Osteoarthritis of the hip joint: degree, symptoms and treatment

Pain and discomfort in the hip joint never bother healthy people - essentially you can live your whole life without thinking about how this education works in our body.However, those who happen to be exposed to arthrosis of the hip joint involuntarily move to rank as experts and in the collection of the joint and treatment of the disease - otherwise there is little hope for good health.

What is deforming arthrosis of the hip joint and why it occurs

The osteoarthritis of the hip joint (also known as coxarthrosis and deforming osteoarthrosis of the hip joint) is one of the most frequently diagnosed pathologies in the bone muscle system.In Russia, this disorder is a leading cause of disabilities in people with common illnesses.

To reference
Cox arthritis is a chronic inflammation of the hip joint, which is characterized by premature destruction of cartilage, narrowing the common gap and a decrease in the bone's mobility from the lesion.

Figuratively, the problem of a person suffering from arthrosis of the hip joint can be compared to a door whose loops are not lubricated.Due to the lack of "lubrication" inside the joint, the bones begin to come into contact, provosing pain and limitation (like a squeak and tight door of the door).Later, if the disease is ignored, outgrowth ("rust") occurs on bone surfaces, as more and more limited movements in the joint and with a negative result cease to fulfill its function.

It is usually assumed that arthrosis of the hip joint is an age problem.Statistics confirm this view: After 40 years, such a diagnosis has been made one of ten after 60 years - one of three patients, and in those who are 70 in 80% of cases for 70. But often the pain in the thigh leads to the office of orthopedic and youth.

So among the causes of osteoarthrosis in the hip joint are the following most significant distinguishing:

• Born reduced development (dysplasia) of the joint, which may not show itself before adult age;
• Premature wear of the joints that occur due to intensive loads in athletes or in obesity;
• damage and infections that affect the musculoskeletal system;
• Other diseases of the musculoskeletal system leading to pathological redistribution of the strain on the joints;
• Violation of the blood supply to the joint (for example, due to vessel -therosclerosis).

Doctors believe that a combination of factors leads to arthrosis of the hip joint, therefore the pathological process occurs, as in patients with obesity, diabetes mellitus or ischemic damage to the heart.

Symptoms of coxarthrosis

The first sign of arthrosis is pain after physical activity.Unpleasant sensations occur both in the inguinal region, then in the thigh and the knee.

This is important
Often with coxarthrosis, the pain is originally concentrated in the knee joint and a person addresses the doctor with such a complaint.An inexperienced doctor may prescribe an X -Ray in this area and if there are minor changes, make a faulty diagnosis - gonar rose to 1 degree.As a result, time will miss.Therefore, with pain in the leg, it is worth spending time on the search for a competent orthopedic doctor and a good orthopedic clinic.

If the cox arthritis has not begun to treat in the early stages, the following symptoms connect pain: stiffness and crunch in the joint, a change in progress (often to avoid unpleasant sensations formed outward patients and transmit as they go from side to side - a "duck" gang form) that lips.Over time, the pathological process leads to the atrophy of the hip muscles and visual abbreviation of the sick limb.In the later stages, osteoarthrosis is developed by the hip joint into ankylosis - the complete frightening of the femur with a pelvis, and therefore the bone is attached to a position and only performs the support function.

Disease

For the convenience of the diagnosis, doctors separate three degrees of coxarthrosis:

• 1 degree of osteoarthrosisThe hip joint is set with moderate pain manifestations and the absence of restriction in movements.With radiography, a small narrowing of the common gap and simple bone growth, osteophytes are noticeably a small narrowing.Subject to adequate treatment, coxarthrosis can be stopped to 1 degree by removing the symptoms of the disease.
• 2 degree of coxarthrosisIt is accompanied by sore pain, even by the rest of the leg.The movements in the joint are difficult: a person cannot lift and take the leg to the side.The pain is especially noticeable when trying to unfold the foot of the directed leg to the right and left.The patient is limp, sometimes a crunch is heard in the joint.In X -Ray images -deformation of the femoral head, several osteophytes and narrowing of the common gap perThird.Therapeutic measures allow you to suspend the course of the disease for many years.
• On3 degrees of coxarthrosisThe pain in the joint does not fall down around the clock, atrophy of the muscles of the thigh and the buttocks develop - the whole person's body seems crooked against the lesion.X -Ray indicates a deep deformation of the joint and narrowing the gap in the gap until the full connection of the bone surfaces.The therapeutic approach usually does not have a tangible effect - a common substitute for a prosthesis is required.

For diagnosis of deforming osteoarthritis, it is used as an external examination where the doctor studies the mobility of the leg, evaluates the patient's gait and appearance as well as radiography.In doubt about the correctness of the diagnosis, the specialist also prescribes a direction for magnetic resonance tomography (MRI) of the hip joint.

How to treat Arthrosis by the Hip joint

The fight against cookes arthritis requires the involvement of different methods: from drugs and physical therapy exercises to the joints of joint and surgery, which are usually prescribed for failed attempts to return to the development of the disease.

Conservative treatment

Non -surgical treatment requires time and financial costs, but it can improve the quality of the patient's life in the long run - to cancel the need for surgical surgery.The first thing an orthopedia prescribes coke arthritis is medications that relieve pain and inflammation (non -steroidal and steroidal anti -inflammatory drugs, muscle relaxants).In order to activate blood supply in arthrosis and recovery of cartilage tissue, vasodiling drugs and chondroprotectors are prescribed.In addition, the patient can offer a modern method of stimulating regenerative processes - plasmolifting, that is, the injection of the patient's blood components in the pathological focus.These measures are most effective for osteoarthritis of the hip joints in the 1st and 2nd severity.

Non -surgical treatment methods

In addition to tablets, ointments and injections, the treatment of coxarthrosis requires the use of physiotherapy and kinestherapy as well as dietary correction.An auxiliary strategy developed by an experienced orthopedic allows people with 1 and 2 degrees of arthosis of the hip joint to avoid endoprotetics and limit the need for drugs.

Physiotherapy

• Shock-Wave Therapy (UVT)It is used in cardiology, neurology, orthopedia and sports medicine.The basis of the effect on the body is sound waves that provide blood flow to the desired area of the body, which stimulates regeneration processes and speeds up metabolism.This relatively new method already shows significant results in the treatment of diseases of the musculoskeletal system and becomes one of the most popular.
• MyostimulationIn the case of coxarthrosis, it is aimed at restoring muscle function, weakened due to a forced restriction of movements in the joint.
• FonophoreseseIt combines the benefits of ultrasound and drug effects on the body: Under the influence of the device, a pharmaceutical drug in the form of an ointment or cream is more effective through the skin to the hip joint.
• OzonotherapyReduces unpleasant sensations and activates the growth of cartilage due to the properties of the ozos acid mixture.

Kinestherapy

• Exercise therapyIt is considered as the basis for the successful treatment of arthrosis of any location: the regular implementation of a special training system strengthens ligaments and muscles around the sore joint, reducing discomfort with the usual daily stresses.
• Massage(including lymphatic drainage) and manual therapy are aimed at passive work with muscles, ligaments and joints.Approaches used to help people with coxarthrosis reduce the need for tablets and injections, reducing the pharmacological strain on the body.
• MechanotherapyIt involves working with simulators that help to exercise the joint without significant physical effort, which is especially sought after in patients of advanced age.
• Common trafficUsing a special traction or hands of a manual therapist, it increases space inside the joint that "throws" the pathological process several steps back, facilitates the symptoms and gives body time to restore the function of the hip joint.

Department of Department

All patients with cox arthrosis are required, but most importantly for obesity patients.Losing weight reduces the load on the inflamed joint and improves metabolism.In combination with other conservative methods, a balanced diet allows you to forget about pain and other manifestations of arthrosis of the hip joint.

Surgical treatment

This group includes procedures performed by a surgeon in the operating room.All of them, except puncture of the hip joint, require hospitalization and a multi -mourning recovery period.With coxarthrosis to a 3rd degree, when conservative treatment does not bring relief, only prosthetics helps save the patient from discomfort and pain, giving him the joy of movement.

• Puncture (minimally invasive intervention)It involves pumping out of the joint of the excess fluid that relieves pain and improves the mobility of the leg.It can be performed repeatedly, especially when prescribing steroid drugs.
• Arthroscopic debateIt involves the purification of the inner surface of the joint from fragments of the altered cartilage tissue and washing its cavity with a therapeutic solution to relieve inflammation.This operation is performed through several punctures without opening the joint cavity.
• Hemiv osteotomy- An artificial fracture of the femur, followed by its raining from another angle, which allows the load on the joint.Such an intervention cannot be called a universal agent - after 2-5 years the pain returns, but under some conditions where endoprotetics are impossible, the peri -surgeon osteotomy of the hip joint is the best solution to the problem of coxarthrosis.
• Endoproteticsmeans a complete replacement of the joint for a prosthesis that can earn up to 20 years.Despite the complexity of the intervention, it is well tolerated by patients of different ages who are ready for active rehabilitation after surgery.Surgeons note that an important condition of success is a preliminary treatment of obesity and the use of kinestherapy methods to restore muscle strength around the joint.

Prevention of osteoarthritis of the hip joint is important for humans after 40 years, athletes and relatives of people with already diagnosed cox arthritis or a fracture of the femur.Doctors recommend that the risk group monitor the number, be careful about damage (for example, wear in winter shoes on non -slip soles) and regularly participate in fitness.At the first symptoms of arthrosis in the hip joint, immediately turn to the orthopedic.Treatment of the disease must be kept by a specialist, experienced and aware of any changes in the patient's health.