The arthrosis of the hip joint is considered a disease related to age, although young people are not safe from it.This disease causes a remarkable torment and, in serious cases, can deprive a person of mobility.
Because the deformation of the arthrosis of the hip joint occurs
The arthrosis of the hip joint (Coksartrosis) is a degenerative dyeing disease, in which the cartilage is destroyed that covers the surface of the head of the thigh and the sovereign cavity.The disease gradually develops and is caused by a variety of causes.
The development of the arthrosis of the hip joint can lead to:
- Hormonal changes - both age and pathological, for example in diabetes;
- circulatory disorders due to injuries, excessive physical effort, general problems with blood vessels;
- inflammatory processes (for example, with arthritis);
- Obesity-due to excessive load on the hip joint, it is possible to compress and destroy it;
- congenital predisposition (anomalies of the femoral head structure);
- Excessive physical activity: rarely lead to arthrosis, but can accelerate the development of the disease with other adverse factors;
- Injurias - such as dislocations, fractures and lengthening.
Symptoms of coxartrosis
Since the joint is gradually destroyed, four phases of the arthrosis of the hip joint are distinguished.
The first degree
Symptoms can be absent or mild.The first phase of the arthrosis of the hip joint is characterized by:
- pain in the front and lateral surfaces of the thigh and groin after a prolonged or intense physical effort;
- a sense of rigidity in the articulation after a long immobility (more often in the morning);
- Crave or click in the joint when it moves.
The second degree
At this stage, the destruction of the joint has already gone far away.Very often, people are looking for a doctor at this stage.Among the symptoms of arthrosis of the arches of the hip of the second degree:
- Constant pain that does not even disappear at rest;
- violation of the mobility of the joint;
- Progressive gramination: a person instinctively tries to reduce the load on the articulation concerned.
The third degree
If at the first and second phase of the development of the disease it is still possible to do with conservative treatment methods, the third often requires surgery.
Signs of the third stadium of Coxarthrosis:
- serious pain in the articulation concerned, which affects the entire thigh and gives the knee;
- zoppa;
- A decrease in the length of the leg on the side of the sick articulation (sometimes, in about 10% of cases, the length lengthened is observed);
- Atrophy of the hip muscles.
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 destroyed joint with an artificial prosthesis.
How to treat the arthrosis of the hip joint
There are many methods of coxarthrosis therapy.Generally, the doctor prescribes their combination, since the treatment of this disease should be complex.
Pharmacological treatment
With a 1st and 2nd degree disease, drugs are successfully used for treatment.First of all, the drugs from the arthrosis of the hip joint include non -pounded anti -inflammatory drugs, vasodilated agents that improve the flow of blood to the joints, the muscle relaxants that relax the muscles and relieve spasms.Preparations are also used for the joints that restore the cartilage tissue.In the early stages, local products in the form of patches, applications and ointments also help: they improve blood circulation.
Without timely treatment, the arthrosis of the hip joint can lead to anchynosis.Anquilosis is the full fold of the femur with a pelvis.With this disease, the leg becomes completely motionless in the joint.
Non -surgical treatment methods
Physiotherapy often becomes the main way to treat the arthrosis of the hip joint.If the funds have been selected correctly, it provides very good results.Non -surgical methods include:
UVT.Shock wave therapy is a new method, but, according to many physiotherapists and patients, effective.The UVT is based on the influence of the waves with a frequency from 16 to 25 Hz on the articulation concerned, which has a healing effect, restoring the flow of blood and activating the metabolic processes in the area of the location of pain.
Plazmo Therapy(joint plasmolifting).Another modern way of arthrosis treatment are the blood plasma injections in the articulation concerned.Plasma contains platelets that regenerate the fabrics.
Myostimulation.Muscle contractions if exposed to electrical impulses on them.The method helps to cope with arthrosis events.After the course of myostimulation, weakened and non -working muscles are strengthened, their connection with nerve endings are restored.
Sound.This is a well -known method, which consists in the effect of an affected joint with ultrasound.Therefore, it is possible to provide therapeutic substances to the tissues concerned and at the same time they physically affect the joint.The shelter saturated with oxygen tissues accelerates regeneration, relieves pain and swelling.
Ozonotherapy.Ozone saturated with oxygen tissues, thus accelerating cellular metabolism and effectively breastfeeding inflammation.In the end, this leads to an accelerated restoration of damaged fabrics.
Hirudotherapy.Irudotherapy, or leather treatment, can actually have a positive effect in the treatment of arthrosis of the hip joint.The secret of leeches has a high biological activity, improves blood circulation.
Baths of Radon.These bathrooms have a general strengthening effect, with a beneficial effect on the heart and blood vessels.They also improve blood circulation and relieve pain with arthrosis.
Operating therapy.Therapeutic physical education for arthrosis is targeted not only to maintain muscle tone and strengthening ligaments, but also to the development of the joint, as well as to form the habit of moving correctly.
Massage (including lymphodnage) and manual therapy.The massage is, one could say, a universal method that helps to relieve the condition with different diseases, including arthrosis.The therapeutic massage relieves tension from the muscles, improves the flow of blood to the tissues and joints, promotes the production of synovial liquid and has a analgesic effect.
Meccanotherapy.To perform this procedure, special simulators are used, created specifically for therapeutic loads.
Joint traffic.This method for arthrosis of the hip joint is used quite often.Based on the results of the course of the procedures, the gap between the surfaces of the joint increases, which reduces the load on the cartilage.
Diet therapy.Proper nutrition is very important for care.With arthrosis, it is recommended to adhere to a special diet.If the patient suffers from excess weight, you will have to apply all the efforts to lose weight, otherwise the constant load on the joint cancels all the efforts of the doctors.The base of the menu should be the fish and meat low in fat, barrel -leafy vegetables and bread made of coarse flour - the source of the vitamins of group B necessary for the correct metabolism.Fried fell completely under the ban, such as fast food.You have 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 has gone far, surgery will be necessary.
Puncture(minimally invasive intervention).The puncture is performed to remove the excess fluid from the joint bag.This restores the mobility of the joint and relieves pain.
Arthroscopic debride.This is the removal of the deformed part of the cartilage, which gives relief, but without complete treatment the effect will be temporary.
Osteotomy near the joints.Osteotomy - Dissection of the bone with its subsequent fixation.This operation is performed to improve the operation of a joint consumed and reduce the load on it.The method is often used in cases where the cause of arthrosis is the deformation of the bone head.
Endopropostetic.This term indicates the replacement of its artificial joint, made of titanium.This is an extreme measure, they only resort to us when the joint is completely destroyed and its restoration is impossible.
Characteristics of the treatment in different phases of the disease
First see a doctor, easier and faster the treatment will be.In the first and second phase of Coxartrosis, there is quite pharmacological treatment and a physiotherapy course for complete recovery.However, the disease can return if the lifestyle is not revealed.To maintain health, you will have to lose weight, rationalize the diet, abandon bad habits.
In the third and fourth phase, it is no longer possible to do without surgery.Physiotherapy and pharmacological treatment are also applicable, but already as rehabilitation measures after surgery.
For the prevention of arthrosis, it is necessary to regularly undergo an exam by an orthopedic doctor, especially if there were joint lesions in the past.A lot of attention to these exams should be paid to professional athletes, as well as people with excess weight.
Treatment of coxartrosis by UVT
Among all non -surgical methods for the treatment of arthritis, UVT is considered one of the most progressive.The orthopedic doctor says in detail:
Bruck therapy is the only method of physiotherapy treatment today, which not only relieves unpleasant symptoms, but fights the cause of joint destruction.UVT promotes the reabsorption of scars and calcium crystals, improves blood circulation, arrests inflammatory processes.From my 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 reality it has been used for more than 20 years more than 50 countries around the world.