Crunches and snaps his knee: what to do?
To get rid of the crunch in the knee joint, it is necessary to identify the pathology that led to the development of this symptom. In case of trauma, the limb is immobilized by applying special tires or a gypsum bandage to the leg.
Depending on the cause of the crunch in the knee, the following medicines can be prescribed:
Preparations from the NSAID group. They can reduce inflammation and pain, relieve swelling. They are taken orally and applied to the affected joint. It can be medicines such as Ibuprofen, Diclofenac, etc.
Corticosteroids. These drugs are prescribed to relieve inflammation. Injections are injected into the joint cavity. These medications include Prednisolone, Hydrocortisone, Triamcinolone.
Preparations for the treatment of gout: Colchicine and Allopurinol. They prevent excessive production of uric acid in the body, accelerate its excretion and eliminate the symptoms of the disease. Drugs are taken orally. The basic anti-inflammatory drugs are aimed at stopping the processes of destruction of cartilage and bone tissue of the knee joint. Intramuscular injections use such drugs as: Azathioprine, Cyclosporine, Methotrexate.
Vitamin-mineral complexes are prescribed to strengthen bone tissue and restore bone strength.
To improve the state of the cartilage tissue and stop the process of its destruction, patients are prescribed chondroprotectors. It can be such preparations, as: Glucosamine, Chondroitin sulfate and Hyaluronic acid. Preparations are taken or given with injections.
Video: Dr. Orlov How to treat a crunch in the joints? :
Diet. If the patient is diagnosed with obesity or gout, then the diet becomes the main direction of treatment.
When gout is limited to the consumption of foods that can lead to accumulation of uric acid salts in tissues. Exclude meat dishes, fish, broccoli, cauliflower, dates.
For obesity, the menu should be composed by a nutritionist. In addition, a person needs to change the way of life, increase physical activity.
In order to normalize the phosphorus-calcium metabolism, it is required to enrich the diet with cottage cheese, fish, milk and sour-milk drinks.
Surgical treatment for a knee crunch
If the conservative way fails to cope with the existing problem, the patient is shown an operation.
Depending on the reason the following treatment methods can be used:
Arthrotomy of the joint. In this case, the patient’s joint is opened and pumped out of the inflammatory exudate. If necessary, remove foreign bodies. This is a gentle operation, which to a small extent injures the structure of the joint. Tenoraphy . This procedure is aimed at stitching the tendons during their ruptures or other damages. Thus the person will be immobilized for 1-1,5 months.
Arthroplasty The operation is performed with contractures of the joint, which led to a change in its shape, or to a pronounced violation of the knee functions. It is possible to replace the damaged joint with a prosthesis.
Puncture of the knee joint. During the puncture, medications are injected into the joint cavity, as well as pumping out inflammatory exudate. Thus, it is possible to reduce the pressure inside the knee and reduce the intensity of pain.
Synovectomy This procedure is aimed at removing the synovial membrane of the joint. It is indicated for rheumatoid arthritis, provided that the inflammation can not be stopped with the help of medications. The inner sheath of the joint is replaced by a sheath of synthetic material. The operation is resorted only in extreme cases.
Sinocapsullectomy . This operation involves the removal of not only the synovial membrane, but also the capsules of the joint itself. It is practiced with a neglected form of arthritis, when the structures of the knee joint are severely damaged.
Arthroscopy is performed using endoscopic equipment. Possible local or general anesthesia, depending on the extent of surgical intervention. It is prescribed to patients with pathologies of meniscus or ligaments, with osteoarthritis. The procedure is minimally invasive and is performed fairly quickly.
Osteosynthesis This procedure is indicated for patients with fractures. In the course of its implementation, the integrity of the joint is restored, comparing the bone fragments. After the operation, the knee joint is fixed and immobilized until the bones completely fuse.
Meniscatectomy . The operation involves the removal of knee menisci. Access to its structures can be open and closed. In the latter case, endoscopic equipment is used.
Elimination of ligament injuries. The operation is indicated for patients who have had a ligament in the knee joint. In the course of it, the ligaments are sewn together. Immobilization of the limb after the procedure is continued for 1-1,5 months. / h / To do this, he is picked up medical-physical complexes, prescribes physiotherapeutic treatment (massage, electrophoresis, paraffin therapy, etc.).
It is good to be engaged in swimming, because in the water the joint does not receive loads that could injure it again.
Which doctor treats the crunch in the joint?
If a person crunches the joint, an orthopedist, traumatologist or rheumatologist may be needed. It all depends on what kind of pathology triggered the onset of this symptom. If you do not have an opportunity to visit these specialists, you need to visit a therapist first.