What is the difference between arthrosis arthritis?You need to know not only doctors.They are often dedicated to car -medical, people are exposed to the great risk, taking a disease on the other.Such error can lead to serious complications, so in the article we thoroughly analyze the differences in the symptoms, the characteristics of the treatment and prevention of pathologies.Knowing the symptoms will help take the necessary measures in a timely manner.With arthritis or osteoarthritis, all our mobile compounds at the bone joint site, cartilage, that is, the skeleton joints.Often, diseases are confused with each other due to the names of the consonant, but the difference between them is not only in the symptoms, but in the causes of occurrence, characteristics of the course, details of the therapy.
What is the difference between arthritis and osteoarthritis: a general concept?
In the names there is a common root of "arthro", translated from the Greek means an articulation that is subject to basic disorders.However, osteoarthritis does not have an inflammatory nature, the basis is degenerative processes, that is, wear, and the correct designation of the disease is osteoarthrosis, since bone formations are subjected to changes.
Arthrosis is a chronic disease in which the "erased" of the surfaces and the joint capsules occurs, due to which the deformation begins.In advanced cases: complete immobilization of the limb.The changes affect the entire complex: bone surfaces, ligaments, meniscus, cartilage, synovial housing, all structures located nearby.
Pathologies are subject to older people.In addition, the older the prevalence of the disease increases.In rare cases, young people can affect young people with hereditary signs or after an injury.According to statistics, approximately 10% of the population suffers, and the main threshold is observed in people over 65 (85% of all patients).
Arthritis, on the contrary, is an acute disease, which is based on inflammation.Often, the ailment is just a symptom of the underlying disease (rheumatism), but it can proceed as a single violation.The careless stages are transferred to a chronic flow.Unlike osteoarthritis, young people undergo inflammatory damage more frequently.It can manifest after 40 if a person has suffered a cold or a serious infection.The prevalence between the population of the globe is only 2%.
Reasons
Due to several etiologies, different causes and factors lead to the appearance of diseases.In addition, osteoarthritis often occurs in the context of purulent arthritis or rheumatism.
The main arthritis factors.
- Trauma and surgical joint interventions.
- Congenital dysplasia (underdevelopment) of the joints.
- DOSTROLFIC DEPTH PROCESSES.
- Overweight.
- Elderly age.
- Inheritance.
- Klimax
With this ailment, the joints suffer exclusively, while with arthritis there is a general inflammatory process.It is often accompanied by damage to the kidneys, the heart and the liver.
Several types of disease are distinguished:
- rheumatoid;
- reagent;
- infectious;
- drop.
Very often, arthritis arises in the context of transferred influenza, frequent throat pain.The development of tuberculosis, gonorrhea, dysentery, psoriasis is not excluded.
Arthritis rarely affects individual joints, usually a complete group is subject to inflammation, which depends on the etiology, with rheumatism, small compounds of the hands and feet suffer, with psoriasis, phalanges of the fingers.
Symptoms
Despite similar signs: pain, restriction in movement, deformation, there are a number of symptoms that help distinguish between the name of the disease.
- Pain is a main sign of osteoarthritis, but it does not happen immediately.Initially, this is a crunch and cracking of the joints, and then the pain joins, which increases as they advance.They usually appear with physical effort, weather change, at night (starting the pain, immediately after waking and tries to get out of bed).Arthritis is characterized by constant pain pain, which can be intensified at night, as well as in the morning.Often, with inflammation, there is a decrease in unpleasant symptoms during active movements.
- Cryst is a specific sign of osteoarthritis.It has a special sound: dry and rough, it is often accompanied by acute pain.
- Deformation: With degenerative changes, the joints change in the posterior stages, when adjacent bone surfaces are included in the process.With inflammation, deformation begins in the early stages, while they increase in size due to swelling.
- The redness, an increase in local temperature, is characteristic only for arthritis, since degenerative diseases proceed according to the type of aseptic necrosis (without infectious).
- Restriction in motion: osteoarthritis often "blocks" the articulation when, when it moves, an acute crunch is distributed, followed by acute pain and a lock of the joint.Arthritis tends to morning rigidity, not only in the joints, but throughout the body.
- Malais General: inflammation, always proceed with a change in the state of the entire body, there is an increase in body temperature, weakness.
Almost all joints can affect the location of the ailments, however, knee damage and hip is more characteristic of degenerative processes.Arthritis tends to involve small joints of arms and legs in inflammation, often symmetrically.
IMPORTANT: Do not confuse the crunch of the healthy joints with arthare.In the first case, it is absolutely painless and is associated with the characteristics of the ligament system (excessive mobility, weak ligaments).Then, as with osteoarthritis, the crunch is accompanied by severely moving pain and restriction.
Diagnosis
An important diagnostic criterion is a general blood analysis.The inflammation of the joints always gives an increase in the ESR (more than 25 mm/h), and in the case of infectious arthritis, leukocytes are still.For osteoarthritis, change in blood is not characteristic.
By the way, there is a special protein, it belongs to the immunoglobulin class, reacts to damage for any factor in its own cells, a rheumatoid factor that allows it to determine the presence of rheumatoid arthritis.C -reactive protein is also determined, which is a sign of inflammation.Drop is characterized by an increase in uric acid in the blood, urine.
For both diseases, in the first place, it is necessary to pass not only a blood test, always an X -ray image of the joint.With osteoarthritis, there is a narrowing of the gap between the joints, osteophytes (bone growth), deformations and osteoporosis.It is possible to name CT, MRI to clarify changes in soft tissues and bone structures.
Arthrosis is also characterized by a narrowing of the gap and periarticular osteoporosis, however, they occur in the early stages (then, as with degeneration, such changes begin only in 3 and 4 stages).If the process has an infectious character, kidnappers are often formed: necrosis areas surrounded by a healthy tissue.In a chronic course, dislocations, subluxing of hinge structures are observed.
It is advisable to perform an ultrasound to determine the presence of a liquid or pus in the joint bag (more characteristic of arthritis), as well as the diagnostic score, allows you to identify the pathogen and the nature of the spill.
Be sure to prescribe general exams: ECG, urine analysis, blood biochemistry, to learn about its possible inclusion in inflammation.
Treatment
IMPORTANT: The most dangerous for both diseases is self -medication.Without a precise diagnosis, this health approach only worsens the situation, which leads to a significant destruction of the joints, damage to the heart and the kidneys.
How arthritis differs from osteoarthritis in therapy.The basis for the first is the destruction stop, degeneration of the cartilage tissue and, in the treatment of arthritis, the main role is dedicated to the elimination of inflammation and blocks the infectious process.
The approach to eliminating manifestations of pathologies should include not only medications, but also a change in lifestyle: healthy nutrition, weight loss, physical activity control.
Pharmacological therapy includes non -steroidal anti -inflammatory (necessary for both diseases), muscle relaxants and condoprotectors (more often with osteoarthritis).
The treatment of arthritis often requires the introduction of glucocorticosteroids in the intersection space, the use of antibiotic therapy and the plasma function (purification of the blood) to eliminate self -agresia (the reaction of the body to its cells, in terms of a strange agent).In severe cases, the introduction of stem cells is carried out: it relieves inflammation, reduces susceptibility to infection, improves metabolism and tissue nutrition.
Important: With arthritis, compresses and heating ointments cannot be applied, they will only increase the spread of infection and inflammation, especially with the purulent course of the disease.
All physiotherapy is prescribed only after eliminating acute pain and inflammation.
Despite all innovations and the rapid development of medicine, osteoarthritis is an incurable disease.It is simply not possible to fix the degenerative changes that have begun.Arthritis succumbs well to therapy, especially when looking for a doctor.
Conclusion in the table
| Differences |
Arthritis |
Osteoarthritis |
| Age | Unlimited | Mainly after 45 |
| The development of pathology | Suddenly | Gradually |
| Reasons | Infectious | Degenerative (age, menopause, injuries, genetics) |
| Flow | Sharp, with moments of remission | Chronic, with periods of exacerbations |
| Failure | From little to large.The symmetry is characteristic. Ligaments, meniscus with severe inflammation, swelling are involved. Internal organs suffer. |
More often big single.The risk of the flags of the thumbs.It extends to the cartilage, meniscus, ligaments, but without edema. |
| Deformation | External increase due to swelling. | In the last stages, the formation of necrotic fragments, subsequently destroyed |
| Signs | In the acute period: discomfort with temperature, an acute crunch with pain and blocking, a fans hot surface, a difficulty pronounced in the movements. | It's a dull pain.Heaviness, rigidity after retreat load. |
| Diagnosis | General blood analysis, urine.Biochemist - Blood. The testimony of X -Ray is a sharp change in structures at the beginning of the disease. |
Minor changes in the blood.X -Ray shows the pathology in the posterior stages. |
| Treatment | Anti -inflammatory, analgesics.It is cured with timely management. | Anesthesia, ointments, compresses, physiotherapy, exercise therapy, condoprotectors. With exacerbation - anti -inflammatory. |
What is worse than arthritis or osteoarthritis cannot be said with certainty, but inflammation is well blocked by medications, which cannot be said about degenerative processes.Often, both diseases must be treated all their lives, with the possibility of achieving long -term remission.Arthrosis often needs operational correction to return the articulation function and eliminate the restriction in the movements.
Arthritis can be accompanied by the development of heart defects (rheumatoid damage to the valves) and diseases of other organs and systems, because the inflammation of the joints is only the "tip of the iceberg".The successful treatment begins precisely with the definition of etiology.
It is important to prevent late stages due to the destruction of bone tissue and the chronic inflammatory process.The appropriate attractiveness to a specialist will help to learn their own diagnosis precisely, as well as obtain the necessary assistance in treatment and rehabilitation.Now knows what are the differences between osteoarthritis and arthritis.