Medicinal ointments for the treatment of arthrosis. What ointments are prescribed for arthrosis of the knee joint? What ointments are used for arthrosis

Ointments for arthrosis knee joint the same ones are prescribed as for similar lesions of the hip, elbow and other joints of the skeletal structure. Accordingly, further recommendations for the knees apply to all other joints.

A large group of diseases under the general name arthrosis also includes the destruction of cartilage in the knee joint. Exposure to external and internal factors leads to disruption of its basic functions. The reasons for such changes lie in various events that we often do not associate with the disease, which occurs much later.

Causes

By nature, gonarthrosis can be primary - when the etiology of its appearance is unclear and secondary, if there is a specific cause of the disease:

Childhood dysplasia - intrauterine abnormalities in bone formation;
Age-related disruption of the production, absorption and metabolism of biological substances necessary for maintaining cartilage.
Mechanical injury;
Various infectious invasions.

Symptoms

The presence of the disease can be determined by the following manifestations:

Pain syndrome immediately after waking up;
Joint stiffness;
Feel acute pain at the beginning of the movement;
Deformation of the knee joint.

Ointments for knee joints with arthrosis

Separately, as self-treatment, ointments for arthrosis are not effective enough. They should be used together with a set of medical prescriptions, including:

Physiotherapy;
Hydrotherapy;
Physical therapy;
Oral medications;
Injections;
Surgical intervention.

However, this does not reduce their importance along with other methods. Ointments adequately cope with the tasks for which they were created.

Therapeutic effects of ointments for arthrosis

Reducing inflammatory processes;
Pain relief;
A warming effect that promotes increased blood flow to the affected areas, which provides good food and oxygen supply to joint cells;
Antiseptic effect;
Increasing the effectiveness of other therapeutic measures.

Application of ointment

Despite the fact that most ointments are sold in pharmacies without a prescription, before you start using this or that ointment, you must undergo an examination and consult with a therapist and orthopedist.

Arthrosis is a many-sided disease and there is a whole range of nuances in the treatment of each individual case. It is necessary to take into account not only the size and location of the joint, but also the nature, intensity and time intervals of the onset of pain.

Only a specialist, taking into account all the characteristics of the disease, can correctly prescribe treatment or maintenance therapy using the most suitable ointment for this case.

Direct and collateral influence

External use of the drug sometimes leads to a false conclusion that there is no effect on internal systems body. This misconception can be costly for those patients who have a biological conflict with medicinal components ointments.

Therefore, before use, you should obtain prescriptions and recommendations from doctors. In addition, you should know general rules for such ointments:

The composition begins to act immediately after use. If no noticeable effect is observed after the second test attempt, the drug should be replaced in consultation with the doctor.
Electrophoresis significantly enhances the permeability and effect of the working substance in the affected area.
The therapeutic effect is achieved by daily rubbing 3-5 cm of ointment for gonarthrosis of the knee joint.
For correct use, ointments are sold with instructions that regulate the timing and safe standards of the product. If these recommendations do not meet your needs, you should talk to your doctor about other treatment options.
Certain ointments are contraindicated when the patient's medical history contains diseases of the digestive system, as well as for pregnant and lactating women.

The effect of ointments and gels for arthrosis of the knee joint

According to the mechanism of influence, they are divided into three large clusters.

Warming and vasodilating

The action of such ointments is based on healing properties natural active substances:

Bee and snake venoms;
The warming elements of chili peppers;
Essential components of eucalyptus, clove tree;
Camphor laurel;
Turpentines obtained by distilling tree resin;
Extract peppermint and other components with a similar effect.

From the wide range presented in pharmacies, the most popular ones can be identified: Espol, Voltaren, Gevkamen, Viprosal, Apizartron.

They stimulate increased blood flow to the affected areas, enriching them with oxygen, promoting better nutrition. At the same time, by relaxing the tissues, they relieve pain and enhance the results of the entire complex of therapeutic measures.

Taking into account the presence of aggressive substances, a number of rules should be observed when storing and using these drugs.

Keep out of the reach of children;
Avoid contact with eyes;
Do not apply to areas of the skin with open wounds;
Use strictly according to the instructions or as prescribed by a doctor, as improper use can harm the ligaments;
Do not apply before going outside or starting active activities, optimal time 30 minutes before bedtime.

Prescribed for long-term chronic course of the disease.

Anti-inflammatory

These include:

Ketonal-gel and other analogues.

All these remedies relieve pain, reduce inflammation, thanks to a composition rich in anti-inflammatory agents. non-steroidal substances, such as: diclofenac, ibuprofen, nimesulide, ketoprofen, naproxen, indomethacin and other active compounds.

To avoid side complications caused by individual intolerance to substances from the NSAID group, when prescribing an ointment for joint arthrosis, a limited trial course of treatment is used, the progress of which is constantly monitored and, if necessary, adjusted by the attending physician.

Chondroprotectors

A special group of chondroprotectors differs from other ointments in their targeted regenerative effect on the cartilage tissue of the joints. They don't just normalize metabolic processes inside the structure, but restore damaged areas of the smooth cartilaginous covering.

A small list of a huge number of drugs will help you create general idea about the whole group:

Artra;
Don;
Structum;
Elbona.

How to choose a product

If you find yourself in a situation where there are ointments in your home medicine cabinet, but it is not yet possible to get medical advice, it is a good idea to at least approximately know the purpose of the main ointments.

Voltaren, diclofenac, ortofen - reduce inflammatory processes. Recommended for use when rheumatoid arthritis, arthrosis and polyarthritis of small joints.

Bystrum-gel, fastum-gel, ketoprofen, ketonal - provides a strong analgesic effect. It is used for deforming arthrosis, bursitis and closed joint disorders.

Naproxen - good analgesic characteristics make it necessary to use it in situations of exacerbation of the disease in all large and medium-sized joints.

Indomethacin - included in indomethacin ointment. Effectively fights inflammation. It is used for arthrosis lesions of any joints of the joints. It is also effective in the treatment of ankylosing spondylitis, gout, osteochondrosis, rheumatoid and psoriatic polyarthritis, myositis and similar pathologies.

Ibuprofen - like indomethacin, has an anti-inflammatory effect. In addition, it is prescribed for local treatment of dislocations, sprains, damage to the integrity of ligaments, bursitis, tendivitis, and glenohumeral polyarthritis. Both ointments should be checked for skin sensitivity to working substances before regular use. If skin rashes or peeling occur, treatment changes.

Nimesulide, Nimesil Nise - ointments based on NSAIDs. Prescribed for gonarthrosis of the joints of the extremities.

Most effective ointments for arthrosis of the knee joint:

This can also include a group of chondroprotectors used as prescribed by a doctor. They are available in pharmacies in the form of oral medications and ointments for external application.

Cream for joints for arthrosis, unlike gels of the same nature, is produced on a fat basis. They are more difficult to absorb, but have a prolonged effect. The water base of the gels allows them to quickly penetrate the lesion and provide immediate assistance, but the duration of their action is significantly inferior to ointments and creams.

Traditional methods of treatment

The history of mankind’s acquaintance with arthrosis is so long that it is impossible to even roughly trace the emergence of this group of pathologies. For centuries, recipes from folk healers have been created and tested for effectiveness:

Ural ointment. Take 100 grams of mustard powder and 200 grams of fine iodized salt, dissolve in warm beeswax with addition linseed oil. Apply before bed and remove in the morning. Store in a place protected from the sun.
Ointment with propolis. Propolis, turpentine and linseed oil in a ratio of 4:1:1 are combined in a steam bath until a homogeneous substance is formed. Warm up before applying. Can be used 1-2 times a day.
Herbal ointment. Grind St. John's wort, hops, sweet clover into powder in equal parts, combine with 50 grams of butter ghee or Vaseline. Rub into the joint area 2-3 times a day.
Ointment with bee venom. Bee venom, horseradish, wax, propolis in a ratio of 0.5:2:3:10 are combined in a steam bath to form a paste. Apply 1-2 times a day.
Honey ointment. Take comfrey leaves, comfrey roots, honey and olive oil in proportions 2:4:1:1. Crush the leaves and roots and combine with the rest of the ingredients. Apply the mixture warm, application time is not limited.
Vishnevsky ointment. Used as a compress for a sore joint. Apply a layer of Vishnevsky ointment to a cloth soaked in alcohol, apply the lubricated side to the sore joint, cover with film and secure with a bandage. Wear for up to three days. The compress relieves inflammation, relieves pain, and is applicable to all joints.

conclusions

Today medicine offers a vast selection of medicines. At the same time, only the patient himself and his attending physician can decide which ointment is better for arthrosis.

The reasons for the development of arthrosis have not been precisely established. Factors contributing to the development of the disease include wrong exchange substances, circulatory disorders. To improve blood circulation and warm up, doctors recommend using ointment for arthritis and arthrosis. NSAIDs are needed to fight inflammation, and chondroprotectors and proper nutrition will help restore damaged cartilage fibers.

Damage to articular cartilage is a common disease. There are many factors contributing to the occurrence of arthrosis and arthritis:

Wearing uncomfortable shoes(long term). Causes discomfort when walking high heel, bad last, narrow shoe toe. This factor provokes inflammatory process in the foot.
Excess weight. Excess weight is the result of poor nutrition. Because of excess weight the load on the joints increases.
Sedentary lifestyle. For some people, physical activity is excluded: the work is sedentary, they walk little. Even in the morning, people are lazy to do exercises, which take 5–15 minutes.
Professional factor. Arthrosis is considered an occupational disease in dancers, ballet dancers, athletes, and loaders.
High growth. Doctors noted that arthrosis is more often observed in tall people.
Hypothermia of the joints of the arms and legs (frequent).
History of injuries (fractures, sprains, tendon ruptures).
Immoderate physical exercise that arise when performing heavy work or carrying heavy loads.
Hereditary factor.
Inflammatory processes in the body (chronic).

In some cases, the pathology of the connections is explained physiological characteristics: wide foot, flat feet, short lower leg, non-standard joint structure. Polyarthritis accelerates the development of arthrosis.

Causes of arthritis

There are many reasons for the occurrence and development of arthritis. Let's list the most common ones:

Mechanical injuries (open fractures, closed type, bruises, blows).
Physico-chemical factor (sudden changes in temperature, accompanied by hypothermia, overheating of the compound).
Constant physical activity (jumping, walking, running, lifting weights).
Poisoning, allergies.
Reduced immunity.
Avitaminosis.

To enlarge the picture, click on it.

Osteoarthritis and arthritis are diseases that affect the joints. These pathologies differ in etiology and pathogenesis. The end result is the same, which consists of damage to joints (menisci, cartilage fibers, tendon-muscle corset, intra-articular structure), inflammation of soft tissues, disruption of physiological destruction, and anatomical structure.

Arthritis is characterized by an inflammatory process that involves a group of enzymes that have a destructive effect on the connective tissue of the joints.

Arthrosis is represented by the destruction of joints and manifests itself in deformation of articular components, limiting the biomechanics of the organ. Joint deformation is an irreversible process.

The difference between arthritis and arthrosis lies in the method of treatment:

arthritis is treated with medication. The disease manifests itself after mechanical trauma, stress, or long walking. At proper treatment inflammation is eliminated, damaged cartilage fibers are restored;

arthrosis can be treated with medication, but in advanced cases it is necessary surgery. Destructive damage to joints is stopped after the underlying disease is cured, hormonal levels are restored, and metabolism is corrected.

Symptoms of arthrosis, arthritis

Osteoarthritis and arthritis differ not only in the causes of occurrence, methods of therapy, but also in the clinical picture. For convenience, we will list the symptoms of pathologies in the form of a table.

Symptom	Arthritis	Arthrosis
Inflammatory process	Present. Local redness and swelling are observed.	Inflammation affects the affected joint, the soft tissues around it, and the anatomical structure of the joints is disrupted.
Restriction of joint mobility	Temporary, can be full or partial.	Permanent. This pathology is characterized by gentle, relieving positions. The last stage of the disease is manifested by immobilization of the joint.
Pain	Appears when walking, at rest. The character is pulsating.	Quiets in a certain position. The character is varied, it can be aching, sharp, pulsating.
Temperature increase	Observed over the diseased joint.	There is an increase in body temperature (37 - 38 degrees) with infection or pinched nerves. Elevated temperatures are recorded at night.
Reaction to weather conditions	Absent.	Present.

The difference between the diseases under consideration also lies in the fact that after therapy for arthritis, damage to the joints is eliminated, and biomechanics is restored after rehabilitation. In the case of arthrosis, the situation depends on the degree of damage to the joint. Biomechanics are partially restored through surgery.

Basic ointments in the treatment of arthrosis

Arthrosis is treated comprehensively to achieve a healing effect. This includes taking NSAIDs, painkillers, muscle relaxants, chondroprotectors, local agents, physiotherapy, Spa treatment. As for topical agents (ointments), 2 groups of medications are used in the treatment of arthrosis:

Vasodilating, warming - improve microcirculation in the affected tissues.
Painkillers, anti-inflammatory - relieve tissue inflammation and pain.

Medicines are prescribed by the doctor after examining the patient. To prevent the disease from progressing, self-medication should be avoided.

Using ointment will not cure arthrosis or arthritis. The medicine will help speed up the patient’s recovery and prevent exacerbation of the pathology. Ointment for arthrosis has a number of medicinal properties:

Relieving pain syndrome.
Reducing inflammation.
Elimination of muscle spasms.
Warming the joint.
Improving blood circulation in the area of the affected joint.
Restoring nutrition of cartilage tissue.
Antimicrobial action.

Ointments are convenient to use in the treatment of lesions of the joints of the upper and lower extremities.

Vasodilating, warming ointments

Ointments from this group have the following effects:

activation of blood circulation in the area of the affected joint;
saturation of cartilage cells with nutrients;
pain relief;
relieving spasms;
improving the effects of other medications.

Ointments from this group are used for long-term therapy. The type of active substance influences the effectiveness. The following components are used for heating:

bee venom;
snake poison.

Red pepper is less commonly used. When using such ointments, it is important to pay attention to the following nuances:

It is forbidden to use ointments during exacerbation of inflammation.
Do not use ointments if you have wounds or are allergic to the components of the drug.
Do not use ointment with poison for a long period. Such means “stretch” the ligaments.
Warming ointments are rubbed in before bedtime and taken for treatment. Not a large number of drug.

Popular medications in this group:

Apizartron (Apiriven, Ungapiven). The main component is bee venom.
Voltaren (Vipratox, Viprobel) - medications based on snake venom.
Espol, made from red pepper.
Gevkamen. It contains cloves, menthol, essential oil eucalyptus, camphor.

Anti-inflammatory, analgesic ointments

Ointments from this group are made on the basis of substances that help relieve inflammation (ibuprofen, diclofenac). The attending physician will tell you about the duration of the course of therapy with anti-inflammatory and painkillers and indicate the frequency of applying the medication to the affected area. In this case, the doctor takes into account a number of nuances (intensity of symptoms, patient’s condition, presence of contraindications).

From this group, doctors often prescribe the following medications:

Fastum gel. The drug is based on ketoprofen, which has a strong analgesic effect.
Diclofenac (ointment). It is based on diclofenac, a non-steroidal anti-inflammatory substance.
Dolgit. Includes ibuprofen + warming agent.
Nise. Includes nimesulide, a strong analgesic, anti-inflammatory substance.

These ointments are not used for a long period. Drugs can harm the body. Doctors advise using ointments from this group during exacerbation at the beginning of the development of pathology.

Ointments for arthritis

To active substance was delivered as soon as possible to the source of inflammation, doctors use ointments. These medications eliminate pain, inflammation, and swelling from the following areas of the body:

upper back, shoulders, neck;
elbows;
wrists, hands;
ankle;
small of the back;
hip joints;
knees;
hips;
caviar;
ankles, feet.

Doctors often prescribe the following ointments for the treatment of arthritis:

Voltaren Emulgel. The active component of the drug is diclofenac. Analogs of the drug - Ortofen, Diclofenac, Bioran gel.
Fastum gel based on ketoprofen. Analogues - Ketoprom, Bystrum gel, Febrofid gel, Ketoprofen, Fort gel, Oruvel gel, Valusal gel, Ketum gel.
Deep relief. Active ingredients: levomenthol, ibuprofen. The drug has an anti-inflammatory, distracting effect. The action of the ointment is similar to Dolgit cream.
Indomethacin.

You can also use ointments prepared at home:

Mustard-honey rub. A remedy is prepared from honey (1 part), liquid mustard (1 part), salt (0.5 part), soda (0.5 part).
Herbal ointment on a fatty basis (butter, melted fat). To prepare, take sweet clover inflorescences (2 handfuls), St. John's wort flowers (2 handfuls), hop cones (2 handfuls), oil (50 g).

Traditional medicine

Traditional medicine recipes are effective in the treatment of joint lesions. The following homemade ointments are popular:

The product is prepared from linseed oil (4 parts), propolis (1 part), turpentine (1 part). These components are thoroughly mixed until the mass becomes homogeneous. Apply to the affected joints 1 – 2 times a day (no longer recommended). The ointment is stored in the refrigerator, but heated before use.

Ointment with wax. To prepare, take wax (10 parts), horseradish root (3 parts), bee venom (0.5 parts), propolis (2 parts). These components are ground to a pulp. Use to treat compounds twice daily.

Herbal ointment prepared from sweet clover herb, hops, St. John's wort (10 g in total), pharmaceutical vaseline (50 g). Mix the ingredients and let it brew in a glass jar. The affected joints are treated a couple of times a day. This remedy helps eliminate inflammation and is used at any stage of arthrosis development.

5 best ointments

Many ointments are used in the treatment of arthrosis. A number of drugs are classified as the best means from arthrosis.

Diclofenac. The drug has received recognition for its strong analgesic and anti-inflammatory effect. The ointment is used in the treatment of diseases of the musculoskeletal system.
Indomethacin. Used for inflammation and swelling.
Ibuprofen. Indispensable for damage to the shoulder and knee joints.
Nimesulide. The drug is widely used in medical practice and has few contraindications.
Ketoprofen. Has a strong analgesic effect.

Contraindications to the use of ointments

Ointments speed up the recovery of patients with arthrosis and arthritis. But the use of such medications is not always possible. Before using the medicine, you should read the instructions for it. There are a number of contraindications to the use of ointments:

renal, liver failure;
tissue necrosis;
intolerance to substances contained in the drug;
gastrointestinal ulcer;
presence of abrasions and wounds.

In some cases, patients experience side effects:

Stomach dysfunction, dyspepsia.
An allergic reaction that manifests itself contact dermatitis, burning, itching, rash.
Headaches, dizziness.

To avoid undesirable consequences, before using the drug for sore joints, you must consult with your doctor, who will prescribe suitable medicine, will indicate the right dosage, will draw up a treatment plan.

Joint diseases occur in people of all ages. They begin for various reasons, they have various etiologies, but equally bring pain and discomfort. That's why pharmacists in pharmacies so often hear the same question - "Which one?" But the pharmacist cannot give an absolutely precise answer to this question - only the doctor prescribes treatment in accordance with the diagnosis.

Joint problems

The problem of joint diseases, limited mobility, and therefore a deterioration in the quality of life affects more and more young people over the years. There are many reasons for this, the main ones being improper rhythm of life, nutritional principles, and decreased physical activity. But there are a lot of joint diseases, and not all of them are associated with age or a sedentary lifestyle. There are diseases that begin with a hormonal imbalance, with an infection entering the body, with an injury. Almost all joint diseases have the particle “arthro” in their names, which means “joint” in Latin. Absolute majority ordinary people have heard or know firsthand about problems such as arthritis and arthrosis. Despite the fact that these names are very similar, they mean completely various diseases. All treatment, including ointment for arthrosis of the knee joint should be prescribed by the attending physician after diagnosis.

Arthritis

The term "arthritis" unites a group of joint diseases caused by an inflammatory process. It can occur for the following reasons:

avitaminosis;
infections;
violation of metabolic processes;
autoimmune diseases, for example, systemic lupus erythematosus, psoriasis;
injuries.

The characteristic signs of arthritis are:

pain in the joint;
restriction of organ mobility;
skin redness;
swelling of the joint;
morning stiffness.

Ointment for arthritis of the knee, elbow, and finger joints should help in treating the disease.

Arthrosis

By this term, doctors mean joint diseases s caused by tissue destruction. This occurs not only due to natural age-related processes in the human body, but also in connection with some pathological processes and injuries.The main signs of arthrosis are:

pain in the joint area;
crunching sound when the organ is working;
limited mobility;
joint deformation.

If arthrosis is diagnosed, then therapy should be comprehensive. After relieving discomfort with ointments for arthrosis of the knee joint, treatment continues with the help of physiotherapy and other medications prescribed by the attending physician.

What's the help?

Any joint problem is in the vast majority of cases discomfort. And most often in pharmacies people ask to sell anti-inflammatory and pain relievers ointments for arthrosis of the knee joint, for various arthritis. But the main task is not only to relieve pain, but also to help the joint cope with the problem. That is why, first, it is necessary to establish absolutely precisely why such a pathology arose and what its cause was. Then the doctor will select the necessary complex treatment. MMedicine for arthrosis of the knee joint, as well as other forms of medicines, is used to obtain a complex result:

relieves pain;
eliminates inflammation;
improves blood microcirculation;
enhances the access of nutrients to joint tissues.

All medications that are used in the treatment of joint diseases most often have a complex effect that can maximally satisfy the need for an external remedy. Each of the medications has its own composition and, accordingly, its own scope of action.

Nonsteroidal drugs for joints

Inflammation is secondary symptom arthrosis, because the main problem of this disease- destruction of the joint body, its deformation, salt deposits, reduction of joint fluid. All this leads to inactivity of the organ, pain not only during movement, but even at rest. The inflammatory process occurs as a consequence of impaired functionality of the articular apparatus. Many prescribed by specialistsointments and gels for arthrosis of the knee joint and not only have anti-edematous and analgesic effects. Non-steroidal anti-inflammatory drugs are mainly used to treat joint diseases associated with the inflammatory process. Such, for example, as:

ibuprofen;
indomethacin;
ketoprofen;
diclofenac;
phenylbutazone.

These are active substances that are the main components of many items dosage forms- ointments, creams, gels. Which one to choose in a particular case can only be said by the attending physician, taking into account the form of the disease, its stage, manifestations, and the patient’s concomitant pathology. It should be remembered that NSAIDs cannot be used in treatment long time, since they have quite extensive side effects.

Hormonal agents

In the treatment of arthrosis, they are often prescribed for use. hormonal agents. An ointment for arthrosis of the knee joint based on such substances may contain corticosteroids as an active component,but the bioavailability of such drugs in the form of external agents is low. There is no point in replacing prescribed injections into the cavity of the affected organ with ointments and creams used mainly in dermatology - they simply will not reach the required area of influence, and treatment will not be carried out.

Warming drugs

Another group of popular and effective means for arthrosis - ointments with a warming effect. They increase blood circulation in small vessels at the site of application, helping the joint tissues receive nutrients. These drugs also have a distracting ability, warming the affected organ. Asking at the pharmacywhat ointments help with arthrosis of the knee joint, first of all, the patient will receive an answer about such warming agents. Among them there are new products, and there are time-tested drugs, for example, Menovazin. This medication contains menthol, benzocaine and procaine. Active substances penetrate the skin, increasing blood circulation, providing an antipruritic and analgesic effect. "Menovazin" has an analogue in the form of an ointment called "Menovazan". It is applied with rubbing movements to the area of the sore joint until light feeling chill.

Substance obtained from capsicum, capsaicin, can often be seen as a component of medicinal ointments used in the treatment of joint diseases. For example, Espol ointment is widely used for various arthrosis and arthritis to warm and improve blood microcirculation. The same active ingredient works in Nikoflex cream. These preparations are applied to the skin with light massaging movements without actively rubbing into the skin.

Chondroprotectors

Chondroprotective ointments for arthrosis of the knee joint or other joints are most often recommended for use. According to pharmacists, such drugs penetrate the joint and restore its tissue. The effect of such medications is ambiguous. To restore damaged, worn-out cartilage, it is necessary surgical intervention. And according to many studies, chondroprotectors only help protect the joint by replenishing necessary substances, but do not in any way contribute to the restoration of the tissue itself.

The most commonly used chondroprotectors are glucosamine and chondroitin. These can be either single drugs or combination drugs. Such medicines are constantly being improved. Today we can talk about the fourth generation of chondroprotectors, which are multicomponent. They contain not only glucosamine and chondroitin, but also non-steroidal anti-inflammatory substances, vitamins, polyunsaturated fatty acid. All additional funds, used in the medicine, help relieve pain, replenish missing nutrients for joint tissues. They help blood supply to the diseased organ, improving the dynamics of treatment. Often, such superficial agents are supplemented with drugs of the same name, taken orally and working systemically, penetrating the joint tissue through the blood. Such medications include, for example, Teraflex ointment and capsules, which are widely advertised and used in arthrosis clinics and have advisory reviews.

Apitherapy

Quite often, when answering the question “What ointments should I use for arthrosis of the knee joint?” both from pharmacists and from those who have encountered such diseases, you can hear about apitherapy - treatment with beekeeping products. Preparations with bee venom are one of the most popular drugs in the treatment of various painful conditions musculoskeletal system. They have a distracting, warming effect that increases the elasticity of ligaments and muscles. Due to this, the patient's well-being improves. as pain is reduced. The only “but” of these medications is a fairly strong allergenicity, therefore, before using drugs with bee venom in treatment, you must undergo an allergy test and consult your doctor. The apigroup drugs include Apizartron, Viprosal, Ungapiven.

Biotoxins to the rescue

Biotoxins, such as various poisons of animal and plant origin, have been used in treatment since ancient times various diseases. Modern medicine doesn't deny them active action, confirming the benefits of some of these remedies with scientific research and testing. For example, snake venom is a widely used component of many drugs, including for the treatment of joint diseases. Snake venoms are divided into two groups according to the principle of operation:

neurotoxins;
hemovasotoxins.

To treat joint diseases, including arthrosis, poisons from the group of neurotoxins are used. They have local action, do not penetrate into the blood. Such drugs include popular means"Viprosal", "Vipratox", "Nayatox".Any ointment for arthritis of the knee joint with snake venom or any other biotoxin can be used only on the recommendation of the attending physician, taking into account general well-being, concomitant diseases, patient history.

Traditional recipes for joint diseases

People have always suffered from joint diseases, causing pain, immobility and a deterioration in the quality of life. Traditional medicine is rich old recipes help with such diseases. Ointment for arthrosis of the knee joint, which can be made at home, contains natural herbal ingredients. How to prepare such a medicine?

There are many recipes. For example,ointment for arthrosis of the knee joint can be prepared based on turpentine and propolis. To do this, you need to take 4 measures of linseed oil, one measure of turpentine and one measure of propolis as a basis. Heat everything slightly and mix thoroughly. This product should be stored in a tightly closed container in the refrigerator, and heated in a water bath before applying to the joint. The ointment must be rubbed into the sore joint. You can do this at night, then wrap the area of application with a woolen scarf.

Sweet clover, St. John's wort, and hops, taken in equal proportions, are also used as herbal remedies. It is best to take these herbs raw. They are finely crushed and then mixed with medical Vaseline. The product is applied to the sore joint, wrapped in cling film, a warm bandage and left overnight.

Joint diseases are a social problem, because such pain significantly reduces people’s standard of living. Therefore, the pharmaceutical industry is developing new products to help fight pathologies of the musculoskeletal system. But even age-related changes in the body and in joints, including common cause development of arthrosis can be corrected by lifestyle changes. Proper nutrition, physical activity in compliance with necessary security measures, refusal bad habits will allow for long years keep healthy and active. Any ointment for arthrosis of the knee joint, as well as for any form of arthrosis or arthritis, is just a medicinal aid to eliminate pain. Today, the joint itself can only be restored by an operation to implant an artificial structure that replaces the affected organ. There is no other way yet. Therefore, you need to take care of your body from childhood, not allowing age-related changes to occur too quickly, taking away your health and vitality.

The knee joint suffers from various violations more often. One of the most mobile joints is subject to heavy loads throughout life. As a result, arthrosis develops in adulthood. The disease is chronic and progressive, requiring complex therapy to maintain limb mobility and well-being. Treatment necessarily includes external remedies that significantly alleviate the condition. Let us consider in detail what ointments are used for arthrosis of the knee joint, their types, rules of use, and effectiveness.

Features of external treatment of knees

Gonarthrosis is a pathology of the knee joint, in which destruction of cartilage tissue occurs with subsequent deformation of the leg. The disease is chronic in nature with periodic exacerbations.

Accompanied by a whole set of unpleasant symptoms:

pain during movement and at rest;
poor limb mobility;
the formation of bone spurs that pinch nerve fibers;
swelling, hyperemia, local inflammation;
muscle spasms and congestion in the knee.

Without special complex therapy, rapid degradation of the joint cavity and immobilization of the limb occurs. Along with systemic medications, they are prescribed local drugs. Their function is primarily to relieve painful symptoms, which is important for maintaining activity and well-being.

Arthrosis is one of the most common joint pathologies, most often diagnosed in the knee area

External remedies for gonarthrosis include:

ointments;
cream;
gels;
rubbing mixtures.

They contain both synthetic and natural components. You can purchase a ready-made product at a pharmacy or prepare it yourself.

Important: ointments for the treatment of arthrosis of the knee joint are not able to cure the pathology; they are used exclusively as an auxiliary symptomatic remedy.

The benefits of ointment for gonarthrosis

Local remedies in the form of ointments for the treatment of knee arthrosis have a number of advantages and useful properties:

reduce the intensity of inflammation;
fight swelling and redness;
improve microcirculation and blood flow;
reduce painful symptoms;
eliminate muscle hypertonicity, increase their elasticity;
activate metabolic processes in tissues;
slow down the destruction of cartilage;
have some disinfectant and antiseptic effect;
warm and distract from uncomfortable sensations.

Treatment of arthrosis involves A complex approach including the use of medications

Despite the locality of the effect, which is to some extent a disadvantage, ointments have clear advantages over systemic drugs:

penetrate directly into the affected area;
do not have a negative effect on internal organs;
rarely cause adverse reactions;
a life-saving remedy in the presence of serious illnesses;
available for sale over-the-counter;
easy to use.

Regular use of medicated ointments increases the effectiveness of oral medications and speeds up recovery. But this does not mean that they can be used constantly and uncontrollably. Only the right medication after consultation with a doctor guarantees a positive result.

Types of ointments for arthrosis of the knee joint with names

There is no universal ointment for gonarthrosis. The choice of drug is made depending on clinical picture and stages of the disease.

IN different cases Application shown:

anti-inflammatory ointments - reduce the intensity of the inflammatory process in acute period, relieve moderate pain, remove swelling, redness, hyperemia, elevated temperature(“Diclofenac”, “Ortofen”, “Indomethacin”, “Ketorol”, “Dolobene”, “Nise”);
warming - improve microcirculation and cellular nutrition of cartilage, stimulate blood flow in tissues, reduce spasms and pain, act as a distraction (Gevkamen, Viprosal, Apizatron, Espol);
chondroprotective – promote the regeneration of cartilage tissue, trigger restoration processes in the joint (“Chondroitin”, “Teraflex M”, “Arthro-Active”, “Shark fat”, “CONDROnova”).

Ointments that can alleviate the condition of a patient with arthrosis are available in all pharmacies and are relatively inexpensive

Pharmacy drugs

According to the active substance, all ointments and creams for arthrosis of the knee joint are divided into several groups.

The pharmacy chain contains drugs based on:

non-hormonal (non-steroidal) anti-inflammatory components - “Diklak”, “Ketonal”, “Nimulid”, “Fastum”, “Dolgit”;
salicylic acid and its derivatives - “Efkamon”, “Doloxen Fast”, “Bom-Benge”, “Kamfart”;
capsaicin (capsicum alkaloid) - “Espol”, “Kapsin”, “Nicoflex”;
chondroitin and glucosamine - “Chondrolone”, “Chondroitin”, “Chondoxide”, “Teraflex M”;
natural ingredients of plant, animal, mineral origin (homeopathic) - Vishnevsky ointment, “Viprosal V”, “Ungapiven”, “Apizatron”, “Alflutop”, “Gevkamen”, “Traumel S”.

External products with different pharmacological composition have different therapeutic effects. Available over-the-counter, but to achieve quick positive effect You should consult your doctor first.

Rating of the most effective and popular means

There are a huge number of ointments for knee arthrosis. Many are similar in composition or therapeutic effect. Some act as analogues and substitutes for each other. This complicates the choice and at the same time significantly simplifies it in case of individual contraindications and intolerance to certain components.

This ointment is known to almost every person who has had to deal with joint diseases

"Diclofenac";
"Ketorol";
"Ortofen";
"Nise."

"Diclofenac"

An anti-inflammatory drug from the group of non-steroids with the active substance of the same name. The use of Diclofenac for arthrosis of the knee joint involves applying a thin layer of gel to the affected area up to 4 times a day.

Regular use helps:

reducing the inflammatory process;
pain relief;
eliminating redness and swelling;
moderate antirheumatic effect.

Indicated in the treatment of arthritic pathologies of the shoulder, elbow, hip, and ankle joints. Contraindicated if you are allergic to the composition, peptic ulcer, pregnancy. Rarely, local skin reactions may occur.

"Ketorol"

Gel based on ketorolac from the group of NSAIDs with pronounced analgesic and anti-inflammatory properties. The mechanism of therapeutic action is to block the synthesis of prostaglandins, which contribute to the conduction of pain impulses and disruption of thermoregulation. The dimethyl sulfoxide included in the composition enhances the penetration of the drug deep into the affected tissues.

It fights pain very well, but, like other ointments, it does not have any clinically significant effect directly on the causes of arthrosis.

Direct readings:

osteoarthritis;
inflammation of the synovial membrane (synovitis);
damage to joints and soft tissues.

Apply 3-4 times a day by applying to clean skin. Ketorol injections are also available, which can quickly relieve knee pain. The duration of therapy is determined by the doctor individually.

"Ortofen"

Ointment for arthritis and arthrosis of the knee joint with diclofenac sodium. Copes well with unpleasant joint symptoms:

reduces pain in a calm and mobile state;
eliminates morning stiffness and stiffness of the limb;
increases range of motion;
relieves swelling of the knee;

With long-term use, it activates protein metabolism in cartilage and has some antiallergic effect.

Dosage regimen: apply 4 g of ointment three times a day to the painful area for 14 days. Do not use during pregnancy, erosive gastrointestinal pathologies, asthma, or in childhood.

Most common in cream/gel format

"Nise"

Combined drug in gel form made in India. The composition contains four active ingredients:

nimesulide (10 mg in 1 g of gel);
methyl salicylate (100 mg);
menthol (50 mg);
capsaicin (0.25 mg).

"Nise" is non-steroidal drug new generation with strong analgesic, anti-edematous, anti-inflammatory properties. It has a moderate local irritating effect and increases local blood flow.

Combined ointments for osteoarthritis of the knee joint

External agents with combined composition. The interaction of several active components gives a stronger and longer-lasting therapeutic result.

"Dolobene"

The main active ingredient is heparin, which promotes healing and prevents blood clots and connective tissue degeneration. Other ingredients - dimethyl sulfoxide and dexpanthenol - eliminate inflammation, swelling, pain, and accelerate regeneration processes. The gel is used for rubbing into the knee joint for arthrosis, as well as for the phonophoresis procedure.

The drug Dolobene belongs to the group of direct-acting anticoagulants and has pronounced analgesic, anti-edematous, anti-inflammatory, regenerative and anti-thrombotic properties

"Viprosal V"

Warming, locally irritating, analgesic ointment made from viper venom, camphor, salicylic acid, turpentine oil. Indicated not only for gonarthrosis, but also for joint and muscle pain in the arm, foot, and back. Apply in the standard way twice a day until relief occurs. Increased sensitivity may cause dizziness, skin rashes, headache.

"Teraflex M"

Cream with glucosamine and chondroitin has a chondroprotective effect, protecting cartilage from destruction. Camphor and mint oil improve blood circulation and act as weak analgesics. Rub into the knee 2-3 times a day for a month. There are no strict contraindications or side effects.

Multicomponent ointments are effective in complex therapy of arthrosis as auxiliary symptomatic agents of local action.

Home Recipes for Knees

Traditional medicine offers many options for ointments for gonarthrosis based on simple and natural ingredients.

The ointment penetrates the skin, affects the foci of the pathological process, eliminates or significantly reduces pain, spasms and inflammation

honey ointment – mix 50 g of honey with 5 g of mumiyo, rub the knee before going to bed every day;
clay ointment - dilute dry white clay with water to a paste consistency, heat, add a pinch of red pepper, apply to the kneecap area, rinse after cooling;
paraffin balm - 3 tbsp. l. add a pinch of salt and mustard powder to liquid paraffin, mix and put in the refrigerator for 10-12 hours, lubricate overnight;
herbal cream - 15 g each of dried motherwort, St. John's wort, chamomile, yarrow, corn silk mixed with eucalyptus oil, rub the knee until relief occurs.

Homemade ointments are relatively harmless, but they should not be used without consulting your doctor.

Rules for dosing and use of ointments for arthrosis of the knee joint

The method of using ointments for gonarthrosis is quite simple. To achieve the maximum therapeutic effect, simple rules should be followed:

first conduct a skin sensitivity test to the composition of the prescribed drug;
Before the procedure, rinse the knee with warm water and dry;
squeeze about 2-3 cm of cream (3-5 g) onto your finger and apply to the knee;
Rub into the skin with light massage movements;
do not cover or wrap your leg;
frequency of application – 2-4 times a day, depending on the specifics of the product;
in the presence of allergies, skin lesions, dermatoses, local treatment is not carried out;
Warming ointments should not be used during periods of acute inflammation.

Treatment with ointments is carried out approximately the same, but some drugs have their own peculiarities. It is recommended to read the instructions before the procedure.

Unlike tablets with a similar effect, the ointment is characterized by a much lower tendency to provoke various side effects

Duration of treatment

The duration of local therapy depends on the severity clinical manifestations and type of medicine:

It is not advisable to use drugs from the NSAID group for more than 2 weeks, especially if there is no improvement;
drugs with a distracting and irritating effect are used on average for 7-10 days; a long course is not provided due to the risk negative influence on the condition of soft tissues and ligaments;
chondroprotectors require long-term therapy (4-6 weeks);
home treatment can also be carried out for a long time until a lasting result occurs.

Any ointment is prescribed by a doctor, and accordingly, the regimen is selected individually.

When to expect results from local therapy

The effect of ointments for arthrosis of the knee occurs in different ways. The result is influenced by many factors: the age of the patient, the type of medication, the complexity of the condition, the susceptibility of the body.

Standard external agents:

reduce inflammatory manifestations and pain 20-50 minutes after application;
bring lasting relief after 5-7 days of regular use;
give some healing effect after 2-4 weeks of continuous use, this applies to a greater extent to chondroprotectors (cartilage tissue is restored very slowly).

It is important to understand the miraculous recovery after local treatment will not come. Arthrosis – systemic disease, requiring complex therapy with medications, physiotherapy, and additional measures.

To increase the effectiveness of using ointments, a specialist may recommend using them in combination with physiotherapy

General contraindications

Despite the local effect and the absence of a significant systemic effect on the body, ointments have a number of contraindications.

hypersensitivity to the composition;
history of allergic reactions (rashes, angioedema, anaphylactic shock);
wounds, cracks, erosions, damage to the skin in the knee area;
dermatological pathologies;
severe renal, liver failure;
ulcerative-erosive diseases of the gastrointestinal tract in the acute period.

Pregnant and lactating women and elderly people should approach treatment with caution. Many drugs are prohibited for use in pediatric practice.

Side effects

Adverse reactions to local therapy ointments are not common, mainly due to violations of medical prescriptions and individual sensitivity.

The most common manifestations:

skin rash;
itching and burning at the site of application;
redness and swelling of soft tissues;
headache;
dyspeptic symptoms;
dizziness;
weakness.

Overdose phenomena are extremely rare when applied topically

In most cases unpleasant symptoms pass on their own. A significant overdose or accidental ingestion of the drug requires emergency medical care with symptomatic measures.

Storage conditions for drugs

Rules for storing ointments depend on their composition and purpose. The required information is indicated at the end of each instruction. The shelf life of most external medications is 2-3 years at room temperature (20-25°), in a dark place, in the original packaging. Perishable natural remedies Immediately after preparation or purchase at the pharmacy, they are placed in the refrigerator. Expired medications should not be used. They not only lose medicinal properties, but can be harmful to health.

It is advisable for people with chronic gonarthrosis to always have a first aid remedy in their home medicine cabinet to relieve painful symptoms.

What to choose - homemade or pharmacy ointment

A clear answer to the question is better pharmaceutical product or homemade does not exist. It all depends on the individual situation of each individual patient.

Many people constantly buy knee ointments at the pharmacy:

sold ready-made, no need to waste time and effort on preparation;
have a quick and targeted effect;
passed clinical trials;
recommended by experts.

Traditional treatment has also earned many positive reviews thanks to:

100% natural composition;
minimum side effects and contraindications;
absence of fakes and falsifications;
cheap price and availability.

The best option is to try different means and select the ones that suit you according to your personal feelings. But do not forget about mandatory consultation with a doctor in order to avoid unforeseen complications.

You need to treat knee arthrosis with ointments wisely, following all the rules and medical recommendations. Then the effect will be positive, activity and good health will remain for a long time.

Arthrosis is a fairly common disease and occurs in both young and elderly people. Drugs and injections are often prescribed for treatment. Ointments for arthrosis of the knee joint help only initial stages, quickly relieving the main symptoms. External drugs can be used in combination with medications or physiotherapeutic procedures.

Description and benefits

Healing ointments are distinguished by their viscous consistency. They quickly penetrate the skin and have a gentle effect on the affected area. But ointment will not be enough to treat arthrosis, so good effect can only be achieved with complex therapy. In some cases, surgery and bed rest may be required.

The ointment helps:

relieve inflammation;
relieve pain;
improve blood flow to the affected areas;
improve nutrition of joints and cartilage;
warm the area affected by gonarthrosis.

Medicines for external use contain natural ingredients - snake venom and plant extracts. There are also creams based on shark oil, but they are extremely rare. The only drawback of such medications is the high likelihood of developing allergies.

The main advantage of such drugs is their availability. Ointment for knee joints for arthrosis can be purchased at any pharmacy, but self-medication can lead to the patient’s condition worsening, since the medicine only stops the manifestations of the pathology. This means that before using an external product, you need to consult a specialist.

After using the ointment, there are far fewer side effects than from tablets. This is explained by the fact that the medicine is applied externally and does not enter the gastrointestinal tract. To increase efficiency, it is recommended to undergo physiotherapeutic procedures, for example, phonophoresis.

The therapeutic effect is noticeable immediately after application medicinal composition. The speed of action is explained by the fact that the ointment instantly has a warming or cooling effect. It is recommended to use the product 2-3 times a day.

Main varieties

All ointments for the treatment of arthrosis of the knee joint can be divided into several groups. Each of the varieties has features of use and contraindications. Based on the active component, the following groups of drugs for external use are distinguished:

non-steroidal anti-inflammatory drugs;
based on natural ingredients;
with salicylic acid;
homeopathic.

There is another classification. It is based on the method of influencing the affected areas. In total, there are 3 groups: anti-inflammatory, warming and chondroprotectors.

These medications contain non-steroidal anti-inflammatory substances - ibuprofen, diclofenac and ketoprofen. Treatment with drugs containing these active ingredients is short-lived and should only be done under the supervision of a physician. Anti-inflammatory creams include:

Fastum-Gel;
Ketonal-Gel;
Diclofenac.

Such ointments are prescribed at the onset of the disease and during periods of exacerbation. If used incorrectly, side effects caused by NSAIDs may occur.

These drugs should not be applied under a bandage or rubbed in vigorously. When the first signs of allergy appear, it is necessary to rinse the area where the composition is applied and stop using it.

Vasodilators and warmers

The basis of such ointments is snake or bee venom, pepper extract, clove oil, camphor and menthol. The principle of their operation is based on the fact that active substance stimulates blood flow in the affected tissues, and this, in turn, reduces spasms and pain. These drugs include:

Espol;
Gevkamen;
Apizartron;
Voltaren.

Espol;
Gevkamen;
Apizartron;
Voltaren.

Due to the composition of such ointments, the trophism of cartilage and soft tissues improves. But at the same time, natural ingredients increase the risk of developing an allergic reaction.

You should avoid applying warming creams when acute condition, otherwise the medicine will stimulate blood circulation in the affected area, therefore, the swelling will increase. Such ointments can be applied only 3-4 days after the onset of the attack.

These medications contain substances that promote rapid regeneration of cartilage tissue. Chondroprotectors in the form of creams are prescribed during the period of remission. Effective means include:

Chondroxide;
Toad stone;
Structum;
Elbona;
Chondrolone;
Artra.

To obtain the necessary therapeutic effect, the ointment must be part of a complex therapy. Before using a chondroprotector, you should consult your doctor, otherwise side effects may occur.

List of especially effective remedies

There are a large number of different ointments that are prescribed for the treatment of arthrosis. Each of them has its own method of influence and a number of contraindications. The most effective are the following drugs:

Diclofenac;
Naproxen;
Ketoprofen;
Indomethacin ointment;
Ibuprofen;
Nimesulide.

Diclofenac has a number of analogues, including Voltaren and Ortofen. These medications quickly eliminate the inflammatory process.

Naproxen has an analgesic effect, so it can be used during periods of exacerbation. The medicine is widely used to treat rheumatism, osteoarthritis and migraines.

Ketoprofen has a good analgesic effect. If necessary, it can be replaced with Ketonal, Fastum gel or Bystrumgel.

If your skin is highly sensitive, ibuprofen and indomethacin ointments should be used with extreme caution, otherwise eczema may occur. It manifests itself in the form of severe rash and peeling.

Nimesulide is a non-steroidal anti-inflammatory drug. As an active substance, it is part of Nimesil and Nise.

Home Recipes

To treat arthrosis, not only pharmacy, but also homemade ointments can be used. Before preparing and using these products, you should consult with your doctor and discuss their effectiveness and compatibility with other medications and procedures that are part of complex therapy. Depending on the composition, home remedies can have a warming and anti-inflammatory effect.

Ural ointment is quite effective. It has a warming and local irritant effect. To prepare it, you will need to pour 100 g of mustard powder into a glass container, mix with paraffin and table salt. The resulting medicinal composition should have a paste-like consistency. The container with the ointment is covered and infused for 12 hours. It is recommended to apply the product at night and rinse with warm water in the morning. Store under a tightly closed lid in a dark place.

Second option homemade ointment involves the use of herbs (hops, St. John's wort, sweet clover) and petroleum jelly. The medicine is suitable for the treatment of different stages diseases. You need to take 10 g of dry herbs and mix with 50 g of Vaseline. It is recommended to store this mixture in a glass container. Before use, it must sit for 2 hours. The medicine can be used for both regular rubbing and massage.

To relieve inflammation, honey cream paste with the addition of comfrey will help. To prepare the product, you will need the following components:

comfrey leaves - 1 tbsp.;
comfrey roots - 1 tbsp.;
liquid honey - 0.5 tbsp.;
olive oil - 0.5 tbsp.

comfrey leaves - 1 tbsp.;
comfrey roots - 1 tbsp.;
liquid honey - 0.5 tbsp.;
olive oil - 0.5 tbsp.

It is recommended to mix all ingredients using a mixer. This paste can be stored in the refrigerator for about 2 weeks, and in the freezer for up to 3 months. Before use, the cream must be warmed to room temperature, and only then apply to the affected joints. If necessary, the medicinal composition can be covered with a bandage and walked with it all day.

The following ingredients are widely used in folk medicine to treat arthrosis:

red pepper;
rosemary;
pine oil;
fir ether;
clay;
cinquefoil

Arthrosis can also be treated with a compress based on Vishnevsky ointment. It must be applied to the affected joint and covered with a cloth soaked in vodka or alcohol. The knee needs to be wrapped in a bandage. This compress should be kept for 2-3 days. The product can also be used to treat elbow, shoulder and hip joints.

Features of traditional and folk treatment

The principle of using external preparations is identical. It is necessary to take a small amount of the medicinal composition, apply it to the affected area and massage the sore joint.

The dosage is selected individually in each case. The optimal amount for one use is 1-2 cm of ointment squeezed out of the tube. The medicine can be applied 2 to 4 times a day.

The duration of treatment depends on the type of ointment used and the degree of damage to the joint. Non-steroidal anti-inflammatory cream for arthrosis of the knee joint is not recommended for use for more than 7-10 days. After this period, another drug with a different principle of action is selected.

Poison-based products can be used for a maximum of a week. Prolonged heating of the ligaments can lead to the inflammatory process intensifying and the disease progressing further.

Therapy with chondroprotectors can last up to 3 months or more. This is explained by the fact that tissue regeneration takes quite a long time.

Homemade herbal remedies can be used for 2-4 weeks.

Efficacy and contraindications

The main task of this type medicines is to quickly relieve pain and relieve inflammation. When using warming creams, the patient begins to feel relief within 20-60 minutes after application. The specific time depends on the degree of damage to the knee joint and the drug group (for example, it will take several months for the chondroprotector to give the desired effect).

Having decided what to apply to your knees for arthrosis, you should pay attention to the following contraindications:

ulcerative lesions;
individual intolerance to one or more components;
tissue necrosis;
renal or liver failure;
abrasions, cuts or skin diseases at the site of application of the medicine.

Self-medication of arthrosis can lead to the development of a number of side effects. Which ointment is best to use, how long the therapy will last - all this must be decided by the doctor.

Side effects and storage

Creams and ointments are used exclusively for external use, so side effects are extremely rare. Most often, an allergic reaction occurs, which manifests itself in the form of skin redness, swelling and hives.

Side effects affecting digestive tract, are even less common. Sometimes patients suffer from stomach upset (dyspepsia). From the outside nervous system dizziness and headaches are observed.

Before using any medicine it is necessary to consult a specialist. Otherwise, you can choose an unsuitable or ineffective ointment, which will cause side effects.

Medicines should be selected especially carefully for pregnant women, since most drugs are contraindicated for them. An incorrectly selected external drug can have a negative impact not only on the health of the mother, but also the fetus.

When choosing an ointment, you need to pay attention to the fact that some chemical or natural components are strong allergens. In some cases, you will need to get tested to make sure you don't have an allergy.

In order for the cream to have the desired therapeutic effect, it must be stored correctly. It is recommended to keep most medications, including NSAIDs, cool, but not in the refrigerator. Medicines for natural basis you need to choose a place with a temperature no higher than 15-20 degrees (can be placed in the refrigerator).

Homemade ointments spoil very quickly, so ideally you need to prepare a new batch every day. This product can only be stored in the refrigerator.

The doctor should choose an ointment for arthrosis of the knee joint, based on the degree of damage and the patient’s condition. Any external drug can be part of complex therapy, but not the main remedy.