Coxarthrosis of the hip joint: degrees, causes, signs, treatment and prevention
Coxarthrosis of the hip joint is one of the most common diseases of the musculoskeletal system. In this pathology, degenerative processes occur in the hip joint. Primary and secondary coxarthrosis is isolated. During this disease, bone tissue is destroyed due to depletion of the cartilaginous connective tissue.
In this disease there are changes in the integrity of the surfaces of the joints. At the heart of these changes is a metabolic disorder. This disease proceeds slowly, gradually afflicting the cartilaginous tissues and subsequently passes into deforming coxarthrosis, which is characterized by bone reshaping and impairment in the functional capabilities of the joints. This disease is most often affected by people after 40 years.
Symptoms of the disease
Symptoms at different stages of the disease are not much different. There are common manifestations on which it is possible to learn about the onset of the development of the disease and to provide timely treatment. But often it happens that with this disease a person applies for medical care already at the advanced stages, and this significantly reduces the chances of a complete cure.
Signs of coxarthrosis:
- Severe pain in the area of the affected joint is the main sign of joint damage. In the initial stages of pain appear during motor activity, at subsequent stages the pain becomes permanent.
- Stiffness in movements appears at the initial stage, after awakening or after physical exertion.
- The length of the lower extremities changes - this symptom of the disease is the heaviest and occurs on the neglected stages( when the pelvic bones are deformed).
- At the initial stages there is a weakening of the muscles, and at the neglected stages there is an atrophy of the muscular apparatus.
- An indication of deformation of the bone system is lameness or a change in gait.
- Strong crunch in the joint area may indicate the presence of pathological changes.
If you have any symptoms, you need to contact the doctor and, after the diagnosis has passed, begin timely treatment. The diagnosis of coxarthrosis of the hip joint is made after the passed diagnosis and the delivery of all necessary tests.
What are the causes of the disease
The causes of this pathology can be the violation of blood circulation in the area of the patient's joint. For various reasons, the human body has malfunctioning of the circulatory system, venous outflow and arterial inflow may worsen. As a result of such negative processes in the periarticular tissues, there is an accumulation of metabolic products that promote the appearance of destructive enzymes. The cause of abnormal processes in the joints can be a microtrauma, as a result of which the cartilage is thinned and damaged.
The disease can occur due to excessive stress on the joint due to physical stress or large body weight. Such factors overload the joint, causing inflammation and deformation of the joint itself. To reduce body weight in this pathology and in complex treatment, it is recommended to use an exercise bike with coxarthrosis of the hip joint.
Heredity is one of the factors in the appearance of such anomalous processes in the body. Genetically laid not the disease itself, but the structure of the cartilaginous and bony tissues in the joints. Under certain circumstances, the influence of the hereditary factor is fraught with hip joint disease.
Changes in the hormonal background can cause metabolic disorders in the human body. Hormonal imbalance can contribute to inflammation of the joints and expose tissues to disease.
Pathological processes can arise because of a sedentary lifestyle, concomitant diseases, congenital pathologies. Untimely or incorrect treatment of dysplasia, hip dislocation or other pathologies is fraught with joint disease.
Stages of coxarthrosis
In cases of coxarthrosis of the hip joint of the 1st degree, the symptoms may not be manifested for a long time. Sometimes pain can occur in the area of the affected joint after prolonged physical exertion, but they pass by themselves. At this degree, there is no lameness or weakness in the muscles. Pain passes in a state of rest. X-rays can show a slight narrowing of the articular lumen.
Coxarthrosis of the hip joint of the 2nd degree marks more serious manifestations: the destruction of cartilaginous tissues begins. The pain increases and gives out in the groin and thigh, can occur not only after prolonged physical exertion, but also at the usual time. If you do not start therapy at this stage, the normal motor mechanism may be disrupted. The patient limps, changes gait, muscle tone decreases, morning stiffness appears.
When coxarthrosis of grade 3 appears, there is almost complete destruction of the cartilaginous tissue in the joint, a strong deformation of the joint. The pain is constantly felt, it can only be cured with the help of certain medications and for a short time. A sick person can not move without a cane or other attachments because of the joint's stiffness and limited movement. Around the joint formed edema, tissue atrophy occurs.
With the 4th degree of coxarthrosis, complete coalescence of the bones of the hip joints occurs between each other. This is the most severe form of disease. Permanent pain syndrome, severe swelling of the periarticular tissues, complete immobility of the hip joints - these are the symptoms of the last stage. In this case, a person is assigned a disability group.
Diagnosis of pathology
At the very beginning of the diagnosis, a patient is questioned, anamnesis is collected, his complaints are examined, joints are examined and palpated, and functional tests are performed.
Diagnosis is a clinical and biochemical blood test. The first analysis of the disease provokes an increase in the rate of erythrocyte sedimentation, while in the second, markers of the inflammatory process are raised: proteins, globulins, immunoglobulins, seromucoids. Such studies are indispensable diagnostics for joint damage and disorders in the locomotor apparatus.
The basis of diagnostics is instrumental methods. The method of detection of lesions of the joints remains fluoroscopy, which shows bone growth along the edges of the cartilage, a decrease in the lumen between the joints, a thinning of bone tissues( osteoporosis), a change in the structure of bone tissues. The main disadvantage of this method is that the picture shows only bones, and cartilages and articular capsules are not visible on it.
More informative diagnosis is carried out using magnetic resonance or computer tomography. This technique helps to detect the manifestations of the disease in the first stages.
The main methods of treatment
This disease provides for a long, complex, multi-stage treatment. The main condition for successful therapy is the timely initiation of treatment. At the initial stage, lifestyle, nutrition, and problems with blood circulation and metabolism in the joint tissues are subject to adjustment. The late and neglected stages of destructive change require a lot of effort to recover.
Therapy with the help of medications is based on symptomatic treatment: the removal of pain, swelling and inflammation, normalization of blood circulation, nutrition of cartilaginous tissues, relieving muscle strain.
Non-steroidal anti-inflammatory drugs( Diclofenac, Ketopofen, Indomethacin) are designed to fight the disease in the acute form of the inflammatory process. The disadvantage of such drugs is the rapid adaptation of the body to them, the independent restoration of the cartilaginous tissue may stop, side effects have a negative effect on internal organs. The most sparing drug for today is Movalis, it has the least amount of side effects and does not cause fast addiction. It is not recommended to take several anti-inflammatory drugs. If the prescribed drug is not effective, you need to change the dosage or take another remedy.
Therapy with vasoconstrictive medications( Trental, Cinnarizine, Theonikol) will help to relax the smooth muscles of the vessels and widen the lumen between them, this will ensure normal blood circulation. Such drugs relieve vasospasm.
Miorelaxant drugs( Midokalm) are used to relieve painful muscle spasm, normalize outflow and blood flow. But they need to be taken cautiously and shortly to avoid side effects.
Chondroprotectors( chondroitin, arthra, dona) are the most useful and effective. Their task is to regenerate the structure of the cartilaginous tissue. Systematic use of such drugs is an excellent prevention of coxarthrosis and its treatment in the early stages. Regular use stops the disease in the early stages.
Hormonal intramuscular or intraarticular drugs( Hydrocortisone) are used if there is no inflammation. They can be used once every two weeks.
Treatment with local remedies is not effective, as the probability of penetration through the skin, layers of muscles and fat of necessary substances is low. If the motor activity is completely disturbed, it is possible to solve the problem operatively by using prosthetics or modeling the destroyed surfaces.
For treatment of the disease, therapeutic gymnastics, massage, physiotherapy( cryotherapy, mud baths, magnetotherapy, laser therapy, electrophoresis, ultrasound) are used.
A good complement to the main treatment can be traditional medicine.
You can make tinctures, ointments, compresses, decoctions. Remember, do not do self-diagnosis and self-medication. Coxarthrosis of the hip joint is a complex disease that requires timely and prolonged treatment.
Coxarthrosis of the hip joint - symptoms
Coxarthrosis is a chronic disease, accompanied by a malnutrition and gradual disruption of cartilage tissues. This disease affects older people, while among men it occurs much more often. Coxarthrosis of the hip joint, the symptoms of which are given in the article, is characterized by a slow course and gradual progression. Therefore often at the first stages the pathology remains unnoticed.
Coxarthrosis - symptoms
Symptoms of the disease manifest themselves gradually. Many patients prefer to struggle with pain on their own. However, taking analgesics allows you to forget about the painful sensations just for a while. The most common manifestations of the disease are as follows:
- Pain in the groin, knee, damaged joint.
- The symptom of coxarthrosis is lameness, which occurs because the patient tries to reduce the load on the limb.
- To ease the pain syndrome, many limit mobility, which leads to muscle wasting and deformation of the affected joint. Therefore, the observed shortening of the diseased leg also indicates coxarthrosis.
- As the pathology grows, the patient enters a vicious circle, in which some processes influence the formation of new ones, which in turn increases the symptoms of coxarthrosis. Due to the fact that the patient limits the mobility of the limb, muscle is hypotrophic.
Symptoms of coxarthrosis 1 degree
At this degree of pathology, there are:
- pain in the hip joint, which can give to the knee and thigh;
- stihanie painful syndrome after rest;
- gait does not change.
Since the patient does not experience stiffness of movements, the remaining signs of coxarthrosis of the 1st degree are ignored. At the same time, the disease continues to develop.
Bony growths begin to form around the edge of the joint. There is a decrease in the joint gap, the head of the bone remains unchanged. These manifestations do not limit the mobility of a person.
Symptoms of coxarthrosis of the 2nd degree
At this stage, the symptoms intensify. Characteristic for the second degree of the disease manifestations:
- the occurrence of pain at rest;
- movement is difficult, there is lameness when walking;
- weakened the muscles responsible for the removal and flexion of the thigh.
In fluoroscopy the following changes are observed:
- bone growths increase, become more prominent;
- rapid reduction of the joint space;
- increases and deforms the head of the hip bone;
- presence of cysts in places of greatest joint load.
Symptoms of 3rd degree of coxarthrosis
The third stage is characterized by such pathological processes:
- constant pain, arising even at night;
- limitation of mobility, as a result of which the buttock and calf muscles begin to atrophy;
- shortening of the affected limb.
X-ray shows excessive bony growth, the disappearance of the joint gap, resulting in mobility is impaired.Coxarthrosis - complications
Due to increased physical exertion, the blood supply to the cartilaginous tissue covering the surface of the joints is impaired. There is coxarthrosis of the knee joint, the symptoms of which are similar in many respects to the symptoms of coxarthrosis of the hip joint. The most obvious ones are:
- edema in the place of the affected joint;
- crunching in the lap while driving;
- acute knee pain when flexing;
- at rest there is a reduction in pain;
- increase of the knee in the volume due to inflammation occurring in the joint;
- mobility impairment.
Symptoms, degrees and treatment of coxarthrosis of the hip joint
What is coxarthrosis of the hip joint?
Coxarthrosis of the hip joint is a permanent change in the integrity of 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 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 is 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;
marked crunch in the joint area, which may indicate a pathological lesion.
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
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 hip is reduced. 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
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.
Non-steroidal anti-inflammatory drugs:
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.
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.
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.
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.
Hormonal preparations( injection):
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.
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
Surgical intervention is performed at the last stage of the disease development, when the joint's functional capabilities are completely violated.
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).
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.
Arthroplasty is a simulation of the destroyed surface - cartilage.
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 in this disease is one of the most effective therapeutic methods of treatment, which bring 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;
severe pain syndrome;
exacerbation of joint diseases;
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.
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;
thermal procedures - electrophoresis;
application of lasers;
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
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.
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 kinds 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 necessary 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 a jelly from fruits, 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 that feed 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 aimed at speedy recovery.
Related: Modern BAA for joint restoration
Prevention of coxarthrosis
The main and most important method of preventing coxarthrosis of the hip and other joints is early diagnosis, as well as such activities as:
skiing, with sticks;
self-massage with the help of ointments;
regular reception of chondroprotectors.
Physical activity in the treatment of coxarthrosis should be directed to the following properties:
restoration of the functional capabilities of the joint;
strengthening of the muscular system;
improved blood supply to the joint and the area around it;
increased 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 Valerevich, rheumatologist, orthopedist
Coxarthrosis - symptoms
Coxarthrosis of the hip joint usually starts to disturb people already in old age, but sometimes this disease develops after pregnancy, or trauma. In the risk zone are also athletes and those who in childhood suffered dysplasia and other joint diseases. Symptoms of coxarthrosis need to be able to recognize, because the earlier the disease is detected, the more chances for recovery.
Symptoms of coxarthrosis of the hip joint
Signs of coxarthrosis even in the early stages of the disease can be seen with the naked eye, but it is even better to know in advance what the threat of the development of this disease is to you personally. The fact is that there are several varieties of the disease and each of them has its own reasons. Primary coxarthrosis develops gradually and becomes noticeable closer to 50 years. The main reasons for this form are still a mystery to scientists, but they managed to distinguish two provoking factors:
- Hereditary predisposition. The disease is transmitted through the female line, especially common in women with overweight.
- Age changes. Usually, this form develops in people older than 50-60 years, but more often after 70.
The primary form of coxarthrosis accounts for about 80% of all reported cases, but this does not mean that it is not necessary to admit the likelihood of a secondary form of the disease. Here are its main reasons:
- Dysplasia and other joint diseases in infancy.
- Injuries and Dislocations.
- Increased stress on the joint( usually found in athletes).
- Pregnancy and childbirth.
- Diabetes mellitus and other diseases that cause circulatory disorders in the joint.
Symptoms of coxarthrosis 1 degree are almost invisible, so if you have a history of any of the above reasons for the disease, watch your health especially carefully. Even if there is a slight pain in the hip joint area, do not neglect the visit to the doctor.
Symptoms of coxarthrosis of the 2nd degree appear more clearly. First of all, these are pains after intense physical activity, which are accompanied by so-called morning stiffness. This is a condition where, after a long period of rest, the joint takes some time to start functioning normally.
Symptoms of coxarthrosis of the 3rd degree are persistent and severe pains that can give to the knee and groin area. They do not cease at night, nor during the day, they change the gait of a person. Analgesics and chondroprotectors at this stage are practically useless, the only way out is surgical joint replacement.
Symptoms of coxarthrosis of the knee joint
The knee joint has almost the same high load as the hip joint, but it affects the arthrosis less often. This is connected with the very structure of the joint, and with the fact that it is additionally protected by the knee cap of the.A sign of coxarthrosis of the 1st degree in this case is pain, which is intensified in the morning and night. The more the disease progresses, the greater the gait and the ability to move independently. After the synovial fluid is less, the pain will become permanent.
Diagnosis of knee and hip joint coxarthrosis is based on the analysis of pain sensations and can be supplemented by X-ray examination and ultrasound. After the doctor indicates the degree of destruction of the joint, adequate treatment will be prescribed. But do not forget that the chance to defeat the disease is only in the early stages. At grade 3, only blockade with an anesthetic is possible, or an operation.
Coxarthrosis of the hip joint: symptoms and treatment
Coxarthrosis of the hip joint is a type of arthrosis, which is the leader among all diseases of the musculoskeletal system. Such coxarthrosis occurs in all age groups. However, most of all they suffer from people older than 40 years. This disease can be successfully cured without surgical intervention in the early stages, but many patients do not go to the doctor immediately, ignoring weak pains, while the disease gets worse every day.
Dysplastic coxarthrosis involves disruption of the normal development of the roof of the acetabular cavity.
Coxarthrosis of the hip: symptoms and causes
Coxarthrosis of the hip joint, the symptoms of which can not be ignored, can lead to serious consequences. There are several main symptoms of the disease that depend on the stage of the disease:
- there is pain in the thigh, joint, groin area, knee under load and at rest;
- movements become stiff and stiff;
- claudication occurs;
- shortens the aching leg;
- atrophy of hamstrings.
The main symptom of coxarthrosis is pain, the nature of which, its duration, localization and intensity depend on the stage of the disease. In the beginning, joint pain is mild, which is why many patients do not hurry to go to the doctor right away, because they hope that the pain will go away and this is their main mistake. Then the pain begins to intensify, appearing at the steps and pausing only at rest. Next, the patient begins to limp a little and fall on a sore leg when walking.
When coxarthritis is diagnosed, the causes of this disease can be different. Here are a few basic ones.
- Injuries. Such a cause may not be some major damage, but in many cases the development of the disease is affected by chronic micro-traumas, which contribute to the cracking and thinning of the cartilage. They also affect the tearing of the joint capsule, leading to the accumulation of many injuries. Often, repeated microtrauma is the forerunner of the appearance of such a disease.
- Excessive inefficient physical activity. Often degenerative processes develop when the joint is exposed to excessive loads, especially if there are factors that predispose to the development of the disease.
- Genetic predisposition. Usually not inherited disease, and some features in the structure of cartilaginous tissue, other anomalies of bone tissue development or joint. That is why, in combination with other negative conditions, this sometimes affects the development of coxarthrosis even more than in other people.
- Diseases. For example, arthritis in the absence of the right treatment can overgrow with arthrosis over time. This is due to the fact that during the arthritis the properties of the cartilaginous tissue change, blood circulation is disturbed. Gradually, this leads to the development of a degenerative process.
- Overweight. In the presence of excess weight, the load on the joints increases significantly, which significantly increases the possibility of developing coxarthrosis. In particular, this applies to the elderly.
Coxarthrosis of the hip joint: treatment of
Currently, there are many different techniques for treating coxarthrosis of the hip joint.
If the third degree of the disease has already been identified, then only surgical treatment with endoprosthetics remains, which involves replacing an artificial prosthesis with a damaged joint.
If a diagnosis is made of an earlier degree of coxarthrosis, then the treatment is similar, say, to the treatment of arthrosis of the foot or another type of arthrosis, it is performed without surgery. The following medicines are used.
1. Non-steroidal anti-inflammatory drugs( indomethocin, ketoprofen, diclofenac, etc.).They well clean pain, relieve swelling and inflammation, but with long use suppress the ability of the cartilage to recover independently. In addition, there are many side effects.
Suitable for longer-term use is movalis in tablets with softer action.
2. Vasculature( theonikol, nikoshpan, etc.), relaxing the smooth muscles of the vessel and expanding their lumen. Such treatment gives effective results.
3. For relaxation of muscles( sirdalud, midocals).It should be done with caution.
4. To restore cartilage( glucosamine, don, chondraitin sulfate).
5. Hormonal steroid( intraarticular injections of mitepred, kenalog, hydrocotisone).
6. Ointments, compresses, lotions.
Many believe that various similar drugs can be the main drug for the treatment of joint diseases. However, it is not. The hip joint is located quite deep, so the likelihood that the substances contained in the ointments will be able to reach it is rather small. However, the positive effect lies directly in the rubbing process, for which simple warming ointments are suitable. Thanks to the process of rubbing, blood circulation improves, helping sometimes to remove a painful spasm.
Sometimes physiotherapy is used for treatment, but here the situation is exactly the same as with ointments. It is used only to improve blood circulation and relieve spasms. The most effective is cryotherapy, laser therapy and massage.
Medical gymnastics with coxarthrosis helps to strengthen muscles and improve blood circulation. However, exercises with coxarthrosis should be selected carefully. It is useful in this case to engage in swimming.
When coxarthrosis is diagnosed, treatment with folk methods can also be used. To do this, apply a lemon with honey, lilac tincture, decoction of linden, parsley root and burdock, willow bark, birch leaves, saber tincture, pork fat ointment, celery, garlic and lemon tincture and others.
Degrees of coxarthrosis
There are three degrees of this disease.
Coxarthrosis of the first degree is characterized by regular pains, which appear from physical exertion( running or prolonged walking).
As a rule, the pain is concentrated around the hip joint, it appears much less often in the knee or thigh area.
As a rule, when a person rests, the pain itself passes.
At the same time, movements are not limited, there is no violation of the gait, muscle strength does not change. With x-rays at this stage, you can see insignificant bony growths that do not go beyond the boundaries of the joint's lip.
Coxarthrosis of the second degree can be characterized by increased pain with a more intense character. In addition to pain in the joint, they can be given to the thigh, inguinal region and appear in a calm state. When walking for a long time, there is lameness. The joint can not function normally. Hip withdrawal and rotation are substantially limited. Muscles begin to lose their former strength.
Coxarthrosis of the third degree is characterized by constant pains, which appear even at night. For walking, the patient has to use a cane. At the same time, the movements are sharply limited, the muscles of the lower leg, thighs and buttocks atrophy. Also, the aching leg becomes shorter. Video about coke arthrosis and its treatment:
Coxarthrosis of the hip joint - what you need to know
Coxarthrosis of the hip joint
Hip joint arthrosis( coxarthrosis) usually develops after forty years. Women are sick slightly more often than men. Coxarthrosis can affect both one and both hip joints. But even in the case of a bilateral defeat, first, as a rule, one joint becomes ill, and only then the second one "pulls" to it.
8. In children
Most often the symptoms of deforming arthrosis( DOA) of the hip joint begin gradually and imperceptibly - in the form of very weak pains or simply uncomfortable sensations in the joint that begin with walking, and which stop inalone. These pains can occur not only in the field of the hip joint itself, but also in the knee and even in the groin.
At this stage of the disease, patients are not yet rushing to see a doctor: "it will pass by itself", "will get sick and stop."But, ironically, this is just the right time to call a doctor when the disease is at an early stage and is easy to treat.
Along with the painful sensations, there is another very important symptom of the disease, which doctors call "morning stiffness".It is expressed in the fact that in the morning, as well as after prolonged sitting or lying, when a person was at rest, there is a certain tension in the movements, stiffness, when the patient needs time( from 15 minutes to an hour) to "disperse" afterwhich the joint begins to work in the usual mode. At the same time, pain in walking is accompanied by a crunch in the joint during movements, as well as characteristic "creaks" of bones at this time.
Most often even in such cases the person does not consult a doctor, so the severity of the symptoms continues to increase gradually. Gradually, the pain in walking in the hip begins to increase and is often present all the time, while the person is moving. Then the patient tries to spare his leg, and soon his limp appears: a person begins to walk, slightly falling on a sore leg.
After the gait has begun to change, disorders in other organs and tissues automatically start to appear. Movements become more limited and deliver more and more pain while doing so. At this time, the normal axis of motion is modified. In this regard, the ligaments that support the joint and attach its strength, begin to overextend. In the muscles of the thigh also begins to form areas of stress, which are soon replaced by muscle atrophy - as the foot increasingly participates in walking and the load on it decreases. Usually at this stage a person needs to use a walking stick to move around.
As the disease progresses further, the pain becomes more severe, and lameness and restriction in the joint work - more and more. In the most neglected stages of the disease, the joint almost completely stops working, and the pains that used to be only during walking, appear already on their own, at rest, especially at night, and medications to relieve this pain help less and less.
A person can move only on crutches, and the only way to improve the situation at this stage is only surgical - replacing the worn hip joint with an artificial one.
There are 3 degrees of development of this disease.
In coxarthrosis 1 degree, periodic pain can occur after severe physical exertion. Most often the pain is localized in the hip joint itself, sometimes it can appear in the region of the knee or thigh. At the same time after rest the pain passes. The main problem is the fact that no more symptoms appear - the muscles do not weaken, the gait is not violated and the freedom of movement is not limited. Because of this, people most often ignore the symptom that appeared in an insignificant measure, they do not address the doctor, but the disease progresses peacefully. But it is at this stage that the disease is easiest to cure. Degrees of arthrosis of the hip joint
At this stage, also begins the appearance of small bony growths that are located around the outer or inner edge of the joint surface. On the joint gap appears uneven narrowing, the head and neck of the femur are not yet changed. Such minor changes to a person do not interfere with life, joint mobility does not limit.
The second degree of the disease is characterized by active lesion of the cartilaginous tissue. It is even more refined, the narrowing of the lumen between the articular parts is seen on the x-ray, the number of osteophytes increases. Inflammation of the periosteum develops. Symptoms intensify: pains become intense and often occur at night, there is lameness( the patient is forced to use a cane).Upon examination, the doctor notes the dystrophy of the muscles on his leg.
Pain in coxarthrosis of 3rd degree is already permanent, arising even at night. When walking, the patient must use a cane. Movement in the joint is severely limited, the muscles of the thigh, lower legs and buttocks - atrophy. Because of the weakness of the hip muscles, the pelvis tilts in the frontal plane, which leads to a shortening of the limb on the affected side. To get to the floor when walking, the patient has to step on the toes and tilt his torso on the sore side. This is how you have to compensate for the shortening of the limb and the slope of the pelvis. But the method of compensation leads to the movement of the center of gravity and to overloads on the joint. On the radiographs, extensive bony enlargements are seen from the side of the femoral head and the roof of the swivel cavity. The joint gap narrows sharply. The neck of the thigh is greatly expanded.
Osteoarthritis has 4 stages. The 4th stage is called ankylosis, when the joint completely loses mobility.
Causes of the disease
The following causes of coxarthrosis can be identified:
Overload of the joint. Often happens at professional sportsmen and at people who are compelled on a duty of duty much to go on foot. Also, joint overload often occurs in fat people. When running and walking on the knee or hip joints, the load is 2 to 3 times greater than the body weight. While a person is young, his cartilaginous tissue is still able to withstand constantly high blood pressure. But with age, when the elasticity of the cartilage decreases, the joints begin to wear out quickly. Also, people with excess weight are almost always characterized by metabolic and circulatory disorders, which also contributes to knee and hip joints arthrosis.
Joint trauma. Injuries, especially chronic, lead to the development of coxarthrosis, even in young people who, for natural reasons, have not yet had arthrosis. Chronic trauma( microtrauma) contributes to "accumulation" in the joint of damage, eventually causing cartilage atrophy or destruction of the underlying bone with its subsequent deformation and development of coxarthrosis.
The role of heredity in the development of coxarthrosis of the hip joint is debated. Coxarthrosis itself is not inherited. But the features of metabolism, the structure of cartilaginous tissue and the weakness of the skeleton are transmitted from parents to children genetically. Therefore, the risk of getting coxarthrosis is slightly higher in those people whose parents or relatives also suffer from coxarthrosis or other types of osteoarthritis. Such a risk increases if a person has abnormalities or underdeveloped joints from birth - this significantly increases the risk of developing the disease in old age.
Inflammation of the joints( arthritis) very often causes the appearance of so-called secondary arthrosis. When the joints are inflamed, the presence of infection in their cavity and changes in the properties of the joint fluid lead to the fact that the properties of the cartilaginous tissue itself change and it becomes inferior. In addition, with arthritis, blood circulation disorders and unfavorable changes in the synovial membrane of the joint almost always occur. Therefore, arthritis, even cured, later in about half the cases "triggers a mechanism" for the development of osteoarthritis.
Other factors contributing to the emergence of coxarthrosis are hormonal changes, diabetes, osteoporosis and some metabolic disorders.
Until recently, all of the above adverse factors were considered by scientists as the root cause of coxarthrosis. However, recently the views have changed a little - the main cause of development of coxarthrosis, gonarthrosis and other arthrosis changes in the joints is the chronic stress state of the patient.
The bottom line is that with prolonged negative experiences, the adrenal glands secrete an increased amount of corticosteroid hormones. This leads to a decrease in the production of hyaluronic acid, an important component of the joint fluid( "joint lubrication").When there is a shortage or inferiority of the articular fluid, the articular cartilages dry out, their "cracking" and thinning, which in a short time leads to arthrosis. The process is aggravated by the fact that "stressful" hormones reduce the permeability of capillaries and, thus, worsen the blood supply of damaged joints.
The combination of chronic stress with the above unfavorable circumstances( overload of joints, trauma, heredity, etc.) leads to a deterioration in the structure of the joint cartilage. As a result, osteortrosis develops, including coxarthrosis.
Diagnosis is based on history and results of radiographic examination of the hip joint. Depending on the stage of the disease, the changes in the joint, articular fissure and femur are clearly visible on the roentgenogram. Usually the diagnosis is not difficult for the doctor.
General symptoms of coxarthrosis of the hip may be distinguished, but it must be understood that the symptoms depend on the stage of the disease:
pains in the joint, thigh, inguinal region, at the knee, both under load and at rest;
stiffness and stiffness of movements;
the aching leg becomes shorter;
there is an atrophy of muscles of a femur;
The main sign of coxarthrosis and the main complaint with which patients turn to the doctor is pain. The nature, duration, intensity and localization of which depends on the stage of the disease. At the initial stage, when it is best to start treatment, joint pain is still quite weak. That's why patients do not immediately rush to see a doctor, hoping that the pain will go somehow miraculously by themselves. And this is the most important mistake, which leads to loss of time and destruction of the joint. Painful sensations begin to increase, and the mobility of the aching leg is limited. Pain appears already at the first steps and subsides only in a state of rest. The patient begins to limp, crouching when walking on a sore leg. The muscles of the thigh atrophy - shrink and decrease in volume.
The most interesting thing is that the atrophy of the hip muscles causes the pain in the knee area and in the places where the tendons are attached. And the intensity of pain in the knee can be much more pronounced than the femoral or inguinal. That is why very often the wrong diagnosis is made - arthrosis of the knee joint and the doctor prescribes a completely inappropriate treatment, and the present disease only progresses.
By the way, pain in the thigh and groin, can be caused in the patient not only by arthrosis. Very often pains in these areas are given from the inflamed femoral tendon or damaged spine. Moreover, the complaints of such patients almost coincide with the complaints of those people who suffer from coxarthrosis of the hip joint. Therefore, the correct diagnosis should be entrusted only to experienced doctors. Diagnosis of the degree of disease and choice of treatment is determined only by a doctor!
Prophylaxis of deforming coxarthrosis is simple. To do this, it is sufficient to lead a mobile lifestyle, to avoid excessive loads and, if necessary, to undergo specialized surveys every year.
Regardless of the stage of the disease or the need for its prevention, doctors recommend the use of drugs "Collagen Ultra".Supplements and cream "Collagen Ultra" contain in their composition collagen hydrolyzate, which with regular and long-term use( about 3 months) will accelerate the restoration of bones and cartilaginous tissue. In addition, they have an analgesic and anti-inflammatory effect.
There is no specific prevention of arthrosis of the hip joints. The measures of primary prevention are early detection( in the first months of life of the child) and treatment of congenital dislocations of the hip and dysplasia of the hip joints.
Treatment of coxarthrosis of 1-2 degrees is aimed at reducing pain attacks, reducing inflammation and improving blood circulation in the joint and limbs. For this purpose, analgesic and non-steroidal anti-inflammatory drugs( Analgin, Ibuprofen, Indomethacin, Orthofen) are prescribed, and it is also recommended to reduce the vertical load on the legs( during the exacerbation you should walk less, do not carry weights, etc.).When walking for a long time, you should use a walking stick. In addition, patients are prescribed muscle relaxants - a means that relieve muscle tension around the joint and improve its blood circulation. Positive effect on the affected joint has physiotherapy: electrophoresis with novocaine, magnetotherapy, laser therapy. When the pain subsides, perform massage of the waist and hips, perform therapeutic gymnastics aimed at normalizing the muscle tone, restoring the mobility of the affected joint and strengthening the surrounding muscles. In some cases, patients are prescribed stretching the patient joint in conjunction with hydrokinetic( aquatic gymnastics).
Conservative therapy for coxarthrosis of the third degree, in addition to the above-described measures, includes intra-articular drug administration. Extension of the patient joint at the third degree of the disease is contraindicated, because the joint is severely limited in mobility and attempts to "stir" it cause additional microtraumatism and only increase the pain syndrome.
The optimal way to treat severe forms of coxarthrosis is surgical endoprosthetics, arthroplasty, arthrodesis and osteotomy - these operations make it possible to restore the joint mobility as much as possible. With arthroplasty, only the damaged surfaces, including cartilaginous tissue, are restored. In endoprosthetics, the joint is replaced with an artificial prosthesis - this operation is recommended for bilateral coxarthrosis. The arthrodesis allows to restore the supporting function of the leg, but not its mobility, while the bones are fastened with special screws and plates. Osteotomy is similar to arthrodesis, but it allows you to restore not only the supporting function of the limb, but also its mobility. As a rule, two weeks after surgery the patient can already move with support, and two months later he starts walking alone. In the rehabilitation period, any loads are prohibited. The patient returns to a full-fledged life 5-6 months after successful operation.
When a person thinks about how to treat coxarthrosis of the hip joint, he should understand that there is no one standard mechanism of the disease, therefore the treatment takes a symptomatic character. The main goal of the treatment is to reduce the disruption of the musculoskeletal system and the elimination of pain.
When choosing a treatment, also take into account at what stage the disease is, what the general condition of the patient is and what his age is. Treatment should be comprehensive and set a goal to normalize the patient's well-being. The obligatory component of the treatment is physiotherapy.
In the diagnosis of coxarthrosis of the hip joint, surgery can be prescribed only if the patient is at the last stage of the disease. The operation is designed to maintain or resume mobility in the affected joint( most often by endoprosthetics).
non-steroidal anti-inflammatory drugs are prescribed. It should be noted that such drugs are not able to reverse the changes occurring in the joint, but due to the removal of the inflammation, the pain is eased or disappears, which is very important in the late stages of the disease;
vasodilator preparations. Their use should help to relieve the painful muscle spasm around the joint;
muscle relaxants, which also should help to relieve muscle spasm and improve blood filling of the affected joint;
chondroprotectors. Such drugs are used to restore the cartilage tissue of the joint;
physiotherapy procedures. The task of this method is to improve the functioning of the joint. This effect can be achieved by improving blood supply and reducing the severity of inflammatory phenomena;
orthopedic treatment, which is aimed at reducing the burden on the joint and the removal of contractures of the joint.
Recently joint diseases began to arise at people more and more often. Modern children are no exception. A disease called coxarthrosis is one of the leading diseases among the musculoskeletal system. This disease has a tendency to increase in all countries of the world and constitutes a significant weight in the structure of disability in general.
Coxarthrosis is a deforming arthrosis of the hip joint. Dystrophic process begins with articular cartilage. As a result, its thinning occurs and depreciation properties are lost.
Coxarthrosis may be an unclear etymology - it is a primary coxarthrosis, in which other joints( most often knees) and the spine are often affected. Secondary coxarthrosis may occur against a background of hip dysplasia or congenital hip dislocation, aseptic necrosis of the head of the femur, Perthes disease, inflammation or as a result of a traumatic injury( bruise, dislocation, fracture, microtrauma).Coxarthrosis can be unilateral or bilateral. Two-sided coxarthrosis affects both hip joints at once.
Most scientists hold the view that the main cause of coxarthrosis is a violation of blood circulation in the joint due to deterioration of venous outflow, and because of deterioration of the arterial inflow. But you can not forget about the mechanical factors that cause joint overload, various articular injuries, and biochemical changes in the cartilage itself.
Coxarthrosis in children develops due to congenital and degenerative-dystrophic diseases of the hip joint. Early diagnosis contributes to the appointment of an effective treatment to stop further disease progression.
At the doctor's office, patients most often complain of pain, the nature, intensity, duration and localization of which depend on the stage of coxarthrosis.
There are many pseudo-scientific theories that explain the development of coxarthrosis. And this is understandable - after all, when we get sick, we begin to look for the cause of our illness. And since we all have a desire to seek out the simplest explanations of any phenomena, here we also want to find one simple and understandable interpretation of the troubles that have happened to us. And there will always be a charlatan or amateur who will throw an "exclusive" idea about how your illness has arisen.
Thanks to such charlatans there are persistent myths about the fact that arthrosis is developing allegedly due to the deposition of salts in the joints( in fact, with rare exceptions, salts in the joints are not delayed - and certainly salt joints are not deposited in the joints);or myths about the fact that arthrosis allegedly arises from eating tomatoes, or even some nonsense, including "evil eye" and something in the same spirit.
However, in fact, there is no one, all explaining the causes of arthrosis. Coxarthrosis can develop for a variety of reasons, but most often arthrosis is provoked by a combination of a number of unfavorable circumstances for the joint. And now we'll talk about what these circumstances are.
1. In 10-20% - injuries and microtraumas of the joint.
2. 20-30% - joint overload, or prolonged excessive load on the joint.
3. 10% - heredity and congenital anomaly of the head of the femur.
4. Extra weight: 5-10%.
5. Inflammation of the joints( arthritis): 2-3%.
6. Hip joint infarction: 10 to 30% of cases.
7. Prolonged stress and prolonged excess experience: 30 to 50% of cases.
8. Hormonal changes in the period of the organism's age-related rearrangement( in the menopause period), diabetes mellitus, loss of sensation in the legs with a number of nervous diseases, congenital "looseness" of the ligaments and osteoporosis: all these circumstances, as a rule, also contribute to the development of arthrosisof the hip joint.
Coxarthrosis of the hip joint
Coxarthrosis of the hip joint - the defeat of the largest joint in the human body, in the clinical plan can be put on the first place among degenerative-dystrophic articular pathologies.
Age boundaries of coxarthrosis - mainly people of the older age group, but it must be emphasized that this pathology is obedient to all ages( occasionally occurs even in renal children's).
Classification of degenerative-dystrophic hip joint pathology depending on etiological factors:
1) involuntary coxarthrosis;
2) dysplastic coxarthrosis;
3) coxarthrosis on the background of the endured Legg-Calvet-Perthes disease;
4) coxarthrosis in adults not with a background of aseptic necrosis of the femoral head, with a cystic rearrangement of the spongy substance of bone tissue;
5) posttraumatic coxarthrosis( postimmobilization, in the background of acetabular fractures, etc.);
6) postinfection coxarthrosis;
7) intoxication metabolic coxarthrosis;
8) idiopathic hip joint lesions( of unknown origin).
The early nonspecific signs include limitation of active and passive rotational( and others) movements in the hip joint. However, with the initial stages of arthrosis, usually there is no pronounced atrophy of the soft tissues, nor a noticeable swelling of the joint area. As arthrosis progresses( gradually, over a number of years), the limitation of mobility and pain in the joint increases, there is a flexion-leading contracture of the joint and lameness. The patient is forced to resort to a cane, crutches, gradually reduced ability to work( up to disability).When X-ray examination coxarthrosis picture is very variable, as many causative factors( trauma, dysplasia, inflammation) contribute to the sequence of stages of development of the joint dystrophic process.
A typical process of developing joint degeneration( schematically) can be divided into three stages.
Coxarthrosis of 1st degree
In the first stage of the disease, small marginal bone growths( osteophytes) along the margins of the acetabulum are revealed on the roentgen with a slight narrowing of the joint gap( the first stage of thinning of the hyaline cartilage).There is an impression of a "deepening" of the joint cavity and a certain "beak-like" character of the marginal bone growths in its upper regions. Sometimes, due to the presence of the femoral head's decentralization in the acetabulum, there is an uneven narrowing of the joint gap, it occurs more quickly in the zone of maximum load concentration( arises with excessive axial load, individual motor stereotypes, and there is already noticeable sclerosis of the subchondral plate both in the head regionhip, and in the joint cavity zone
In the first stage of coxarthrosis, marginal bone growths around the femoral head practically do not occur, however in the projection Bnadidas they already are.
If coxarthrosis of the first stage has arisen on the basis of some other pathological process, it is possible to see on the rengen a layering of the signs of the initial process( inflammation, cystic perestroika, osteomyelitis) that has come to an end or passed to the chronic( latent) form
Hip coxarthrosis2 degrees
In the II stage of the DOA of the hip joint, there is an increase in the restriction of movements and pain, there are more pronounced bony enlargements of the femoral head and acetabulum,deleterious thinning joint space is increased, bone contacting surface area. Sometimes bone growths can form in the region of the lower edge of the acetabulum, they seem to push the head of the femur to the outside, bring it into a state of slight subluxation. As the femoral head moves outward and upward in the upper edge of the articular cavity, a kind of "neoarthrosis" is formed, mainly due to the bone osteophyte, which merged into a single whole with the roof of the articular cavity. The head of the thigh in its lower quadrant begins to "mushroom" to deform.
HA-3 coxarthrosis of the third degree
In the third stage of co-cartrose, its clinical manifestations become as pronounced as possible( flexion-leading hip placement, joint contracture, lowering of leg support function), on the X-ray, destructive changes appear to the fore: the radiographic joint gap gradually disappears on all sites,sclerotized and bare surfaces of the articulating ends of bones are separated by a thin broken slot, the femoral head and the joint cavity lose their rounded configuration. Their bone structure changes: in places the areas of the grossly trabecular structure of bone tissue, cystic alteration are revealed, and in the spongy bone - the sites of sclerosis. The total mass of bone tissue of articular elements can significantly increase in comparison with the norm( due to massive bone marginal growths).
Symptoms of coxarthrosis of the hip joint
Symptoms of coxarthrosis. In the coxarthrosis clinic, pain is the earliest symptom. The rough surface of the articular cartilage, the change of the joint synovial fluid, the reactive changes in the synovial membrane, the deterioration of the articular circulation, the venous congestion, the deterioration of the microcirculation all contribute to the appearance and intensification of pain in the joint at rest and during movement. A typical complaint is that pain intensifies toward the end of the day, after a long load, walking, sometimes it's hard for them even to stand on a sick limb for a long time. Frequent morning stiffness of movements in the joint, patients need to disperse, "stir the joint", after which comes some relief. It is important to know that due to the innervation of the lower extremity, the pain can initially be felt in the knee joint on the same foot.
The clinical picture of bilateral lesion of both hip joints is especially severe. For II and especially III stage of bilateral lesion, the "symptom of the connected legs" is often characterized: both legs are brought to the midline of the trunk, bent at the knee and hip joints at an obtuse angle, the restriction of mobility in the hip joints leads to the fact that patients) with difficulty move, small steps, mainly due to the movements of the shins in the knee joints( protect the joint).Legs seem to be "tied" above the knees.
Differential diagnosis of coxarthrosis may present some difficulties, especially in adolescence and young age, and in the initial stages of the degenerative process. Differentiate with chronic arthritis, protrusional arthrosoarthritis, in which inflammation plays a key role, although typically arthrosis changes are abundant. Signs of development of deepening( true protrusion) of the articular cavity help to distinguish a separate nosological form - protrusion arthrosoarthritis, which is important in subsequent therapeutic tactics. In this case, only dynamic observation of the patient eventually allows us to determine the root cause of the pathology and the secondary nature of the dystrophic changes in the joint.
In dysplastic arthrosis, which is based on an incorrect load redistribution due to a biomechanical( geometric) relationship in the joint, coxarthrosis can very early manifest itself clinically, already in early adolescence, especially after the birth.
Such degenerative-dystrophic processes in the hip joint as aseptic necrosis of the femoral head, cystic bone reshaping in the head of the thigh and the roof of the articular cavity, first proceed like ordinary primary arthrosis, without any special clinical picture( nonspecific complaints are typical: restriction of movementsin the joint, pain).To differentiate these processes, an MRI should be performed.
Coxarthrosis of the hip joint how to treat
Conservative treatment of coxarthrosis. Its main goal is to eliminate or persistently reduce pain, increase trophicity of soft tissues near the joint, and, most importantly, to improve the trophism of articular hyaline cartilage. At the initial stages of the degenerative-dystrophic process in the joint, when the symptoms of coxarthrosis are not yet clearly expressed, conservative therapy stably leads to more or less prolonged remission, and most importantly, there is a progression of the progression of X-ray data indicating the stage of coxarthrosis. At the heart of conservative treatment are any means that improve microcirculation, any means of stimulating the intensity of metabolic processes and as a consequence of the regeneration of hyaline cartilage. The most popular non-drug products in coxarthrosis therapy have been manual therapy, massage and exercise therapy - this treatment is carried out long and persistently, as trophic processes, blood filling and metabolism are not what changes in a few days. The path starts with the first step( albeit uncertain), but having shown perseverance, as a result you will get a stronger and healthier self!CALL AND WRITE IN FREE CONSULTATION TELEPHONE:( 812) 9812594 OR FILL IN THE FORM OF RECORDS FOR A FREE CONSULTATION( Address: St. Petersburg, Lomonosova St. 14) Name and date of admission?
How to treat the hip joint in St. Petersburg
Consultation about treatment with traditional oriental medicine methods( acupressure, manual therapy, acupuncture, phytotherapy, Taoist psychotherapy and other non-drug therapies) is held at: St. Petersburg, ul. Lomonosova 14, Medcryogen Clinic( 7-10 minutes walk from Vladimirskaya / Dostoevskaya metro station), with 9.00 to 21.00, without lunch and weekends .
It has long been known that the best effect in the treatment of diseases is achieved with the combined use of "Western" and "eastern" approaches. Treatment period is significantly reduced, the probability of recurrence of is reduced. Since the "eastern" approach, in addition to techniques aimed at treating the underlying disease, pays much attention to "cleaning" blood, lymph, vessels, digestive tracts, thoughts, etc. - it is often even a necessary condition.
The consultation is free of charge and does not oblige you to anything. It highly desires all the data of your laboratory and instrumental research methods for the last 3-5 years. After spending only 30-40 minutes of your time, you will learn about alternative methods of treatment, learn how you can improve the effectiveness of the already prescribed therapy of , and, most importantly, how you can independently fight the disease. You may be surprised - how everything will be logically constructed, and understanding the nature and causes - the first step to a successful solution of the problem!