How to register a disability with coxarthrosis of the hip jointDisability in coxarthrosis is an actual topic. The disease is incurable. The only thing that remains for a person is to struggle with it to slow down the destructive processes in the joints. After 40 years, the risk of developing coxarthrosis increases.
The reasons for this are mass, but the main one is the disturbed metabolism in the cartilaginous tissue. As statistics show, the disability group is increasingly assigned to patients younger than the pre-retirement age. The ailment, like most joint diseases, is rapidly growing younger. This process is typical for many countries in the world. In what case is a group of disability with coxarthrosis assigned to Russia? And that people suffering from this disease, you need to know about its design?
Where to go to confirm disability
Specialists consider: conservative treatment of arthrosis at the initial stage gives a good effect. But as the disease progresses, the situation does not change for the better. The regular result is the limited mobility. Coxarthrosis of the hip joint, for example, leads to the fact that a person can not move independently. If the disease affects the hands, the patient will not be able to service himself - even to dress independently.
To confirm the diagnosis and qualify for the group, the patient must necessarily undergo medical and social expertise( ITU).Only by its results a disability is registered with coxarthrosis. This authority was delegated to the state commission.
If the patient does not agree with the group assigned to him or refuses recognition of a disability, he can achieve restoration of his rights through the court. However, this process is quite lengthy, and not always the judiciary makes a decision in favor of the plaintiff.
On which group can you calculate
You can get disability with arthrosis, usually a third group is issued to the patient. The second group is much more difficult to get, and the first, as the patients themselves say, is almost impossible. The law prohibiting the appropriation of the first group of disability for a given illness is not, but it is more than difficult to prove the right to it. You should also know that disability must be regularly confirmed. If a person does not pass the ITU in time, his status as an invalid is revoked and he is deprived of the right to receive state support.
Obtaining a disability is a very troublesome business.
The state proves the need for regular passage of ITU by the fact that coxarthrosis of the hip joints is quite successfully treated nowadays surgically. If the patient is assigned a second disability group, after which he safely underwent surgery on the joints and his condition improved, the ITU can lift the status of the disabled person or lower the group. The basis for these actions is that with coxarthrosis of the hip joint, the functioning of the patient's legs has been completely or partially restored.
Pain is not the reason for assigning the
group. The limitation of life is the main criterion on the basis of which a disability is assigned in Russia. But then the question arises: why are pain symptoms ignored? People suffering from arthrosis often experience severe pain, even at the initial stage of the disease. However, disability in the presence of pain symptoms, which are not always handled by analgesics, is not appropriated.
To prove the limitation of vital activity, it is necessary to provide confirmation of the presence of significant deformations of bone tissue, arisen due to arthrosis. Violation of the functions of the musculoskeletal system is one of the main signs of the limitation of vital activity and the recognition of its fact of ITU.Confirm such violations with arthrosis of the hip joints using modern diagnostic methods:
It is necessary to know: only a documentary confirmation of the limitation of vital activity will help the patient to prove his right to disability and receive state support.
To confirm the diagnosis, an X-ray image of the joints
The stage of arthrosis and the disability group assigned to the patient are not interrelated. The presence of a certain degree of progression of the disease does not give the right to automatically receive a particular group. A similar situation with the release from service in the army or receiving a postponement. Is disability awarded if the patient has arthrosis of the third stage? In a category of invalids, as a rule, people who are diagnosed with gonarthrosis, coxarthrosis, arthrosis of ankle joints are included. The disease leads to disturbances in the functioning of the body, the severity of which in many ways influences the receipt of a particular group of disabilities.
If the limitation of vital activity is small and arthrosis does not cause significant problems to the patient, disability may not be assigned. When the violations are considered moderate and coxarthrosis is diagnosed in the third stage, the patient may receive a third disability group. A similar rule usually applies to people with coxarthrosis not so long ago. If coxarthrosis of the third or second degree is accompanied by a shortening of the limb, a second group is assigned. But there is a real chance to receive it only if the limbs of the patient are shortened by 7 or more centimeters.
Deforming coxarthrosis restricts the movement of the patient and his ability to self-service
If a deforming arthrosis of the hip is diagnosed, the patient can receive the first group of disability. With such an ailment the patient is not able to move independently and serve himself. Usually the first group is assigned to disabled wheelchair users.
The causes and manifestations of the disease
According to experts, the number of people with coxarthrosis of the hip joint in Russia and the world will increase every year. Explain this phenomenon for two reasons:
- chronic stress.
Predisposition to joint diseases, expressed in certain metabolic disorders, alas, is inherited. The older the person becomes, the more likely the development of arthrosis is. And it is better to know about it, to start prevention as early as possible and not to allow the appearance of ailment.
Chronic stress is no less important factor provoking the beginning and development of arthrosis of the hip joints. The substances formed in the human body, when it is in a stressful state, destroy the joint tissue. Hyaluronic acid, which provides the functioning of the joints, is destroyed. The factors provoking the onset of secondary coxarthrosis are even greater. Practically all of them can be defined as "illnesses from nerves": heart attacks, inflammatory diseases, chronic fatigue syndrome.
It is much more effective to do everything possible to prevent an illness, than to fight against its consequences. Take care of your health!
Symptoms of coxarthrosis of the hip joint of the 2nd degree and its treatment
There is practically no cartilaginous tissue in the diseased joint and the bones of
are injured. Coxarthrosis is a disease that affects joint and cartilage tissues in the human body. The disease has several degrees of development. It is advisable to begin rehabilitation at an early stage. Treatment of coxarthrosis of the third degree can be delayed for a long time and sometimes requires surgical intervention.
Symptoms of coxarthrosis may not appear for a long time. But sooner or later they will make themselves felt. The first sign of the disease is severe pain in the joints, swelling and swelling of the skin. The more coxarthrosis develops, the stronger its symptoms become. When the first signs of the disease appear, you should consult a doctor without delay.
Basic medicines for the treatment of arthrosis
How to treat coxarthrosis? If the disease is just beginning to develop, the methods of traditional medicine can help the patient. But most often patients seek medical help when the disease reaches 2 or 3 stages of development. In this case, prescribe drugs. Coxarthrosis of the hip joint of the 2nd degree is treated primarily with the help of non-steroidal anti-inflammatory drugs. Such medications ensure the speedy restoration of the damaged joint.
Drugs can be given in the form of injections or applied orally. First of all, such medicines are aimed at eliminating inflammation, which provokes a destructive process in the joint bag. The use of nonsteroidal drugs should be limited in time, as they can disrupt the natural function of cartilage regeneration. Such drugs do not have a negative effect on the entire body. They should not be used only in patients with an individual intolerance to certain components of the drug. A doctor can prescribe to a patient only one medication for one appointment.
X-ray image of healthy and aching joints
Treatment of coxarthrosis involves the use of vasodilator drugs. These drugs are aimed at restoring blood circulation in the affected area. They can also be injected into the joint itself. Vasodilator drugs relax the walls of blood vessels and contribute to the normalization of outflow and blood flow. They have practically no contraindications.
You can take such medications only in quantities that have been prescribed by your doctor. Vasodilator drugs relieve many symptoms of arthrosis. The effectiveness of the drug depends entirely on the tolerability of the components that make up its composition. The patient is not immediately prescribed a full course of such medications. First, a person takes the drug for several days in order to understand whether there will be some effect from it or not. In case of a positive result, the doctor writes a full course.
Treatment of coxarthrosis of stage 3 is impossible without the use of chondroprotectors. These drugs prevent the destruction of cartilage, restore its natural ability to regenerate, moisten dry tissues and remove muscle spasm. The result from the use of such medications is not immediately apparent, but today it is the most effective tool in the fight against arthrosis.
Coxarthrosis of the third degree provides for the use of such drugs as muscle relaxants. Treatment should be done very carefully and under strict medical supervision. These medications are aimed at relaxing the muscles. If the drug is injected, then the treatment should be limited to three injections.
Ignore these medications because they have a positive effect on the patient's body. If you do not start applying them on time, the disability of the patient may become a consequence. Muscle relaxants help to get rid of muscle spasm, which often becomes a cause of jamming of nerves near the inflamed joints. In this case, an overdose of the drug may lead to dizziness and partial numbness of the limbs.
Hormonal steroid medications are usually injected into the patient's body through injections. These drugs have a good effect on the body, affect not only the affected area, but also any other inflammation in the body. The result from the use of hormonal steroid medicines is not always long. Such medications are not suitable for everyone, because they have a long list of contraindications and various side effects. Between each injection should take at least 15 days. Frequent use of such drugs may have the opposite effect.
In the treatment of the knee joint, it is necessary not only to internalize the affected area, but also the external one. Therefore, the use of ointments and gels is an integral part of effective treatment. Also useful are lotions and compresses.
Exposure to the joint outside should occur daily. You can do special compresses and warming, which will help reduce swelling, eliminate inflammation and remove reddening of the skin. The use of ointments makes it possible to relieve the pain syndrome and improve blood circulation in the affected area.
Physiotherapy methods of arthrosis treatment
If coxarthrosis treatment has not been started on time, it can lead to disability. In order to avoid such consequences, it is necessary to supplement the usual medical treatment regimen and make additional impact on the body. Physiotherapy can have a positive effect in the treatment of arthrosis.This is the whole range of procedures that doctors offer to patients. This includes ultrasound treatment, laser application, magnetotherapy, UHF treatment. In some cases, the impact of these methods of rehabilitation on the body can be questioned. Let's say that physiotherapy can not repair a damaged joint or begin to stimulate cartilage to regenerate itself. However, similar methods of treatment contribute to the removal of pain syndrome and other symptoms of coxarthrosis of the hip joint of the 2nd degree. Physiotherapy helps improve blood circulation in the affected parts of the body. The duration and strength of the effect depends only on the patient's body.
For any degree of progression of coxarthrosis, the patient is given a massage course. This is an important element of therapy, and you should take it seriously. The correct medical massage helps to relax muscles and eliminate spasms in the injured part of the body. Massage restores the right inflow and outflow of blood, allows you to return joints and ligaments elasticity.
Such an impact can not eliminate disability and help a seriously ill patient. But this is an excellent preventive method of combating arthrosis. You can combine different types of massage and work on muscles in various ways. The main thing is that such treatment would bring a visible result.
Additional methods of treatment and prevention
Prevention of arthrosis takes an important place in the course of rehabilitation. It is important not only to cure the patient, but also to prevent the further appearance of the disease. Often as a preventive method, joint extension is used. Such a procedure will suit both patients who have coxarthrosis at the stage of development, and those who have a disability. Extension of the joints is carried out by traction apparatus or manually.
If the patient has joints other than joint and cartilage damage, then such treatment will bring a visible result. After the course of the procedures, the patient will be significantly bred, and the load that they receive is reduced. And the manual method of traction, and the hardware have their advantages. The effect of both methods of impact on the joint is almost the same. If you decide to choose a manual method of therapy, then choose a good doctor who will be able to carry out such a time-consuming procedure.
Diet for coxarthrosis does not always affect the patient's condition. In some cases, doctors advise nevertheless to refrain from consuming heavily salted, fatty and spicy food. Diet for arthrosis is most often prescribed for patients who suffer from excessive weight. Excess kilograms exert additional strain on damaged joints, and treatment may not be very effective in this case. The smaller the patient's weight, the easier it will be to overcome coxarthrosis.
If coxarthrosis occurs in a patient in chronic form, then it can be treated with physical exercises. It should be noted that the use of this method of treatment is prohibited when the disease is in acute form. The course of gymnastics must be performed regularly and under the supervision of a trainer, who will be able to evaluate the correctness of the performance of the elements.
Physiotherapy with coxarthrosis, as with any type of joint damage, gives an effective effect and helps the patient to get in shape faster. Such exercises will significantly strengthen the muscles, increase the elasticity of the binding tissue and improve blood circulation.
Than bilateral bilateral coxarthrosis of the hip joint is dangerous
Deforming arthrosis of the hip joint is known under another name - coxarthrosis. This disease is characterized by deformation of bones and articular surfaces, it is accompanied by the development of pathological growths on the surface of bone tissue and restriction of motor activity. Quite often it happens that coxarthrosis does not start in one, but in two joints, then the disease is called bilateral coxarthrosis. In recent years, this disease is becoming more common. Usually it affects people after 40 years, women and men are subject to it roughly the same, however, according to statistics, in women the disease is more severe. Therefore, it is worthwhile to know what symptoms coxarthrosis has, how it develops and how it is necessary to treat it.
Causes of coxarthrosis
In cases of bilateral coxarthrosis, the disease usually affects one joint, only after a while passes to another. The causes of coxarthrosis can be different - from the lifestyle and ending with heredity. Genetically this disease is not transmitted, but scientists came to the conclusion that it can cause metabolic disorders that have passed by inheritance.
Very often the disease is a consequence of overload of the joints. At risk are athletes, people who have great physical activity and a very active regime of the day, and those who are overweight.
But sedentary, sedentary lifestyle can cause coxarthrosis, so you need to start treatment and enter physical activity, otherwise the disease will return. The cause of degenerative changes in cartilage and joints can be diabetes, arthritis, osteoporosis, underdeveloped articulation. In young people, the cause of coxarthrosis is, as a rule, injuries and bruises of the joints or congenital dislocation of the hip.
However, the key factor that causes coxarthrosis of the hip joint in our days is a stressful condition. The thing is that with strong disturbances and prolonged experiences in the body, hormones of the corticosteroid group are secreted. They have a negative effect on the process of production of hyaluronic acid, which, in turn, leads to a lack of lubrication of the joints, the drying of the cartilage and changes in the structure of the joint. In addition, stress hormones worsen the blood supply of various tissues. Because the tissues of the cartilage, bones and joints do not receive the necessary nutrition, there is a dystrophic symptomatology. And if stressful stresses are accompanied by increased physical activity or trauma, this further aggravates arthrosis of the hip joint.
Diagnosis of coxarthrosis does not cause difficulties, it is enough just to turn to the hospital in time.
Symptoms of coxarthrosis
There are three main stages of development of coxarthrosis of the hip joint. Each stage will have its own symptomatology:
- In the first stage of the disease, minor pain in the pelvic region appears. They arise only after physical exercises, lifting of weights, loads or a long walk. The pain appears during physical activity or at the end of the day and ceases, if you rest. Sometimes pain with coxarthrosis may appear not in the pelvic area, but in the region of the knee joints or thighs, but this happens rather rarely. If the first signs of pain occur, you should immediately consult a doctor who can detect the disease with the help of an X-ray. If coxarthrosis of the hip joint is not treated, the disease will move to the next stage.
- The second stage is characterized by stronger pain sensations. They appear not only in the pelvic region, pain can be given to the thigh, groin, the place where the knee joint is located. Painful symptoms cause already much less complex movements, quite simple actions: lifting from a sitting position, body twists, rapid movement. When this stage of coxarthrosis of the hip arises, the muscles are tightened and strained, often not disappearing, even when the person is asleep. In this regard, the patient can wake up at night with pain. The second stage of development of coxarthrosis may be accompanied by mild lameness, which appears when walking at distances exceeding 1 km, and restricts movements by 20 °.
- Coxarthrosis of the third stage is accompanied by very strong and sharp pains. Pain sensations in the hip and knee joints are permanent, and when you try to walk, they become even stronger. At the third stage, the joint does not function properly, and the dystrophy of the muscles of the buttocks and the thigh area leads to the fact that the patient can not even just stand without using the cane, let alone walk normally. At this stage, the muscles are constantly contracting and straining, which leads to some shortening of the legs. At the third stage of coxarthrosis, treatment becomes extremely difficult. A large number of medications are used, and if this does not help, a hip joint operation is prescribed.
In addition, doctors identify the primary and secondary forms of coxarthrosis. If the cause of the disease could not be identified, this coxarthrosis is of primary form. Secondary arthrosis of the hip joint is defined as a consequence of some other disease.
Treatment of coxarthrosis of the first stage
The methods of providing medical care for arthrosis of the hip joint depend on the stage at which the patient consulted the doctor. Complete treatment of coxarthrosis and restoration of motor functions is possible only at the first stage of the development of the disease.
At the initial stage of a disease such as coxarthrosis of the hip joint, treatment is not difficult. If you contact a doctor at the first stage of arthrosis, the therapy will be painless and take quite a bit of time. Most often this stage implies treatment not in the hospital, but at home. The patient is prescribed analgesics, vasodilators and anti-inflammatory drugs. Of course, you need to normalize physical activity. Additionally, massage and exercise therapy can be used at this stage.
When performing therapeutic exercises the patient should observe the following rules:
- every exercise is done smoothly and carefully, sharp movements should be deleted;
- complex exercises are performed daily, omissions are excluded;
- the axial load on the joint is completely eliminated;
- before the beginning of the gym, you need to do a massage in the area of the aching joint;
- after completing a set of exercises should lie in a warm bath, the reception of which will facilitate the removal of pain symptoms and muscle relaxation;
- in case of pain, the treatment of arthrosis with the help of exercises must be stopped immediately.
A good addition to the gym is swimming. But we must remember that gymnastics is excluded if there are open or closed hemorrhages, malignant formations and fractures of tubular bones.
In addition, such exercises are impossible and with acute pre-infarction or pre-sultness of the patient.
Treatment of coxarthrosis of the second stage of
In the second stage of development of arthrosis of the hip joint, damage occurs not only to the joints and cartilage, but also to the bones of the person, which, of course, is impossible to regain the former state. Treatment at this stage is to improve the condition of the joints. As a result, the pain becomes less, the mobility improves, the operation is either postponed for a very long time, or it may not be required at all.
In the second stage of coxarthrosis, analgesics, anti-inflammatory drugs and normalization of the load are supplemented by magnetic therapy, electrophoresis, laser and ultrasound therapy. The treatment is complemented by a course of therapeutic gymnastics and a massage that has an extremely beneficial effect. The more often a massage will be performed and the more qualitative it will be, the better. A good therapeutic effect for arthrosis may be manual therapy, but one should not forget that it is contraindicated for people suffering from arthritis, rheumatic diseases, joint disorders, and also recently suffered any injuries. It is also possible to use ointments, compresses and lotions in places affected by coxarthrosis of the hip joint. Treatment in this way is not very effective, but they can still bring some benefit.
A patient with coxarthrosis in the second stage will need to undergo a course of maintenance treatment every 6 months.
Treatment of coxarthrosis of the third stage
Most often in the third stage of the development of the disease of surgical intervention and joint replacement can not be avoided. If bilateral coxarthrosis takes place, the patient will most likely have to accept the idea of disability and crutches.
When the patient is categorically against the operation intervention or there are reasons preventing the operation - age, condition of the vessels, weak heart, the doctor prescribes preparations for strengthening joints, physiotherapy, therapeutic gymnastics. Intramuscular, intravenous and in the cavity of the damaged joint are administered drugs - analgesics and anti-inflammatory drugs. With severe pain, intra-articular blockades are made. Of course, all the symptoms will not be removed, but by performing these actions, the patient will be able to sit and sleep normally, the pain will cease to intensify, perhaps even weaken. Most likely, it will be possible and movement at short distances, if you use a cane.
Traditional methods of treatment of bilateral coxarthrosis
There are folk methods of treatment of simple and bilateral arthrosis of the hip joint. Their effectiveness is not proven and they can not guarantee healing, however, they will not be worse from their application.
Treatment of coxarthrosis in folk medicine is carried out by the following means:
- Vegetarianism or rice diet lasting from 1.5 to 2 months. This method can help at least because the total weight of the body will decrease, the load on the hip joints will decrease. However, it is worth remembering that a rice diet can not be performed more than once a year.
- Trituration of the spine with honey. Therapeutic massage should be done from the seventh vertebra to the coccyx 3-5 times a day daily or with an interval of 1 day. It should be rubbed on one spoonful of honey for 5 minutes by tangential movements.
- Rubbing into the damaged area of olive oil with celandine.
- Go to bed, applying compresses from cabbage leaf with honey applied to it every night for a month.
- Rubbing of sites affected by coxarthrosis of the hip joint, tea tree oil or fir oil.
- Drinking tea from half a lemon and honey.
- Use for sleeping leg-tight trousers, stuffed with fresh birch leaves. It is necessary to spend about 5 such procedures, with each time you have to put fresh leaves in trousers.
- Applying wood compresses to a sore spot. In order to make such a compress, you need to cut pieces of wood 2-3 cm thick from poplar or aspen, and then apply them 2 times a day for 10, maximum 15 minutes.
It should be remembered that, having become ill with coxarthrosis of the hip joint, treatment with folk remedies should be carried out only in addition to the drugs and the course of medical gymnastics prescribed by the doctor. None of the methods used in traditional medicine, can not give a recovery without drug intervention and proper physical activity.
Coxarthrosis. Treatment of the hip joint of a different degree of disease.
Coxarthrosis - deforming arthrosis of the hip joint. Coxarthrosis of joints develops usually after forty years. Women are sick slightly more often than men. The disease can affect both one and both hip joints( bilateral coxarthrosis).But even in the case of a bilateral defeat, one joint usually becomes ill first, and only then the second.disability in coxarthrosis
Causes of coxarthrosis
The causes of coxarthrosis can be different, but the picture of the disease is always the same. It all starts with a change in the articular cartilage, which is thinned and loses the property of absorbing the load. Stratification of cartilaginous tissue body compensates for the formation of bone growth along the edge of articular surfaces, which leads to deformation of joints and bones of different degrees.
The main causes of coxarthrosis are associated with a fixed lifestyle or other diseases. One of the causes of the disease is the constant restriction of mobility, for example, with sedentary work the risk of coxarthrosis of the hip joint is high, it is not possible to treat it without changing the way of life. Soon the disease will return, if after the treatment leave everything as is.
The second cause of coxarthrosis is often excessive load, resulting in systematic microtrauma, as well as injury to the joints. Most often it occurs in people engaged in heavy physical labor or professional athletes. In this case, treatment without changing the lifestyle or limiting the workload is also ineffective and often accompanied by relapses.
Often, the causes of coxarthrosis are such diseases as congenital hip dislocation, hip dysplasia, and some others. Diagnosis is carried out using X-rays, which help to detect the growth of articular surfaces. Magnetic resonance imaging( MRI) can identify the disease in the early stages, so it is considered a fairly effective method of diagnosis.
Symptoms of coxarthrosis
The most common symptom in the beginning of the disease for patients with coxarthrosis is the appearance of minor pain when walking or by the end of the day. As a rule, patients with coxarthrosis do not pay attention to this pain and do not receive treatment. In some cases, patients in the beginning are concerned not with pain, but with pulling sensations in the groin. In the future, the intensity of the pain syndrome in walking is usually increased, patients note that they can go less without stopping, in the evening and at night after a greater than usual physical load, a severe aching pain in the hip joint area is disturbed.
Pain in coxarthrosis
In most cases, it is the development of the pain syndrome that causes the patient to seek medical help. Some patients turn to friends, friends, etc.and according to their advice, they are treated independently, taking all kinds of drugs uncontrollably, and analgesics. However, over time, the pain with coxarthrosis becomes more and more permanent, reaching a constant character when walking, and its intensity is greatly enhanced. Analgesics in most cases either do not help or their effect is significantly reduced.
Degrees of coxarthrosis
Coxarthrosis of the 1st degree. Periodically, after physical exertion( long walking, running), there are pains in the hip joint, less often in the thigh or knee area. As a rule, after rest the pain passes. The amplitude of movements in the joint is not limited, muscle strength is not changed, the gait is not broken. On the roentgenograms, slight bony growths that do not extend beyond the joint lip are visible. Usually they are located around the outer or inner edge of the articular surface of the acetabulum. The head and neck of the femur are practically unchanged. The incisors of the joint are unevenly slightly narrowed.
Coxarthrosis of 2nd degree .The pains are more intense, they irradiate into the thigh, the groin area, arise at rest. After a long walk there is lameness. The function of the joint is impaired. First of all, internal rotation and hip removal are limited, i.e.forming a flexural and leading contracture. The strength of the muscles withdrawing and extending the thigh decreases, their hypotension and hypotrophy are determined. On the roentgenogram, significant bony growths are seen along the outer and inner margins of the acetabulum, extending beyond the cartilaginous lip. Mark deformation of the head of the femur, its increase and contour irregularity. Cysts can form in the most loaded part of the head and acetabulum. The neck of the femur is thickened and dilated. The joint gap is unevenly narrowed( up to 1 / 3-1 / 4 of the original height).The tendency to shift the head of the femur to the top is determined.
Coxarthrosis of the 3rd degree. Pains are permanent, occur even at night. When walking, patients are forced to use a cane. They note a sharp restriction of all movements in the joint( flexion-leading contracture) and gluteus in the gluteal muscles, as well as the muscles of the thigh and lower leg. There may be a positive Trendelenburg symptom. The flexor-leading contracture causes an increase in pelvic incline and an increase in lumbar lordosis. The pelvic incline in the frontal plane, associated with the weakness of the hamstrings, leads to a functional shortening of the limb on the side of the lesion. The patient is forced to step on the toes to reach the floor, and tilt the trunk to the affected side while walking, to compensate for the pelvic tilt and shortening of the limb. Such a compensation mechanism leads to the movement of the center of gravity and the overload of the joint. On radiographs, extensive bone growths are determined from the side of the roof of the acetabulum and the head of the femur, a sharp narrowing of the joint gap. The neck of the femur is considerably widened and shortened.
Treatment of coxarthrosis of joints
Treatment in connection with the absence of a single pathogenetic mechanism of the disease development is symptomatic, aimed at reducing pain syndrome and statodynamic disorders of the musculoskeletal system. In this case, it is necessary to take into account the stage of the disease, the age of the patient, his general condition and the specific features of the clinical manifestations.
coxarthrosis how to treat
Treatment of coxarthrosis 1 degree
Coxarthrosis 1 degree is most easily treated, and with timely treatment, joint therapy is quick and painless. Often, coxarthrosis 1 degree is treated at home under normalized loads. In the course of treatment prescribe analgesics and non-hormonal anti-inflammatory drugs in combination with normalization of metabolic processes in the cartilage of the joint. Auxiliary treatment of coxarthrosis of 1 degree - treatment with folk remedies, physiotherapy exercises, massage.
Treatment of coxarthrosis of 2nd degree
Certainly, it is impossible to completely cure it, because with arthrosis of the second stage, not only the cartilage of the joint, but also its bones are damaged - they are perceptibly deformed. And it is clear that it is almost impossible to return the former form to the deformed bones. But it is possible to significantly improve the condition of the patient's joints by increasing the special methods of feeding the cartilaginous tissue, improving the blood circulation of the joint and dilating the joint ends of the bones, that is, expanding the joint gap. This is entirely within our power.
Although we will not be able to return the original joint to its aching joint and provide an ideal gliding of the cartilaginous surfaces, but at least we can make it so that the pain decreases and the mobility of the joint improves. There is an opportunity to postpone the operation for an indefinitely long period, and even completely avoid it. But I repeat that this will happen only if the patient himself is very determined: he is ready to do special gymnastics and do not forget to take a course of maintenance treatment every six months.
To treat coxarthrosis of the 2nd degree follows the same as the 1st degree, adding laser therapy, magnetic therapy, ultrasound therapy and electrophoresis, performed in ambulatory or semi-stationary conditions. As a rule, this is enough to stop coxarthrosis of the 2nd degree.
Treatment of coxarthrosis of the third degree
In coxarthrosis of the third stage, the situation is much more complicated. As already mentioned, in the third stage of arthrosis, only the minimal thinned layer of defective cartilaginous tissue remains in the hip joint, and the articular area of the femoral head is strongly deformed.
Most doctors in this situation will tell the patient( and most likely will be right) that the only way out is surgery. And only on the strength of 10-20% of patients, endowed with enormous willpower and perseverance, who are very willing to prevent surgical intervention in their bodies, will be able, with great efforts, to avoid joint surgery.
Of course, they are unlikely to be able to cure their severely affected joint. But such stubborn patients can, with the help of gymnastics, some kinds of physiotherapy and medications to strengthen bones, stabilize the condition of the affected joint and reduce pain. Simply put, the condition of the joint itself remains practically the same, but the condition of the bones, blood vessels and muscles surrounding the diseased joint will improve. Due to this, the load on the affected areas of the joint will decrease, and the pain will cease to increase, or even completely weaken.
As a result, a person who for some reason categorically does not want or can not agree to an operation( say, because of age or because of a poor condition of the heart and blood vessels) will be able to at least normally sleep and sit, getting rid of unbearable "pain of rest ".And even if he can not live and move perfectly, as before, he will most likely be able to walk for short distances: let little by little, even with the help of a stick or stick, but walk.
Coxarthrosis of the third degree is treated both conservatively and operatively. For conservative treatment, use medicamental anti-inflammatory drugs and analgesics, administered intramuscularly, intravenously and directly into the joint cavity. Apply the means of physiotherapy. In severe pain syndrome, intra-articular blockades are performed, helping to stop pain. In the absence of a therapeutic effect in conservative treatment, coxarthrosis of the third degree can be treated promptly, by prosthetic joint.
Gymnastics with coxarthrosis
During gymnastic exercises, the synovial fluid flushes all joint surfaces, ensuring cartilage delivery of nutrients and removal of metabolic products from them. This is the simplest and most natural method of treating your cartilage. However, it should be remembered that incorrectly performed exercises can have a negative impact on the joints. Gymnastics with coxarthrosis should ideally be performed under the supervision of a physician, but if this is not possible, then you can use the exercises and recommendations from this article.
Exercises for coxarthrosis
- All exercises should be performed smoothly, neatly. You must not allow sharp and strong movements.
- All axial loads on the affected joint should be eliminated.
- If pain occurs, the exercise should be discarded immediately.
- Exercises must be performed daily.
- Before performing the exercises, during the exercise, if pain or discomfort occurs in the joint and after exercise, a gentle massage should be performed in the area of the affected joint.
- After doing the exercises, you can take a warm bath that will relieve muscle tension and soothe the pain.
- Swimming is the best method of caring for your joints. Swimming with coxarthrosis also has a beneficial effect.
In coxarthrosis of the hip joint gymnastics is absolutely contraindicated in the following situations:
- The presence of malignant tumors.
- Presence of open or closed hemorrhages.
- In acute pre-infarction or pre-condition.
- With fractured tubular bones.
Coxarthrosis of the hip joint
There is a huge number of diseases of the musculoskeletal system, among which can be identified coxarthrosis. This ailment is more common than others and it is associated with a huge number of reasons, which can not be avoided by far not all. According to statistics, more than a third of those suffering from diseases of the musculoskeletal system have this diagnosis.
Coxarthrosis is a severe form of osteoarthritis, in which the joint deformity occurs. It is extremely difficult to treat it and a complete cure is unlikely. Nevertheless, coxarthrosis involves a number of unpleasant symptoms, so it is simply impossible not to pay attention to the presence of coxarthrosis.
Deforming arthrosis can be completely cured only when the therapy was prescribed and performed at the very beginning of the disease. Unfortunately, people very rarely turn to a specialist at the initial stage. Usually, patients come to a rheumatologist only when the strength to endure the pain is simply not left. And this happens, as a rule, in the second stage of the disease. Coxarthrosis of the hip joint is fraught with certain causes that must be eliminated in order to effectively combat this disease.
Causes of the disease
Hip coxarthrosis, as already mentioned, has many causes, we will consider them in more detail:
- The first and main cause is problems with blood circulation. Due to a number of factors, a person's blood circulation may be compromised. In particular, the venous inflow. This suggests that the products of metabolism begin to accumulate around the hip joint and tissues. This has an extremely negative effect on the general condition of the joint and on the cartilage in particular. So the exchange products stimulate the production of enzymes, which, in turn, begin to inflame the inflammation in the joint.
- Overload of the joint. This aspect is also extremely important. A large percentage of patients with this disease has a concomitant diagnosis - obesity. It is he who can cause problems with the hip joint, and not only with him. Simply put, the joint is overloaded because of the large body weight, due to which it starts to become inflamed and deformed afterwards.
- Hormonal background. Many people know that hormone surges can adversely affect various organ systems. This is indeed so. We can also note the disturbed process of metabolism. It also promotes inflammation of the joint tissues.
- Special attention should be paid to the cause - injuries. The fact is that many people have an inborn problem with the hip joint, which is expressed by a dislocation or subluxation. In infancy, this attack is successfully treated, but not all children can identify it. There is also the risk of having a joint dislocation already in adulthood. Gradually, old damage leads to severe inflammation. In most cases, this threatens a full joint replacement.
- A sedentary lifestyle is a scourge of the modern world. Sports, though, is gaining popularity, but very leisurely. Modern youth with a head immersed in the Internet and a computer, so motor activity is minimized.
Coxarthrosis is of two kinds. Primary implies independent development, and secondary - development against other diseases. Anyway, this ailment requires a long and complex treatment, because otherwise it will soon be extremely difficult for a person to move around. It is worthwhile to understand that the hip joint is the basis of the motor activity of the entire lower body, therefore having problems with it, there is a risk of becoming simply incompetent. The risk of finding a disability in this case is extremely high, so it is simply unforgivable to treat neglectfully the question of therapy.
Coxarthrosis has pronounced symptoms, but they can accompany not only this disease, but also a number of others, so the definition of coxarthrosis requires special diagnosis. Symptoms of coxarthrosis, like in the case of any other disease, vary with the stage of the disease. We note the main symptoms:
- severe pain in the hip joint. At the first stage of the disease, it calms down as soon as a person stops moving. In subsequent stages this does not happen, moreover, soreness can even increase with the arrival of the night. The strongest analgesics come to the rescue;
- joint stiffness. Again, in the first stage it is felt only after the awakening of a person. As soon as the patient moves intensely, the stiffness disappears;
- muscular atrophy. This is the most severe symptom that is characteristic for the advanced stage of the disease. A surgeon can cope with it.
The first and main symptom is pain. It is weak and hardly noticeable at first, almost every day it intensifies. The nature of the pain is pressing, importunate. So the mistake of all patients is that they do not betray the value of the emerging soreness. The modern rhythm of life and dynamics do not allow people to pay attention to their own health and in time to turn to a specialist in a polyclinic. This error can be called great, because coxarthrosis is cured completely and with a minimum of consequences only at the first stage. The subsequent development is guaranteed to lead to serious consequences, which the doctor is simply unable to eliminate. Disability in coxarthrosis of the hip joint is not uncommon. In other words, if you have pain in the hip joint, you should immediately consult a doctor. Diagnosis immediately reveals the presence of a problem.
Stages of coxarthrosis
Coxarthrosis has three stages.
Coxarthrosis of the hip joint of the 1st degree is characterized by temporary and not severe pain in the joint. Often they appear only after strong physical exertion. The focus of pain is located precisely in the joint. After an hour and a half rest from soreness there is no trace. If a person drew attention to the fact that after lifting something heavy he became sick with TB, then you should immediately go to the doctor. The cervix and head of the femur have not yet deformed and generally have minimal changes, therefore, eliminating the disease is not so difficult.
Coxarthrosis of the hip joint of the 2nd degree has intense pains, which, characteristically, irradiate into the groin area. Soreness does not pass in a state of rest, moreover, with prolonged walking, lameness may appear. This is the brightest sign of this stage. Radiography can show pronounced sprouting, which rapidly appear on the joint. The cervix thickens considerably and the joint, in view of this, can no longer function as before. This is a serious call to go to the doctor, give a hand before a critical situation.
Coxarthrosis of the hip joint of the third degree is a colossal pain that even serious pain relievers can not cope with. It does not cease either day or night, or when moving in a state of rest. Walking is possible with support. The thigh and thigh are rapidly changing, as their muscles atrophy more and more every day. The joint is practically not functioning, delivering a huge amount of discomfort to the patient. A characteristic moment of this stage is that the leg is shorter from the patient's side of the joint. No, it's not an anomaly. The thing is that the deformed joint entails a strong slope of the entire pelvis, which in turn causes a feeling of shortening of the leg. In the picture, the articular fissure is no longer visible, as there are only abundant excrescence around.
Diagnosis of coxarthrosis tbs, mainly, is the radiographic examination of the joint. The snapshot shows the presence of changes in TBS, and even minimal ones. Patients are subjected to this diagnosis, both at the beginning of therapy and at its conclusion, since it is important for a specialist to note whether there is a positive trend.
An accurate diagnosis will make it possible to supply exclusively X-ray. According to the picture, the doctor will be able to determine the stage of the disease and its severity. On the basis of the collected anamnesis complex treatment will be appointed. There are a number of features of this ailment. For example, there is a bilateral coxarthrosis of the hip joint. This phenomenon is quite rare, but it can be detected exclusively using X-rays. The consequences for a person in case of such a serious form can be simply awful, therefore the therapy should be appointed and carried out immediately.
Prophylaxis of coxarthrosis tbs involves the elimination of all signs and causes of the disease. First of all, you should lead an active and, of course, a healthy lifestyle. Sport - a pledge of a healthy body and high immunity. The disease does not reach a person who daily makes a 5-7 minute charge. This is extremely useful, but, unfortunately, many people are not serious about charging.
Moreover, exercise therapy is also actively used to treat an already existing disease, but it is worth noting that in this case it is necessary to consult a specialist in exercise therapy beforehand.
Preventative measures also require proper nutrition. It is necessary to avoid the appearance of obesity. This disease like a magnet attracts a number of diseases. In the first place, there are diseases of the joints and back, because they are hard to carry extra pounds. If, however, obesity is already acquired, then one should think about getting rid of it. There is a huge number of diets that are relevant in this matter. For example, a medical diet number 8 is prescribed in obese patients. Of course, it has a huge number of prohibitions, but the figure and health of this are worth it.
Treatment of coxarthrosis can be prescribed exclusively by a specialist. Self-medication should be excluded, because this is a direct path to disability, no matter how terrible it may sound. A competent specialist will correctly select the most important drugs in this matter:
- non-steroidal anti-inflammatory drugs;
- if necessary - psychotropic drugs.
It should be said that drug treatment is not all that is required to get rid of coxarthrosis. Also, physical therapy and physiotherapy will be prescribed. Therapeutic exercise involves a set of exercises, which is aimed at increasing the motor ability of the joint and increasing the outflow of blood, which, apparently, was disturbed.
Physiological treatment can assume several types. The most commonly used electrophoresis. It has been known since the times of the USSR.This method, according to the results of studies around the world, has a whole range of positive properties, so it is used in the treatment of the spine and joints.
Magnetotherapy is also used because the magnetic field in the force affects even the deep layers of tissues, which is extremely important in the treatment of the hip joint, since the focus of inflammation is located deep in the joint. Any method of physiotherapy involves getting rid of the pain, albeit only for a while.
Reflexotherapy may also be prescribed. In the fight against rheumatic ailments this method is actively used. The basis of therapy, one way or another, is conservative treatment. It is necessary in order to eliminate inflammation, regulate blood circulation, withdraw the products of metabolism and stimulate the regeneration of damaged tissues. Sprouting on the joint, if any, is extremely difficult to remove. This may require surgical intervention. As already mentioned, the entire joint is often replaced. But, it is worth saying that this operation, for the most part, is carried out abroad. Moreover, it is, to put it mildly, a lot, so it is better not to start the disease to such an extent that, in addition to a complete replacement of the joint, there is no longer any option for therapy. Completely eliminate coxarthrosis is extremely difficult, especially if it is in the second or third stage. The most difficult thing is to eliminate its consequences, because they, in the majority, are irreversible for the whole musculoskeletal system.
Coxarthrosis is curable, but only at the first stage, so do not pull with the referral to a specialist in the case of obsessive pain in the hip. Timely and comprehensive treatment is a guarantee of recovery.