Hip articulation arthrosis is a serious pathology that develops in the hip joint as a result of nutrition and, as a result, the destruction of the cartilage tissue and the immobility of the thigh.
With a healthy tissue of the articulation cartilage, movement occurs easily and does not cause any inconvenience.If the cartilage is damaged by arthrosis, its surface will not be smoother, has a zabin, a fossa that makes it difficult to flex/normal extension of the joint.The thigh becomes like the rusty loops of a garden gate, at the opening of which a creak is heard and feel tension when moving.
The disease is dangerous because, with the premature onset of treatment, healing is not only impossible, but the course of the disease leads to additional immobility and joint loss.
Causes
What is it?COKSARROSIS develops for many reasons, the main one is a sedentary lifestyle.Most of the time, athletes suffer from this disease due to large loads that can impair the joint.Unfortunately, arthrosis is often inherited, congenital dislocation in the inguinal region is possible.
The reasons that cause the development of hip joint cOKSARROSIS:
- Affects diseases;
- thigh neck fracture;
- suffering injuries or microtrauma in childhood;
- Overweight, high load;
- drinking alcohol;
- Congenital diseases;
- Increased levels of hormones (age -related changes);
- tissue inflammation;
- Destruction of joint tissues;
- Taking powerful drugs;
- stressful situations;
- infectious and inflammatory processes;
- Pathological Thigh Diseases in the inguinal region.
Special attention should be given to the presence of lesions (microtrauma).They heal for a long time, which leads to the development of the disease for years.Most of the time, the disease begins to develop in people 40 or older.Inflammation begins with a hip joint, but if you do not have a timely treatment, the disease applies to other areas.
Hip Articulation Arthrosis symptoms
COKSARROSIS usually develops in people over 40.He gradually progresses and the condition of a person gets worse from year to year.If you do not treat the damaged joint, after some time pathological changes may occur in another articulation.
In world practice, it is recognized that arthrosis of the hip articulation has three stages or stages of development.Each is characterized by their own symptoms.
1 degree of hip joint arthrosis
At this stage of the disease, a person experiences pain only with and after physical exertion, from a prolonged race or walk, while especially the joint itself hurts, very rarely the pain gives pain to the thigh or knee.
In addition, at the same time, the march in a person is common, chroma is not observed, the hip muscles are not stunted.By diagnosing the figures, bone growths are observed, located around the internal and outer edge of the acetabulum, no other pathological disorders in the neck and femur head are observed.
2 degree of hip joint arthrosis
With high school arthrosis of hip joint, symptoms become significant and pain has already acquired a more constant and intense nature and, at rest and when moving, they give both the groin and thigh, in the load, the patient is already limping.There is also a thigh restriction, the volume of hip movements is reduced.
In the figures, the narrowing of the gap becomes half of the norm, bone growths are found outside and inside, the head of the hip head begins to increase, deform and change, its edges become irregular.
3 degree of hip joint arthrosis
At this stage of the disease, the pain is painful in nature, day and night, the patient is difficult to move independently;Therefore, a cane or crutches is used, the volume of joint movement is very limited, the leg muscles, the hips and the buttocks are atrophy.
The leg is shortened and the person is forced to tilt his body as he walked toward the sick leg.From the center of gravity center, the damaged joint load increases.In X -ray images, several bone growths are found, the thigh head expands and the joint gap is significantly narrowed.
Diagnosis
Diagnosis is based on anamnesis data (identifying risk factors or causal diseases), clinical data and additional exam methods.
Clarify the diagnosis and conduct differential diagnoses will help:
- X -ray of hip joints;
- Joint ultrasound;
- Magnetic resonance imaging or CT.
As a rule, establish a precise diagnosis, a sufficiently clinical clinical and radiological examination.Radiographs are found specific changes characteristic of each stage of the disease: joint gap narrowing, the presence of osteophytes, femoral head displacement and deformation, subcondral cysts and periarticular osteosclerosis, osteoporotic changes in bone.Depending on the presence of these pathological changes and their severity, the degree and stage of the disease are established.
Treatment of hip joint arthrosis
In the first stage, hip joint arthrosis lends itself perfectly to conservative treatment.The Paramount task is to relieve pain, which prevents the patient from moving.
In the process of Coxartrosis therapy ::
- restoration of nutrition and blood circulation in muscle and cartilage;
- Physical activity in the damaged joint decreases;
- Damaged cartilage restoration;
- Activation of hidden reserves of the human body, which will contribute to tissue regeneration at the microcellular level;
- Increased joint gap;
- Restoring articulation mobility.
During drug treatment, this category of patients, the following drugs are prescribed:
- Anti -Inflammatory non -esteroids.They will help eliminate pain, remove edema and inflammation formed, however, unconteeded use will contribute to the suppression of the natural cartilage possibility to restore.Doctors do not recommend using more than one non -esteroid medicine simultaneously;
- Relaxing muscles.Remove muscle cramps, increase the blood supply in the joints, but its use should occur under the supervision of a doctor due to side effects;
- Expanding vessels.They are able to relax the smooth muscles and increase the space between the muscles.Having a minimum of contrasts, but its effectiveness is an individual indicator;
- Steroid type.Helps with concomitant diseases such as the presence of inflammation of the thigh bone, but has many side effects;
- Restoring the cartilage.Condroprotectors are the most useful in the cure to deform arthrosis.They feed the cartilage with the desired elements and interrupt the development of the disease;
- Local use.The main positive effect is in the process of rubbing products on the skin, which relieves muscle cramps and helps improve blood circulation.
During conservative treatment, patients should adhere to the diet, especially designed for patients with hip arthrosis.The course of therapeutic therapy includes a therapeutic massage, which is shown in patients with 1 and 2 stages of arthrosis.
Endoprostrate
The third stage of the disease lends itself only to surgical treatment.It is recommended that the patient replace the joint or endoprothetic.The surgeon cuts the head of the thigh bone, inserts a metal pin in the cut, which holds the artificial head.
The prosthesis itself is a single hub (replacing only the head) and the total (replacing the two components).The next day after the operation, some elements of exercise therapy are performed in the lying position in the bed, the patient may get up, but so far without leg support after a few days of crutches.After 2-3 months, the crutches will not be required, a total load in the leg will be allowed.
Patients who underwent endoprothetic are recommended for rehabilitation, consisting of physical therapy exercises, a massage and physical therapy course.In most cases, limb function is restored.The life of the prosthesis is 10 to 20 years, so it is replaced by a new one.
Gymnastics with hip joint arthrosis
COKSARTROSIS FIGHTING AND PREVENTION EXERCISES SHOULD BE CAREFUL.Exercise therapy movement should be smooth, not cause pain.LFK for the treatment of the disease should be intended mainly to strengthen their own muscles and not carry the joints.A good way to prevent cOKSARROSIS is swimming, especially in salt water.
- Starting position: Lie on the floor, stretch your arms and legs along the body.Slowly lift the straightest straight leg in the knee joint 15 cm from the floor and hold it for about half a minute.After that, lower the leg and repeat the exercise with another foot;
- Starting position: Lie on the stomach, legs and arms extend along the body.Raise your straight legs 15 cm up, do and then spread it sideways.Everything must be done slowly.
The patient should remember that some exercises with exercise hip arthrosis of exercise therapy may be difficult for him due to his physical training.These are very effective methods for preventing various diseases, so they are included in the exercise system, both arthrosis and other diseases.
Popular remedies
In folkloric medicine, there are many successful methods to treat coxarthrosis:
- Dyes and decoctions used inward (there are many recipes for the preparation of healing folk medicines, which include garlic, lemons, mummy and various parts of plants and honey, and so on);
- Ointments based on various natural components (ointments made of Celandin, Eucalyptus Oil, Aloe and other plants);
- Compresses and bathtubs (imposition of cabbage leaves, bathing with jerusalem artichoke and so on).
Applying all popular medicines, it should be remembered that the guarantees of a 100 % recovery do not exist.
Prevention
Prevention measures are very important, especially if you had a history of hip joint dysplasia, fractures, strong bruises or purulent processes in this area.
- Body weight control (reduce the use of flour products, table salt, sweet tea, strong and coffee in the diet).With overweight, the risk of hip joint arthrosis increases.
- Exception of weight transfer, jumps (especially heights).Try not to stand for a long time.
- If there are diseases associated with metabolism (diabetes, atherosclerosis), they must be compensated.
- Physical exercises dosed to strengthen the muscles of hips and buttocks (cycling or cycling, swimming, therapeutic gymnastics).
Compliance with preventive measures, early coxarthrosis detection and proper treatment is the key to a positive prognosis in this disease.