Arthrosis of the talus-navicular joint

Doctors often diagnosed patients of osteoarthritis of the talus-navicular joint. This joint divides the lower part of the leg for a few stretch sections. A unique feature of the foot is its flexible and robust structure. The talus-navicular joint takes most of the effort during walking, running, standing on toes, etc. But a constant load and location make it vulnerable to various pathologies.

Артроз таранно-ладьевидного сустава


What is arthrosis

Osteoarthritis is a degenerative disease of cartilage characterized by constant pain and the formation of bone spurs in the joint with severe destruction. Cartilage has a spongy structure, which allows it to soften the energy of abrupt pressure, playing the role of shock absorber. Cartilage also contains synovial fluid – a kind of lubricant for the joints, which reduces friction, preventing wear.

Healthy cartilage absorbs synovial fluid at rest, setting it under load. Fibers of cartilage are constantly being destroyed due to heavy load and updated by the natural recovery of damaged tissue. Osteoarthritis significantly reduces the intensity of regeneration. Without proper treatment the last degree of osteoarthritis can lead to full disability of the limb.

Arthritis interferes with the synthesis of healthy cartilage. The body tries to compensate for the loss through the development of defective cells that gradually replace the cartilage. The defective cartilage tissue is not as elastic and cannot to a sufficient degree to absorb and allocate the synovial fluid, which leads to thinning and eventually to complete destruction of the cartilaginous layer between the joints.

The disease most often begins to develop in old age due to natural deterioration of the overall metabolic wear and tear of the joints.


Factors of disease

There are several obvious reasons for the development of osteoarthritis, which do not depend on age factors.

  • Of metabolic disorders. Arthrosis of the talus-navicular joint can occur as a result of any breach of metabolism, regardless of the nature of its origin. Due to metabolic disturbances worsens the nutrition of cartilage tissue and synovial membrane, which greatly increases the risk of osteoarthritis.
  • Microtrauma and injury. An excessively active lifestyle and playing sports, when heavily loaded the talus-navicular joint, lead to the formation of micro traumas that gradually destroy the cartilage tissue or impair its nutrition. Contribute to the development of osteoarthritis can luxations, subluxations and fractures, if they touch or are in close proximity to the joint.
  • Heredity. If your parents suffered from arthritis, there is a high probability that the disease will sooner or later be your companion. Most often the disease is transmitted through the maternal line.
  • Weight. Excessively high body weight that exceeds 20% of normal weight and creates a constant load on the legs, including to the talus-navicular joint. Occurs with chronic injury to the joints.
  • Comorbidities. Rheumatoid arthritis, diabetes, goiter and other chronic diseases that affect cartilaginous tissue, often provoke the development of osteoarthritis.
  • Shoes. Constant wearing uncomfortable shoes or high-heeled shoes wears out the cartilage and worsens the access of nutrients, which leads to degenerative disorders.
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    These causes do not always lead to the defeat of such a joint as the talus-navicular joint. Much of life «coexist» with one or more of the above factors and see what is arthrosis. However, if they touch you – it should be cause for a medical examination. Initial degree of osteoarthritis cure is much easier than a defeat in the last stage.

    Артроз таранно-ладьевидного сустава

    The sooner treatment is started, the more chances to cure the disease completely.


    What are the symptoms of the disease

    The symptoms of arthritis depend largely on the degree of development of the disease. The more extensive lesion of the cartilage, the higher the diagnosed degree of the disease. The joint is gradually destroyed. At the initial stage of the lesion is insignificant and almost not related to bone elements. Than most cartilage is replaced with inferior fabric, the more I start to suffer joint. When the cartilage is completely destroyed, the body tries to compensate for the loss through the formation of bone spurs, which leads to loss of motor function.

    In a detailed review of the symptoms of osteoarthritis of the talus-navicular joint is as follows.

    Stage Clinical manifestations
    The defeat of the first degree. The defeat of the joint is insignificant and does not manifest itself outwardly. If a strong or continuous load on the foot occurs aching pain, which is at rest.
    The defeat of the second degree. The symptom of pain is more noticeable and takes place only after a long period of rest. There has been a recurrent inflammation in the joints can be detected visually. Inflammation area painful on palpation. The pain compels the patient to restrict motion in a diseased joint.
    The defeat of the third degree. The third degree is characterized by complete destruction of cartilage and narrowing of the lumen between the elements of the joint due to the formation of bone spurs. The pain almost does not pass, regardless of the presence or absence of the load. The inflammation passes into the chronic stage. The joint increases in size and becomes knotty structure. Motor function of the foot is disturbed, up to complete immobilization.
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    Артроз таранно-ладьевидного суставаThe symptoms very clearly characterize the development of arthritis. To notice at the beginning of the development of the disease will not be difficult. We should not forget that a final diagnosis can only be a doctor after conducting various tests and medical examinations.

    Self-medication can lead to serious consequences: perhaps the development of complications and progression of comorbidities.


    Methods of treatment

    Treatment of osteoarthritis of the talus-navicular joint complex: apply medicines, physiotherapy, and unloading of the joint. Drug treatment is based on the use of NSAIDs, which help reduce inflammation with the affected joint. If necessary, can be prescribed hormonal anti-inflammatory drugs based on corticosteroids. To reduce the pain symptom used painkillers. Selection of drugs is carried out individually by the attending physician taking into account all contraindications and side effects, and self-treatment, especially in the case of corticosteroids can have deleterious consequences for health.

    With osteoarthritis often authorizes the use of chondroprotectors on the basis of chondroitin sulfate and glucosamine – the basic elements that make up cartilage tissue. Their main purpose is the protection and regeneration of cartilage. However, the effectiveness of these drugs has not been proven in clinical trials, which makes treatment of their participation is only useful conditionally. The therapeutic effect of chondroprotectors begins to appear only after six months, and if improvement is not observed, their use is recognized as impractical.

    Treatment necessarily implies unloading of joints through specialized orthopedic appliances that allow you to temporarily fix the joint in a state of rest. To improve the condition of cartilage is assigned a diet which in proper degree is composed of foods rich in collagen, sulfur and selenium – core «construction materials» for the cartilaginous tissue. The list includes jelly, eggs, milk, garlic, beef, apples, beans and all kinds of cabbage, especially the sea.

    Therapeutic exercises are selected based on the condition of the joint. It should be done under the supervision of the attending physician, as excessive intensity exercises can aggravate the disease.