The osteoarthritis of the hip joint is a serious pathology that develops in the hip joint due to the nutrition and the destruction of cartilage tissue and the immobility of the thigh in the hip joint.
With a healthy cartilage tissue of the joint, the movement occurs slightly and does not cause inconvenience.If the cartilage is damaged by arthrosis, its surface is no longer smooth, it has a Zabina, a fossa that makes it difficult to maintain the normal flexion/expansion of the joint.The thigh, like the rusted grinding of a gardener, is heard at the opening and feels tension when it moves.
The disease is dangerous insofar as with the early beginning of the treatment, not only is the remedy impossible, but the course of the disease leads to further immobility and a loss of joint.
Causes
What is that?Coksart's rose develops for many reasons.The main life is a sitting lifestyle.In most cases, athletes suffer from this disease due to large loads that can violate the joint.Unfortunately, osteoarthritis is often inherited to be a congenital failure to be in the groin area.
The reasons that cause the development of the coksart rose of the hip joint:
- Pertes disease;
- Fracture of the thigh;
- Get injuries or microtrauma in childhood;
- Obesity, high load;
- Drink alcohol;
- Congenital diseases;
- increased hormone levels (age -related changes);
- Tissue inflammation;
- Destruction of common tissues;
- Take effective drugs;
- stressful situations;
- Infectious and inflammatory processes;
- Pathological thigh diseases in the groin area.
Particular attention should be paid to the presence of injuries (microtrauma).They heal for a long time, which leads to the development of the disease for years.Most of the time, the disease begins to develop in people aged 40 and over.The inflammation begins with a hip joint, but if they are not treated in time, the disease applies to other areas.
Symptoms of arthrosis of the hip joint
Coksartrose most often develops in people over 40 years.It gradually occurs and the condition of a person deteriorates from year to year.If you do not treat the damaged joint, pathological changes can occur in another joint after some time.
In world practice it is recognized that the arthrosis of the hip joint has three phases or phases of development.Each of them is characterized by their own symptoms.
1 degree of arthrosis of the hip joint
At this stage of the disease, a person only experiences pain with and after physical exertion, through longer running or walking, while mainly the joint itself hurts, very rarely gives the pain to the thigh or knee.
At the same time, the passage in one person is common, chroma is not observed, the hip muscles are not switched on.During the diagnosis of the images, bone growth that are located on the inner and outer edge of the acetabulum is observed, other pathological disorders in the neck and the head of the femur are not observed.
2 arthrosis degree of the hip joint
With the osteoarthritis of the 2nd degree of the hip joint, the symptoms become significant and the pain already provides a more constant and intense nature, and in peace and when moving, they give both in the groin area and in the thigh.The patient is already limping at the load.There is also a restriction of the thigh, the volume of the hip movements is reduced.
In the pictures, the narrowing of the gap from the norm half, bone growth on the outer and on the inner edge is the head of the hip head gain, deform and change, its edges become uneven.
3 degrees of arthrosis of the hip joint
At this stage of the disease, pain in nature is painful, both day and night, it becomes difficult to move independently, so
The leg is shortened and the person is forced to tilt the body when he goes to the sick leg.The load on the damaged connection increases from the shift of the focus.Several bone growth is found in X -Ray pictures, the head of the thigh expands and the common gap is significantly narrowed.
Diagnosis
The diagnosis is based on anamnesis data (identification of risk factors or causal diseases), clinical data and additional examination methods.
To clarify the diagnosis and carry out differential diagnostics, helps:
- X -Ray of the hip joints;
- Ultrasound of the joints;
- MRI or CT.
To determine an exact diagnosis, a sufficient clinical and radiological examination.Expenses are found in X -rays that are characteristic of each stage of the disease: narrowing of the common gap, the presence of osteophytes, authors and deformation of the femoral head, subchondral cysts and periartic osteosclerosis osteoporotic changes in bones.Depending on the presence of these pathological changes and their severity, the degree and the stage of the disease are determined.
Treatment of the arthrosis of the hip joint
In the first stage, the arthrosis of the hip joint is perfect for conservative treatment.The most important task is to relieve pain, which prevents the patient from moving.
In the process of coxarthrosis therapy ::
- Restoration of nutrition and blood flow to muscles and cartilage;
- The physical activity on the damaged joint decreases;
- Restoration of the damaged cartilage;
- Activation of the hidden reserves of the human body, which contribute to regeneration of the tissue on a microcellular level;
- Increasing the common gap;
- Restoration of the mobility of the joint.
During drug treatment, this category of patients, the following drugs are prescribed:
- Non -steroidal anti -inflammatory anti -inflammatory.You will help remove pain, remove the educated edema and the inflammation.However, their uncontrolled use contributes to the suppression of the natural possibility of a cartilage to restore.Doctors do not recommend using more than a non -steroidal medication at the same time.
- Relaxing muscles.Remove muscle cramps, increase blood supply in the joints, but your use should be under the supervision of a doctor based on side effects.
- Ships expanding ships.They are able to relax smooth muscles and increase the space between the muscles.Have a minimum of contraindications, but their effectiveness is an individual indicator.
- Steroid type.Help with simultaneous diseases such as the presence of inflammation of the bone of the thigh, but have many side effects;
- Restoration of the cartilage.Chondroprotectors are most useful in healing osteoarthritis.They feed the cartilage with the desired elements and stop the development of the disease.
- Local use.The most important positive effect lies in the process of rubbing products into the skin, which relieves muscle cramps and helps improve blood circulation.
During conservative treatment, patients should adhere to dietary food, especially for patients with osteoarthritis of the hip joint.The course of therapeutic therapy includes a therapeutic massage that is shown patients with 1 and 2 arthrosis stadiums.
Endoprosthetics
The third stage of the disease is only suitable for surgical treatment.The patient is recommended to replace the joint or endoprosthetics.The surgeon cuts the head of the thigh and inserts a metal pen into the cut on which it attaches the artificial head.
The prosthesis itself is individual shells (only replaced the head) and overall (replace both components).The next day after the operation, some elements of training therapy are carried out in bed in the lying position.After a few days on crutches, the patient has so far been able to get up on the leg without support.After 2-3 months the crutches are not required, a complete load on the leg is allowed.
Patients who have been subjected to endoprosthetics are recommended for rehabilitation that consist of physiotherapy exercises, a massage course and physiotherapy.In most cases, the limb function is restored.The lifespan of the prosthesis is between 10 and 20 years and is then replaced by a new one.
Gymnastics with arthrosis of the hip joint
Exercises for fighting and preventing coksart rose must be carried out carefully.The movement for training therapy should be smooth, no pain causes.LFK for the treatment of the disease should mainly aim to strengthen the muscles itself and not to load the joints.A good way to prevent coksart rose is swimming, especially in salty water.
- Starting position: Lie on the floor, stretch your arms and legs on your body.Slowly lift the aching leg into the knee joint 15 cm from the floor and hold it for about half a minute.Then lower your leg and repeat the exercise with a different foot;
- Starting position: Lie on your stomach, legs and arms extend along the body.Lift legs up 15 cm high, make them and then distribute them to the sides.Everything should be done slowly.
The patient should remember that some exercises with osteoarthritis of the hip joint from training therapy can be difficult for him due to his physical training.They are very effective methods for preventing different symptoms, which are therefore contained in the training therapy system with both osteoarthritis and other diseases.
Folk remedy
In folk medicine there are many successful methods for the treatment of coxarthrosis:
- Tinctures and decocements that are used internally (there are many recipes for the production of healing folk medication, including garlic, lemons, mummy and various parts of plants and honey, etc.);
- Ointments based on various natural components (ointments made of Celandin, eucalyptus oil, aloe and other plants);
- Compresses and bathtubs (imposing cabbage leaves, baths with artichoke from Jerusalem and so on).
If you apply all folk funds, it must be remembered that the guarantees of a 100 percent relaxation are not available.
prevention
Prevention measures are very important, especially if you had a dysplasia of the hip joint, fractures, strong bruises or purulent processes in this area.
- Body weight control (reduction in the use of flour products, table salt, sweet, strong tea and coffee in nutrition).The risk of osteoarthritis of the hip joint increases with overweight.
- Exception of weight transmission, jumps (especially from highs).Try not to be on your feet for a long time.
- If diseases with the metabolism (diabetes, atherosclerosis) are related to the metabolism, they must be compensated.
- Dosed physical exercises that aim to strengthen the muscles of the hips and buttocks (cycling or cycling, swimming, therapeutic gymnastics).
Compliance with preventive measures, the early detection of coxarthrosis and their appropriate treatment are the key to a positive prognosis of this disease.