What is the nodules of Bouchard and Heberden: manifestation, treatment, pictures nodules
Nodules Heberden and Bouchard is a characteristic of deforming arthrosis
Nodules Heberden and Bouchard are forms of deforming arthrosis of the brush, most often occurring in women after 40 years. In men, this disorder is much rarer and the percentage is 1 to 10.
Clinically, nodular arthritis is a bony growths on the distal (nodules gerbera) and proximal (Bouchard nodules) interphalangeal joints.
Nodes are formed — the pain grow
Nodule formation of Heberden preceded by redness and swelling of the end of the interphalangeal joints, burning sensation, tingling, appearance of pain, which intensified during night and early morning hours.
In 30% of cases of nodular development of degenerative osteoarthritis are asymptomatic. Over time, the bad symptoms disappear, on the site of the lesion formed nodules, the size of which ranges from the size of a grain to the size of a pea.
First and foremost, the defeat exposed the back side of the index and middle fingers. The characteristic feature of the nodules of Heberden is the symmetry of their arrangement, typically, osteophytes are formed on both hands simultaneously at identical locations.
Often the disease is accompanied by periods of exacerbation (more than 50% of cases), which entail the emergence of sharp pulsating pain in places nodules. Acute pain subsided after the skin over the nodule burst, and its contents will expire out.
The location of nodules Bouchard is the lateral surface of the proximal joints of the hand, causing the fingers become spindle-shaped, ugly form. Nodular formation develops gradually, almost painless.
Polyosteoarthrosis the brush has no effect on the General condition of internal organs, however, the development of the disease significantly limits the movement of the fingers, leads to further deformation of the brush. Illness, neglected, often leads to a complete loss of ability to move fingers and as a consequence to their disability.
Causes and predisposition to the disease
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Osteoarthritis is a disease developing due to age-related disorders, regeneration of cartilage and joints. The disease is often associated with high stress on the joints.
The development of arthrosis in the first place due to violation of blood circulation in Podhradie layer of bone tissue. Cartilage, not getting enough nutrition, thins and loses its elasticity, the amount of lubricating fluid that fills the cavity of the joints, it reduces friction on the cartilage increases, which in turn causes inflammation in the joints.
To date, the reasons causing the polyosteoarthrosis thoroughly unknown. It is considered that the predisposing factors to the development of disease are:
- genetic inheritance,
- congenital anomalies;
- menopause in women;
- excessive activity of lysosomal enzymes;
- diabetes mellitus;
- thyroid disease;
- injuries and intraarticular fractures.
There is a view that predisposition to the development of nodular arthritis of the hands is directly related to certain types of professional activities. The risk groups are people of such professions as programmers, teachers, dentists, athletes.
Diagnosis of the disease
The primary method for diagnosing nodular arthritis is a visual inspection of the hands. If necessary, prescribe and laboratory tests such as CBC, raumprobe. When polyosteoarthrosis, as a rule, the indicators are in the normal range.
Additional diagnostic methods include x-ray, which allows you to clearly see the deformation processes in the cartilage and joints.
To get rid of the nodules of Bouchard Heberden and can cure the disease. Medical interventions should first be aimed at improving the condition of cartilage.
In the early stages of the disease apply chondro – preparations with prolonged action, such as chondroitin and glucosamine, which serve as markers of cartilage tissue.
The mechanism of action of chondroitin sulfate stimulates the synthesis of cartilage cells, slows down the process of degeneration of the cartilage tissue, increases the mobility of damaged joints.
The effect of glucosamine aimed at stimulating production by the body glycosaminoglycans that are necessary for the regeneration of cartilage tissue, the drug has a pronounced analgesic action.
Along with chondroprotectors in the treatment of «knotted fingers» are used, and vasodilator medications – Trental, Teohnical.
In the period of exacerbation of the disease doctor may prescribe taking of asteroidov that have anti-inflammatory effect, Ibuprofen, Voltaren, Indomethacin.
In addition to the preformed preparations, as a means of local treatment can be used anti-inflammatory ointment on the basis of asteroidov, such as the first days without, Fastum-gel, of indometacin ointment, Voltaren gel. Treatment ointments lasts at least one month.
Severe pain the patient may be prescribed and physiotherapy, for example, paraffin baths and mud.
In severe cases, severe pain and protracted inflammatory processes in the joints, the patient is prescribed an immunosuppressant – Plaquenil. The treatment can last from six months to 12 months.
When treating polyosteoarthrosis often prescribe a course of gentle massage or physical therapy. Special exercises and massage motion improves blood circulation, relieve muscle spasms, improve mobility of the joints.
Traditional healers and witch doctors recommend for the treatment of nodular arthritis to use bischofite – brine, which is produced during oil production. For treatment therapy need:
- a medical bandage;
- plastic bag;
- a pair of cotton gloves.
The procedure is as follows: saturated brine bandage is wound around each affected finger. Then the hands wrapped with a plastic bag, on top of which you put on a glove.
Stand the compress for at least two hours. The procedure can be performed in a day, the total number of treatment sessions for 30 days.
In folk medicine for the treatment of Heberden nodules and Bouchard also use compresses based on grated vegetables.
For example, a poultice of grated potatoes, making use of only the green parts of the tuber. Another option compress – scientisty onions, mixed with yogurt and chalk.