Pain inside the arm bones is a type of osteoarthritis. Osteoarthritis is divided into two types: primary osteoarthritis and secondary osteoarthritis. The two diseases have different causes and clinical manifestations, so there are naturally certain differences in the treatment methods. Otherwise it will only treat the symptoms but not the root cause. Below, we will introduce in detail the basic causes, clinical manifestations and treatments of osteoarthritis! Causes 1. The basic cause of primary osteoarthritis is the gradual aging and degenerative changes of the human body after maturity, which manifests itself in bones and joints. 2. Secondary osteoarthritis refers to cartilage destruction or changes in joint structure due to some known reasons, such as trauma, surgery or other obvious factors. Due to factors such as friction or pressure imbalance on the joint surface, the joint surface undergoes degenerative changes. Clinical manifestations The disease has a slow onset and no systemic symptoms, and most patients are middle-aged or elderly people over 50 years old. It often occurs in multiple joints, but can also occur in a single joint. The affected joints may have persistent dull pain, which worsens with increased activity and improves with rest. The pain is usually mild but worsens with lower air pressure and is associated with changes in climate. Sometimes there may be acute attacks of pain, accompanied by joint stiffness and occasionally friction sounds in the joints. Joint stiffness worsens after sitting for a long time and improves after a little movement. Some people call it "rest pain." In the later stage, the joints become swollen, enlarged and limited in movement, rarely completely ankylosing, and generally manifest as bone block signs. treat The most important and basic treatment for this disease is to reduce the weight on the joints and excessive large-scale activities, and to cherish the diseased joints in order to delay the progression of the disease. Obese people should lose weight to reduce the load on the joints and delay the development of the disease. When there are lesions in the lower limb joints, crutches or a cane can be used to reduce the burden on the joints. Physical therapy and appropriate exercises can be done to maintain the range of motion of the joints. If necessary, splints, braces, and canes can be used to help control acute symptoms. Anti-inflammatory and analgesic drugs can relieve or control symptoms, but cannot change the progression of the disease. They only play a symptomatic role during acute pain attacks. They should be used with caution after assessing the patient's risk factors and should not be taken for a long time. Chondroprotective agents such as glucosamine sulfate have the effect of relieving symptoms and improving function, and long-term use can delay the structural progression of the disease. For advanced cases, if the patient's general condition can tolerate the surgery, artificial joint replacement is a recognized effective method to eliminate pain, correct deformity, and improve function, which can improve the patient's quality of life. |
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