There are a lot of joint pathologies, they differ in origin, development mechanism, symptoms and treatment methods.Most often, among other diagnosis and arthritis and arthritis.The diseases are similar, but have some important differences.Differential diagnosis is required for the correct selection of therapy and timely prevention of severe complications.To prevent misunderstandings and confusion, you should understand how the arthrosis is different and which are both tables.
What is arthritis and arthrosis, as they differ
Arthritis, arthrosis - two different diseases that affect joints.Despite the consonation of terms, this is not the same diagnosis, and even more, so they are not synonymous.They also have general and different signs, so they should not be confused.
Arthrosis is a degenerative-dystrophic common pathology, which is characteristic of:
- Damage to cartilage tissue with gradual inclusion of ligaments, muscles, sinovy shells, bones in the destructive process;
- not-coating character;
- chronic form of course;
- It develops locally without affecting the body as a whole.
Arthrosis occurs mainly in adulthood, after 45 years, in women on the background of the aging of the body, the wear of the musculos-bone system.Occasionally appears in the young due to significant physical effort, severe injuries, harmful working conditions.According to the international classifier, the MKB-10 is assigned to the M15-M19.
Arthritis is a collective expression that includes any joint diseases:
- is inflammatory;
- Continues more often in acute form, turning into chronic;
- affects the bone tissue and the articulated cavity;
- It occurs as a system lesion, with the involvement of several articulated compounds and targeted organs at once in the pathological process.
Adults under 40 years of age, as well as children, are subject to arthritis.The disease was reversible, successfully treated provided that they are looking for medical attention in a timely manner.According to the classifier, the ICD-10 has the code M00-14.
Arthricate and arthrose pathology are often interconnected.Incomplete arthritis with age leads to dystrophic changes in cartilage.In return, arthrosis in exigh times accompanies the inflammation of the tissue.Joint disease is called arthroso arthritis.
Types of diseases
Arthritis in the official medical classification is divided into the species according to several criteria.Depending on the form, acute (severe inflammation, suitable for the whole of cure) and chronic (incurable pathology with deterioration).According to the degree of damage to the joints, there is monoarritis (in one joints), oligoartitis (in 2-3 joints), polyarthritis (multiple inflammation).
The most popular arthritis classifier is considered to be originally:
- rheumatoid - root cause lies in genetic disorders of Autoimune Nature;
- Contagious (septic) - Development of pathogenic microflora directly into the articulated cavity;
- Reactive - secondary complication of respiratory, genitory, intestinal infections;
- Traumatic (post -traumatic) - was formed due to mechanical damage to bones, tendons, muscles, ligaments;
- Exchange (Gouty) - Breach of metabolic processes in the body;
- Rheumatic - develops after bacterial infection in the body.
The arthrosis is characterized by a solely chronic shape with damage to one articulated compound.It originates mainly mobile compounds in the human body - legs (knee, ankle, foot), arms (shoulder, elbow), as well as forks and vertebrates.
Depending on the localization, it is divided into:
- knee (gonartost);
- Hip (coxartrosis);
- ankle;
- brachial;
- elbow;
- hands;
- thumb leg;
- Spine (spondylarteness);
- cervical (Ukwertbral);
- Landing-Nomplete (VMS).
Therapy largely depends on the type of articulated pathology, especially arthritis.
Difference in causes of arthritis and arthrosis
Arthritis and arthrosis arise on the background of many harmful factors.The usual provocators of both diseases are:
- Genetic predisposition;
- Injuries (bruises, dislocations, subclusion, stretching, fractures);
- Congenital anomalies in the development of a muscle-bone system;
- Metabolic and hormonal disorders;
- Heavy chronic diseases (rheumatism, tuberculosis, diabetes melitus, thyroid problems);
- Irregular lifestyle (low activity, bad nutrition, excess weight, bad habits);
- Significant physical and emotional loads.
These deviations negatively affect the body as a whole, which significantly increases the risk of articulated diseases.But there are more direct and obvious causes of any disease separately.
Of great importance in the development of arthritis playing:
- Viral, fungal, bacterial origin infections (flu, salmonelosis, hepatitis, tonlitis, intestinal infection, borrell, syphilis);
- Autoimmune pathology (psoriasis, multiple sclerosis, red lupus);
- Metabolic offense (gout);
- Borne disease (osteoporosis, osteomyelitis, osteochondrose, osteoarthrosis);
- allergic reactions;
- Low immunity;
- Surgical operations on joints.
The incentive for the occurrence of pathology can be banal hypothermia, bad sanitary living conditions, unbalanced diet.
What is the difference between arthrosis and arthritis?Degenerative changes in the cartilage for arthrosis, in addition to these common causes, occur for reasons:
- disorders compared to the age ability to function the functionality of the muscle-bone system;
- Unused inflammatory inflammatory process (arthritis, synonitis);
- Bad blood circulation (atherosclerosis, varicose);
- Professional activities (athletes).
Typically articulated pathology is the result of several internal and external harmful factors at once.
The difference between arthritis and arthrosis in symptoms
The symptoms of two diseases in general events are quite alike.Inflammatory and non-coal damage to the joints characterized by:
- pain of various intensities;
- a sense of stiffness and stiffness;
- crumb and creak while walking;
- discomfort after a long vacation;
- painful reaction to time changes, physical activity;
- The external deformation of the affected area.
At the same time, the nature and time of the occurrence of unpleasant sensations, the severity and intensity of the pathological process differ significantly.
With these signs you can understand which disease before you - arthritis, arthrosis, which is the difference between them:
- Arthritis pain occurs suddenly against the background of relative health, and arthrosis increases gradually as dystrophic changes in cartilage advance - from a few months to several years;
- Arthritis painfully and morning, decreases after joint development, arthrosis disease, on the contrary, is contrary to resting and significantly increases when moving (in the last phase is constantly present);
- Arthritis is always accompanied by the inflammatory process with swelling, redness, hyperemia, local temperature rise, arthrosis, such is characteristic only in periods of deterioration;
- Arthritis is systematically, at the same time the share in the left and right hand joint or arms in the process, as well as the impact on the heart, light, skin, vessels, nervous system.Arthrose lesion usually does not exceed one pathological compound;
- In the initial phases, the appearance differs - with arthritis is clear, the place is swollen and becomes hot, and arthrosis there are no visual changes, and only in advanced cases of both diseases for the Community deformation manifest;
- Generally welfare with arthritis is deteriorated - the temperature increases, there is weakness, weakness, the appetite disappears, weight is reduced (in chronic form can be absent).Such symptoms do not bother patients with arthrosis, the center of attention is only a painful and weak working compound.
In various stages, the clinical picture can vary significantly.It is possible to make an accurate diagnosis only after full test.
Differential diagnosis of arthrosis and arthritis
In the first signs of the joint disease, it is necessary to apply for a doctor counseling.The arthrologist deals with such pathologies, which exactly knows how to recognize arthritis and arthrosis and what their difference is.If there is no such specialist in the clinic, you can visit an orthopedic, traumatologist, osteopath, rheumatologist, surgeon.In addition to arthritis, depending on the disease etiology, additional consulting experts for infectious diseases, immunologists, neuropathologists, endocrinologists, endocrinologists, endocrinologists, endocrinologists may be needed.
Based on the conflict and the initial diagnosis, it is difficult to make an accurate diagnosis.
It takes a range of instrumental research:
- Radiography for determining the condition of joints, recognition of injuries, neoplasms;
- CT and MRI for detailed consideration not only in common cavities, but also soft tissues;
- Ultrasound - is performed if there are contraindications for X -Ray and tomography.
All these methods are quite informative, applicable on both pathology.
If interfering with arthritis, you cannot do without laboratory tests that allow you to identify the root cause of the disease and determine the general state of the body:
- Blood tests for leukocyte levels, ESRs, specific markers;
- Urine analysis for salt in urinary acids;
- Rheumatic tests for detecting rheumatoid factors;
- Immune test for assessing the state of the body's immune defense;
- PCR diagnostics on pathogenic infection;
- Arthroscopy for a Sinovic Fluid Fence for Analysis.
The set method is selected individually based on a clinical image and a preliminary examination of the specialist.Full test does not last much time, but it is very important for the development of differential diagnosis and prescribing appropriate treatment.
The difference and characteristics in the treatment of any disease
Both diseases include special therapy, without whom arthritis transitions into a chronic form, and the arthrosis is deprived of performance.
The general principles of treatment are similar, but tasks are different:
- With arthritis, the main goal is to mitigate inflammation, eliminate painful symptoms, prevent complications to other bodies;
- In addition to arthrosis, due to the impossibility of fully curing the disease, the main therapeutic emphasis is to facilitate aching and stopping of dystrophic processes in the cartilage.
The complex of medical measures necessarily includes medicines in the form of tablets, greases, creams, solutions, powder, injection.Folk recipes, physiotherapy and therapeutic exercises are used as ancillary methods.In advanced cases you cannot do without surgical intervention.
Therapy has been carefully selected according to individual indications.There is no universal medicine for arthritis and arthrosis, self-initiation is prohibited.
Arthritis and arthrosis - what is the difference in medication treatment
Pharmacy medications are an integral part of the treatment of both weights.You can't without arthritis about the presence of a strong inflammatory process.The therapy are used:
- Anti -infalmatory non-steroid medications in the form of tablets, powder, fat.The drugs of this group just stop inflammation and simultaneous unpleasant symptoms.
- Immunosupreri.Counteract its own immunity with autoimmic origin.
- Corticosteroid hormones.Choose serious pain with the shape of a tablet or intra-post-injection.
- Antibiotics.They have antibacterial effect in the presence of an infectious process in the body and wrist.
NSAIDS and corticosteroids are effective in the period of aggravation of arthrosis, when the inflammation and strong pain attached to the pathological process.In addition, the disease includes the use:
- ChondroProteectors to restore the fabric cartilage and stop the destruction of the compound.On a long-term basis, powders are used to receive orally, injection intramuscular and intra -articular.
- Oral painkillers.
- Vasodilator drugs to improve blood flow.
- Musrelax with hypertonity and muscle spasm.
- Vitamin complexes for improving metabolic processes and prevent system complications.
Chondroprotective and vitamin agents are also marked in some forms of arthritis, especially in chronic form.
The correct therapy was selected according to the results of the test, taking into account the age and the patient's benefit.
Ointment of arthritis and arthrosis
Symptomatic therapy is equally needed for arthritis and joint arthritis.Various creams, fats, gels work locally, eliminating inflammation, pain, swelling, discomfort.Moreover, they do not have a systemic effect on the body.
Can alleviate the condition:
- Anti -inflammatory ointment based on a special substance;
- Other non-anti-inflammatory drugs;
- painkillers and heating medications;
- Local medications that improve blood flow and elasticity of the muscular-ligament apparatus on the base of the snake and bee poisons;
- ointment with sea fats, activating metabolic and regenerative processes in joints;
- Rubbing with analgesic and antinthic properties.
Local funds rarely cause side effects, but don't forget about the possibility of the skin's allergic reaction.
Traditional medicine
National methods are a good assistant in the treatment of arthritis and arthrosis.Home recipes based on natural components have predominantly symptomatic effect, which are used as an additional tool.
With an arthritis inflammation of the wrist, you can:
- Compresses at night from Burdock leaves, white cabbage, aloe, strained in advance and slightly bumped in secret juice;
- Warm baths from pine needles, joint steam in cured decktion;
- Grinding affected place from egg yolks, teaspoon of apple apple cheese and turf of turpentine;
- Plant decociation Sage, St. John's chin and braids, cooking 2 teaspoons in the semi-open boiling water, taking 0.5 cups before eating.
To mitigate the state with arthrosis, it will help:
- compresses from ginger roots, a larger on the greuter and attached to a painful connection for encouraging blood circulation and heating effect;
- Rubic for the night of 50 g honey and 1 tablespoons.Mama healing;
- Paper patch or mustard compresses as thermal procedure;
- Baths based on the decktion of mint leaves or soda-salt solution.
All recipes can be used for both diseases, but only after consulting a doctor who attend.Home treatment can help, eliminate unpleasant sensations and damage, causing allergic reaction and deterioration.
Exercises for arthritis and arthrosis
The purpose of the therapeutic gymnastics is the renewal of the mobility of the common and prevention of changes in deformations.
In the same way, this task is important for all articular pathologies:
- For the area of the hip - squats at the right angle, swinging legs back and back, exercises "bicycle" and "scissors" in the position of laying;
- For the knees - sit on the heels from the position on the knees and raising the exercise "Bike" - standing the circular movements with their legs closed, move slowly with "Gusk";
- For ankle - to massage all the finger separately, rotate the foot clockwise and against, stretch the stocking from you and for yourself;
- For brushes and fingers - Make circular movements brush in different directions, squeeze and rip off the fist, turn the round object in your hands;
- For the shoulder belt - to turn backwards and forward, turn the hands and shoulder alternately.
All exercises can be performed only during the remission of the disease by resolving the doctor.
Auxiliary therapeutic techniques
Joint treatment is not limited to medical and folk methods.It is important to implement comprehensive therapy, especially in the rehabilitation phase after an acute period and renewal of common mobility.
Experts recommend:
- Massage for reducing pain and development of affected compound (dot, honey, manual technique);
- Physiotherapy procedures in order to improve cell metabolism, accelerated tissue regeneration, complications prevention (magnetotherapy, ultrasound, electrophoresis, paraffinopia);
- Alternative medicine (hyrudotherapy, acupuncture, kinesitherapy);
- Proper nutrition (diet) with overcoming fruits and vegetables, rejection of harmful food and alcohol;
- Treatment of sanatorium-resorts with a full complex of therapeutic services.
In advanced cases, and this often happens with arthrosis, you must resort to radical surgical methods.Synectomy, arthroplasty, endoprosthetics, arthrodesis will help the joints to return the joints.Before this state, the course of the disease is better not to allow, performing all medical recipes.
Conclusion
We offer in a short form of information about the disease of arthrosis and arthritis, which is the difference in all important criteria:
| Criterion | Arthritis | Arthrosis |
| Etiology | Inflammatory disease, mostly acute form | Degenerative-Dystrophic, exclusively chronic course |
| Reasons | Infections, autoimmune and metabolic disorders | Changes related to age in the musculosk-bone system, undertaking arthritis |
| Injuries, Hormonal Deads, Big Angles, Sitting and Unhealthy Lifestyle, Chronic Pathology | ||
| Symptoms | A sudden appearance, pronounced, there is common abuse | Gradual growth, symptoms are local |
| Pain, crumb, stiffness, stiffness during walking, external deformation (in the last phase) | ||
| Diagnostics | Laboratory blood and urine tests | - |
| X -RAY, CT, MRI | ||
| Treatment | Nsaide, corticosteroids, immunosuppressants, antibiotics | Chondroprotektori, Analgets, muscular relaxants, hormones, vitamins |
| Forecast | In most cases, complete recovery, rarely - transition to chronic form | Gradual destruction of joints, followed by loss of mobility, disability, surgery needs |