Arthrosis and arthritis: What is the difference?

Arthrosis and arthritis are diseases in which the joints are affected.Since the names of these ailments are consonant, many people have thoughts about their identity.They perceive these terms as synonyms, which suggests that this is the same ailment.However, osteoarthritis and arthritis are far from being the same, and there is a significant difference between it.To understand how osteoarthritis is different, let's discover what these diseases are.

What is arthritis?

Arthritis is a collective term that means inflammation of any joint and more frequently indicates more extensive and serious pathological disorders in the body.That is, the disease is inflammatory and can impress both one and several joints.

There are a number of ailments accompanied by arthritis development:

• rheumatism;
• drop;
• rheumatoid arthritis;
• Systemic lupus erythematosus;
• Soriasis;
• Hemhramosis.

In addition, there are reactive arthritis that develop as a result of complications after infectious diseases:

• flu;
• syphilis;
• gonorrhea;
• Mycoplasmosis;
• Chlamydia

All these diseases are released in a separate group.

Inflammatory processes for arthritis mainly affect the synovial layer and synovial fluid, causing a disease (synovitis).As a result, the amount of this liquid increases, which is interpreted by the swelling of the affected joints.The cartilage that covers the surfaces of the bones is also inflamed, and over time the erosion that the bone expresses is formed in it.

What is osteoarthritis?

Arthrosis is a non -inflammatory distribution disease, which is associated with the deformation and destruction of the cartilage tissue within the joint.That is, pathological changes occur, which are manifested by the cartilage dystrophy that covers the surfaces of the bones.Although sometimes it is a long -term inflammatory process that causes weight loss and damage.Arthrosis is often observed in the elderly, since they use cartilage tissue with age, and also occurs osteoporosis, which negatively affects the condition of the entire support and the motor device.

In some cases, osteoarthritis can occur at an early age in people who experience long loads in the joints.This category includes athletes, people suffering from obesity or people whose professional activity leads to the rapid use of the support and motor system.

The symptoms of the disease are caused by a violation of the cartilage functions, since they are thinned and deformed, the bone tissue grows, which leads to the inability of the total depreciation performance and friction of the bones that form the joint.As a result, the amount of synovial fluid is reduced, which must wrap the articular surfaces.

General reasons for the development of osteoarthritis and arthritis

Since osteoarthritis and arthritis affect the joints and, in general, the entire support engine is the motor device, these diseases develop as a result of many factors.

Let's see ten reasons that cause these ailments:

• hereditary factor;
• Metabolic violation;
• immune factor (especially for arthritis);
• congenital connective and bone tissue diseases;
• joint injuries;
• overweight, obesity;
• excessive physical activity;
• unbalanced diet;
• hypothermia;
• infections.

These are general reasons that can cause arthritis and osteoarthritis.But this is where its similarity ends.In addition, diseases only have differences.

Characteristic causes of arthritis and osteoarthritis development

Cause arthritis that causes:

• A monotonous and unbalanced nutrition, which causes a violation of metabolic processes and immunity (poor nutrition causes the development of infectious diseases, and its agents penetrate synovial fluid and cause arthritis);
• Strong hypothermia of the joint (during the night in the store, bathe in cold water, poor shoes and quality clothes);
• any injury (stretching, bruise or fracture);
• smoking and obesity;
• A sedentary lifestyle.

The causes of osteoarthritis:

• hereditary factor;
• elderly;
• wounds;
• Metabolic diseases.

Previously, the primary (when the cause of the disease was unknown) and secondary school (when the cause was known) in the stage in the development of osteoarthritis.As the most advanced diagnostic methods develop, the primary stage was questioned, since in all cases the main cause of osteoarthritic development is metabolic disorders in the form of carbohydrate metabolism and ferrous enzymes.Therefore, osteoarthritis can occur as a result of arthritis, since synovial fluid dystrophy is nothing more than a metabolic disorder.In distribution processes, the blood circulation of the joint is altered, which leads to a deterioration in nutrition and destruction of the cartilage.

What is the difference between arthrosis arthritis?

Let's see how osteoarthritis is different.Since arthritis and osteoarthritis often affect the same joints, then, despite this, there is still some pattern in the location of the pathological process:

1. Arthrosis often develops in large joints of the lower extremities (ankle, knee, hip).In addition, the pathological process is developed in a single articulation.Throughout life, all these joints experience very large loads, so it is not surprising that they wear and destroy due to destructive processes.Rarely osteoarthritis affects the joints of the thumbs, hands and intervertebral joints.
2. With arthritis, the joints are affected one by one, that is, the disease is characteristic of "flying."Suppose the doll joint became inflamed in one day, in the other, the elbow, in the third, the shoulder joint.In addition, several asymmetric joints can be inflamed at the same time.

In addition to the characteristic location of the pathological process, there is a difference between arthritis and osteoarthritis in symptoms:

1. With arthritis, pain occurs at night, when a person is at rest.And in the morning, patients feel characteristic stiffness in the affected joints.To relieve rigidity, they have to develop joints.Some patients interpret these phenomena such as the norm, forgetting that healthy people do not need joint development after sleep.Their joints are always mobile and functional.With osteoarthritis, such rigidity is not observed.
2. In the case of osteoarthritis, everything happens backwards.At rest, the patient relieves, since pain occurs only when it moves and becomes more intense with significant motor activity.Sometimes, with osteoarthritis, pain can also occur at night, but they are associated with the fact that the patient changes the position of the limbs affected in a dream, which causes pain.
3. The appearance of the articulation with arthritis and osteoarthritis also differs.With arthritis, metacarpal phalannge joints (convex bones of a compressed fist) swell and swell, blush and heat up (the local temperature increases).With osteoarthritis, such symptoms are not observed, the joint is absolutely normal.Of course, in the future, joint deformation can occur as a result of the growth of osteophytes (bone growth in the joints), but even in this case there are no characteristic symptoms of arthritis.But with osteoarthritis, a crunch is observed in the affected joint, which is not with arthritis.

The general condition of patients in these diseases should be noted.With arthritis, a person, in addition to the pain in the joint, feels weakness, ailment of a general nature: subfebril temperature, chills, headache, loss of appetite, lower body weight.With osteoarthritis, the problem is only in a non -functional and painful joint, and no general symptoms are observed.

It should be noted that arthritis often leads to osteoarthritis, when the joint is destroyed and modifies as a result of inflammation, and its mobility is also altered.However, with osteoarthritis, inflammatory processes are observed in the joints.It is not so simple to understand the diagnosis that the root cause of the development of these ailments must find out.Arthritis, as a rule, occurs in the context of infections that have entered the joint tissue, and in the case of osteoarthritis, joint deformation occurs due to an injury, in old age.Of course, sometimes inflammation can join, but this does not always happen.

Differential diagnosis of osteoarthritis and arthritis

To determine what reason there were problems with the articulation, it is necessary to make a differential diagnosis.This diagnosis includes the following clinical tests:

1. General blood analysis.
2. General urine analysis;
3. biochemical blood analysis;
4. rheumatic tests;
5. Autoimmune standards (antibody blood analysis);
6. X -Raya of the affected joints;
7. synovial fluid exam;
8. Radioisotopic scheme of the skeleton (in some cases);
9. Computed tomography (CT);
10. Magnetic tomography - Resonance (CT or MRI).

Blood analysis for arthritis and osteoarthritis

For an adequate diagnosis of joint diseases, this procedure is mandatory and necessary.In the case of osteoarthritis, the clinical image of the blood does not change at all, it can only slightly increase the roe (reaction of erythrocyte settlement) to 28-30 mm, usually with synovitis of complications.With arthritis, the blood image changes completely: leukocytes increase to 14,000, a change of the leukocyte formula to the left is observed, the reactive protein C (CRB) and the ROE and the ROE to 40 - 80 mm increases.

C - Jet in the blood

For the differential diagnosis, a biochemical blood analysis should be performed.With arthritis, there is an increase in inflammation of some immunoglobulins, seromucoides and C - reactive protein, which is not observed with osteoarthritis.The exact factor that diagnoses the level of the inflammatory process in joint ailments is considered protein C -reactive (CRB).Since the synovial fluid reacts with the increase in protein to emerging inflammation, with inflammatory and autoimmune processes in the body, its level increases to 10 mg/l and more.Compared to healthy people whose blood reactive protein does not exceed 0.002 g/l.Therefore, the highest level of reactive protein in blood plasma eloquently indicates the development of arthritis.

C - Reactive protein (CRB) is a rapid phase protein that is synthesized in the liver.Activate the body's immune response to the invasion of an inflammatory factor.After 24 hours, the level of reactive protein in plasma increases ten times.With proper treatment, protein decreases rapidly to normal indicators.With patient's blood osteoarthritis, reactive protein indicators remain normal.

X -Raya of the affected joints

This diagnostic method is the second most effective after clinical blood analysis.In this case, osteoarthritis is accurately diagnosed, since the degree of bone deformation by the width of the joint gap can be determined in the radiography.For arthritis, this method is not significant, although it is certainly prescribed as a diagnostic technique.However, this method is imperfect, since the degree of damage and the destruction of cartilage tissue cannot be seen in the image.

Differences in the treatment of arthritis and osteoarthritis

Arthritis and osteoarthritis have different causes and development mechanisms, so their treatment is slightly different.

With arthritis, it is first necessary to identify the cause of the development of inflammation and neutralize it as soon as possible.If the appearance of arthritis has an infectious etiology, then antibiotics are prescribed.With the autoimmune origin of the disease, cytostatics and hormones are prescribed, and with gouty arthritis, the correction of uric acid in the body is necessary, therefore, the treatment is carried out hypoweminating drugs.

With osteoarthritis, the treatment aims to restore cartilage tissue and the return of joint functions.Therefore, the treatment is carried out by condroprotectors, hyaluronic acid, physiotherapy, sanitary springs treatment, massage and physiotherapy exercises.

Since both arthritis and osteoarthritis are accompanied by a pronounced pain syndrome, non -steroidal anti -inflammatory medications for internal and external use (tablets and ointments) act as analgesics, with these ailments.Such medications not only eliminate pain, but also reduce signs of inflammation.

In the treatment of these ailments, conservative treatment and surgical therapy are used.It all depends on the level and scale of joint injuries.As a general rule, this is pharmacological treatment and prostheses.

Since the very fact of chronic arthritis and patient's osteoarthritis increases the probability of acute relapse, the therapeutic strategy should be aimed at preventing and preventing relapse.The following treatment is prescribed for this:

1. The use of non -steroidal anti -inflammatory drugs (NSAIDs).The medications of this group effectively eliminate the signs of inflammation, especially with arthritis, but are always included in the therapeutic complex and with osteoarthritis.
2. The rapid elimination of muscle spasm that occurs in the muscles adjacent to the joint.Therefore, drug, nutrient and oxygen access is provided.
3. Standardization of metabolic reactions.This is possible only after stopping the inflammatory process.
4. Evacuation of the articulation of uric acid salts (if we are talking about a violation of metabolic processes).
5. Standardization of acid - alkaline metabolism.

Modern medicine has been successful in the treatment of arthritis and osteoarthritis, but despite this, not all cases of arthritis or osteoarthritis end completely successful.

Achieving success in the treatment of these diseases is to relieve the inflammation of the joint and muscle spasm, in the normalization of metabolic processes and acid -alcaline balance.As a result of these actions, the articulation begins to receive complete nutrition, oxygen and restoration of metabolic processes.

Traditional medicine recipes are very effective in the complex treatment of arthritis and osteoarthritis.Its use in this format is approved even by official medicine.It should be noted immediately that medicinal herbs are just an auxiliary remedy in the fight against these ailments.Therefore, before continuing with popular remedies, you must stop not looking for recommendations to the treating doctor.

Eat for arthritis and osteoarthritis

All joints of the joints, without exception, require special dietary nutrition.Since the symptoms of arthritis affect the entire organism, in some cases its course is complicated by serious disorders in the work of the heart, kidneys and liver, and osteoarthritis can immobilize the patient, lead to disability and, therefore, reduce the quality of their life, it is necessary to launch all forces to fight these ailments.

In the context of joint pathologies, the body should receive all the necessary nutrients, vitamins and minerals with a certain bias.The normalization of metabolic reactions and acid -alkaline balance pays attention to products.

General nutrition recommendations can be the following:

• limit the consumption of red meat (pork, beef, lamb, deer meat, horses);
• rejection of products that contain a large number of fats and trans fats;
• a complete rejection of alcohol;
• give preference to low -fat fish and seafood;
• consume a lot of vegetables, fruits and herbs (in any form);
• Consumption of dishes based on cartilage: flood, gelatin, jelly, jam;
• abundant regime of alcohol consumption;
• Take dietary supplements with calcium, vitamins A, D and Group V.

General prevention of arthritis and osteoarthritis

In the treatment of arthritis and osteoarthritis, the therapeutic strategy consists in preventing and preventing the relapse of arthritis and osteoarthritis.After all, the disease is easier to warn than to treat.Therefore, the prevention of these ailments has the same principles:

1. Avoid leg hypothermia (foot joints).After all, this path is the main in exacerbation of chronic diseases and infections with viral infections.
2. Timely relief of chronic ailments (tonsillitis, sinusitis, bronchitis).
3. Rejection of uncomfortable shoes of high roof.Unknown shoes create an additional load in the joints, which leads to their destruction, deformation and script, and as a result to osteoarthritis.
4. The fight against excess weight.Excess weight is a sign of metabolic disorders, and arthritis almost always occurs in the context of such violations.
5. Moderate physical activity.Heavy work exerts pressure and load in the joint, as a result of which they are destroyed and inflamed.
6. Be sure to adhere to a healthy lifestyle: often walks in the air, rest and eat, participate in physiotherapy exercises, regularly visit a doctor.

Physical education for arthritis and osteoarthritis is a very important part of therapy in a compartment with massage, diet and physiotherapy therapy.It provides pain in the nutrient and oxygen joints, and without this its recovery and restoration cannot occur.