Efficacy of hips in the hip joint with arthrosis
Coxarthrosis is an inflammation of the hip joint. Such a lesion is capable of completely or partially destroying the binders of the joint bag. Such an impact negatively affects a patient's ability to move, causes severe pain and inconvenience. Various methods are used to treat coxarthrosis. One of them is injections into the hip joint with arthrosis. This method is quite effective and is used in most cases after all other methods of treatment have not been successful.
Injection into the joint has several advantages over other treatments. Even if a patient has arthrosis of the hip joint on the basis of another disease or, in addition to this ailment, a person has a number of other diseases, intraarticular injections will help much better than any other therapy. Drugs that are injected through such injections have a beneficial effect on the patient's overall health. Before agreeing to such treatment, make a series of tests that determine whether you have an allergic reaction to medications. Each injection should be carried out 14 days after the previous one was made. Do not take pills or other medicines during the treatment period.
Use of glucocorticoids
Glucocorticoids are drugs that are injected into joints. Such treatment is prescribed to the patient with arthrosis of the hip joint. Glucocorticoids are able to completely neutralize any symptoms of the disease. If it is not always possible to completely relieve a person of pain, inflammation and swelling by means of standard medication, such medications can provide effective help to the patient. Glucocorticoids belong to the category of hormonal drugs. Therefore, they must be used with caution. Excess dose or frequent injections can lead to a violation of the human hormonal background.
Glucocorticoids include a fairly wide range of medicines in their group. This hydrocortisone, diprospan, kenalog, celeston, flosteron. To achieve restoration of joint work or cessation of the destructive process in the cartilaginous tissue through such injections is impossible. These drugs are not intended for the treatment of arthrosis of the hip joint. They only allow to save the patient from unpleasant sensations. Do not expect from such treatment of rapid restoration of blood circulation or cartilage nutrition.
At the time of severe exacerbation of arthrosis, glucocorticoids are used most often. This is due to the fact that during this period the fluid in the joint bag accumulates, which must be removed. A glucocorticoid drugs contribute to the early resolution of such formations. After the course of such treatment, the patient is usually prescribed manual and physiotherapy.
When a hip is injured, the patient is not assigned the entire course of drugs at once.1 injection is always done as a trial. Depending on how the patient's body behaves, the doctor decides whether to continue such therapy or not. Not always treatment with glucocorticoids can bring the desired result. Sometimes the patient's body simply does not respond to such injections, and the disease continues to progress, and the symptoms intensify. For arthrosis of the hip joint, injections of glucocorticoids are performed if:
- There is no other way to achieve the removal of symptoms of the disease.
- Damage is not just local, it can spread.
- 1 shot gave a positive result.
- The doctor is confident of the need for such treatment.
Treatment with plasma
There are various drugs that can remove painful syndromes and return the patient to a normal state. But there is a special method of influencing the joint, which appeared relatively recently. None of the tablets are able to have such an effect as plasmolifting. Such treatment can not only eliminate obvious symptoms of arthrosis, but completely stop the development of the disease, eliminate it and prevent further emergence. Plasmolifting has a positive effect not only on the affected area of the joint and cartilage, but also on the entire body as a whole. This treatment enriches with minerals and nourishes the muscles around the hip joint, restores the elasticity of the ligaments and the entire damaged musculoskeletal system.
Plasmolifting does not include foreign drugs. The method of treatment consists in the fact that the patient takes a sample of plasma and adds platelets to it in a laboratory way. After this, the patient is given such an injection. Such treatment is absolutely safe and has no side effects, unlike injections, which contain medicines. Plasma and platelets contribute to the regeneration of damaged areas. To the affected joint, blood begins to flow in the knee, new vessels are formed.
Due to the fact that plasmolifting is a natural stimulant, it provokes not only the regeneration of the joint, but also the restoration of the cartilaginous tissue. The plasma introduced into the patient's body regulates the content of synovial fluid in the joint bag, as a result of which the cartilage is lubricated and stops to break down. Painful symptoms, swelling, swelling, reddening of the skin and other symptoms pass completely after 1 injection. Use extra tablets and ointments to get a faster effect.
The use of plasmolifting can cure not only hip joint damage. Such treatment is used when the functioning of certain organs is disturbed. The introduction of plasma provokes the rapid healing of wounds and the removal of lesions on the skin. With such treatment, the patient does not have to adjust and change the habitual pace and lifestyle.
Using chondroprotectors for arthrosis
It is often enough in modern medicine to treat joint and cartilage diseases by inserting into the joint bag of chondroprotectors or non-steroidal anti-inflammatory drugs. Preparations from the group of chondroprotectors primarily feed the cartilaginous tissue and restore the balance of the synovial fluid. This is their main difference from non-steroid drugs, which are aimed only at eliminating the main symptoms of arthrosis: edema, painful sensations, inflammation. The use of NSAIDs is very fast. Significant improvement in the patient's condition is observed after half an hour. In case of treatment of arthrosis with chondroprotectors, the result will have to wait longer, but the effectiveness of this method of treatment is much higher. There are no contraindications to the use of these drugs. An exception can be only personal intolerance of the drug organism.
Alflutop, arteparone, countertrial are drugs that belong to the group of chondroprotectors. Their use is useful for the general condition of the patient. They have an effect not only directly on the inflammation, but also improve the course of vital processes in the body. Treatment of the hip joint by the introduction of chondroprotectors is prescribed exclusively by a doctor. The length of the course of treatment will depend on how much the patient has neglected form of the disease and what changes occur in the body under the influence of the drug. The average duration of the course is 6 injections.
If in the course of conventional drug treatment the disease continues to spread and progress, the use of chondroprotectors will stop this process. These drugs are able to fight the disease not only in a certain area where the injection was made, but also in the entire human body.
In modern medicine, the use of chondroprotectors is not very common. While the effect of these drugs is very effective, not every human body lends itself to such an effect. As a result, the drug may be rejected, and the treatment will not bring the desired result. Not every patient is ready to take this risk, because chondroprotective injections are quite expensive.
Application of hyaluronic acid
The introduction of a drug such as hyaluronic acid has a positive effect on the health of a patient with arthrosis. The essence of the treatment is that injections, which are injected into the joint, supplement the cartilage itself. Hyaluronic acid becomes completely identical to the synovial fluid that moistens the cartilaginous tissue. When the hip joint of the patient is affected by arthrosis, the content of hyaluronic acid in the synovial fluid decreases dramatically. Cartilage begins to dry up, friction occurs, which causes destruction and deformation of the cartilage. To date, there are various drugs based on hyaluronic acid, which are found in the joint. They differ mainly in the percentage of the main component. Only the doctor can prescribe the desired dosage after the diagnosis.
When the medicine is injected into the joint, the synovial fluid is saturated with hyaluronic acid, and the natural balance of the elements is restored in the articular bag. As a result, the cartilage tissue is wetted with a sufficient amount of liquid, receives the required amount of nutrients, and its decomposition is suspended. After passing the course of procedures, the spillage of the cartilage is completely prevented. If the patient does not experience friction in the body, the painful symptom disappears by itself, and swelling and swelling gradually disappear. But not only this is the main goal of such treatment. When the destructive process in the cartilage is stopped, saturation with hyaluronic acid provokes it to an independent natural recovery.
The use of hyaluronic acid is very popular in modern medicine. You can inject such injections not only into the hip joint, but also into all the joints of the body. After 1 injection the patient has painful sensations, and the mobility of the joints begins to recover. During the treatment, there is no need to use any other anti-inflammatory drugs. Osteoarthritis will not bother the patient for a long time after undergoing a needle stroke. After such a course of treatment there is no need for surgical intervention, and there are no side effects for injections of this type. It is recommended to go through the procedure for administering hyaluronic acid once a year. The number of injections can vary from 3 to 5.
Injections with coxarthrosis of the hip joint: mechanism of action
Locomotor diseases occupy one of the leading places in the general structure of diseases of the elderly. With age, bone and cartilaginous tissue undergo changes that can affect human health. A special place in this group of pathologies is coxarthrosis of the hip joint. The second name is deforming osteoarthritis. You can treat coxarthrosis of the hip joint in various ways. A good effect can give injections with coxarthrosis of the hip joint. Arthrosis is characterized by the appearance of degenerative-dystrophic changes in the joint. At the same time, the cartilage itself and the periarticular formations are involved in the process. Coxarthrosis develops against the background of metabolic disturbances. This is an irreversible process.
This pathology continues for a long time. Coxarthrosis is the most common disease of the musculoskeletal system. Suffer from this ailment is more of a person over 40 years old. Coxarthrosis of the hip joint, developed at an able-bodied age, has great social significance. This is associated with a significant impairment of motor activity, which leads to a temporary or permanent loss of ability to work. All this causes great economic damage. Consider in more detail the main groups of drugs used as an injectable treatment of the disease.
Etiology of the disease
Of great interest are those causes that can provoke coxarthrosis. They can be divided into 2 large groups: endogenous( internal) and exogenous( external).The first group includes:
- metabolic disorder( excess body weight);
- bone disease;
- endocrine pathology;
- congenital or acquired defects of the femurs or joints;
- age characteristics of the organism;
- hormonal imbalance.
The risk of developing pathology is increased if there is arthrosis in the parents or other relatives. Congenital defects include, in the first place, dysplasia. It is she who causes arthrosis. Dysplasia is caused by improper development of the head of the bone or cavity. Among endocrine factors, hypothyroidism and diabetes mellitus are most important. An etiological factor may be a previously suffered hip joint infarction. Of no little importance is arthritis.
Among the external predisposing factors, the most important are: hip joint injuries as a result of careless daily activities, stress, the effects of alcohol or other toxic substances, increased stress on the joint. As for stress, this condition contributes to the development of corticosteroids, which violate the synthesis of hyaluronic acid, which is part of the joint fluid.
Clinical manifestations of
Coxarthrosis of the hip joint has a rich symptomatology. It largely depends on the stage of the disease. There are 4 stages of this pathology. It is important that coxarthrosis of the hip joint for a very long time can go unnoticed for the patient. This is typical for the primary form of the disease. In the beginning, the pain syndrome may be absent. The patient is worried about muscle weakness, fatigue. This is observed both in walking and in standing position. For stage 1, the disease is characterized by moderate pain in the region of the hip joint. They occur with physical activity, fast or prolonged walking. It is important that the pain disappears with time if the person is at rest. X-ray reveals small structural changes in the hip joint.
In the second stage, the pain syndrome increases. Pain occurs even with minor motor acts. It can be observed at night. The sick person begins to limp, passing several hundred meters. The volume of movements decreases. If at the first stage it decreases by 10%, then at the second stage it decreases by 20%.Some patients require a cane to move better. The third stage is very difficult. Deforming osteoarthritis of the hip joint can be detected not only in the constant pain syndrome, but also in other symptoms.
Patients often develop hip dystrophy. An important sign of this stage is the change in the length of the affected leg. It can somewhat lengthen or shorten. In some cases, other joints of the affected leg may also suffer. With coxarthrosis of the hip joint of the third degree, pain can occur in the spine or sacrum. If the condition does not improve with any kind of drug treatment, then surgery is applied. During the operation, endoprosthetics are performed. There is also the fourth stage of arthrosis of the hip joint. With her develops ankylosis( destruction and complete immobility of the hip joint).In this situation, the operation is shown.
Injection in the treatment of arthrosis
Therapy of the disease is performed in various ways. It includes medications( NSAIDs, chondroprotectors, painkillers and glucocorticosteroids), massage, exercise therapy, proper nutrition, physical activity, physical therapy, local remedies( ointments, compresses, lotions).Spa treatment is also shown. With coxarthrosis of the hip joint, a good effect is given by injections with various active preparations. In some cases, this method of treatment can be the most effective. The advantages of the injection are that the drug quickly penetrates into the affected area.
If the effect of oral administration occurs after a few hours, then everything is much faster. Ointments, creams can not penetrate so deeply, so injections are the best option for topical treatment of arthrosis of the hip joint. Despite this, you need to be careful and follow certain rules. There should be a break between injections. In addition, more than 3 injections per joint are not recommended. The injections are mostly shown when the patient has concomitant pathology.
How do injections for arthrosis of the hip joint
? Whatever types of medicines are used to treat the disease, it is necessary to know that the doctor should do the injections. Do not self-medicate and inject the drug yourself. Injections to the joint are not often used. This is due to some difficulties with the administration of the drug. The thing is that the articular fissure of the hip joint is small. Coxarthrosis contributes to its even narrowing. The articular cavity itself is also small. All this complicates the administration of the medicine. In such a situation, even an experienced doctor may miss and touch blood vessels or nerves, which is fraught with complications.
With coxarthrosis of the hip joint, a safer method of pricking can be used. In this case, injections are not made to the joint itself, but to the periarticular region through the thigh. Most often, injections are used to relieve the pain syndrome. In this situation, you can enter corticosteroids. In the event that the patient's condition is satisfactory and there is no pain, they are not used. It is important that the injections are done no more often than after 2 weeks. Their total number should not exceed 5-7.More effective drugs that affect the very cause of arthrosis of the hip joint are chondroprotectors.
Injections of chondroprotectors
Despite all types of therapy for deforming osteoarthrosis of the hip joint, the best effect is provided by the introduction of chondroprotectors. They are used in the second and first stages of the disease. In all other cases, prosthetics is recommended. The composition of these drugs includes glucosamine or chondroitin. Similar substances are synthesized in the hip joint itself. Articular cartilage performs a number of important functions: it participates in depreciation, rationally distributes the load. All this is of great importance when walking. With coxarthrosis of the hip joint, the cartilage tissue is destroyed. Chondroprotectors help to restore it.
These drugs promote the synthesis of synovial fluid that lubricates the cartilage surface, significantly improve the elasticity of the cartilaginous tissue, suspend the processes of destruction of the articular cartilage. Glucosamine possesses these properties. Chondroitin also increases the formation of collagen, normalizes the flow of blood to the joint. In addition, it has an anti-inflammatory effect. To date, the following chondroprotectors are used: Elbona, Dona. They are available in ampoules for injections. The active ingredient is glucosamine. Alternatively, injections of drugs based on chondroitin. These include "Mukosat", "Artradol" and some others. There are also complex preparations.
You can not use all types of medications at the same time. First of all, to reduce the pain syndrome it is recommended to take drugs from the group of NSAIDs, other painkillers in the form of tablets or capsules for ingestion. If conservative methods do not give a positive result, then injections based on glucocorticosteroids are used. The most commonly used drug is Cortisone. It has a strong anti-inflammatory effect. Corticosteroids inhibit the process of destruction of cartilaginous tissue. The duration of the therapeutic effect is several days after the administration of the drug.
It should be remembered that such drugs have many side effects. These include increased pain, redness of the skin, impaired function of the gastrointestinal tract, muscle weakness, increased blood glucose levels and others. In addition to "Cortisone" can be used and other drugs, such as "Betamethasone", "Aristocort."The choice of medicine is carried out by the attending physician individually. When performing injections, you must adhere to certain rules: observe sterility, the frequency of injections, limit the load in the first hours after the injections.
Injections of other medications
With each type of drug help, the patient's condition can be improved. To this end, you can make injections based on hyaluronic acid. It is applied only when all of the above medicines do not have an effect. In most cases, injections are done once, the therapeutic effect can last a very long time. Hyaluronic acid normalizes the quality of synovial fluid, thereby improving the process of lubricating the surface of the articular cartilage. With coxarthrosis of the hip joint, injections of anesthetics can also be used.
The effect of their temporary. Currently they are not widely used in therapy. Thus, coxsatroz of the hip joint is treated with the help of injections. They are used when conservative therapy is ineffective. At the 3rd and 4th stages of the disease various types of operation are shown.
Injections in the knee for arthrosis - Advantages of injections
An injection in the joint with arthrosis is done with corticosteroid hormones, hyaluronic acid and chondroprotectors.
Corticosteroid injections: the pros and cons of
The most effective corticosteroids are Kenalog, hydrocortisone, flosteron, celeston, diprospan. They relieve inflammation and instantly( in a few minutes) relieve pain.
But corticosteroids do not cure the disease and are not able to repair the damaged cartilage tissue. In addition, they lead to microtrauma, causing the risk of penetration into the joint of the infection.
Frequent injections in the knee inhibit the regeneration processes in the joint, narrow the blood vessels, contribute to the destruction of tissues, increase hypertension, peptic ulcer, diabetes mellitus. Therefore, injections of corticosteroid hormones are done only in the period of severe exacerbations, if other means do not give results. You can not inject drugs more than 2 times a month.
Injections of hyaluronic acid
"Liquid prostheses" - the so-called hyaluronic acid. It serves as a complete replacement of synovial fluid.
Injections injecting hyaluronic acid form a thin film on the surface of the joint. It plays the role of lubrication and protects the cartilage from damage and friction.
Due to the ability to retain water hyaluronic acid has a moisturizing and nutritional effect, protects the joint from drying out and makes the cartilaginous tissue elastic and elastic, improving the mobility of the foot.
Hyaluronic acid does not have side effects and can be used for a long time. Its only drawback is high cost.
Usually do 3-4 injections of medication per year. They give an effective result at the first and second degree of defeat. In the third stage of arthrosis, the administration of hyaluronic acid gives only a temporary effect.
Chondroprotectors are recommended to be administered after the inflammation from the knee has been removed. They nourish the cartilage and stimulate the processes of its regeneration. An injection in the joint with arthrosis is much more effective than the administration of chondroprotectors orally, since it has a pinpoint effect. Usually the treatment consists of 5-10 injections.
How is intraarticular injection done?
An injection in the joint with arthrosis is performed only in the clinic by a trauma doctor. It is advisable to administer the drugs in the joint under the supervision of ultrasound.
After the injection, redness, swelling and swelling in the joint area, as well as increased pain and stiffness, may occur. These symptoms can be observed for several hours or days.
Injections with arthrosis have a cumulative effect. Their number depends on the stage of the disease. With minor joint damage, the effect manifests itself quickly enough. If the disease is started, then the treatment can last for months and years.
It is recommended to inject hyaluronic acid and chondroprotectors with courses so that the body can start recovery processes in the joint. Each course consists of 10-20 procedures.
Injections in the knee for arthrosis are contraindicated when:
Age, weight, long walking on heels, playing sports, deficiency of vitamins B1 and B6 - possible causes of joint wear and, as a result, destruction of amortizing cartilage, agonizingand constant pain. This disease in medicine was called arthrosis of the joints.
Aching joint pains disturb sleep, are able to loosen the nervous system and lead to an imbalance in blood pressure. Osteoarthritis more often affects the following joints:
With the appearance of the first symptoms of arthrosis, it is necessary to begin treatment, using painkillers that can stop the pain of the shoulder and knee joints for a while. It should be noted that analgesic drugs in injections( both intramuscular and subcutaneous) against tableted drugs help much faster. But the inflamed joint does not a little anesthetize, it is necessary to remove the inflammatory reaction. So:
Drugs for intramuscular injection
- Analgesics .Such as actually Analgin and Baralgin. Dull pain of the knee joint, shoulder joint, do not have arthrosis.
- Spasmolytics .For injection by injection subcutaneously with joint arthrosis, one antispasmodic - Midokalm - is very helpful. Quickly removes spasms from the musculature of the skeleton, while reducing the pain in the joints.
- Non-steroidal anti-inflammatory drugs .The most popular are Ibuprofen, Diclofenac, Ketonal, etc. These medicines can not only relieve the pain, but also remove puffiness and stop the inflammation of the hip, knee, shoulder and other joints. At course treatment it is possible to forget about pain for ever. But to use these drugs should be cautious: the fact is that anti-inflammatory drugs are very irritating to the mucous membrane of the stomach and contribute to the formation of ulcers in it. Therefore, these medications are usually prescribed by short courses and strictly under the supervision of a doctor. After the course of such drugs, it is worthwhile to take a course of support with vitamins B1 and B6.
- Steroid preparations .Ambene is the first in terms of efficiency. This is a complex preparation consisting of six special syringes: in the amount of three pieces with solution A( lidocaine hydrochloride and dexamethasone) and three with solution B( vitamin B1, B6, cyanocobalamin, lidocaine).These drugs have pronounced both analgesic and anti-inflammatory effects, regenerating the processes of the knee joint. The content of lidocaine makes the injections completely painless. Solutions A and B are mixed, injected into the gluteus muscle deeply, before the introduction of the solution, warm up to body temperature.
In modern medical practice, it is possible to treat arthrosis with the help of an effective technique, the essence of which is the introduction of drugs not subcutaneously, but directly into the joint. Preparations are made on the basis of hyaluronic acid, corticosteroid hormones, vitamins for the restoration of cartilage tissue B1 and B6, as well as other components.
Intra-articular injections are prescribed in cases where the usual pain relievers described above are no longer effective. The most popular and common drugs for these types of injections are the drugs listed below.
Drugs for intraarticular injections
Intraarticular injections are administered for the treatment: corticosteroid hormones Celeston, Kenalog, Flosteron, Diprospan, Hydrocortisone. Corticosteroids are valued for the rapid and effective suppression of pain of the knee, shoulder and other joints. But the downside is that these substances are not able to cure arthrosis. There is no influence on the joint: they do not improve the condition of the cartilaginous tissue, do not restore blood circulation( especially the knee).In this regard, use of such intraarticular prick is necessary in conjunction with vitamins B1 and B6.
Hyaluronic acid - an innovation in the physician's arsenal - is a lubricant fluid that helps slip almost destroyed cartilage and is an absolute substitute for synovial fluid of the knee joints. Often, intra-articular injections are performed with lesions of the knee and shoulder joints as the most vulnerable. It should be noted that treatment with this drug is effective, but expensive. For the injection of enough 3 to 5 injections, which contains acid.
These are medical intraarticular preparations, which heal joints. They are more often used for malnourishment of the joint( often with a deficiency of vitamins B1 and B6) or when injuring the shoulder joint or knee.
It is advisable to start treatment and use intraarticular nuzzles for knee, hip and shoulder arthrosis only after removal of inflammation.
Intra-articular prick with chondroprotectors have their effect faster, against oral medication. Having already received the first injection the result will not be long in coming. The knee or shoulder will get sick less.
All described preparations for intraarticular injections do not pass without a trace - after their treatment it is necessary to restore the balance of some vitamins( B1, B6, B12, A, C, etc.) using Neurobex complexes( B1, B6, B12), Triovit, C, E) or directly administering these vitamins subcutaneously or intravenously.
Often used for arthrosis of the shoulder and knee joints. This is a special treatment, during which an injection of novocaine with a certain frequency and periodicity as an intramuscular injection is injected into the inflamed area of the shoulder joint affected by arthrosis, as well as adjacent tendons and muscles. The use of the so-called Novocain blockade in medicine makes it possible to remove painful contracture. The procedure is repeated 1 to 3 times a month. It is also combined with mandatory vitamin therapy( B vitamins, especially B1 and B6).
All these injections are good, but self-medication is not worth it. Therefore, it is important to see a doctor and get expert help in diagnosing and in the appointment of correct and effective treatment if pain symptoms of knee, hip and shoulder joint arthrosis appear.