ORTHOPEDICS DISEASES

• KNEE OSTEOARTHRITIS.


It occurs mainly in obese women and is the most frequent degeneration. It concerns joint degeneration and usually meniscus is strikes. The subcutaneous tissue of knee osteoarthritis swells, especially the inner skin surface is sensitive to pressure. Often there is joints fluid especially in exacerbation periods and at later degeneration stages, during the knee movement such as crepitating, lateral instability, loosening and deformation joints. Exercises are recommended to strengthen quadriceps muscle because this muscle is important for knee stability. Since joint mobility is restricted quadriceps muscles are usually atrophic, and this is a part of knee pain during walking. The intra-articular cortisone infusion frequently should be avoided because of complications such joints damage and infection. Surgical treatment used in cases of conservative treatment failure. Total joint replacement with an artificial joint (arthroplasty) is used for 20 years but has not given satisfactory results. Thereby,  it is no exaggeration to say that the method is still under investigation and it is applied where there is no other solution except joint fasten. 
Acupuncture has great potential in the case of knee pain osteoarthritis. It is the best and most important indication on the joints. Improves joints anatomy and physiology, reduces pain and delays for several years’ joint surgery.


• HIP OSTEOARTHRITIS.


Hip osteoarthritis induced by causes that disturb the harmonious relationship between femoral head and acetabulum. The causes are mainly inflammation, femoral head osteochondritis and avascular necrosis. Main disease symptom is pain. Pain initially occurs during fatigue, later at rest, and when the disease progressed in difficulty, during walking. Hip osteoarthritis is located in the groin, on interior thigh surface. During examination joints movements limitation are found, mainly induction-adduction and internal-external rotation. In late stages, limb takes place abnormal position such as flexion, adduction and external rotation. Lumbar spine creates lordosis while the opposite pelvis is rising compensatorily. Patients feel lumbar pain with thigh reflection. Treatment is conservative and surgery as well. Conservative treatment includes medication and physiotherapy. Drugs used are anti-inflammatory. All chemical drugs may harm stomach mucosa. Steroids joints injection has largely been reduced in recent years, because it causes articular cartilage destruction. According to recent views joints destruction ought to 1) a detrimental effect of cortisone during collagen metabolism 2) in a direct and rapid pain removal, which allows free use of suffering joint, resulting in faster destruction. Both in hip and knee osteoarthritis, patients should avoid long distances walking, climbing and descending stairs. Furthermore should keep their weight low. Total joint replacement (total hip arthroplasty) is an artificial femoral head and acetabulum replacement. Joints fixation is made with special plastic cement. Total joint replacement indications include severe joint damages with a large mobility restriction at rest. Joints failure is infection and loosening. Artificial joints durability in successful interventions reaches 10 and at most 15 years.

Acupuncture has been successful in reducing pain osteoarthritis allowing a greater degree of hip joint mobility and especially prolonging the time of hip replacement. Acupuncture stimulates joint cartilage regeneration and equal muscle hip loading due to fibrous nodules and palpable muscle bundles dissolution.
Homeopathy relieves pain and extends time of joint replacement.


• ELBOW OSTEOARTHRITIS



It is rare and is caused mainly by intra-articular fractures. Main finding is elbow stiffness which gradually increases and secondarily the pain and joint swelling. Healing is the usual conservative treatment with physiotherapy and motion therapy. Surgery does not satisfy therapeutically.

Acupuncture led to improved joint mobility and reduced pain 

• ELBOW EPICONDYLITIS. (Tennis elbow)



Elbow epicondylitis is created mainly due to repeated sudden wrist articulation movements, causing indirect fiber partial rupture of the common extensor wrist muscle, outgrowth from the humeral (arm) lateral epicondylus. Other causes include pressure from the radial nerve, cervical spondylitis etc. The disease begins with pain complaints and hand distress. For patient is difficult to open or close the tap or twist the door key of the car or house, serving of tea etc. Treatment is usually conservative and includes 1) a combination of limb immobilization with local steroids infusion. Immobilization comes with a plaster splint.

Acupuncture has absolutely succeeded in the case of elbow epicondylitis. Acupuncture promotes joint relaxation, relief from pain and inflammation.


SHOULDER PERIARTHRITIS



It occurs in people 25-50 years of age and is characterized by very intense pain and restriction of active shoulders movements. The joint becomes inflamed possibly after minor injuries, or excessive use of a swelling limb which causes powerful pain. The inflammation subsides after 2-3 weeks. Symptoms begin at night, forcing patient to get up, because he does not find relief on his shoulder. There is great tenderness in shoulder area to an extent that sometimes the simple palpation is impossible. As a treatment recommended, shoulder immobilization with triangular sail in front of the chest, the direct administration of painkiller and injection of local anesthetic with corticosteroids at the point of greater sensitivity. 

Acupuncture heals completely shoulder periarthritis in both acute and chronic phase. Reduces pain and allows a better joint mobility.
Homeopathy decreases joint inflammation and reduces pain.


• RIVETING SHOULDER (Frozen shoulder) 



Main features of this entity is a transient shoulder pain and joints movement limitation without abnormal radiographic findings. The etiology of the disease is not known. Responsible for clinical manifestations of disease are aseptic inflammation that leads to a great restriction on the joint movement. The condition usually occurs in people aged 40-60 years and passes through three stages: acute, chronic or sub acute and rehabilitation phase. It usually begins suddenly, often at night, with shoulder pain, which progressively worse, while joint movements are restricted. A few weeks later pain decreases significantly and the acute phase follows permanent stiffness. Stiffness consequence is deltoid and other muscles atrophy. In the third stage of the disease the pain is minimal and the joint mobility gradually improved to reach normal levels. The duration of the total turnover of the disease ranges from 6 months to 2 years. The disease runs its course until its auto healing not particularly affected by various treatments. In the acute intense pain phase, arm is suspended by a triangular bandage. Painkillers and anti-inflammatory drugs are given as well. Patient during treatment perform gentle active exercises. In chronic phase where pain has subsided, operations program for the joint mobilization are applied. Thereby the restoration of joint mobility is accelerated. The intra-articular corticosteroids injection is not recommended.

Acupuncture helps to accelerate the mobility of the frozen shoulder joint and pain reduction. Homeopathy improves stiffness, restriction, pain and joint movement


• HERNIA DISC



Hernia disc is a common painful syndrome in young and middle aged people located in the lumbar and cervical spine and is caused by pressure on nerve roots of the intervertebral disc. The intervertebral discs are composed of fibrous ring and the center of a core with soft but incompressible mass. Their role is to distribute evenly and cushion (like the shock absorbers of the car) the daily spine pressures and to stabilize one vertebra to another. The term slipped disc won because it shows that a fault of the disc take place rather than nucleus displacement. The term intervertebral disc herniation is more correct because it is exactly what happens that is the displacement and projection of the nucleus through the fibrous ring. The term intervertebral disc prolapsed is often used in Anglo-Saxon literature. When the disc alter the biochemical composition of both the core and the ring leads to reduced disc elasticity. In moderate lesions, the fibrous ring suffers a partial rupture, resulting in greater pressure on the nerve roots. In more severe disc deterioration, fibrous ring gets perfect rupture; the nucleus enters the spinal canal and causes pressure on the nerve root. This pressure causes swelling and inflammation in the nerve root. Getting someone with this problem, anti-inflammatory drugs, has a short time improvement due to the partial nucleus reduction and not because of restoration. For mechanical reasons (higher charge) disc herniation usually happens in the lumbar spine and secondarily in the cervical spine. Formerly injury regarded the major cause of disc herniation. Today it is generally accepted that prior to the injury is a disorder of the biochemical disk composition. Usually injury is indirect, as an example the load lifting, moving a piece of furniture, the lifting of a child in women. Many times the simple bending of the spine, coughing or sneezing may be a cause of nucleus prolapsed, through the cracks that have already been created in the fibrous ring. Often the traumatic occasion causing the onset of symptoms seems insignificant because most are not aware that the pressure exerted on the intervertebral disc when bending to lift a weight is not equal but much larger than the weight lifted. When you lift the body to bend a weight of 10 kg, the pressure on the intervertebral disc is about 50 pounds that is fivefold. The typical image of a lumbar disc is prominent. Back pain begins after lifting a weight or a sudden movement. The pain may be local or to reflect one or the other arm. Sometimes back pain can start from the lower leg or thigh and later moved to the middle. Regardless of how it started, the pain is aggravated by coughing or sneezing. Treatment is strict, bed rest in a layer that does not sink. The supine position with a pillow under the knees seems to relieve most patients. Pharmaceutical analgesics, muscle relaxants and anti-inflammatory drugs are used. The surgical treatment is applied to 10% of the patients with disc herniation when conservative treatment is not performed or when followed severe neurological effects.

Acupuncture has a position between conservative treatment and surgery. Acupuncture accomplishes very satisfactory results both for pain reduction and for damage repairing. It works by relaxing the muscles that exists between the vertebrae. The result is to grow the intervertebral space and the corresponding decompressed nerve root.
Homeopathy improves nerve ending inflammation and swelling.


• CARPAL TUNNEL SYNDROME


The carpal tube is an anatomical area that is occupied entirely by the median nerve. Any reason that reduce carpals tunnel capacity, causing pressure on the median nerve. Such known causes are tendons inflammation, wrist osteoarthritis, pregnancy etc. Especially frequent is this condition in women after menopause. In many cases, however, there is no reason that could be implicated. Characteristic symptoms of the disease are wrist pain and numbness or tingling in the palmary surface of the first three hand fingers and half of the ring finger. Complaints worse at night which force patients to get up and walk or taking the hand out of bed to relieve. Pain is sometimes reflected in the elbow or forearm. Long added weakness of the thumb, complicates the delicate hand movements such as sewing or fine objects retention. Treatment is surgical. Of course there is always the risk of motor branch of median nerve section during surgery.

Acupuncture is the treatment of choice for carpal tunnel syndrome, which relaxes the muscles by increasing the free space of the carpal tunnel and reducing pressure on the median nerve. The patient with this painless way not only permanently relieved of pain but avoids the side effects of surgery that most often creates pain relapses.
Homeopathy reduces wrist pain, numbness and balances glucose blood levels which coexist with carpal tunnel syndrome.


• FEMORAL HEAD NECROSIS



usually occurs after 40 years and is the result of femoral head perfusion disturbance, probably due to small vessels blockage. Disease begins with a slight hip pain, without movement’s restriction, opposed to osteoarthritis. Then the femoral head is progressively destroyed. Usually the treatment is surgery.

Acupuncture is amazing therapy of small blood head femoral vessels reperfusion and patients advised to apply prior to surgery.