Coxarthrosis, or degenerative hip joint disease, is one of the most serious pathologies of the musculoskeletal system.Due to the large size of articular structures, pain and discomfort are much more serious than loss of other joints.The consequences of the pathology are also severe - if the destruction of small bone joints causes many unpleasant sensations, then the arthrosis of the hip joint without treatment is a direct path to disability.Only accurate therapy, and sometimes surgery, will help a person not lose the ability to walk.
What is the arthrosis of the hip union?
Coxarthrosis, osteoarthrosis, hip arthrosis - synonyms of the same pathological process, flowing into the thighs on 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 the most accurate studies showed otherwise.The affected articular cartilage tissue secretes inflammatory elements (interleukins), so osteoarthritis is another true term.
The disease is characterized by the following signs:
- Progresses steadily, moving from one stage to another;
- Leads to persistent pain, limiting joint mobility;
- Causes deformation of bone surfaces, partial or complete destruction of the hyaline cartilage;
- In a detailed stage, the elderly are more natural in humans, but often begins after 40 years;
- 70% of people over 75 years old have symptoms of pathology;
- They often suffer from women's disease.
The connection is a mechanism in which there are frictional details.Due to the reduction of the quality or amount of lubrication (inter-dependent fluid), the contact surfaces are tired.Small acquisites appear in the cartilage, later they are destroyed, and instead of healthy tissue, bone corn appears.Such growths do not allow the foot to move normally, its functions are lost.
Reasons for developing the disease
The arthrosis of the right or left thigh region can be primary or secondary, and the first option is characteristic precisely for people of advanced age.The primary form disease develops for decades, associated with age -related ear and cartilage destruction.
Secondary coxarthrosis has other causes and can start in a young man as well.It is associated with inflammation (infectious, autoimmune), which gives an impetus to the onset of pathology.Also, the cause may be the suffered damage to the thigh (bruise, displacement, bone fracture).Other possible causes of secondary form:
- Operations in this anatomical area;
- Diabetes and other serious metabolic pathologies;
- Hormonal diseases;
- Congenital, obtained bending and bone displacement forms;
- Joint dysplasia in a child;
Turning protests, hip head necrosis;- Vascular diseases of a systemic nature, leading to a deterioration in cartilage feeding;
- Bone tuberculosis, rheumatoid osteoarthritis;
- Gout, perts disease;
- The tumors are benign, malignant.
Symptoms of hip joint arthrosis of any form will occur faster if risk factors act in the body:
- Constant stress, nervous shocks, depression and experiences;
- Obesity, even moderate excess weight;
- Unfavorable inheritance;
- Hippodinamia, sitting work or certain occupations with a high load on coupling;
- Excessive physical loads (power), professional sports.
Symptoms of the disease
Developing arthritis of hip joint and its symptoms cannot be observed.Even at an early stage, the disease makes itself feel, and, above all, pain.The pain, with the resulting and progressive arthrosis of the hip joint, increases as the disease passes from one stage to another.They appear in the area of the thigh, give the knee, on the groin, even in the lower abdomen.Usually, after sleep, the pain decreases, but in the advanced stage it can be constantly present.During palpation, the pain is not always felt because damage to the joint can begin with deeply placed parts.
Other possible signs of the disease:
- A stalemate that appears when moving, sometimes even with a small;
- Being killed, changing walking;
- Trimming the legs where there is arthrosis of the hip joint;
- Movement station, limited rotation, moving foot.
As they develop, other signs of pathology appear.So feeling gives a feeling of bone deformity, the presence of growth.The doctor, on examination, observes muscle atrophy, and the patient even in ordinary life is forced to move with a cane, a crut on the pain and weakness of the limbs.
In general, pain and other clinical manifestations strongly depend on the phase.Such stages of coksartrosis are distinguished:
- At firstSymptoms are not radiated, but the initial changes are already visible in diagnosis.The synovial fluid becomes thicker, its volume decreases, the cartilage structure at the end of the phase changes.Small cracks appear that the body is trying to treat by forming small "corn".
- The second.The pain at this stage is quite obvious, the cramp, the limitation of the engine function is clear.Pain syndrome radiates to other parts of the body, spreads throughout the foot down.The picture is obvious: the thinning of the cartilage, the narrowing of the distance between the bones, a violation of the structure of the articular surfaces, sometimes - the displacement of the hollow bone head.Bone growth number (osteophytes) has increased.
- Third.The pain becomes unbearable, a person is very limited in motion, very completely stop moving.The jump is almost completely destroyed, muscle atrophy, the joint is highly deformed.Bone osteophytes have the shape of rivets 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 defined in wrong, prematurely, this threatens with disabilities.A painful pain syndrome, the inability to walk, the need for constant care is that what expects a person without treating the disease.
Disability in the event of damage to the bones of the thigh is set according to the severity of the disease, with a complete lack of opportunity to work, give the first group.Such patients are shown surgery - this is the only effective method of treatment in such a situation.But even modern methods of operations can maintain the risk of complications:
- Infectious infection;
- Thrombosis, embolism thrombus;
- Significant blood loss.
The total part of the complications is small-0.5-2%, but they occur.Most often, there is a prosthesis infection, which must then be changed to a new one.That is why after surgery it is important to develop a course of antibiotic treatment.
Diagnostic measures for arthrosis
Returning to the traumatologist, the surgeon, an orthopedist is recommended for help in the first signs of damage to the femur area.Initially, with the suspicion of hip union arthrosis, the doctor performs physical tests:
- Feels the upper thigh, detects points of appearance of pain, bone osteophytes;
- Performs passive foot movements - bending, stretching, abduction and behavior to clarify the volume of possible movements.
It will help to diagnose more accurately and describe the treatment of hip joint arthrosis, instrumental diagnosis will help.Typically, radiography is performed - the cheapest, affordable research method.It is recommended to make an X -Ray on modern equipment, or replace it in CT, where the quality of the pictures is much higher.CT provides exhaustive information about the condition of bones, cartilage, common surfaces.If a detailed study of soft tissue condition is required (for example, when drinking nerve root), the specialist will describe an MRI.
Other possible diagnostic measures:
- Union ultrasound;
- Arthroscopy;
- Blood test for rheumatoid factor;
- Tuberculin samples;
- Biochemical analysis in case of suspicion of diabetes, gout.
It is very important to find the cause of secondary coxartrosis, because without affecting it to stop the course of the disease will not work.
Treatment of hip - medicines and physiotherapy arthrosis
If the signs of the disease are implied, and did not go to the stage of irreversible changes, conservative treatment will help the patient.Medications will need therapy even when hip joint arthritis has acquired a severe form - as an ingredient of treatment flow.
How to treat hip joint arthrosis?There is a disease of the disease correction:
- Non -steroidal anti -inflammatory drugs.Pills or injections will help to get rid of pain, inflammation.It is impossible to use them uncontrollably - their cartilage skills for regeneration will decrease, moreover, the stomach and intestines will suffer a lot from NSAIDs.
- Vascular medicines.Treatment with such medicines helps improve cartilage food and promote its restoration.
- Musorelaxants.Shown by spastic pain in the muscles caused by damage to the thigh area.
- Chondroprotectors.Hip joint arthritis requires mandatory administration and many months of such medicines. It is also necessary to use injections courses, including entry into the joint cavity.An even more effective technique is considered to be the introduction of hyaluronic acid drugs into the joint.
- Corticosteroids.They are used in extreme cases in the form of intra -articular injections.Such treatment is needed if the symptoms become unbearable.
External agents (ointments, gel) for coxarthrosis are usually ineffective due to a deep fusion direction.But physiotherapeutic techniques are often used and give serious pain relief.UHF, laser therapy, magnetotherapy are done in the area of the thigh, UHF, massage are performed.Also, with osteoarthrosis, manual therapy is indicated, in some cases - the hood of the joint.
Folk remedies for arthritis
Many use popular treatment for this pathology, although hip joint arthrosis does not respond well to various external methods.Only with severe pain can be applied to a sore spot with insulation, though this will be more attractive.Treatment of complicated and neglected arthrosis of the hip joint is best performed by oral administration:
- Pour 100 g of dry saber bar of 500 ml of vodka, insist 10 days in the dark, take 30 drops three times/day to relieve inflammation;
- Every day Jelly, in the absence of contraindications, cook cold men regularly - dishes will not serve worse than chondroprotectors.
You can soothe the pain by using such a compress.It is necessary to mix honey evenly, medical bile, ammonia, glycerin, apply to the joint, tie with a warm cloth.Leave the compression for 3 hours, then wash.
Other methods and operation
For complete treatment of osteoarthrosis, it is very important to observe the correct diet, you will need to refuse food that violates blood supply and worsens the cartilage.These are smoked meats, vinegar, crossed food, fried, as well as preservative food, 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.Warm daily conclusions, special exercises in lying position should be performed by all patients.For example, you need to slowly raise your leg up and hold over the floor for a few seconds.
It is important to exclude unexpected movements, prevent prolonged and fast walking - with coxarthrosis, this will only improve the progression of the disease.For discharge of the joint, you can use a cane, crutches, also an orthopedic can recommend special orthoses to soften the load.
Treatment of arthrosis of the third hip joint, the last stage is performed only with the help of surgery, other methods are ineffective.In 95% of cases, surgery is successful, foot movements are completely reset.But dentures are not eternal, their service life is up to 20 years, so surgery is an extreme measure.In the course of the endoprosthetics, its own commonal changes in the artificial one, and the arthrosis of the hip joint no longer threatens it.
Prevention of coksartrosis
In order not to perform complex treatment of pathology, not to suffer from pain, it is important to start preventive measures from an early age.Prevention of coxarthrosis is especially important for those who are exposed to risk factors.
In order for the blood supply to the cartilage not to suffer, it follows:
- Eat with the inclusion of herbal foods in the menu, sufficient amounts of low meat, cottage cheese, jelly, sour -fart food;
- Stop smoking, not alcohol abuse;
- In the regular work regularly perform with warm water, do simple exercises;
- To abandon a lifestyle seated in favor of skiing, swimming, other low -intensity aerobic loads.
So that a person does not disturb the arthrosis of the hip joint, you should control the body weight, prevent overweight and the appearance of even 5-10 pounds-this seriously increases the load on the femur area.Coxarthrosis can only be warned with an integrated approach and a healthy lifestyle!