COKSARTROSIS, or degenerative hip joint disease, is one of the most serious pathologies of the musculoskeletal system.Due to the large size of joint structures, pain and discomfort are much more serious than with the defeat of other joints.The consequences of pathology are also serious - if the destruction of small bone joints causes many unpleasant sensations, unhealthy hip arthrosis is a direct path to disability.Only the correct therapy and sometimes the operation will help a person not to lose the ability to walk.
What is hip articulation arthrosis?
COKSARTROSIS, osteoarthritis, hip arthrosis - synonyms of the same pathological process, flowing in the thigh in one or two sides.In modern medicine, pathology is also called osteoarthritis: it was previously believed that degenerative processes are not characterized by inflammation, but more accurate studies showed the opposite.The affected tissues of joint cartilage secrete inflammatory elements (interleukins), so that osteoarthritis is another true term.
The disease is characterized by the following signs:
- Constantly progresses, moving from one stage to another;
- It leads to persistent pain, limiting joint mobility;
- Causes deformation of bone surfaces, partial or complete destruction of hyaline cartilage;
- At a detailed stage, the elderly are more inherent to people, but usually begins after 40 years;
- 70% of people over 75 have symptoms of pathology;
- They usually suffer from women's illness.
The articulation is a mechanism in which there are friction details.Due to decreased quality or amount of lubrication (liquid with areca), contact surfaces wear out.Small cracks appear in cartilage, later they are destroyed and instead of healthy tissue, bone corn appears.Such growths do not allow the leg to move normally, their functions are lost.
The reasons for the development of the disease
Arthrosis of the right or left thigh region can be primary or secondary, and the first option is characteristic precisely for advanced people.The disease of the primary form develops for decades, associated with age -related wear and cartilage destruction.
Secondary COKSARROSIS has other causes and can start even in a young man.It is associated with inflammation (infectious, autoimmune), which gives a boost to the beginning of the pathology.In addition, the cause may be the injury of the suffering thigh (bruising, displacement, bone fracture).Other possible causes in a secondary way:
- Operations in this anatomical zone;
- Diabetes and other severe metabolic pathologies;
- Hormonal diseases;
- Forms of curvature and displacement of bones;
- Joint dysplasia in a child;
Giro protection, hip head necrosis;- Vascular diseases of a systemic nature, leading to a deterioration in cartilage nutrition;
- Bone tuberculosis, rheumatoid osteoarthritis;
- Gout, Perthine disease;
- The tumors are benign, malignant.
The symptoms of hip joint arthrosis anyway will seem faster if risk factors act on the body:
- Constant stress, nerve shocks, depression and experiences;
- Obesity, even excess of moderate weight;
- Unfavorable heredity;
- Hypodinamia, sedentary work or certain professions with high load in the joint;
- Excessive physical cargo (power), professional sports.
Symptoms of the disease
Arthrosis under development of hip joint and its symptoms cannot be noted.Even at an early stage, the disease is felt and, above all, pain.The pain, with the resulting and progressive arthrosis of the hip joint, increases as the disease goes from one stage to another.They appear in the thigh zone, give it to the knee, in the groin, even in the lower abdomen.Generally, after sleep, the pain disappears, but at the advanced stage it may be constantly present.In palpation, pain is not always felt, because damage to the joint can start with deeply localized pieces.
Other possible signs of the disease:
- A crisis that appears when moving, sometimes even a light;
- Frowning, changing the march;
- Shorten the legs on the side where there is arthrosis of the hip joint;
- Movers station, limited rotation, moving the leg.
As they develop, other signs of pathology appear.Therefore, the feeling gives a sense of bone deformation, the presence of growth.The doctor, in the examination, notes muscle atrophy, and the patient, even in ordinary life, is forced to move with a cane, a crutch data to the member's pain and weakness.
In general, pain and other clinical manifestations depend strongly on the stage.Such stages of cOKSARTROSIS are distinguished:
- First.Symptoms are not tanned, but initial changes are already noticeable in the diagnosis.Synovial liquid becomes thicker, its volume decreases, the cartilage structure at the end of the stage changes.Small cracks look like the body is trying to treat, forming small "calluses".
- The second.The pain at this stage is quite noticeable, the crisis, the limitation of motor function is clear.Pain syndrome radiates to other parts of the body, spreads throughout the leg down.The image is visible: the string of the cartilage, narrowing the distance between bones, a violation of the structure of the joint surfaces, sometimes - the displacement of the head of the hollow bone.The number of bone growths (osteophytes) is increased.
- The third.The pain becomes unbearable, a person is very limited in motion, many stop moving completely.The cartilage is almost completely destroyed, the muscles atrophy, the joint is very deformed.Bone osteophytes have peak shape and irritate nerve endings.
What are the risks and complications?
It is easy to understand if, with a pathology such as hip joint arthrosis, symptoms and treatment are incorrectly defined, prematurely, this threatens with disabilities.A painful pain syndrome, the inability to walk, the need for constant care is that what awaits a person without the treatment of this disease.
Inability in case of damage to thigh bones is established according to the severity of the disease, with a complete absence of the opportunity to work, to give the first group.These patients are shown in surgery - this is the only effective treatment method in this situation.But even modern operations methods can withstand the risk of complications:
- Infectious infection;
- Thrombosis, thrombus embolism;
- Significant blood loss.
The total participation of complications is small of 0.5-2%, but occurs.Most of the time, there is a prosthesis infection that should be changed to a new one.This is why, after the operation, it is important to take an antibiotic treatment course.
Diagnostic measures for arthrosis
Returning to the traumatologist, the surgeon, the orthopedist is recommended for help in the first signs of damage to the femoral zone.Initially, with suspicion of hip joint arthrosis, the doctor performs physical tests:
- Feel the upper thigh reveals the points of the appearance of pain, bone osteophytes;
- Performs passive movements of the foot - flexion, extension, kidnapping and bringing to clarify the volume of possible movements.
This will help diagnose and more accurately prescribe the treatment of hip arthrosis, instrumental diagnosis will help.Usually, radiography is performed - the cheapest and most affordable research method.It is recommended to make an x ray on modern devices or replace it in CT, where the quality of the images is much higher.CT provides exhaustive information on the condition of bones, cartilage and joint surfaces.If a detailed study of soft tissue condition is required (for example, by squeezing the root of the nerve), the expert will prescribe magnetic resonance imaging.
Other possible diagnostic measures:
- Joint ultrasound;
- Arthroscopy;
- Blood test for the rheumatoid factor;
- Tuberculin samples;
- Biochemical analysis in case of suspected diabetes, gout.
It is very important to find the cause of secondary cOKSARROSIS, because without affecting it to interrupt the course of the disease will not work.
Treatment of Hip Articulation Arthrosis - Medicines and Physiotherapy
If signs of the disease are implicit and did not rise to the stage of irreversible changes, conservative treatment will help the patient.Medicines will need therapy even when hip joint arthrosis gained a serious form - as a component of the course of treatment.
How to treat hip joint arthrosis?There is a drug correction program of the disease:
- Non -esteroid anti -inflammatory drugs.Pills or injections will help get rid of pain, inflammation.It is impossible to use them uncontrollably - their own cartilage skills for regeneration will, in addition, the stomach and intestine will suffer a lot of NSAIDs.
- Vascular medications.Treatment with these medications helps improve cartilage nutrition and promotes its restoration.
- Muslaxantes.Showed by spastic pain in the muscles caused by damage to the thigh area.
- Condropoprotectors.Hip articulation arthrosis requires a mandatory and multi -meês administration of such medicines. It is also necessary to use forms injection courses, including the joint dealer.An even more effective technique is considered the introduction of hyaluronic acid drugs into the joint.
- Corticosteroids.They are used in extreme cases in the form of intra -articular injections.This treatment is necessary if symptoms become unbearable.
External agents (ointments, gels) for coxarthrosis are generally ineffective due to a deep race of the joint.But physiotherapeutic techniques are often used and relieve serious pain relief.UHF, laser therapy, magnetotherapy are done in the area of thigh, UHF, massage are performed.In addition, with osteoarthritis, manual therapy is indicated in some cases - the hood of the joint.
Popular Remedies for Arthrosis
Many use popular treatment for this pathology, although hip joint arthrosis does not respond well to various external methods.Only with intense pain can it be applied to a painful compress with isolation, although this is more disturbing.The treatment of complicated and neglected arthrosis of hip joint is best performed by oral administration:
- Pour 100 g of 500 ml vodka saber dry grass, insist 10 days in the dark, make 30 drops three times/day to relieve inflammation;
- Diary of the Jelly, in the absence of counter -indications, regularly cook cold men - the dishes will not serve worse than the chondroprotectors.
You can calm the pain using this compress.It is also necessary to mix honey, bile medical, ammonia, glycerin, apply to the joint, tie with a hot cloth.Leave compaction for 3 hours and wash.
Other methods and operation
For the complete treatment of osteoarthritis, it is very important to observe the correct diet, you will have to refuse foods that violate the blood supply and the worst of cartilage.They are smoked meat, vinegar, crossed food, fried, as well as foods with preservatives, trans fats.But there should be more dishes with magnesium, potassium, iodine, calcium in the diet.
How to treat hip joint arthrosis is mandatory is therapeutic gymnastics.The hot daily -ups, special exercises in the lying position should be performed by all patients.For example, you need to slowly lift your leg and hold the floor for several seconds.
It is important to exclude sudden movements, avoid prolonged and fast walking - with cOKSARROSIS, this will increase only the progression of the disease.To unload the joint, you can use a cane, crutches, also an orthopedist can recommend special orthoses to soften the load.
Treatment of third stage hip arthrosis, the last stage is performed only with the help of surgery, other methods are ineffective.In 95% of cases, the operation is successful, leg movements are restored fully.But the prostheses are not eternal, their useful life is up to 20 years, so operation is an extreme measure.Throughout the endoprothetic, its own joint changes in the artificial and arthrosis of the hip articulation no longer threaten it.
COKSARTROSIS PREVENTION
In order not to conduct complex treatment of pathology, not suffering from pain, it is important to initiate preventive measures from an early age.Prevention of COKSARTROSIS is especially important for those who are exposed to risk factors.
So that the blood supply for the cartilage does not suffer, it follows:
- Eat with the inclusion of vegetable foods on the menu, sufficient amount of low -fat meat, cottage cheese, jelly, sour food;
- Stop smoking, not abuse alcohol;
- In sedentary work, conducts regularly -ups, do simple exercises;
- Abandon a sedentary lifestyle in favor of skiing, swimming and other low -intensity aerobic loads.
In order for a person not to bother hip arthrosis, you must control body weight, prevent obesity and appearance up to 5 to 10 pounds-this-This-till seriously increases the load in the femoral zone.COKSARROSIS can only be warned of an integrated approach and a healthy lifestyle!