Arthrosis of the hip joint: degree, symptoms and treatment

The pain and discomfort of the hip together never disturb the healthy person - in essence, you can live your life without thinking about how this education works in our body.However, those who occur to deal with the joint hip arthrosis voluntarily move to the rank of experts and in the structure of the joints and the treatment of the disease - if there is no hope for good health.

What is ruining the arthrosis of the hip joint and why it does happen

Hip joint arthrosis (also known as coxarthrosis and deformation of osteoarthrosis hip joint) is one of the most common pathologies diagnosed with bone muscle system.In Russia, the disease is a major cause of disability in people with joint disease.

For reference
Coksartrosis is a chronic inflammation of the hip joint, characterized by premature destruction of cartilage, narrowing the joint gap and decreasing in the foot movement from the wound.

Following the problem of a person suffering from arthrosis of the hip joint can be compared to the door whose loop is not lubricated.Due to the lack of "lubrication" in the joints, the bones begin to come into contact, which causes pain and constraints (such as roads and tight doors).Then, if the disease is ignored, growth ("rust") occurs on the surface of the bone, which is increasingly movement in the joints, and with bad results, it stops fulfilling its function.

It is usually believed that hip joint arthrosis is an age problem.Statistics confirm this view: after 40 years, such a diagnosis has been made one in ten, after 60 years - one of three patients, and in those aged 70 in 80% of cases for 70 but often pain in the thighs leads to the Orthopedic and Youth Office.

Therefore, among the causes of osteoarthrosis of the hip joint, most importantly the following is distinguished:

• Development affected (displacement) of the joints, which may not show itself until adulthood;
• Premature joint clothing that occurs due to intensive load in athletes or obesity;
• injuries and infections that affect the musculoskeletal system;
• Other diseases of the musculoskeletal system, which leads to the redistribution of pathology of load on the joints;
• Violation of blood supply to joints (for example, due to vessel atherosclerosis).

Doctors believe that a combination of factors leads to arthrosis of the hip joint, therefore, in people with a tendency for the disease, the pathological process occurs earlier, such as in patients with obesity, diabetes mellitus or ischemia damage to the heart.

Symptoms of coxarthrosis

The first sign of arthrosis is pain after physical activity.Unpleasant sensations arise in the inguinal region, so in the thighs and knees.

This is important
Often, with coxarthrosis, the pain is initially focused on the knee joint, and someone deals with a doctor with such a complaint.Inexperienced doctors can prescribe X -ray from this area and, if there are small changes, make the wrong diagnosis - gonartrosis in the first stage.As a result, time will miss.Therefore, with pain in the legs, it is worth focusing time to find competent orthopedic doctors and a good orthopedic clinic.

If coksartrosis is not initiated in the early stages, the following symptoms participate in pain: stiffness and cramps in the joints, changes in style (often to prevent unpleasant sensations, the patient presents the feet out and transmits when walking from side to side - "duck" formed), lipping.Over time, the pathological process leads to hip muscle atrophy and visual shortening of diseased members.In later stages, hip joint osteoarthrosis develops to ankylosis - a complete fraining of the femur with the pelvis, which is why the feet are set in one position and only perform support functions.

Level

For diagnostic facilities, doctors distinguish three degrees of coxarthrosis:

• 1 degree osteoarthrosisThe hip joints are prescribed with a manifestation of moderate pain and the absence of constraints in movement.With radiography, small narrowing of joint gaps and single bone growth, osteophytes appear to narrow down.Subject to adequate treatment, the first stage coxarthrosis can be stopped by eliminating the symptoms of the disease.
• 2 degrees coxarthrosisIt is accompanied by pain even in other feet.The movement in the joints is difficult: one cannot lift and take the foot to the side.The pain is very significant when trying to open the leg straight to the right and left.Patients are paralyzed, sometimes problems are heard in the joints.In X -Ray Pictures - Femoral head deformation, many osteophytes and narrow the gap with each third.Steps -Therapeutic steps allow for years to suspend the course of the disease for years.
• On3 degrees coxarthrosisThe pain in the joints does not subside all the time, the muscle atrophy - the thigh and the back of the thighs - the whole body appears to be leaning towards the lesion.X -ray shows deep deformation of the joints and narrowing the gap until the full connection of the bone surface.The therapeutic approach, as a rule, does not have a significant effect - a joint substitute for prosthesis is required.

For diagnosis of osteoarthritis deformation, it is used as an external examination, where doctors study foot mobility, assess the style and appearance of the patient, as well as radiography.In doubt in the accuracy of the diagnosis, the specialist also sets the direction for magnetic resonance tomography (MRI) of the hip joint.

How to treat hip joint arthrosis

The struggle for chocolate requires the involvement of various methods: from medicines and physiotherapy training to joints and surgery, which is usually prescribed for unsuccessful attempts to restore disease progression.

Conservative treatment

Non -curved treatment requires time and financial costs, but it can improve the quality of life of the patient in the long run - to cancel the surgical requirements.The first thing that the orthopedic prescribes coksartrosis is a drug that relieves pain and inflammation (anti -actual medicine and steroids, muscle medicine).To activate blood supply in the field of arthrosis and the recovery of cartilage tissue, vasodilating drugs and chondroprotectors are prescribed.In addition, patients can offer modern methodologies to stimulate regenerative - plasmolifting, which is the injection of the patient's blood components into pathological focus.This step is most effective for osteoarthritis hip joint from severity 1 and 2.

Non -Kurgia treatment methods

In addition to tablets, ointments and injections, coxarthrosis treatment requires the use of physiotherapy and kinesitherapy, as well as diet correction.Help strategies developed by experienced orthopedics allow people with 1 and 2 degrees of hip joint arthrosis to prevent endoprosthetics and limit the need for medicines.

Physiotherapy

• Shock wave therapy (UVT)It is used in cardiology, neurology, orthopedic and sports medicine.The basis of the body is a sound wave that gives blood flow to the desired area of the body, which stimulates the process of regeneration and accelerates metabolism.This relatively new method has shown significant results in the treatment of musculoskeletal system diseases and is one of the most popular.
• MyostimulationIn the case of coxarthrosis, it is intended to restore muscle function, weak due to blockage of forced movement in the joints.
• PhonophoresisIt combines the advantages of ultrasound and the effects of drugs on the body: under the influence of devices, pharmaceutical drugs in the form of ointment or penal creams are more effective through the skin to the hip joint.
• OzonotherapyReduces unpleasant sensations and activates cartilage growth due to the properties of ozos acid mixture.

Kinesitherapy

• Exercise therapyIt is considered the basis for the treatment of successful arthrosis for any localization: the usual implementation of a special exercise system strengthens the ligaments and muscles around the sore joints, which reduces discomfort with the normal daily load.
• Massage(including lymphatic drainage) and manual therapy are intended for passive work with muscles, ligaments and joints.The approach used to help people with coxarthrosis reduces the need for tablets and injections, which reduces pharmacological burden on the body.
• MechanotherapyIt implies work with a simulator that helps to perform joints without significant physical effort, which is especially in demand in advanced patients.
• Traffic togetherWith the help of a special attraction or hand of a manual therapist, it increases the space in the joints, which "removes" the pathological process of several steps back, simplifying symptoms and giving the body time to restore hip joint function.

Dietary therapy

All patients with coksartrosis are required, but most importantly for obesity patients.Weight loss reduces the burden on inflamed joints and increases metabolism.In combination with other conservative methods, a balanced diet allows you to forget the pain and other manifestations of hip joint arthrosis.

Surgical

The group includes procedures performed by the surgeon in the operating room.All of them, except for the hip joint puncture, require hospitalization and a multi -month recovery period.With the 3rd degree coxarthrosis, when conservative treatment does not bring relief, only prosthetics help save the patient from discomfort and pain, restoring the excitement of movement.

• Puncture (minimum invasive intervention)It implies pumping from excess fluid joints, which relieves pain and increases foot mobility.It can be done repeatedly, especially when prescribing steroid drugs.
• Arthroscopic debateIt implies the purification of the inner surface of the joints from the changed cartilage and washing the cavity with a therapeutic solution to relieve inflammation.The operation was carried out through several punctures, without opening a joint cavity.
• Hemive osteotomy- Femurized fractures, followed by their fractures from different angles, allowing to reduce the load on the joints.Such interventions cannot be called panacea - after 2-5 years, back pain, but in some cases when endoprosthetics are impossible, osteotomy periosurge hip joint is the best solution for coxarthrosis.
• Endoprostheticsmeans a complete replacement of the joints for the prosthesis, which can serve up to 20 years.Despite the complexity of the intervention, it is well received by patients -different age patients who are ready for active recovery after surgery.The surgeon notes that the essential condition for success is the early treatment of obesity and the use of the kinesitherapy method to restore muscle strength surrounding the joints.

Prevention of hip joint osteoarthritis is important to people after 40 years, athletes and relatives who have been diagnosed with coksartrosis or femoral neck fractures.Doctors recommend that the risk group monitor the numbers, be careful with injuries (for example, wearing winter shoes on non -slip soles) and is often involved in fitness.At the first symptom of hip joint arthrosis, immediately turn to orthopedic.Treatment of the disease must be held with a specialist doctor, experienced and notice any changes in the patient's health.