The hip joint is one of the most serious pathologies of the muscle bone system.Due to the large size of the joint structures, pain and discomfort are much more severe than because of the defeat of other joints.The consequences of the pathology are also severe - if the destruction of small bone joints causes many unpleasant sensations, then the arthrosis of the hip joint is a direct way to disability.Only the right therapy and sometimes the operation helps the person not to lose the ability to walk.
What is the joint joint of the hip joint?
Coksartrosis, osteoarthrosis, the arthrosis of the hip joint - synonymous with the same pathological process that flows on the thighs on two sides.In modern medicine, pathology is also called osteoarthritis: previously it was believed that degenerative processes are not characterized by inflammation, but as the opposite of more accurate studies.The affected tissues of the articular cartilage secrete the inflammatory elements (interleukins), so osteoarthritis is another true expression.
The disease is characterized by the following symptoms:
- It continues to progress, moving from one stage to another;
- Leads to persistent pain, limiting joint mobility;
- Causes deformation of bone surfaces, partial or complete destruction of the hyaline cartilage;
- In a detailed phase, the elderly lies better in people, but often start after 40 years;
- 70% of people over 75 have symptoms of pathology;
- They often suffer from women's illness.
The joint is a mechanism with rubbing details.Due to the decrease in the quality or quantity of lubrication (hinged fluid), the contact surfaces are worn out.Small cracks appear on the cartilage, later destroyed, and instead of healthy tissue, corn appears on the bone.Such growth does not allow the foot to move normal, its functions are lost.
Causes of the development of the disease
Arthrosis of the right or left thigh can be primary or secondary, and the first option is precisely characteristic of advanced people.The disease of the primary form has developed for decades for age -related wear and cartilage destruction.
Secondary coksartrosis has other causes and can even start with a young man.It is associated with inflammation (infectious, autoimmune), which gives momentum to the onset of pathology.In addition, the cause of thigh injury (bruising, dislocation, bone fracture) may be caused.Other possible causes of secondary form:
- Operations in this anatomical zone;
- Diabetes and other severe metabolic pathologies;
- Hormonal diseases;
- Congenital, acquired forms of curvature and displacement of bones;
- Common dysplasia in a child;
The balase protection, the necrosis of the hip head;- Vascular disease of systemic nature that lead to deterioration of cartilage nutrition;
- Bone tuberculosis, rheumatoid osteoarthritis;
- Gout, Pertes -Bar;
- The tumors are benign and malignant.
The symptoms of arthrosis of any shape of any shape appear faster when the risk factors on the body affect:
- Constant stress, nervous shocks, depression and experience;
- Obesity, even moderate overweight;
- Unfavorable heritage;
- Hypodynamia, sedentary work or certain professions that have heavy load on the joint;
- Excessive physical (energy) load, professional sport.
The symptoms of the disease
The developing arthrosis and symptoms of the hip joint cannot be noticed.The disease can feel even at an early stage and above all the pain.The pain increases with the resulting and progressive arthrosis of the hip joint as it passes from one section of the disease to another.They appear in the thigh zone, put it on their knees, in the groin, even in the lower abdomen.Usually the pain disappears after sleep, but may be constantly present in the advanced phase.The pain is not always felt when palpation, as the joint damage begins with deep components.
Further possible signs of illness:
- A crispy that appears when it moves, sometimes mild;
- Frowning, changing walking;
- Shortening of the legs from the side where the hip joint arthrosis is shown;
- Moving station, limited rotation, foot movement.
During their development, other signs of pathology also appear.So the feeling gives the bone deformation and the presence of growth.The doctor notes muscle atrophy during the examination, and the patient is forced to move with a reed, the crutch-due for pain and the weakness of the limb, even in the usual life.
Generally, pain and other clinical manifestations are strongly dependent on the stage.Such stages of coksartrosis can be distinguished:
- First.The symptoms are not tanned, but the initial changes are already noticeable in the diagnosis.The synovial fluid becomes thicker, decreases, and the structure of the cartilage changes at the end of the stage.Small cracks occur to the body trying to treat small "corn".
- The second.The pain at this stage is quite noticeable and the restriction of crunching and motor function is clean.The pain syndrome radiates to other parts of the body, spreading its entire leg downward.The image can be seen: thinning of the cartilage, narrowing the distance between the bones, violation of the structure of the joint surfaces, sometimes - displacement of the hollow bone head.The number of osteophytes (osteophytes) increases.
- The third.Pain becomes unbearable, people are very limited in motion, and many people completely stop movement.The cartilage is almost completely destroyed, the atrophy of the muscles, the joint is very deformed.Bone osteophytes are spiked and irritate nerve endings.
What risks and complications do you have?
It is easy to understand - if symptoms and treatment are incorrectly defined by pathology such as hip joint arthrosis, this is threatened with disability.Painful pain syndrome, inability to walk, and the need for constant care is what awaits a person without treating this disease.
Disability develops according to the severity of the disease when damage to the thigh bones and give the first group without a complete lack of work.Such patients show surgery - this is the only effective treatment method in such a situation.But even modern operating methods can bear the risk of complications:
- Infectious infection;
- Thrombosis, thrombus embolism;
- Significant blood loss.
The total share of the complications is low-0.5-2%, but is done.Most often there is an infection of the prosthesis, which must then be re -changed.This is the reason why the treatment of antibiotics is important after surgery.
Diagnostic measures of the joint
Turning to the traumatologist, the surgeon, the orthopedics recommended for help in the first signs of damage to the femoral zone.Initially, due to suspicion of hip joint arthrosis, the doctor will perform physical tests:
- He feels the upper part of the thigh, explores the points of pain, bone osteophytes;
- It performs passive movements of the foot - to bend, extension, kidnapping and clarify the amount of possible movements.
This promotes a more accurate diagnosis and prescription of the treatment of arthrosis of the hip joint, and the instrumental diagnosis helps.Radiography is usually done - the cheapest, affordable research method.We recommend that you make an X -TRét on modern devices or replace it on CT, where the quality of the images is much higher.CT provides exhaustive information about the condition of bones, cartilage and joint surfaces.If a detailed examination of the condition of the soft tissue is required (for example, when the nerve root is stabbed), the specialist prescribes MRI.
Other possible diagnostic measures:
- Ultrasound of the joint;
- Arthroscopy;
- Blood test for the rheumatoid factor;
- Tuberculin patterns;
- Biochemical analysis in case of suspicion of diabetes, gout.
It is very important to find the cause of the secondary cocsartrosis because it will not work without affecting the course of the disease.
Treatment of arthrosis of the hip joint - medicines and physiotherapy
If the signs of the disease are implicit and did not go to the stage of irreversible changes, conservative treatment will help the patient.Medicines will also need therapy if you have obtained arthrosis of the hip joint in severe form - as one of the components of treatment.
How to treat arthrosis of the hip joint?The disease has a drug -correction program:
- No -steroid anti -inflammatory drugs.Pills or injections help to get rid of pain and inflammation.It is impossible to use them uncontrollable - the ability to regenerate cartilage is reduced, and the stomach and intestines have a great deal of NSAIDs.
- Vascular drugs.Treatment with such drugs promotes the nutrition of cartilage and promotes it to restore it.
- Musorelaxants.The cramping pain of the muscles caused by the damage of the thigh is illustrated.
- Chondroprotectors.Such drugs require a must -have and several months of administration of hip joint arthrosis. Injection forms should also be used, including entry into the common cavity.The more effective technique is considered to be the introduction of hyaluronic acid drugs.
- Corticosteroids.They are used in extreme cases in the form of intraarticular injections.Such treatment is required if the symptoms become unbearable.
The external agents (ointments, gels) needed for coxarthrosis are generally ineffective due to the deep running of the joint.But physiotherapy techniques are often used and severe relief from pain.UHF, laser therapy, magnetic therapy is made in the thigh area, UHF, massage is performed.In addition, in the case of osteoarthrosis, manual therapy is indicated in some cases to the hood of the joint.
Folk medicines for joint treatment
Many people use popular treatment for this pathology, although hip arthrosis does not respond well to various external methods.It can only be used with severe pain with sore spot compressors with insulation, although this is more distracted.Treatment of complex and neglected arthrosis of the hip joint is best done with oral administration:
- Pour 100 g of dry heat from the 500 ml vodka sword, stick for 10 days in the dark, take 30 drops three times/day to relieve inflammation;
- Daily daily, in the absence of contraindications, cook cold men regularly - foods will not become worse than chondroprotectors.
With such a compression, you can calm the pain.Honey, medical bile, ammonia, glycerol, joint, must be mixed with a warm cloth.Leave the thickening for 3 hours and then wash.
Other methods and operation
In order to completely treat osteoarthrosis, it is very important to observe the right diet, and you need to reject foods that violate blood supply and deterioration of cartilage.These are smoked meats, vinegar, crossed foods, fried, and preservatives and trans fats.But there should be more food with magnesium, potassium, iodine, calcium in the diet.
Hip joint treatment is a mandatory therapeutic gymnastics.Special exercises in the day -to -day warm -up should be done by all patients.For example, you need to raise your leg slowly and hold the floor for a few seconds.
It is important to exclude sudden movements, preventing a long and fast walk - this only improves the progress of the disease with coksartrosis.You can use a reed, crutches to unload the joint, and the orthopedic can recommend the special orthosis to soften the load.
The third, last -stage hip joint arthrosis is treated only with surgery, other methods are ineffective.In 95% of the cases, the operation is successful and the leg movement is completely restored.But the prostheses are not eternal, their service life for up to 20 years, so the operation is an extreme measure.During endoprostics, he no longer threatens his own artificial change and the arthrosis of the hip joint.
Cocsartrosis prevention
In order not to perform the complex treatment of pathology and suffer from pain, it is important to start preventive measures from early age.Prevention of coksartrosis is particularly important for those who are exposed to risk factors.
So that the blood supply to the cartilage does not suffer, it follows:
- Eat with the installation of herbal foods into the menu, sufficient amounts of low fatty meat, curd, gel, sour -all -foods;
- Stop smoking, do not abuse alcohol;
- Do it hot at the session work regularly, perform simple exercises;
- Leaving a sedentary lifestyle for skiing, swimming, other low -intensity aerobic loads.
In order to prevent humans from interfere with the hip joint arthrosis, you need to check your body weight, prevent obesity, and seriously increase the appearance of up to 5-10 extra pounds.Coksartrosis can only be warned by an integrated approach and a healthy lifestyle!