteoarthritis);
- allergic reactions;
- Low immunity;
- Surgical operations in the joints.
The impetus for the occurrence of pathology can be banal hypothermia, bad health living conditions, 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 for reasons:
- disorders related to the age of the functionality of the musculoskeletal system;
- Inflammatory process not used in the joints (arthritis, synovitis);
- Low blood circulation (atherosclerosis, vary);
- Professional activities (athletes).
Normally, joint pathology is the result of several internal and external adverse factors at the same time.
The difference between arthritis and arthrosis in symptoms
The symptoms of two diseases in the general manifestations are quite similar.Inflammatory and non -inflammatory damages of the joints are characterized by:
- pain of various intensity;
- a sense of rigidity and rigidity;
- crispy and grinding while walking;
- discomfort after prolonged rest;
- painful reaction to climate change, physical activity;
- External deformation of the affected area.
At the same time, the nature and time of unpleasant sensations, the severity and intensity of the pathological process differ significantly.
By 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 in the context of relative health, with arthrosis, gradually increases as dystrophic changes in cartilage are progressed - from a few months to several years;
- Arthritis is painfully disturbed at night and morning, decreases after joint development, pain in arthrosis, on the contrary, disappears at rest and increases significantly when moving (in the last stage, is constantly present);
- Arthritis is always accompanied by an inflammatory process with swelling, redness, hyperemia, local temperature increase, for arthrosis, this course is characteristic only during periods of exacerbations;
- Arthritis is systematic, involving the left and right joints of the legs or arms in the process at the same time, and affects the heart, light, skin, vessels, nervous system.The artery injury usually does not go beyond a pathological articulation;
- In the early stages, the appearance is distinguished - with arthritis, the inflammation of the tissues is clearly visible, the place is swollen and gets hot, with arthrosis there are no visual changes and only in advanced cases of both diseases the manifesto of joint deformation;
- Well, well -Gest with arthritis worse -the temperature increases, there is weakness, bad -staring, appetite disappears, the weight is reduced (chronicly, this sign may be absent).Such symptoms do not bother arthrosis patients, only a painful and poorly working articulation is at the center of attention.
At different stages of the disease, the clinical picture may vary significantly.It is possible to make a precise diagnosis only after a complete exam.
Differential diagnosis of arthrosis and arthritis
In the first signs of joint disease, it is necessary to register for a consultation with a doctor.An artroologist is involved in such pathologies, who knows exactly how to recognize arthritis and arthrosis and what their difference is.If there is no such expert in the clinic, you can visit an orthopedist, traumatologist, osteopath, rheumatologist, surgeon.With arthritis, depending on the etiology of the disease, an additional consultation by a specialist in infectious diseases, immunologist, neuropathologist, endocrinologist, cardiologist may be necessary.
Based on confrontation and initial diagnosis, it is difficult to make a precise diagnosis.
A series of instrumental research is needed:
- Radiography to determine joint condition, lesions recognition, neoplasms;
- CT and magnetic resonance imaging for detailed consideration not only of joint cavities, but also of soft tissues;
- Ultrasound -is performed if there is against -indications for radius -x and tomography.
All of these methods are quite informative, applicable to both pathologies.
If arthritis is suspected, you will not be able to pass without laboratory tests that allow to identify the root cause of the disease and determine the general condition of the body:
- Blood tests for leukocyte level, ESR, specific markers;
- urine analysis for uric acid salts;
- Rheumatic tests to detect a rheumatoid factor;
- Immunological test to evaluate the body's immune defense state;
- PCR diagnoses on the infection pathogen;
- Arthroscopy for about synovial fluid for analysis.
A set of methods is individually selected based on a clinical image and a preliminary inspection of an expert.A complete exam does not take much time, but it is very important to make a differential diagnosis and prescribe proper treatment.
The difference and characteristics in the treatment of each disease
Both diseases involve special therapy, without which arthritis passes in a chronic form, and deprived arthrosis of performance.
The general principles of treatment are similar, but the tasks are different:
- With arthritis, the main objective is to relieve inflammation, eliminate painful symptoms, avoid complications with other organs;
- With arthrosis, due to the inability to completely cure the disease, the main therapeutic emphasis is on the relief of pain and stopping dystrophic processes in the cartilage.
The medical measures complex necessarily includes drugs in the form of tablets, ointments, creams, solutions, powders and injections.As auxiliary methods, folkloric recipes, physiotherapy and therapeutic exercises are used.In advanced cases, you cannot pass without surgical intervention.
Therapy is carefully selected according to individual indications.There is no universal medicine for arthritis and arthrosis, self -medication is prohibited.
Arthritis and Arthrosis - What is the difference in drug treatment
Pharmacies drugs are an integral part of the treatment of both diseases.You cannot be without them with arthritis due to the presence of a strong inflammatory process.In therapy, they are used:
- Non -anti -inflammatory drugs in the form of tablets, post and ointments.The medicines of this group only interrupt inflammation and concomitant unpleasant symptoms.
- Immunosuppressants.Suppress your own immunity with autoimmune origin.
- Corticosteroid hormones.Select intense pain with a tablet form or intra -articular injections.
- Antibiotics.They have an antibacterial effect in the presence of an infectious body and joint process.
Corticosteroids are effective during the period of arthrosis exacerbation, when inflammation and intense pain are linked to the pathological process.In addition, the disease involves the use of:
- Condroprotectors to restore cartilage tissue and interrupt the destruction of the joint.In the long run, the posts are used to receive orally, intramuscular and intra -articular injections.
- Oral painkillers.
- Vasodilating drugs to improve blood flow.
- Muslaxantes of hypertonicity and spasm of the muscles.
- Vitamin complexes to improve metabolic processes and prevent systemic complications.
Chondoprotective and vitamin agents are also indicated in some forms of arthritis, especially in chronic form.
Correct therapy is selected according to the exam results, taking into account the age and well -being of the patient.
Arthritis and arthrosis ointment
Symptomatic therapy is equally necessary for arthritis and arthrosis of the joints.Several creams, ointments, gels operate locally, eliminating inflammation, pain, swelling, discomfort.Also, they do not have a systemic effect on the body.
Can relieve the condition:
- Anti -inflammatory ointments based on a special substance;
- Other anti -inflammatory drugs non -esteroids;
- painkillers and heating;
- Local drugs that improve blood flow and elasticity of the light-fame-based snake poison and bee;
- shark fat ointments, activating metabolic and regenerative processes in the joints;
- Rubbing with analgesic and anti -inflammatory properties.
Local funds rarely have side effects, but do not forget the possibility of an allergic skin reaction.
Traditional medicine
Folk methods are a good assistant in the treatment of arthritis and arthrosis.Household recipes based on natural components have a predominantly symptomatic effect used as an additional tool.
With arthritic joint inflammation, you can do:
- Compress at night with bardan leaves, white cabbage, aloe, washed in advance and slightly wrinkled to secrete the juice;
- Hot baths of pine needles, steaming joints in a cure decoction;
- Grinding of an affected place from the egg yolk, apple vinegar spoon and will be waited;
- A decoction of sage herbs, St. John's Wort and Braids, making 2 tablespoons of the collection in boiling half water, carrying 0.5 cups before meals.
Relieving the condition with arthrosis will help:
- a ginger root compress, it grated in a grater and attached to a painful joint to stimulate blood circulation and a heating effect;
- Rubika for the 50 g of honey and 1 teaspoon night.Healing Mummy;
- pepper patch or mustard compress as a thermal procedure;
- Baths based on a mint leaves or soda solution.
All recipes can be used for both diseases, but only after consulting the assistant doctor.Home treatment can help, eliminating unpleasant sensations and damage, causing allergic reaction and exacerbation.
Exercises for Arthritis and Arthrosis
The goal of therapeutic gymnastics is the restoration of joint mobility and the prevention of deformation changes.
Similarly, this task is important for all joint pathologies:
- For the hip area - crouching at right angles, shaking the legs back and forth, exercising “bicycle” and “scissors” in the positioning position;
- To the knees - sit on the heels of the position on the knees and climb, the “bicycle” exercise - standing the circular movements of the knee with closed legs, moving slowly with a “goose march”;
- For the ankle - Massage all a finger separately, rotate the foot clockwise and against, stretch the sock of you and for yourself;
- For brushes and fingers - Make circular motions with a brush in different directions, squeeze and release the wrist, rotate a round object in your hands;
- For the shoulder waist - to spin back and forth, lift your arms and shoulders alternately.
All exercises can only be performed during the remission of the disease, solving a doctor.
Auxiliary therapeutic techniques
The joint treatment is not only limited to the methods and folkloric methods.It is important to perform comprehensive therapy, especially in the rehabilitation phase after an acute period and the restoration of joint mobility.
Experts recommend:
- Massage to reduce pain and develop affected joint (point, honey, manual technique);
- Physiotherapeutic procedures to improve cell metabolism, accelerate tissue regeneration, complications prevention (magnetotherapy, ultrasound, electrophoresis, paraffinopia);
- Alternative medicine (hirudotherapy, acupuncture, cinemaiterapia);
- Proper nutrition (diet) with predominance of fruits and vegetables, rejection of harmful foods and alcohol;
- Sanatory resort treatment with a complete complex of therapeutic services.
In advanced cases, and this usually happens with arthrosis, you need to resort to radical surgical methods.Sinectomy, arthroplasty, endoprodetic and arthrodesis will help the articulations return the joints.Before this state, the course of the disease is better not to allow, performing all medical prescriptions.
Conclusion
We offer short format information on arthrosis and disease arthritis, what is the difference in all important criteria:
| Criterion | Arthritis | Arthrosis |
| Etiology | Inflammatory disease, especially acute form | Degenerative-degenerative course, exclusively chronic |
| Reasons | Infections, autoimmune and metabolic disorders | Age-related changes in the musculoskeletal system, sub-disk arthritis |
| Injuries, hormonal failures, large corners, sedentary and harmful lifestyle, chronic pathologies | ||
| Symptoms | Sudden, pronounced appearance, there is a common evil | Gradual growth, symptoms are local |
| Pain, crisis, rigidity, rigidity during walking, external deformation (in the last step) | ||
| Diagnosis | Blood and urine laboratory tests | - |
| X -Ray, CT, RM | ||
| Treatment | NSAIDs, corticosteroids, immunosuppressants, antibiotics | Chondroprotectors, painkillers, muscle relaxants, hormones, vitamins |
| Forecast | In most cases, a complete recovery, rarely - the transition to a chronic form | The gradual destruction of the joints, followed by a loss of mobility, deficiency, the need for surgery |