Coksartrosis, or degenerative disease of hip joints, is one of the most serious diseases of the musculoskeletal system.Due to the large size of joint structures, pain and discomfort are much more serious than the failure of other joints.The consequences of the pathology are also very serious - if the destruction of small joints causes a lot of discomfort, then the joint disease of the hip joint without treatment is a direct path to the defect.Only exact therapy, and sometimes operating, will help a person not to lose the ability to walk.
What is Arthrosis of hip joints?
Coksartrosis, joints, joints of the hip joint - the synonym of the same pathology, flows in the thighs on one or two sides.In modern medicine, pathology is also known as osteoarthritis: previously it was believed that degenerative processes were not characterized by inflammation, but more accurate studies show the opposite.The affected tissue of articular cartilage secretes inflammatory factors (Interleukin), so osteoarthritis is a different term.
The disease is characterized by the following signs:
- Regular progress, moving from one stage to another;
- Leading to persistent pain, limiting the mobility of joints;
- Causing the deformation of the bone surface, partially or completely destroyed of Hyaline cartilage;
- In a detailed period, the elderly inherently in humans, but usually starts after 40 years;
- 70% of people over 75 years old have pathological symptoms;
- They often suffer from women's illness.
The joint is a mechanism in which there are rubbing parts.Due to the decrease in quality or lubrication (alternating liquid), the contact surfaces are worn out.Small cracks appear on cartilage, then they were destroyed, and instead of healthy tissue, corn bone appeared.Such growth does not allow the foot to move normally, its functions are lost.
Reasons for the development of the disease
The arthritis of the right thigh or left thigh may be the main or auxiliary, and the first option is the exact feature for people of advanced age.The disease is in the main form developed for decades, involving wear and tears related to age and destroying cartilage.
Secondary Coksartrosis has other causes and can start even in a young man.It is associated with inflammation (infectious, autoimmune), which is motivated to the beginning of the pathology.In addition, the cause may be the thigh injury (bruising, dislocated, fracture).The possible causes of secondary form:
- Operating in this anatomical area;
- Diabetes and other serious metabolic diseases;
- Hormonal disease;
- Congenital forms, obtained by curvature and bone movement;
- Joint dysplasia in a child;
The talent of rotation and necrosis of the hip;- Vascular diseases are systematic, leading to decline in cartilage nutrition;
- Bone tuberculosis, rheumatoid osteoarthritis;
- Gout, pertes;
- The tumor is benign, malignant.
The symptoms of joint disease of any form will appear faster if the risk factors on the body:
- Continuous tension, neurological shocks, depression and experience;
- Obesity, even moderate excess weight;
- Disadvantageed genetics;
- Reducing motivation, sedentary work or some industries with high loads on joints;
- Excessive physical load (power), professional sports.
Symptoms of the disease
The development of arthritis of the hip and its symptoms cannot be noticed.Even in the early stages, the disease makes it feel, and above all pain.Pain, with the results and advanced arthritis of the hip joint, increasing when the disease moves from one stage to another.They appear in the thigh area, put it on the knee, in the groin, even in the lower abdomen.Normally, after sleeping, the pain subsided, but at an advanced stage, it may be available continuously.When touching, the pain is not always felt, because the damage to the joints can start with deep parts.
Other feasible signs of the disease:
- A crunchy appears when moving, sometimes even a little;
- Frown, change your gait;
- Shorten the foot from the side of the hip joint;
- The station of the dynamic machine, limited rotation, leg movement.
As they grow, other pathological signs appear.Therefore, the feeling of feeling deformed bone, the presence of growth.The doctor, when checking, notes muscle atrophy, and the patient even in normal life is forced to move with a stick, a crutch to the pain and weakness of Chi.
In general, pain and other clinical manifestations depend strongly on the stage.Such stages of Coksartrosis are distinguished:
- Firstly.Symptoms are not tanned, but the initial changes have been noticed in the diagnosis.The fluid liquid becomes thicker, its volume decreases, the structure of cartilage at the end of the stage changes.The small cracks appear that the body is trying to handle by forming small "corn".
- Monday.The pain at this stage is quite noticeable, brittle, the limit of motor function is clear.Radiation pain syndrome to other parts of the body, spread down the entire leg.The visible image: the thinness of the cartilage, narrowing the distance between the bone, violates the structure of the joint surfaces, sometimes - the shift of the empty bone tip.The number of bone growth (osteophytes) is increased.
- Tuesday.The pain became unable to withstand, a very limited person in the motion, many people completely stop moving.The cartilage is almost completely destroyed, the muscles are atrophy, the joints are very deformed.Osteophytes bones are spiked and stimulate nerve ends.
What are risks and complications?
It is easy to understand - if with a pathology such as the joint of the hip joint, the symptoms and treatment are defined inaccurate, at the wrong time, which threatens the disability.A pain syndrome, unable to walk, the need for continuous care is what is waiting for a person who does not treat this disease.
Disability in case of femur damage is set according to the severity of the disease, with the complete absence of the opportunity to work, for the first group.Such patients are indicated for surgery - this is the only effective treatment in such a situation.But even modern methods of operation may be at risk of complications:
- Infection infection;
- Thrombosis, thrombosis;
- Significantly loss of blood.
The total complication rate is 0.5-2%small, but they take place.Usually, there is a infection of the prosthetic leg, then it must be changed to a new person.That is why after surgery, it is important to conduct an antibiotic treatment process.
Diagnosis measures
Switch to a doctor injury, surgeon, orthopedic expert recommended to help at the first signs of damage to the femur.Initially, with the doubt of hip muscle disease, the doctor conducted physical tests:
- Feeling upper thighs, showing the appearance of pain, bone;
- Perform passive motion of the foot - bend, expand, kidnap and bring to clarify the mass of possible movements.
It will help diagnose more accurately and prescribe the joint treatment of the hip joint, the tool diagnosis will help.Typically, X -ray is conducted - the cheapest, affordable research method.Should create X -Ray on modern devices or replace it on CT, in which the quality of the image is much higher.CT provides adequate information about the condition of bones, cartilage, joint surface.If a detailed study of the condition of soft tissues is mandatory (for example, when pinching nerve roots), the expert will prescribe MRI.
Diagnostic measures may be different:
- Ultrasound of joints;
- Joint endoscopy;
- Blood tests for rheumatism;
- Tuberculosis sample;
- Biochemical analysis in case of suspected diabetes and gout.
It is very important to find the cause of secondary Coksartrosis, because it does not affect it to prevent the disease from working.
Treatment of hip arthritis - drugs and physiotherapy
If the signs of the disease are hidden and it does not go to an irreversible change stage, conservative treatment will help the patient.The drug will need treatment even when the joint disease of the hip has achieved a serious form - as a component of the treatment process.
How to treat joint disease?There is a drug adjustment program of the disease:
- Anti -inflammatory drugs are not caused by no.Drugs or injections will help eliminate pain and inflammation.It is impossible to use them without control - their own cartilage ability to regenerate will decrease, moreover, the stomach and intestines will be a lot of NSAIDs.
- Blood vascular medicine.Treatment with such drugs helps enhance cartilage nutrition and promote its recovery.
- Musorelaxants.Caused by muscle spasticity due to lesions in the thigh area.
- Chondroprotector.The hip joint disease requires compulsory and months of those drugs. It is also necessary to use courses on the form of injection, including the general compartment.An even more effective technique is considered the birth of hyaluronic acid in the joint.
- Corticosteroid.They are used in extreme cases in the form of organs.Such treatment is necessary if the symptoms become inseparable.
External agents (ointments, gel) for COXARTHROSIS are often ineffective due to the deep running of joints.But physiotherapy techniques are often used and relieved serious pain.UHF, laser therapy, magneticization is performed in the thigh area, UHF, massage is done.In addition, with osteoarthritis, manual therapy is indicated, in some cases - the hood of the joint.
Folk remedies for arthritis
Many people use the common treatment for this pathology, although the joint disease of the hip does not respond well to different external methods.Only with severe pain can be applied to a local insulation compressive, although this will cause more distraction.Treatment of complicated and forgotten arthritis of the hip joint is done best by oral drinking method:
- Pour 100 g of hay of 500 ml of Vodka sword, emphasizing 10 days in the dark, takes 30 drops or three times/day to reduce inflammation;
- Everyday making jelly, in case there is no contraindication, regular cooking of cold men - dishes will not serve worse than chondroprotector.
You can soothe the pain by using such a compression.It is necessary to mix honey, medical honey, ammonia, glycerin, applied to joints, tied to a warm cloth.Leave compresses for 3 hours, then rinse.
Other methods and activities
To fully treat osteoarthritis, it is very important to observe the accurate diet, you will have to refuse food that violates blood supply and weaken cartilage.These are smoked meats, vinegar, cross, fried, as well as food with preservatives, trans fats.But there should be many dishes with magnesium, potassium, iodine, calcium in the diet.
How to treat the joints of the hip is mandatory is the gymnastics for treatment.Warmly daily, special exercises in a lie should be done by all patients.For example, you need to slowly lift your foot and hold on the floor for a few seconds.
It is important to eliminate sudden movements, prevent prolonged and fast walking - with Coksartrosis, this will only enhance the progression of the disease.To unload joints, you can use sticks, crutches, also an orthopedic doctor that can propose special orthopedic to soften the load.
Treatment of joint joints of the third time, the final stage is only performed with the help of surgery, other methods are ineffective.In 95% of cases, successfully operating, the movements of the legs are fully restored.But fake parts are not eternal, their service life expectancy for up to 20 years, so activities are an extreme measure.In the process of Endoprosthetic, its own change in the artificial person, and the joint disease of the hip does not threaten him anymore.
Prevention of Coksartrosis
In order not to conduct complicated disease treatment, no pain, it is important to start preventive measures from an early age.The prevention of Coksartrosis is especially important for those who come into contact with risk factors.
Therefore, the blood supply for cartilage is not affected, it follows:
- Eat with the putting plant food into the menu, sufficient the number of meat, cheese, jelly, sour food -Milk;
- Stop smoking, no alcohol abuse;
- At work less sedentary often conduct warm, perform simple exercises;
- To abandon a sedentary lifestyle to support skiing, swimming, aerobic tonnage of other low degrees.
Therefore, a person does not disturb the joints of the hip joint, you should control your body weight, prevent obesity and the appearance of even more 5-10 pounds, which increases the load in the femur.Coksartrosis can only be warned with an integrated approach and a healthy lifestyle!