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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

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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)?

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  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

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

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:

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) 是一种疼痛的退行性关节疾病,通常累及臀部、膝盖、颈部、下背部或手部的小关节。它是最常见的关节炎形式,影响着全世界数百万人。当缓冲骨骼末端的保护性软骨随着时间的推移磨损时,就会发生这种情况。

Hi-Bliss Hydrogen Therapy and Compassionate Care Foundation was featured in 8TV's Living Delight program on 17th May 2019.

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