Coksartrosis, or degenerative disease of the hip joint, is one of the most serious pathologies in the musculoskeletal system.Due to the large size of the articular structure, pain and discomfort are much more serious than the defeat of other joints.The pathology is also severe - if the destruction of small bone joints causes many unpleasant sensations, then the arthrosis of the hip joint without treatment is a direct way to defect.Only the right therapy, and sometimes surgery, will help one not lose the ability to walk.
What is the arthrosis of the hip joint?
Coksartrosis, osteoarthrosis, hip joint arthrosis - a synonym of the same pathological process, flows in the thighs on one or two sides.In modern medicine, pathology is also called osteoarthritis: previously it is believed that the degenerative process is not characterized by inflammation, but more accurate studies show otherwise.The tissues affected by the articular cartilage secretes the elements of inflammation (interleukin), so osteoarthritis is another true term.
The disease is characterized by the following signs:
- Continue to move, move from one level to another;
- Lead to persistent pain, limiting joint movement;
- Cause bone surface deformation, the destruction of partial or complete hyaline cartilage;
- In the detailed stage, the elderly exists in people, but often starts after 40 years;
- 70% of people over the age of 75 have pathological symptoms;
- They often suffer from women's illness.
The joints are a mechanism in which there are details of rubbing.Due to the decrease in the quality or amount of lubrication (liquid between the slab), the surface contacts the wear.Small cracks appear in the cartilage, and they are destroyed, rather than healthy tissue, bone corn appears.Such growth does not allow the feet to move normally, the function is lost.
The reason for the development of this disease
Arthrosis of the right or left thigh area can be primary or secondary, and the first option is the right feature for advanced age people.Major forms of disease develop for decades, which are associated with age -related wear and cartilage destruction.
Secondary coksartrosis has other reasons and can start even in a young man.It is associated with inflammation (contagious, autoimmune), which provides an impulse to the beginning of the pathology.Also, the cause of the possible thigh injury (bruises, disobedience, bone fractures).Another possible cause in secondary form:
- Operations in this anatomical zone;
- Serious diabetes and metabolic pathology;
- Hormone diseases;
- Congenital, form of curvature and bone transfer;
- Displasia together in children;
Rotary protence, hip head necrosis;- Systemic vascular disease, which leads to deterioration of cartilage nutrition;
- Bone tuberculosis, rheumatoid osteoarthritis;
- Gout, pertes disease;
- The tumor is benign, malignant.
Symptoms of arthrosis of the hip joint -what a shape will appear faster if the risk factor acts on the body:
- Persistent stress, nerve shock, depression and experience;
- Obesity, although excess weight is moderate;
- Bad descendants;
- Hypodynamia, inactive work or a particular profession with a high load on the joints;
- Excessive physical burden (power), professional sports.
Symptoms of disease
Arthrosis develops from the hip joint and symptoms -the symptoms cannot be observed.Even in the early stages, the disease was felt on its own, and, above all, pain.Pain, with the resulting arthrosis and progressive hip joint, increases as the disease passes from one level to another.They appear in the thigh zone, giving it to the knee, in the thigh, even in the lower abdomen.Usually, after sleep, the pain decreases, but in the future it can be present.In palpation, pain is not always felt, as damage to the joints can begin with the very parts.
Signs of other possible diseases:
- A problem that arises while moving, sometimes even with little;
- Frowning, changing the style of walking;
- Shorten the legs from the side where there is arthrosis of the hip joint;
- Mover stations, limited rotation, foot moving.
As they develop, other pathological signs appear.Therefore, feelings give a sense of deformation, presence of growth.Doctors, on examinations, notes of muscle atrophy, and patients even in normal life have to move with sticks, cracks for the pain and weakness of the limbs.
In general, pain and other clinical manifestations depend on the stage.This level of coksartrosis is distinguished:
- First.Symptoms are not tanned, but early changes are significant in the diagnosis.The synovial fluid becomes thicker, the amount decreases, the cartilage structure at the end of the level change.Small fractures appear that the body is trying to treat by forming a small "corn".
- The second.The pain at this stage is quite significant, the problem, the limitations of the motor function are obvious.The pain syndrome radiates to other parts of the body, spreading throughout the feet down.The picture can be seen: depletion of cartilage, narrowing the distance between bones, violations of the articular surface structure, sometimes - a hollow bone head.The number of bone growth (osteophytes) increased.
- The third.The pain becomes unbearable, a person is very limited in movement, many who stop moving.The cartilage is almost completely destroyed, the muscle atrophy, the joints are very defective.Bone osteophytes have a spikes and irritate the nerve endings.
What are the risks and complications?
It is easy to understand - if with pathologies such as arthrosis hip joint symptoms and treatment are defined incorrectly, soon, this threatens disabled.Painful pain syndrome, inability to walk, the need for persistent care is that what awaits a person without the treatment of the disease.
Disability If damage to the thighs is established according to the severity of the disease, in the absence of the opportunity to work, give the first group.Such patients are indicated by surgery - this is the only effective method of treatment in such circumstances.But modern methods of operation can risk complications:
- Infectious infections;
- Thrombosis, thrombus embolism;
- Significant blood loss.
The number of complications is small-0.5-2%, but they occur.Often, there is a prosthesis infection, which should then be transformed into a new one.That is why after surgery it is important to perform treatment with antibiotics.
Diagnostic steps for arthrosis
Switching to traumatologists, surgeons, orthopedists are recommended for help on the first signs of damage to the femoral zone.Initially, with suspected hip joint arthrosis, the doctor conducted a physical test:
- Feel the upper thighs, reveal the points of pain, bone osteophytes;
- Perform passive foot movements, extension, abduction and bring to explain the possible amount of movement.
It will help to diagnose and prescribe the treatment of arthrosis with the hip, the instrumental diagnosis will help.Usually, radiography is done - the cheapest and most affordable research method.It is recommended to create an X -Ray on modern devices, or replace it on CT, where the quality of the picture is higher.CT provides complete information on bone condition, cartilage, joint surface.If a detailed study of the state of soft tissue is required (for example, when pinching the nerve root), the specialist will prescribe MRI.
Steps -Another possible diagnostic step:
- Ultrasound joints;
- Arthroscopy;
- Blood tests for rheumatoid factors;
- Tuberculin sample;
- Biochemical analysis in terms of suspicion of diabetes, gout.
It is very important to find the cause of secondary coksartrosis, because without affecting it to stop the disease the disease will not work.
Treatment of hip arthrosis joint - medicine and physiotherapy
If the signs of the disease are implied, and it does not go to an irreversible level of change, conservative treatment will help the patient.Medications will require therapy even if hip joint arthrosis has a severe shape - as a component of treatment.
How to treat hip joint arthrosis?There is a drug correction program of the disease:
- Anti -Non -steroidal drugs.Pills or injections will help relieve pain, inflammation.It is impossible to use it uncontrollably - their own cartilage ability to regenerate will decrease, moreover, the stomach and intestines will suffer from NSAIDs.
- Vascular medicine.Treatment with these medications helps improve cartilage nutrition and promotes its recovery.
- Musorelaxants.It is indicated by spastic pain in the muscles caused by damage to the thigh area.
- Chondroprotectors.Hip joint arthrosis requires mandatory administration and multi -month of the drug. It should also use the injection course, including entering the joint cavity.More effective techniques are considered to be the introduction of hyaluronic acid drugs into the joints.
- Corticosteroids.They are used in extreme cases in the form of intra -Articular injections.Such treatment is required if the symptoms become unbearable.
External agents (ointments, gels) for coxarthrosis are usually ineffective due to deep running.But physiotherapy techniques are often used and provide serious relief from pain.UHF, laser therapy, magnetotherapy is made in thighs, UHF, massage.Also, with osteoarthrosis, manual therapy is shown, in some cases - joint hood.
People's recovery for arthrosis
Many use popular treatment for this pathology, although hip joint arthrosis does not respond to various external methods.Only severe pain can be used to compress the painful place with insulation, though this will be more disturbing.Treatment of arthrosis is complicated and neglected with the best hip joint is carried out through oral administration:
- Pour 100 g of dried grass from Saber 500 ml Vodka, demanding 10 days in the dark, take 30 drops three times/day to relieve inflammation;
- Daily do jelly, without contraindications, regularly cooking cold men - dishes will not be worse than chondroprotectors.
You can calm down the pain by using such a compress.It is necessary to mix honey, medical bile, ammonia, glycerin, applied to the joints, fastened with warm cloth.Leave a compress for 3 hours, then wash.
Other methods and operations
For full treatment of osteoarthrosis, it is very important to observe the right diet, you need to reject foods that violate blood supply and cartilage.These are smoked meats, vinegar, crossed foods, fries, and foods with preservatives, trans fats.But there should be more dishes with magnesium, potassium, iodine, calcium in the diet.
How to treat hip joint arthrosis is a must -have therapeutic gymnastics.Daily warm daily, special training in lying position should be done by all patients.For example, you need to slowly raise your feet and hold the floor for a few seconds.
It is important to exclude movements suddenly, preventing prolonged and fast walking - with coksartrosis, this will only increase the development of the disease.To unload joints, you can use sticks, sticks, as well as orthopedists can recommend special orthoses to soften the load.
Treatment of the third hip joint arthrosis, the last stage is performed only with the help of surgery, other methods are ineffective.In 95% of cases, the operation was successful, the foot movement was fully restored.But prosthesis is not permanent, their service life is up to 20 years, so the operation is an extreme measure.In the course of the endoprosthetics, the joint changes itself to the artificial, and the arthrosis of the hip joint no longer threatens it.
Prevention of coksartrosis
In order not to perform complex pathological treatment, not suffering from pain, it is important to start preventive measures from an early age.Prevention of coksartrosis is very important for those exposed to risk factors.
So that the blood supply to the cartilage does not suffer, it follows:
- Eat with plant foods on the menu, low amounts of meat, cottage cheese, jelly, sour foods -milk;
- Quit smoking, not abusing alcohol;
- On inactive work often doing warm, do simple exercises;
- To leave a inactive lifestyle in favor of skiing, swimming, low aerobic load.
So that someone does not interfere with hip joint arthrosis, you should control weight, prevent obesity and the appearance of additional 5-10 pounds-this seriously increases the load on the femoral zone.Coksartrosis can only be warned with an integrated approach and a healthy lifestyle!