Hip articulation arthrosis is considered an age -related disease, although young people are not unless.This disease causes considerable torment and, in severe cases, can deprive a person of mobility.
Why the deformed arthrosis of the hip joint occur
Hip joint arthrosis (cOKSARROSIS) is a degenerative-distribution disease, in which the cartilage that covers the thigh head surface and the sovereign cavity is destroyed.The disease develops gradually and is caused by a variety of causes.
The development of hip joint arthrosis can lead to:
- Hormonal changes - age and pathological, for example, in diabetes;
- Circulatory disorders due to injury, excessive physical exertion, general problems with blood vessels;
- inflammatory processes (eg with arthritis);
- Obesity ended up to the excessive load in the hip joint, it is possible to compress and destroy it;
- Congenital predisposition (abnormalities of femoral head structure);
- Excessive physical activity - They themselves rarely lead to arthrosis, but can accelerate the development of the disease with other adverse factors;
- Injuries - such as displacements, fractures and stretching.
Caxartrosis symptoms
As the articulation is gradually destroyed, four stages of hip joint arthrosis are distinguished.
The first degree
Symptoms may be absent or light.The first stage of hip joint arthrosis is characterized by:
- Pain on the anterior and lateral surfaces of the thigh and groin after prolonged or intense physical exertion;
- a sense of rigidity in the joint after long immobility (more often in the morning);
- Wish or click on the joint when moving.
The second degree
At this stage, the destruction of the joint has gone away.Most of the time, people seek a doctor at this stage.Among the symptoms of hip articulation arthrosis:
- constant pain that does not disappear even at rest;
- violation of articulation mobility;
- Progressive Leadership - A person instinctively tries to reduce the load in the affected joint.
The third degree
If, in the first and second stages of disease development, it still has to do with conservative treatment methods, the third usually requires surgical intervention.
Signs of the third stage of coxartrose:
- Intense pain in the affected joint, which affects the whole thigh and gives to the knee;
- Claudication;
- An decrease in the length of the leg side of the sick joint (sometimes, in approximately 10% of cases, the leg is observed);
- Hip muscle atrophy.
The fourth degree
At this stage, the hip muscles do not work almost completely, and the patient experiences constant pain.The only effective measure will be to replace the joint destroyed with an artificial prosthesis.
How to treat hip joint arthrosis
There are many methods of coxarthrosis therapy.Normally, the doctor prescribes its combination, as the treatment of this disease should be complex.
Drug treatment
With a 1st and 2nd degree disease, medicines are successfully used for treatment.First of all, hip arthrosis drugs include non -steroid anti -inflammatory drugs, vasodilating agents that improve blood supply in the joints, muscle relaxing that relaxes muscles and relieves spasms.Preparations for the joints that restore cartilage fabric are also used.In the initial stages, local products in the form of bribes, applications and ointments also help - they improve blood circulation.
Without timely treatment, hip joint arthrosis can lead to ankylosis.Ankylosis is the complete excavation of the femur with a pelvis.With this disease, the leg is completely immovable in the joint.
Non -surgical treatment methods
Physiotherapy usually becomes the main way to treat hip joint arthrosis.If the funds have been selected correctly, it will provide very good results.Non -surgical methods include:
UVT.Shock wave therapy is a new method, but according to many effective physiotherapists and patients.UVT is based on the influence of waves with a frequency of 16 to 25 Hz on the affected joint, which has a healing effect, restoring blood supply and activating metabolic processes in the pain location area.
Deadline(Articular plasmolifting).Another modern way of treating arthrosis is blood plasma injections in the affected joint.Plasma contains platelets that regenerate tissues.
Myostimulation.Muscle contractions when exposed to electrical impulses on them.The method helps to deal with the manifestations of arthrosis.After the course of myostimulation, weakened and non -workers muscles are strengthened, their connection with nerve endings is restored.
Phonophoresis.This is a long method, which consists of the effect of an affected joint with ultrasound.Thus, it is possible to provide therapeutic substances to the affected tissues and at the same time affect the articulation physically.Phonophoresis saturates oxygen tissues, accelerates regeneration, relieves pain and swelling.
Ozon therapy.Ozone saturates oxygen tissues, thus accelerating cellular metabolism and effectively relieving inflammation.Finally, this leads to a rapid restoration of damaged tissues.
Hirudotherapy.Hirudotherapy, or leech treatment, can really have a positive effect on the treatment of hip joint arthrosis.The secret of leeches has high biological activity, improves blood circulation.
Radon.Such baths have a general strengthening effect, having a beneficial effect on the heart and blood vessels.They also improve blood circulation and relieve pain with arthrosis.
Exercise therapy.Therapeutic Physical Education for Arthrosis aims not only to maintain muscle tone and strengthen ligaments, but also the development of the joint, as well as to form the habit of moving properly.
Massage (including lymphodia) and manual therapy.Massage is, it can be said that a universal method that helps alleviate the condition with different diseases, including arthrosis.Therapeutic massage relieves muscle tension, improves blood supply for tissues and joints, promotes synovial fluid production and has an analgesic effect.
Mechanotherapy.To perform this procedure, special simulators are used specifically created for therapeutic loads.
Joint traffic.This method for hip joint arthrosis is used quite often.Based on the results of the procedures course, the gap between joint surfaces increases, which reduces the load in the cartilage.
Therapy diet.Proper nutrition is very important for healing.With arthrosis, it is advisable to adhere to a special diet.If the patient suffers from overweight, you should apply all efforts to lose weight, otherwise the load on the joint will nullify all doctors' efforts.The base of the menu should be fish and low -fat meat, coil vegetables and leafy and bread made of thick flour - the source of group B vitamins required for proper metabolism.The fried falls completely under the prohibition, like fast food.You need to eat fractionally, in small portions, several times a day.
Surgical treatment
All the above methods are effective in the early stages, but if the disease is far away, surgery will be required.
Puncture(minimally invasive intervention).The puncture is performed to remove excess fluid from the joint bag.This restores joint mobility and relieves pain.
Arthroscopic debridement.This is the removal of the deformed part of the cartilage, which gives relief, but without comprehensive treatment, the effect will be temporary.
Osteotomy near the joints.Osteotomy - Bone dissection with its subsequent fixation.This operation is performed to improve the operation of a spent joint and reduce the load in it.The method is often used in cases where the cause of arthrosis is bone head deformation.
Endoprostrate.This term indicates the replacement of its own artificial articulation, made of titanium.This is an extreme measure, they turn to it only when the joint is completely destroyed and its restoration is impossible.
Treatment characteristics at different stages of the disease
The sooner you see a doctor, the easier and faster the treatment will be.In the first and second stages of coxarthrosis, there is sufficient drug treatment and a physical therapy course for a complete recovery.However, the disease can return if you do not review the lifestyle.To maintain health, you will have to lose weight, rationalize the diet, abandon bad habits.
In the third and fourth steps, you can no longer do without surgery.Physiotherapy and drug treatment are also applicable, but as rehabilitation measures after surgery.
For arthrosis prevention, you need to regularly pass an examination of an orthopedic doctor, especially if there were joint injuries in the past.Attention to these exams should be provided to professional athletes as well as overweight people.
UVT Coxarthrosis Treatment
Among all non -surgical arthritis treatment methods, UVT is considered one of the most progressive.The orthopedic doctor says in detail:
Shockwave therapy is the only method of physical therapy treatment today, which not only relieves unpleasant symptoms, but also fights the cause of joint destruction.UVT promotes the resorption of calcium scars and crystals, improves blood circulation, interrupts inflammatory processes.From my own experience, I can say that the effectiveness of treatment exceeds 85% - and this is a very good indicator.
UVT is considered a new method, but is actually used for over 20 years in over 50 countries around the world.