New in the treatment of coxarthrosis of the hip joint

How to effectively treat coxarthrosis 3 degrees?

Often, the diagnosis of "coxarthrosis of the third degree" becomes a surprise for the patient, who does not pay attention to the first manifestations of the disease. But the onset of the disease is not sudden. The fact is that people usually do not pay much attention to pain. They prefer to endure and postpone the visit to the doctor. And only when the disease becomes neglected, many people think how to treat coxarthrosis of the third degree.

Today, arthrosis is the most common manifestation of joint damage. This is largely due to the inactive way of life of modern people. Coxarthrosis is one of the forms of arthrosis. This is an inflammation, a disease of the hip joint, which has a spheroidal shape. The head of the hip joint is covered with cartilage, the thickness of which can reach 4 mm. A powerful layer of cartilaginous tissue allows the joint to move freely. This joint is actively supplied with blood. In this case, the hip joint carries a huge load. Throughout life, a person performs with the help of this joint millions of movements: running, jumping, walking. In addition, this joint sustains the weight of our body.


Causes of development of coxarthrosis

coxarthrosis
  1. Excess weight is the main factor of hip joint damage.
  2. This joint carries the greatest burden in the process of human life. Therefore, with increased physical effort, a healthy hip joint gets wear and tear, and an erasure of the articular cartilage.
  3. High loads on the injured joint, which has microtraumas, microcracks.
  4. Most often, coxarthrosis affects the female half of the population. It is also important to wear high heels that injure the hip joint. The situation is aggravated by the increased body weight during pregnancy.

Stages of coxarthrosis

This ailment forms and develops gradually. For coxarthrosis of the first degree is characterized by a feeling of pain in the leg in the area of ​​the affected joint. Pain feels the patient in the anterior and lateral region of the thigh. In some cases, pain is given to the groin area. However, the patient is not yet limited in movements. X-rays do not show any lesions of the joints. But already at this stage a person can determine for himself the presence of this disease. If there is pain when climbing or climbing a ladder, either in the groin, in the thigh, or in the upper part of the knee, this is a signal that there are problems with the hip joint. Another initial symptom of the development of this ailment is a decrease in the volume of the thigh and a weakening of the buttock from the affected side. This is because pain causes a person to subconsciously spare a sick leg. The patient ceases to rely on her actively. As soon as the muscles cease to work symmetrically, they immediately lose a little volume. These early signs should alert the patient and make him immediately consult a doctor.

treatment of coxarthrosis

The disease, left unattended, continues to develop and enters its second phase. Symptoms of coxarthrosis of the 2nd degree are more pronounced. Now the patient feels a sharp pain constantly. He experiences it not only during the movement, but also during the inactive period. Pain in the hip joint and in the knee causes suffering. There may be pain in the spine. The affected joint can not normally perform its motor functions. Violated the volume of traffic. The patient with difficulty can take aside the affected lower limb and perform rotational movements. The gait changes, becoming similar to a duck. This occurs as a result of shortening of the limb. It is usually at this stage of the disease that patients make complaints about their health to doctors.

The final phase of this disease, followed by necrosis of the joint, is coxarthrosis of the third degree. Many experts believe that the treatment of such a patient is possible only through surgical intervention. However, it is customary to conduct first conservative therapy. And only if it is ineffective, doctors resort to surgical treatment of grade 3 coxarthrosis.

In the absence of timely treatment coxarthrosis of the third degree develops into necrosis of the hip joint. Often doctors this extremely dangerous phenomenon name an osteoporosis 4 degrees. Coxarthrosis of the 4th degree is extremely dangerous for the patient. Because now there is a necrosis of the tissues of the joint. Therapeutic methods for necrosis help the patient no longer able. Therefore, the only way out is only a surgical operation.

Main symptoms of coxarthrosis of the 3rd degree

This ailment is accompanied by severe pain in the groin area even in a state of immobility. The joints are visibly restrained and limited in movement. The quality of life is significantly reduced, as the patient often can not perform basic actions for self-care purposes.

Treatment of coxarthrosis of the third degree

Conservative treatment can give good results. Doctors usually try to first achieve a positive effect as a result of the use of therapeutic agents. The purpose of treatment at this time is to reduce the manifestation of secondary arthrosis and restore the cartilaginous surfaces of the hip joints.

  1. This can be achieved by developing joints, increasing blood circulation in the process of performing therapeutic gymnastics.
  2. To reduce pain and relieve swelling, special and pain medications are used.
  3. To remove inflammation, drugs are given intramuscularly and orally.
  4. If articular ligaments are inflamed, injections of steroids are injected into the joint.
  5. After reducing the inflammatory process, a course of therapy is performed to strengthen the muscle around the affected joint and increase its mobility.
  6. Drugs that stimulate microcirculation and promote the normalization of metabolism in the joint can be effective. This allows you to achieve medicines that enhance blood circulation.
  7. Especially effective treatment of coxarthrosis of 3 degree chondroprotectors. These drugs can stop the development of the disease and restore the cartilaginous tissue of painful articular surfaces.
  8. A large role is played by physical exercises, which are performed with the purpose of restoring the functions and mobility of the joints. Physical activity also makes it possible to strengthen atrophied and weakened hamstrings. All exercises should be easy, performed in a supine position. When there is pain during exercise, the activity should be stopped.
  9. It is extremely important to reduce weight. This will significantly relieve the affected joint.

Surgical treatment of grade 3 coxarthrosis can become a necessity. Surgical intervention is used when conservative methods are ineffective. When there is no cartilaginous tissue, the question is to replace the joint. Today it became possible, whereas three decades ago coxarthrosis of the third degree inevitably led people to disability. The question of the operation is decided by each patient after the doctor has offered him such a treatment option. This operation is not emergency. But this affliction prevents the patient from living so much that it is better to decide on surgical treatment if the doctor advises to do so.

There are two types of surgical treatment for coxarthrosis of the 3rd degree:

  1. Prosthesis is not performed if there are opportunities to stop the progression of the disease and restore the function of the affected joint with the help of a surgical procedure.
  2. Removing worn and damaged parts of the hip joint and replacing them with plastic or metal parts can save the patient's health. Installation of an endoprosthesis helps the patient to stand on his feet. Endoprostheses have a unique design. During the operation, the defective joint head is removed. The joints are attached to the joints. The prosthesis is inserted into the articular cavity and clearly combined with the joint. Already on the second day after the operation the patient rises to his feet. And within three to four days the rehabilitation of the patient begins. After the operation, patients can even ski, skate. This operation is one of the wonders of modern medicine.

Typically, such operations have good results. And the patient gets the opportunity to move around freely. However, complications sometimes occur.

Treatment of coxarthrosis with stem cells

Treatment of coxarthrosis with stem cells

Currently, new methods of treating this disease appear. More and more popular is the use of stem cells for the treatment of coxarthrosis of the last degree. The injected stem cells improve metabolism in the affected tissues. This happens, as cartilaginous tissues are tightened and strengthened, new vessels are formed, muscle mass is increased. As a result, inflammation and swelling pass, painful sensations disappear. The joint becomes mobile again.

Today, the treatment of coxarthrosis can be very effective. The earlier a patient comes to a doctor, the better for him. If you persistently follow all the recommendations of a doctor, a patient with coxarthrosis of the third degree can improve the quality of his life. But for this you need to have a great desire to be healthy, patience and the ability to overcome difficulties. If your health is not dealt with, this illness can lead to disability and disability.

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Symptoms, degrees and treatment of coxarthrosis of the hip joint

What is coxarthrosis of the hip joint?

coxarthrosis of the hip joint

Coxarthrosis of the hip joint is a permanent change in the integrity of the articular surfaces, which are based on the violation of metabolic processes. As a rule, coxarthrosis is a slowly developing disease that gradually affects cartilage tissue with subsequent deformation of bones and a violation of the functional capabilities of the joint system.

Coxarthrosis is the most common disease among all degenerative-dystrophic pathologies of the musculoskeletal system, occurring at the age of 40 years.


Symptoms of coxarthrosis of the hip

Symptomatic at different stages of development of coxarthrosis differ slightly. However, there are a number of common signs on which you can determine the onset of the disease and take all the necessary measures to restore health. Often, patients turn to doctors already in the late stages of the pathology, which significantly reduces the chances of a full recovery.

Symptoms of a general nature:

  • severe pain in the area of ​​the affected joint - the main sign of joint damage;at the first stage the pain manifests itself during the movement, on the subsequent stage it has a permanent character;

  • stiffness( restriction in movement) - in the early stages this state is observed after awakening or heavy physical exertion;

  • changing the length of the legs - a sign of a neglected form of the disease accompanied by a deformity of the pelvis;

  • muscle atrophy is the most severe symptom manifested in the late stages of coxarthrosis;in the early stages there is a slight weakening of the muscles;

  • lameness, an obvious change in gait is a sign of bone system deformation;

  • pronounced crunch in the joint area, which may indicate a pathological lesion.


Causes of coxarthrosis of the hip joint

Causes of coxarthrosis of the hip joint

The causes of the development of this disease can be very different, consider the most common ones:

  • Disturbance of blood circulation in the area of ​​the affected joint. In view of the most varied causes, a person's blood circulation system fails - deterioration of venous outflow and arterial inflow. Due to all these processes, metabolic products accumulate in the tissues surrounding the hip joint, which contribute to the production of enzymes that destroy cartilage.

  • Injuries. The development of coxarthrosis is promoted by chronic microtrauma, which contributes to thinning and damage to the cartilage. Excessive load on the joint. The development of degenerative processes is promoted by constant heavy physical exertion, often in combination with predisposing factors.

  • Obesity. The large mass of the body overloads the joint, thereby causing the inflammatory process, and subsequently the deformation of the joint itself.

  • Genetic predisposition. Directly the disease is not inherited, the features of the structure of cartilaginous, bony tissue and joints are transmitted. Therefore, for a number of unfavorable factors, this cause can affect the development of coxarthrosis more than in others.

  • Hormonal background. Frequent changes in the level of hormones can affect the metabolic processes in the human body, thereby contributing to the development of inflammation of the joint tissues.

  • A sedentary lifestyle is one of the main reasons for the development of hip joint pathologies.

  • Other diseases( hip head necrosis, severe infections).In the case of improper treatment or timely medical care, a number of diseases can further influence the development of coxarthrosis, as a complication or concomitant disease.

  • Congenital pathologies( dysplasia, congenital hip dislocation).


Degrees of coxarthrosis of the hip joint

Degrees of coxarthrosis of the hip joint

Coxarthrosis of the hip joint of the first degree

1 degree is the easiest form of the disease, which can not worry the patient for a very long time, but if it does not orientate and treat the disease in time, it will develop to more severe forms.

The first stage of the disease shows periodic pain in the area of ​​the affected hip after prolonged and intense physical exertion. With bilateral involvement of joints, pain is manifested in both joints, with unilateral - in one. This stage is not characterized by the appearance of lameness and severe muscle rigidity. Pain syndrome occurs immediately after the end of physical activity and is not of a permanent nature. On the radiographic image, one can see a slight narrowing of the gap located between the joints.

Coxarthrosis of the hip joint of the second degree

2 degree is characterized by more significant lesions of the joint - destruction of the cartilaginous tissue. With this degree, all symptoms are intensified.

Pain syndrome in the second stage of the lesion is increased often marked by the irradiation of pain in the inguinal region and thigh. Pain occurs not only after physical exertion, but also in a state of rest. In the absence of restorative measures, the normal movement mechanism is broken - the patient begins to limp, the gait gradually changes. The strength of the muscles responsible for extension and retraction of the thigh decreases. Over time, there is a syndrome of morning stiffness.

Third-degree coxarthrosis of the hip joint

3rd degree is one of the most severe forms of pathology, which is characterized by almost complete destruction of the articular cartilage. A filiform narrowing of the joint gap is noted on the radiographic photograph. The joint is strongly deformed.

The pain syndrome for this condition is permanent, it can be eliminated only temporarily with the help of medications. The patient is difficult to move without a cane or other auxiliary devices, since the joint is constrained, his movements are limited. In the field of the joint, development of edema is noted, tissues are atrophied.

Coxarthrosis of the hip joint of the fourth degree

This is the last stage of the disease, the heaviest. This condition is characterized by complete fusion of the bones of the hip joint with each other.

Symptoms of third stage coxarthrosis

Constant pain, not giving a normal life, strong swelling of surrounding tissues. Complete absence of movements in the hip joint.


Diagnosis of diseases of the osteoarticular system

Diagnostics

In the first stage, the diagnosis of coxarthrosis includes a survey, collection of anamnesis of life and disease, patient complaints, joint examination and functional tests.

In clinical blood analysis with coxarthrosis, a slight increase in ESR( erythrocyte sedimentation rate) is observed - up to 30 and above mm / h.

In the biochemical analysis of blood, the level of markers of inflammation is significantly increased: c-reactive protein, globulins, immunoglobulins and seromucoid. This analysis provides significant assistance in conducting differential diagnosis of joint damage: arthritis or arthrosis?

The basis of all diagnostic activities are instrumental methods.

The main method for the detection of joint damage is the X-ray, which notes:

  • the presence of osteophytes - bone growth along the edges of the articular cartilage;

  • narrowing of the gap between the joints;

  • sites of ossification of articular cartilage;

  • Osteoporosis( rarefaction of bone tissue);

  • bone compaction under the cartilage.

Minus in radiographic examination - only bones are visible, soft joint tissues( cartilage, articular capsule) are not visible in the pictures.

No less informative diagnostic method is magnetic resonance imaging or computed tomography, which allows to recognize the disease at the earliest stages of its development.

Related topic: Hip pain


Treatment of coxarthrosis of the hip joint

With such a pathology as coxarthrosis, the treatment is rather complicated and long, consisting of many stages. The main condition for effective treatment is the prompt start of therapeutic measures, regardless of the stage of the disease.

For treatment of the initial stage of pathology development, it is enough to correct the lifestyle, nutrition, eliminate problems with blood circulation and metabolism. More severe forms of the disease require as much effort as possible to restore.

Medication for destructive changes of the hip joint

Drug therapy is mainly a symptomatic treatment. The main actions that are required from medications are elimination of pain syndrome, removal of puffiness and inflammation, improvement of blood circulation, nutrition of cartilaginous tissue and relaxation of muscles.

  1. Non-steroidal anti-inflammatory drugs:

    • brufen;

    • piroxicam;

    • diclofenac;

    • indomethocin;

    • ketoprofen.

    These preparations are shown in the reactive stage of the inflammatory process. Excellent removal of swelling, inflammation, eliminate pain due to the strongest anti-inflammatory effect. Minus in the use of this group of drugs is quick addiction, cartilage tissue ceases to regenerate independently, and a number of side effects negatively affect internal organs.

    To date, developed the newest drug with a smaller list of side effects - movalis. Due to its improvement, habituation does not develop so quickly.

    Specialists do not recommend taking several anti-inflammatory drugs at the same time, if the drug does not bring the necessary effect, it is worth either increasing the dosage or changing it.

  2. Vasodilator preparations:

    nikoshpan
    • nikospan;

    • theonikol;

    • cinaresine;

    • trental.

    The goal of these medications is to relax the smooth muscles of the vessels and expand their lumen to ensure good circulation. With proper use, the drugs in this group have a minimal amount of contraindications and complications. Vasodilator drugs have a very important effect - they relieve spasm, including night "vascular" pains, which bring maximum discomfort to the patients.

    Before using these medications, it is worth consulting with your doctor, since one of the most common side effects is an allergic reaction to the ingredients. Efficiency depends on this factor.

  3. Muscle relaxants:

    • sirdaloud;

    • Midsummer.

    Preparations of this group with coxarthrosis should be taken with extreme caution. They are used to eliminate painful muscle spasm and improve blood circulation. The danger with the use of muscle relaxants is that they affect the nervous system manifested in the form of frequent dizziness, nausea, blocking consciousness or intoxication.

  4. Chondroprotectors:

    • Rumalon;

    • arteeoparon;

    • glucosamine;

    • structure;

    • don;

    • chondraitin sulfate.

    This category of drugs is the most useful and effective, its actions are aimed at restoring the structure of the cartilage. Regular application of chondroprotectors can stop the development of coxarthrosis in the early stages. Contraindications to use are pregnancy, allergy and inflammation of the joints.

  5. Hormonal preparations( injection):

    • Kenagol;

    • ;

    • hydrocotisone.

    This type of therapy has a positive effect in the absence of inflammatory processes affecting the tendon of the femur. The injections are not recommended to be done more than once every two weeks and no more than three injections per joint.

  6. Drugs of local action( ointments, lotions, compresses)

Such therapy is not fundamental in the treatment of coxarthrosis, since the likelihood that all the necessary substances will penetrate the skin, the fat layer and muscles is very small, therefore positively affects directly the process of rubbing,blood circulation in the affected area.

Related: List of modern medicines and preparations for joints

Operation with coxarthrosis of the hip joint

Operation with coxarthrosis

Surgical intervention is performed at the last stage of the disease development, when the joint's functional capabilities are completely violated.

Operations:

  1. Endoprosthetics - joint replacement. This is the most difficult of all operations associated with hip joints, its success is almost 70% of all performed interventions. When choosing a prosthesis takes into account the patient's age, sex, weight and anatomical features of the body, this determines the amount of time that the implant will serve. Often this is the only way to return the patient's ability to walk.

    Externally, a conventional endoprosthesis is identical with a normal joint, it is designed for the same functions and in a state to withstand the same loads as a natural joint.

    By type of prosthesis, these joints are distinguished:

    • single-pole( only the head of the hip joint is prosthetic);

    • bipolar( all the anatomical elements of the joint are replaced).

  2. Artrodes - the bones of the joint are fastened with special screws and plates to restore functionality. The minus of this technique - the joint, as before, is constrained in movements. This surgical intervention is prescribed only in cases where other types of treatment do not produce any result.

  3. Arthroplasty is a simulation of the destroyed surface - cartilage.

  4. Osteotomy is a specific dissection of bones to eliminate deformity. In contrast to artodez, this surgical intervention restores not only the supporting function, but also the motor function.

Gymnastics with coxarthrosis of the hip joint

Therapeutic gymnastics for this disease is one of the most effective therapeutic methods of treatment, yielding a positive result. At the initial stages of the exercise, aimed at strengthening the muscles surrounding the joint, can prevent further development of coxarthrosis.

It is very important that therapeutic gymnastics be conducted under the supervision of a highly qualified specialist, since there are a number of exercises that can both benefit and harm the patient.

Exercises for the treatment of coxarthrosis of the hip joint have a certain mechanism. Training the gluteal and pericardial muscles helps improve blood circulation, fixation and nutrition of the cartilage. Exercise for stretching allows you to even out the shortened limbs due to the specific extension of the joint capsule.

For treatment, statistical exercises, rational dynamic loading and stretching are excellent. Complex of the most rational exercises:

  • in the supine position, it is necessary to raise and as much as possible strain the gluteus muscles;

  • without getting up, in the same position - bend the leg in the knee and gradually expose it;

  • remaining in the prone position to straighten your legs and try to lift them, like, you can not raise the upper end of the trunk at the same time;

  • sitting on a chair, squeeze the ball for fitness between the legs and with maximum force to try to squeeze it;

  • in sitting position, straight legs trying to clasp your hands on your toes.

All exercises must be performed regularly and correctly. To relieve tension, you can take a relaxing bath with oils.

Contraindications for conduction of the treated gymnastics:

  • elevated body temperature( over 37);

  • inguinal hernia, abdominal hernia and back;

  • rehabilitation period after surgery;

  • acute inflammatory processes affecting the internal organs;

  • cardiac and pulmonary insufficiency;

  • hypertensive crisis;

  • severe pain syndrome;

  • exacerbation of joint diseases;

  • menstruation;

  • high blood pressure.

Look at the visual video:

Before starting the exercises at home, you should consult your doctor and get all the necessary recommendations regarding the methodology for doing certain exercises.

Physiotherapeutic procedures

mud therapy

Physiotherapy with coxarthrosis is not the main method of treatment, rather an auxiliary one. Positive result physiotherapeutic procedures can bring only in the early stages of the development of the disease, they are prescribed for the purpose of alleviating spasm and improving blood circulation.

Most commonly used:

  • mud treatment - spa treatment;

  • cryotherapy;

  • thermal procedures - electrophoresis;

  • ultrasound therapy;

  • phototherapy;

  • magnetotherapy;

  • inductothermy;

  • application of lasers;

  • aeroionotherapy.

  • Massage for hip dysplasia:

    • Massage is prescribed for any of the 4 stages of the disease, regardless of the treatment: conservative or surgical. It is absolutely safe, relieves tension, swelling, spasm and strengthens muscles. Conduct it recommended as often as possible. In addition, any massage procedures improve blood circulation, which contributes to the restoration of cartilaginous tissue.

    • In the first stage of the disease, massage is prescribed only after the use of drugs that repair cartilage, vasodilating and anti-inflammatory. Before the start of the massage, the patient is recommended to minimize the load on the affected joint, walk less, lie more.

    • Massage is performed manually in the hip, waist and hip areas. It is recommended to combine it with therapeutic gymnastics and water procedures, ideal for visiting the pool 3 - 4 times a week.

    • In specially equipped sanatoriums massage with water jet( hydrokinetic therapy) is carried out. You can also draw the joint with a manual massage.

    • In the third to fourth stages, coxarthrosis is treated with surgical intervention. Therefore, massage procedures are appointed after the removal of stitches. During this period, massage is simply necessary, it helps improve blood circulation, relieves muscle tension and provides a speedy recovery.

On the topic: Other recipes for traditional medicine


Nutrition for coxarthrosis of the hip joint

Food

Since the development of the disease depends directly on the metabolism, nutrition, with coxarthrosis, should be aimed at excluding all possible factors that cause this pathology.

Power Mode

Balanced nutrition, the right approach to the distribution of food intake - these are the most important factors affecting the recovery of the patient's health. Nutrition with coxarthrosis of joints should be fractional, up to 5-6 times a day, portions should be small, but nutritious.

Thanks to the correct establishment of a meal schedule, the following results can be achieved:

  • restoration of cartilaginous tissue;

  • the formation of new tissues.

Diet for coxarthrosis should exclude such foods:

  • fat meat broths;

  • products contain a large amount of fat in its composition( cottage cheese, mayonnaise, chocolate, red fish, sour cream, cream);

  • meat and fish semi-finished products;

  • large amount of salt( more than 1 tablespoon per day);

  • food with increased content of preservatives( chips, canned food, sausages, caviar, sauces, some types of cheeses, nuts).

Useful food for coxarthrosis

Suffice it to restore joints is sour-milk products, because the human body easily absorbs milk protein, necessary for tissue regeneration. In addition, dairy products, namely cottage cheese and cheese, are rich in calcium fortifying the bone system.

Part of the required protein can be obtained from certain types of meat and fish products, a very important aspect is that these products should be non-fat. In the daily diet, in addition to animal protein, it is also necessary to include the vegetable that is found in lentils and buckwheat.

To restore bone tissue and cartilage, an element such as collagen is needed. It is found in jellied fish or cold.

With regard to desserts, the ideal for restoring the normal operation of the joints is an option of fruit jelly, rich in vitamin complexes and gelatin. It also positively affects the restoration of joints and cartilage foods rich in phosphorus and phospholipids.

A separate role in proper nutrition in the treatment of joint coxarthrosis is played by carbohydrates, which provide the body with the necessary energy reserve. Energy potential is the basis of all human life processes. Preference is best given to complex carbohydrates - polysaccharides and monosaccharides. As a consequence, it is better to replace the usual sugar with natural honey.

No less useful and necessary in the recovery are cereals that are also rich in complex carbohydrates and essential elements nourishing the brain.

Are Fats Useful?

When considering all the advantages and disadvantages of consuming fats, then for nutrition with coxarthrosis it is best to use vegetable fats.

Nutrition should be organized in such a way as to work on such factors:

  • decrease in total body weight;

  • normalization of metabolic processes.

The diet for destructive changes in the hip joint is one of the important steps towards a speedy recovery.

Related: Modern BAA for Joint Restoration


Prevention of Coxarthrosis

Prevention

The main and most important method of preventing coxarthrosis of the hip and other joints is early diagnosis, as well as such activities as:

  • swimming;

  • medical gymnastics;

  • skiing, with sticks;

  • sanatorium treatment;

  • self-massage with the help of ointments;

  • specialized massage;

  • weight control;

  • regular reception of chondroprotectors.

Physical activity in the treatment of coxarthrosis should be directed to the following properties:

  • restoration of joint functionality;

  • strengthening of the muscular system;

  • improved blood supply to the joint and the area around it;

  • increase in lumbar spine stability;

  • prevention of severe complications.

Prevention and self-treatment are two big differences, therefore, before proceeding to any measures aimed at restoring the joints, it is necessary to consult with specialists.

Author of the article: Muravitsky Igor Valerievich, rheumatologist, orthopedist

ayzdorov.ru

Medical therapy

Treatment of coxarthrosis is impossible without the use of medicines, as the tablets not only relieve symptoms, but also affect the causes of the disease. Modern medicine offers a mass of chemicals that help to relieve pain and inflammation and alleviate the condition of the patient with coxarthrosis in the acute stage of .

For the expansion of blood vessels doctors prescribe vasodilators( "Nikoshpan", "Xanthonol nicotinate", "Pentoxifylin"), which relieve spasms from the blood vessels and provide a complete delivery of blood and nutrition of the cartilage tissue. Together with NSAIDs, vasodilators relieve severe pain.

Muscle relaxants are needed to relax muscle tissue with coxarthrosis. Kupirovanie muscle spasm gives the patient a breathing space. But this group of drugs has some influence on HC( state of intoxication, nausea, dizziness).

Chondroprotectors in coxarthrosis are popular and "convincing" drugs, they help to restore damaged cartilage and optimize metabolic processes in the body, "push" the disability of the patient. Effective drugs in the initial stages of coxarthrosis, at late - contribute to the delay of surgical intervention( endoprosthetics).

In no case should you choose medication yourself. All of them differ not only in value, but also in their effect and contraindications. Drug treatment should be prescribed only by qualified doctors after the patient is examined.

The most common medicines prescribed by doctors for coxarthrosis are:

  • NSAIDs( non-steroidal anti-inflammatory drugs), Pirovsikam, Diclofenac, Indomethocin, and Ketoprofen. They have a non-hormonal basis, effectively reduce pain.
  • "Glucosamine" and "Chondroitin sulfate"( chondroprotectors) -restore cartilaginous tissue and are the most useful group of drugs with coxarthrosis.
  • "Midokalm", "Sirdalud"( muscle relaxants) - eliminate muscle spasm and improve blood circulation in the pathology zone, thereby reducing pain.
  • Non-steroidal anti-inflammatory drugs "Nice", "Analgin" - painkillers.
  • Treatment creams and ointments. Despite widespread advertising and the widespread belief that local remedies can cure coxarthrosis, this has not been confirmed by practice. But this does not mean that ointments and creams are useless, they significantly alleviate the patient's condition( "Gevkamen", "Menovazin", "Finalgon", "Espol", "Nikofleks"), have a warming and analgesic effect.
  • Intra-articular injections - their doctors use with coxarthrosis relatively rarely because of a small joint joint and a small articular cavity in the hip joint. With coxarthrosis, when the joint gap is further reduced, there is a risk of damaging the vascular and nerve trunks. That is why the injection is often carried out not through the groin, but into the periarticular region( through the thigh).

Non-drug therapy

Common directions include:

  • Manual therapy( mobilization or gentle stretching and manipulation or a significant sharp and short movement).Manual therapy is not a panacea for coxarthrosis, it only helps in combination with other methods of treatment.
  • Hardware traction( traction).Used in the pathology of the hip joint to reduce the load on the cartilage and for the articulation of the joint ends.
  • PIR( post-isometric relaxation).It is an extension of the ligaments and muscles of the hip joint.
  • Therapeutic massage. Effective in the first two stages of the disease, improves blood circulation, speeds up cartilage nutrition, increases the elasticity of the joint capsule, restores the function of the synovial membrane.
  • Hirudotherapy( leeches).Assign in the initial stage of the disease. The action of the enzymes that secrete a leech is similar to that of chondroprotectors. Relieves inflammation and pain.

Physiotherapeutic methods

Swimming has a beneficial effect on the mobility of joints.

Most physiotherapy methods are little suitable for the treatment of coxarthrosis and it has less effect than, for example, gymnastics with coxarthrosis or massage. The patient with the hip joint is "hidden" and "get it" with his physiotherapy procedures becomes difficult.

But in the initial stages, physiotherapy can help remove primary symptoms. In general, laser, shock wave, magnetic therapy and electrophoresis are used. For 10-12 sessions of such therapy, you can remove swelling or reduce pain.

Therapy with unconventional means

Traditional medicine has in its arsenal a wide range of methods and approaches to the treatment of the disease. Apply lotions, compresses, tinctures, decoctions. These drugs can be divided according to the principle of use:

  • taken inwards( restoring cartilage tissue and those that can remove inflammation);
  • applied externally( warming, anti-inflammatory, distracting);
  • is an independent physical exercise that involves stretching, dynamic and static exercises.

On the recommendation of one of the best doctors in joint care( Dr. Bubnovsky SM), you can cure the disease if you combine gymnastics and a cold font. All exercises are good to perform in the evening after work, in order to properly stretch tired muscles of the day and ensure the flow of blood to the joint, respectively, improve the nutrition of the hip joint with coxarthrosis.

Endoprosthetics

In advanced cases, arthroplasty is recommended( replacing a worn joint with an artificial analog).Most often, surgery is recommended for coxarthrosis of grade 3, when the patient receives a disability and can not move independently. But this operation is not easy, inaccessible and its cost is rather big, therefore, endoprosthetics is not prescribed to everyone and taking into account age, since repeated surgery is undesirable.

Even with a successful operation, the patient has a disability and must comply with strict rules of life with an artificial hip joint. A doctor who treats coxarthrosis will give recommendations for improving the quality of life.

Coxarthrosis - a serious ailment, which in neglected cases is incurable. But even in such a situation, there are many methods and means that can facilitate the patient's existence and allow living with a hip joint pathology quite interesting and rich life. The main thing is to notice symptoms in time and get help from a doctor.

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Coxarthrosis of the hip joint of the third degree is a neglected stage of the disease, when the whole unpleasant symptomatic picture has a particularly strong intensity.

A sick person is worried about the strongest pains of an almost constant nature. They are very intense, they are felt even during a night's sleep, arise irrespective of limb movement and rest duration, therefore a group of disability is supposed. Stiffness of the osseous joint, stiffness, change in the shape of the joint - these are the symptoms that accompany the pain syndrome. Since it is necessary to treat Coxarthrosis, so that as long as possible the person retained at least the minimum ability to move around? What should I do to get a disability? Let's go into more detail.

Palliative( alleviating the human condition) treatment

Since the changes in the joint are already irreversible, the medication has ceased to bring noticeable relief. There is practically no cartilaginous layer left, and intraarticular fluid is not produced, therefore it becomes less and less meaningful to take chondroprotectors.

Hodproprotektory protect hyaline tissue from destruction, but do not grow it. Nonsteroidal anti-inflammatory drugs with Coxarthrosis of the third degree are prescribed with great caution. Physiotherapy( magnet, reflexology, UHF, electrophoresis) only briefly or at all does not bring any improvement. Usually, physiotherapy is prescribed together with courses of therapeutic massage of the hip joint. The curative plan is left taking into account the use of all the possibilities for maintaining the mobility of the joint.

Physiotherapy in Coxarthrosis of the 3rd degree

Physical training in Coxarthrosis

Physiotherapy plays a special role in the preservation of the joint structure. With grade 3 Coxarthrosis, the risk of complete immobilization of the joint increases. Correctly selected set of exercises allows you to "develop" the joint, prevent splicing of the ends of bones, prolong the person the ability to move.

It should be noted that many specialists in medical gymnastics play the role of panacea in treatment. Strong muscles and ligaments promote good blood circulation in the affected area. And the better the blood circulation, the faster the cartilage is restored.

But, on the other hand, if mindlessly doing exercises, overloading the joint, it is very easy to help the disease destroy the remains of the cartilaginous layer, which will only exacerbate the condition of the person suffering from the disease. Therefore, one should not engage in exercise therapy without consulting the doctor. There are a lot of videos on the Internet, where they offer you to see sets of exercises from famous healers and athletes.

But the verdict should be sounded by a medical highly qualified specialist and your treating trauma doctor. Only a doctor can assess the feasibility of performing an exercise, and only a specialist will find a "golden mean" in physiotherapy.

How to get rid of pain

Pain at Cockarthrosis 3rd degree prevents a person from leading a habitual way of life. Anaplastic drugs and their combinations are prescribed for its relief. But sometimes even simultaneously injected anesthetics do not bring relief, that's when they designate Tramadol.

Tramadol is a powerful anesthetic that causes addiction to the body. Without a doctor's prescription, it is not released at the pharmacy, and prescription forms for the discharge of the drug are subject to strict accounting.

The most intolerable pain syndromes relieve intraarticular injections, through which hormonal, vitamin, anti-inflammatory and pain medication can be administered. To anesthetize the joint of anesthetics, usually injected with ordinary Lidocaine or Novocain.

Folk medicine offers many tips for the treatment of Coxarthrosis. But practically all of them can help at earlier stages of the disease, when there are not yet many osteophytes( "thorns", as they say in the people), deformities, muscle atrophy.

Joint Extension

Extension of the joint is one of the rarest procedures, which can increase the joint gap by spreading the bone ends in the joint. With the expansion of the joint gap to anatomically correct size, there is a significant unloading and reduction of the deformity of the joint structure, which leads to a decrease in the intensity of the pain syndrome, and the removal of muscle spasm.

Extraction can occur in 2 ways:

  • with manual therapy;
  • on the traction machine.

It is better to perform the procedure in water, since the aqueous medium contributes to a mild effect on the body.

A more effective method of traction is manual, but it is more labor intensive and expensive. On the traction apparatus, the bony ends dilute only along the vertical axis, although it is more effective to do this somewhat laterally and outward.

How to treat coxarthrosis of the hip joint of the 3rd degree by surgical methods

Surgical intervention

With the 3rd degree of coxarthrosis, the operation remains almost the only radical type of treatment and a way to get rid of the pain. Most often, total endoprosthetics are shown.

Total endoprosthetics is a technically complex operation involving the replacement of the hip joint with a prosthesis. One part of the titanium prosthesis becomes a continuation of the femur, and the other part is implanted into the pelvis.

A correctly installed prosthesis fully takes on the function of the joint, because the person returns to normal life. Despite all the complexity of the surgical intervention of the operated patient "put on crutches" for 3 days already. The use of modern pain medication allows qualitatively to stop postoperative pains, therefore the feeling of discomfort immediately after the operation is minimized.

After endoprosthetics, a rehabilitation period awaits you, which has a different duration depending on the state of somatic health, individual characteristics of the organism and the nervous system. But these are quite insurmountable difficulties, which are "on the shoulder" for almost everyone.

Every year, the list of relative contraindications to endoprosthetics in Coxarthrosis of the 3rd degree is shortened, as medicine develops new types of treatment for severe chronic and age-related diseases, because more and more people in the world are going to replace the hip joint with a prosthesis.

How to get a group of disabilities with Coxarthrosis 3 degrees

The condition of a person progressively worsens, and it is possible to get a disability group. With the advanced degree of the disease, all necessary indications are present for this. First of all, you should consult your trauma doctor. The doctor will appoint all necessary examinations, diagnostic and laboratory tests, which are necessary for medical and social expertise. It is better to have previously made X-ray pictures, information about previously conducted inpatient and outpatient treatment.

Physicians of medical and social expertise in each case decide the issue of disability. Most often, with Coxarthrosis, two groups of disability are assigned, after which a person has the right to apply for a quota for free endoprosthetics.

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