Treatment of gonarthrosis

Treatment is carried out depending on the stage of the disease and the intensity of pain.

• Radon baths, dry carbonic acid baths, 4-chamber baths, bischofite baths, and others.
• Heat therapy (mud applications, paraffin-ozokerite applications) — used in the absence of synovitis.
• Phonophoresis with Chondroksid, Artrozil gel.
• Magnetotherapy.
• Light therapy (Bioptron, magnet-infrared laser, Korobov's photonic polychromatic matrix, Lazmic).
• Electrotherapy (amplipulse, interferential currents, diadynamic therapy).
• Massage of thigh and calf muscles.
• A set of exercises to strengthen knee joint function.
• Computerized intermittent joint traction.
• Shockwave therapy — 3–5 sessions with an interval of 4–7 days.
• Periarticular CO₂ gas injections.
• Intratissue electrostimulation according to Gerasimov’s method.
• Injection of platelet-rich plasma (PRP therapy).
• Kinesiology taping of the joint.
• Intra-articular injections of Hyalubrex, Diatect, Synocrom Forte, Ostenil, Fermatron, Duralane, Arthrum, and others.
• "Joint protection" course: one course per quarter for 3 weeks — apply Zhivokost ointment as a compress at night; use Chondroksid cream or Karipain Ultra gel topically during the day. For pain with synovitis: puncture, fluid evacuation, intra-articular injection of Diprospan and Contrical (no more than 3 times per year in one course).
• For severe pain — short-term use of Mовалис (Meloxicam), Dicloberl (Diclofenac), Aertal (Etoricoxib), Celebrex (Celecoxib), and others.
• Walking cane, brace, orthosis, functional brace devices, insoles for correction of longitudinal and transverse flat feet, limb length discrepancy compensator.
• Intraosseous administration of Solcoseryl or Actovegin in cases of osteonecrosis.
• Intraosseous therapeutic injections with analgesics.
• Blockades of the "goosefoot" area and other trigger points using preparations from HEEL.
• Obturator nerve block.
• Anti-osteoporotic and chondroprotective therapy if necessary.