12 August

Why crackle joints : the hip , shoulder , knee , elbow

Contents:

  • Crunch young children
  • What states are accompanied by a crash in the joints
  • Anomalies structure
    • connective tissue Benign hypermobility
    • Syndrome Marfan
    • Syndrome Ehlers-Danlos
  • «snapping hip" syndrome
  • Osteoarthritis
    • Symptoms of osteoarthritis
  • patellar instability
  • Tendonitis
  • Gout
  • Getting rid of crunch without drugs
  • When should you seek medical advice

Probably everyoneat least once in my life I felt a fortune on "crunch".Some may make such sounds fingers, or knees with an enviable constancy.If this phenomenon is not accompanied by pain, swelling, limitation of movement, it is an absolute rule.

On the causes of a crunch in joints without pain, scientists have argued for a long time.Now there is a unified theory of the "cavitation bubbles".The fact that synovial fluid over the joints, a large amount of dissolved carbon dioxide.When excessive or sudden movements in the joint cavity portions are formed with different pressures, resulting in the dissolved car

bon dioxide is grouped and forms a cavitation cavity - in fact, a large gas bubble.It is the formation of a cavity creates a sense of clicks and crackle.This is a harmless process is not leading to chronic diseases.Its only drawback - irritating to others.Importantly, for the re-formation of such bubbles takes time - from several minutes to half an hour, the gas had to be dissolved in the liquid.Therefore, if the crunch accompanies virtually every movement, you should think about other reasons for it.

Crunch young children

Many parents do not pay attention to other sounds in the hands and feet of their children.They appear almost immediately after the start of active operations, that is still in infancy.In 99% of cases, these sounds should not cause alarm.The fact is that young children are inherently hypermobility.These cartilages have not crystallized until the end, but because there is a crack on movement and clicking.If this does not cause pain crumbs and does not limit his desire to explore the world, something about the crunch in the joints of the child to forget and not to worry.

What states are accompanied by a crash in the joints?

Some features of the locomotor system and diseases can lead to the appearance of articulate sounds crisp.The main difference from the norm - the presence of other symptoms (pain, redness and swelling, limitation of movement, stiffness).

reasons crunch joints:

  • Anomalies structure
  • connective tissue "snapping hip" syndrome
  • Osteoarthritis
  • patellar instability
  • Tendonitis
  • Gout

Anomalies structure

connective tissue must have all seen in the circusor big sports people with a surprisingly supple body.During the presentation, they literally "twisted in a knot", causing the joints to bend to the limit.In addition to the rigorous training they have another secret - hypermobility or connective tissue dysplasia.Under this vague term hidden genetic syndrome, in which the joints and ligaments become very mobile and stretched here and crunchy sounds in them.On the one hand, it gives a chance to show their talents.On the other - could face some complications.

syndromes, accompanied by connective tissue dysplasia:

  • benign hypermobility syndrome
  • Marfan syndrome and marfanopodobnye state
  • Ehlers - Danlos

Benign hypermobility

This is a relatively harmless ability to perform movements with large amplitude.This syndrome rarely leads to a decrease in quality of life.Children with this feature a bit more often get sprains and strains, but otherwise they are no different from their peers.Therefore, a large amount of movement and a crunch in joints are relatively safe.

Symptoms of hypermobility in points:

  1. Extension pinky 90 degrees - 1 point each side
  2. Bringing thumb sideways and back until it touches the forearm - 1 point each side
  3. elbow hyperextension at 10 degrees - for1 point each side
  4. hyperextension knee 10 degrees - 1 point each side
  5. ability to touch your palms to the floor without bending the knees - 1 point

in assessing 6 points more likely hypermobility.

Marfan Syndrome Marfan syndrome

and similar state - this is a rare, genetically caused connective tissue abnormality.Violations found in the musculoskeletal, cardiovascular system, skin and eyes.

Symptoms of Marfan syndrome:

  • high growth, long and thin limbs
  • cock or funnel chest
  • flat
  • low blood pressure
  • hypermobility and crunch (the elbow movement may be limited)
  • myopia
  • smalllower jaw and narrow face
  • scoliosis

Among the possible complications of the syndrome can be endocarditis, mitral valve prolapse, problems with vision, light, posture.Such children are in need of inspection at genetics and life-long observation by a doctor at least once a year.

Syndrome Ehlers-Danlos

By its nature, this syndrome is genetic and also very similar in features to the Marfan.There are several types of the disease.Some of them almost do not reduce the quality of life, manifesting only movable joints, stretch the skin soft and prone to scarring.Some forms can be dangerous, as it promotes the rupture of large vessels and internal organs.Symptoms of the most common forms are similar to Marfan syndrome.To diagnose need advice genetics, ultrasound of the heart.


«snapping hip" syndrome

Many probably know the feeling when you try to get up at the hip click is heard, thus there is a feeling of "jamming."This sound occurs when part of the muscle or tendon rubs against the projecting part of the femur.In most cases, these flicks are painless and harmless, although they can irritate their regularity.Particularly affected by this scourge of the people involved in dance or sports that require repeated bending legs.

reduce the appearance of the syndrome will help limit physical activity, stretching exercises muscles of the legs, cold packs and anti-inflammatory drugs.

Osteoarthritis

chronic, relentlessly progressive disease of the joints, in which it occurs degenerative changes, called osteoarthritis.It is based on "blurring" of the articular cartilage with subsequent changes in bone and secondary inflammation in the surrounding tissues.These or other signs of osteoarthritis occur in almost 20% of people in the world, and women suffer more often than men.

The main reason for such a major change is considered a mismatch between the load on the joint and its ability to withstand such loads.Therefore, a greater risk of developing osteoarthritis experienced by people with obesity, occupational or household physical activity, injury, and other connective tissue diseases.Not the last role is played by age and genetic predisposition.

Symptoms of osteoarthritis

Onset goes unnoticed, with the light of changes in the affected joints.Most often suffer from hip, knee joint, fingers and toes.First symptoms appear in the same place, the progression of new fields are captured.

  • Pain
  • Crunch at the time of movement
  • swelling in the joint, its deformation
  • Stiff
  • Fatigue of muscles near the joint
  • Periodic flushing of the joint area, fever
  • limited movement

pain in osteoarthritis maybe of different nature.Most often, they are mechanical, that is amplified by the end of the day and subside after sleep.If there is a secondary inflammation, the pain may be aggravated by motion, then subside and occur when excessive load.Often the pain is the result of muscle spasm.Sometimes the pain radiating.For example, in coxarthrosis they spread down to the knee (for details on the causes of pain in the knee joint).

Over time, the gentle crunch of coarsens, and the pain worse and more frequent.There is stiffness, limitation of movement.This reduces the quality of life and can lead to disability.

To diagnose the disease, there are several criteria:

  1. Clinical
    • pain and a crunch in joints that occur in the late afternoon or in the first half of the night
    • pain, worse after exercise and reduces alone
    • deformation of joints due to growths ends of bones
  2. Radiographic (narrowing of the joint space, the presence of bony protrusions - osteophytes)

changes of cartilage in the spine (low back pain) is also referred to as arthritis group.In addition to pain and a crunch in certain spine can be identified additional symptoms.This radicular syndrome (sciatica), violation of the pelvic organs (problems with urination and defecation), dizziness, and blood pressure drops (with cervical osteochondrosis).By the time the clicks in the spine are other, more bright signs, there are quite a long time.

to treat most types of osteoarthritis using pain killers and anti-inflammatory drugs (Nise, Diclofenac, Tramal), the introduction of glucocorticoids into the joint area between the symptoms subsided - physiotherapy.It is important to observe the regime of work and rest, as well as engage in physical therapy to preserve joint mobility.(Read more about the treatment of osteoarthritis of the hip and the knee.)

patellar instability


patella, or kneecap, - it is a small bone on the anterior surface of the knee.It is located on the penny, the muscles attaching to the femur and tibia.This makes it possible to strengthen their cravings and reduce the pressure on the joint.

Normally, the patella is centered.Sometimes it is a little bit biased, or even completely out of his bed.This condition is called patellar instability.Its cause may be trauma, especially the legs and the structure of the connective tissue abnormalities.

Symptoms:

  • pain and crunch in the knee when moving
  • pain when sitting
  • Swelling knee
  • Sensible displacement of the patella or out

confirm the diagnosis the doctor can during the inspection, X-rays are sometimes required.Treatment of patellar instability is usually conservative.Well help special exercises for flexion-extension legs, bandages and splints.

Tendonitis

tendon inflammation or tendonitis usually occurs in the shoulder joint, elbow, knee, or ankle.The appropriateness of the term "tendinopathy", since the defeat of the tendon fibers are not always accompanied by inflammation.

Signs of tendonitis:

  • With lateral or medial epicondylitis feels pain in his elbow on palpation, or is characterized by unpleasant sensations in bending arms at the elbow
  • Inflammation of the tendons around the knee during active movements brush
  • tenopathy biceps causes crunch and pain when trying to rotationleg in the joint, as well as palpation
  • defeat tendons Ahhilova entails pain at 6 cm above the heel when trying to bend the leg at the ankle.

common symptom for all types of tendonitis will crepitus - a slight crunching feeling when the tendon, and sometimes even during movement.For diagnosis using X-ray, ultrasound and MRI, especially if there is a suspicion of injury.Treatment consists of rest, ice-cooling, the first 2-3 days, pain relief with analgesics and NSAIDs.In some cases, it helps physical therapy and the use of corticosteroids.

Gout

Argued that the crunch in the joints can be caused by the deposition of salts in them, and that this state is almost all, have stepped 50-year milestone.It is a myth not supported by scientific evidence.There is only one type of joint disease with deposition of salt crystals in them - this is gout (and pseudogout).

defeat salts of uric acid may not be noticeable, but can occur rapidly, exhausting the patient frequent gouty attacks.Risk factors for the disease are obesity, genetic predisposition, kidney disease, and eating habits.

gout begins with acute inflammation in the metatarsal phalanx of the big toe.Slightly less such an attack occurs in the ankle, knee and toes.Within 8-12 hours the pain reaches a maximum, the joint becomes red, swells, becomes hot.Even the touch of the sheets (and attack often occurs at night) causes increased attack.Over time, the symptoms subside until a new gouty attacks.In addition to pain may be a crunch in joints and accumulation of salts in the area of ​​the eyelids and ear cartilage (called tophi).

for diagnostic tests used in the uric acid level (including in the periarticular fluid), X-ray or ultrasound joint, MRI.

Treatment of acute gout attack is carried out using NSAIDs (except aspirin) and corticosteroids.Chronic diseases are treated with allopurinol, febuxostat, uricase.To control the state need to follow a diet.We should avoid drinking alcohol, eating red meat, canned food, soft drinks and coffee (read more about the symptoms and treatment of gout).

Getting rid of crunch without drugs?

Massage Therapeutic massage is useful for almost all problems with joints.It is important to remember that acute inflammation - this is a direct contraindication to massage.A case of chronic processes, stroking, kneading, rubbing the feet and hands increases the blood flow, relaxes muscles, distributes the liquid inside the vessel.The main thing - to seek help from a professional masseur, who knows why crackle joints, so as not to aggravate their condition even more.

Proper nutrition

noted that obese people are more likely to suffer from osteoarthritis of the hip and knee joints, they more often gout.Therefore, normalization of weight, frequent small feedings useful products required for health promotion.

Water

balance articular cavity in violation of its structure begins to actively lose moisture.It reduces the amount of synovial fluid.Therefore, sufficient intake of water is necessary for the patient's joint.No need to drastically increase the number of cups of tea or coffee - it just hurt.It is enough to drink a glass of water in the morning, at night and during meals.

Physical activity

Daily walks and physiotherapy - what you need for the treatment of a crunch in joints.If we add to this, and swimming, the improvement will not take long.But before the introduction of new exercise you should consult with your doctor, as some movements may be contraindicated.

Traditional recipes

effectiveness of treatment of folk remedies have not been confirmed.In most cases the improvement associated with the placebo effect, that is based on samoubezhdenie.If in this case there are no contraindications, such therapy is well suited, because the main thing - the result.

  • Pour 5 g of dry birch buds with water (1 glass), bring to a boil, let it brew.Eat a third cup before each meal.
  • 1 tablespoon celery root spoon to pour 2 cups boiling water, let it brew, strain.Take 3-4 tablespoons per half hour before meals.

When should you see a doctor?

  • If a strong crunch arose suddenly after
  • injury If there is pain
  • If the joint is red and swollen
  • If limb movements are limited or impossible
  • If there is any deterioration of health (fever, muscle aches, and so on)