Russian newspaper about the healthy joints program. Federal program for the fight against pain and crunching in the joints

Programs may include drip, intramuscular, intravenous treatments or nebulizer therapy (5-6 to 10 treatments) to maintain remission in chronic diseases or disease prevention.
The effect of the treatment lasts from 6 to 12 months, depending on the degree of violations.
The cost of 1 session for all complex programs is 900 rubles. taking into account the cost of expensive medicines.

"Healthy heart"

The program improves performance of cardio-vascular system, prepares for the upcoming physical and psycho-emotional stress, strengthens the myocardium before surgery, preserves the function of the heart and blood vessels with the existing coronary disease heart and hypertension.

To maintain the function of the cardiovascular system, intravenous drip infusions of drugs such as mildronate, riboxin, panangin, cytoflavin, mexidol, actovegin, lasix, vitamins, etc.

The program helps to improve the functioning of the respiratory system.

Intravenous drip infusions of highly effective modern drugs: cytoflavin, mexidol, vitamins, calcium preparations.

AT complex treatment nebulizer therapy with bronchodilators, anti-inflammatory and expectorant drugs is used.

Sessions of ozone-oxygen therapy are carried out.

As you know, the liver performs a number of important functions, among which the main ones are:

Metabolic function: production (synthesis) of a number of important, vital substances: albumin, prothrombin, fibrinogen, cholesterol, urea, etc. The liver is involved in all types of metabolism: carbohydrate, fat, protein, etc.

Involved in digestion. Formed in the liver bile acids facilitating the breakdown and absorption of fats, as well as vitamins A, D, E, K

Detoxification. Foreign agents and metabolic products can adversely affect the human body. barrier function liver maintains the stability of the internal environment, performs timely protection and neutralization of all harmful substances. In the liver, toxic substances bind to sulfates, ammonia, indole, phenols and many other compounds coming from the gastrointestinal tract and from the outside are inactivated.

Hemostasis. The liver maintains an optimal state of hemostasis (blood coagulation system).

People with impaired liver function often experience nervous and psychological disorders, memory loss, elevated level drowsiness depression, insomnia, anxiety, inadequacy.

In an aggressive environment, liver function suffers even in healthy people.

The Healthy Liver program includes drip intravenous infusions of the so-called "hepatoprotectors" (from the Greek hepar - "liver" and Latin protector - "guardian"), which increase the resistance of the liver to toxins, and, in general, in various ways contribute to the restoration of organ functions. In the treatment, highly effective drugs such as Heptral, Remaxol, Essentiale are used.

Improves the condition of the vessels of the whole organism (brain, heart, limbs, gastrointestinal tract, liver, kidneys, skin, etc.).

An effective program in the treatment and prevention of many diseases that have a vascular component in their development.

Especially popular in patients with dyscirculatory encephalopathy, diabetes, obliterating atherosclerosis, heart disease and hypertension.

In the treatment we use such highly effective drugs as berlition, trental, actovegin, nicotinic acid, mexidol, cytoflavin and others.

The program is designed for:

• leaders,
• persons working in extreme conditions, as well as
• with prolonged intense intellectual loads (burnout syndrome in the workplace)
• in stressful situations at home and at work.

The program prevents health disorders of managers, persons working in a state of chronic mental overstrain in conditions of increased responsibility (chronic stress), as well as in acute stressful situations.

Improvement within the framework of our program aims to prevent cardiovascular disasters (strokes, heart attacks, hypertensive crises etc.), exacerbations of existing chronic diseases and restoration of functionality. The program is carried out in cooperation with the center of psychosomatic medicine (group or individual sessions if necessary) and the physiotherapy department - relaxation procedures according to an individual program, including optional massage, swimming pool, exercise therapy, exercise equipment, alpha capsule, thalassotherapy, acupuncture, etc.) .

In the course of treatment, the necessary diagnostic procedures, expert advice.

"Intellect +"

The program is designed for people working in conditions of increased mental stress (persons of intellectual labor), older people suffering from memory, attention, thinking disorders, as well as people with similar disorders on the background of chronic diseases, primarily hypertension.

Patients receive a course of treatment with drugs that improve intellectual functions, as well as recommendations for the treatment of causative diseases (hypertension, atherosclerosis, etc.).

"Healthy Immunity"

The immune system protects our body from any genetically alien invasion: microbes, viruses, protozoa or cells of our own body that have changed as a result of mutations, diseases. If the immunity is good and the immune system notices in time the invasion from the outside or breakdowns inside and adequately responds to them, the person is healthy.

Activity violations immune system leads to an increase in sensitivity to diseases, an increase in the recurrence of the occurrence and severity of the course of a particular disease. For more effective work, the immune system must be constantly kept in “combat readiness”.

In maintaining the function of the immune system, effective antioxidants, vitamins, etc. are used. Active immune preparations are used on the recommendation of an immunologist.

The treatment uses oxygen therapy.

"Women Health"

As is known, in modern world a woman takes a fairly active life position and tries to be successful in many areas, for example, in creating a family, in a career, and leads an active social life. All this requires a sufficient amount of physical strength and often significant nervous tension.

The main objective of this program is to help a woman to do everything and at the same time maintain her health and beauty.

Modern highly effective antioxidants, vitamins, drugs that improve liver function and promote cleansing are used.

Courses of drugs are prescribed that improve the functioning of the gastrointestinal tract, which determines the condition of the skin, hair, and nails.

Oxygen therapy is used.

If necessary, additional examinations are scheduled.

"Healthy Joints"

Joints are an important mechanism for full functioning human body. However, over time, the joints wear out and therefore pain appears, restricting movement and complicating life.

Highly effective, safe preparations that support the cartilage structure are used. In the process of treatment, inflammation decreases.

Risk groups requiring prevention of joint diseases

• people over 45;
• overweight people;
• women after menopause;
• Availability congenital pathology joints;
• in cases of acute and chronic joint injuries;
• there are diseases of the joints in parents and relatives;
• with endocrine diseases, such as diabetes.

The body must cope with negative influences from the external environment daily. If we want to live a long and fulfilling life, we must create conditions for our body so that it can cope with any adverse effects.

A drip infusion of drugs that improve the functions of the excretory organs, antioxidants is performed.

An examination is prescribed, the function of the gastrointestinal tract is supported.

Some patients are operated on in a planned manner, in these cases there is time for careful clinical observation, a detailed comprehensive examination and strengthening of the body. The efforts of the preoperative period are aimed at reducing the risk of surgery, preventing complications that may occur during and after it.

The Athlete's Health program aims to prevent pathological conditions that occur during long and intense training. Patients are given drip infusions of vitamins, drugs that positively affect metabolism and ozonized saline to maintain health. We will improve your achievements!

The program is an intensive preventive course of treatment using highly effective newest medicines, which allows you to quickly support the main body systems.

The program includes such effective and safe drugs as reamberin, gliatilin, heptral, berlition, vitamins, etc., as needed.

Chronic aching pain in the joints is the first sign of arthrosis or arthritis. Minor symptoms are crunching, stiffness of movements, swelling of the joint, general lethargy, weakness, and malaise. If you have at least 2 symptoms from this list, your joints are affected by arthrosis or arthritis. Joint pain is just the beginning, followed by joint deformity, muscle atrophy, unbearable pain, fever, joint swelling. The result of all this is only one - a wheelchair, disability.

Many who already have the characteristic symptoms of joint damage simply do not pay attention to it, thinking that there is nothing special about it. However, doctors say any pain and discomfort in the joints is a sign that the joint has begun to collapse.

As part of the "Healthy Joints" program, every Russian can receive a remedy for the treatment of joints for free. This year the program includes new development Russian scientist called "Artidex". Many eminent doctors call it a real salvation for joint pain. It allows you to completely relieve pain, restore the joint and eliminate the risk of further development of dangerous pathologies in just a few weeks.

We asked the leading orthopedist and rheumatologist of the country, doctor the highest category, Professor Mikhail Vladimirovich Zavyalov

Zavyalov M.V.:

If people knew what condition their joints are in, they would start their treatment now. And this is not a joke at all!

As shown by recent studies conducted by our institute, in 84% of people over 25 years of age, the joints are in critical condition. And if nothing is done now, then soon we will face sharp increase the number of people who applied to medical institutions for the destruction of joints and the development of dangerous diseases.

The main danger is that the cartilage in the joint quickly dries out and becomes thinner. As a result, the bones that form the joint begin to rub against each other, causing unbearable pain, from which even the strongest painkillers cannot be saved in advanced stages.

In addition, when the bones rub against each other, their integrity is violated, microcracks appear in them, into which an infection enters against the background of which, during internal organs may develop cancerous tumors. As a result, the joints begin to become inflamed, which often leads to the need for urgent surgical intervention and even complete amputation of the joint and subsequent disability. Many people with affected joints can only live on injections, which are very painful in themselves.

The destruction of the joints occurs very quickly. If this process is not stopped in time, the joint will collapse completely.

Why are we talking about this issue right now? And why is she getting so much attention today?

It just never happened before. In general, the thinning of the joints and their loss of elasticity is natural process and it happens to everyone. However, if earlier all this was observed in the elderly at the age - joints began to bother at 60-70 years old, now they hurt already at 30 years old. But if they start getting sick at 30, then imagine what will happen at 40, at 50?

We associate this exacerbation of joint problems with the lifestyle of a modern person. After all, we all move catastrophically little, eat foods without vitamins and breathe dirty air. And cartilage tissue is very susceptible to negative influences.

Mikhail Vladimirovich, you claim that you managed to find a way out of this situation. Can you tell me more?

The Ministry of Health, of course, cannot turn a blind eye to such an important problem for each person, so the issue was brought to the federal level and a special program "Healthy Joints" was launched. During it, every resident of the country is given the opportunity to receive a cream IS FREE

"Artidex" is a new generation remedy, which is aimed not only at eliminating pain, but also at the complete restoration of the joint. The components of the cream penetrate deep into the tissues and act directly on the cause of the disease - it regenerates the destroyed cartilage tissue and restores its elasticity.

The cream was developed by Russian scientists and is characterized by extremely high efficiency. As shown by our clinical trials, it helps in 88% of cases. Even in severely neglected cases, the joints recover completely in 2-3 weeks.! This is much faster than using any other means.

An important advantage this tool is also that it has a completely natural composition, and therefore can be used at home without any restrictions. Herbal ingredients are selected in it in such a way as to enhance each other's actions.

Artidex includes:

1. Panty of the Altai deer. They stop the inflammatory process, as a result of which the destruction of the joints and cartilage tissue stops.
2. Extracts of medicinal plants. It is the most powerful pain reliever that does not contain substances toxic to the body.
3. Useful vitamins and oils. They restore the elasticity of cartilage tissue, which brings it to its original state before the onset of the disease.
4. Extracts of rare plants. They act as an immunostimulant, stop the autoimmune process in the body, which is Starting point diseases

Amputation of the inflamed joint. Don't take it to the worst! Treat joint diseases as early as possible!

Mikhail Vladimirovich, you said that Artidex cream can be obtained FREE OF CHARGE? Can anyone do this?

Yes, absolutely any resident of our country. True, there is one thing. At the moment, the federal program operates only in the territory.

This is due to the fact that pharmacy chains refused to help us in the implementation of this tool, motivating their unwillingness by the fact that it is economically unprofitable for them. Like it or not, pharmacies are still commercial organizations that are more interested in making a profit than in improving the health of the population.

Then we decided to sell Artidex through a specially created website. However, it is impossible to work for the whole country at once, so we decided to implement the federal program in turn in all regions of the country. Now it is held in. It is the residents of this region who can get Artidex for FREE today

How long will the program run for? After that, it will be impossible to get the cream for free for residents of this region?

Quite right. The expiration date of the federal program in. It is up to this period (inclusive) that you must leave an application on the site.

At the moment, "Artidex" has already received several tens of thousands of people. Every day we receive a lot of positive feedback on it, as well as words of gratitude. This tool helps everyone.

There are different ways to treat knee joints depending on the condition of the disease. Methods of treatment of the knee joint:

• recreational gymnastics;
• wellness massage;
• tablets;
• non-traditional medicine;
• the use of medical devices (bandage, prosthesis);
• surgical intervention.

• Diseases of the knee joints
• Treatment and prevention
• Stretching is the best prevention
• How to treat arthritis and arthrosis
• Joint development
• How to treat joints with folk methods

Arthrosis, arthritis and lipoarthritis are the most common diseases of the knee joints. A surgeon or orthopedist will help in establishing the cause of pain and the correct diagnosis. It is better to contact them at the beginning of the treatment process.

Diseases of the knee joints

Injuries are a common problem in the knee joints, which are one of the largest joints in the human body. They include the tibia, femur, and patella.

Ligaments hold together knee-joint. In order for the joint to glide better, it has three bags - synovial membranes - with different twists, as well as joint fluid. The joints also have muscles, ligaments, cartilage (menisci), which are part of the patellar ligament.

The knee joint can be injured due to sudden turns of the body when the feet are fixed, causing the ligaments of the joints to break. Therefore, the most common injuries of the knee joints are sports. Similar types of injuries occur if the impact force is quite large (car injuries, professional bruises of football players, fighters, blows when falling from a height).

The ligaments of the joint have the property of inextensibility. Sometimes there is only a tear of the ligaments, sometimes - their complete rupture, in which a violation of gait and instability of the leg in the joint is visible. Less often, an injury such as sprained knee joints occurs. It appears under load, the strength of which is greater than the elasticity of the ligaments. However, sprains are more common in the ankle joint.

Among other ailments of the knee joints, one can distinguish a cyst of the knee joint. It is a stretching of the synovial bag under the knee. The cyst is easily identified with an ultrasound of the knee joint.

Treatment and prevention

If the knee joints are not amenable to treatment by methods such as surgery, the use of medical massage and physical education, ethnoscience, the use of special devices (bandage, for example), then it is necessary to replace diseased knee joints with healthy ones. Prosthetics include the replacement of failed parts of the knee joint bone with metallized or plastic components. The procedure is performed with anesthesia and lasts from 1 to 3 hours.

The knee is opened and excess growths are removed. Damaged parts are replaced with new ones made of artificial materials. In the knee joints, unsuitable parts are repaired or the entire knee is replaced.

How to cure knee joints and what measures to take so that the joints are healthy will be discussed below. There is such a symptom as "mouse in the knee." It manifests itself as follows: the knee is jammed, movement is limited. Pain in the joint space is sudden, but can be tolerated. The more movement, the more pain. The “mouse” here is a piece of cartilage that has broken away from the meniscus and is moving in the joint. The knee jams if this piece gets into the joint gap. "Mouse" can occur in one place or another.

When pain occurs, it is not necessary to overcome and endure them. In this case, movement will increase the pain. You can swing your leg in a sitting position and carefully bend and unbend it. Thanks to such a simple exercise, the joint space expands and the pain weakens. The "mouse" left a cleft in the joint and moved into the joint bag, where he continued his correct movements. Most likely, such pinching will recur, but it does not need to be treated. "Mice" do not live long, and therefore after a while they will leave.

Stretching is the best prevention

The possibility of re-injury to the knee joint increases. Therefore, the treatment becomes more and more difficult and arthrosis is approaching.

To prevent similar injuries in the future, it is necessary to give the joints more room to move. So it will be easier for them to withstand the load. To prevent injury, do the following:

• Lesson 1 Sitting on the floor, place your right leg straight in front of you. The foot of the opposite leg is on the right thigh. The left knee should be on the floor. Then do the same exercise with the other leg.
• Lesson 2 Sitting on the floor, connect the soles of the feet. The knees should touch the floor.
• Lesson 3 Using the pose from Lesson 1, do inclinations alternately to each straight leg.
• Lesson 4 Using the pose from Lesson 2, lean forward.
• Lesson 5 Sitting on the floor or on a stool, spread your legs wide, press your feet to the floor and move your knees towards each other with your hands.

Each lesson is desirable to play a couple of times a day for 1-2 minutes. With regular performance of these exercises, the joint will not cause concern.

How to treat arthritis and arthrosis

Prolonged diseases in the joints require treatment. Immobility, deformity, inflammation are signs of prolonged arthritis or arthrosis. These are fairly common symptoms. Medicines and therapeutic exercises are suitable for their treatment. The following are exercises for the treatment of joint diseases. They are very light and there is no pain during their execution. In terms of time, charging can be carried out starting from 10 minutes, gradually increasing the time.

• Lesson 1 Sitting on a stool or on a table, hang your legs down and dangle them (at the same time: right leg forward, left - back) with a distance between them of about 10 centimeters. This is a painless exercise. It is performed for 5-10 minutes several times a day.
• Lesson 2 Sitting on a stool, press the soles of your feet to the floor. Then alternately tear off the heels from the floor, keeping the socks pressed to the floor.
• Lesson 3 The pose is the same as in the second lesson. Now you need to take your socks off the floor one by one. Heels are on the floor.

When performing the above exercises, pain does not appear. Pain is not good for the joints. And if it appeared, then it is necessary to stop performing physiotherapy exercises.

For severe joint diseases, classes 2 and 3 are suitable. They can be easily performed even while being in a theater or on a bus. Therapeutic gymnastics is silent and easy to perform. However, these movements alone are not enough for a cure. It would be nice to add drug treatment to them, since the disease also affects the tendons, muscles and joint bag.

Joint development

You can heal knee joints yourself. They must be worked out using 3 types of strokes: through the palm, through the finger, and a slap. Spanking promotes blood flow to the area of ​​the affected joint, affecting the skin. Patting through pressed fingers affects the articular bags, tendons, muscles, ligaments. Strokes through the finger work gently, after them there are no bruises.

It is good to start the lesson with patting through the fingers on the affected area, to determine which it is necessary to put the palm on the knee and bend and unbend the leg. Tapping on the kneecap must be applied from the side. The muscles are in a relaxed state. The strength of the blows varies depending on the condition of the joint. For a progressive disease - weak tapping, for recovery or a slight malaise - strong.

While doing the exercises, you may feel some pain. Patting is not applied to the popliteal cup. The affected areas should be tapped carefully: first along the straight leg, then along the bent one. The exercise ends with pats. The more severe the disease of the joints, the less often it is necessary to use physical education. All classes should be carried out only after consultation with a doctor.

How to treat joints with folk methods

To be treated with folk remedies together with traditional medicine simply necessary for good results. Consider a few recipes on how to cure the knee joint with folk remedies.

• Laurel decoction.
  It is necessary to boil 25 laurel leaves for about 5 minutes. Let the decoction stand for 3-5 hours. This infusion is an excellent remedy for salt deposition. Use it 12 hours after preparation, drinking in small sips. The treatment lasts three days, in each of which the drink is prepared again. After the course, a week-long pause is made, then the course is repeated again. Before drinking the decoction, it is necessary to clean the intestines. If a this condition is not fulfilled, it may appear allergic reaction. The process is carried out 1-2 times a year.
• Mixture based on rye seeds.
  Pour 250 g of rye seeds with 2 liters of water and boil. When the mixture has cooled down, strain it and add 500 g of vodka, 1 kg of honey and 3 tsp. barberry root. The mixture is stirred and placed for 21 days in a dark place. Use 3 tbsp. l. before eating. The course will end when you drink 9 liters of the mixture in this way.
• Horseradish recipe.
  Mix 1 kg of chopped horseradish and 4 liters of water, boil for 5 minutes. Put half a kilogram of honey into the cooled mixture. Broth to store in the refrigerator. It is good to treat this recipe a couple of times a year. It will be useful to include cottage cheese with a high content of calcium in the food of the sick person (add 1.5 tablespoons of calcium chloride and half a liter of milk to it).

The composition is heated to 50-60 degrees, then cooled. The resulting mixture is filtered and settled in the dark. In the morning the curd is ready to eat. This method Together with exercises and medicines, it remarkably heals the knee joint.

Useful articles:

In accordance with the recommendations of the European Antirheumatic League, Methotrexate is prescribed for rheumatoid arthritis immediately after diagnosis. Experts from the American College of Rheumatology also suggest that the "gold standard" treatment of systemic disease should be applied first. The drug complies with the principles of the "Treat to Target - T2T" program ("Treatment to target"), which was developed in 2008 by representatives of 25 countries in Europe, North and Latin America, Australia and Japan. It includes strategic therapeutic approaches that provide the best results in the treatment of pathology.

Description of Methotrexate

Methotrexate is a cytostatic drug from the group of antimetabolites, folic acid antagonists. Cytostatics are called anticancer drugs that disrupt the growth and development of tissues, including malignant ones. They negatively affect the mechanism of cell division and repair. The most sensitive to cytostatics are rapidly dividing cells, including cells bone marrow. Due to this property, cytotoxic drugs are used to treat autoimmune diseases. By inhibiting the formation of leukocytes in the hematopoietic tissue of the bone marrow, they suppress the immune system.

Immunosuppressive therapy is the mainstay of treatment rheumatoid arthritis because the disease is autoimmune. With autoimmune pathologies, the body's defenses begin to fight with their own cells, destroying healthy joints, tissues and organs. Immunosuppressive therapy stops the development of symptoms and slows down the destructive processes in the joints. Cytostatics inhibit the growth of connective tissue in the joint, which gradually destroys cartilage and subchondral bones (adjacent to the joint, covered with cartilage).

The action of Methotrexate is based on blocking dihydrofolate reductase (an enzyme that breaks down folic acid). The drug disrupts the synthesis of thymidine monophosphate from dioxyuridine monophosphate, blocking the formation of DNA, RNA and proteins. It does not allow cells to enter the S period (the phase of the synthesis of the daughter DNA molecule on the template of the parent DNA molecule).

Methotrexate is one of the first-line drugs used in the basic therapy of rheumatoid arthritis. It inhibits the production of not only immunocompetent cells, but also synoviocytes (cells of the synovial membrane) and fibroblasts (the main cells of connective tissues). Inhibition of the process of reproduction of these cells helps to prevent deformation and inflammation of the joint. Methotrexate stops bone erosion that occurs as a result of an attack by actively growing tissues of the synovial membrane of the joint.

Methotrexate in rheumatoid arthritis allows you to achieve stable remission. The clinical effect persists even after its cancellation.

Methotrexate toxicity

Methotrexate is the most toxic folic acid antagonist. Due to a violation of the methylation of deoxyuridine monophosphate, it accumulates and partially converts to deoxyuridine triphosphate. Deoxyuridine triphosphate is concentrated in the cell and incorporated into DNA, causing defective DNA synthesis. In it, thymidine is partially replaced by uridine. As a result of pathological processes, megaloblastic anemia develops.

Megaloblastic anemia is a condition in which the body is deficient in vitamin B12 and folic acid. Folic acid (along with iron) is involved in the synthesis of red blood cells. These blood cells play an important role in hematopoiesis and the functioning of the whole organism.

With a lack of folic acid, erythrocytes altered in shape and size are formed. They are called megaloblasts. Megaloblastic anemia causes oxygen starvation organism. If a pathological condition observed long time, it leads to the degeneration of the nervous system.

In the treatment of Methotrexate, adverse reactions characteristic of megaloblastic anemia occur. There is an inhibition of the function of hematopoiesis. When the recommended doses are exceeded, there are:

• nausea;
• vomit;
• diarrhea.

If, in the presence of such symptoms, the drug is not canceled, develop serious illness digestive tract. Renal tubular acidosis (decreased urinary excretion of acids) and cortical blindness (impaired visual function) are sometimes observed.

Methotrexate practically does not break down in the body. It is distributed in biological fluids and is excreted unchanged by the kidneys by 80–90%. In case of violations of the kidneys, the drug accumulates in the blood. Its high concentrations can cause kidney damage.

At long-term treatment cirrhosis of the liver and osteoporosis may develop (especially in childhood). Against the background of taking Methotrexate, there is:

• dermatitis;
• stomatitis;
• sensitivity to light;
• skin hyperpigmentation;
• photophobia;
• furunculosis;
• conjunctivitis;
• lacrimation;
• fever.

Very rarely, alopecia (hair loss) and pneumonitis (an atypical inflammatory process in the lungs) become a consequence of Methotrexate therapy.

Studies have confirmed the relationship between the manifestation of side effects in the treatment of Methotrexate with a lack of folic acid in the body. During the treatment of rheumatoid arthritis, cellular stores of folate rapidly decrease. At the same time, an increase in the concentration of homocysteine ​​is observed. Homocysteine ​​is an amino acid formed during the metabolism of methionine. The breakdown of homocysteine ​​requires adequate levels of folic acid. With its deficiency, the level of homocysteine ​​in the blood rises critically. Its high concentration increases the risk of atherosclerotic vascular lesions and accelerates the processes of thrombosis.

A large increase in the concentration of homocysteine ​​is due to the tendency to its accumulation in patients with rheumatoid arthritis. Methotrexate treatment enhances the negative process, especially at the stage when the achievement therapeutic effect requires an increase in the dose of the drug.

The appointment of folic acid during methotrexate therapy can reduce the dangerous level of homocysteine ​​​​and reduce the likelihood of undesirable consequences. It helps to reduce the risk of developing critical conditions in patients who have concomitant cardiovascular diseases.

Folic acid treatment avoids other adverse reactions arising from methotrexate treatment. If it is prescribed immediately after the start of therapy with the base drug or during the first 6 months of treatment, the incidence of gastrointestinal disorders is reduced by 70%. Folic acid helps to minimize the risk of developing diseases of the mucous membranes and alopecia.

Folic acid for rheumatoid arthritis is taken daily throughout the entire period of treatment with Methotrexate. The dosage of the drug is selected by the doctor individually. The exception is the day of taking Methotrexate.

The daily dose can be taken as early as the next morning. This will stop adverse reactions at the earliest stages of their development. In addition, a regimen of folic acid intake can be prescribed, in which its weekly dose is drunk once a week. The drug should be consumed no earlier than 12 hours after taking Methotrexate.

Methotrexate therapy for rheumatoid arthritis

Treatment of rheumatoid arthritis with Methotrexate is sometimes started even before the diagnosis is confirmed, especially in cases where the pathology progresses rapidly. The longer the disease develops, the higher the likelihood of disability and death of the patient. Therefore, the activity of the rheumatoid process must be slowed down as soon as possible.

Usually a single weekly injection of moderate doses medicinal product allows you to achieve the desired result within 1-1.5 months after the start of treatment. In some cases, double or triple doses of the drug are needed to cause the necessary clinical effect and support him.

Since complete remission occurs extremely rarely, treatment is continued for a long time. The minimum course of treatment lasts six months. In 60% of cases, it is possible to obtain the desired clinical result. To fix it, monotherapy is continued for 2-3 years. With prolonged use, the effectiveness of Methotrexate does not decrease.

It is impossible to cancel the drug abruptly. Stopping treatment may cause an exacerbation of the disease. If it is necessary to adjust the dose downward, do it gradually.

If monotherapy does not have the desired effect on the pathological process, Methotrexate is combined with one or two drugs of basic therapy. The best results in treatment were observed after the combination of Methotrexate with Leflunomide. Leflunomide (Arava) has a similar effect. If you take both drugs, they will enhance the effect of each other.

Persistent positive result provides therapy with Methotrexate in combination with Cyclosporine or Sulfasalazine. The sulfanilamide preparation Sulfasalazine helps to achieve a significant improvement in the well-being of patients in whom the disease develops slowly.

When the pathology is difficult to treat, the doctor prescribes a combination of 3 drugs: Methotrexate, Sulfasalazine and Hydroxychloroquine. When using combined regimens, average dosages of drugs are prescribed.

During treatment with Methotrexate and for 6 months after its withdrawal, it is necessary to use reliable methods of contraception. Medication negatively affects the development of the fetus and can cause spontaneous abortion. In men, there is a decrease in the amount of sperm.

Treatment of psoriatic arthritis

Psoriatic arthritis is a chronic systemic disease associated with psoriasis. Psoriatic arthritis diagnosed in 13-47% of patients with psoriasis. Numerous studies have confirmed the autoimmune nature of the inflammatory process in the joints. Therefore, for its treatment, drugs of basic therapy are most often used. They allow you to slow down the progression of the pathology and achieve positive changes that are unattainable with other methods of treatment.

The modifying properties of Methotrexate in psoriatic arthritis are beyond doubt. They have been proven over many years of experience. The drug demonstrates an optimal ratio of efficacy and tolerability compared to other cytostatic drugs.

Methotrexate in psoriatic arthritis is used not only to slow down the destructive processes in the joints, but also to reduce dermatological manifestations. The drug is the drug of choice in the treatment of generalized exudative, erythrodermic and pustular psoriatic arthritis. It helps to alleviate the condition of patients suffering from the most severe forms dermatosis.

The treatment program is developed by the doctor individually. Begin therapy with small or medium doses. The injections are done weekly. If there is no result, the dosage can be doubled. After the appearance of a stable therapeutic effect, the dose is reduced. Methotrexate can be taken not only parenterally, but also inside.

A significant improvement in the condition of patients occurs within 3-4 weeks after the first dose of the drug. By the end of the second month, all indicators of the articular syndrome are reduced by 2-3 times. Excellent results are demonstrated by Methotrexate therapy in relation to skin manifestations. Practically at all patients the progressing stage of psoriasis stops. Such a high efficiency of the drug is due not only to its immunosuppressive effect, but also to anti-inflammatory.

For 6 months of therapy, the positive dynamics of dermatosis develops in 90% of patients, as evidenced by numerous reviews. Almost every fifth patient managed to get a complete remission of the articular syndrome.

Reviews about the medicinal product

Reviews of the results of the use of Methotrexate indicate its effectiveness. But many patients complain of side effects.

1. Natalia, 53 years old, Kazan: “In the first 2 years, the pain went away, the swelling subsided. Unfortunately, then inflammatory processes began to grow."
2. Valentina, 62 years old, Vyshny Volochek: “I give injections once a week during an exacerbation. During remission, I try not to inject. When I was treated for six months and went to a sanatorium, I ran like a girl.
3. Maria, 47 years old, Samara: “The remedy perfectly eliminates the exacerbation of the disease. Only unpleasant side effects in the form of nausea and sometimes vomiting. Especially after a light breakfast.

It should be remembered that unauthorized prescription of Methotrexate can adversely affect health. This drug is prescribed only by the attending physician!

Trochanteritis of the hip joint

Trochanteritis is an inflammatory disease that affects the trochanter femur. This is the highest point of the thigh, to which a large number of tendons and muscles are attached.

At first glance, it is very difficult to distinguish between trochanteritis and a disease such as coxarthrosis (arthrosis of the hip joints). But in about half of the cases in patients diagnosed with coxarthrosis, a detailed examination reveals exactly trochanteritis as the cause of pain. This is by no means a rare pathology, it is just that it is often not recognized.

Important to remember! Trochanteritis responds well and quickly to treatment if it has not progressed to chronic form. Therefore, it is necessary to exclude this disease, first of all, with pain in the hip joints.

The essence of the disease

As already said, pathological changes with trochanteritis, they affect the greater trochanter (trochanter) of the femur (the extreme upper outer point of the thigh) and the tendons that are attached to it. Hence the name of the nosological form of pathology. This inflammation can be caused by both infectious and non-infectious causes.

The main function of the trochanter is that it acts as a site of attachment a large number muscle tendons of the gluteal zone and thigh area. Above this bone structure, on top of the muscles under the skin, is a small synovial sac (bursa) that plays a protective role and also facilitates movement in the hip. This anatomical formation is very often drawn into the pathological process and becomes inflamed, developing hip bursitis. Therefore, sometimes you can find another name for trochanteritis - trochanteric bursitis.

Remember! With trochanteritis, the greater trochanter of the femur, the tendons of the muscles that are attached to it, and the synovial sac located nearby become inflamed. The process is most often unilateral, but bilateral lesions can also occur.

According to ICD-10 ( international classification diseases of the 10th revision), this pathology was assigned the code M70.6.

Causes of trochanteritis and its types

Mostly women get sick with trochanteritis, since in men the tendons are initially stronger and more resilient, designed for various kinds of loads. The peak of pathology is observed during menopausal restructuring, which is associated with the development of osteoporosis, weakening of the tension of the ligaments, a decrease in their elasticity against the background of a deficiency of estrogen hormones. But the disease is not excluded in younger patients, but this requires a long-term exposure to provoking factors.

As a rule, trochanteritis debuts after a severe overload. hip joint(long walking, running, carrying weights), symptoms also appear against the background of colds and other infectious diseases. Sometimes inflammation of the trochanter begins after an injury in the thigh (even a minor one). Very often, patients note that pain in the hip appeared after they suddenly gained weight, so overweight is also a predisposing circumstance.

Risk factors for the development of trochanteritis:

• belonging to the female sex;
• age (the older the person, the more likely he is to get sick);
• systemic osteoporosis;
• metabolic and endocrine diseases;
• excess body weight;
• deforming osteoarthritis;
• too active or, conversely, passive way of life;
• previous injuries in the hip area;
• frequent infectious diseases, foci chronic infection in the body;
• tuberculosis (active or history).

Types of trochanteritis:

1. Aseptic, or non-infectious. The most common variant of the pathology, which is based on inflammation due to overload of the tendons that are attached to the trochanter.
2. Septic, or infectious. Occurs when pathological microorganisms (bacteria, viruses) penetrate into soft periarticular tissues. The infection can get here with the blood with general infectious diseases from chronic foci of infection.
3. Tuberculous. This is a rare form of pathology. It is a separate variant of tuberculosis infection. In this case, not only the greater trochanter and soft periarticular tissues are affected, but also the rest of the bone with the development of osteomyelitis. it serious disease which is difficult to treat. It occurs mainly in children.

Symptoms of trochanteritis

Most often, patients with trochanteritis tell the doctor about such a symptom as pain. It occurs in the region of the greater trochanter, which can be easily felt under the skin. The pain intensifies with pressure on this area, with active movements. At rest pain pass.

You can read about other causes of pain in the hip joint when walking here.

The pain spreads along the outer side of the thigh (in the zone of the riding breeches). But in the case of the transition of the process into a chronic form and the absence of treatment, the pain becomes very intense and disturbs the person even at night, preventing him from falling asleep. It can also be noted characteristic symptom increased pain when positioned on the affected side.

Important to remember! Unlike arthrosis of the hip joint, with trochanteritis there is no restriction of movement in the hip. Because of the pain, the patient may spare the affected limb, but passive movements are not limited. This can be easily checked by the doctor during the examination.

If to the described clinical picture joins fever, swelling on the outside of the thigh, redness of the skin of this area, then septic or tuberculous trochanteritis should be suspected.

Diagnostics

The diagnosis of trochanteritis is exclusively clinical, since there are no specific diagnostic methods. The main clinical criteria for pathology:

• pain in the thigh when lying on the side;
• pain in the zone of riding breeches when pressing in this zone with a finger on some points;
• preserved mobility in the hip joint.

All other additional studies are carried out in order to exclude similar diseases, in the first place, coxarthrosis.

Diagnostic program:

• General analysis of blood and urine, biochemical study, rheumatic tests.
• Radiography of the hip joints.
• Ultrasound of joints and soft tissues.
• In severe cases, CT or MRI is performed.

Treatment of trochanteritis

Treat trochanteritis in accordance with its etiology. First of all, it is necessary to exclude the infectious nature of inflammation, since in this case the therapy is specific. It differs from the treatment of the aseptic form of the disease. Patients are prescribed antibacterial, and in the case of tuberculosis - anti-tuberculosis therapy.

As a rule, with adequately chosen drugs drug treatment enough. But sometimes complications develop in the form of suppuration, the formation of abscesses and cold leaks in the thigh area. This situation requires surgical treatment. Perform an autopsy and sanitation of all abscesses.

Most often, one has to deal with aseptic trochanteritis, in the treatment of which several methods are used.

Mode

Perhaps this is one of the main principles of successful therapy. A sick limb needs to create complete functional rest. Otherwise, the load will only increase inflammation and pain.

Medical therapy

To eliminate inflammatory changes and pain syndrome, drugs from the group of non-steroidal anti-inflammatory drugs are used. They are prescribed in injections, in tablets, as well as in the form of ointments or gels for external use. Most often resort to the use of drugs such as diclofenac, ibuprofen, aceclofenac, meloxicam, ketorolac, indomethacin, celecoxib. As a rule, 7-10 days of regular administration of these medicines are enough to eliminate the pain.

In severe cases, when pain cannot be eliminated with drugs from the NSAID group, local administration of glucocorticoids periarticularly (into the soft periarticular tissues) is resorted to. This procedure is called a blockade. For it, GCS of prolonged action is used, for example, Diprospan, Kenalog. Also added to such injections local anesthetics(lidocaine, novocaine). As a rule, 1-3 such procedures are necessary to eliminate the pain syndrome.

Physiotherapy treatment

Among the physiotherapeutic procedures, the most effective for the treatment of trochanteritis are:

• laser therapy,
• shock wave therapy,
• paraffin thermal applications,
• magnetotherapy,
• phonophoresis with hydrocortisone,
• electrophoresis.

Postisometric relaxation

This is a special therapeutic technique that was developed specifically for the treatment of pathology of tendons and muscles. Postisometric relaxation consists in the interaction of the doctor with the patient, in which the necessary ligaments or muscles are passively stretched by giving certain positions to the body parts of the sick person.

As a rule, in 90% of cases, for the treatment of trochanteritis, you need to complete a course of 8-10 sessions (20 minutes each) every other day. And that may be enough to heal. The only negative is the waste of time, so patients rarely resort to this treatment method, and absolutely in vain.

Physiotherapy

Gymnastics with trochanteritis is prescribed without fail, but after elimination acute pain. Physical exercises are able to strengthen the thigh muscles, activate blood flow in this area, which contributes to a speedy recovery. It is only important to remember that it is impossible to perform movements that lead to the progression of damage to the diseased tendon. The exercise therapy complex should be gentle.

Alternative treatment

Homemade folk remedies help reduce pain during inflammation of the greater trochanter, but, unfortunately, they do not affect the cause of the disease. Therefore, you should not use folk recipes as the main treatment, they can only be used as an addition to the main therapy.

Thus, trochanteritis is a fairly common, but often undiagnosed disease, which leads to the transition of the pathology to a chronic form and the development of constant pain in the thigh. Often people perceive symptoms such as arthrosis and do not seek help, believing that nothing can be done. This is a very big mistake, since in half of the cases the cause of this pain is inflammation of the greater trochanter of the femur, which responds very well to therapy.

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FEDERAL PROGRAM FOR FIGHTING DISEASES OF THE MUSCLE-MOTOR APPARATUS (JOINTS). Bubnovsky Sergey Mikhailovich Russian doctor, doctor of medical sciences, professor. Founder of Modern kinesitherapy - an alternative (neurology and orthopedics) method of treating chronic diseases and injuries of the musculoskeletal system, the benchmark in which is not set on medications and wearing corsets, but on the internal reserves of the body and the patient's understanding of his own body. “Remember the simple truth, and don’t listen to anyone: joints are always treatable, even in the deepest old age” A month and a half ago, the federal program “Healthy Russia to combat disorders of the musculoskeletal system” was launched. doctor of medical sciences, Professor Sergei Mikhailovich Bubnovsky. This doctor claims that he will cure 18-year-old osteochondrosis in a couple of months. That he will completely cure an ancient grandmother with the most advanced arthritis in 78 days. 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Moreover, if you know the secret and apply a little discipline, it is possible to recover even at home and very quickly, which thousands of my patients do. - And what is this secret? - The secret is in understanding why it hurts. In general, in encyclopedias there are up to 147 possible causes development of osteochondrosis and arthrosis, but the consequence is one iron - joints, vertebrae and cartilage lose their elasticity, hence the pain. They wear out due to poor blood supply. Here's the secret - by restoring the blood supply to the joint, we cure it! - Yes, but it is considered that it is almost impossible to restore blood supply after 40 years, isn't it? - It's all nonsense! I pulled myself out of a wheelchair after an accident, and this is worse than the 40th anniversary. - What are the first signs of deterioration in the functioning of the joints after 40? The first signs can be considered when the patient reduces the joints of the arms or legs. This happens most often due to physical overload of the joint, lifting weights, such as heavy bags, uncomfortable shoes, repetitive movements all lead to overload. Articular cartilage is destroyed, the bones begin to touch each other, so you feel discomfort. As a result, stiffness of movement and swelling first appear, and then the limb can be completely taken away. Also a huge role is played by the high content of salt in the body. If you have cramps in your arms or legs, you need to urgently limit yourself to the consumption of foods and liquids containing sodium: It is not recommended to drink: Mineral water Tomato juice Pickles Alcoholic drinks Tan, koumiss (fermented milk products containing sodium Not recommended to eat: Salted butter, margarine All types of hard and soft cheeses Smoked meat, ham, bacon, corned beef, cold cuts, jelly, canned meat Sausages, sausages (industrially prepared sausages and other meat products are added with various preservatives and stabilizers containing a lot of sodium) Meat and fish dishes fast food(canned or frozen) Smoked and preserved fish and seafood Crabs, lobsters, shrimp, crayfish (unless cooked without salt) Canned vegetables (except special ones where salt is not used as a preservative) Chips, sauerkraut Fried and salted nuts, peanuts butter Sauces, gravies, ketchups, salad dressings, marinades (except homemade without salt) All kinds of instant soups Bouillon cubes - Have you pulled others out of a wheelchair? - And repeatedly. But most of my patients are ordinary people in their 40s who have developed diseases "with age". They come with very similar problems: osteochondrosis, arthrosis, arthritis, sciatica, pinched nerve. These diseases exhaust and interfere with life. They cry, it hurts, it's even hard for them to walk. And, it would seem, ordinary people are not athletes and not disabled people. And they complain - "why is this me, why me?". And I answer: let's not lament, but restore blood supply. - And how can blood supply be restored at this age? - I treated people with the help of movement and a set of 96 exercises on simulators. This is an extremely effective, but very difficult and long method. People are in pain, it is difficult, they do not have enough time to visit the hall. But, YOU SHOULD BE TREATED!!!