Treatment of a meniscus without an operation
Omitting medical details it is necessary to say that in medical practice there are three known, completely different from each other, meniscus lesions - a partial rupture, pinching of the meniscus, as well as tearing off the meniscus. In all cases, the treatment of the meniscus can be radically different.
Detachment of the meniscus
In case of detachment, the meniscus can either completely separate from the place where it is attached, or some part of it is detached from the meniscus and is located in the inner receptacle of the joint. This is the most severe kind of meniscus damage that can not really be cured without surgical intervention. A severed meniscus or part of it can not be engrafted or restored. The meniscus itself or part of it must be removed only surgically on the operating table.
Such a severe form of damage, fortunately, is less common than other forms, in about 10-15 cases out of a hundred of all the types of meniscus injuries.
Breaking and jamming of the meniscus
More frequent cases of pinching the meniscus and breaking the meniscus. In 40% and 50% respectively. At a break, the meniscus does not come off completely, but tears. And if you get caught, the meniscus gets between the cartilage of the patella and sticks there. Due to such damage, the meniscus can be restored with the help of therapeutic treatment without surgery.
Treatment of a meniscus rupture with
therapy. When tearing or pinching a meniscus, it is necessary to try to immediately perform a so-called reposition, i.e. The direction of the joint, regardless of whether there is an anguish or not. Reposition is carried out with the help of manual therapy. This procedure should be carried out by an experienced specialist in a medical institution( orthopedic, manual or traumatologist).This manipulation is carried out in three to four sessions. Quick release and repositioning of the joint can be performed only in this way or by a surgical procedure.
If it is not possible to fix the meniscus with manual manipulation, then apply a hardware extension of the joint - traction of the knee. This method of eliminating pinching requires a longer time, with the help of numerous sessions. But nevertheless, despite the length of the procedure, the hardware traction can help in eliminating this problem and gradually release or fix the meniscus.
Pharmacotherapy meniscus
If after reduction the pain and knee joint swelling is not tested, then the appointed injections into the joint with non-steroidal anti-inflammatory drugs such as ibuprofen, voltaren, nimulid and movalis, as well as injection of corticosteroids such as kenalgon, hydrocortisone andDipsoran.
After the above procedures, it is necessary to continue treatment with therapeutic gymnastics. And also apply hondroprotektory and two or three intra-articular injection of hyaluronic acid, which is a part of such drugs like fermatron, ostenil, giastat and synvisc.
Chondroprotectors include chondroitin sulfate and glucosamine. These drugs are considered to be a group of chondroprotectors whose substances have the ability to restore the internal structure of the cartilage, which is damaged and nourishes its tissue inside the knee joint.
preparations chondroitin and glucosamine have a positive impact on the restoration of cartilage in the knee joint, their surface and contribute to the greater development of joint fluid, which in turn normalizes its lubricating function. Also these drugs are capable of resuming the cartilage tissue of the meniscus.
The importance of regular, course use of chondroprotectors for a long period of time to achieve the best result of treatment should be considered. The use of glucosamine or chondroitin sulfate once or rarely does not have any curative effect. Most often, the course of treatment with glucosamine and chondroitin sulfate is different, but basically it lasts for three or four months, and you need to take these drugs every day.
In order for the healing effect to be most positive, it is necessary to observe the daily intake of sufficient doses of the drug throughout the treatment period. An adequate dose of chondroitin sulfate is a dose of 1000 mg per day, and glucosamine from 1000 to 1500 mg per day.
