osteoarthritis

Table of Contents

From specific examples of treatment

Understanding of symptoms and goals

Physical characteristics of osteoarthritis and what our treatment can do for you

From specific examples of treatment

*Introduction from your feedback posted on Google Maps.

(Transcript below)

”I received a visit for osteoarthritis of the knee. The direct cause seemed to be a sudden weight gain, and the orthopedic surgeon said that the deformity was not so severe, but it became painful to go down the stairs and sometimes I could not sleep at night because of the pain. During the first 10 days after the visit, many things changed, and by the 10th day, she was able to go down the stairs.
I received maintenance and look forward to future improvements. I am a long way from home and hope to see you again in a few months.”

(Transcript below)

“I came to your clinic for osteoarthritis. Before I came to see you, I had a lot of trouble walking, but after the first visit, the superficial pain was gone! To fundamentally fix my hip joint, I may need to continue coming to the clinic, but the minor pains in my shoulders and lower back that come along with the hip joint are fixed each time, which seems to reduce even my psychological stress. I can trust the doctor because he does not take cheap shots and sincerely explains the degree of difficulty!”

Understanding of symptoms and goals

The first thing to understand about the premise is,

Osteoarthritis cannot be completely cured, that is.

With abrasion and degeneration due to wear of articular cartilage, fibrosis of the joint capsule and bone deformity,

This is because the tissue itself is physically deformed.

Physical deformities are basically irreversible. (*It is possible if regenerative medicine develops in the future.)

Hence, surgical procedures such as artificial joints are recommended in hospitals to resolve the underlying problem.

.

https://www.joa.or.jp/public/sick/pdf/MO0013CKA.pdf

However, that relates to the physical condition of the tissue, so it is a different story for pain and other symptoms.

This is because there are "organic" and "functional" problems.

An "organic problem" is one that is physically irreversible, such as tissue deformation or cell necrosis.

A "functional problem" is one that is changeable, such as tension or circulation in the body.

The extent to which this "functional problem" can be corrected is the key to improving symptoms without surgery.

Because we have a very big problem of physical deformation of body tissues,

It is quite difficult to improve the condition through manual therapy and exercise therapy, but that is why we put special emphasis on it at our clinic, as a show of skill.

Therefore, the goal of the treatment is to maximize the functional condition of the patient.

Physical characteristics of osteoarthritis and what our treatment can do for you

The body of a person with osteoarthritis is viewed from the perspective of manual treatment.

The most significant feature is the bone adjacent to the joint,

The plateau (upper part) of the tibia (shin bone) in knee arthritis and the upper part of the femur in hip arthritis,

It means that they are often significantly stiffer than the general population.

The hardness of the bone itself is completely different.

Since this rigidity is variable, we aim to relax the symptoms by performing treatments to relax the rigid areas.

*As a specific example here, I would like to introduce a case study of treatment of a person with osteoarthritis of the knee, which was the most serious symptom in the past, although it is different from the person whose Google comment I mentioned above.

-＜Case Studies / Osteoarthritis of the knee (70s)

”

▶︎Before treatment◀︎

He had osteoarthritis of the knee for some time, including the formation of bone spurs.

One day the pain in the right knee becomes more severe, swollen greatly, and difficult to bend, and two months pass.

After seeing a doctor, she received 10 hyaluronic acid injections and 9 drainage injections within 2 months, but the swelling and pain did not go down at all.
He said he was in no condition to walk to the hospital, so we visited him at his home to perform the treatment.

▶︎ physical findings◀︎
Pain becomes severe when the knee begins to bend and the angle of internal flexion is close to 120°; it does not bend to 90°.
As soon as the patient begins to bend, whether on his own or with other movements, he is in pain, and at the same time the surrounding muscles react with hypertonia.
Hindered in walking.
There is pain when standing up as well as when lying on the back.

▶︎ treatment area ◀︎
initial time
Sacrum to lower lumbar spine
Right iliac artery

Part of the right metatarsal bone

Part of the right tibial plateau

(lessening the significance or value of the previous word) the likes of

The most intense stiffness was in the upper right tibia in the plateau area of the bony part of the plateau area, where the greatest point of the procedure required the most treatment time.

As a result, the pain and swelling were reduced by half the next day, the pain was no longer present up to about 90° in other motion flexion, and there was no muscle overstrain during knee flexion, which was present the previous time.

Thereafter, with continued weekly maintenance, the initial swelling completely subsided and the patient was able to go about his daily activities without difficulty.”

-

In this instance, we can assume that the tibia bone itself had become so rigid that the surrounding circulation was blocked, preventing sufficient blood and lymphatic flow to restore inflammation, thus interfering with its ability to heal.

Thus, in many people who are symptomatic with osteoarthritis, the tibia and femur bones themselves have a lead or concrete-like stiffness.

This is thought to be mainly due to pressure on the surrounding blood circulation caused by tissue deformation and the resulting stagnation of metabolism in the surrounding tissues.

In addition to this, however, there is the influence of other body parts that promote stiffness and tension in the hip and knee joints.

We are able to (1) identify and treat the areas that are affected.

In addition, (2) the stiffness of the vertebral body, periosteum, and surrounding ligaments in the relevant area can also be relaxed.

Relaxing the rigidity of the bone itself, the periosteum, and the surrounding ligaments requires a high degree of difficulty even in osteopathy.

Utilizing these two treatment techniques,

The tissue is deformed but the tissue is soft,

The goal is to achieve a state of

(Softening facilitates the circulation of blood, lymph, and other body fluids, making symptoms less likely to occur.)

We feel that this has allowed us to achieve a certain level of effectiveness for those who have had difficulty changing their symptoms.

The effects of the treatment will of course vary from person to person (degree of tissue degeneration, immunity, etc.),

This is a procedure that should be tried by those seeking to restore their condition without surgery.

Kyoto Osteopathy

Seitai-Tanigawa

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