Joint pain: treatment of arthritis of the lonnous articulation and coxitis
Pain sensations in the joints are not just unpleasant: they indicate the existing disorders in the body, which can subsequently lead to limitation of mobility of limbs and a decrease in the quality of life.
In the hip joints or pubic region, pain occurs due to inflammatory processes of an infectious nature or caused by a malnutrition of the joints. In such cases, specialists diagnose various arthritis: acute bacterial, lone articulation, chronic monoarthritis, rheumatoid, chlamydial, osteoarthritis, rheumatic polymyalgia, Bechterew's disease and other species.
The development of arthritis is not associated with age-related changes, most often the causes of the disease are infections provoked, including, by hypothermia, trauma, burns and cuts. People with diabetes should pay special attention to the condition of the joints.
Recognized arthritis, whose treatment began on time, will help to avoid many sad consequences - purulent melting of the joint, rheumatic heart disease, disability, death. Without the help of a doctor, treatment is indispensable, but it will not be superfluous to get acquainted with additional information that will help determine the symptoms of the disease.
Useful information about the anatomy of the pelvis
There are 3 joints in the pelvic region, the inflammation of which can cause unbearable pain - pubic symphysis, paired hip and sacroiliac joints.
The pubic bone is connected by means of a special semi-mobile joint, which is a fibrous-cartilaginous disc with a liquid cavity. In the scientific literature, you can find several synonymous definitions of this compound, in particular, the concepts of pubic symphysis, pubic adhesion, lobed fusion or lone articulation are used.
The structure of the pannus joint in men and women is slightly different, which is explained by functional signs. The representatives of the stronger sex have a ligament attached to the symphysis, which suspends the penis. In representatives of the weaker sex, fusion is thicker, but less high, which is associated with the need for fetal and childbirth. In the region of the pubic joint is a pubis with a clitoris attached to a special ligament, fat pad, nervous and vascular bundles.
Dysfunction of the pannus joint, which is called symphysitis, in women most often occurs during pregnancy or labor activity.
The sacroiliac joint is a semi-submissive joint with a short, tightly tensioned joint capsule and a strong, non-stretchable accessory ligament. This compound is most often prone to arthritis and osteoarthritis.
The hip joint forms the articular head, the acetabulum, the femoral neck and the muscle-ligament complex, which fixes the structure and provides freedom of movement. Due to significant loads, this large joint is easily injured and wears out quickly.
The hip joint is strengthened in the acetabulum, along the margin of which there is a special fibrous-cartilaginous formation, increasing its depth. Education is called the acetabulum and promotes uniform lubrication with the synovial fluid of the cartilage.
The head of the femur is connected to its body by the neck, below which there are bony elevations with attached muscles. The femur is attached and strengthened with the help of powerful ligaments, while the external rotation of the thigh is limited. The head of the hip bone, strengthened in the acetabulum, is covered with articular cartilage with a whitish surface and a dense elastic consistency. The articular cartilage helps reduce friction between surfaces that come into contact during movement.
The most common hip joint is affected by uric acid arthritis( gout), osteoarthritis, rheumatoid arthritis.
Symphysitis and its symptoms
Various disorders or changes in the lumbar joint are commonly called the symphysitis term. In the scope of the concept include the processes of loosening, stretching, widening, divergence, rupture, edematous impregnation of inflammation of symphysiopathy and some others, the development of which occurs during pregnancy, during labor or at the end.
In a pregnant woman, the semi-joint symphysis gradually increases, preparing for the forthcoming process of delivery. This is a physiologically healthy condition due to the active work of the placenta and ovaries in the production of a pregnancy hormone - relaxin, relaxing the pelvic bone and pelvic ligaments.
Under the influence of negative factors a healthy lone articulation undergoes pathological changes. Symphysitis can be triggered by:
- by excessive release of relaxin;
- by urethritis or cystitis( respectively chronic inflammation of the urethra and bladder);
- deficiency of calcium or magnesium and excess of vitamin D;
- a skew of the pelvis, a violation in the work of the sacroiliac joints, an overstrain of the ligaments of the sacrum, which leads to a restriction of mobility and the appearance of soft tissue tension around the pubic articulation;
- local disturbance of microcirculation, edema, biopeptides, provoking inflammatory processes and increasing edema;
- problems with connective tissue or ligamentous apparatus, due to genetic indicators.
Symphysis dysfunction can be described with shooting pain in the pubic area, which often gives in the lower abdomen, groin, back, thigh or leg. Painful sensations arise during movements, for example, an attempt to lean forward, stand on one foot, rise from a chair, walk upstairs, turn in bed. After a short rest the pain passes, but this does not eliminate the main problem. When probing the area of the pubic articulation, one can hear a click or a specific crack. Many patients complain of difficulty in emptying the intestine.
Prevention or treatment of symphysitis
Preventative measures that will help to avoid pathological processes of the lone articulation are not complex, but guarantee the prevention of a number of diseases. During the planning and pregnancy itself, it is necessary to enrich the food with microelements and minerals( calcium, magnesium, phosphorus, manganese, zinc, vitamin D), the absence of which leads to disturbances in the formation of the fetal skeleton and the functioning of the mother's body.
Simple physical exercises are needed to help the expectant mother strengthen the abdominal muscles, back, buttocks. You can not do without air and sun bathing, which is important after delivery. Fresh air and ultraviolet rays contribute to the active development of vitamin D.
As a preventive measure, cold compress is used at the end of labor, and later - various physiotherapeutic procedures that reduce the probability of pathology of pubic articulation.
Treatment of the disease is much more difficult, because it requires not only material costs, but also strict implementation of the recommendations of the attending physician. A mandatory reduction in physical activity, the use of a bandage structure, UV irradiation is mandatory. During sleep, pain can be reduced by using an orthopedic mattress.
Medical treatment includes the intake of essential minerals and vitamins, pain medication. If the cause of dysfunction is urogenital infection, then appropriate antibiotic therapy is conducted.
Osteoarthritis of the hip joint
The cause of pain, which is localized in the groin area, is felt in the knee, becomes unbearable when walking, there is osteoarthritis. In the absence of proper treatment, the affected joints will deform, and bone growths will develop in the joints.
The addiction to the disease is determined primarily by genetics, age, way of life. Women and men, whose ancestors also suffered from osteoarthritis, are at risk. Increases the risk of getting overweight or injury, which creates an additional burden on the joints.
The treatment regimen for osteoarthritis includes reducing the load on the joints, performing a physiotherapy program. Sport, in particular swimming, perfectly helps to get rid of the pain and dysfunction of the joints. For severe pain, a non-steroidal anti-inflammatory drug, for example ibuprofen, is prescribed. Weight reduction, which is achieved by moderate physical exertion and a rational diet, will not only relieve the problems of joints, but also other diseases.
In advanced cases, it is recommended that arthroplasty, which allows you to restore the function of damaged joints. Surgical intervention involves the formation, reduction of joint ends and the surrounding of their plastic material. In some cases, using joint elements, bones and joints are natural( taken from the corpse) or artificial( using high-strength polyethylene, metal alloys and composite ceramics).
Symptoms of hip arthritis
In all cases, in addition to the reactive form of the disease, hip arthritis( coxitis) is manifested after the defeat of the joints of the hand, knee. Inflammatory process is a consequence of penetration into the healthy organism of pathogenic viruses, bacteria, in some cases - disruption of the immune system. First the inflammation covers the synovial membrane( lining the joint cavity), and then the articular cartilage and bone.
Painful symptoms depend on the form of the disease. In acute or subacute course of the disease, the pain syndrome arises unexpectedly, accompanied by swelling and impaired mobility. After acute manifestations subsided, the symptoms of a chronic inflammatory process may begin to manifest.
Nature of the disease can be infectious or inflammatory, which is determined in the result of examination and evaluation of blood tests from the finger and vein, urine, feces( coprologic, bacteriological, Gregersen reaction), puncture synovial fluid. Infectious are purulent, reactive, postinfectious or caused by a specific infection of arthritis. The microorganism that led to the disease, for example streptococcal, can be determined by taking intraarticular fluid, tissue, or blood for analysis.
Inflammatory forms provoke an allergy, a malfunction of the immune system of a person who has become ill, a metabolic disorder, cancer or hereditary syndromes.
In particularly severe form, arthritis occurs in young children, which, if not diagnosed and treated, can lead to disability or death. Meningococcal infection, mumps, chicken pox, measles, rubella, infectious mononucleosis, acute respiratory or intestinal infections cause infectious damage to the hip joints of toddlers. The difficulty lies in the fact that against the background of the disease due to the use of antipyretic drugs, inflammation can be overlooked. Fear of parents should cause the child's unwillingness to walk, a lack of coordination during the movement. With these symptoms, you should consult a specialist.
First aid and treatment for inflammatory joints
Inflammation of joints is fraught with a rapid spread of infection, which can lead to toxic shock. At the same time, coxite is a concomitant sign that indicates the development of systemic diseases of connective tissue or oncology( leukemia).Timely treatment will avoid complications, prevent joint structures from destruction.
The manifestation of the symptoms described above is a serious argument in favor of a referral to a specialist. First aid is to remove or reduce pain, for which anti-inflammatory drugs of the non-steroid group( ibuprofen, nemesulide, nise, orthophene) are prescribed and rest is recommended for the limb whose joint is inflamed.
Further treatment is determined by the physician after detailed diagnosis. In practice, the use of immune, antiallergic drugs, antibiotics or drugs that normalize the metabolism. In case of ineffectiveness of non-steroidal anti-inflammatory agent, glucocorticoid hormones( hydrocortisone, dexamethasone, prednisolone and their modern analogues) are prescribed. When suppuration is performed, puncture the joint cavity and introduce antiseptics and antibiotics into it.
An autoimmune disease is systemic in nature and affects the connective tissues, which results in the immobility of the joint. Before the manifestation of the clinical symptoms of ailment, it is worth paying attention to such signs as fatigue and fatigue, a sharp decrease in weight, a rise in temperature, muscle pain, increased sweating.
The risk of rheumatoid arthritis of the hip joint is in its severe and protracted course. The main indicator of the disease is unbearable pain in the inguinal region, accompanied by lameness. There is a feeling that the limb has become shorter.
The rheumatoid process also extends to other organs with connective tissue. Nails become brittle, and the skin is thin and dry, sometimes under it small hemorrhages and dense formations, called rheumatoid nodules, form. On the surface of the skin can be observed annular rash - a mild rash in the form of a thin annular rim that disappears when pressed. Muscles attached to the inflamed joints, atrophy.
In some cases, the rheumatoid process affects the heart. With inflammation of the inner wall of the heart, endocarditis is diagnosed, the myocarditis of the muscular wall, and pericarditis in the pericardium. Violations occur not only in the work of the heart, but also in the kidneys, the nervous system.
Systemic trek in the treatment of
During the diagnostic study, doctors identify a number of changes that indicate the development of the disease. ECG allows you to determine the rhythm disturbance, the radiograph - reducing the contractile activity of the muscle tissue of the heart and changing its configuration. Also, ultrasound of the heart and laboratory tests are prescribed.
Indicators of laboratory studies confirm the presence of streptococcal infection, immunopathological and inflammatory processes.
The seriousness of the disease determines the systemic approach to its treatment. The doctor prescribes anti-inflammatory drugs and corticosteroids, which allows you to reduce pain, as well as basic drugs, due to which the destruction of the affected joints slows or stops. Drug treatment does not justify itself if the patient has not made changes in his daily diet and does not engage in exercise therapy.
To prevent disease in the presence or absence of heart disease bicillin is used. Such year-round prophylaxis can last for 3 years if the patient undergoes polyarthritis, primary rheumatic carditis of acute or subacute course( heart valves are not affected), and for 5 years with primary rheumatic heart disease( heart valves are affected).
Among the nontraditional methods can be called treatment with herbs, bees, leeches. So, the secret of salivary gland of leech is the embodiment of the optimal mechanism of inhibition of plasma links of hemostasis, in other words, blocks the formation of a thrombus at the site of destruction of the wall of the blood vessel. There are studies confirming the benefits of including in the diet of patients with arthritis an acidic cherry or juice from it.
It is worth remembering that timely treatment started allows avoiding complications in the primary lesion of the heart.
Pelvic pain may be associated with the development of reactive arthritis, which is a consequence of infection of the genitourinary system or the gastrointestinal tract. The joint becomes inflamed because the immune system that protects the body takes antigens of the organism and infectious microorganism for the same object, which is attacked. Most often the disease develops after infection with chlamydia.
Concomitant symptoms, except for the immediate signs of inflammation of the joints, with reactive arthritis is conjunctivitis, uncomfortable sensations in the process of urination.
If a clinical trial reveals a chlamydial, myco-or uroplasmic infection, antibacterial therapy is prescribed for 7 days. And then the joint syndrome is treated with non-steroidal anti-inflammatory drugs, glucocorticoids and basic drugs.
In case of pain in the pelvis, pubic region, hip joints and additional suspicious symptoms, it is not necessary to diagnose yourself and prescribe the treatment yourself, it is necessary to immediately consult a doctor for advice( rheumatologist, surgeon, orthopedist or traumatologist).
Sacroiliac joint: symptoms and treatment regimen
The sacroiliac joint is a fairly strong joint. The joint is paired. It connects several prominent surface of the ilium and the lateral part of the sacrum. According to the classification, it is referred to as tight joints. Next, consider the sacroiliac joint in more detail.
Anatomy of the
The sacroiliac joint is a ligamentous apparatus, the elements of which are arranged in the form of short beams. These ligaments are considered to be the most durable in the human body. They act as axes of rotation for the probable movements that the sacroiliac joint performs. Additional strengthening in the joint are ligaments: ventral( anterior), dorsal( posterior).Another - additional, ilio-lumbar - passes from the transverse process of the fifth vertebra of the lumbar region to the iliac crest. The joint capsule is attached along the edge of the surfaces. It is tight enough. The joint has a slit-shaped cavity. Auricular flat surfaces of the sacrum and iliac bones cover the fibrous cartilage. Blood supply is carried out by means of the branch of the lumbar, external sacral and iliac-lumbar arteries. Outflow occurs on the same name veins. Lymph outflow is carried out on deep vessels. They approach the iliac and lumbar nodes. The innervation of the joint capsule is carried out by the branches of the sacral and lumbar plexus.
Features of the
structure Both the shape and the size of the joint surfaces in different people can be completely different. In children, for example, they are more smooth, and in adults - with bends. The sacroiliac joint in structure is a real joint. It has a synovial membrane and a small amount of fluid. Fibrous fibrous cartilage is lined on the articular surfaces. At the same time, on the sacrum, it has a greater thickness. In the depth there is a layer of hyaline cartilage. In some cases, the joint surface can be covered with a connective tissue. This region( cleft) with all elements is found already in childhood and is available for any adult. This allows us to conclude that, as in other areas, inflammation of the sacroiliac joints, traumatization and other injuries can occur. Due to the peculiar structure in the joint, movements occur in very limited volumes. Connections of this type are intended not so much for mobility as for stability. In addition to anatomical interactions, the stability of the joint is attached to strong ligaments that strengthen the capsules.
Osteoarthritis of the sacroiliac joints
This is a chronic disease characterized by the presence of processes of the dystrophic type. They occur on the basis of a disorder of mobility and prolonged inflammation in the joint cavity. This pathology can pass independently, without any additional impact. However, due to overcooling or under the influence of excessive loads, it can again start to disturb the sacroiliac articulation. Treatment includes conservative methods.
Signs accompanying pathology are almost identical to manifestations of other types of arthrosis. The main symptoms should, in particular, include dull, aching, and sometimes severe sharp pain localized in the lower back. A characteristic feature is stiffness in the movements.
The patient is examined first. The nature of biochemical changes is also assessed. In particular, sensitivity is determined in the process of palpation, during movement, muscle tone and so on. In addition, a specialist can designate:
- A laboratory blood test. Usually, sacroiliac arthrosis reveals a high level of ESR.
- For women - a gynecological examination, as a number of pathologies in the organs in the small pelvis may be accompanied by pain extending to the sacrum area.
- Radiography. This method of research will confirm or exclude traumatic injuries in pelvic bones and spine.
- Computed tomography or MRI of sacroiliac joints. These methods make it possible to exclude the presence of tumor formations on the bodies of the vertebrae or pelvic bones.
It should be noted that palpation and inspection are available only in the posterior articular regions and only in the case of poorly expressed subcutaneous tissue. In the presence of pain in the process of feeling, the specialist can conclude that there is damage or inflammation. When a deformity complicated by pain is revealed, a subluxation or dislocation of the joint is assumed during palpation. Some patients have a swaying gait. This manifestation, accompanied by pain in the region of the lobular and sacroiliac joints, indicates pelvic post-traumatic instability. The most informative research method by many specialists is radiography. The articular surfaces are projected as oval, elongated shadows. At the edges of them, you can see the strips of enlightenment in the form of arcs, corresponding to the slits of the joint.
Osteoarthritis of the sacroiliac joints:
treatment As mentioned above, therapeutic measures include conservative methods. First of all, it is necessary to reduce physical activity. Doctors recommend not to stay for a long time in a vertical or sitting position. To unload the joint, a special bandage should be worn( especially for pregnant women).Taking into account the stage of pathology, severity of the course and clinical manifestations, the complex effect can include such activities as:
- Drug administration. The list of recommended medications includes analgesics, vitamins, hormonal and non-steroidal anti-inflammatory drugs.
- Performing blockades using such drugs as "Lidocaine", "Hydrocortisone" and others.
- Therapeutic physical training.
- Manual therapy. This technique is aimed at improving blood circulation and restoring lost joint functions.
- UHF, infrared radiation and other physiotherapeutic procedures.
To prevent the development of arthrosis in the sacroiliac joint, you must adhere to an active lifestyle. An important condition is the exclusion of stressful situations, emotional overstrain. Of particular importance is the diet. Do not overeat, because with excessive body weight, an additional load is created on the spinal column.
Symphysitis in pregnancy: rupture of the pubic joint |The ABC of health
Depending on the distance to which the bony bone has split, there are three degrees of symphysiopathy:
- 1 degree - 0.5 to 0.9 cm
- 2 degree - 1 to 2 cm
- 3 degree - over 2 cm
Thisthe distance is determined by ultrasound. In addition, the palpation doctor can detect softening of the cartilage and instability of the pelvic bones.
Influence of symphysitis on pregnancy and childbirth
Symphysiopathy itself does not affect pregnancy. It only worsens the well-being of the future mother. But excessive stretching of the lonnous articulation during pregnancy can so thin it that in the delivery there will be a rupture of cartilage( symphysiolysis).
This is an unpleasant injury that leads to loss of ability to work for several months. The risk of rupture of the joint increases if the woman's pelvis is narrow, and the child is large( more than 4 kg).Therefore, doctors often recommend a cesarean section with symphysiopathy 2 and 3 degrees, as well as with severe pain and a large fetus. This reduces the trauma of the mother at times.
How does the symphysis break?
Symphysiolysis manifests itself before delivery, during labor or immediately after delivery. The parlor can not raise her legs, independently get out of bed( only sideways), make a climb in the stairs, and sometimes - generally move the limbs in the right amount. Any physical activity causes pain.
What is the danger of breaking the symphysis?
Symphysiophage, although it causes a lot of discomfort, does not threaten health and life. But the rupture of the lone articulation during childbirth is a trauma, a fracture of the pelvis.
- If the bones are 2 cm apart, then this fracture is stable and rarely causes complications.
- And if the distance between the edges of the broken symphysis is 5 cm or more is a direct danger to health.
Bone margins can damage the urethra, bladder, clitoris. In the region of the joints, hemorrhages may occur, which subsequently leads to arthritis. Therefore, such gaps should be treated by surgical intervention. Fortunately, such cases are very rare.
Case study: A maternity ward( 26 years old) received a mating woman complaining of attempts. From the anamnesis it is known that the birth of the 2nd, on time, began about 5 hours ago. Waters left an hour ago in the ambulance. When conducting obstetric research revealed: the opening of the cervix is almost complete, the head is pressed to the entrance to the small pelvis, the sagittal seam in the right oblique size, a small fontanel on the left anteriorly. An hour later a live, full-grown boy was born without apparent developmental defects. But it was not until the next day that my colleague and I found a duck's gait at the parental home and found complaints about pain in the pubic area. After consulting the surgeon, a diagnosis was made: the discrepancy of the lone articulation. The child was sent home for 5 days under the supervision of his father and grandmothers, and the woman was transferred to the department of gynecology, where she spent 1,5 months in a supine position and bent and knees bent at her knees. It is difficult to say what led to a similar condition, with timely diagnosis( ultrasound) with a discoloration of the pubic articulation, a caesarean section is shown and such consequences could be avoided. The discharged mother was discharged with recovery after an X-ray examination( obstetrician-gynecologist Anna Sozinova).
When complaints of pain and swelling in the pubic area occur, as well as obstruction of movement, all pregnant women are examined.
- Ultrasound examination
Ultrasonography of the joint allows to estimate the distance between the bones of the bosom, and also to see the indirect signs of inflammation. But often with a small discrepancy, a woman experiences unbearable pain. Conversely, with a large distance between the bones, complaints are minimal. Thus, in the conclusion of ultrasound, only the magnitude of the divergence of the symphysis of the symphysis will be indicated. And the final diagnosis will also take into account the severity of the symptoms.
- Radiography of the pelvis of the pelvis
This method is used most often after delivery for diagnosis of symphysis rupture and treatment control. Pregnant women X-raypelviometriju( measurement of a basin) spend a little bit less often. It allows to assess additionally the sizes of the fetal head and the pelvic circumference.
- CT and MRI
More accurate methods are used after delivery. This helps to control the effectiveness of treatment, as well as to identify other pathologies in the pelvic region.
Differential diagnosis of
Often the pain, similar to sensations in symphysitis, causes completely different conditions. Therefore it is extremely important to inform your gynecologist about the appearance of pain. The doctor will conduct an examination and appoint additional examinations. Other causes of pubic pain:
This is a soreness in the region of the sciatic nerve. Unpleasant sensations can spread from the groin and coccyx along the leg to the shin. This symptom can be a sign of diseases such as arthritis, arthrosis, pelvic tumors and muscle damage.
This acutely arisen back pain associated with the pathology of the spine( osteochondrosis, intervertebral hernia).Painful sensations can give in the leg, groin, abdomen, often lead to disorders of urination and defecation.
Sexual and Urinary Tract Infections
This is another cause of pain in the pubic area. Cystitis caused by E. coli or sexually transmitted infections is often manifested by burning, cutting and tingling in the groin. Considering that during pregnancy the propensity to cystitis increases, when such pains appear it is necessary to be examined for infection.
Osteomyelitis and other bone diseases( tuberculosis lesions)
They are rare. But they can not be discounted. Special attention is required by women with a history of tuberculosis or having suffered pelvic injuries.
To exclude or confirm the abovementioned diagnoses, it is sufficient to perform ultrasound, x-ray, and also to give smears and crops to infection. More on osteomyelitis.
Symphysiopathy( softening of the lone articulation) is a phenomenon that is characteristic only of pregnancy. Therefore, 4-6 months after childbirth, all symptoms usually disappear. Sometimes pain in the pubic area can persist for up to 1 year. Medical assistance in such situations is not required. If there was symphysiolysis( rupture of the symphysis of the symphysis), then the treatment will depend on its degree.
Treatment of symphysiopathy in pregnancy
Symptoms of symphysis can be eased by following simple recommendations:
- Limiting the length of walking, sitting in one place and climbing the ladder
- Uniform distribution of body weight with a fixed posture( standing, sitting)
- Eating calcium-saturated foods. In some cases, the doctor may prescribe calcium preparations. The intake of supplements should be under the supervision of a specialist, since the excess of this trace element can harm the fetus, especially in the 3rd trimester. In the last weeks before giving birth, calcium intake is not recommended.
- Body weight control. Excess weight increases the load on joints and ligaments, provoking painful sensations.
- Wearing a prenatal bandage from 25-28 weeks of gestation. Special abdominal support reduces pressure on symphysis, reduces pain.
Symphysitis treatment during pregnancy is controlled by an obstetrician-gynecologist and orthopedic traumatologist. It is often necessary to consult a physiotherapist and a neurologist.
Exercises that relieve pain:
Cat position - on your knees and elbows, you need to straighten your back and shoulders. Then kick the back arc, while lowering his head down, straining the abdominal muscles. Repeat these steps several times.
Raising the pelvis - in the supine position on the back you need to bend the legs in the knees. Then slowly raise the pelvis, fix it at the top and lower it. Repeat the exercise several times.
Kegel exercises - exercises that simulate the delay and release of urine stream, strengthen the muscles of the pelvic floor. This can somewhat reduce the instability of the pelvis and relieve the load from the frontal bones.
All physical exercises can be performed if they do not cause pain, and if there are no medical contraindications.
Treatment of symphysiolysis after childbirth
- Pain relief
Usually, for the withdrawal of pain syndrome, substances from the group of non-steroidal anti-inflammatory drugs( NSAIDs) are used. This is all known paracetamol, ibuprofen and other pain medications. They should be used only in case of severe pain, since uncontrolled and prolonged intake of NSAIDs leads to the formation of stomach ulcers and impaired liver function. In addition, you need to consult a doctor when breastfeeding a child. Not all pain medications are safe for the baby.
- Gentle mode
With a slight discrepancy of the bones, it is sometimes enough to reduce the physical load with the use of walking sticks and other special tools.
Wearing a bandage that captures the skewers of the thighs helps reduce pain and reduce the risk of further discrepancies. This speeds up the fusion of the symphysis.
Some types of physiotherapy( for example, magnetotherapy) are used to accelerate the overgrowth of the symphysis. This method helps only in conjunction with bed rest and fixation of pelvic bones.
- Bed rest
With severe degree of divergence and rupture of the symphysis, strict bed rest is shown. To accelerate the adhesion use a special hammock with suspended crosswise cross weights. This device brings the bones together.
- Treatment of the guided pelvic girdle
To enhance the effect of the hammock use a special pelvic girdle. He has several belts, for which the weights are clinging. With their help, the tension of this or that part of the belt is regulated, which contributes to the rapid growth of the rupture.
- Operative treatment of long-term ruptures
If, for some reason, the treatment of symphysitis has not been performed, and the old gap reminds oneself of pain and restriction of movements, then they resort to surgery. During the surgical intervention, rods and plastic materials are used to restore the integrity of the pelvis.
It is impossible to prevent the emergence of symphysiopathy, since there are no well-established causes of this condition. But with the following recommendations can reduce the risk of rupture of the symphysis and avoid prolonged treatment.
- Thorough pregnancy planning( examination for infection, thyroid pathology)
- Complete nutrition during planning and throughout pregnancy and lactation
- Admission of additional drugs if necessary( calcium, iron, iodine preparations)
- Fetal ultrasound in the 3rd trimester to determine the estimatedof the child's weight
- Monitoring of glucose level in diabetes mellitus( since this disease is accompanied by the birth of large children weighing more than 4.5 kg)
- It is necessary to inform the doctor about alls injuries, fractures and problems with previous sorts
- appeal to a specialist if you have pain in the pubic area, swelling and limited movement
- Consultation with a specialist in the method of delivery( in some cases a caesarean section to avoid severe injuries of the pelvis).
Intimate question:) - page 2 - on baby.ru
Quite often pregnant women and women in the postpartum period complain of pain and unpleasant sensations in the area of the lone articulation. Sensations can be amplified when walking or even just changing positions. Changes, injuries and inflammation of the pectoral joint, accompanied by pain, are a warning signal and an occasion to consult a doctor.
A bit of anatomy
The hip bones are joined together by a paired joint with a fibrous-cartilaginous disc. On all sides this connection is surrounded by bundles, which give it strength. But in its essence, the lone articulation is a semi-joint with limited movement possibilities.
Before pregnancy, the distance between the bones of the pubic joint is 4-5 mm, and in pregnancy it can reach 1 cm. A wider distance indicates a dysfunction( diastase).
The discrepancy of the pubic joint
http: //womanadvice.ru/ zheltoe-telo-pri-beremennosti produces relaxin, which, together with female sex hormones, has a relaxing effect on the pelvic bones. The discrepancy of the genital joint during pregnancy is a normal phenomenon, unless it crosses the physical boundaries.
The discrepancy is up to 1 cm. The discrepancy of the lonnous articulation during pregnancy is diagnosed by ultrasound, according to which the doctor determines the optimal variant of delivery. It is worth noting that the difference in itself is not http: //womanadvice.ru/ pokazaniya-k-kesarevu-secheniyu. The decision is made taking into account other factors, for example, the narrow pelvis of the mother or the large head of the fetus.
Treatment of the joint after the delivery depends on the degree of discrepancy. With a slight deviation from the norm, a woman is assigned a special bandage, which is used for half a year after childbirth. If the discrepancy was significant( 10-20 mm), the parturient should comply with bed rest for a minimum of 2-3 weeks, use a bandage with wide bandages, avoid physical exertion, and subsequently also wear a bandage.
Rupture of the pubic joint at the birth of
The rupture of the pubic joint is much less common than the discrepancy, but in turn is more dangerous. Gaps can be spontaneous and violent. In the first case, the trauma occurs during spontaneous childbirth, in the second - due to obstetric operation for the extraction of the fetus or placenta. As a rule, the rupture of the pubic joint occurs after divergence, so an experienced obstetrician can diagnose and prevent trauma.
Consequences of rupture of the pubic joint in the absence of proper treatment can be disappointing. The fact is that the pelvic bones will not be able to properly join themselves, therefore, the function of the locomotor apparatus will suffer first.
Rehabilitation of a rupture of the pubic joint takes from two weeks to several months. As a rule, a woman is prescribed a bed rest in a hammock or in combination with a special tightening structure and bandaging the pelvis with wide bandages.
Inflammation of the lump joint
Inflammatory processes in the lonelial articulation are called symphysitis. The process takes place without pronounced divergence of the bones, but accompanied by pain, swelling and redness.
One of the causes of symphysitis may be calcium-magnesium deficiency, so a woman, as a rule, is prescribed the appropriate diet and intake of vitamin complexes. It is worth noting that in the absence of treatment, inflammation can go to chronic arthrosis of the joint.