Hip joint 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.As a result, it is a violation of cartilage nutrition and gradual destruction of articular surfaces.The disease exists in chronic courses, characterized not by inflammation, but by degenerative changes in cartilage tissue and gradually deforming bone tissue.
Treatment of coksartrosis is a long and difficult process, the solution is a revetologist, choosing the right treatment regimen.With improper treatment, deep deformation with possible thinning of the articular structure, the disease develops rapidly and can cause defects and loss of affected motor activity.
Symptom
Timely detection of diseases is an important component of more successful treatment.But in the early stages of the disease, the symptoms are small and are limited to local pain, without clear signs and external changes (lack of edema, color change and structure).Therefore, in most cases, one simply does not pay attention to the manifestations of these signs, postponing a visit to the doctor and thus allows the disease to slow down and proper progress.
There are four degrees of arthrosis and at each stage there are certain symptoms that exist in 1, 2 3 or 4 stages, but there are a series of specific symptoms, when detecting where you should consult your doctor immediately to detect the right disease.Such symptoms include:
- Strong pain in the thighs, thighs.Pain is real and decreases after a short break.
- Morning stiffness joints.The distinctive feature of the articular disease, which is shown in the morning, after a long vacation.It is characterized by limiting the movement of the limbs, stiffness, unpleasant sensations.Usually it should be about an hour after waking up to get rid of symptoms.
- One problem in the joint, clinging to the sound while walking.
- Changing walking, the appearance of shortcomings.
- The appearance of the length of the limbs.These symptoms are found in the late stages of the disease, shortening or extending the affected limbs are associated with changes in the structure of the pelvic, deformation.
The above symptoms are common and are found in many other diseases, which is why it is necessary to consult a good specialist, with additional research methods for the correct differentiation diagnosis with other similar diseases and make the right diagnosis.
Cause
As they grow older, the human body wears and there is a gradual moisture in the work of all systems and organs, the metabolism slows down.This applies to bone conditions, articular bags and cartilage, which, under the influence of constant loads, depleted and defective over time.The amount of synovial fluid filling the joint cavity disappears, which results in decreased natural depreciation and increases the load, followed by the destruction of the cartilage.
In addition to physiology, which is associated with changes related to natural age in the body, other causes for arthrosis of the hip joint include:
- Heavy physical labor.
- Descent (it belongs to the displacement of the hip joint).
- Overweight.Excessive weight increases the burden on the musculoskeletal system.
- Hormone disorders.
- Inflammatory diseases (infectious arthritis, rheumatoid arthritis).
- Post arthrosis -traumatic hip joint appears 20-40% after injury.
The type and level of illness
Based on clinical picture results and based on radiological indicators, 4 degrees of disease are distinguished.
First degree
If the disease is detected at this stage, the treatment is most effective, the affected joints can be preserved by ensuring the proper treatment regimen, without the need for surgery.But recognizing the disease at this stage is not easy, as the symptoms are not important and characterized by the symptoms:
- Morning stiffness.
- It hurts in the thighs.
- Minor, pain that occurs during physical work in the hip joint area.
- In radiography, with the presence of 1 degree the disease, there is little narrowing of the joint gap, one Hyalin cartilage focus, bone growth in the swivel area.
Second
The second stage of the disease is characterized by more significant symptoms.This level is characterized by:
- Interesting appearance, pain in the joints, not only after physical work, but also during small motor activities.The pain is increasing in the evening and at night.
- When doing motor activities, changes in the style of running.There is a "duck walk", a person who is lining after walking, trying to depend on healthy feet, thus protecting the affected by the joints.
- There is a violation of the affected hip joint movement, difficulty leaving the affected member.
- X -Ray marks a significant narrowing of the joint gap, as well as bone growth.
Third degree
The clinical picture has stated the manifestation where there are:
- Persistent pain on the burden and rest.
- Full loss of motorcycle activity affected.
- The appearance of the length of the limbs.Feet with affected joints becomes shorter than healthy members.
- X -ray marks the complete destruction of Hyalin cartilage, large osteophytes growth, femur destruction.
Fourth degree
The 4th -level pelvic arthrosis is characterized by complete atrophy of the muscles that surround the affected member hip joints.In 4 stages, complete loss of physical function is also observed.Patients cannot step into sore feet and cannot be done without a stick.In X -ray, there is bone osteocosclerosis, large bone growth and complete absence of joint gap.
Treatment of this level is only possible by operation.
Diagnostics
To make the right diagnosis and carry out timely treatment, certain studies are required.Diagnosis is performed in several stages.
- General examination, accumulation of anamnesis of the disease.The doctor will explain information about the presence of injuries, related illnesses and existing lifestyle.Proper examinations help make the diagnosis properly, determine the level of the disease and eliminate some diseases that have the same symptoms, such as arthritis, sacroiles.
- In addition to the examination, the attending physician prescribes the required laboratory exam.
- The X -ray exam is a mandatory diagnostic point.A study on the second hip joint -two feet were performed, although the patient's complaint occurred only for one limb.
- Tomography is considered to be an additional method of research.Using CT, you can study the properties and levels of damage to the femur and articular surface.
Arthrosis treatment
When suspicious symptoms and pain in the hip joint arise, a person is particularly a question of which the doctor treats such a condition and how self -sufficient.
At the first symptom, it is necessary to seek help in making diagnosis and treatment with a rheumatologist, while the treatment of arthrosis is worse in orthopedis.
Treatment depends on the level of the disease and the nature of the manifestation.The treatment regimen is selected by the doctor for each patient individually.The basic principles of treatment include events such as:
- Drug treatment.
- Diet.
- Physiotherapy.
- Massage.
- Gymnastics.
- KINESEOTEIPING (Record hip joint with special patching).
- They use the help of sticks and sticks to remove the load from the affected joints.
Drug therapy
Treatment regimen for hip joint lesions without fail including medication.The sooner you start therapy, the more likely it is to limit the treatment of conservative methods, without the need for surgical intervention.
Drug treatment diagrams include drug complexes:
- To relieve pain, as well as reduce the inflammation process, anti -anti -nonsteroids are used.
- When the fluid accumulates in the joint cavity, the intra injection is used.
- To eat tissue and improve blood circulation, chondroprotectors are used.
- Locally using therapeutic ointment, apply to the affected joint area.
Physiotherapy procedure
Physiotherapy methods aim to increase blood supply to affected joints and improve metabolic processes.Physium arthrosis hip joint includes:
- Magnetic therapy.It helps reduce pain, improves the movement of the affected joints.
- Laser treatment.Laser light action is intended to eliminate inflammation, reduce edema, as well as cartilage recovery.
- Thermal therapy.It includes mud, paraffin therapy, due to the thermal effects of the affected area, the blood circulation improves and the metabolic process is normalized.
Each type of physiotherapy procedure has a positive effect on the affected joints, but at the same time some contraindications.It is not allowed to perform physiotherapy during pregnancy, oncology, tuberculosis.
Massage and therapeutic gymnastics
This group of therapeutic steps is an important part of the treatment of complex coxarthrosis.
Benefits of Massage and Therapeutic Gymnastics:
- Increases blood circulation.
- Removes muscle cramps.
- Increase motor activity in affected joints.
- Reduces pain.
- Increased diastasis in affected joints.
Massage sessions are allowed to be conducted at all stages of the disease, but for each stage, maintain certain conditions.Therapeutic sequences are only carried out by trained experts, each massage session occurs in several stages:
- Back massage.It is done with the help of wiping movement with the palm of the hand, helping to improve blood circulation and ready for the next stage.
- Massage manual lower back.It consists of rubbing, rubbing and kneading the same lumbar region.
- Massage the sacred area and berries.
- Massage thighs.During this stage, experts performed the movement of pressing and rubbing, catching the affected joint area.
At 1 and 2 stages of the disease, it is recommended to conduct self -session, focusing on at least 5 minutes daily.
During your own session, the sequence of actions is also important, it is necessary to perform the following exercises:
- Massage the back area with the palm of your hand, make up and down along the spine, and then make a scrub with the back of the fist.
- In a standing position, start the back massage, making a wiping from the hip to the sacrum and the lumbar region.After finishing wiping to start rubbing.
- The last stage is the hip muscle massage, which is carried out in a sitting position.Alternative polish, rubbing and kneading is done.
3 and 4 stages of the disease suggest massage after surgery, therapeutic massage courses are conducted for speedy recovery.
Massage sessions are the best rotating with therapeutic gymnastics courses.Gymnastics for arthrosis is intended to increase blood flow in the muscles -The hip joint, which contributes to better joint saturation with nutrients.
Each author's technique has its own features and some contraindications, to determine the gymnastics training scheme to comply with the attending physician.
At home, you can do some simple exercises, such as:
- In a position to lie behind, slowly, alternately lifting each foot at a 50 degree angle.
- Lying on the back, bending your feet and raising your head from the floor, trying to get to the knees.
- In a standing position, let go and lift his foot, try to hold it in this position for a few seconds.
When involved in gymnastics, it is important not to rush and perform as much work as possible, while maintaining a calm breath.Sharp, inaccurate movements can cause injury.It is important to remember that only the attending physician can prescribe the training, based on the condition of the patient.In addition, training should be done with the presence of a specialist to control the accuracy of the training.
Dietary therapy
Diet has an important role in treatment.In the treatment of arthrosis, it is recommended to use 1600-1800 kcal per day, distributing daily 5-6 servings.Foods should be balanced and rich in vitamins and trace elements.With overweight, a good diet will help you lose weight, thus reducing the burden on the joints.
Observing the right diet, you need to take into account which products must be included in the daily menu, as well as what to fully exclude from your diet.
| Recommended: | It is necessary to limit: |
| Aspic | A strong coffee |
| Vegetables -Seaturan, Fruits | Alcoholic |
| A low type of meat and fish | Bakery products |
| Milk and dairy products | Salt |
| Green | |
| Nut | |
| Buckter | |
| Bean |
It is necessary to include the amount of vegetables and sufficient fruits in foods, increase the use of dairy products, it is worth paying special attention to products, rich animal protein (beef, turkey, chicken, low type of fish).It is recommended to include in the menu jelly, rich in collagen, contributing to the strengthening and recovery of joint cartilage tissue.
Surgical
Early hip arthrosis treatment is limited by conservative methods.Often the drug treatment scheme is usually the proper and appointment of additional methods to improve the patient's condition and slow down the development of the disease.Treatment 3 and 4 degrees arthrosis in some cases indicate the need for surgical intervention, consisting of surgery to replace joints.
When do you need surgery?
1 and 2 stages of hip joint arthrosis are treated without surgical intervention, at 3 and 4, sooner or later there is a need for surgery.This operation is recommended to the patient when the change in the joints reaches an extreme level with the complete destruction of the cartilage and the large growth of the bone tissue.
After surgery, during the recovery period, massage therapy and exercise are prescribed for rapid recovery of motor activity.
Traditional medicine
What is the arthrosis of the hip joint and how to treat it in detail by a doctor's rheumatologist.After consulting with the attending physician and the appointment of the treatment regimen, it is recommended, as an additional method of treatment, to consider folk medicine.Treatment of arthrosis with folk recipes is a good additional method and helps reduce pain, relieve edema, increase mobility.
In the treatment of folk medicine, 2 methods used:
- To take in (decoctions, tinctures of herbs healing).
- For local use (ointment, compress, wrap).
To eliminate the main symptoms of the disease, saber -based tinctures are used:
- Saber Paya must be mixed with medical alcohol in a 1:10 ratio and removed for several weeks in a dark place.
- Then boil, strain and use to receive 1 tbsp.L. 3 times a day.
- At night, you can rub the tincture directly into the affected joint area, to relieve inflammation and reduce pain.
Compression based on cabbage leaves has proven itself in treatment: some cabbage leaves and burdock leaves should be mixed, kneading with your hands until the juice is formed and attached to the wound for 30 minutes.This method helps reduce inflammation and pain.
In the treatment of folk medicine, medicinal herbs are actively used, these include: Wort St.John, Mint, Chamomile, Celandine.To get a healing ointment, it is necessary to grind the grass by mixing it with petroleum jelly or baby cream and slowly rub the ointment into the joints immediately after cooking.
All additional treatment methods should be considered only as additional methods that cannot cure the disease independently, and are considered in combination with drug treatment, to improve action in the complex of therapeutic procedures.
Prevention
For the prevention of this disease, it is recommended to monitor your health carefully, pay close attention to strengthen your immunity, bring a healthy lifestyle and carefully monitor the quality of nutrition.
Also an important measure in the prevention of arthrosis is the prevention of hypothermia and physical work restrictions.People with overweight are recommended to observe a diet that aims to lose weight and prevent the burden on the musculoskeletal system.
For the strengthening of general immunity, priority is given to a balanced physical hardness and understanding.
Pregnancy and childbirth
Hip joint dylastic arthrosis is a congenital pathology of the hip joint, which is caused by improper articular tissue formation during intrauterine development.In most cases, with timely detection of diseases, the pathology is successfully cured over time, but leaves the risk of developing hip joint arthrosis in adulthood.
During pregnancy, with the presence of arthrosis of the hip joint, the overall burden on the joint increased, due to increased weight volume, this factor significantly exacerbates the disease.In addition to increasing the burden due to weight growth, in pregnant women, eating joints are worsening and the metabolism slows down, this is due to the increase in the cost of their own resources to provide everything needed for the fetus.
A pregnant woman, in the presence of diseases such as hip joint arthrosis, is highly recommended to see certain conditions throughout pregnancy, namely:
- Limit motor activity, especially in the third trimester of pregnancy, when the burden on the joints is maximum.
- Ongoing observation by the doctor is necessary.
- It is recommended to follow the doctor's recommendation.
- Well -swimming classes affect the distribution of loads in the body, increase muscle mass in the affected joint area, and removal of voltage.
Prophesy
With the diagnosis of arthrosis in the timely hip joint, the prognosis is good.If the disease is detected in the first stage, then treatment is provided in a conservative way, the development of the disease slows down, and is often fully cured, if it does not reach 2 degrees at the time of diagnosis.
At 3 and 4 stages of the disease, during timely surgery, the predictions are also profitable, provided that compliance with all prescriptions recommended by the doctor and performs the doctor's continued control.With good operating action, artificial joints work for decades.
Complication
The main and most unprofitable complications are possible defects.Defects occur due to the full loss of injured joint motor activity.With the second symmetry of the joints, one loses the ability to move independently, which significantly limits lifestyle, and also creates risks for the emergence of other complications (unstable lung inflammation, pain pressure).
To avoid serious consequences, it is recommended to start treatment when identifying the first signs, preventing the development of the disease.