Treatment of osteoarthritis of the hip joint

22 June 2021

Coxarthrosis is a deforming arthrosis of the hip joint. osteoarthritis of the hip It is a chronic disease characterized by degenerative tissue changes, cartilage damage. Symptomatically, coxarthrosis is defined by pain and regular deformity in the hip joint, impaired mobility. Pathological changes are based on cartilage damage and subsequent inflammatory response. With osteoarthritis, bone tissue is modified. The lesion occurs locally, but other joint joints may be involved. The main contingent of the sick are the elderly. A risk factor can be a hereditary predisposition, high body weight and trauma. Endocrine disorders and metabolic imbalances are found in people with this problem. But the main emphasis in treatment is placed on restoring cartilage structure and function. Treatment of coxarthrosis is a long-term process, including anti-inflammatory therapy, the use of chondroitin and glucosamine preparations to replenish joint nutrition, exercise therapy and physiotherapy. Herbal treatment is recommended for the maintenance of joints at home. Proper diet and moderate exercise are essential.

Symptoms of coxarthrosis

With coxarthrosis, the articular cartilage undergoes mainly deforming changes. There are 3 stages of disease development. In the initial stage, there are no morphological changes in the wrist tissue. Only its functional consistency suffers. A person feels periodic pain in the joint area after physical exertion, running, walking long distances. After rest, the pain syndrome disappears. In the second stage, the bone begins to deform. The naturalness of the movements is significantly reduced. The pain is strong and often appears at rest. The third stage is characterized by chronic pain syndrome. The pain bothers patients day and night. Walking without a cane is difficult, the person is forced to tilt the body forward. Multiple growths appear in the articular bones.

The main symptoms of osteoarthritis include:

morning stiffness;
joint pain;
difficulty moving at a distance of more than 1 km;
increased pain with reduction or prolonged posture.

Podiatrists call coxarthrosis one of the most common types of osteoarthritis. The risk group includes overweight people, heavy physical work, elderly people. Lack of treatment leads to complete destruction of the hip joint, accompanied by unnatural mobility or complete immobility, as well as severe dysfunction of the lower extremities.

Drug therapy

Treatment of coxarthrosis begins with limiting exercise. This is a long-term process that combines a variety of therapy methods: taking anti-inflammatory and analgesic medications, intra-articular injections, physiotherapy and exercise therapy.

Characteristics of treatment of coxarthrosis 1, 2, 3 degrees:

in the first stage, NSAIDs are prescribed to stop the inflammatory process, drugs that normalize metabolic processes, analgesics are also needed, folk remedies are used in complex therapy;
in the second stage of coxarthrosis, intra-articular injections based on hyaluronic acid are added to drug therapy, laser treatment, electrical stimulation performed;
the third stage is treated in a conservative and operative way, when it is impossible to cope without an operation, joint prostheses are performed.

Medication plays the biggest role. Without anti-inflammatory and supportive agents, dystrophic changes cannot be avoided, and persistent pain cannot be eliminated. Doctors prescribe pharmacological agents of various actions to alleviate the condition of patients during exacerbations.

Medication plays the biggest role. Without anti-inflammatory and supportive agents, dystrophic changes cannot be avoided, and persistent pain cannot be eliminated. Doctors prescribe pharmacological agents of various actions to alleviate the condition of patients during exacerbations.
Muscle relaxants. Reduce skeletal muscle tone. The muscles relax, due to which the pain syndrome is reduced, the person ceases from the pain. These drugs are contraindicated in patients with cardiac arrhythmia.
Chondroprotectors. Symptomatic preparations containing collagen. They nourish and restore damaged cartilage. They supply the joint with collagen from outside and stimulate its production by the body. Chondroprotective drugs are taken for a long time. Under the influence of these funds, metabolism in tissues improves, destroyed cartilage gradually increases. In complex therapy, these drugs are of undoubted benefit, especially in the initial stage of the disease. In chronic osteoarthritis, they delay disability.

To stop the destruction of cartilage tissue and to provide the joint with "lubrication", injections are made with preparations based on hyaluronic acid and synthetic substances, which are similar in composition to synovial fluid. They are very compatible with the tissues of the human body. They effectively stop the process of cartilage destruction, have analgesic and chondroprotective effects. Synthetic substances contain silver ions, which give an additional bacteriostatic effect.

prosthetic

Endoprosthesis is a surgical method for treating the hip joint. When, as a result of coxarthrosis and dysplasia, irreversible consequences occur in cartilage tissue, they use joint replacement. As a result of surgery, it is possible not only to reduce persistent pain syndrome, but also to restore joint function and mobility. Artificial alloys are made of metal-polyethylene and ceramic. Fixation for live bones occurs in a cemented and cement-free manner. Endoprostheses take root well and can last for decades. But in some cases, the prostheses wear out quickly, then a second operation is required.

Physiotherapy treatment

Treatment of osteoarthritis of the hip joints is carried out with complex measures, including the help of physiotherapy. This direction is accompanied by physical rehabilitation, support of the body during the period of recovery and remission, prevention of deterioration. Physiotherapy is practiced by orthopedists, traumatologists, rheumatologists, masseurs, exercise therapy instructors.

The following methods are known to be effective in treating coxarthrosis:

ultrasound therapy;
laser therapy;
inductors;
massage;
manual therapy.

With ultrasound therapy, high-frequency waves penetrate the tissues and act as a vibration massage. They improve biochemical processes, prevent stagnation, promote better absorption of medicinal substances. Ultrasound reduces inflammation.

Laser treatment dilates blood vessels, stimulates lymph flow, prevents inflammation and heals tissues. The technique improves tissue trophism, helps maintain the structure and functions of organs.

During inductotherm, high-frequency waves affect the body. The method is effective in the presence of any inflammation and pathology of the musculoskeletal system. Stimulates the immune system, relieves pain and has a regenerative effect.

The massage is hardware and mechanical. Contrary to popular belief, during massage, not only the surface layer of the skin and muscles is exposed. During the work of the masseur, the reflex and humoral mechanisms of regulation of the internal organs are activated. Combining a wide variety of massage techniques, the patient receives antispasmodic, tonic, lymphatic and analgesic effects.

A chiropractor works on a person's bones and joints. Removes tension from some areas, tones others, eliminates pain, restores functional stability of joints. First, the doctor applies diagnostic techniques, during which he determines the condition and abilities of muscles, ligaments, joints. Then he goes into treatment. Manual techniques are not used during exacerbations and complications.

The role of spa treatment

Sanatorium treatment is of great importance for coxarthrosis. Treatment and prophylactic institutions to support people with diseases of the musculoskeletal system use mainly natural factors.

Climatotherapy. These are terrain features, a combination of weather factors, sea water, sun, air. Climatotherapy helps healing, prevents the development of deteriorations, improves the flow of biological and physiological processes in the body. Ideal conditions for the treatment of osteoarthritis are created in areas with high air temperatures and a lot of solar radiation.
Healing mud. Vary in origin. They are peat, sulfur-mud, sapropel, hydrothermal. Characterized by high heat capacity. They contain mineral, organic, biologically active ingredients that penetrate the skin and have a beneficial effect on the joints. They improve metabolic processes, reduce inflammation and normalize blood circulation.
Mineral water. It contains trace elements, dissolved salts, biologically active substances. For diseases of the musculoskeletal system, taking mineral baths is indicated. Procedures increase mobility, tone, activate blood circulation, improve metabolism.
Phytotherapy. A method based on the use of medicinal plants. Infusions, decoctions contain a large amount of active substances that not only effectively support the sick body, but also have a pronounced therapeutic effect.

Treatment with natural factors in the sanatorium is combined with physiotherapy methods, exercise therapy, diet food, adherence to the daily regime. Spa programs are developed for all stages of joint diseases.

Physical activity

In recommendations for people with osteoarthritis, doctors advise to limit the load on the foot. It is worth stopping collecting, collecting and performing physical work more carefully at home and in the garden. Do not strain the joint if the pain is already felt (reduce the cardinal load). Especially it is worth to exclude running, jumping. However, you can not do without aerobics.

To function the node, special exercises must be done. A person with osteoarthritis is categorically not suitable for "youth" gymnastics - at a fast pace, with increasing loads, with a high intensity of the whole session. With a sore joint, gymnastics should be done extremely slowly, smoothly, with measurements, until discomfort or pain appears. If there is pain - it is worth taking a break.

Therapeutic gymnastics allows you to normalize muscle condition, improve blood circulation to the joints, provide it with adequate nutrition, and remove breakdown and inflammation products. Gymnastics helps the medication to get into a sore joint quickly and start a therapeutic effect. The most difficult task of physiotherapy exercises is the correct loading dosage. A very short workout will not achieve the healing effect. And excessive load will bring additional damage to the joints. Competent recommendations can only be given by the attending physician. They will depend on the patient's condition and the characteristics of the course of the disease in each case.

Diet for coxarthrosis

There are many reasons for cartilage destruction. Diet is of great importance in the treatment of osteoarthritis of the hip joints of 1, 2, 3 degrees. Today the market is full of preservative-rich foods. Attractive bacons, smoked meats, sausages, which come to the fore, contain a large number of specific ingredients. Meat is treated with enzymes, active substances that speed up the production process and quickly obtain an attractive product. Preservatives increase the shelf life of any product: ready-made or raw, which can not be widely used among manufacturers.

When eating food filled with preservatives, a person gets an excess salt, which retains moisture. Salt is stored and accumulates in cartilage tissue and joint malfunctions. Such osteoarthritis is basically a simple inflammation that lends itself well to therapy. And coxarthrosis, which is born against the background of metabolic disorders, metabolic failure, intake of raw food, requires adherence to a diet. It is not necessary to strictly limit yourself to food intake or to give up a whole list of healthy foods. Just follow a few simple rules:

refuse any smoked meat ready from the store;
exclude the consumption of concentrated liquids;
according to the method of cooking, give preference to cooking and boiling;
completely exclude the consumption of salt, do not buy salted fish, sausage, canned foods;
consume no more than 10-15 g of animal fats per day, prepare meals with the addition of various vegetable oils;
monitor the calorie content of foods, get rid of so-called "fast" carbohydrates, sugar, cakes;
exclude mayonnaise from diet, seasonal salads and low-fat sour cream sauces;
exclude the consumption of alcoholic beverages;
limit consumption of fatty fish, caviar.

Instead of smoked meat, buy natural meat, farm-raised chicken from local producers. It is better to cook the first dishes in vegetable juices, without boiling foods rich in vitamins for several hours. The bouillon cubes that are popular today are almost 100% chemical. This is harm in its purest form.

you should not completely abandon boiled meat. But it is better to take lean pieces cooked in advance and place them in portions on a plate, and only then pour the vegetable broth. A complete rejection of meat is an extreme.

An old recipe for maintaining bone and joint strength is favorite meat. Decades ago, when little was known about artificial preservatives, this was justified. Now, such a product can only raise cholesterol.

Fresh fish has not been previously treated with preservatives. But modern manufacturers have also learned this. Today, we can talk about the benefits of fish only if it comes to the counter directly from a fishing trawler or is purchased alive.

Only by changing the principles of nutrition can a person reduce the suffering from deforming osteoarthritis. The diet should contain a large amount of fresh vegetables, berries, herbs, fruits. Low fat dairy products, lean meats and chicken are useful. Rice, beets, potatoes, watermelon help to remove salt from the body. Once a week, it is recommended to arrange fasting days in kefir, cottage cheese, fruit, herbal decoction.