On the joint pain, can only rely on tolerance?
January 03, 2019 Source: Guangzhou Daily
Window._bd_share_config={ "common":{ "bdSnsKey":{ },"bdText":"","bdMini":"2","bdMiniList":false,"bdPic":"","bdStyle":" 0","bdSize":"16"},"share":{ }};with(document)0[(getElementsByTagName('head')[0]||body).appendChild(createElement('script')) .src='http://bdimg.share.baidu.com/static/api/js/share.js?v=89860593.js?cdnversion='+~(-new Date()/36e5)];People get old knee pain, and they will hear the sound of joint friction when walking... Some old people feel that they are older, and it is useless to go to the hospital. Yu Qinghong, director of the Department of Rheumatology and Immunology, Zhujiang Hospital, Southern Medical University, said that in fact, many elderly people wait until they are very uncomfortable and have missed the opportunity of early intervention. In the early 50s, there was a slight joint soreness. Seeing a doctor and getting reasonable advice can greatly improve the quality of life in later years.
Professor Ding Changhai, executive director of the Clinical Research Center of Zhujiang Hospital of Southern Medical University, revealed that the latest research shows that osteoarthritis is not necessarily an irreversible degenerative disease, and the damage of some joint structures is reversible in the early stage.
Early reversal of joint structure damage
Yu Qinghong said that osteoarthritis is usually considered to be a degenerative disease, that is, an inevitable natural process in the process of biological evolution, and the natural aging of bones and joints is irreversible. However, with the deepening of research, the academic community found that osteoarthritis is not only related to aging, but also involves multiple systems and involves metabolism, inflammation, autoimmunity, and mechanical stress changes.
Professor Ding Changhai's team found that the inflammatory marker C-reactive protein in the blood circulation is closely related to the development of articular cartilage loss and pain in osteoarthritis. At the same time, the loss of articular cartilage caused by obesity is the adipose factor leptin secreted by fat cells. Mediated. These all suggest that metabolic inflammation is involved in the pathogenesis of osteoarthritis. Studies have found that articular cartilage defects in early osteoarthritis can be reversed, and other joint structural changes such as subchondral bone marrow edema and joint effusion can be improved in the short term. "As long as the appropriate measures such as weight loss, especially reduce fat content, increase muscle content, and exercise properly to increase muscle strength, joint structure damage of osteoarthritis can be reversed." Ding Changhai said.
Early prevention and early treatment
Can greatly improve the quality of life
Statistics show that the prevalence rate of osteoarthritis in China is about 10%, mostly in middle-aged and elderly people over 50 years old, and the prevalence rate of elderly people over 60 years old is 60%. At the same time, the disability rate of osteoarthritis is as high as 53%, which is currently the leading disability disease.
Yu Qinghong said that many people found symptoms such as weak waist and knees, joint swelling and pain, or joint stiffness with weather changes at the age of 50, but they mistakenly thought that they were old enough to endure and not see a doctor. The group of patients visiting the clinic tends to be concentrated in people aged 60-70 years or even older. In the case of missing early prevention and intervention, these patients tend to have serious illnesses, and even some patients need artificial joint replacement at the time of treatment. Surgery to treat. If intervention and treatment are performed early in the onset of symptoms, it is possible to significantly improve the prognosis and reduce joint disability.
Osteoarthritis
Rheumatoid arthritis
There are still many misunderstandings about the understanding of the symptoms of bone and joint pain. Ding Changhai said that some patients, when they found hand pain and leg pain, would generally say that they have rheumatism. In fact, there are many different types of rheumatoid arthritis and osteoarthritis, and accurate diagnosis can get proper treatment.
Although it is joint pain, it is different to distinguish it carefully. Osteoarthritis is mainly caused by tenderness in the joints, increased pain after exercise, rest can be relieved, and pain in rheumatoid arthritis is characterized by persistent pain, which is usually more pronounced at night.
In the morning, rheumatoid arthritis has obvious morning stiffness, and the morning stiffness can reach more than 1 hour. And patients with osteoarthritis have no morning stiffness, at most, the hand is occasionally stiff, usually half an hour or so will be relieved.
In addition, osteoarthritis occurs mostly in the elderly over 50 years old. Although rheumatoid arthritis can occur at any age, it occurs mostly in young patients, usually between 25 and 50 years old. Therefore, the joint pain of young people may have to consider rheumatoid arthritis more. This is an autoimmune disease caused by the autoimmune system attacking healthy joints in the body. It cannot be simply considered as sports injuries. Joint strain.
The location of these two types of arthritis is also different. Osteoarthritis often invades the weight-bearing joints and distal interphalangeal joints, often involving the hands, knees, hips, feet, spine and other parts, especially knee osteoarthritis. The wrist and metacarpophalangeal joints are rarely involved. The most commonly affected joints of rheumatoid arthritis are the metacarpophalangeal joint, the wrist joint, and the proximal interphalangeal joint.
30 minutes a day
6,000 steps to benefit joint health
For a long time, people were keen on running and exercising, but later, under a large number of popular sciences, many people also accepted the idea that the running of more than 10,000 steps a day damaged the joints. How should it move? How much exercise is appropriate?
Ding Changhai said that if a healthy person walks and walks for 6,000 to 10,000 steps a day, it can significantly reduce the formation of osteophytes and protect the joints.
Yu Hongqing further said that it is a very complicated matter for the human body to stand up. The joint system plays an important role in the standing of the human body. The joints are protected by tissue capsules, ligaments, muscles and the like. The ligaments and muscles must maintain tension and be in tension to protect the cartilage. If the muscles and ligaments have no power, the cartilage friction will be severe.
If it is a joint healing exercise, it is recommended to maintain a certain intensity, walking 6000 steps in 30 minutes every day, is a very suitable exercise. It is important to note that you should use the fast-moving method and do not run. Because once running, feet off the ground, joint pressure will increase by 3 to 4 times.
Yu Hongqing said that for joints, non-weight-bearing exercise is stronger than load-bearing; in terms of exercise, bicycles are stronger than walking, and faster than running. Swimming is also an optimal exercise for exercising muscles and protecting joints. Some people think of exercising muscles, they want to play the barbell in the gym. In fact, under the premise that the muscle strength is not fully exercised, lifting the barbell is a harmful exercise that causes the joint burden to be greatly aggravated.
"The human body is in a moderate state of exercise, which is beneficial to joint health." Yu Hongqing said.
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