The arthrosis of the hip joint is a disease, which is also called Coksartrosis and occurs in a person due to a decrease in the quantity of the synovial liquid emitted in the joint cavity.The consequence is a violation of cartilage nutrition and the gradual destruction of the joint surfaces.The disease is inherent in a chronic path, characterized not by inflammatory, but by a degenerative change in the cartilage tissue and gradual deformation of bone tissues.
Coksartrosis treatment is a long and difficult process, the solution of which is the Revetologist, which chooses the correct treatment regime.With improper treatment, a profound deformation is possible with the exhaustion of the joint structures, the disease is quickly progressing and can lead to disability and complete loss of the motor activity of the articulation concerned.
Symptoms
The timely detection of the disease is an important component for a further successful treatment.But in the initial phase of the disease, the symptoms are few and limited only to local pain, without any evident sign and external changes (lack of edema, change of color and structure).For this reason, in most cases, a person simply does not pay due attention to the manifestation of these signs, postponing a visit to the doctor and thus allowing the disease to progress slowly and correctly.
There are four degrees of arthrosis and in each phase there are some symptoms inherent in phases 1, 2 3 or 4, but there are a certain series of symptoms, when they note that it is necessary to immediately consult a doctor to detect a real disease.Such symptoms include:
- Strong pain in the thigh, groin.The pain is real and mitigates after a short rest.
- Morning stiffness of the joints.A distinctive feature of joint diseases, manifested mainly in the morning, after a long holiday.It is characterized by the limitation of the mobility of the limb, of rigidity, of unpleasant sensations.It is usually necessary about an hour after awakening to disappear symptoms.
- A crunch in the joint, clinging sounds when walking.
- Change the pace, the appearance of the lameness.
- The aspect of the difference in the length of the limbs.This symptom is found in the subsequent stages of the disease, shortening or lengthening of the limb concerned is associated with a change in the structure of the pelvis, its 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 further research methods for the correct differential diagnosis with other similar diseases and make an accurate diagnosis.
Reasons
As they age, the human body is consumed and there is a gradual slowdown in the work of all systems and organs, the metabolism slows down.This applies to the state of the bones, the joint bags and the cartilage, which, under the influence of constant loads, have diluted and deformed over time.The amount of synovial fluid that fills the joint cavity is lost, which causes a decrease in natural amortization 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 arthrosis of the hip joint include:
- Heavy physical work.
- Heredity (belongs to the dysplasia of the hip joint).
- Excess weight.Excess body weight increases the load on the musculoskeletal system.
- Hormonal disorders.
- Inflammatory diseases (infectious arthritis, rheumatoid arthritis).
- The arthrosis post -traumatic of the hip joint appears 20-40% after injuries.
Types and degree of disease
Based on the results of the clinical picture and on the basis of radiological indicators, 4 degrees of disease are distinguished.
The first degree
If the disease is detected at this stage, the treatment is the most effective, the affected articulation can be preserved by guaranteeing 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 these symptoms:
- Morning rigidity.
- Groin pain.
- Less and painful pain that occurs during physical effort in the hip joints area.
- On the radiography, in the presence of 1 degree of disease, there is a slight narrowing of the joint gap, individual outbreaks of sealing of the cartilage IALINA, the bone growths in the swivel area are possible.
The second degree
The second degree of disease occurs with more pronounced symptoms.This phase is characterized by:
- The aspect of the pain that pulls, sore in the joints, not only after physical effort, but also when performing a lower motor activity.The pain intensifies in the evening and at night.
- When performing motor activity, a change appears in the pace.There is an "duck walk", a person who limps after a long walk, who tries to rely on a healthy leg, thus protect the guilt from the painful joint.
- There is a violation in the movement of the articulation of the hip concerned, the difficulty of leaving the affected limb.
- The X -ray marks a significant narrowing of the joint gap and a bone growth.
The third degree
The clinical picture has pronounced events in which there are:
- Strong pains constantly loading and resting.
- Complete loss of the motor activity of the articulation concerned.
- The aspect of the difference in the length of the limbs.The leg with the articulation concerned becomes shorter than a healthy limb.
- The X -ray marks the complete destruction of the cartilage IALINA, the growth of large osteophytes, the destruction of the femur.
The fourth degree
The arthrosis of the 4th grade basin is characterized by the complete atrophy of the muscles surrounding the articulation of the hip of the affected limb.In 4 phases, a complete loss of physical function is also observed.The patient is unable to trample the painful leg and cannot do without crutches.On radius X, there are osteochosclerosis of the bones, large -scale bone growths and complete absence of a joint gap.
Treatment of this phase is possible only operational.
Diagnostics
To carry out an accurate diagnosis and conduct a timely treatment, numerous studies are needed.The diagnosis is carried out in different phases.
- General inspection, collection of anamnesis of the disease.The doctor will clarify the information on the presence of injuries, related diseases and an existing lifestyle.An examination conducted correctly helps to correctly diagnose, determine the degree of disease and eliminate a series of diseases that present similar symptoms, such as arthritis, sacroiles.
- In addition to the examination, the attending physician prescribes the necessary laboratory tests.
- The X -RAGE exam is a mandatory diagnostic point.A study is conducted on the ana articulation of both legs, even if the patient complaints apply to a single limb.
- Complacency tomography is considered as an additional research method.Using the CT, it is possible to study the nature and degree of damage to the surfaces of the femur and the joints.
Treatment of osteoarthritis
When suspicious symptoms and pain in the hip articulation appear, a person mainly arises the question of which doctor it deals with these conditions and how the car -media occurs.
At the first symptoms, it is necessary to ask for help to make a diagnosis and treatment with a rheumatologist, while the treatment of more serious forms of arthrosis is engaged in an orthopedist.
The treatment depends on the degree of disease and the 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:
- Pharmacological treatment.
- Diet.
- Physiotherapy.
- Massage.
- Gymnastics.
- Kineseoteiping (registration of the hip joint with special patching).
- They remind the help of rods and crutches to remove the load from the joint concerned.
Drug therapy
The treatment regime for the injury of the hip joint without failure includes drugs.First the therapy starts, the more likely it is to limit the treatment of conservative methods, without the need for surgery.
The pharmacological treatment diagram includes a complex of drugs:
- To relieve pain, in addition to reducing the inflammatory process, non -steering anti -inflammatory drugs are used.
- When the fluid is accumulated in the joint cavity, intra -articular injections are used.
- For the power supply of the tissues and the improvement of blood circulation, chondroprotectors are used.
- Use therapeutic ointments locally, applying in the area of the articulation concerned.
Physiotherapy procedures
The physiotherapy method aims to improve the blood flow to the joints concerned and improve metabolic processes.The physio of arthrosis of the hip joint includes:
- Magnetic therapy-laser.It helps to reduce pain, improve the mobility of the affected articulation.
- Laser treatment.The action of the light laser aims to remove the inflammatory process, reducing the edema and the restoration of the cartilage.
- Thermal therapy.It includes sludge, paraffin therapy, due to the thermal effect on the affected area, the blood circulation improves and the metabolic processes are normalized.
Each type of physiotherapy procedures has a positive effect on the joints concerned, but at the same time a series of contraindications.It is not allowed to lead physiotherapy during pregnancy, oncology, tuberculosis.
Massage and therapeutic gymnastics
This group of therapeutic measures is an integral part in the complex treatment of coxartrosis.
The benefits of massage and therapeutic gymnastics:
- Improve blood circulation.
- Removal of muscle spasm.
- Increase motor activity in the joint concerned.
- Reduce pain.
- An increase in diastase in the articulation of the joint affected.
The massage sessions can be performed in all phases of the disease, but for each phase, keeping certain conditions.The therapeutic massage is carried out only by a specially trained specialist, each massage session occurs in different stages:
- Back massage.It is performed with the help of movements caressed with the palms, helps to increase blood circulation and prepare for the next phase.
- Manual massage of the lower back.We consist of the same caressing, rubbing and kneading the lumbar region.
- Massage of the sacred area and berries.
- Thigh massage.During this phase, the specialist performs pressing and rubble massage movements, capturing the area of the articulation concerned.
In 1 and 2 phases of the disease, it is recommended to conduct a car session -with a process, dedicating the process at least 5 minutes a day.
During the car session -massage, the sequence of shares is also important, it is necessary to alternately perform the following exercises:
- Massage the area of the rear part with the palms of the hands, storing the ascending and descending spine caresses, then make rubbing movements with the back of the fists.
- In the erect position, the buttock massage begins, making the hips caress the sacred and lumbar region.Having finished caressing to start rubbing.
- The final phase is the massage of the hip muscles, which is carried out in the sitting position.They are performed caressed, scrolls and alternating doughs.
3 and 4 stages of the disease suggest a massage after a surgical operation, a therapeutic massage course is carried out for rapid rehabilitation.
The massage sessions are best alternating with a therapeutic gymnastics course.Gymnastics for arthrosis aims to increase blood flow in the muscles of the hip joint, which contributes to a better saturation of the joints with nutrients.
The technique of each author has its own characteristics and a series of contraindications, to determine which pattern of gymnastic exercises adhered to the attending physician.
At home, you can perform a series of simple exercises, such as:
- In the position of lying on the back, slowly, alternatively raise each leg to an angle of 50 degrees.
- Lie on the back, bending the legs and lifting the head from the floor, try to reach the knees.
- In the erect position, remove it and raise the straight leg, trying to keep it in this position for a couple of seconds.
When it is engaged in gymnastics, it is important not to run and perform homework as much as possible, keeping an equal and calm breath.Acute and inaccurate movements can cause injuries.It is important to remember that only the attending physician can prescribe exercises, based on the condition of a particular patient.In addition, the exercises should be performed in the presence of a specialist to control the correctness of the exercise.
Diet therapy
The diet plays an important role in the treatment.In the treatment of arthrosis, it is recommended to use 1600-1800 kcal per day, distributing the daily volume of 5-6 meals.The food should be balanced and rich in vitamins and trace elements.With an overweight, a well -chosen diet will help reduce weight, thus reducing the load on the painful joint.
By observing the adequate diet, it is necessary to take into account which products must be included in the daily menu and also what should be completely excluded from your diet.
| Recommended: | It is necessary to limit: |
| Aspic | Strong coffee |
| Vegetables, fruit | Alcoholic beverages |
| Low -content varieties of meat and fish fat | Oven products |
| Milk and dairy products -Caseari | Salt |
| Green | |
| Legumes | |
| Buckwheat | |
| Walnuts |
It is necessary to include a sufficient amount of vegetables and fruit in food, increase the consumption of dairy products -caseari, it is worth paying particular attention to products, rich animal proteins (beef, turkey, chicken, variety of fish with low fat).It is recommended to include in the gelatin menu, rich in collagen, contributing to the strengthening and restoration of the tissue of the cartilage of the joints.
Surgery
The treatment of arthrosis of the hip joint in the early stages is limited by conservative methods.Often a rather correctly selected pharmacological treatment scheme and the appointment of auxiliary methods to improve the patient's conditions and slow down the progression of the disease.The treatment of 3 and 4 degrees of arthrosis in a series of cases implies the need for surgery, which consists in the operation to replace the articulation.
When do you need an operation?
1 and 2 stages of arthrosis of the hip joint are treated without surgery, at 3 and 4, sooner or later surgery is required.The operation is proposed to the patient when the changes in the joint reach the extreme stadium with the complete destruction of the joint cartilage and the large -scale growth of bone tissues.
After the operation, during the rehabilitation period, massage and exercise therapy is prescribed for a rapid restoration of motor activity.
Traditional medicine
What is the arthrosis of the hip joint and how to treat it in detail by the Rheumatologist doctor.After consulting the attending physician and the appointment of the treatment regime, it is recommended, as auxiliary treatment methods, to consider popular medicines.The treatment of arthrosis with popular recipes is a good additional method and helps to reduce pain, relieve edema, increase joint mobility.
In the treatment of popular remedies, 2 methods are used:
- For taking inside (decoctions, tincture of healing herbs).
- For local use (ointments, compressions, winding).
To eliminate the main symptoms of the disease, a tincture based on a saber is used:
- The swamp saber must be mixed with medical alcohol in a 1:10 ratio and removed for several weeks in a dark place.
- Then boil, filter and use to receive 1 tablespoon.the.3 times a day.
- At night, you can rub the tincture directly in the area of the joint affected, to relieve inflammation and reduce pain.
The picture based on cabbage leaves has proven to be in the treatment: several cabbage leaves and a burdock leaf should be mixed, stunned with the hands until the juice formed and attached to the lesion for 30 minutes.This method helps to reduce inflammation and pain.
In the treatment of popular remedies, medicinal herbs are actively used, these include: San Giovanni, Menta, Chamomile, Ceilandi.To obtain a healing ointment, it is necessary to grind the grass by mixing them with an oil jelly or a children's cream and slowly rub the overdementation in the joint immediately after cooking.
All additional treatment methods should be considered only as auxiliary methods that are not able to independently treat this mutorization and considered in combination with pharmacological treatment, to improve the action in the complex of therapeutic procedures.
Prevention
For the prevention of the disease, it is recommended to carefully monitor health, pay due attention to strengthening immunity, guide a healthy lifestyle and carefully monitor the quality of nutrition.
Even an important measure in the prevention of arthrosis is the prevention of hypothermia and the limitation of physical effort.People are recommended with excess body weight to observe a diet aimed at reducing weight and preventing loading on the musculoskeletal system.
For the general strengthening of immunity, preference is given to the induced and balanced physical effort.
Pregnancy and childbirth
The arthrosis Dylasty of the hip joint is the congenital pathology of the hip joint, which occurs due to the improper formation of joint tissues during intrauterine development.In most cases, with a timely detection of the disease, this pathology is successfully treated over time, but leaves the risk of developing the arthrosis of the hip joint in adulthood.
During pregnancy, in the presence of arthrosis of the hip joint, the overall load on the affected articulation increases, due to an increase in the total weight of the body, this factor significantly aggravates the course of the disease.In addition to increasing the load due to the growth of body weight, in pregnant women, the consumption of the joints worsens and the metabolism slows down, this is due to an increase in body resources costs to provide everything you need for the fetus.
A pregnant woman, in the presence of a disease such as the arthrosis of the hip joint, is strongly recommended to observe certain conditions during pregnancy, i.e.:
- Limiting motor activity, especially in the third trimester of pregnancy, when the load on the painful articulation is maximum.
- Constant observation by the doctor is needed.
- It is recommended to follow the doctor's recommendations.
- The swimming classes favorably influence the distribution of the load in the body, increase muscle mass in the area of the articulation concerned and the removal of the tension.
Forecast
With the timely diagnosis of arthrosis of the hip joint, the prognosis is favorable.If the disease is detected in the early stages, the treatment is provided conservatively, the development of the disease slows down and is often completely treated, if it does not reach 2 degrees at the time of diagnosis.
In 3 and 4 phases of the disease, when performing a timely surgical operation, the forecast also remains favorable, with the conditions of conformity with all the prescriptions recommended by the doctor and the exercise of the constant control of the attending physician.With well -conducted operational actions, the artificial joint serves for several decades.
Complications
The main and most unfavorable complication is a possible disability.Disability occurs due to the complete loss of motor activity of the wounded joint.With a symmetrical injury of both joints, a person loses the ability to move independently, which significantly limits the lifestyle and also creates a risk for the emergence of other complications (stagnant pneumonia, fading of pressure).
In order to prevent these serious consequences, it is recommended to start treatment when identifying the first signs, preventing the progression of the disease.