Our body is constantly exposed to stress. The coordinated functioning of the spine and joints in the body depends on many conditions, which are not so easy to comply with in the modern rhythm of a person: proper nutrition and exercise are necessary. Problems with joints can occur in both older people and middle-aged and young people; recently, joint problems have been reported in children and even newborns. Therefore, when treating joints, it is important to take into account the person’s age and condition in order to correctly select the optimal load.
Why do joints hurt? Causes
There are diseases of the joints of the hands, feet, elbows, knees, shoulders, spine, neck, hip area, temporal area and lower jaw.
The causes of joint pain can be various inflammations, infectious and allergic diseases, joint destruction due to excessive load or impact. Often patients do not know who to turn to with their problem. They ask the question in the search: “Which doctor treats joints?” We answer. To diagnose the localization of pain in the joint, consultation with an orthopedist, traumatologist and surgeon is necessary. The doctor will determine what type of disease is present - arthritis, arthrosis, osteochondrosis, osteoarthritis, osteoporosis, bursitis, synovitis, chondromatosis, etc.
What can we give the patient?
We offer a whole range of unique and traditional services. Let’s take a closer look at what services we are talking about and how we can help:
- Emergency care for injured patients;
- Surgical intervention using all advanced technologies;
- Endoprosthetics of large joints;
- Arthroscopic treatment and diagnosis of joint diseases;
- Surgical treatment of orthopedic diseases (surgical treatment of osteoarthritis, osteotomy of various types, correction of foot pathology through surgery);
- The whole range of therapeutic manipulations;
- Surgery for hand injuries.
Treatment methods for joints and spine
Treatment of joints and spine is carried out in private and public specialized clinics.
Modern treatment of joints involves 3 types of treatment:
- Restorative / classical (in the initial course of the disease): physiotherapy, therapeutic exercises (physical therapy), manual procedures, massage, acupuncture;
- Surgical / operating room (for chronic disease or injury): for joint injuries, destruction and degenerative processes in joint tissues.
- Rehabilitation (during the initial course of the disease or after surgery): balneotherapy (water procedures); peloid therapy (mud, clay); use of ozokerite, bischofite; exposure to heat (paraffin compresses); interference therapy; amplipulse therapy; diadynamic currents.
There are three types of joint treatment: restorative, surgical, rehabilitation
Drugs for arthrosis
Drugs for the treatment of the disease are applied to the surface of the joint, injected into its cavity, or taken orally. Let's consider the main medications that are used for this pathology.
NSAIDs
Nonsteroidal anti-inflammatory drugs are used to reduce pain and inflammation. They act immediately: within an hour after administration. But the effect is short-lived. Therefore, you have to take NSAIDs constantly, 2-3 times a day.
The main drugs in this group that are used are:
The best clinics for the treatment of joints in Russia
The rating of joint treatment clinics is based on many indicators, including visitor reviews, statistical data and information in open sources.
Treatment of joints in Moscow: the best clinics and hospitals
Clinical Hospital on Yauza, Moscow
- Department of Traumatology and Orthopedics of the Hospital named after. Semashko
- Clinical Hospital on Yauza - st. Volochaevskaya, 15 to 1
- Dikul medical centers (network of clinics)
- Doctor Bubnovsky's centers (network of clinics)
- Center for the treatment of spine and joints - Lyubertsy, st. Volkovskaya, 5
- ArthroMedCenter - st. Sharikopodshipnikovskaya, 6/14
- Freedom of movement - w. Kurkinskoe, 30.
- Central Research Institute of Traumatology and Orthopedics named after N.N. Priorova - st. Priorova 10
- Treatment of joints in Mitino: clinic for the treatment of back and joints. Center for kinesitherapy (Shchukino, Mitino, Krasnogorsk) and multidisciplinary clinics Diamed
The best public clinics in St. Petersburg
Research Institute of Traumatology and Orthopedics named after. Vredena, St. Petersburg
- Research Institute of Traumatology and Orthopedics named after. Vredena - Academician Baikov Street 8
- OSTEOMED – Morskoy Avenue, 15
- Dikul medical centers (network of clinics)
- Doctor Bubnovsky's centers (network of clinics)
The best regional clinics for joint treatment
- Research Institute of Orthopedics, Traumatology and Neurosurgery named after. V. I. Razumovsky, Saratov
- Novosibirsk Research Institute of Traumatology and Orthopedics, st. Frunze, 17
- Clinic of Dr. Shumakov - Cheboksary, Maxim Gorky Avenue, 38
- Center for kinesiotherapy and rehabilitation", Stavropol, Kosmonavtov, 12
- "Clinic of Doctor Smirnov", Tolyatti, Primorsky Blvd., 24
- Treatment and rehabilitation (Dikul center) - Sochi, Constitution of the USSR, 44/4
- Medical, Chelyabinsk, st. Universitetskaya embankment, 34
- Clinic "Artromed", Voronezh, st. Ippodromnaya, 2B
- Treatment of joints in Nizhny Novgorod: Alexandria Clinics, Medical Clinics, Alfa Health Center Clinics
- Center for the Treatment of Joints and Spine: Yaroslavl, Tolbukhina Ave., 17a
- Treatment of joints in Tyumen - Center of Dr. Bunovsky and Unimed Clinic
- Treatment of joints in Kazan – Medical, Professor Anchikova’s Clinic “Avicenna-Endocrinology”, Medical, Gainullin Osteopathy Clinic (KLIOMED).
ibuprofen
ibuprofen
- diclofenac;
- aceclofenac;
- ibuprofen;
- paracetamol.
According to the mechanism of action, these are inhibitors of cyclooxygenase types 1 and 2. There are also selective COX-2 inhibitors. They carry less risk of gastrointestinal bleeding. These drugs are prescribed to patients over 65 years of age, or to patients with a history of erosive and ulcerative lesions of the gastrointestinal tract. Names of drugs: nimesulide, celecoxib, meloxicam.
Chondroprotectors
Patients with arthrosis are prescribed two medications for life:
- chondroitin – 1.2 g per day;
- glucosamine – 1.5 g per day.
This scheme is standard. Two chondroprotectors work only together, but not separately. Therefore, they are often contained in one preparation, inside one capsule. In any pharmacy you can find drugs that contain 500 mg of glucosamine and 400 mg of chondroitin. They are taken 3 capsules per day.
Advantages:
- chondroprotectors not only reduce pain, but also have a modulating effect on cartilage, improve metabolic processes in it, and slow down the development of the disease;
- taking these drugs is completely safe, unlike NSAIDs, which can cause many complications.
Flaws:
- the analgesic effect does not develop instantly, but gradually;
- the need for lifelong use creates an additional burden on the patient’s wallet (chondroprotectors are more expensive than NSAIDs);
- insufficient evidence base.
Intra-articular injections
In our clinic, treatment of arthrosis in Moscow without surgery is carried out using intra-articular injections. We use two drugs that complement each other. The advantages of this treatment:
- long-term effect that lasts 6-12 months;
- both key goals of arthrosis therapy are achieved: reducing pain and improving joint mobility, as well as slowing down degenerative changes in cartilage tissue;
- complete safety: there is no threat of gastrointestinal bleeding, as with constant use of NSAIDs.
Flaws:
The best sanatoriums for the treatment of joints in Russia
Sanatorium “Golubaya Rechka”, Moscow region
Which sanatoriums for treating joints are the best in Russia? Here is a complete list of the best sanatoriums that have proven themselves for a long time for the treatment of the musculoskeletal system:
- Sanatorium "Yurmino" (Crimea)
- Sanatorium "Poltava-Crimea" (Saki),
- Sanatorium "Sakropol" (Saki),
- Children's sanatorium named after. N.K. Krupskaya (Evpatoria)
- Sanatorium "Spring of Altai", Belokur (Belokurikha);
- Sanatorium named after Abelman (Vladimir region);
- Sanatorium “Dzhinal”, Narzanov Valley (Kislovodsk);
- Sanatorium "Rus" (Essentuki);
- Sanatorium "Blue River" (Moscow region);
- Sanatorium "Staraya Russa" (Novgorod region);
- Sanatorium “New Source” (Vologda);
- Sanatorium "Podmoskovye" UDP of the Russian Federation (Domodedovo district);
- Sanatorium "Zagorskie Dali" UDP of the Russian Federation (Moscow region);
- Sanatorium “Rus named after. Likhodeya" (Ruzsky district);
- Sanatorium named after Vorovsky (Yaroslavl region);
- Rehabilitation (Moscow region);
- Sanatorium "Volzhsky Utes" (Samara region);
- Sanatorium "Dalnyaya Dacha", Uvildy (Chelyabinsk region);
- Sanatorium "Khosta", Matsesta (Sochi);
- Sanatorium "Vorobyovo" (Kaluga region);
- Sanatorium "Arkhangelskoe" (military sanatorium, Moscow region);
- Sanatorium "Forest Edge" (Moscow region);
- Sanatorium named after Borodin (Kostroma region);
- Sanatorium “Khoprovskie Zori” (Penza region).
- Kislovodsk: treatment of joints: Sanatorium-hotel “Plaza Spa Hotels”
Symptoms
Symptoms of knee arthrosis are typical of a degenerative lesion. A person faces the following problems:
- pain at the initial stage manifests itself in the form of mild discomfort after climbing stairs, and then gradually increases; with severe damage, it becomes permanent and torments the patient even at rest;
- morning stiffness: occurs already in the early stages of development, at first lasts only a few minutes, then up to half an hour;
- crunching: occurs with the second and further degrees of damage, differs from physiological sound in sharpness and special tonality, and is also accompanied by pain;
- limited mobility: associated with the proliferation of osteophytes and increased bone friction; bending and straightening the knee is difficult and often accompanied by pain; in the final stages, the joint may become completely blocked (ankylosis);
- knee deformation: occurs due to changes in the shape of the contacting bones, bone growths and involvement of muscles and ligaments in the pathological process; when inflammation occurs, swelling of the tissues around the joint occurs;
- lameness: as arthrosis progresses, a person lame more and more; in the later stages, he is forced to use a cane or walker.
The best clinics for joint treatment abroad
Traditionally, the most effective treatment of joints is carried out in Germany, where there is a good base of specialists and the necessary equipment for restorative medicine, in the Czech Republic, where resorts with water and mud treatment are located, and Israel, the main treatment is aimed at restoration in clinics and resorts on the banks of the Dead seas.
Treatment of joints in Germany
Helios Clinic Berlin-Buch, Berlin
The best treatment of the spine and joints was noted in the following clinics in Germany:
- Helios Clinic Krefeld, Krefeld
- Helios Clinic Berlin-Buch, Berlin
- Academic Hospital Solingen, Solingen
- Academic Hospital Solingeng. Berlin
- Academic Hospital Solingen, Bremen
- Asklepios Clinic St. Georg, Hamburg
- Clinic Nordwest, Frankfurt am Main
- Asklepios Clinic Nord, Hamburg
Sanatorium treatment of joints in Germany is recommended in the town of Aachen. And also in neighboring Austria - in Baden.
Treatment of joints in the Czech Republic
In the Czech Republic, sanatorium-resort treatment of joints is aimed at restoring joints through mud therapy in the form of applications, wraps, baths, radon baths and natural carbon dioxide injections. Thanks to this treatment, the joints quickly gain mobility and are restored.
The recommended resorts are Frantiskovy Lazne, Jáchymov, Karlovy Vary and Marianske Lazne.
Treatment of joints in Israel
In Israel, treatment at the Dead Sea is productive for people with all types of diseases of the musculoskeletal system. It is recommended to visit such medical centers and resorts as: Elina in Or Akiva, Hamei Gaash, Ein Bokek in Arad.
The best clinics in Israel for the treatment of the spine and joints are recognized:
- Elisha Haifa is a leading center using innovative treatment methods;
- Beilinson is the second largest center in Israel, practicing in the treatment of joints and other diseases;
- Tzedek is one of the oldest medical centers in the country, located in Jerusalem. The clinic is a large center specializing in the treatment of joint diseases;
- Assuta is one of the largest clinics, collaborating with Western honey. institutions. Known throughout the world;
- Bnei Zion is a clinic with generally accepted departments; inside the center there are highly specialized institutions, one of which deals with joint replacement.
- Sheba Clinic is one of the ten largest medical institutions in Israel, a multidisciplinary clinic.
Cost of services
Our clinic values its patients very much, so it takes a responsible approach to creating a price list. We take into account all factors that influence the cost of services, but try not to inflate the cost. We do everything to ensure that the price tag is comfortable for patients, and that the services are provided in full and at the highest level. The clinic has absolutely everything necessary for this. Equipment, tools, qualified doctors, quality service, convenient location and cozy interior.
Our main goal is to give the patient health:
- Provide qualified assistance to patients suffering from injuries;
- Apply high-tech methods and methods of therapy and surgery in the treatment process;
- Help the patient avoid disability;
- Solve this or that orthopedic ailment more quickly.
We are sensitive to the issue of serving the population, providing a full range of diagnostic measures, observing all international protocols for the treatment of certain diseases. By entrusting your health to the specialists of our clinic, you will make the right choice.