so , guardians of the joints alexander gennadievich kurmanov danila sergeevich kovalenko today, rightctions in the joints today we will talk about hyaluronic acid. it is an intra-articular fluid substitute. i ask you for your leg please donate a leg to the great one and tell us what we have inside the joint. and what to do? inside the joint fluid inside the joint. we have articular cartilage, meniscus ligaments, and joint fluid. yes, she directly. what makes it nourishes dampens lubricates well. exist joints are excellent. so, without intra-articular fluid, the joints cannot move. this is really a lubricant and a shock absorber from this, by the way, the conclusion will immediately arise that the intra-articular fluid should not be very liquid. she should still be more gel-like and right away. we are moving to danil sergeevich kovalenko danila sergeevich will now inject into the joint. but first, your patient will tell us what worries you. my knee hurts. so i get sick from time to time. i wave, the painkiller will pass, it hurts again. yeah , they do gymnastics, there is a bicycle, ly

kurmanov.vich kovalenko work dear friends. today we have such a topic. my knee hurts alexander. i will ask you to substitute your leg here and tell us about your knee. how many links are there? what is the great joint of the knee joint, it is the largest most complex joint, it consists of the upper thigh bone above the knees and ligaments there is also available. because the articular surfaces of the femur and tibia they are not comparable in size to each other in bones, so we have mini low ones there that level out this difference, therefore the complex composition of the ligaments of the joints is usually supplied with blood, usually the ligaments are not supplied with blood, and here the cruciate ligament has a giant vessel all injuries, diseases of the knee joint - these are all diseases which brings a lot of suffering to a person. we have here the life cycle of the knee joint and start. i want with an extreme degree of damage to the knee joint, which eventually requires arthroplasty. so, f

kurmanov. right here so the medicine that is made from fat , we will show how it is made.s of joint destruction can it help? and what do we expect? at what stages? so we are talking about the average degree of destruction of the joints, that is, when there are still points of application, this is the second third stage of arthrosis. so let's see this is the norm. yes, there is already exhaustion. cartilage. yes, there is a value of cartilage after growth. well , yes, yes, you can already see it here, yes, two have already been completely destroyed. yes, prosthetics will not help here, introducing a medicine made from our own fat, which we expect, that we really want to get our own corporate properties, because these stem cells that we inject into the joint provoke regeneration, that is, the restoration of destroyed structures joints, they work precisely in destroyed tissues. and this important so right now we are going to the operating room, where our doctor kovalenko danila sergeevich works. the first stage is the collection of fat directly from the abdomen. unfortunately

kurmanov, and when i take pills for joint pain, my stomach began to hurt. you have a minute? the doctor drink from joint pain. yes, yes, anti-inflammatory drugs 100%. yes accordingly, we have damage to the gastrointestinal tract, because the intake, as usual, is without control and can lead up to gastric ulcers and intestinal bleeding in fact. therefore, in order for us to protect your stomach with you, these drugs must be used with prozols with those drugs that reduce the secretion of hydrochloric acid inhibitors like this. lanta about gold and so on. here is the end of all these drugs. must be used in combination. that is, nvs prozor nvs prozor and the most important. do not forget, regardless of how the drug entered our body with a pill or through an injection about gold. all the same, they accept this standard today, since non-steroidal anti-inflammatory drugs are sold without a prescription, patients often drink, i do not advise them myself. and then gastritis. an ulcer - we have one chain of gastritis, and i am for cancer, so you began to drink pills

kurmanov, we will take a short break, and then we will continue when i see double in my eyes, at firstd that i was a stereo effect trees. that is, i do not see the distance, it turned out that i already have one eye 10% left 140% what is a dislocation of the lens? how to return it to its original place, the dark spots of your biography, what does the pigmentation on your face tell about, and how to whiten your skin after the kvn vacation major league new season tomorrow after the time even program if the damaged liver is worried, it is better to take care of it in time with two active components. were able to help relieve inflammation and restore liver cells, taking care of the liver with a vengeance. this apartment is probably very expensive thanks to avito, the mortgage rate is six tenths of a percent lower, which is why the stavator. it takes your breath away, how emotions overwhelm you, how you immerse yourself in history, you feel that you are looking at the start this fall. watch exclusive premieres of container series. i express black spring. and many, many more series and movie

kurmanov i heard that injections with hormones help very well with joint pain.you can do them. this is such a fact that hormones relieve pain almost immediately, and we know the most severe defeat with bone tissue dissolution, when hormones were put and put it was in the era. started using them in the sports world. therefore, this question is a serious answer today. there is alexander gnatevich, answer your minute has gone. well, these drugs are loved, of course, very patients. why because the effect comes fast right away? and, if we use combined drugs, then, in principle, for a long time. well, often uncontrolled intake leads to serious consequences. bone tissue resources, damage to ligaments, violation of elasticity , cartilage burns, so here we recommend using it no more than once every 3 months in one joint . therefore, no more than four injections in one joint per year and always under the control of a professional doctor . not otherwise hormones are super-effective drugs. we love them respect the invention of prednisolone was awarded the nobel prize, but e

and the skill that he likes to use and the increasingly expensive surgeon alexander gennadievich kurmanov, orthopedic traumatology. the guardians of the joints today have in their hands a lot of things that benefit people. the joint can be injected without the use of some kind of additional guidance, ultrasound or x-ray, because big enough is big enough we probe the joint space. yes, and in principle, we introduce the drug. i want danila sergeevich to answer this question for us. which joints can be injected intra-articular fluid, in principle, you can enter into any large joints. be knee-ankle, and shoulder and elbow less often, but we introduce this topic like this. we will continue, we will tell you about all the injections in the joints. but this will be the next program. in the meantime, let's break for a moment, and then again, who should know, the mother found out that the son is sleeping. i know his girlfriend very well, with whom at all. she meets and has a very close relationship with her family. is it worth it to reveal the secret to his bride the music festival, voicing tv tom

i want to invite alexander gennadievich, kurmanov, an orthopedic traumatologist, and we we'll save ite come here. so, our first consultant traumatologist found an intervertebral toy in our girlfriend on mri. she wants to find a neurosurgeon and remove this hernia. her hernia does not hurt, but she does not bother her, respectively. doesn't squeeze. nervous ending. yes, that is, therefore, we leave it as long as it does not bother, until the pain syndrome appears, that is, in your case, keep a comma. if a hernia is found, it does not hurt. delete can't leave after can't leave nothing hurts climb and there is nothing to terrorize neurosurgeons on the topic what should i do? i am afraid of operations and you can live with it for several years without removing it, if it doesn’t hurt you can live with this hernia, which does not always hurt according to statistics. after 25 years, absolutely everyone has a hernia until they start to hurt. or maybe it won't hurt, you can't repair something that hasn't broken yet next story. come to us, please. mikhailovna’s goal at mikhailovna’s goal, the s

expert today is a wonderful orthopedic traumatologist, operating surgeon alexander gennadievich kurmanovch i am waiting for you. it ages the knee joint. this is where the hip joint gets old. it's just a drama, and here, in general, everything has been erased to the hole, the change in the joints with age. this is a normal aging process generative changes. they can't be stopped. they happen all the time and the task is to slow down this process. our challenge lies in this fundamental human life as a species has been calculated approximately. for 40 45 years, it was a life that ended with an infectious disease there were no cardiovascular diseases, breathe ten years, the main cause of death is infection, then we invented various drugs, serum vaccines, and life was extended by 30 years, but the joints did not expect that we would live so long that we would be like this sizes that we 'll be immobile before. we ran forgot after us extremely. movingly, now there is nothing of this , therefore, from such beautiful ones. deformities with cartilage defect already with bone tissue defect already t

artura is preparing for the procedure right now alexander gennadievich kurmanov next to me alexander medicine from human blood is called prp therapy correctly the medicine is made from human blood from your blood from your plasma, how is it made? we will see more there. and i want to ask one question. these are the stages of joint destruction from normal to severe pathologies. at what stages is this medicine worth? use for a person with joint pain therapy, it is advisable to use on the first second possible on the initial manifestations between the second and third. yes, this is this and this is and this is the stage. yes, this is the fourth one. this is only prosthetics, because there is nothing else that we rely on that our blood, our plasma, to do inside our therapy is called. it's like, if translated into russian, this is platelet-rich plasma. we all know that we have platelets in our blood. well, on average, it 's somewhere around 300,000 while cooking with a centrifuge, the concentration increases by 5-7 times and this allows. uh, our platelet is absolutely correct to take into