In the knee, in addition to cartilage, bones and ligaments, a large number of soft tissues are located. Goff's disease is associated with their defeat. It is inherent in people of any age. The spread of the disease comes on body fat located inside the cavity. Early diagnosis and treatment of pathology is necessary. Otherwise, arthrosis may develop.
The concept
Goff's disease is a non-infectious pathology that affects the fatty body of the knee joint. As a result, an inflammatory process develops in it. Fat deposits are a kind of shock absorber with which the pressure exerted on the knee is distributed to the cartilage.
When inflammation begins, adipose tissue becomes fibrous. She ceases to act as a shock absorber, arthritis begins to develop in the knee.
Causes
Goff disease can develop as a result of:
- chronic knee damage with systematic stress;
- the resulting injury.
Pregnant women also fall into the risk group, since their hormonal dynamics can cause inflammatory processes in the joints.
The following factors can provoke the onset of inflammation:
- a blow to the knee zone with its swelling;
- long squatting seat;
- sharp extension of the limbs;
- unsuccessful tibia rotation.
The disease can go from acute to chronic with a constantly present inflammatory process with repeated exposure to adverse conditions. Launched pathology can contribute to the growth of adipose tissue.
Also, the emergence of Goff disease is contributed by not completely cured ailments:
- autoimmune;
- arthritis;
- arthrosis, including the femoral-patella joint;
- bursitis;
- gout.
Risk factors
According to statistics, most often this disease affects men. This pathology may occur as a result of exposure to the following factors:
- professional activities related to prolonged sitting in a state of squat or kneeling;
- sports activities associated with a high load on the knee: volleyball, gymnastics, football;
- physical exertion experienced periodically, during which there is a sharp extension or flexion of the knee joint.
Signs
The symptoms of Goff's disease in acute form are practically indistinguishable from other pathologies of the knee joint. The chronic form is diagnosed more easily. The acute form passes into it after three months of advanced pathology.
Symptoms of Goff's disease of the knee:
- its dysfunction;
- instability;
- weakening;
- crunch and pain syndromes on palpation;
- private discomfort that does not go away;
- only partial extension of the knee is observed;
- swelling increases;
- swelling appears in the affected area.
In many cases, the pain intensifies at night. They, as a rule, do not appear immediately, but 4-10 weeks after the onset of the disease. In addition, pain may increase with blockade of the knee joint. In the absence of acute attacks, the patient feels fullness in him.
With the development of the disease, atrophy of the quadriceps femoris occurs, crepitus (a crunch in the knee during pressure on the lateral ligaments), it becomes impossible to rely on the joint as a result of its looseness. Blockades resulting from the development of pathology make movement impossible. In their absence, the patient limps on the affected leg.
Diagnostics
Symptoms of lipoarthritis (Hoff disease) are similar to the manifestations of other similar diseases, so it is difficult to make a diagnosis only on the basis of the clinical picture. In this regard, additional studies are being carried out, including the following:
- Arthropneumography is an X-ray examination after filling the cavity of the knee joint with oxygen. With its help, the violations inherent in this particular pathology are established: an increase in the size and hypertrophy of adipose tissue, an inversion of the upper inversion, an increase in the posterior inversion with the formation of a hernia (Becker cyst), a decrease in the knee joint.
- Radiography - is performed to detect calculous bursitis in the region of the pterygoid folds that accompanies lipoarthritis. With its help, this ailment differentiates from Osgood-Schlatter disease, in which similar symptoms are observed.
- CT Using this method, one gets an idea of the state of bone and cartilage structures, which can provoke pathology.
- MRI - pathological dynamics in articular tissues is determined, including the growth rate of fat bodies.
Hoff Disease Treatment
Therapy is aimed at:
- prevention of further degeneration of adipose tissue;
- restoration of motor and support function of the knee joint;
- elimination of blockage and pain syndromes;
- suppression of the inflammation process.
Treatment can be conservative, prompt and with the help of folk remedies.
Drug treatment
To relieve pain and swelling, NSAIDs are used in the form of tablets, gels or ointments:
- Diclofenac
- indomethacin ointment;
- “Long”;
- Ortofen;
- Nise
- Nurofen
- Voltaren;
- "Fastum gel."
If the pain syndrome is severe, then injections of corticosteroids into the joint are prescribed:
- "Hydrocortisone";
- "Prednisolone."
These drugs have a large number of contraindications and side effects, so they are prescribed for short courses.
Also, intraarticular oxygen therapy is used to treat Goff's disease. Oxygen or ozone is injected into the cavity of the knee joint, which unloads the joints, straightening the joint bag. At the same time, there is an activation of metabolic processes, an increase in motor activity, the elimination of adhesions. As a result, pain syndromes decrease and cartilage regeneration improves.
The patient is assigned a bed rest. Physical activity is limited. The doctor may recommend wearing an orthosis or fixing the joint with a tight bandage.
Physiotherapeutic treatment
It is prescribed after the relief of acute manifestations of the disease. The following methods are mainly used:
- laser therapy;
- irradiation with a lamp "Sollux";
- electrophoresis with iodine;
- ultrasound on the front and side of the knee;
- electrical stimulation of the muscles of the thigh and lower leg;
- inductometry.
May also be assigned:
- hydrogen sulfide and radon baths;
- applications with ozokerite;
- paraffin treatment;
- mud wraps.
Massage and exercise therapy
The treatment of Goff's disease of the knee joint is also performed with the help of therapeutic massage, which prevents muscle atrophy, relieves swelling, provides lymph outflow and accelerates blood circulation. If the quadriceps muscle of the thigh is affected, then the massage is performed by vibrating rubbing and stroking the base of the palm. This area is most thoroughly massaged because it can atrophy.
Exercises that will help relieve pain syndromes and restore joint movements are selected by the physical therapy instructor. At the initial stage, they are carried out under his leadership. Then they can be done independently at home. In this case, it is necessary to assess the condition of the joint, follow the recommendations of the instructor and dose the load.
Exercise therapy necessarily includes walking with the implementation of the roll with more support on the front side of the foot. To improve blood circulation and restore muscle corset, passive exercises are first used: the joint is set in motion by another person. In the future, a person begins to perform exercises independently in a standing position, sitting on a chair, lying on his side or back. At the same time, they raise a bent at a right angle or a straight leg with a delay at the top point for 3-5 seconds.
Surgical intervention
Surgery for Goff disease is prescribed in the absence of effectiveness from conservative treatment methods. With advanced pathology, an increase in adipose tissue is observed, which contributes to knee deformation and impaired normal motor function.
The most effective method of surgical intervention is considered to be arthroscopy. Small punctures are made in the knee, through which instruments and a miniature video camera are inserted into the joint, with the help of which all the surgeon's manipulations are displayed on the monitor. The doctor removes fibrous growths and excess fatty tissue. Some part of it is left so that it can grow further into full-fledged bodies of Goff.
Surgical intervention is used infrequently, since conservative treatment in most cases allows you to achieve the desired result.
Rehabilitation after surgery takes about a month. The patient is prescribed physiotherapeutic procedures, massage, exercise therapy. A faster recovery is facilitated by spa treatment.
Folk remedies
Alternative methods can be used in complex therapy after consultation with your doctor. The following folk remedies are used for Goff's disease:
- lotions with saline;
- homemade ointments with essential oils: rosemary, mint, cinnamon, eucalyptus - 10 drops per 2 tbsp. l oily ointments;
- rubbing with herbaceous tinctures based on St. John's wort, tansy, needles, juniper, saber;
- compresses with vinegar, vodka, ammonia or camphor;
- warming wraps with ozokerite, clay, paraffin.
Clay compresses relieve inflammatory processes and pain syndromes. In the treatment of Goff's disease of the knee joint, folk remedies use green or blue clay. Her package is diluted in warm water to the consistency of thick sour cream and applied in bulk to a sore knee. Top covered with plastic wrap, gauze, a scarf or scarf. The compress is done at night, and in the morning they are washed off, rubbing a light cream into the knee or rubbing it with warm vegetable oil. The procedure is performed every other day for a long time period.
Treatment of Goff's disease with folk remedies can be carried out using a honey compress. Thanks to him, metabolic processes in the joint, blood circulation improve, pain syndromes disappear and puffiness is relieved. Honey is heated in a water bath to a liquid state. Iodine, glycerin, ammonia and medical bile are also used. All ingredients are taken in equal proportions. They are mixed and applied to the joint. On top of the knee is covered with polyethylene and fixed with a bandage. The compress is left for a day. Repeat the procedure every other day. Apply this method of therapy for a month.
Folk remedies for Goff's disease are also compresses with bile. 150 ml of camphor alcohol and 200 ml of bile are taken. They are combined, add 4 pods of red pepper, pre-chopped. For insisting, the prepared mixture is placed in a dark place for 5-7 days, after which it is used for compresses. At night, a gauze napkin is impregnated with this infusion, applying to a sore knee and fixing with a bandage. Leave until morning.
In the summer, horseradish or burdock leaves can be attached to the joint at night to relieve pain.
Forecast
A photo of Goff's disease can be seen in this article. If untreated, the pathology can cause arthritis and arthrosis. With timely initiation of therapy or timely surgery, the prognosis is favorable.
Finally
Goff's disease is one of the diseases of the knee joint, which is difficult to recognize by the clinical picture, and therefore additional studies are being conducted. The treatment is mostly conservative, but sometimes in advanced cases, an operation is performed. Basically, folk remedies can be used in combination to relieve pain syndromes. In addition to drug treatment, it is necessary to carry out physiotherapeutic procedures, to massage the knee joint and the quadriceps femoris.