Causes and treatment of deforming osteoarthrosis of the hip joint
Disease deforming the hip osteoarthrosis( abbreviated TBS) is one of the most common chronic pathologies of the musculoskeletal system, which requires compulsory treatment. Its prevalence is explained by high loads on TBS.
Osteoarthritis develops due to the disturbance of regenerative processes in articular tissues and is characterized by gradual depletion of cartilage. This entails the destruction of ligaments and tendons located in the affected bone-joint articulation, deformation of the bones.
In the photo - hip joint deforming osteoarthritis
How is the hip joint structured?
The hip joint refers to simple, nutlike articular joints that can move in different directions: rotation, retraction, extension, reduction. The femoral and iliac bones are involved in the formation of TBS.In the recess of the acetabulum of the iliac bone lies the joint head of the femur, forming a kind of hinge that allows the joint to produce various rotational movements. Healthy joints are covered with hyaline cartilage - a smooth, dense and elastic gasket, ensuring an ideal glide of bones relative to each other.
About 70-80% of the mass of hyaline cartilage is water. It also contains collagen fibers( which give it stiffness) and proteoglycans( additional molecular structures) that absorb and hold water in the joint and form an elastic, supple base. A fluid filling the empty space of the joint cavity provides lubrication and nutrition of the hyaline cartilage, and the joint capsule protects it.
With age, the amount of articular fluid decreases, the cartilage becomes less elastic, begins to dry out and slowly break down, triggering the development of bone-joint deformity.
Classification, causes and mechanism of the disease
Osteoarthritis of TBS is traditionally divided into 2 groups:
Primary osteoarthritis - damage to the healthy joint due to functional overload.
Secondary osteoarthritis - degenerative-dystrophic changes in the joint, arising from other diseases.
In general, the following external and internal factors can trigger the development of pathology:
- trauma and microtrauma TBS;
- excessive physical activity;
- weighed down by heredity;
- hormonal imbalance and metabolic disorders;
- infringement of a supply of hyaline cartilage;
- inflammatory processes( arthritis);
- dysplasia of TBS( congenital malformation of the structure and development), congenital dislocation of the hip;
- necrosis of the femoral head( Peters disease);
- is overweight.
Osteoarthritis can affect one or both of the hip joints. According to experts, the development of the disease occurs due to a violation of the blood supply. This condition provokes the development of oxygen starvation( hypoxia) of articular tissues and the accumulation of metabolic products in them, which activate enzymes that destroy hyaline cartilage.
Symptoms of deforming osteoarthritis of TBS
The main symptom of the disease is diffuse pain in the groin, developing during movement, and, as a rule, increasing by the end of the day. Patients suffering from deforming osteoarthritis complain of morning stiffness in the hip joint, which disappears after several intense movements. During the day after a long rest, stiffness and a characteristic crunch( crepitation) are noted, which can be accompanied by pain.
Due to the appearance of bony growths, the joint increases in size, the movements are limited, as the pathology progresses the pain no longer passes even after rest and can be intensified during the night.
In later stages of the disease, the muscles of the buttocks, thighs and lower leg begin to increase, there is a restriction of the leading and bending movements( resulting-bending contracture).All this becomes the reason for strengthening lumbar lordosis and shortening the patient's lower limb - the patient develops persistent lameness.
Defeat of TBS can lead to postural disorders
Stages of pathology
In medical practice, it is common to distinguish 3 stages of the disease:
Stage 1 is characterized by rapid fatigue, stiffness in the area of the patient joint and a slight restriction of mobility. Because of the loss of amortization properties of the articular cartilage, the pressure on the bones increases, they begin to compact and deform.
In the 2nd stage, when starting or extending the thigh, starting pains arise. Having lost a cartilaginous lining, the head of the femur is gradually flattened. Bony extensions begin to form along its edges - osteophytes. Also in the second stage of osteoarthritis, the synovial membrane and the joint capsule degenerate.
At the 3 stages of the disease, the hip joint is almost completely immobilized, and there is almost no healthy cartilaginous tissue left in it. At this stage, treatment without surgery is ineffective.
Deforming osteoarthritis of the hip usually proceeds without a change in laboratory blood counts, but in some advanced patients, the ailment can be characterized by a slight increase in the ESR index in the general blood test.
Diagnosis is diagnosed by X-ray diagnosis. Initially, the picture shows a narrowing of the joint gap. In the 2 stages, osteophytes( bone growths) and compaction of the bone tissue located under the articular cartilage( subchondral osteosclerosis) are visible.
Also, when diagnosing a patient, MRI, CT and ultrasound TBS can be prescribed.
Modern methods of treatment
Treatment of osteoarthrosis of the hip joint is assigned taking into account the results of diagnosis and the stage of the pathological process. The first two stages show classical conservative therapy.
Non-steroidal anti-inflammatory drugs of local and systemic( general) action and muscle relaxants, which eliminate muscular spasm, are used from medications. To ease the pain in the stage of exacerbation are shown periarticular injections of hormones of corticosteroids.
In the initial stages of osteoarthritis, treatment with chondroprotectors - preparations regenerating cartilaginous tissue and restoring the structure of damaged articular joints - is mandatory. According to most experts, these are the most useful tools for treating the disease. They act very slowly, so they drink them for a long time.
Manual therapy proved to be very successful. In the treatment of osteoarthritis of TBS, a soft hip extension( mobilization) and a sharp short movement( manipulation) are used.
Also, patients can be assigned a procedure of hardware traction( stretching) and post-isometric relaxation( a soft manual technique aimed at relaxing the spasms of the muscles).
Other working methods
Therapeutic massage, hirudotherapy( leech treatment), exercise therapy and physiotherapy are additional methods of treatment of deforming osteoarthrosis of stages 1 and 2.
The individual complex of exercise therapy is prescribed to the patient without fail. Very useful for swimming.
Massage should be trusted only by a competent specialist. This procedure should be absolutely painless, any sharp movements are strictly contraindicated.
As for physiotherapeutic procedures, they bring some relief to the patient due to analgesic effect and improvement of blood circulation, however according to experts, they are not suitable for the treatment of deforming osteoarthritis of TBS.This joint is hidden under the muscle mass, and most methods of physiotherapy can not somehow radically affect the course of the pathology.
At the last stage of osteoarthritis, when hyaline cartilage is almost completely destroyed, the patient is recommended surgical treatment - endoprosthetics - complete replacement of the hip joint with an artificial prosthesis.
Deforming osteoarthritis of TBS is included in the list of the most dangerous pathologies of the musculoskeletal system, limiting the patient's social and social activity and significantly reducing the quality of life. Therefore, should consult a doctor at the first symptoms or suspicions of ailment. And, of course, a healthy lifestyle, regular physical activity is the best prevention of any diseases.
It is important to read: osteoarthritis of the knee joint, arthrosis of the hip joint.
Osteoarthritis of the hip joints( coxarthrosis)
Hip joint osteoarthrosis( coxarthrosis) is a chronic progressive disease in which pathological changes in the joint lead to the destruction of the cartilaginous tissue and the gradual limitation of mobility in it. This is a long-running process that often begins and progresses unnoticeably for a person. And it is diagnosed already at the late stages, when it is already impossible to stop pathology by conservative methods and it is necessary to resort to risky surgical methods of treatment.
What happens in the joint?
The hip joint consists of two bones - the hip and pelvic bone. The surfaces of these bones in a place where they are in contact with each other are lined with an elastic cartilaginous layer. The main function of the articular cartilage is to amortize the movements and ensure a smooth glide of the bones.
Its cartilage does not have cartilage. Its nutrition is carried out by the penetration of the necessary substances from the synovial fluid that is in the joint cavity. With age, the amount of fluid decreases, as microcirculation processes through the capillaries deteriorate, respectively, the cartilaginous layer lacks the nutrients necessary for the functioning. This leads to degenerative changes in the structure of the cartilage, it cracks and gradually becomes thinner.
Thinning of cartilage and outgrowth of osteophytes are the cause of pain in arthrosis
The above changes contribute to the development of primary or age-related osteoarthrosis of the hip joint. But there is also a secondary disease that can affect even young people if their bodies are affected for a long time by the causes of the disease and provoking factors or there are background diseases.
Prognostic factors of development of coxarthrosis:
- diseases, which are accompanied by impaired capillary circulation( systemic connective tissue diseases, vasculitis, diabetes mellitus);
- permanent micro cartilage cartilage and increased stress on the joint( excess weight and obesity, exercise);
- pathology of endocrine organs;
- congenital or acquired deformities of the musculoskeletal system, which increases the load on the hip joint( flat feet, shortening of one leg, curvature of the spine, etc.);
- patients who in the past suffered a trauma or surgery on the joints and bones of the legs.
Obesity, sedentary lifestyle and malnutrition are often accompanied by coxarthrosis
In later stages of osteoarthrosis of the hip joints, the cartilage completely disappears, revealing the articular surfaces of the bones that rub against each other during movements, thus causing unbearable pain to the patient.
In order to somehow stabilize the hypermobility of the affected joint, the body reacts with a kind of protective reaction - the formation of osteophytes and their growth around the articulation.
Alas, these bone growths further aggravate the condition of the patient. Growing up, they eventually completely fill the joint cavity with the formation of ankylosis( complete fusion and immobilization).As a result, a person loses the function of the largest joint in the body, this leads to disability. In this case, one can treat a person only surgically. Only replacing the affected area with an endoprosthesis can help the patient regain the joy of movement.
How to recognize pathology?
It is very important that osteoarthritis of the hip joints be suspected in time. Only in this case, conservative treatment and therapeutic gymnastics will help stop the pathological progress and restore the affected cartilage tissue.
Symptoms of the disease depend on the stage of the pathological process. During coxarthrosis, 3 degrees are released, which gradually replace each other, each successive degree shorter than the previous one, which ultimately leads to a rapid deterioration in the late stages of the disease.
Degrees of coxarthrosis
Coxarthrosis of 1 degree
Very often it does not show any symptoms, patients can feel some discomfort or aching slight pain in the joint after prolonged physical exertion, after rest all signs disappear. This leads to the fact that most people take the first signs of illness for normal fatigue, and do not seek medical help.
Hip pain is the earliest and most reliable sign of
disease. Kasarthritis of 2nd degree
At this stage, the disease is diagnosed in most patients. Pain acquires a pronounced character, worries a person not only after overexertion, but also at rest, to get rid of it, people start drinking uncontrolledly different painkillers. At this stage osteophytes grow in the joint, which leads to a restriction of mobility in the joint, to the appearance of a specific click during movements. Patients are disturbed by gait, deformities of legs, lameness develop. Treatment at this stage consists of conservative methods, and gymnastics is also prescribed. But these methods only temporarily suspend the disease, it is gradually necessary to prepare for the future operation.
Coxarthrosis of 3rd degree
Characterized by complete disappearance of cartilage and development of ankylosis of the joint. A person can not move independently, the leg in the hip joint is deformed. Pain is constant and strong, painkillers stop helping. In such cases, the only treatment is an operation to replace the hip joint.
What additional methods will help to establish the diagnosis?
If you are suspected of having coxarthrosis on clinical grounds, be sure to seek medical help. The doctor will examine you and establish the correct diagnosis, which will help to develop an individual therapeutic program for each patient.
Necessary studies for suspected coxarthrosis:
- radiography of the hip joints in 2 projections;
- joint ultrasound;
- magnetic resonance imaging of affected areas;
- full complex of laboratory analyzes.
Only after a detailed study of all pathological changes and their degree, the doctor will begin to treat you, using an individual and comprehensive approach to therapy.
Principles of treatmentAlso you can read:
Treatment of arthrosis of the hip joint folk remedies
Treatment of osteoarthritis has several purposes:
- elimination of risk factors for disease progression;
- effective anesthesia and improvement of the quality of life of a person;
- improved articular function as much as possible;
- restoration of cartilaginous tissue;
- slowing the progression of pathological changes;
- prevention of complications;
- with ineffectiveness of conservative techniques - operation.
Conservative treatment of
The first step is to revise your lifestyle. It is necessary to modify it so as to eliminate the influence of all negative factors.
If you are overweight, then the diet is the first thing you need to do on your way to recovery. Low-calorie, enriched with vitamins and micronutrients nutrition, should always and everywhere accompany you. After getting rid of extra pounds, the load on the joint will decrease, and the pain can pass by itself.
Physiotherapy and gymnastics should be selected by the physical therapist for each patient individually and take into account the degree of pathological disorders in the joint and the general state of human health.
Pharmacotherapy includes the use of such drugs:
- is a non-steroidal anti-inflammatory;
- glucocorticoid hormones;
- means that improve microcirculation.
It should be remembered that most of the medications do not affect the progression of the disease, but only temporarily removes its symptoms. Therefore, neglect other methods of treatment, except for pills and injections, should not be.
Physiotherapy for arthrosis may even be an alternative to drug treatment. The most commonly used laser therapy, reflexology, thermal procedures.
We should not forget about sanatorium treatment. Suitable mud resorts, water treatment.
Surgical treatment of
In the second stage of arthrosis, organ-preserving arthroscopic operations can be used that correct osteotomy( eliminate osteophytes from the joint cavity, which leads to an improvement in its function).
In the third stage, the only method of treatment that can restore the lost function of the limb is hip arthroplasty.
Only endoprosthetics can help in the 3 stages of coxarthrosis.
Joint replacement is a very difficult, traumatic and expensive operation. Therefore, it is better to start treatment at an early stage of coxarthrosis and, probably, you will not need an operation at all.
Hip joint: 1, 2 and 3 degrees( treatment)
Applied methods of treatment
In the treatment of DOA hip joint 1 degree, non-medical correction methods may be necessary. For example, weight loss, lifestyle changes, treatment of a common disease, special training, etc. With the right approach to treatment, the disease will not go to the next degree and will help keep motor activity for many years to come.
Treatment of DOA of the second degree hip joint already necessarily requires medical treatment. In inflammatory processes in the joint, non-steroidal or corticosteroid anti-inflammatory drugs will be prescribed. With very severe inflammation, steroid preparations can be injected directly into the joint.
For the prompt regeneration of cartilaginous and bony tissues the doctor will recommend chondroprotectors. A good result is the reception of glycosamines simultaneously with chondroprotective drugs. To reduce intense pain, the doctor will prescribe analgesics.
Spasmolytics and drugs that dilate the vessels will be prescribed according to the indications and in accordance with the concomitant diseases.
The affected joint can not be repaired. These measures can only stop the progression of the disease, in order to keep the joy of movement for years to come.
Physiotherapy and massage
Physiotherapy and manual therapy also help to reduce pain and help to move more fully.
It is also possible to apply a method such as pulling a joint. But it can be used only in a hospital and only by qualified specialists. This may require 10 to 16 procedures. They can be carried out on a bed, on a special table or in a pool.
For the duration of treatment, the patient should be as unloaded as possible. It is better at this time to adhere to bed or half-bed regime, and also use a cane or crutches while walking.
Therapeutic physical training is the key to long-term remission of
After treatment it is important to perform special exercises to maintain the muscle tone surrounding the joint in a tone. They can be flaccid and even atrophied because of the inferior movement of the joint.
The course of exercise therapy should be selected individually. Its implementation is necessary both for the period of treatment and during the rehabilitation period. The more regular the training, the better the amplitude of the movement of the joint. If there is a sharp pain after class or during the exercise, it is better to stop the activity.
In this case, either the joint was overloaded, or the exercise was not performed correctly. Here it is important to find the golden mean: to give the joint load as much as possible so that the amplitude of its movements will expand over time, instead of being on one vengeance, while overloading the joint can not be done - this can lead to trauma.
If the disease has already reached the third stage, then the doctor can advise endoprosthetics. This is a surgical operation to replace the patient's joint with a titanium implant. They are very durable and can serve for 20-30 years. It is possible to replace both the entire joint and its parts. This may be the only way for those who have used for years.
Osteoarthritis of the hip joint is a degenerative disease when inflammation begins with cartilage. It eventually loses its elasticity, becomes thinner. On the cartilage, roughness first, then cracks. Then the fragments of the bone are exposed, rub against each other, as the cartilage disappears altogether. The functions of the joint are violated, and its deformation begins. All this takes place long enough, gradually, imperceptibly for a person.
Symptoms may occur for several years, increasing slightly. While a person is going to consult a doctor, the disease has already developed, he needs treatment for osteoarthrosis of the hip joint. There are one-sided and two-sided osteoarthritis of the hip joint. When both suffer immediately, diagnose bilateral. This is rare, but the ostearthrosis of the hip joint is fairly common because the load is constantly high, so deformation occurs.
Deforming osteoarthrosis of the hip joint with the base has premature aging, cartilage degeneration, when the amount of protegicans of the main part of the cartilage substance decreases. Probably, therefore, people of the older generation are more likely to fracture the neck of the hip.
Causes of osteoarthritis of the hip joints
There may be many, but most often, the discrepancy between the load and their safety factor. In addition,
- affects the circulation of blood, the accumulation of under-oxidized metabolic products;
- joint overload, overweight;
- hormonal, biochemical changes, injuries, hip fractures;
- infection, inflammation;
- diseases of the spine: scoliosis, kyphosis;flat feet;
- congenital pathology, heredity;
- is a sedentary lifestyle.
Symptoms of osteoarthritis
Symptoms of a disease such as deforming osteoarthritis of the hip joint depend on the degree of its development. However, we can identify the main:
- persistent pain, disturbing even without exercise;
- stiffness of movements: limp;
- at a late stage, the aching leg becomes slightly shorter than the other;
- develops muscle atrophy.
Often, the first symptoms are ignored by people. Completely vain, osteoarthritis of the hip joints is better to begin to heal early. Then there is more chance of a quick recovery. But they turn to the doctor when the pain is no longer possible to tolerate, the mobility of the foot is severely limited. Naturally, at this stage, serious treatment is already required.
Degrees of osteoarthritis
Three degrees of a disease, such as osteoarthrosis of the hip joints, are usually diagnosed. At 1 degree a person experiences periodic pain only after considerable physical exertion. After rest the pain usually passes. Other symptoms during the 1st degree of the disease lack freedom of movement is not limited, gait remains the same, muscles are strong. Therefore, often the symptoms are ignored, and the osteoarthritis of the hip joints gradually develops. Then there are small bony growths, uneven narrowing of the bone gap, but these changes do not prevent a person from living, do not limit mobility.
It is at 1 degree that the disease is treated most successfully.
During development of the 2nd degree, osteoarthritis of the hip joints is manifested more seriously. There are more alarming symptoms. The pains become more intense, prolonged walking is accompanied by lameness, the hip is limited, the muscles that extend the thigh lose strength. The femoral head is deformed, the formation of a cyst is possible, the articular cleft is unevenly narrowed. These changes can be viewed on a radiograph.
Osteoarthrosis of the hip joints of the 2nd degree as well as osteoarthritis of the 1st degree are effectively treated on an outpatient basis, but if a person turns in time to the doctor, he will follow his prescriptions exactly.
At 3 degrees, osteoarthritis of the hip joints is expressed by constant pain, even during rest - at night. It is impossible for a person to move independently without the help of a walking stick. Very limited movement of the joint, hip, buttocks. The muscles atrophy, the leg becomes shorter, the gait changes. Bony growths greatly increase, the articular gap disappears, the layer of cartilage covering the joint disappears altogether, it loses mobility.
In contrast to treatment of 1 and 2 degrees, at 3 degrees, osteoarthritis of the hip joints should be treated only surgically.
But you can still cure the disease, the main thing is to observe all the conditions of treatment, procedures, subsequent rehabilitation.
Diagnosis of the disease
When symptoms appear - pain in the hip area, even very short, do not delay the visit to the doctor. To establish an accurate diagnosis, osteoarthritis of the hip joints, the doctor will prescribe the studies:
- ultrasound examination;
- clinical blood test.
The most important thing is to apply for help in a timely manner so that the osteoarthritis of the hip joints does not develop more than up to 1 degree, then the treatment will be simpler.
Treatment of disease
If the diagnosis of osteoarthritis of the hip joints is 1 degree, then the treatment is applied conservatively. Non-steroidal anti-inflammatory drugs, chondoprotectors, muscle relaxants, etc. are prescribed. They have an analgesic effect, relieve puffiness, inflammation, muscle spasm, increase blood circulation, and help repair cartilage tissue. Physiotherapeutic methods give a good result:
Hip joint: causes, symptoms, treatment
Deforming osteoarthritis( pre-hip) is a common disease , resulting from the defeat of the cartilage tissue on its surface. This pathology arises from the violation of blood circulation( dystrophy) in the head of the thigh. It is based on the disruption of cell nutrition( metabolism), which leads to changes in the structure of the joint. There is damage to cells and intercellular substance, which leads to violations of cartilage functions.Table of contents: to table of contents ↑
The hip joint consists of two jointed bones, femoral and iliac. The head of the femur is inserted into the ileal cavity, thereby forming a movable hinge. This mechanism allows us to walk, crouch and perform various movements, thanks to the rotational movements of the joint. This is if the person is healthy. Normally, the joints of the bones are covered with a layer of articular cartilage, consisting of a strong, smooth and elastic tissue. This cartilage serves as a shock absorber when walking, and also distributes the load. It serves as a layer for perfect sliding of the jointed bones. By the type of Archimedes' law, when a load on the joint arises, the cartilage releases a lubricant called the joint fluid. As soon as the load is excluded, this lubricant is absorbed by the cartilage back. And the heavier the load, the more grease will be released.
To ensure the lubrication function for a long time, the cartilage must be elastic and rigid. Its stiffness is determined by the composition of the collagen fibers.
They are quite elastic, intertwined in a frame and contain molecules called proteoglycans( complex proteins).These molecules are responsible for the absorption and retention of water in the joint. There are also cells of chondrocytes. All these components form a single complex, the basis of cartilage. Water, in the composition of cartilage, takes about 80% of its mass. With age, this figure decreases, which leads to a deterioration in the properties of amortization of the joint. The joint fluid fills the entire free joint cavity and provides cartilage nutrition and its lubrication. Also, the joint cavity is surrounded by dense fibrous fibers, forming a capsule.to table of contents ↑
The role of muscles in joint control
Hip joints are heavily loaded on themselves, so they are highly susceptible to this disease. In the work of the hip joint, the muscles surrounding it are also important: the gluteal and femoral muscles. With well developed and strong muscles, correct joint functioning is ensured, since part of the joint load is redistributed on them. When running and walking, they also act as shock absorbers.
Therefore, the joints of people involved in sports, and strengthening the muscles of the buttocks and thighs, are less stressed. Also a large amount of blood is pumped through the muscles vessels. The better it circulates around the joint, the more it gets nutrients.
Mechanism of the pathological process
Doa is not an inflammatory, dystrophic joint disease, of a chronic nature, with the defeat of the cartilaginous tissue of the bones of the bones. The disease begins with the thinning of cartilage tissue. There is a gradual degeneration of cartilage tissue and premature aging of the joint. The elasticity of the tissues is lost, cracks and roughness appear on the joint surfaces. Sometimes the cartilage is erased, exposing the bone. Then the articulating bones begin to rub against each other, without the presence of a "shock absorber".With loss of cartilage, bone tissue on the joint grows, and there is a persistent deformity with a violation of functionality. When the disease affects the hip bones, it is still called coxarthrosis. That is, it is a pathological process leading to the destruction of the cartilage plate of the joint.
Pathology can affect one joint, and both can be involved. Deforming osteoarthritis is primary and secondary. In the first case, the cause of the disease, perhaps genetic, but mostly completely unknown to medicine. In the second case, do occurs due to diseases of the musculoskeletal system.
DIA distinctive features:
- cartilage destruction is degenerative-dystrophic;
- at the edges of articular surfaces, bone tissue proliferates;
- joint is deformed as a result of the pathological processes listed above.
disease The disease begins with the onset of pain during movement. It extends from the top of the thigh to the knee. Appears especially when walking. Pain increases with exercise, and after rest and rest subsides. In this case, after a dream, there may be a starting pain. Later, when a person spent some time in motion, she gradually subsides. If the disease is not treated, there will be a neglected state of the process and deformation of the joint, in which it will lose its mobility. The pain syndrome will increase, a person will walk harder and have to take painkillers. The disease is irreversible, therefore it is impossible to restore the cartilage tissue. Normally, the pathological process develops slowly, but with time, other joints can also be drawn in. Therefore, it is necessary to appoint the right treatment in time.to contents ↑
Classification of disease stages
The main symptom is pain of varying intensity, location and duration of .Depending on the manifestation of the disease, it is divided into three stages:
- First, when the pains appear after physical exertion. After rest the pain in the joint passes. X-ray shows the first symptoms of the disease, small bony growths around the outer or inner edge of the ileum cavity. Visible deformations are not visible. There is a slight and uneven narrowing of the joint space. The man's walk is not broken, the hip joint is mobile.
- The second, when the pain intensifies and can give in the groin or thigh area. The joint begins to bother even in a state of rest. Appears limp when walking. This is a symptom that characterizes the disease progresses. There is a function to limit the hip. The strength of the femoral muscles decreases, and this leads to their hypotrophy. In the X-ray image, more and more symptoms of doa appear in the form of more bony growths that extend beyond the joint. The contours of the femur become uneven, it increases in size. The neck of the hip expands and thickens. In the hollow of the iliac bone bones are formed. The head of the femur is shifted upward, and the articular cleft narrows to 25% of its height.
- The third stage is characterized by constant pain of an intense nature. Pain can disturb even at night. A characteristic symptom is the limited movement. Because of their lack of mobility, the muscles atrophy. The limb can not be completely sidetracked because of the limited mobility of the joint. Patients have to move with a stick-cane. An X-ray photograph shows a strong growth of bone tissue, the neck of the femur is greatly expanded and shortened. The size of the joint space is significantly reduced.
Factors that provoke the disease
According to statistics, the disease is more common in women after 45 years of age and occurs in almost every person after the age of 60.
Some doctors consider the cause of doa - a violation of the blood supply of the hip joint.
This is expressed by a poor outflow of venous blood and a disturbed influx of arterial blood. There is a hypoxia of tissues, that is, a shortage of oxygen, as a result of which under-oxidized metabolic products accumulate. Some enzymes, which have a destructive effect on the cartilage, lead to his dystrophy.
Reasons for the asia:
- work related to the load on the legs;
- incorrect posture;
- excessive load( lifting weights, running, jumping);
- metabolic disorders;
Osteoarthrosis of the hip - briefly about the important
Many older people complain of stiffness and pain in the groin when walking, which is associated with the destruction of the hip joint cartilage. This disease is called osteoarthrosis of the hip joint.
In some cases, this disease leads to disability, causing a fracture of the neck of the hip. Osteoarthritis can also cause serious surgery for hip replacement.
Treatment of osteoarthritis of the hip should be started as early as possible, since it is almost impossible to slow the destruction of the cartilage.
What is osteoarthrosis of the hip joint
Inside the joints at the end of the bones there is an elastic cartilage, which allows the sliding of several surfaces of bones without friction. The older the person, the stronger the cartilage loses the ability to retain water, which leads to its cracking. Due to the lack of a "shock absorber", the bones, clinging to each other with bare surfaces, start to creak when the person moves. In addition, osteophytes are formed on them, which makes it difficult to move - the development of osteoarthrosis of the hip joints begins.
In the area of greatest risk are people over 45 years of age, and this disease affects women more often than men. This is associated with menopause - after it, calcium begins to "wash out" of the bones and accumulate in the cartilaginous tissue, which leads to the destruction of cartilage and the onset of the disease.
Symptoms In the initial stages of the disease, osteoarthritis of the hip joint is virtually asymptomatic. For several years the patient can notice only a certain stiffness after awakening.
But over time the disease progresses - when you move, you begin to feel pain in the groin area. In some cases, it extends to the hip, buttock, knee and shin.
Late stages of the disease are marked by symptoms such as pain and mobility restriction. The quality of life is greatly deteriorating, osteoarthritis leads to disability.
Deforming osteoarthrosis of the hip joint: treatment of
Since the causes of the development of this disease have not yet been fully studied, the main goal of the treatment is the elimination of the symptom severity: pain and movement disorders. The scheme of treatment depends on such indicators as the general condition of the patient, his age and the stage of the disease.
Osteoarthrosis of the hip joint of the 2nd degree, as well as the 1st degree, can be treated on an outpatient basis. In this case, the therapy includes the following goals: reduction of pain, reduction of inflammation in the damaged joint, improvement of blood circulation and metabolism in it, normalization of mobility.
To reduce the severity of the pain syndrome, the patient is assigned non-steroidal anti-inflammatory drugs or analgesics. To improve metabolic processes in tissues, vitamins and biostimulants are used.
You can also do anesthetic compresses at home. For this, a compress with dimexide is applied to the area of the affected hip joint. The course consists of 12-15 procedures and has a high efficiency.
Deforming osteoarthritis of the hip joint is also treated by physiotherapy in a clinic. These procedures include laser therapy, ultrasound therapy, magnetotherapy, etc.
When mobility improves and pain is reduced, it is recommended to massage the hip, buttocks and hip area, as well as to practice exercise therapy. This increases muscle tone, in addition, the muscles that surround the hip joint are strengthened, which leads to an improvement in its mobility.
Treatment of a patient with osteoarthritis can also be accompanied by traction of the affected joint. This procedure is carried out only in a hospital. During treatment, patients are advised to move with crutches, which helps to maximize unloading of the affected hip joint. Usually the traction is combined with a course of classical or underwater massage.
After completion of the main course of treatment, the patient is recommended to perform additional procedures already at home. To reinforce the achieved result, it is necessary to engage in exercise therapy, swim, and self-massage of the muscles of the thigh and buttocks. In doing so, you should not overload the lower limbs, so it is necessary to take the choice of sports exercises with all seriousness.
Remember that osteoarthritis of the hip joint is not a sentence if the treatment is started on time. Take care of your health - and you will save yourself from many problems!