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Arthrosis |
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Articular cartilage does not have its own vascular supply, but is rather only fed through alternating pressure and relaxation, i.e. through movement. The first goal of treatment is, therefore, to improve this suction pump effect on the cartilage through stretching exercises. We train our muscles almost only to be strong and with too little emphasis on stretching, which results in muscle shortening. In everyday life, at school, in the office, or even on the toilet, the musculoskeletal system is maintained in a so-called gentle middle position, which allows us to carry out our daily work, drive the car etc in a relatively non-tiring manner. As soon as we play with a child on the ground however, we feel just how short our muscles and how stiff our joints have become.
If in animal experiments a joint is immobilized, degenerative changes occur within 14 days and lasting damage after 4 weeks. The second approach is, therefore, the prevention and correction of movement restrictions. Unilateral forced postures, clothing, footwear fashion, etc. leads to abnormally restricted joint movements. Likes drawers that are hard to open, they get stuck, resulting in blockages. Although these normally resolve spontaneously and during sleep, they can unfortunately also trigger reflex tension and cause more severe pain. This problem can be treated in a targeted way by mobilization exercises for the spine and joints and by physiotherapy, manual therapies and spas. Degenerative cartilage changes are also signs of inappropriate mechanical stress and of dysfunctional coordination. This means that the muscles are not working together correctly and, like bad motion technique in sports, an incorrect gait can become the cause of cartilage problems. In this case, a remedy must be provided by targeted strength exercises and movement exercises (coordination exercises).
Graphic: "The spiral from dysfunction to ill health"
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