Osteochondritis Dissecans Information

Osteochondritis Dissecans Information

Osteochondritis dissecans may also be referred to as osteochondrosis dissecans, aseptic necrosis, avascular necrosis of bone, or ischemic necrosis. It’s considered a rare disease by the Genetic and Rare Diseases Information Center (GARD) and only affects between 15 to 30 in every 100,000 people. It most commonly affects the 10-year-old to 20-year-old age group and affects males three times more often than females.

 

 

Anatomy As It Relates To Osteochondritis Dissecans

Joints may be viewed as a meeting place (articulation) for two or more bones. There are many connective anatomical parts, but osteochondritis dissecans specifically involves the bone and cartilage connection. Cartilage covers the ends of the bones within a joint. It’s purpose is to be a shock absorber and prevent bones from directly coming into contact with the other bones in the joint.

What Is Osteochondritis Dissecans?

Osteochondritis dissecans is where a small section of bone and the adjacent cartilage looses blood supply to it. Because the bone doesn’t have an adequate supply of blood, it dies (bone necrosis). This results in the section of bone and cartilage cracking and partially or fully separating away from the main bone. Osteochondritis dissecans may happen in any joint, but most often occurs in the hips, ankles, knees and elbows. The separated bone and cartilage may stay close to where it detached and be reabsorbed by the body or it could move around in the joint and become jammed between moving structures.

Osteochondritis dissecans is further defined by what stage the bone lesion is in:

Stage 1: A small area of bone compression.
Stage 2: A partially detached bone fragment.
Stage 3: A completely detached fragment remaining near the area it detached from.
Stage 4: A completely detached fragment that’s displaced.

What Causes Osteochondritis Dissecans?

There has been much debate about what actually causes osteochondritis dissecans. Much of the research has focused on trauma, repetitive stress and micro-trauma, ischemia (blood flow restriction), avascular necrosis (blood flow loss), rapid cycles of growth, hereditary and endocrine issues, bone formation anomalies, and imbalances and deficiencies concerning the ratio of phosphorus to calcium in the bone. Often these supposed causative factors overlap. For example, someone with osteochondritis dissecans might have had repetitive micro-trauma that caused tiny micro-fractures. The fracturing might interrupt the blood supply to the subchondral area of the bone and cause a blood supply loss or, in adolescents, a bone growth alteration. Another example would be a trauma, such as a fracture, that might damage blood vessels and cause an alteration or cessation of blood flow to the ends of the affected bone.

As far as non-trauma related causes, research has identified multiple risk factors related to primary disease processes and medications:

* blood clotting disorders
* chemotherapy
* decompression sickness
* high doses of corticosteroids
* Cushing’s syndrome
* diabetes
* gout
* hyperlipidemia
* chronic diseases of the liver and kidney
* history of organ transplant
* radiation
* pancreatitis
* sickle cell disease
* tumors
* chronic smoking and alcohol use

What Are The Symptoms Of Osteochondritis Dissecans?

* joint pain
* joint stiffness
* joint weakness
* joint tenderness
* joint swelling and inflammation
* the joint may lock-up, catch, or pop (especially if the bone fragment displaces)
* limited range of motion

 

Strengthening Exercises

These Osteochondritis Dissecans Exercises are ideal to build strength and flexibility.

Massage Treatment

These Osteochondritis Dissecans Massage Techniques are of great value in pain relief; circulation stimulation; dispersing blood and fluid accumulations; swelling reduction; and relaxing muscle spasms, especially when used alongside the Sinew Therapeutics liniments and soaks.

 

ACUTE STAGE SYMPTOMS AND TREATMENT

 

This stage is characterized by swelling, redness, pain, and possibly a local sensation of heat, indicating inflammation. If coolness makes your pain feel better, then the Acute Stage Treatment is recommended.

 

ACUTE STAGE SYMPTOMS:

 

The acute stage starts the moment an injury occurs and lasts until the swelling and inflammation are gone. The swelling is the result of the blockage of blood, tissue fluids and circulation in the knee because their normal movement has been disrupted by the force of the injury. Just like cars back up behind a traffic jam, causing congestion, exhaust and overheating; blood and fluids back up behind the injured knee, causing pain, inflammation, lumps and swelling.

The sensation of heat is due to the warming action of the blood and fluids overheating in the injured knee as they back up and accumulate. Stiffness and decreased mobility are due to spasms in tendons and ligaments that have contracted reflexively beyond their normal range from the impact of the injury.

As ligaments and tendons stretch and tear, blood from ruptured blood vessels becomes trapped in the local tissues. As the trapped blood clots up, it sticks the tissues together creating adhesions. Adhesions cause pain, inflammation and restricted movement because the layers of tissue that used to slide smoothly across one another now adhere and snap which interferes with normal functioning. It is essential to break up clotted blood as quickly as possible to prevent adhesions and scar tissue from forming.

During the acute stage it is very important to restore normal circulation to the knee, break up clotted blood and stagnant fluids, reduce swelling, and reduce the redness and heat associated with inflammation. By restoring the flow of blood, fluids, and circulation in the knee, then pain is relieved, damaged tissues can regenerate with healthy functional tissue, and the knee can strengthen and regain it's mobility.

 

ACUTE STAGE TREATMENT:

 

1. Apply the Sinew Herbal Ice on your knee to reduce redness, swelling, and inflammation while dispersing accumulated blood and fluids to help restore normal circulation to the knee. This first-aid treatment is used in place of ice to significantly speed up the healing process. It reduces the swelling and inflammation more effectively than ice, allowing you to more quickly regain range of motion. Acute Sinew Liniment can be used in-between applications.

Ice is not recommended because it does not help repair damaged tissues and keeps everything in the injured area frozen, causing the stagnation of blood and fluids and the contraction of muscles, tendons and ligaments. In Chinese sports medicine ice is not used and is considered a culprit in injuries that donít heal well.

2. Massage your knee with Acute Sinew Liniment to relieve pain, reduce swelling and inflammation, break up clotted blood and stagnant fluids, and stimulate circulation of blood and fluids to help cells quickly repair damaged tissues. Sinew Herbal Ice can be used in-between applications.

3. The Sinew Sports Massage Oil is recommended for use before and after exercise, sports and strenuous activity. It warms and stimulates your muscles, increases circulation and relieves tightness, hence improving your performance and helping to prevent injury.

 

 

CHRONIC STAGE SYMPTOMS AND TREATMENT

 

This stage begins once the swelling and inflammation are gone, but you still feel pain, stiffness, weakness, and/or sensitivity in cold and damp weather. If heat makes your pain feel better, then the Chronic Stage Treatment is recommended.


CHRONIC STAGE SYMPTOMS:

 

The chronic stage begins once the swelling and inflammation are gone, but you still feel aching pain and stiffness. This is because there are still accumulations of stagnant blood and fluids in the knee that are blocking circulation and blood supply to damaged tissues, creating residual pain, stiffness and weakness. You may actually feel hard nodules like sand in the tissue, indicating accumulation, calcification, and adhesions, which all cause pain, stiffness, and joint instability.

Your knee may feel more sensitive to the cold and ache in cold and damp weather due to impaired circulation. When you move your knee you may hear a clicking or popping sound from the tendons and ligaments slipping very slightly in and out of their natural alignment indicating weakness and joint instability, causing chronic pain and a cycle of reinjury. These symptoms are often the result of failure to treat the injury properly from the outset and overicing.

Increasing circulation and blood supply to the damaged tissues is very important in treating chronic injuries because tendons and ligaments do not have an extensive direct supply of blood. That is why chronic injuries can be slow to heal. Increasing local circulation also prevents cold and dampness from penetrating the injured area, preventing pain and stiffness.

During the chronic stage it is very important to break up remaining accumulations of blood and fluids, and increase circulation and blood supply to the damaged tissues. By increasing circulation and blood flow in the knee, then pain and stiffness is relieved, and the tendons and ligaments can strengthen to restore stability.


CHRONIC STAGE TREATMENT:

 

1. Massage your knee with Chronic Sinew Liniment to relieve pain and stiffness, strongly stimulate circulation and blood flow to damaged tissues, and promote the healing of overstretched tendons and ligaments. Sinew Injury Poultice and/or the Sinew Warming Soak can be used in-between applications.

2. Apply the Sinew Injury Poultice on your knee to relieve residual pain and stiffness, significantly stimulate circulation and blood flow to damaged tissues, and further promote the healing of overstretched tendons and ligaments. The Sinew Injury Poultice is particularly useful if your knee is more painful in cold and damp weather. Chronic Sinew Liniment and/or the Sinew Warming Soak can be used in-between applications.

3. Soak your knee with the Sinew Warming Soak to ease joint pain, increase range of motion, and strongly increase local circulation to drive coldness and dampness out of damaged tissues. The Sinew Warming Soak is particularly useful if your knee is more painful and sensitive to cold or hurts more in cold weather. The soak can be used by saturating a towel in the liquid and applying it to your knee. Chronic Sinew Liniment and/or the Sinew Injury Poultice can be used in-between applications.

4. The Sinew Sports Massage Oil is recommended for use before and after exercise, sports and strenuous activity. It warms and stimulates your muscles, increases circulation and relieves tightness, hence improving your performance and helping to prevent injury.