Hip joint arthrosis is considered an age -related disease, although young people are not safe from them.The disease causes great torture, and in severe cases, it can prevent a person's mobility.
Why summarize the arthrosis of the hip joint occurs
Hip joint arthrosis (coksartrosis) is a degenerative-dystrophic disease, in which cartilage that covers the surface of the thigh and sovereign cavity is destroyed.The disease develops gradually and is due to a variety of causes.
The development of hip joint arthrosis can lead to:
- Hormone changes - both age and pathology, for example, in diabetes;
- Circulatory disorders due to injury, excessive physical energy, general problems with blood vessels;
- The process of inflammation (for example, with arthritis);
- Obesity-due to excessive load on the hip joint, it is possible to compress and destroy it;
- congenital tendency (abnormalities of femoral head structure);
- Excessive physical activity - they themselves rarely lead to arthrosis, but can accelerate the development of the disease with other bad factors;
- Injuries - such as dislocation, fractures and stretching.
Symptoms of coxarthrosis
Because the joints are destroyed gradually, four stages of the arthrosis of the hip joint are distinguished.
First degree
Symptoms may be absent or mild.The first stage of the arthrosis of the hip joint is characterized by:
- pain in the anterior and lateral surface of the thigh and the thigh after prolonged or physical strong;
- feeling of stiffness in the joints after long immobility (more often in the morning);
- Desire or click on the joints when moving.
Second
At this stage, the destruction of the joints has gone a long way.Often, people are looking for a doctor at this stage.Among the symptoms of the second stage hip arthrosis:
- Persistent pain that does not disappear even when resting;
- violation of joint mobility;
- Progressive deficiencies - a person is instinctively trying to reduce the burden on the affected joints.
Third degree
If the first and second stages of the disease can still be done by conservative treatment, then the third often requires surgical intervention.
Signs -The third stage of coxarthrosis:
- Severe pain in the affected joints, which affect the whole thigh and give the knee;
- Disadvantages;
- decreased foot length from the diseased joints (sometimes, in about 10% of cases, prolonging feet are observed);
- Hip muscle atrophy.
Fourth degree
At this stage, the hip muscles do not function almost completely, and the patient is suffering from persistent pain.The only effective step is to replace the joints that are destroyed with artificial prostheses.
How to treat hip joint arthrosis
There are many methods of coxarthrosis therapy.Usually, doctors prescribe their combination, as the treatment of the disease should be complex.
Drug
With the first and 2nd degree diseases, medicines are successfully used for treatment.First and foremost, the medicines from the arthrosis of the hip joint include anti -anti -non -Ssteroid drugs, vasodilating agents that increase blood supply to the joints, relaxants muscles that relieve muscle and relieve cramps.Preparation for joints that restore cartilage tissue is also used.In the early stages, local products in the form of plaster, applications and ointments also help - they improve blood circulation.
Without timely treatment, hip joint arthrosis can cause ankylosis.Anquilosis is a complete fraving of the femur with the pelvis.With this disease, the feet become completely moving in the joints.
Non -Kurgia treatment methods
Physiotherapy is often the main way to treat hip joint arthrosis.If the fund is selected correctly, it provides excellent results.Non -surgical methods include:
Uvt.Shock wave therapy is a new method, but, according to many physiotherapists and patients, effective.UVT is based on the influence of waves with a frequency of 16 to 25 Hz on the affected joints, which has a healing effect, restores blood supply and activates the metabolic process in the field of pain localization.
Plazmo therapy(Plasmolifting together).Another modern way to treat arthrosis is the blood plasma injection in the affected joints.Plasma contains platelets that regenerate tissue.
Myostimulation.Muscle contraction when exposed to electrical impulses on them.This method helps to overcome the manifestation of arthrosis.After the myostimulation course, the weak and non -functional muscles are strengthened, their contact with the nerve endings.
Phonophoresis.This is a long method, consisting of the effects of the joints affected by ultrasound.Therefore, it is possible to convey therapeutic material to the affected tissue and at the same time affect the joints physically.Phonophoresis penetrates tissue with oxygen, accelerating regeneration, relieves pain and swelling.
Ozonotherapy.Ozone penetrates the tissue with oxygen, thus accelerating the metabolism of the cell and effectively relieves inflammation.Finally, this leads to accelerated recovery of damaged tissues.
Hirudotherapy.Hirudotherapy, or leech treatment, has a positive effect on the treatment of hip joint arthrosis.The secret of the leech has high biological activity, improving blood circulation.
The radon bath.Such baths have general reinforcement effects, have a good effect on the heart and blood vessels.They also improve blood circulation and relieve pain with arthrosis.
Exercise therapy.Therapeutic Physical Education for arthrosis is intended not only to maintain muscle tone and strengthen the ligaments, but also to the development of the joints, and to form the habit of moving properly.
Massage (including lymphodnage) and manual therapy.Massage is, one may say, a universal method that helps reduce conditions with different diseases, including arthrosis.Therapeutic massage relieves tension from the muscles, increases blood supply to tissues and joints, promotes synovial fluid production and has analgesic effects.
Mechanotherapy.To carry out this procedure, a special simulator is used, made specifically for therapeutic load.
Traffic together.This method for arthrosis of the hip joint is used quite frequently.Based on the outcome of the procedure, the gap between the joint surface increases, which reduces the load on the cartilage.
Dietary therapy.Proper nutrition is very important to cure.With arthrosis, it is advisable to adhere to a special diet.If the patient is overweight, you should apply for all efforts to lose weight, otherwise the burden on the joints will cancel all your doctor's efforts.The basic menu should be fish and low meat, bobics, leafy vegetables and bread made from coarse flour - the source of vitamin B needed for proper metabolism.Fry completely falls under prohibition, such as fast food.You need to eat fractions, in small portions, several times a day.
Surgical
All of the above methods are effective in the early stages, but if the disease is far, surgery is required.
Storm(minimum invasive intervention).The stab is performed to remove excess fluid from the joint bag.This restores joint movement and relieves pain.
Arthroscopic debridement.This is the removal of the cartilage defect, which provides relief, but without the comprehensive treatment of the effect it will be temporary.
Osteotomy near the joint.Osteotomy - bone surgery with subsequent fixation.This operation is carried out to improve the operation of the joints and reduce the load on it.This method is often used in cases where arthrosis is the deformation of the bone.
Endoprosthetics.The term shows a joint replacement of its own, made of titanium.This is an extreme step, they only use it when the joints are completely destroyed and their recovery is impossible.
Characteristics of treatment at various stages of disease
The sooner you see the doctor, the easier and the faster the treatment will be.In the first and second stages of coxarthrosis, there are adequate drug treatment and physiotherapy courses for complete recovery.However, the disease can return if you do not review the lifestyle.To maintain health, you need to lose weight, rationalize your diet, leave bad habits.
In the third and fourth stages, you can no longer do without surgery.Physiotherapy and drug treatment are also used, but have been a after -surgical recovery.
For the prevention of arthrosis, you need to undergo regular examinations by orthopedic doctors, especially if there are joint injuries in the past.Attention to this examination should be paid to professional athletes, as well as overweight people.
Coxarthrosis treatment by UVT
Among all non -curved methods of treating arthritis, UVT is considered the most progressive.Orthopedic doctors say in detail:
Shock wave therapy is the only method of physiotherapy treatment today, which not only relieves unpleasant symptoms, but against the cause of joint destruction.UVT promotes the absorption of scarring and calcium crystals, improves blood circulation, stops the inflammation process.From my own experience, I can say that the effectiveness of the treatment exceeds 85% - and this is an excellent indicator.
UVT is considered a new method, but in fact it has been used for more than 20 years in more than 50 countries in the world.