Hip articulation arthrosis is a disease, which is also called cOKSARTROSIS and occurs in a person due to a decrease in the amount of synovial fluid emitted in the joint cavity.The consequence is a violation of cartilage nutrition and gradual destruction of joint surfaces.The disease is inherent in a chronic course, characterized not by inflammatory but by degenerative changes in cartilage tissue and gradual deformation of bone tissues.
COKSARTROSIS Treatment is a long and difficult process whose solution is the recetologist, choosing the correct treatment regime.With inadequate treatment, deep deformation with the depletion of joint structures is possible, the disease is progressing rapidly and can lead to the disability and complete loss of motor activity of the affected joint.
Symptoms
Oporttoal detection of the disease is an important component for more successful treatment.But at the early stage of the disease, the symptoms are few and limited only to local pain, with no obvious signs and external changes (lack of edema, color change and structure).For this reason, in most cases, a person simply does not pay proper attention to the manifestation of these signs, postponing a visit to the doctor and thus allowing the disease progressed slowly and correctly.
There are four degrees of arthrosis, and at each stage there are certain symptoms inherent to 1, 2 3 or 4 stages, but there are a certain series of symptoms when detecting that you should immediately consult a doctor to detect a true disease.Such symptoms include:
- Pain strong in the thigh, groin.The pain is real and disappears after a brief rest.
- Morning stiffness of the joints.A distinct feature of joint diseases, manifested mainly in the morning, after a long holiday.It is characterized by limiting limb mobility, rigidity, unpleasant sensations.It is usually necessary about an hour after waking up to disappear symptoms.
- A crisis in the articulation, grabbing sounds when walking.
- Change of march, the appearance of claudication.
- The appearance of the difference in the length of the limbs.This symptom is found in the posterior stages of the disease, shortening or stretching of the affected limb is associated with a change in the pelvis structure, its deformation.
The above symptoms are common and found in many other diseases, which is why it is necessary to consult a good expert, with additional research methods for the correct differential diagnosis with other similar diseases and making a precise diagnosis.
Reasons
As they get older, the human body wears out and there is a gradual slowdown in the work of all systems and organs, metabolism decreases.This applies to the state of bones, joint bags and cartilage, which, under the influence of constant loads, are diminished and deformed over time.The amount of synovial fluid that fills the joint cavity is lost, which causes a decrease in natural depreciation and increasing the load, followed by the destruction of the joint cartilage.
In addition to the physiological, associated with changes related to the natural age in the body, other reasons for the occurrence of hip joint arthrosis include:
- Heavy physical work.
- Heredity (belongs to hip joint dysplasia).
- Overweight.Excessive body weight increases the load in the musculoskeletal system.
- Hormonal disorders.
- Inflammatory diseases (infectious arthritis, rheumatoid arthritis).
- Post -traumatic arthrosis of the hip joint appears from 20 to 40% after the lesions.
Types and degree of disease
Based on clinical image results and based on radiological indicators, 4 degrees of disease are distinguished.
The first degree
If the disease is detected at this stage, treatment is the most effective, the affected joint can be preserved, ensuring the correct treatment regime without the need for surgery.But recognizing the disease at this stage is not so simple, because the symptoms that manifest themselves are insignificant and characterized by such symptoms:
- Morning stiffness.
- Groin pain.
- Minor and painful pain that occurs during physical exertion in the hip joint area.
- In the radiography, in the presence of 1 degree of the disease, there is a slight narrowing of joint gap, unique outbreaks of sealing cartilage, bone growths in the revolving area are possible.
The second degree
The second degree of the disease is manifested by more pronounced symptoms.This stage is characterized by:
- The appearance of pulling pain in the joints, not only after physical exertion, but also when performing less motor activity.The pain intensifies at night and night.
- When performing motor activity, a change in the march appears.There is a "duck walk", a person limping after a long walk, trying to rely on a healthy leg, thus protecting those affected by the painful joint.
- There is a violation in the movement of the affected hip joint, the difficulty of leaving the limb affected.
- X -ray marks a significant narrowing of the joint gap as well as bone growth.
The third degree
The clinical image pronounced manifestations in which it exists:
- Severe constant pain in cargo and at rest.
- Total loss of motor activity of the affected joint.
- The appearance of the difference in the length of the limbs.The leg with the affected joint becomes shorter than a healthy member.
- The X -ray marks the complete destruction of Hyalin's cartilage, the growth of large osteophytes, the destruction of the femur.
The fourth degree
The arthrosis of the 4th degree pelvis is characterized by the complete atrophy of the muscles surrounding the hip of the affected limb hip.In 4 steps, a complete loss of physical function is also observed.The patient is unable to step on the painful leg and cannot be without crutches.At the X root, there is bone osteocosclerosis, large -scale bone growths and the complete absence of a joint gap.
Treatment of this stage is possible only in an operational manner.
Diagnosis
To make a precise diagnosis and perform timely treatment, several studies are needed.The diagnosis is made at various stages.
- General inspection, anamnesis collection of the disease.The doctor will clarify information about the presence of injuries, related diseases and an existing lifestyle.A properly performed exam helps to make a diagnosis properly, determine the degree of disease and eliminate a series of diseases that have similar symptoms such as arthritis, sacriles.
- In addition to the exam, the assistant doctor prescribes the necessary laboratory tests.
- Examination X -Ray is a mandatory diagnostic point.A study of the hip joint on both legs is performed, even if the patient's complaints apply to only one member.
- Computed tomography is considered an additional research method.Using CT, you can study nature and degree of damage to femur and joint surfaces.
Treatment of arthrosis
When suspicious symptoms and hip joint pain appear, a person arises mainly the question of which doctor deals with these conditions and how self -mate occurs.
In the first symptoms, it is necessary to seek help to make a diagnosis and treatment with a rheumatologist, while the treatment of more serious arthrosis forms is involved in an orthopedist.
Treatment depends on the degree of disease and nature of the manifestation.The treatment regime is selected by a doctor for each patient individually.The basic principles of treatment include events such as:
- Drug treatment.
- Diet.
- Physiotherapy.
- Massage.
- Gymnastics.
- CineSeoteImping (recording the hip articulation with special patches).
- They use the help of sticks and crutches to remove the load from the affected joint.
Drug therapy
The treatment regime for failureless hip joint injuries includes medications.The sooner you start therapy, the more likely to limit the treatment of conservative methods, without the need for surgical intervention.
The drug treatment diagram includes a complex of medicines:
- To relieve pain, in addition to reducing the inflammatory process, non -esteroid anti -inflammatory drugs are used.
- When fluid is accumulated in the joint cavity, intra -articular injections are used.
- To feed tissues and improve blood circulation, chondoprotectors are used.
- Use locally therapeutic ointments, applying to the affected joint area.
Physiotherapeutic procedures
The physiotherapeutic method aims to improve blood supply for affected joints and improve metabolic processes.The physics of hip joint arthrosis includes:
- Magnet laser therapy.It helps reduce pain by improving the mobility of the affected joint.
- Laser treatment.The action of light laser aims to remove the inflammatory process, reducing edema, as well as the restoration of the cartilage.
- Thermal therapy.Includes mud, paraffin therapy due to thermal effect on the affected area, blood circulation improves and metabolic processes are normalized.
Each type of physiotherapeutic procedures has a positive effect on the affected joints, but at the same time several against -indications.It is not allowed to perform physical therapy during pregnancy, oncology and tuberculosis.
Massage and Therapeutic Gymnastics
This group of therapeutic measures is an integral part of the complex treatment of coxarthrosis.
The benefits of massage and therapeutic gymnastics:
- Improving blood circulation.
- Removing muscle spasm.
- Increased motor activity in the affected joint.
- Reducing the pain.
- An increase in diastasis in the affected joint joint.
Massage sessions can be performed at all stages of the disease, but for each stage, maintaining certain conditions.Therapeutic massage is performed only by a specially trained specialist, each massage session occurs at various stages:
- Massage on the back.It is performed with the help of caressing movements with your palms, helps to increase blood circulation and prepare for the next stage.
- Manual Massage of the Lumbar Region.It consists in the same caressing, rubbing and kneading the lower back.
- Massage of the sacral and berry area.
- Thigh massage.During this stage, the expert performs massage movements pressing and rubbing, capturing the affected joint area.
In 1 and 2 stages of the disease, it is recommended to hold a self -massage session, dedicating to the process at least 5 minutes a day.
During the Self -Massage Session, the sequence of actions is also important, it is necessary to perform the following exercises alternately:
- Massage the back area with the palms, making the ascendants and descendants along the spine and then rub the movements with the back of the fists.
- In standing position, start the massage of the buttocks, caressing the hips to the region of the sacred and lumbar.Having finished caressing to start rubbing.
- The final stage is the massage of the hip muscles, which is performed in a sitting position.Alternative rubbing, rubbing and kneading are performed.
3 and 4 The stages of the disease suggest massage after surgical operation, a therapeutic massage course for rapid rehabilitation is performed.
Massage sessions are better alternate with a therapeutic gymnastics course.Arthrosis gymnastics aims to increase blood flow in hip joint muscles, which contributes to improving joint saturation with nutrients.
The technique of each author has its own characteristics and several against -indications, to determine which scheme of gymnastics to join the assistant doctor will join.
At home, you can perform several simple exercises, such as:
- In the position of lying on the back, slowly lift each leg at an angle of 50 degrees.
- Lying on her back, bending her legs and lifting her head from the floor, try to reach her knees.
- In a standing position, take it and raise your straight leg, trying to hold it in this position for a few seconds.
When involved in gymnastics, it is important not to hurry and perform tasks as much as possible, maintaining uniform breathing and calm.Clear and inaccurate movements can cause injuries.It is important to remember that only the assistant doctor can prescribe exercises, based on the condition of a particular patient.In addition, the exercises must be performed in the presence of a specialist to control the correction of the exercise.
Therapy diet
The diet plays an important role in treatment.In the treatment of arthrosis, it is recommended to use 1600-1800 kcal per day, distributing the daily volume of 5-6 meals.Food should be balanced and rich vitamins and tracking elements.With overweight, a well -chosen diet will help reduce weight, thus reducing the load in the painful joint.
Observing the right diet, you need to take into account which products should be included in the daily menu and also what should be completely deleted from your diet.
| Recommended: | It is necessary to limit: |
| Aspic | Strong coffee |
| Vegetables, fruits | Alcoholic beverages |
| Varieties of low meat and fish | Bakery products |
| Milk and dairy | Salt |
| Green | |
| Legumes | |
| Buckwheat | |
| Nuts |
It is necessary to include enough vegetables and fruits in foods, increasing the consumption of dairy products, it is worth paying special attention to products, rich animal proteins (beef, turkey, chicken, low fat fish varieties).It is recommended to include in the collagen -rich menu jelly, contributing to the strengthening and restoration of the joint cartilage tissue.
Surgery
The treatment of hip arthrosis in the early stages is limited by conservative methods.Frequently, a well -selected drug treatment scheme and the nomination of auxiliary methods to improve patient condition and decrease disease progression.The treatment of 3 and 4 degrees of arthrosis in various cases implies the need for surgical intervention, which consists of the operation to replace the joint.
When do you need an operation?
1 and 2 stages of hip articulation arthrosis are treated without surgical intervention, at 3 and 4, sooner or later, there is a need for surgery.The operation is proposed to the patient when the changes in the joint reach the extreme stage, with complete destruction of joint cartilage and growth of large bone tissue scales.
After the operation, during the rehabilitation period, massage and exercise therapy is prescribed for the rapid restoration of motor activity.
Traditional medicine
What is arthrosis of the hip joint and how to treat it in detail by the rheumatologist.After consulting the assistant doctor and the appointment of the treatment regime, it is recommended, as auxiliary treatment methods, to consider folkloric drugs.The treatment of arthrosis with folkloric recipes is a good additional method and helps reduce pain, relieve edema, increase joint mobility.
In the treatment of folk remedies, 2 methods are used:
- To take inside (decoctions, healing herbs).
- For local use (ointments, lengths, packaging).
To eliminate the main symptoms of the disease, a saber -based dye is used:
- Swamp saber should be mixed with medical alcohol in a ratio of 1:10 and removed for several weeks in a dark place.
- Then boil, strain and use to receive 1 tablespoon.l.3 times a day.
- At night you can rub the tincture directly in the affected joint area to relieve inflammation and reduce pain.
The cabbage -based compress has proved in treatment: several cabbage leaves and a bardean sheet should be mixed, knead with your hands until the juice is formed and attached to the injury for 30 minutes.This method helps reduce inflammation and pain.
In the treatment of folk medicine, medicinal herbs are actively used, include: St. John's herb, mint, chamomile, celandine.For a healing ointment, it is necessary to grind the gram by mixing it with a Vaseline or baby cream and slowly rub the joint ointment immediately after cooking.
All additional treatment methods should be considered only as auxiliary methods that are unable to cure independently and considered in combination with drug treatment, to improve action in the complex of therapeutic procedures.
Prevention
For the prevention of the disease, it is recommended carefully monitoring your health, paying due attention to strengthening immunity, leading a healthy lifestyle and carefully monitoring the quality of nutrition.
Also an important measure in the prevention of arthrosis is the prevention of hypothermia and restriction of physical effort.People with overweight are recommended to observe a diet to reduce weight and prevent the load in the musculoskeletal system.
For general strengthening of immunity, preference is given to hardened and balanced physical effort.
Pregnancy and delivery
Dellastic arthrosis of the hip joint is the congenital pathology of the hip joint, which occurs due to the inadequate formation of joint tissues during intrauterine development.In most cases, with the timely detection of the disease, this pathology is successfully healed over time, but leaves the risk of developing hip arthrosis in adulthood.
During pregnancy, in the presence of hip joint arthrosis, the general load in the affected joint increases, due to an increase in total body weight, this factor significantly aggravates the course of the disease.In addition to increasing load due to body weight growth in pregnant women, ingestion of joints worsening and metabolism decreases, this is due to an increase in body resources costs to provide everything that is needed for the fetus.
A pregnant woman, in the presence of a disease such as hip joint arthrosis, is strongly recommended to observe certain conditions throughout the pregnancy, namely:
- Limit motor activity, especially in the third trimester of pregnancy, when the load in the painful joint is maximum.
- A constant observation is required by the doctor.
- It is recommended to follow the doctor's recommendations.
- Swimming classes affect the load distribution in the body, increase muscle mass in the affected joint area and tension removal.
Forecast
With the timely diagnosis of hip arthrosis, the prognosis is favorable.If the disease is detected in the early stages, treatment is supplied conservatively, the development of the disease decreases and will generally be completely healed if it does not reach 2 degrees at the time of diagnosis.
In 3 and 4 stages of the disease, when performing an opportune surgical operation, the forecast also remains favorable, with the condition of compliance with all prescriptions recommended by the doctor and the exercise of constant control of the assistant doctor.With well -conducted operational actions, artificial articulation serves for several decades.
Complications
The main and most unfavorable complication is the possible disability.Inability occurs due to complete loss of motor activity of the injured joint.With a symmetrical injury of both joints, a person loses the ability to move independently, which significantly limits lifestyle and also creates a risk for the emergence of other complications (stagnant pneumonia, pressure pain).
To avoid such serious consequences, it is recommended to start treatment by identifying the first signs, preventing the progression of the disease.