What is arthrosis of the hip joint, what are its symptoms, and how to treat it?Arthrosis is a disease that deforms and destroys the joints.Treatment of arthrosis of the hip joint is a very long process.In the middle of the last century, coksartrosis was considered a sentence for the patient, inevitably leading him to an ambulance.But due to the development of medical science, arthrosis of the thigh can be stopped, and at the initial stage of the disease to cure.
What is arthrosis of the hip joint?
Arthrosis is the disease, during which slow destruction and deformation of the joint occurs due to changes in the structure of cartilage tissue.Arthrosis is often confused with arthritis, however, these are various diseases, although it may be present at the same time, for example, arthroso arthritis of the hip joint.The difference between arthrosis and arthritis lies in the fact that during arthrosis, deformation occurs not due to infectious inflammation of the tissues, but due to deviations in metabolic processes.
Combined therapy is used-knowledge of the reasons why the pathology arose helped to determine the correct tactics for the treatment of arthrosis of the hip joint.When determining how to treat arthrosis of the hip joint, the attending physician can focus both on drugs and on physiotherapy.The question of surgical intervention may also be raised, if too serious changes have touched on the hip joint - treatment, where medications are the basis, will be ineffective.
Causes
Coksartrosis can be provoked by injury or appear due to advanced age.Coksartrosis can also be congenital.However, the main risk factors are the following:
- diabetes mellitus;
- Hypoteriosis;
- high body weight;
- Poor heredity (genetic predisposition).
The indicated causes can provoke coksartrosis at any age.For risk groups, it is desirable once in six months to undergo a preventive examination by a specialist who deals with joint problems.
Interesting!Many people do not know which doctor treats arthrosis of the hip and other joints, and unknowingly go to the traumatologist.A doctor who can help in this situation is called an arthrologist.
The arthrologist is a profile specialist who knows not only all tactics and drugs for the treatment of arthrosis, but will also be able to choose the types and analogues of these drugs, according to individual indicators.
Often arthrosis is diagnosed in patients over 40 years.The disease develops in stages, three stages are possible to distinguish:
- Deviations in the metabolism occur.It is followed by disorders of the synthesis of substances.Cutting cartilage is worse.
- Due to insufficient feeding, cartilage becomes less elastic.He is gradually thinner.The interceptor clearance is reduced.
- With thinning of cartilage, the load on bone tissue increases and bone deformations occur.
With arthrosis of the hip joint, degenerative changes in cartilage tissue can become noticeable to the patient only after years, not immediately at 1 stage.
Stages
Each of the stages has its own characteristic features.It is important to determine at what stage arthrosis of the hip joint, symptoms and treatment at each stage differ in the root.Depending on the stage of the disease, drugs can be prescribed, or surgery.
Medications are considered effective only at 1 and 2 stages.At 3 stages for full cure, surgical intervention is required, otherwise the person remains disabled.
At 1 stage, they can turn the process back, and at the transition 1 to 2, and at 2, stop the process of destruction of cartilage and slightly improve the condition of cartilage tissues.Stage 1 is characterized by the following manifestations:
- pain is manifested only in physical loads;
- concentration of pain in the joint;
- The pain goes away after rest;
- The mobility of the limb is not limited;
- The condition of muscle tissue is normal.
With arthrosis of the 1st degree, exclusively radiography and tomography are effective.
Arthrosis of the 2nd stage is characterized by the following manifestations:
- wandering pain of the thigh area;
- The pain does not go away itself - painkillers are required;
- motor activity is difficult and limited;
- Muscle atrophy is present.
With arthrosis of the 2nd degree, hardware research is not required - the disease is diagnosed during a visual examination.Nevertheless, they are directed to MRI and radiography to determine the sizes of deformation.
At 3 stages, arthrosis has the following manifestations:
- chronic pain;
- movement is possible only with a cane;
- A sore limb of smaller length.
Signs of arthrosis of the hip joint will be implicit, and symptoms characteristic of arthrosis may be completely unexplored.
Characteristic manifestations for arthrosis
The symptoms of arthrosis and its nature depends on the stage of development of pathology.The most pronounced symptom is pain.It may even seem to the patient that he has a fracture of the neck of the thigh is so intense the pain syndrome.The photo shows that the neck of the thigh and the hip joint is very close.
Arthrosis of the hip joint of Kovaren and in the early stages can be taken only for fatigue.For this reason, treatment is delayed.Sometimes up to the need to replace the joint with an endoprosthesis, since all drugs are already powerless.The photo shows an X-ray of the lift with the options for replacing the joint.
Coksartrosis mainly gives such types of symptoms:
- Pain syndrome.The main source of pain is difficult to determine.If they appear at rest, you should pay a visit to the arthrologist.
- Some limitations in movements, light lameness.
- After some time, the sore limb becomes a little shorter than healthy.
- There is muscle atrophy - diagnosed during palpation.
It is required to use progressive research methods, since arthrosis of the hip joint does not always give symptoms, it is possible only if there are accurate data.
Treatment of coxarthrosis
After the inspection of the arthrologist was completed and the necessary studies were completed, the doctor decides how to treat arthrosis of the hip joint.First of all, the disease is assigned the ICB code 10. This facilitates the doctor to choose the right tactics of treatment.
Regardless of the chosen tactics, treatment is based on 6 fundamental principles:
- removal of pain syndrome;
- recharge and restoration of cartilage;
- improvement of blood flow of the damaged area;
- decrease in the articular load;
- strengthening muscle tissue;
- Restoration of articular mobility.
In order for all goals to be achieved, it is customary to use combined therapy.For example, the entire positive effect of the use of hondoprotectors will be destroyed if the load on the sore joint will not reduce the load.Thus, during the treatment of arthrosis, 2-10 approaches are used-it all depends on the severity of the disease and general indicators of the patient.The most common approaches can be called the following methods:
- The non -steroid group of drugs is combined with exercise therapy and other physiotherapeutic measures (massages and others).
- Chondroprotectors combined with hyaluronic acid.It is more often used as restoration therapy.
- Vasodilator drugs can be combined with both chondroprotectors and with non -steroidal drugs and exercise therapy.
- Anesthetics ointments can act as a addition to any of other treatment methods.They themselves do not have a positive effect on the joint.
- Corticosteroids as intra -articular injections in combination with physiotherapeutic measures.
To limit the mobility of the joint, hip bands are often used.Physiotherapy and non -traditional methods.
Physiotherapy and non -traditional methods
In addition to drug therapy, the patient may need to undergo physiotherapeutic procedures and can even use non -traditional methods as part of the treatment.
Interesting!If you follow the principles of a healthy diet and bring body weight to normal, it is possible to noticeably alleviate the course of the disease and reduce the severity of the symptoms.
The most common additional procedures that patients with arthrosis are the following:
- Manual therapy lies in the fact that the specialist, using massage techniques, facilitates the course of the disease.
- Exercise therapy (therapeutic gymnastics) - a huge number of different options for physical executions that are excellent in complexity of execution.Helps in the restoration of atrophied muscles.
- Folk remedies are most doctors against this method, however, they can consider it as auxiliary therapy.With a competent approach, it enhances the effectiveness of drug therapy.
- Homeopathy - official medicine has not proved the effectiveness of homeopathic therapy, however, some patients declare its positive effects and improvement of the general condition.
- Apitherapy is a very controversial technique based on the treatment of bees and properties of bee poison.
The following procedures are also applied:
- Magnetotherapy is used as auxiliary therapy, as well as as an auxiliary measure.Due to the effects of magnetic fields on the human body, the blood flow improves and the metabolic processes are graded.
- Hirudotherapy - due to the components of the components contained in the saliva of leeches, the blood flow and blood enters the vessels of atrophied muscles in a larger volume.
- Mud therapy allows you to bring some nutrients through the skin and has a tonic effect.
- The mummy is used both separately and as part of compresses and tinctures.Official medicine does not deny, but does not confirm a positive effect, everything is based on the individual susceptibility of the patient.
- Self -massage is used to increase blood flow and lymph flow.Before the execution, you need to consult an experienced manual therapist, or a masseur.The specialist will teach the right movements and will help to work out their correct performance.
Each additional measure must be agreed with the attending specialist.
Nuance!Traditional medicine, contrary to many statements, is neutral to additional therapeutic measures.However, with their incorrect performance (for example, sharp movements and strong pressure during self -massage), they can aggravate the course of the disease.
Some methods related to non -traditional medicine may be contraindicated - an allergic reaction or other negative manifestation is possible, after application.
Surgical treatment
In the later stages of the disease, treatment when using the methods of traditional and non -traditional medicine does not bring the necessary positive result.The operation may be a replacement of the joint, or manipulation with the use of a laser.
The replacement of the joint allows you to restore all the motor capabilities of the joint.The greatest drawback, with the exception of the high cost of directly the work of the surgeon, is not a very significant life.On average, the articular prosthesis requires replacement every 15 years.
Laser therapy for already operated coksartrosis is used when the articular part of the bone is rejected.Thanks to this method, it is possible to remove the damaged area and replace it with an insert of artificial materials.
Any surgical intervention for coxarthrosis is a purely temporary measure.However, if it is not carried out, then with arthrosis at 3 stages, people inevitably become disabled without the possibility of normal movement on their own.
Prevention
The preventive measures of arthrosis of the hip joint are based on the elimination of risk factors that can cause coxarthrosis.The prevention of coksartrosis is to follow a healthy lifestyle and observance of general strengthening measures:
- Accept and love an active lifestyle.The greatest danger during pathology is the absence of any mobility of the joint - salts are deposited and other complications arise.Light, but systematic corners are necessary.
- Follow your own diet.You should adhere to such a power style so that there are no problems with weight.Nevertheless, from the use of a large amount of table salt in dishes, it is necessary to refrain.It also applies to sharp and spicy dishes.Food should be full and contain all the necessary micro- and macro elements.
- Do not neglect scheduled medical examinations - this will reveal the disease at the very early stage.
- To prevent hypothermias - such a negative effect can cause inflammatory processes in the joints and lead to arthrosis.
If you suspect coksartrosis, you should not try to make a diagnosis yourself.Even an experienced physician can not always at first glance and only after a patient survey to accurately and confidently say that this is precisely coksartrosis.And even more so, an independent prescription of therapy is unacceptable - at least a medication, at least any other.Insufficient awareness of the effect on the body and possible side effects can lead to sad consequences.