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Osteoarthritis ataupun radang sendi tulang merupakan penyakit sendi kronik yang berlaku akibat daripada kerosakan pada tulang rawan (cartilage). Ia juga boleh berlaku pada mana-mana sendi namun lebih kerap berlaku pada bahagian sendi lutut dan bahu. Selain itu, sendi lain yang sering dikaitkan dengan osteoarthritis termasuk jari, pinggul, dan tulang belakang.

Walaupun sakit lutut selalunya berlaku kepada individu yang berumur, namun pada hakikatnya ia juga boleh terjadi kepada golongan muda. Satu kajian menyatakan bahawa julat umur pesakit yang mengalami sakit radang sendi boleh bermula dari seawal umur 38 tahun sehingga 83 tahun. Justeru, terdapat beberapa keadaan dimana anda perlu tahu boleh meningkatkan risiko seseorang untuk lebih mudah terkena sakit lutut.

Rujukan: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8381666/

Keadaan yang berisiko untuk menyebabkan seseorang itu mengalami sakit sendi lutut
1. Mempunyai berat badan yang berlebihan

fisioterapi,osteoathritis,sakit lutut,rawatan,radang sendi,risiko,kesan,fisioterapi near me,rawatan fisioterapi untuk sakit lutut,hidrogen,hidrogen terapi,manfaat terapi hidrogen

Mereka yang mempunyai berat badan yang berlebihan adalah lebih cenderung untuk mendapat sakit lutut. Ini adalah kerana, tekanan pada sendi lutut yang bergerak adalah lebih besar jika dibandingkan dengan seseorang yang mempunyai berat badan yang terkawal. Jadi kesannya akan dapat dilihat pada peningkatan kadar penggunaan lutut yang lebih tinggi dan peningkatan kadar penggunaan tulang rawan (cartilage) yang sekaligus meningkatkan risiko osteoartritis.

2. Kurang melakukan aktiviti regangan otot

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Otot yang kuat berfungsi untuk memberi perlindungan kepada bahagian sendi yang berdekatan. Oleh itu, jika kekuatan daya tahan otot menjadi lemah ia juga tidak dapat untuk memberikan perlindungan yang baik ke atas sendi yang sekaligus memudahkan ia untuk cedera dengan lebih mudah.

3. Melakukan kerja dan aktiviti yang berisiko

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Aktiviti bersukan yang melibatkan larian, berbasikal dan melompat biasanya akan lebih berisiko untuk mendapat kecederaan lutut. Jika dilakukan dalam jangka masa yang lama akan menyebabkan penggunaan sendi lutut berlebihan justeru berisiko tinggi mendapat osteoarthritis pada usia muda. Selain itu, individu yang bekerja sebagai guru, pekerja buruh, petani, pemandu bas, trak, dan lori juga berisiko mendapat sakit sendi lutut atas sebab berdiri terlalu lama ataupun melibatkan aktiviti yang memberikan tekanan kepada sendi lutut.

4. Individu yang pernah mengalami kecederaan lama

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Kebiasaannya mereka yang pernah mengalami kecederaan yang berulang kali pada lutut juga akan cenderung untuk mengalami osteoarthritis lutut.

Tanda-Tanda Sakit Lutut

Bagaimana hidrogen dapat membantu merawat sakit radang sendi (Osteoarthritis)?

fisioterapi,osteoathritis,sakit lutut,rawatan,radang sendi,risiko,kesan,fisioterapi near me,rawatan fisioterapi untuk sakit lutut,hidrogen,hidrogen terapi,manfaat terapi hidrogen
  1. Membantu mengurangkan rasa sakit, bengkak dan kemerahan pada sendi
  2. Membantu mengurangkan radikal bebas yang menyebabkan berlakunya radang sendi
  3. Membantu mengurangkan ketegangan pada otot
  4. Membantu memberi sokongan kepada proses penyembuhan sendi

Amalkan gaya hidup sihat untuk mengelakkan diri anda dari mengalami sakit lutut pada usia muda. Jika anda ada mengalami masalah sakit lutut, Hi-Bliss boleh membantu mengurangkan rasa sakit dan ketidakselesaan anda. Dapatkan rawatan anda sekarang di pusat fisioterapi kami!

Overview

Knee problems can affect both men and women. Whether due to athletics, aging, injury, or posture, all can be factors contributing to knee pain. However, women are reported to be 2 to 8 times more likely than men to experience knee pain and injuries, regardless of their level of physical activity1. The World Health Organization also states that 60% of osteoarthritis patients are women2. But how does this happen?

Factors why women are more likely to suffer from knee pain 

  1. Physical differences
comparison of female and male leg structure

The unique qualities of women's knees can be observed through the differences in their hips. Women's hips tend to be slightly wider than men's, affecting the positioning of their leg bones in relation to the pelvis. Their knees are more likely to tilt inward while the ankles remain spaced apart. This can result in increased stress on the anterior cruciate ligament (ACL), the crucial tissue that connects and stabilizes the thigh bone to the shin at the knee joint. The variation in alignment can also impact the way they walk, run, and perform other lower-body movements.

2. Hormones

A women having knee pain

Estrogen is known to have positive effects on maintaining bone density and promoting increased flexibility in joints. However, during the menstrual cycle, estrogen levels fluctuate, and when this occurs, it may be associated with a higher likelihood of knee and ankle injuries.

3. Muscle imbalance

Female and male quadriceps comparison

In women's muscle development, their quadriceps (front thigh muscles) tend to become stronger than the hamstrings (back thigh muscles), creating an imbalance in muscle strength that can potentially affect joint stability and function. This imbalance becomes evident during activities such as running, jumping, or even simple movements like walking, putting increased stress on the knee joint. This imbalance may contribute to issues such as knee pain, instability, or an elevated risk of injuries, including anterior cruciate ligament (ACL) injuries during those activities.

4.Wearing heels for long period of times

Bad effect of wearing high heels for women

The heightened stress resulting from habitual wearing of high-heeled shoes among women can potentially impact the alignment and function of the knee joint during each step. When wearing heels, the body’s weight shifts forward, placing increased pressure on the balls of the feet and altering the distribution of forces throughout the lower limbs. Over an extended period, the repetitive stress and altered biomechanics associated with wearing high heels can lead to chronic issues.

Home remedies for knee pain

If knee pain persists, worsens, or is accompanied by other concerning symptoms, it is advisable to seek medical advice for a proper diagnosis and treatment plan. However, if the pain is mild or moderate, it can also be treated at home with self-care measures. Here are some self-care measures that may help alleviate mild knee pain3.

Use RICE method

RICE method

R - Rest: Give your knee some time to rest and avoid activities that may worsen the pain. This can help prevent further irritation or strain.
I - Ice (Cold Packs): Applying ice packs to the affected area can help reduce inflammation and numb the pain. Avoid applying ice directly to the skin. Wrap the ice in a towel or use an ice pack to apply on the painful area. Apply it to the knee for about 15-20 minutes at a time.
C - Compression: Use a compression bandage to help reduce swelling and provide support to the knee. Ensure that the bandage is tight enough to support circulation but not too tight to hamper it.
E - Elevation: Elevating the leg when resting can help minimize swelling. Prop your leg up on a pillow or cushion to keep it elevated.

Healthy women doing an activity

Gentle Exercise

Practice gentle and low-impact exercises to maintain flexibility and strength in the knee. Always warm up before exercising and cool down afterward. Stretch the muscles in the front of your thigh (quadriceps) and in the back of your thigh (hamstrings).

Maintain a Healthy Weight

Being overweight can put excessive strain on your knee. Therefore, maintaining a healthy weight through proper diet and exercise can help alleviate stress on the knees.

Proper Footwear

Wearing shoes with cushioned insoles can help reduce strain on your knees and alleviate knee pain. Choosing supportive and comfortable shoes can also contribute to proper alignment, especially during weight-bearing activities.

理疗

However, if your knees are experiencing severe pain, do not delay seeking medical help. It's essential to listen to your body and avoid pushing through severe pain. If home remedies do not bring relief, or if the pain persists, consult with a healthcare professional and physiotherapist for a thorough evaluation and appropriate treatment recommendations.

Heal your knee pain with Hydrogen therapy

Physiotherapist at Hi-Bliss is doing a hydrogen therapy to the client

Hi-Bliss Hydrogen therapy combines molecular hydrogen with physiotherapy to address various health conditions, including muscle and joint pain. At Hi-Bliss, we have successfully assisted over 1000 customers suffering from joint pain, particularly in the knee and shoulder areas.

Our hydrogen therapy treatment is primarily 100% natural and non-invasive. You can rest assured as the treatment is pain-free and has no side effects afterward. During the session, patients may experience the infusion of cool air onto their skin, promoting a sense of calm and relaxation.

Moreover, hydrogen's unique ability to selectively eliminate toxic free radicals causing oxidative stress and reduce inflammation in the joint area helps prevent further damage to joint tissues. This therapeutic effect has proven effective in reducing knee pain and providing long-term relief. Protect yourself from potential knee injuries in the future. If you're experiencing pain in your knee or any joint area, consult with a healthcare professional to prevent worsening. Take proactive steps towards healthier joints today with Hi-Bliss!

  1. https://www.njspineandortho.com/women-and-knee-pain/ ↩︎
  2. https://www.who.int/news-room/fact-sheets/detail/osteoarthritis ↩︎
  3. https://www.medicinenet.com/what_is_the_home_remedy_for_knee_pain/article.htm ↩︎

介绍

Knee Pain is a condition that many people of all ages face during their lives. It can have a wide variety of causes and may happen suddenly with great intensity or may manifest as a dull ache over a long period of time.

Causes of Knee Pain

肥胖

Over 50% of Malaysians are either overweight or obese. This means that if you aren’t overweight yourself, you are very likely to know a person who is overweight or obese. Structures of the Anterior Knee such as the Patella, the largest sesamoid bone in the body, experience forces equal to up to five times our body weight. Having a high body weight can contribute to these bones and joints overworking to compensate. More wear and tear will occur on the knee as a result.

Sports

The most common form of Knee Injury is Knee Sprain. According to a study, strains and pains accounted for more than 40% of knee injuries. A study conducted in 2015 estimates that 32% and 57% of all knee strains and sprains occurred at a sports venue.

One of the major sources of knee injuries comes from Anterior Cruciate Ligament (ACL) Injuries. These injuries are common in athletes who participate in sports that involve a lot of high-impact pivoting movements. This includes sports like football (also known as soccer in the United States), basketball and badminton.

Another sports-related knee injury is the Meniscus Tear which occurs in sports that involve a lot of twisting and tackling of the knee.

Age

As you get older, your muscles and bones start to deteriorate. This can cause weakness and pain in your joints. Furthermore, as you get older, the Menisci (cushioning in your knees) will start to wear away causing a condition known as Osteoarthritis.

Knee-Related Medical Conditions

Baker Cyst

Known also as a Popliteal Cyst, a Baker Cyst is a fluid-filled cyst that may manifest at the back of the knee causing stiffness and discomfort. These cysts normally form due to meniscus tears or osteoarthritis. This happens as a result of the body’s response to inflammation – increasing the flow of synovial fluid until it accumulates behind the knee.

Non-surgical treatment options are available for managing Baker Cysts such as the usage of NSAIDs (Non-Steroidal Anti-Inflammatory Drugs), Steroid Injections and Aspiration (removal of the fluids). However, large cysts that are causing nerve or vascular problems may be removed via excision surgery.

骨关节炎

If you are suffering from Osteoarthritis of the knee, you will likely experience pain while walking, particularly when going up or down inclines like hills or stairs. You may hear a grinding or grating sound in your joints while moving it. In severe cases, your knees might even buckle, causing imbalance or difficulty in balancing. We have written an article about Osteoarthritis, click here to read it.

Osgood-Schlatter disease

Osgood-Schlatter Disease is a type of swelling below the knee joint along the tendons on the front of the knee. It is caused by irritation of the bone growth plate and mainly affects children, especially growing children who are active in sports.

This condition usually goes away with ample bed rest and a reduction of intensive activity for children who are susceptible to the condition. Ice Packs after activity and the usage of knee pads may help reduce the effects of the condition. Medicine such as acetaminophen or NSAIDs may be used as advised by your doctor.

Infections

Bone infections are also known as osteomyelitis and they may be responsible for acute or chronic knee pains. It occurs when bacteria enters the bone through your bloodstream or through an open wound. Symptoms of osteomyelitis include fevers, chills, local swelling and general discomfort.

Treatment is usually conducted with antibiotics to kill off the harmful bacteria and, in severe cases, surgery.

Home Care to Reduce Knee Pain

Though certain knee pain conditions require medical intervention by your doctor, here are some things you can do at home to assist your recovery journey.

Bedrest is an important aspect of recovering from bouts of knee pain as movement can cause compression on the knee joint which prevents it from recovering as quickly as it should. When lying down, keep your knee raised to reduce swelling. You can use a pillow underneath your knee while sleeping to keep it elevated.  

Icing the area is another thing you can do from your home to improve recovery from knee injuries. Wrap some ice cubes or an ice pack in a bundle of cloth and apply it to the swollen or painful areas. Refrain from pressing the ice directly onto the skin to prevent discomfort or injury.

Preventing Knee Pain and Injuries

Warm Up and Cool Down

Always warm up before exercise and cool down after you are done. This can be done by conducting some stretches of the muscles on the front and back of your thighs, your quadriceps and your hamstrings. Watch this video for some simple stretching exercises as taught by our Hi-Bliss Physiotherapists

Reduce Joint Impact

As your knee joint bears a lot of weight during daily activities, it is important to reduce the impact where possible. This includes walking down inclines (downhill) instead of running. When it comes to exercise choice, instead of running or jumping, consider cycling or swimming.

Weight Management

As we have mentioned before, obesity plays a huge factor in your joint health. Managing your weight can bring many healthcare benefits including improving your cardiovascular health, your lungs and even your mood! If you are suffering from weight-related knee pain, you should consider speaking to your doctor or a dietician about weight loss options.

理疗

Physiotherapy isn’t necessarily only for those with injuries. You may consider physiotherapy as a preventative route to reduce your risk of knee pain or injury. Physiotherapists can help by strengthening your surrounding muscles to help give your knee joint more support.

How Hydrogen Therapy Can Help

We already suggested physiotherapy in the previous section but what if there was something better than just physiotherapy?

Hi-Bliss Hydrogen Therapy combines the anti-inflammatory properties of Molecular Hydrogen and a team of highly-trained physiotherapists to help people who are suffering from knee pain improve their condition and reclaim their active and healthy lives.

During your first session with Hi-Bliss, our physiotherapists will conduct a few health assessments to identify the state of your condition. It will be helpful to bring some of your scans or medical reports from previous doctor visits.

Then, our therapists will perform a palpation check, a sense-of-touch test to identify muscle weaknesses and stiffnesses.

When that is done and treatment points are identified, our physiotherapists will spray molecular hydrogen gas onto your body.

Hydrogen gas is non-invasive but due to its nature as the smallest molecule, it can penetrate your skin painlessly to relieve inflammation in your body and joints. This is done by reducing oxidative stress by neutralising free radicals. There are no side effects to Hydrogen Therapy so no worries and no fuss. All you need to do while undergoing Hydrogen Therapy is just relax!

After being sprayed with Hydrogen gas, our therapists will conduct manipulation on your body. This includes some static stretching and massages.

Finally, your Hi-Bliss Therapist will teach you some basic stretching and strengthening exercises to do at home for a holistic healing experience.

If you are interested in trying out Hi-Bliss Hydrogen Therapy to manage your knee pain, make your appointment now!

  1. National Health & Morbidity Survey | NHMS 2019
  2. Anatomy, Bony Pelvis and Lower Limb, Knee Patella.
  3. Obesity and Anterior Knee Pain | University of Michigan
  4. Epidemiology of 6.6 million knee injuries presenting to United States emergency departments from 1999 through 2008
  5. Incidence of Patients With Knee Strain and Sprain Occurring at Sports or Recreation Venues and Presenting to United States Emergency Departments
  6. Age-proof your knees
  7. Baker's Cyst (Popliteal Cyst) | Orthoinfo
  8. Osgood-Schlatter Disease | John Hopkins Medicine.
  9. Osteomyelitis

介绍

Osteoarthritis (also known as OA) is a joint condition that affects a significant number of people worldwide, especially older individuals. It is the most common form of arthritis and is a major cause of disability in the elderly population. Osteoarthritis occurs when the cartilage that normally cushions the joints starts to break down, this causes the bones in the joint to not have that much-needed protective layer between them. This causes more friction on the bones and can cause a wide array of symptoms.

Joints that are commonly affected by this condition are mainly weight-bearing joints such as the knees, hips and spinal joints. Osteoarthritis has also been observed in fingers, wrists and elbows too.

Main Symptoms of Osteoarthritis

Photo credit Matthias Zomer

The main symptoms of osteoarthritis are joint pain & stiffness. This can cause mobility issues and may affect your ability to remain active. In most cases, symptoms come in waves and can be tied to your activity level and external factors like the weather.

You are most likely to be suffering from Osteoarthritis if you are experiencing:

Symptoms of Knee Osteoarthritis

A common form of osteoarthritis encountered is Knee Osteoarthritis. If you are suffering from Osteoarthritis of the knee, you will likely experience pain while walking, particularly when going up or down inclines like hills or stairs. You may hear a grinding or grating sound in your joints while moving it. In severe cases, your knees might even buckle, causing imbalance or difficulty in balancing.

Risk Factors for Osteoarthritis

As Osteoarthritis is a leading condition among the elderly, it can be said that there are many risk factors that could contribute to people being afflicted with this condition. Some of these risk factors are within your control but not all of them are.

Joint Overuse

Firstly, we have joint overuse. Jobs with high physical demand, mainly blue-collar jobs, can cause joints to work overtime every day. This daily overworking of the joints can wear and tear on your joints which can contribute to the development of Osteoarthritis. Examples of job activities that may cause OA in the future include jobs that require:

This is why it is important to take frequent breaks while on the job, especially as you get older. This also applies to people who participate often in high-impact sports like sprinting, boxing or acrobatics.

肥胖

Obesity is a major cause of many health conditions and puts you at risk of developing many severe chronic health issues, osteoarthritis is one of them. According to the John Hopkins Arthritis Center, overweight people have 4-5 times more risk of developing Knee OA compared to a non-obese person! This is likely due to the increased pressure on the weight-bearing joints like the lower back and knees. Managing your weight through a caloric deficit and frequent low-impact exercise like swimming can help prevent osteoarthritis that can occur as a result of obesity.

Posture

Poor posture places pressure on your joints. Your head weighs as much as a bowling ball and is supported by your neck, shoulder and upper back muscles. You only get to rest your neck while sleeping. Keeping a poor neck posture places a lot of stress on the joints as your muscles will be stretched out to compensate for the poor posture. In the long-term, poor posture will contribute to wear and tear of your muscles and joints and can develop into osteoarthritis. Most readers will be reading this article on a laptop or phone, this is your reminder to lift your chin and straighten your back!

Genetics

Though people cannot inherit osteoarthritis as a condition, the predisposition to developing osteoarthritis can be genetically inherited. However, the pattern of inheritance or respective genes is still unknown. If you have parents who have suffered from osteoarthritis, then it is important to go for frequent screenings and prevent the preventable risk factors of osteoarthritis as described earlier in this article.

Age

Aging is one of the greatest risk factors for Osteoarthritis and aging is also unavoidable. However, it is important to note that OA is not inevitable for those who are getting older. As a person gets older, their cartilage becomes more brittle, their bone structure weakens and their muscles will degenerate. These all contribute to increased pressure on the joints and can contribute to osteoarthritis.

受伤

Arthritis that develops after an injury is called post-traumatic arthritis. This type of arthritis accounts for 10% of OA cases and affects more than 5 million people globally each year. Joint injuries are 7 times more likely to develop into arthritis compared to joints that have not experienced any trauma. As injuries are inevitable in life, the most we can do to manage this risk factor is to ensure that we receive appropriate care and rest for the injured joint while it recovers.

How to Prevent Osteoarthritis?

Managing a Healthy Body Weight

As mentioned above, obese individuals are more likely to develop OA in the future. Extra fat also contributes to changes in cartilage production in the body. There are many safe ways to lose weight including managing your caloric intake and exercising frequently. For more options on weight loss, you should consult a healthcare professional such as a dietician or a doctor.

Managing Blood Sugar

Diabetes is a risk factor that can contribute to osteoarthritis development. Conduct frequent blood tests to monitor your blood sugar.

Low-impact Exercises

Low-Impact Exercises refer to exercises you can do without placing high impact on your joints. Low-impact exercises like swimming or brisk walking are great for strengthening your muscles, losing weight and reducing pressure on your joints. It is recommended to get at least 30 minutes of exercise or 6,000 steps a day. Though it may be challenging to start exercising frequently, discipline becomes a habit eventually so don’t give up!

Pain Monitoring

If you experience joint pain that lasts for more than an hour after exercise, you may have caused injury or overworked that joint. Rest the joint and use an ice pack or a hot pack to relieve the inflammation. Consider visiting a physiotherapist or a doctor to assess your condition.

Managing/Treating Osteoarthritis

There is no cure for osteoarthritis but there are ways to manage it through medication, devices and tools, therapies, and in severe cases, surgeries.

Medication

Medications that may be used include pain relievers, Nonsteroidal anti-inflammatory drugs (NSAIDs) and Counterirritants. There are options available over the counter and as prescribed by the doctor. Anti-inflammatory medication such as corticosteroids can be administered by your doctor.

Exercise & Weight Loss

Exercise is a key component of managing osteoarthritis after developing it. These exercises include strengthening, stretching, balance and cardiovascular exercises. Combined with a diet plan to lose weight, these exercises will help strengthen your body and help reduce pressure on your joints.

Surgery

Joint replacement surgery by an orthopaedic surgeon may be an option for you in severe cases. An orthopaedic surgeon will help identify what is the best procedure to be done depending on which joints are damaged and how badly.

How Hi-Bliss Can Help

Hi-Bliss Hydrogen Therapy combines the anti-inflammatory properties of Molecular Hydrogen and a team of highly-trained physiotherapists to help people who are suffering from osteoarthritis improve their condition and reclaim their active and healthy lives.

During your first session with Hi-Bliss, our physiotherapists will conduct a few health assessments to identify the state of your condition. It will be helpful to bring some of your scans or medical reports from previous doctor visits.

Then, our therapists will perform a palpation check, a sense-of-touch test to identify muscle weaknesses and stiffnesses.

When that is done and treatment points are identified, our physiotherapists will spray molecular hydrogen gas onto your body.

Hydrogen gas is non-invasive but due to its nature as the smallest molecule, it can penetrate your skin painlessly to relieve inflammation in your body and joints. This is done by reducing oxidative stress by neutralising free radicals. There are no side effects to Hydrogen Therapy so no worries and no fuss. All you need to do while undergoing Hydrogen Therapy is just relax!

After being sprayed with Hydrogen gas, our therapists will conduct manipulation on your body. This includes some static stretching and massages.

Finally, your Hi-Bliss Therapist will teach you some basic stretching and strengthening exercises to do at home for a holistic healing experience.

If you are interested in trying out Hi-Bliss Hydrogen Therapy to manage osteoarthritis, make your appointment now!

参考:

  1. Management of Osteoarthritis: Expert Opinion on NSAIDs
  2. Osteoarthritis | Centers for Disease Control and Prevention.
  3. Osteoarthritis | National Institute on Aging
  4. Osteoarthritis | NHS
  5. Causes of and Risk Factors for Osteoarthritis | Healthline
  6. Role of Body Weight in Osteoarthritis | John Hopkins Arthritis Center.
  7. How Your Posture Can Cause (and Affect) Arthritis | Health Central
  8. Osteoarthritis: Inheritance | Medline Plus
  9. Why is Osteoarthritis an Age-Related Disease?
  10. Post-Traumatic Arthritis | Cleveland Clinic.
  11. How to Help Prevent Osteoarthritis | Rochester University
  12. Osteoarthritis | Arthritis Foundation

A conversational webinar about osteoarthritis, its causes and various methods to manage it via physiotherapy and hydrogen therapy. This talk was held on the 3rd of July 2022 with speakers Dr Noor Azliyana Bt Azizan and Prof. Dr. Yeong Chai Hong. Dr Noor has a PhD in Health Sciences from Universiti Teknologi MAR and is a Senior Lecturer for the Centre of Physiotherapy, Faculty of Health Sciences, UiTM. Dr Yeong has a PhD in Medical Physics from University of Malaya and is a Professor of the School of Medicine, Taylor's University.

痛风是最古老的疾病之一,其记载可追溯到古埃及。与历史时期一样,这种令人难以置信的疼痛性关节炎今天影响着数百万成年人。虽然这种老病越来越常见,但只要护理得当,痛风很容易治疗和预防。

痛风是最常见的类型 炎性关节炎 当尿酸水平升高时会发生这种情况——这是您体内代谢反应的正常副产品 (来自嘌呤的分解) - 变得太高了。当尿酸水平高到您的身体无法轻易溶解和排泄(通过尿液)时,尿酸开始结晶。尿酸结晶沉积在关节处,会导致严重的 .

当痛风引起严重 关节疼痛, 它被称为 痛风发作, 痛风 爆发, 要么 急性痛风.疼痛通常伴有极度关节压痛、肿胀、发热和皮肤发红。痛风突然发作 (没有警告) 以及通常从大脚趾开始的严重关节痛。虽然大脚趾是众所周知的痛风发作部位,但痛风可以侵袭许多不同的关节和关节周围的区域。常受影响的关节包括大脚趾、脚背、脚后跟、脚踝和膝盖。较少情况下,痛风会影响肘部、手腕、指尖或脊柱。这些攻击可能会持续一两周,而另一次攻击可能会持续数月甚至数年。

男性患痛风的可能性是女性的三倍。它往往会影响 40 岁以后的男性和绝经后的女性。同样有趣的是,男性和女性之间存在差异,并且关节受到影响:

虽然女性不太可能患痛风,但她们的多个关节更有可能受到痛风的影响。

痛风症状可能与另一种称为焦磷酸钙沉积 (CPPD) 的关节炎相混淆。然而,在这种情况下刺激关节的晶体 (CPPD) 是 磷酸钙晶体, 不是尿酸。

痛风发作是如何发展的

一些因嘌呤分解导致尿酸水平较高的人经常患痛风,嘌呤存在于人体细胞和许多食物中,包括红肉、内脏肉和一些海鲜。

痛风是由尿酸结晶堆积引起的(尿酸钠结晶) 在联合中。这些针状、微小的晶体聚集在关节的软组织中,会引起极度疼痛、肿胀、发红和发热。

什么是嘌呤?

嘌呤是制造氨基酸所必需的重要物质,氨基酸是人体的基本组成部分。嘌呤是一种存在于某些食物中的天然物质,存在于所有身体组织(和人体细胞)中。我们的身体不断处理嘌呤,将其分解并回收或去除副产品。当您的身体消化嘌呤时,会产生一种叫做 尿酸.关节中尿酸结晶的堆积会导致某些健康问题。

嘌呤存在于许多食物中,并非都是有害的,但您要避免摄入过多。嘌呤存在于许多食物中,包括 (红肉、内脏肉和一些海鲜), 以及不同的层次。这是食物清单 高的 嘌呤含量:-

尿酸结晶是怎么形成的

尿酸结晶的形成始于 嘌呤, 在许多食物中发现的一种化合物。

痛风的其他原因 可能是由于 基因和性别;其他健康状况,如高血压、糖尿病、肥胖症或牛皮癣;一些药物;高嘌呤饮食。压力和伤害、感染或严重疾病也会引发耀斑。开始服用降低尿酸的药物也可能引发耀斑,因此您可能需要另一种药物来预防它。

为什么痛风会在晚上发作

痛风在半夜突然发作,将人从熟睡中惊醒的情况并不少见。在一项研究中 (痛风发作的夜间风险。关节炎风湿病) 对 700 多名痛风患者进行的研究发现,午夜至上午 8 点之间发作的可能性是上午 8 点至下午 4 点之间的 2.4 倍。研究人员推测痛风发作通常发生在夜间,因为:

急性痛风与慢性痛风

急性痛风 发作的特点是起病迅速并加剧,关节疼痛通常在发作后 24 小时内达到峰值。疼痛突然开始,通常在夜间。其他症状可能包括剧烈疼痛,通常被描述为抽动、挤压或难以忍受的疼痛,关节呈现温暖和红色,并且通常非常压痛和肿胀,并且可能会发烧。

急性发作通常在 5 到 12 天后开始缓解,但对于某些患者,完全缓解可能需要更长时间。第一次发作后疼痛和肿胀通常会消失,但许多人会在接下来的 6 到 12 个月内再次发作。

其他经历过反复发作的急性痛风的人,即复发性问题,多次严重发作,间隔很短,并且痛风没有完全解决 攻击之间称为 慢性痛风 (又名痛风性关节炎)。 这种情况会导致严重的关节破坏和畸形,并可能导致关节组织的永久性损伤和关节运动减少/丧失。也可能与其他形式混淆 慢性炎性关节炎类风湿关节炎.慢性痛风患者多半会出现关节痛等症状。

已经患有骨关节炎的人—— 最常见的关节炎 ~经常在手指的关节处体验痛风发作。

因此,识别症状、了解危险因素、获得准确诊断以及治疗和预防痛风非常重要。

预防痛风发作  

这些策略中的一种或多种的组合可以帮助防止导致痛风发作的尿酸积聚。

饮酒会抑制身体排泄尿酸的能力,增加高尿酸血症和痛风发作的风险。如果你无法避免饮酒,那就改喝葡萄酒。

相反,增加高含量食物的摄入量 抗氧化剂消炎(药) 特性加上富含维生素C的蔬菜和水果。添加到饮食中的食物示例有:- 深色浆果,如蓝莓、樱桃、豆类、坚果(杏仁和核桃)、Omega 3 脂肪酸(鲑鱼、鲭鱼)、豆腐/大豆、菠萝、橙子、葡萄柚、西兰花、红辣椒。和咖啡。

增加水的摄入量将有助于保持肾脏健康并帮助他们 冲走 体内的尿酸。

通过饮食和锻炼获得并保持健康的体重有助于降低痛风的风险。如果您确实需要减肥,请确保您的减肥是渐进的,因为快速节食会增加尿酸水平。

旨在每周至少 3-4 天完成至少 30 分钟的体育锻炼。

虽然还需要更多的研究,但一些证据表明,治疗睡眠呼吸暂停可能会显着影响痛风发作的频率,因为增加氧气摄入量可能会降低尿酸生成,从而降低痛风发作的风险。

情绪压力也会导致痛风发作。足部的身体创伤也是如此 (例如在跑步过程中可能会发生),这可能会释放一些晶体并引起炎症反应。

在此处详细了解 Hi-Bliss 氢疗法和我们的排毒计划如何帮助消除多余的尿酸: https://hi-bliss.com/muscle-joint-programs/ 氢气具有抗氧化和抗炎特性,能够有效减少炎症和排出毒素,从而最大限度地减少痛风发作。

参考:-

骨关节炎(OA)是一种关节疾病,其特征是 关节损伤 它会影响滑液、软骨、骨骼、肌肉、血液供应和神经。当覆盖我们骨骼尖端的保护性软骨逐渐磨损并导致多块骨骼相互摩擦时,就会发生这种情况。这最终导致 最终丧失功能.

骨关节炎还会影响与受影响关节相关的其他结缔组织和肌肉。 例如,膝骨关节炎可能会影响大腿、小腿、臀部甚至其他关节(如臀部和脚踝)的结缔组织和肌肉。 话虽如此,OA 不仅会影响膝关节,还会影响手、臀部和脊柱的关节。

正确使用接头将使其保持润滑,这会刺激修复和重建过程。另一方面,缺乏关节使用会导致软骨变得干燥、更脆并且更容易随着时间的推移而受损。这往往发生在与未充分使用的运动范围相关的关节表面部分。随着时间的推移,损伤和疼痛变得如此严重,以至于导致无法矫正的畸形,这将使手术成为唯一的选择。

膝骨关节炎的 5 个阶段

膝关节 OA 是分阶段发展的,需要很多年才能发展。这种情况很难治疗,因为症状可能要等到 OA 达到晚期才会出现。 OA分为 五个阶段 (5) 第 0 阶段代表健康稳定的膝关节。随着阶段的进展,疼痛和僵硬会增加。在这里,我们将重点关注 OA 的 4 个阶段,从轻微到严重。

资料来源:https://teachmesurgery.com/orthopaedic/principles/osteoarthritis/

第 1 阶段 - 轻微/可疑

第 2 阶段 - 温和

第 3 阶段 - 中度

第 4 阶段 - 严重

原发性骨关节炎与继发性骨关节炎

骨关节炎可分为两类:

谁倾向于获得 OA?

有症状的膝关节 OA 目前是全球第四大残疾原因,[4] 在 55 岁及以上的人群中估计患病率为 70–80% [5]。寿命更长的老龄化亚洲表明膝骨关节炎和其他慢性疾病的数量越来越多 [6]。据估计,当今马来西亚膝关节 OA 的点患病率为成人总人口的 10-20% [7]。

按年龄划分的膝关节疼痛和膝骨关节炎粗患病率
资料来源:https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0225075
按年龄组划分的种族膝关节疼痛和膝骨关节炎粗患病率
资料来源:https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0225075

哪些关节会得骨关节炎?

虽然骨关节炎可因损伤或异常而发生在任何关节,但在某些关节中更为常见,尤其是 承重 那些。它通常是对称的,在某种程度上发生在两侧的关节中。

我们将在下一篇博客中研究骨关节炎的症状和体征,以及氧化应激如何导致骨关节炎。

在此处详细了解 Hi-Bliss 氢疗法如何帮助减缓骨关节炎的进展: https://hi-bliss.com/muscle-joint-programs/

参考:

OA 通过典型症状、身体检查结果和影像学改变三联征来诊断。美国风湿病学会制定了分类标准,以帮助识别有症状的 OA 患者,其中包括但不仅仅依赖于影像学检查结果。骨关节炎的诊断是通过注意体征和症状来完成的:

OA 对生活质量的影响

OA 可以通过多种方式影响生活质量,例如压力增加和疼痛加剧导致的睡眠中断。骨关节炎也 降低进行正常活动的能力 在我们的日常生活中并降低生产力。它还可能导致焦虑和抑郁问题。

疼痛和僵硬 会降低您活跃的欲望。缺乏活动不仅会限制您享受生活——它还会减少肌肉质量,从而导致肌肉紧绷以及跌倒和遭受其他伤害的风险。肌肉在紧绷或无力时更容易受伤,微撕裂会导致肌肉结疤,从而破坏正常的肌肉功能,从而影响周围的结缔组织。

缺乏活动也会导致体重增加。额外的体重可能会加剧 OA 症状,这可能会增加患其他并发症的风险,例如:

OA 可能引起的其他并发症包括:

预防骨关节炎

许多因素可能会使人面临患 OA 的风险。做出改变可能无法阻止这种情况,但一个人可能能够降低风险或阻止 OA 发展。

关节炎基金会建议如下:


氧化应激如何导致骨关节炎?

当我们体内的自由基和抗氧化剂数量不平衡时,就会发生氧化应激。这是特别有害的,因为它会导致细胞和组织损伤。氧化应激被认为是 OA 发病机制的主要致病因素。许多促炎介质或自由基在 OA 中升高,包括活性氧 (ROS) 和活性氮 (RNS)。

图 1. 骨关节炎发病机制的氧化应激相关机制。 mtDNA,线粒体DNA。
来源:https://www.sciencedirect.com/science/article/pii/S0925443916000041

自由基的过度产生会损害细胞功能,因为它会破坏细胞脂质、蛋白质和 DNA。自由基可引起软骨细胞凋亡/细胞死亡,从而加速关节软骨功能障碍和退化。

已知氧化应激对许多细胞有害,并且会在疾病和衰老过程中发生。它也与OA的发展有关。尽管骨关节炎传统上被归类为非炎症性关节炎,但越来越多的证据表明,随着细胞因子和金属蛋白酶被释放到关节中,炎症就会发生。当更多的这些药物被释放时,炎症会变得更糟,尤其是当过多的自由基引发时。软骨和滑膜的炎症导致关节结构的丧失和软骨的进行性损伤,导致骨关节炎恶化。由于缺乏神经和血液供应的软骨自我修复能力有限,发炎的关节软骨仍然是治疗的巨大障碍。

氢疗法如何提供帮助?

氢疗法是治疗关节炎的最新和最有效的疗法之一,因为它具有治疗性抗氧化剂的作用。它能够选择性地中和受影响区域的自由基,从而减少炎症并防止对关节的进一步损伤,从而减缓 OA 的进展。由于氢是地球上最小的分子,它能够将自身扩散到目标细胞中,而不会影响其他细胞和器官的功能。

根据丁力和王万春在 2012 年的一项研究,氢气被认为是一种选择性抗氧化剂,可以用作一种治疗性医疗气体。这进一步强化了氢气处理有助于减少氧化应激引起的软骨损伤的观点。

在 Hi-Bliss 氢疗法中心,我们将氢疗法的治疗益处与整骨疗法相结合。我们的认证物理治疗师将对下肢区域进行骨科结构和功能检查,通过测量运动范围 (ROM)、肌肉力量、步态分析、姿势调整、运动质量、运动过程中的疼痛来找出疼痛的根本原因运动、肌肉体积和基调。氢处理 旨在抑制炎症因子 例如自由基和减缓骨关节炎的进展。

通过将氢与整骨疗法相结合,我们帮助我们的客户 减轻关节疼痛, 减缓OA的进展 并最终帮助他们恢复正常的日常生活。氢疗法可有效治疗 发炎的关节 由 OA 引起的,通过修复我们体内的内部细胞,而我们的物理疗法/整骨疗法技术有助于改善因肌肉失衡引起的外部肌肉。我们还将对客户进行适当的拉伸和强化锻炼,以控制症状并改善关节功能、灵活性和平衡性。

通过减少 OA 症状的数量,它将提高您的出行能力并提高您的生活质量。

在此处详细了解 Hi-Bliss 氢疗法如何帮助减缓骨关节炎的进展: https://wordpress-851564-2937612.cloudwaysapps.com/treatment-services-osteoarthritis-therapy/

参考:

第一部分:关节炎疼痛

关节炎是一组疼痛和退行性疾病,其特征是 在导致僵硬和疼痛的关节中。 骨关节炎, 最常见的关节炎类型,随着年龄的增长而恶化,并且是由多年来的磨损引起的。 类风湿关节炎 是由免疫系统攻击关节引起的,就好像它们是外来组织一样。因此,类风湿性关节炎被归类为自身免疫性疾病。

关节炎通常用抗炎药和止痛药治疗。然而,一些药物会引起副作用,因此缓解疼痛的自然方法越来越受欢迎。据估计,每天有 4600 万人遭受关节炎的疼痛和疼痛——而且看起来情况只会变得更糟。 CDC 估计,到 2030 年,将有超过 6700 万人被诊断出患有这种痛苦的疾病。

对于那些现在正在受苦的人来说,解脱就在这里。

第二部分:缓解关节炎疼痛的自然方法  

尝试冷热

当您感到疼痛时,您可能已经使用了冷热疗法,但是当涉及到关节炎疼痛时,没有什么比应用更快速或更有效的方法了 不同的温度 到受影响的关节。

这两种缓解技术背后的想法是,当您应用 到受影响的区域,它 可以帮助肌肉和其他结缔组织放松和释放紧张.这也是 减少流向该区域的血液 因为你的身体不再需要通过过度的血液循环来温暖那个身体。

另一方面,当你申请 寒冷的 到一个地区,你正在帮助 麻木你身体那部分的疼痛和酸痛.因为你正在冷却你身体的那部分,它实际上 增加流向该区域的血流量 因为您的身体会对正常温度下的不适做出反应。 

按摩消除僵硬和疼痛

大多数人不需要被告知两次去按摩,所以如果你一直在为你的关节炎疼痛争论不休,现在是上按摩治疗师的好时机。

按摩涉及对身体肌肉和结缔组织的操作。通过对这些区域的直接压力和运动,患者的身体可以放松并缓解疼痛。穴位按摩、指压按摩、深层组织按摩、反射疗法是一些流行的按摩。

舒缓身心的放松技巧d

人们认为,僵硬的身体通常是“僵硬”思想的标志。当我们有压力的想法和想法时,我们通常会以肌肉紧张的形式将这种压力投射到我们的身体中——这对那些患有关节炎的人不利。

为帮助释放精神上的焦虑和身体上的紧张,掌握一些放松技巧可以立即缓解压力。尝试冥想或深呼吸来帮助放松身心。

动起来

虽然当你感到疼痛时多走动似乎很矛盾,但这是让你的身体摆脱疼痛的最好方法之一。当你在关节炎疼痛期间试图保持静止时,你应该开始运动,因为它会增加血液循环(并为你身体的各个部位带来温暖),防止你的肌肉僵硬和虚弱,或者只是为了分散你的注意力疼痛。

舒展疼痛

身体紧绷和酸痛的关节周围的肌肉通常比您意识到的更紧张。但是,当您患有关节炎疼痛时,那种紧绷感和僵硬感是您最不需要出现的东西。你需要花时间伸展一下,放松一下。拉伸是任何人随时随地都可以做的事情,而且你做的越多,你就会感受到越多的好处。

拉伸将:
• 提高灵活性
• 提高您的平衡能力
• 缓解僵硬和紧绷
• 有助于预防关节炎引起的疼痛

舒展疼痛

您的体重会对关节炎引起的疼痛程度产生重大影响。额外的重量会给你的关节带来更大的压力——尤其是你的膝盖、臀部和脚。

通过减肥减轻关节的压力将改善您的活动能力,减轻疼痛并防止将来对关节造成伤害。

找到你内心的乐观主义者

当您的关节开始疼痛时,您可能不会首先想到您只需要改变您的态度。毕竟,关节炎很痛,很痛,除了抱怨还能怎么办呢?

但是,每次抱怨时,您都可能对自己的身体做几件事:

是的,乐观的态度可以缓解关节炎疼痛。

让自己分心

当您患有关节炎疼痛时,您可以采取多种不同的措施来减轻上述疼痛。但减轻疼痛最有效的方法之一就是分散自己的注意力。

头脑是一种强大的治疗工具,当我们的身体僵硬和关节疼痛时,我们中的许多人都会忘记使用它。虽然大脑会过度关注疼痛,但它也很容易被引导去思考没有疼痛的想法。

结论

无论您选择哪种关节炎治疗方法,您都拥有比您的医生可能意识到的更多的选择。有了这些选择,您就有能力掌控自己的健康和疼痛管理过程。

虽然每个患者都不同,但每个人都有一个治疗计划。通过使用其中一些缓解疼痛的可能性,您可以体验到一种不受限制且更加愉快的生活。

关节炎可能被视为只是变老的一种情况,但它不一定会阻碍您的生活方式和您过上自己的生活的能力。

您确实有选择——那么为什么不开始测试一些,看看哪种最适合您呢? 

在此处详细了解 Hi-Bliss 氢疗法和我们的骨关节炎计划如何帮助缓解疼痛: https://wordpress-851564-2937612.cloudwaysapps.com/treatment-services-osteoarthritis-therapy/

骨关节炎 (OA) 是最常见的关节炎形式,通常会随着年龄的增长而影响我们。您知道吗,每 5 名马来西亚人中就有 1 人患有骨关节炎,而最常见的骨关节炎是膝关节骨关节炎。在这张简单的信息图中查看我们的 Hi-Bliss 氢疗法骨关节炎计划和“别再受苦了”。

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