Treatment Surgical treatment Currently, commonly used surgical treatments for osteoarthritis include arthroscopic surgery, osteotomy and artificial joint replacement. The cartilage fragments fall off into the joint cavity and form loose bodies, which are what we usually call "joint mice". They can be removed by arthroscopic surgery. Arthroscopic surgery can well identify and estimate the degree of joint disease, lavage and clean the joint cavity, remove loose bodies in the joint cavity, and improve the patient's mobility to a certain extent. Various orthopedic osteotomies are used to improve joint balance. Tibial osteotomy is mainly used for patients with varus and varus deformity of the knee joint (i.e., "O" or "X"-shaped legs). Through surgery, the bent leg can be restored to a normal state as much as possible. If the patient's condition develops to a severe stage, the articular cartilage is severely lost, the joint space is too small, the joint function is lost, and daily life is seriously affected, and conservative treatment is ineffective, artificial joint replacement should be considered, mainly artificial knee joint and artificial hip joint replacement surgery. Joint replacement can better restore the joint's mobility and improve the patient's quality of life. However, artificial joint replacement surgery is more invasive, the service life of the replaced artificial joint is also limited, and the cost of surgery is relatively high. Physical therapy Osteoarthritis is a non-bacterial inflammation. The main pathological characteristic is that the blood circulation disorder of the joint tissue leads to poor nutritional supply of tissue cells, resulting in pathological changes in tissue cells. Microwave hyperthermia is a very popular method that has been developed at home and abroad in recent years. Successful physical therapy has a very good effect on the recovery of cell functions and the removal of inflammatory substances. Many osteoarthritis patients can obtain curative effects that cannot be achieved by drugs. Main clinical manifestations: 1. Human tissue absorbs electromagnetic waves penetrating from outside the body, and the temperature of the tissue is increased, causing blood vessels to dilate, opening up the blood circulation of blocked capillaries, thereby promoting the absorption of inflammation and the repair of damaged cells. 2. By improving blood circulation , promote the immune function of white blood cells, macrophages, etc., achieve anti-inflammatory and swelling effects 3, restore the enzymes of human tissue to normal work, and ensure normal metabolism. Adjuvant treatment Adjuvant treatment is a method used in conjunction with drug treatment when the patient's joint disease is in the early or middle stages. Auxiliary treatment is what we usually call physiotherapy and body therapy, such as roasting, massage, massage, acupuncture and a series of methods. Although adjuvant therapy has no fundamental effect on osteoarthritis, it can reduce the patient's local discomfort and have a sedative, relaxing and analgesic effect on the patient. At the same time, patients should actively take care of themselves, pay attention to losing weight, and exercise appropriately, such as swimming, cycling and other sports. Avoid incorrect postures and movements that are harmful to joints, such as climbing mountains and sitting at your desk for long periods of time. Protect joints and reduce weight-bearing, such as using knee pads on the knee joints and using supports when sitting or standing for long periods of time. During activities, crutches and walkers can be used to assist activities or walking. Note: Strengthening bone and joint muscle exercises can effectively prevent and treat the occurrence and development of osteoarthritis. According to surveys, among people with well-developed bones and joint muscles and strong strength, the chance of osteoarthritis attacks is reduced by 80%. Therefore, strong exercise of the ligaments and muscles around the bones and joints is crucial for the treatment and recovery of osteoarthritis. significance. It is recommended that patients with osteoarthritis use a commonly used domestic medical device "analgesic sleeping pad". The analgesic sleeping pad uses neodymium iron boron permanent magnets, a high-tech achievement of the National 863 Program, and the lining is nano-far infrared cloth. The NdFeB bio-high-tech magnetic field has a magnetic field frequency that is consistent with the human body's own magnetic field. Not only will it not cause disorder of the human body's own magnetic field, but more importantly, it can promote the enhancement of the human body's bio-electromagnetic energy and promote the movement of the human body's qi. Achieve the effect of clearing the meridians and activating collaterals and effectively relieving pain. Under the action of biomagnetic field, it improves local blood circulation, reduces capillary permeability, accelerates the absorption and dissipation of inflammatory exudates, relieves pain, and increases the saturation of blood oxygen exchange in ligaments and muscle tissues around bones and joints. Thereby strengthening the ligaments around bones and joints and the effect of muscles in protecting bone joints, which is of great significance for the complete cure of osteoarthritis. Drug therapy Generally, when treating diseases, before surgery, drug therapy is a relatively effective treatment method often chosen by doctors and patients. For osteoarthritis, therapeutic drugs can be divided into two categories: non-specific therapeutic drugs and specific therapeutic drugs, that is, "symptomatic treatment" drugs and "causal treatment" drugs. Many people may not know the difference between the two concepts of "symptomatic treatment" and "cause-based treatment". Let's first take a look at their meanings: The "symptomatic treatment" mentioned here is different from what we usually mean. It is said that only "prescribing the right medicine" can cure a disease. "Treatment" means that we must correctly understand the disease and use the right medicine for the disease. The "symptom" in symptomatic treatment here refers to the superficial symptoms of the disease, such as teeth being damaged. When tooth decay occurs, toothache occurs, and toothache is the superficial symptom. "Symptomatic treatment" refers to eliminating or improving the superficial symptoms of the disease, also called symptomatic treatment. Just like using painkillers to relieve toothache. When the toothache is stopped, the superficial symptoms are eliminated. However, if the tooth is not repaired, the pain will return after a while. In our usual words, this treatment method can be described as “treating the symptoms but not the root cause”. Any treatment that can target the cause of a disease is called "treating the cause", which is also called treating the root cause. Let’s use the example of toothache just now. If the tooth decay is filled, the tooth will not hurt anymore. This is the treatment of the cause. Therefore, if the cause is treated more thoroughly, it is generally less likely to relapse.

In the treatment of arthritis, traditional Chinese medicine is generally used to treat the cause, which is to treat the cause and achieve the purpose of treating both the symptoms and the root cause. Non-specific drug treatment of osteoarthritis (symptomatic treatment) Non-specific drug treatment of osteoarthritis, that is, symptomatic treatment, is commonly used non-steroidal anti-inflammatory drugs, which are often called analgesics. Painkillers, as the name suggests, have analgesic effects and can relieve headaches and muscle pain, including joint pain associated with osteoarthritis. These drugs are not specifically designed to treat osteoarthritis, so we also call them "symptomatic drugs." treatment” drugs. This type of drug has a quick onset of action, has a relatively good analgesic effect on pain caused by various causes, and is also effective in relieving joint pain in patients with osteoarthritis. This type of drug metabolizes quickly in the body. Once the metabolism is completed, the pain starts again and lasts for a short time. The important thing is that pain relief controls the superficial symptoms of the disease, but masks the nature of the disease that is still developing. There is also a kind of symptomatic treatment drug - hormone drugs. These drugs must be injected into the joint cavity. They can also achieve the purpose of quickly reducing inflammation and relieving pain, but they should not be used more than 3-4 times a year. If used for a long time, they can aggravate the joint pain. Cartilage damage and symptoms of osteoarthritis. Non-specific drug treatment for osteoarthritis can only temporarily relieve the symptoms of the disease, but cannot really affect the cause of osteoarthritis - articular cartilage, nor can it prevent the development of osteoarthritis. Traditional Chinese Medicine Treatment For the treatment of joint diseases, many people also trust traditional Chinese medicine’s massage, massage and traditional Chinese medicine. Joint massage is a physical therapy technique. As long as it is treated in a regular medical institution, patients can generally rest assured. The traditional theory of traditional Chinese medicine for the treatment of arthritis is that "wind, cold, and damp evils can block the meridians, causing blockage of the meridians, which will cause pain." Therefore, traditional Chinese medicine treatment is generally aimed at dispelling wind and cold, relieving spasm, dredging meridians, and activating blood circulation and removing blood stasis. At present, the most ideal drug in clinical drug treatment is Maitong developed by China Medical University, which has relatively few side effects and relatively significant curative effects. The treatment methods of traditional Chinese medicine can relax stiff joint muscles, relieve muscle spasms, dredge meridians, reduce swelling and relieve pain. Our clinical medicine today emphasizes "evidence-based medicine", which means that to draw a conclusion, there must be sufficient research results from basic medicine and clinical medicine to support this conclusion. If a certain treatment method or drug can "target the cause" of osteoarthritis, there must be evidence to prove that this method or drug can play a certain role in restoring normal metabolism of articular cartilage cells. Traditional Chinese medicine is an integral part of traditional medicine. It is profound and has a long history. It is the quintessence of China. It has cured countless difficult and complicated diseases for thousands of years and has always been a source of pride for the Chinese people. The medicines used in the hospital include Hop Shing Tong Zong, Hop Shing Tong Wei and other traditional Chinese medicine treatments. It has not yet been found that traditional Chinese medicine can repair articular cartilage or have an effect on articular cartilage cells. Human physiological anatomy proves that there are no blood vessels in articular cartilage. Whether the theory of "activating blood circulation and removing blood stasis" often mentioned in traditional Chinese medicine has an effect on articular cartilage remains to be further studied. However, the alternative medical treatment for arthritis that has emerged in developed countries such as Japan, the United States, and Europe since the 1980s - the use of Serratus cartilage powder to regenerate cartilage has been clinically proven. In Europe, the extract of shark cartilage powder has been recognized as a drug. The OAM (Office of Alternative Medicine) in the United States has also researched and popularized shark cartilage powder as a part of alternative medicine, while Japan uses shark cartilage powder. It is used in the clinical treatment of arthritis as a part of alternative medicine, and statistical data is summarized that the optimal dosage is 7.5g/day, which brings new hope for mankind to completely solve arthritis. Nursing Emotional Nursing Due to the long course of arthritis and the recurrence of the disease, the patient's ideological activities and emotional changes are more complex. For example, when the disease attacks acutely, or when the condition worsens, movement becomes inconvenient, and the patient cannot take care of himself, he may feel pessimistic or even disappointed. Thoughts of committing suicide; some lack a correct understanding of the disease, and have mental states such as eagerness for recovery, irritability, and excessive demand for medical effects, etc., which seriously affect the efficacy of treatment. Although at this time, " Even "magic bullets" are unlikely to be effective, so the ethics of caring for rheumatism patients requires emotional care. The specific methods are as follows: 1) Guide and help patients treat the disease correctly and reduce the patient's psychological pressure; 2) Enlist the active cooperation of relatives to achieve the expected curative effect. Life care 1. General care: Arthritis patients are most afraid of wind, cold and moisture. Therefore, it is best to live in a sunny, ventilated and dry house to keep the indoor air fresh. The bed should be flat, the bedding should be light, warm and dry, and should be washed and dried frequently, especially for children. It is best for patients with ankylosing spondylitis to sleep on a wooden bed. The bed should not be placed in a draft to prevent catching cold while sleeping. It is advisable to use warm water to wash your face and hands, and to wash your feet at night. The hot water should be immersed above the ankle joint for about a quarter of an hour, which can promote blood flow in the lower limbs. For those who have been bedridden for a long time and whose limb function has basically disappeared, attention should be paid to helping them change positions frequently to prevent the occurrence of bedsores. For those with deformed finger joints, difficulty in flexing and extending the elbow joint, or deformation of the knee joints and ankle joints, who have difficulty walking, they must be cared for in a timely manner and provided with help everywhere. 2. Diet care: 1) Diet should be selected according to the specific condition. The diet of patients with rheumatism should generally include high-protein, high-calorie, easy-to-digest foods and less spicy, cold, and greasy foods. 2) The diet should not be one-sided, and the issue of medicinal supplements and food supplements should be treated correctly. Fruits, vegetables, fish, chicken, and duck are all nutritious, so don’t be a picky eater. 3) Pay attention to dietary taboos.

Prevention and Maintenance Necessary measures to prevent arthritis include combining work and rest, exercising appropriately to keep your mood comfortable, and recognizing that the disease is a long-term, chronic process that requires cooperation between doctors and patients and persistence in treatment. There is still debate about the dietary treatment of patients with arthritis and rheumatoid arthritis. There are two main methods, one is "supplementary treatment" and the other is "cancellation of treatment". The so-called complementary treatment refers to supplementing foods that are lacking in patients with arthritis or rheumatoid arthritis or that are beneficial to alleviating the disease. The so-called cancellation of treatment refers to the removal of foods that the patient cannot tolerate from the diet. For patients with arthritis and rheumatoid arthritis, there is no need to pay too much attention to diet, because there is no sufficient evidence that dietary treatment can change the course of arthritis or rheumatoid arthritis. At present, the most effective methods for the prevention and treatment of arthritis are as follows: First, control your own diet to avoid excessive intake of acidic substances and aggravate the acidic constitution. The acid-base balance of diet is a very important link in the treatment of arthritis and the prevention of complications. In terms of diet, you should eat more foods rich in plant organic active alkali, eat less meat, and eat more vegetables. Qiamagu is rich in plant organic active alkali, which can quickly eliminate acidic substances in the body and achieve an acid-base balance of body fluids, thereby preventing and maintaining arthritis. Second, you should exercise frequently outdoors. Doing more exercise in the sun and sweating more can help eliminate excess acidic substances in the body, thereby preventing the occurrence of arthritis. Third, maintain a good mood and avoid excessive psychological pressure. Excessive pressure will lead to the deposition of acidic substances and affect the normal progress of metabolism. Properly regulating your mood and your own stress can maintain a weakly alkaline physique, thereby preventing the occurrence of arthritis. Fourth, replenish joint cartilage components. Human articular cartilage will no longer grow after the age of 20 and will wear out year by year. Supplementing pure natural shark cartilage powder has been medically proven to restore joints. Experts remind that the way to prevent rheumatism and rheumatoid arthritis is to keep warm, protect yourself from cold and moisture, exercise appropriately to enhance immunity, prevent tonsillitis and upper respiratory tract infections, and in short, only by increasing your own resistance can you prevent the occurrence of this disease (small Prescription: Wrap fried salt, especially old sea salt, in gauze and apply hot compress to the joints. This can treat arthritis caused by moisture, rheumatism, etc.); patients with osteoarthritis should be careful not to engage in activities that use joints, such as mountain climbing. , climbing stairs, etc.; and the preventive measure for gouty arthritis is a scientific diet, eat less big fish and meat, eat more light food, and be sure to follow the doctor's dietary advice. In addition, joint pain is obviously related to the darkness, humidity, cold climate, and continuous rain in the room. Therefore, patients should pay attention to the weather forecast at all times and strengthen protection against cold and warmth when cold waves strike and the weather changes. Regular exercise and maintaining a normal weight can reduce the risk of osteoarthritis; preventing excessive fatigue and long-term stress on the joints can reduce the chance of arthritis; changing lifestyle habits such as excessive drinking can help prevent joint deterioration and complications. disease. Pay attention to prevent trauma and maintain scientific and reasonable postures, such as not bowing your head or bending over for a long time; prevent excessive fatigue and long-term stress on the joints; change lifestyle habits such as excessive drinking to prevent joint deterioration and complications. What to eat when you are old can help prevent and treat arthritis. People with arthritis should eat a light diet and eat less foods high in oxalic acid. Because the sodium content of salty foods is too high, it is easy to combine with calcium and eliminate it from the body, leading to the loss of calcium. Try to eat less foods high in oxalic acid, such as spinach, tomatoes, sweet potatoes, celery, etc. Oxalic acid can combine with calcium to form calcium oxalate, which reduces calcium absorption. Experts also remind you that it is best to eat fruit half an hour after a meal. If you eat it right away, it is also not conducive to calcium absorption. According to the determination of some experts in my country, lotus root has the strongest antioxidant capacity among vegetables, followed by ginger, rape, cowpea, taro, garlic, beans, broccoli, etc.; among fruits, hawthorn has the highest antioxidant capacity, as well as guava and kiwi fruit. , mulberry massage, strawberries, tangerines, oranges, lemons, etc., and the antioxidant capacity of these fruits is higher than the above-mentioned vegetables, so it is recommended that patients with osteoarthritis can choose to eat more in their daily lives.

Diet Therapy Eight Categories of Diet Therapy Medicine and food have the same origin, so there have been methods of using food to prevent and treat diseases since ancient times, which are referred to as "diet therapy". Diet therapy is convenient and can be taken for a long time without side effects (of course, you need to choose the right diet), and is especially suitable for chronic diseases. For patients with rheumatoid arthritis, dietary therapy plays an important role as an auxiliary therapy to drug therapy. The following is a brief introduction to the effects of different foods on different symptoms of rheumatoid arthritis: ① Foods such as bitter melon, bitter vegetables, purslane, and loofah have the effect of clearing away heat and detoxifying, and can relieve local fever and pain. ② Foods such as barley, tofu, celery, yams, and lentils have the effect of strengthening the spleen and diluting dampness, and can be used to relieve swelling symptoms. ③ Snakes, insects and other foods that can activate blood circulation, unblock meridians, dispel wind and relieve pain can be used for cooking or drinking after soaking in wine. They can relieve local symptoms of redness, swelling, heat and pain, and can also prevent lesions from spreading to other joints. , so it is a food with strong effects. ④ Take the rooster that has just crowed, add 150 grams of ginger (cut into slices), stew it in a pot, do not add oil or salt, but add a small amount of white wine, and eat it within one day. Take it again every 1 week. Rooster has the effect of tonifying deficiency, nourishing the kidneys, warming the stomach and dispelling cold, and can relieve local pain and weakness of joints and muscles. ⑤ 0.5 dry grams of young eel, dried in the shade, soaked in 1 kilogram of white wine, and ready to drink after one month. Drink 50ml each time, 2 times a day. Boy eel is warm in nature and good at moving around. It has the functions of relaxing muscles and activating collaterals, dispelling wind and removing dampness. It can relieve local redness, swelling, heat and pain, prevent lesions from spreading to other joints, and is very effective for shoulder and elbow joint mobility disorders. ⑥A variety of vegetables and fruits can meet the body's needs for vitamins, trace elements and fiber, and at the same time have the function of improving metabolism. They can clear away heat, detoxify, reduce swelling and relieve pain, thereby alleviating local symptoms of redness, swelling, heat and pain. ⑦ Foods such as shiitake mushrooms and black fungus can improve human immunity and can relieve local symptoms such as redness, swelling, heat and pain. ⑧ Take 200 grams of lean pork and 150 grams of chili root, boil the soup, season it, and take it twice a day. Can relieve severe pain symptoms. Foods that are symptomatic In short, many foods can relieve the symptoms of arthritis patients, but when we choose foods, we must choose foods that are symptomatic, otherwise the effect will be affected. The main symptoms here are based on traditional Chinese medicine, which classifies rheumatoid arthritis as a paralysis syndrome and divides it into four types: wind paralysis, cold paralysis, damp paralysis, and heat paralysis. Choose different foods according to different types. Generally speaking, ginger, green onions, etc. are suitable for wind paralysis; pepper, dried ginger and other foods are suitable for cold paralysis; coix, yam, etc. are suitable for wet paralysis; winter melon, loofah, mung bean sprouts, etc. are suitable for heat paralysis. Osteoarthritis is the degeneration of cartilage in major joints such as the knees, spine and hips. The cartilage itself has no nerves, but when a certain part is worn away, problems occur at the edges of the joints. Friction occurs between bones, causing pain. At the same time, the joint space becomes narrow, such as bow legs, X-shaped legs, or legs. Injury causes uneven force and increases the pressure on the joints, which will inevitably lead to serious wear and tear. Once the cartilage falls off, it will cause pain and bring great pain to the patient's life. Here, we introduce some dietary therapies for arthritis that patients and friends can try. Shark Bone Powder and Shark Cartilage Powder: Pure natural shark cartilage powder is suitable and try to consume 7.5 grams per day. Sichuan Wu porridge Ingredients: 2 grams of Sichuan Wu, 10 drops of ginger juice, 30 grams of japonica rice, appropriate amount of honey. Cooking method: Grind Sichuan Wuji into powder, wash the japonica rice, put it into an earthen pot, add appropriate amount of water, add Sichuan Wu after boiling, simmer for 2 to 3 hours, when the rice is cooked, add ginger juice and honey, stir Mix well and boil for 1 to 2 seconds. Instructions for consumption: Eat with food, take according to the amount. Niu Teng Gui Xin Ingredients: 100 grams of Cornus officinale, 100 grams of Achyranthes bidentata, 60 grams of Gui Xin. Cooking method: Wash the above raw materials, dry or air-dry them, grind them into fine powder, and set aside. Instructions for consumption: Take once a day, 3 grams each time, with rice wine. Ingredients for Achyranthes bidentata and distiller's grains: 500g Achyranthes bidentata, 1000g glutinous rice, appropriate amount of sweet distiller's yeast. Cooking method: First wash the achyranthes, put it into a casserole, add an appropriate amount of water and boil it for 2 to 3 times. Take part of the concoction and soak the glutinous rice. After the glutinous rice is cooked, mix the other part of the concoction with sweet koji and put it in a warm place. Fermentation into wine vats. Instructions for consumption: Once a day, take 30 grams from the wine tank for cooking. Mulberry and Mulberry Branch Wine Ingredients: 500 grams of fresh mulberries, 100 grams of fresh mulberry branches, 500 grams of brown sugar, and 1,000 grams of white wine. Cooking method: Wash and cut the mulberry branches, soak them in wine with mulberries and brown sugar, and drink it after one month. Instructions for consumption: Drink as much as you need, as long as you don't get drunk. Tea therapy (1) Chuanxiong tea: 3 grams of Chuanxiong, 6 grams of tea leaves, grind into fine powder, mix well, brew with boiling water, and drink frequently instead of tea. Once a day, take it regularly. (2) Honeysuckle and chrysanthemum tea: grind 5 grams of tea into powder, 5 grams of honeysuckle, and 6 grams of chrysanthemum, brew with boiling water, and drink several times a day. Used for patients with joint pain, fever, and redness. (3) Scrophulariaceae and Ophiopogon japonicus tea: 8 grams of Scrophulariaceae and 8 grams of Ophiopogon japonicus, mix with a little tea leaves, soak in boiling water for 10 minutes, and drink. It can be used for patients with senile rheumatoid arthritis who have dry mouth and are upset. (4) Qisheng tea: 5 grams of astragalus and 5 grams of American ginseng, cut into thin slices, mix with tea leaves, brew in boiling water for 10 minutes, and then drink. One dose per day, can be drank 6-8 times. It is used for elderly patients with rheumatoid arthritis who have restless sleep at night and excessive sweating due to deficiency of Qi and Yin.