Arthrosis therapy is used in cases where pain in the joints is caused by deterioration of the cartilage!


The joint


The bone at the joints is covered with a soft, elastic buffer layer, the joint cartilage, which acts like a rubber cushion to absorb impacts. Its flat surface allows for an almost friction-free gliding of the parts of the joint over each other. In addition, this cartilage layer is smoothened and receives nutrients over the synovial fluid. The main component of this fluid is hyaluronic acid, which reduces the friction in the joint to a minimum. Hyaluronic acid is produced in the synovial membrane (mucous membrane of the joint) and is secreted when the joint is moved: "The joint lives through movement!".


Arthrosis

Arthrosis is the term used for changes in the joints as a result of wear and tear, on the one hand, and age, on the other. The most frequently affected joints are the large ones such as the knee, the hip and the shoulder, with joints of the hand and the spine also being affected.

Our continual use of our joints, excess physical strain, injuries and being overweight lead to premature wear and tear. As a result the cartilage loses its elasticity, becomes brittle and can be worn down by pressure and friction. Small particles of cartilage then begin to irritate the joint and the synovial membrane. The inflamed membrane is no longer able to produce the viscous synovial fluid and begins to produce an excess of watery fluid – which results in an effusion. Such inflammatory conditions can lead to a permanent loss of the ability of the synovial membrane to produce hyalonic acid and synovial fluid of the necessary quality, which are essential for both protection and nutrition of the cartilage. This results in increased wear and tear of the cartilage surfaces, creating a vicious circle leading to a reduction in the joint space and, finally, to direct impact of bone on bone, which causes increasing pain. Eventually, the surfaces of the joint no longer fit together. In serious cases this condition requires replacement of the joint by an artificial joint.

Course of treatment


In arthrosis therapy the joint is supplied with what it is lacking. Synthetically produced hyaluric acid, a gelatinous mass, is injected directly into the joint space. It increases the viscosity of the synovial fluid, smoothes the surface of the cartilage and supplies the tissue beneath it. This leads to a low-friction gliding of the surfaces of the joint over each other, resulting in a restoration of normal movement. Deterioration of the cartilage is stopped and the elasticity of the cartilage cells is restored. During a course of therapy lasting about 5 weeks, once a week the synthetic, highly pure hyaluronic acid is injected into the affected joint. The viscous solution – which has the consistency of honey – flows over the joint, leading to a noticeable alleviation of pain.


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