What is the osteoarthritis of the hip joint, what are its symptoms and how to treat it?Osteoarthritis is a disease that distorts and destroys joints.Treatment of osteoarthritis in hip joint is a very long process.In the middle of the last century, coksartrosis was considered a penalty for the patient, inevitably leading him to an ambulance.But due to the development of medical science, thigh osteoarthritis can be stopped and at the initial stage of the disease to heal.
What is osteoarthritis of hip joint?
Osteoarthritis is the disease, during which the destruction and slow deformation of the joint occur due to changes in the structure of the cartilage fabric.Arthrosis is often confused with arthritis, however, it is various diseases, although it can be present at the same time, for example, Arthroso arthritis of the hip joint.The difference between osteoarthritis and arthritis lies in the fact that during osteoarthritis, deformation does not occur due to infectious inflammation of the tissues, but due to the differences in metabolic processes.
Combined therapy is a knowledge of the reasons for the reasons why the pathology was born to determine the right tactics for the treatment of osteoarthritis of the hip joint.When determining the way of treating osteoarthritis in the hip joint, the attending physician can focus on both medication and physiotherapy.The question of surgery can also be raised, if too serious changes have addressed the hip joint - the treatment, where drugs are the basis, will be ineffective.
Causes
Coksartrose can be caused by an injury or appear due to the advanced age.Coksartrose can also be congenital.However, the main risk factors are as follows:
- diabetes mellitus;
- Hyperiosis;
- high body weight;
- Poor inheritance (genetic predisposition).
The causes indicated can cause 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 osteoarthritis of the hip and other joints, and unconsciously goes to the traumatologist.A doctor who can help in this situation is called arthrologist.
The arthrologist is a profile specialist who knows not only all tactics and drugs for the treatment of osteoarthritis, but will also be able to choose the types and analogues of these drugs, according to individual indicators.
Often osteoarthritis is diagnosed in patients over 40 years.The disease develops in stages, three steps are possible to distinguish:
- Departments in metabolism occur.It is followed by disorders of the summary of substances.Cutting the cartilage is worse.
- Due to insufficient food, cartilage becomes less elastic.It is gradually thinner.The interceptor clearance is reduced.
- With a thinning of the cartilage, the load on the bone tissue increases and the bone deformations occur.
With osteoarthritis of the hip joint, degenerative changes in the cartilage fabric can only become perceptible the patient only after years, not immediately at 1 stadium.
Steps
Each of the steps has its own characteristics.It is important to determine at what stage the osteoarthritis of the hip joint, symptoms and treatment at each step differ in the root.Depending on the stage of the disease, drugs can be prescribed or surgery.
Medicines are considered effective only at 1 and 2 steps.At 3 stages of complete healing, surgery is required, otherwise the person remains disabled.
At 1 stage, they can back down the process and, to transition 1 to 2, and 2, stop the process of destruction of the cartilage and slightly improve the condition of the cartilage tissues.Step 1 is characterized by the following manifestations:
- Pain is only manifested in physical loads;
- concentration of pain in the joint;
- The pain disappears after rest;
- Member mobility is not limited;
- The condition of muscle tissue is normal.
With 1st degree osteoarthritis, radiography and tomography exclusively are effective.
Osteoarthritis of the 2nd stage is characterized by the following manifestations:
- Wandering thigh pain;
- Pain does not disappear itself - pain relievers are necessary;
- Motor activity is difficult and limited;
- Muscle atrophy is present.
With 2nd degree osteoarthritis, material research is not necessary - the disease is diagnosed during a visual examination.However, they are directed to MRI and radiography to determine the deformation sizes.
At 3 steps, osteoarthritis has the following demonstrations:
- Chronic pain;
- Movement is only possible with a cane;
- A shorter length painful member.
The signs of osteoarthritis of the hip joint will be implicit and the characteristic symptoms of osteoarthritis can be completely unexplored.
Manifestations characteristic of osteoarthritis
Symptoms of osteoarthritis 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 thigh neck fracture is so intense that pain syndrome.The photo shows that the neck of the thigh and the hip joint is very close.
Osteoarthritis of the Kovaren hip joint and in the early stages can only be taken for fatigue.For this reason, the treatment is delayed.Sometimes, until the need to replace the joint with endoprosthesis, as all drugs are already helpless.The photo shows an x -ray of the elevator with the replacement options of the joint.
Coksartrose mainly gives such types of symptoms:
- Pain syndrome.The main source of pain is difficult to determine.If they appear at rest, you should visit the arthrologist.
- Some limits in movements, light lameness.
- After a while, the painful member becomes a little shorter than healthy.
- There is muscular atrophy - diagnosed during palpation.
It is necessary to use progressive research methods, because osteoarthritis of the hip joint does not always give symptoms, it is only possible if there are precise data.
Coxarthrosis treatment
Once the arthrologist's inspection is completed and the necessary studies have been completed, the doctor decides how to treat osteoarthritis in the hip joint.First of all, the disease is awarded the ICB 10 code. This facilitates the doctor to choose the right treatment tactics.
Whatever the chosen tactics, the treatment is based on 6 fundamental principles:
- elimination of pain syndrome;
- Recharge and restoration of cartilage;
- Improved blood flow in the damaged area;
- decrease in joint load;
- strengthen muscle tissue;
- Restoring of joint mobility.
For all objectives to be achieved, it is usual to use combined therapy.For example, the whole positive effect of the use of hondoprotectors will be destroyed if the load on the painful articulation will not reduce the load.Thus, during the treatment of osteoarthritis, 2 to 10 approaches are used - it all depends on the severity of the disease and the general indicators of the patient.The most common approaches can be called the following methods:
- The non -steroid drug group is combined with the treatment of the exercise and other physiotherapeutic measures (massages and others).
- Chondroprotectors combined with hyaluronic acid.It is more often used as a catering therapy.
- Vasodilators can be combined with both chondroprotectors and with non -steroidal medications and exercise therapy.
- Anesthetic ointments can act as an addition to one of the other treatment methods.They do not themselves have a positive effect on the articulation.
- 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 treatment, the patient may need to undergo physiotherapeutic procedures and can even use non -traditional methods in the context of treatment.
Interesting!If you follow the principles of a healthy diet and bring body weight to normal, it is possible to significantly relieve the course of the disease and reduce the severity of the symptoms.
The most common additional procedures that patients with osteoarthritis are as follows:
- Manual therapy lies in the fact that the specialist, using massage techniques, facilitates the course of the disease.
- Exercise therapy (therapeutic gymnastics) - a large number of different options for physical executions which are excellent in complexity of the execution.Help in the restoration of atrophied muscles.
- People's remedies are most doctors against this method, however, they can consider it as auxiliary therapy.With a competent approach, it improves the effectiveness of drug treatment.
- Homeopathy - Official medicine has not proven the effectiveness of homeopathic therapy, however, some patients declare its positive effects and improvement of the general condition.
- Apitherage is a very controversial technique based on the treatment of bees and properties of the poison of bees.
The following procedures are also applied:
- Magnetotherapy is used as auxiliary therapy, as well as as auxiliary measure.Due to the effects of magnetic fields on the human body, blood flow improves and metabolic processes are classified.
- Hirudotherapy - Due to the components of the components contained in the saliva of leeches, blood flow and blood penetrate into the vessels of the atrophied muscles in a larger volume.
- Mud therapy allows you to bring nutrients through the skin and has a tonic effect.
- The mummy is used both separately and as part of compresses and dyes.Official medicine does not deny, but does not confirm a positive effect, everything is based on the individual sensitivity of the patient.
- Self-massage is used to increase blood flow and lymphatic flow.Before execution, you must consult an experienced manual therapist or a masseur.The specialist will teach good movements and will help develop his correct performance.
Each additional measurement must be agreed with the participating specialist.
Nuance!Traditional medicine, unlike many declarations, is neutral for additional therapeutic measures.However, with their incorrect performance (for example, net movements and high pressure during self-massage), they can worsen the course of the disease.
Certain methods related to non -traditional medicine can be contraindicated - an allergic reaction or another negative manifestation is possible, after application.
Surgical treatment
In the last stages of the disease, treatment when using traditional and non -traditional medicine methods does not provide the necessary positive result.The operation may be a replacement of the joint or handling with the use of a laser.
The replacement of the joint allows you to restore all the motor skills of the joint.The greatest drawback, with the exception of the high cost of work directly from the surgeon, is not a very important life.On average, the joint prosthesis requires replacement every 15 years.
Laser therapy for already exploited coksartrosis is used when the joint part of the bone is rejected.Thanks to this method, it is possible to remove the damaged area and replace it with an artificial material insert.
Any surgical intervention for coxarthrosis is a purely temporary measure.However, if it is not carried out, with 3-step osteoarthritis, people inevitably become invalid without the possibility of a normal movement by themselves.
Prevention
The preventive measures of osteoarthritis of the hip joint are based on the elimination of risk factors that can cause coxarthrosis.The prevention of Coksartrose is to follow a healthy lifestyle and respect for general reinforcement measures:
- Accept and like an active lifestyle.The greatest danger during pathology is the absence of any mobility of the joints - the salts are deposited and other complications arise.Light but systematic corners are necessary.
- Follow your own diet.You must adhere to such a power style so that there is no weight problem.Nevertheless, from the use of a large amount of table salt in the dishes, it is necessary to abstain.It also applies to net and spicy dishes.The food must be full and contain all the necessary micro and macro elements.
- Do not neglect the programmed medical examinations - this will reveal the disease at the very beginning.
- To prevent hypothermia - such a negative effect can cause inflammatory processes in the joints and lead to osteoarthritis.
If you suspect coksartrosis, you shouldn't try to diagnose yourself.Even an experienced doctor cannot always look and only after an investigation into the patient to say with precision and confidently that it is Coksartrose precisely.And even more, an independent prescription for therapy is unacceptable - at least a drug, at least quite different.Insufficient consciousness of the effect on the body and possible side effects can cause sad consequences.