Hip joint arthrosis is a serious pathology that develops in the hip joint as a result of food and, as a result, the destruction of cartilage tissue and the immobility of the thigh.
With a healthy joint tissue of the joint, movement occurs easily and does not cause any concern.If the cartilage is damaged by arthritis, then its surface is no longer smooth, it has a zabine, a fossa that makes it difficult to flex/stretch the joint.The thighs are made like rusty loops of a garden port, in the opening of which a wrinkle is heard and feels tension when moving.
The disease is dangerous in that with the premature onset of treatment, cure is not only impossible, but the course of the disease leads to further imaging and common loss.
Causes
What is it?Coxarthrosis develops for many reasons, the main one is a sedentary lifestyle.Most often, athletes suffer from this disease due to large loads that can damage the joint.Unfortunately, arthritis is often inherited, a congenital displacement in the inguinal region is possible.
The reasons that provoke the development of hip union coastrosis:
- There are diseases;
- thigh neck fracture;
- taking injuries or microtrauma in childhood;
- Excess weight, high load;
- drinking alcohol;
- Congenital diseases;
- increased hormone levels (age -related changes);
- inflammation of the tissue;
- destruction of joint tissue;
- taking powerful medicines;
- stressful situations;
- infectious and inflammatory processes;
- Pathological thigh diseases in the inguinal region.
Particular attention should be paid to the presence of damage (microtrauma).They recover for a long time, which leads to the development of the disease for years.Most often, the disease begins to develop in people aged 40 and older.Inflammation begins with a hip joint, but if you do not receive timely treatment, the disease applies to other areas.
Symptoms of hip joint arthrosis
Coxarthrosis most often develops in people over 40 years of age.It progresses gradually, and a person's condition worsens from year to year.If you do not treat the damaged union, then after some time pathological changes can occur in another union.
In world practice, it is known that hip joint arthrosis has three stages or stages of development.Each of them is characterized by its symptoms.
1 degree of hip joint arthrosis
At this stage of the disease, a person only experiences pain with and after physical exercise, from prolonged jogging or walking, while mainly the knot itself hurts, very rarely gives the pain to thigh or knee.
Also, at the same time, walking in a person is common, the chromium is not observed, the hip muscles are not atrophied.When diagnosing pictures, bone growth is observed, which are located around the inner and outer edge of the acetabulum, no other pathological disorders in the neck and head of the femur are observed.
2 degree of arthrosis of the hip joint
With the 2nd degree arthrosis of the hip joint, the symptoms become important and the pain already acquires a more persistent and intense nature, and at rest and when moving, they give both to the groin and in the thighs, in the load, the patient is already stripped.There is also a thigh restriction, the volume of hip movements is reduced.
In the photograph, the trench narrowing becomes half of the rate, bone growths are found on the outside and on the inner edge, the head of the hip head begins to grow, deform and move up, its edges become uneven.
3 degree of hip joint arthrosis
At this stage of the disease, the pain is constant painful in nature, both day and night, the patient becomes difficult to move independently, so a cane or crutch is used, the volume of movement of the joints is very limited, the muscles of the lower leg, the hips and buttocks are atrophy.
The foot is shortened and the person is forced to bypass the body when walking towards the sick leg.From the shift of the center of gravity, the load on the damaged node increases.In the X -Ray photos, there are numerous bone growth, the thigh head expands and the joint gap is significantly narrowed.
Troubleshooting
The diagnosis is based on a given anamnesis (identification of risk factors or causal diseases), clinical data and additional examination methods.
To clarify the diagnosis and perform differential diagnosis will help:
- X -Ray of hip joints;
- Ultrasound of joints;
- MRI or CT.
As a rule, to create an accurate diagnosis, a sufficient clinical and radiological examination.In radiographs, specific characteristic changes of each stage of the disease are found: narrowing of the joint gap, the presence of osteophytes, displacement and deformation of the femur's head, subcondular cysts and periarticular osteosclerosis, osteoporotic changes in the bone.Depending on the presence of these pathological changes and their severity, the degree and stage of the disease set.
Hip joint arthrosis treatment
In the first phase, the hip fusion arthrosis is perfectly loaned to conservative treatment.The main task is to relieve pain, which prevents the patient from moving.
In the process of coxarthrosis therapy,:
- restoration of food and blood circulation in muscle and cartilage;
- Physical activity in damaged union decreases;
- the restoration of the damaged cartilage;
- activation of hidden reserves of the human body, which will contribute to tissue regeneration at the microcellular level;
- increase in joint gap;
- Resetting union mobility.
During the treatment of medicines, this category of patients, the following medicines are prescribed:
- Anti -inflammatory non -steroidal.They will help eliminate pain, remove formed edema and inflammation, however, their uncontrolled use will contribute to suppressing the natural possibility of cartilage to restore.Doctors do not recommend using more than a non -steroidal drug at the same time;
- Relaxing muscles.Remove muscle cramps, increase blood supply to the joints, but their use should be under the supervision of a physician due to side effects;
- Expansion of ships.They are able to relax the smooth muscles and increase the space between the muscles.Have a minimum of contraindications, but their effectiveness is an individual indicator;
- Steroid type.Help with simultaneous diseases such as the presence of thigh bone inflammation, but have many side effects;
- Reset of cartilage.Chondroprotectors are the most useful in cure for arthrosis deformation.They feed the cartilage with the desired elements and stop the development of the disease;
- Local use.The main positive effect lies 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 diet, specially designed for patients with hip arthrosis.The course of therapeutic therapy includes a therapeutic massage, which is shown to patients with 1 and 2 phases of arthrosis.
Endoprosthetics
The third stage of the disease gives itself only surgical treatment.The patient is recommended to replace the joint, or endoprosthetics.The surgeon cuts the head of the thigh bone, inserts a metal peg into which connects the artificial head.
The prosthesis itself is single with one (replacing only the head) and total (replacing both ingredients).The next day after surgery, some elements of exercise therapy are performed in the position of lying in bed, the patient may be raised, but so far without foot support, after a few days in crutches.After 2-3 months, the crutches will not be needed, a full foot load will be allowed.
Patients undergoing endoprosthetics are recommended for rehabilitation, which consist of physiotherapy exercises, a course of massage and physiotherapy.In most cases, the limb function is reset.The prosthesis service life is from 10 to 20 years, then it is replaced with a new one.
Hip union gymnastics
Exercises for the fight and prevention of coxartrosis should be carried out carefully.The movement for exercise therapy should be smooth, do not cause pain.LFK for the treatment of the disease should be primarily aimed at strengthening the muscles themselves and not loading the joints.A good way to prevent coxartrosis is swimming, especially in salted water.
- Start position: Lie on the floor, stretch your arms and legs along the body.Slowly, raise the sore leg directed to the knee joint 15 cm from the floor and hold for about half a minute.After that, lower your leg and repeat the exercise with another leg;
- Starting position: Lie on your stomach, your feet and arms lie along the body.Raise the straight legs 15 cm up, do and then spread them to the sides.Everything has to be done slowly.
The patient should remember that some arthritis exercises of hip union from exercise therapy can be difficult for him due to his physical training.They are very effective methods for preventing various diseases, therefore, included in the system of exercise therapy with arthrosis and other diseases.
Folk remedies
In folk medicine, there are many successful methods of treatment of coxarthrosis:
- Tinctures and decoctions used internally (there are many recipes for the preparation of popular healing drugs, which include garlic, lemons, mummies, and different parts of herbs, and honey, etc.);
- Ointments based on various natural ingredients (ointments made of celandine, eucalyptus oil, aloe and other plants);
- It also compresses the bath (imposition of cabbage sheets, baths with Jerusalem artichoke and so on).
By applying all popular remedies, it must be remembered that the guarantees of a 100 percent recovery do not exist.
PREVENTION
Prevention measures are very important, especially if you have had a history of hip folding dysplasia, fractures, strong bruises or purulent processes in this area.
- Control of body weight (reduce the use of flour products, table salt, sweet, strong tea and brown in the diet).With overweight, the risk of hip joint arthrosis increases.
- Exception of weight transfer, jumps (especially from heights).Try not to be on your feet for a long time.
- If there are diseases associated with metabolism (diabetes, atherosclerosis), they must be offset.
- Doper physical exercises aimed at strengthening the muscles of the buttocks and buttocks (cycling or cycling, swimming, therapeutic gymnastics).
Compliance with preventive measures, early detection of coxarthrosis and its adequate treatment is the key to a positive prognosis in this disease.