Basics of proper nutrition and diets with coxarthrosis of the hip joint
The diet for coxarthrosis of the hip joint is aimed at restoring the destroyed cartilage tissue and preventing its further destruction. Coxarthrosis of the hip joint is a disease characterized by thinning and destruction of the cartilaginous tissue, as a result of which the bone tissue grows around the joint, blocking its mobility. This is due to metabolic disorders and increased formation of lactic acid in the body.
The degree of severity of coxarthrosis of the hip joint is divided into 4 stages:
- At the first degree of the disease, painful sensations at the site of the lesion arise after the sustained loads. Changes in gait and posture do not occur. Determine the disease can be roentgenologically - the picture shows a slight narrowing of the lumen between the joints.
- At the second degree of the disease, the cartilage tissue is destroyed. Painful sensations intensify, and pain is transmitted in the area of the thigh and groin. At 2 degrees the pain appears at rest, in the absence of physical exertion. There is a change in gait, there is lameness. Reduced muscle activity, flexion and extension of the hip is difficult.
- At the third degree, there is almost complete destruction of the cartilage joint. With radiography, noticeably strong narrowing of the joint gap, a significant joint deformity. The area of the joint is edematic. In 3 degrees painful attacks are removed only medicamentous preparations. Moving is possible only with the help of auxiliary means.
- With the fourth degree of damage, there is a complete fusion of the hip joint bones, swelling of the joint and surrounding tissues. There are no movements in the hip joint.
Authorized and Prohibited Products
A specially designed diet will help slow down the destruction of cartilaginous tissue. In the development of coxarthrosis, a significant role is played by metabolic disorders. The diet should be aimed at restoring metabolic processes and reducing excess weight.
Food intake, as with other diets, should be frequent( 5-6 times a day), in small portions. Dishes should be cooked on steam, boiled, slight baking in the oven is allowed. When preparing a bird, remove the skin from the carcass. Liquids need to drink at least 2 liters per day. The ratio of carbohydrates, fats and proteins should be in a proportion of 5: 1: 1.
In case of coxarthrosis, the following are excluded from the diet:
- Products containing high salt content( herring, dried fish, various pickles).
- Foods containing high fat content( fatty meat and fish broths, mayonnaise, chocolate, butter, cream, sour cream, pork, lamb, olives).
- Foods containing preservatives and flavor additives( canned food, sausages, chips, nuts, sauces).
- Dishes made from the highest grade flour.
- Smoked products obtained from the use of chemical additives in the production instead of natural smoking.
Useful Foods for Hip Crosplasia:
- Milk and low-fat dairy and sour-milk products, especially cheese, contribute to the better absorption of milk protein and the restoration of destroyed tissues, and a large amount of calcium will give strength to the bone system. Cow milk is preferable to replace goat's milk.
- Low-fat meat and fish products will provide the body with animal protein, and vegetable protein can be obtained from lentils and buckwheat, mushrooms and beans.
- The main element for the restoration of cartilaginous tissue is collagen, it is contained in the cold, jellies, jellied fish, gelatin.
- Carbohydrates are present in large quantities in cereal crops( oats, buckwheat, rice).For better digestibility, porridges cook on low heat until half cooked, put in a warm place and allow to infuse.
- Vegetable fats should be present in the diet as olive or linseed oil.
- Vegetables and fruits rich in vitamins and microelements.
- Products containing phosphorus and fluorine( seafood).
- Coarse cereals are a source of iron and copper.
- Almost all by-products are allowed( on their broth you can prepare the main dishes).
- Products containing many micronutrients and complex carbohydrates( dried fruits, raisins, dried apricots, prunes, honey).
Approximate daily ration
- First breakfast. Buckwheat porridge, boiled beef. Vegetable Salad. Tea with honey.
- Second breakfast. Cottage cheese with fruit or berries.
- Lunch. Soup with mushroom broth. Oatmeal porridge with meat ribbons. Dried fruits compote.
- Snack. Jelly from berries. Crackers.
- Dinner. Jellied fish. Egg. Tea with honey.
- The second dinner. Kefir. Oat cookies.
The most effective diet is at the initial stages of the disease, when it is possible to remove accumulated uric acid from the body, thereby reducing the inflammatory process. Correctly balanced nutrition helps to get rid of excess weight, reduce puffiness, reduce the burden on the diseased organ, thereby enabling you to partially or completely repair damaged cartilage tissue.
Diet with coxarthrosis gives a positive result in combination with drug therapy and physiotherapy.
The complex also includes physical therapy classes. Special dietary meals are chosen by the doctor depending on the concomitant diseases and individual tolerability.
Guba NI, Smolyansky BLDietary food and cooking at home.- Dnepropetrovsk: Sich, 1992.
Gurvich M.M.Dietology for all.- M.: Medicine, 1992.
What kind of diet should be observed with arthrosis of the hip joint?
Observe the diet for arthrosis of the hip joint is very important, because it is able to improve the patient's condition. The right amount of useful fats, fiber, protein and carbohydrates will help get rid of extra pounds.
During the diet, doctors recommend the following rules:
- Try not to eat fried foods whenever possible. It is better to cook food for a couple or bake.
- Switch to fractional power. Eat a little, but often.
- Chew carefully.
- Drink a glass of water 20 minutes before eating. This will contribute to a better metabolism.
- After eating, it is highly advisable not to take a static position. Better go for a 10-minute walk.
- The last meal should be 2-3 hours before bedtime.
- It is not recommended to consume carbohydrates at night. For dinner, proteins are best suited.
- If possible, add fiber to your diet.
What you can eat with arthrosis
For arthrosis of the hip joint, it is recommended to include a large number of proteins in the diet. Perfect beef, turkey or chicken is perfect. Nutritionists recommend meat to bake or cook.
The best source of healthy fats is fish. For example, herring, mackerel, salmon, tuna or trout. Fatty acids in the fish will help restore the joint and prevent many inflammatory processes.
Use linseed oil as an additive.
It also contains a large number of fatty acids. Do not forget to eat foods rich in calcium, for example, cottage cheese or whey. To saturate the body with calcium, nutritionists advise a day to drink a liter of whey and eat 300 grams of fat-free cottage cheese. In addition, rich in calcium, various kinds of greens - spinach, celery and parsley.
On a diet in your diet, be sure to include foods high in vitamin E, such as walnuts, hazelnuts and pine nuts. In day it is necessary to eat 1-2 handfuls.
Do not forget about carbohydrates. As you know, they are of two kinds: complex and simple. The first satiate the body for a long time. Complex carbohydrates include oatmeal, buckwheat, brown rice, lentils, wheat porridge. The source of simple carbohydrates is sugar. However, on a diet from it is better to refuse. The best substitute for sugar is fructose. Its a lot in apples, bananas, raspberries, kiwi and grapefruit. You can eat bread from bran with bran.
The best source of fiber is fresh vegetables, such as broccoli, carrots, cauliflower and zucchini. In addition, the diet is recommended to eat foods high in vitamin B1.These include peas, baked potatoes and eggs.
What should be excluded from the diet
Many nutritionists recommend to exclude from the diet the following products:
- Cakes and confectionery. Desserts and ice cream.
- Fatty dairy products.
- Chips, croutons and breakfast. Sweet, carbonated drinks.
- Fast food. Smoked meat and sausage.
- Melted cheese.
- Fatty meat( pork and duck).
- Products that contain a large number of preservatives.
You should also not follow a salt-free or low-carb diet. As a result of such diets, the body will lose a lot of liquid, and hence calcium.
In addition, doctors recommend that proteins account for 50% of the diet. On a diet, you can and should eat broths and chillies. In these products there is a large amount of collagen, which helps to quickly repair cartilage tissue.
Also doctors advise drinking at least 2-3 liters of water daily. The liquid will gradually purify the body of toxins and improve the work of the gastrointestinal tract. In the diet of the patient must be present by-products, for example, liver and heart. They are rich in iron and will only benefit joints.
Additional sources of
1) Pokrovsky V. I. Small medical encyclopedia. Soviet Encyclopedia, 1996. Vol. 4. 577 p.
2) ICD-10: International Statistical Classification of Diseases and Related Health Problems. In 3 tons( in 4 books).10 th ed. Kazan: Medicine, 2003. 2438 p.
3) Korzh NA Filippenko VA Dedukh NV Osteoarthritis - approaches to treatment // News of orthopedics of traumatology and prosthetics.2004.
Symptoms, degrees and treatment of coxarthrosis of the hip joint
What is coxarthrosis of the hip joint?
Coxarthrosis hip - is persistent changes integrity of articular surfaces, which are based on metabolic disorders. 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 the most common diseases among the degenerative pathologies of the musculoskeletal system, occurring at the age of 40 years.
Symptoms of coxarthrosis of the hip joint
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;
pronounced 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, we will consider the most common ones:
Circulatory disturbance 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.
The 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 pathology( dysplasia, congenital hip dislocation).
Degrees of coxarthrosis of the hip
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 come in time and treat the disease, 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
The third 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 coxarthrosis of the third stage
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
At the first stage, the diagnosis of coxarthrosis includes a survey, collection of anamnesis of life and disease, patient complaints, examination of the joint and carrying out functional tests.
In clinical blood analysis with coxarthrosis, there is a slight increase in ESR( sedimentation rate of erythrocytes) - 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 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 the 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.
On topic: Pain in the hip joint
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 lies in the fact that they affect the nervous system manifesting as frequent dizziness, nausea, blocking of 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 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;
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 ancillary. 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 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
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 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.
Article author: Muravitsky Igor Valerievich, rheumatologist, orthopedist
Diet with coxarthrosis
Coxarthrosis of the hip joint is a degenerative-dystrophic disease characterized by thinning of the cartilaginous tissue, bone growth along the edge of the joint and the formation of cysts. Pathology can develop both on one leg, and on both, which significantly complicates the clinical picture. Diet with coxarthrosis of the hip joint is aimed at restoring the cartilage - we will tell you about the rules of nutrition for this pathology.
Causes of coxarthrosis
It is believed that the development of the disease contributes to the violation of blood circulation: worsening of arterial inflow or venous outflow of blood. Its contribution is made by such factors as mechanical stress on the joint and biochemical changes in the cartilage.
The main symptom of coxarthrosis is pain, which as the pathological changes progresses: in the initial stages discomfort is temporary and passes after rest, and later the painful syndrome does not disappear even at night.
Why you need a diet for coxarthrosis
Diet for coxarthrosis is extremely important. This is explained by the fact that only proper nutrition provides cartilage with the necessary "building blocks".It is worth remembering that the nutrition of the hip cartilage is due to the fluid produced in the joint itself( the composition and amount of this substance affects the quality of depreciation).A complete set of elements, including vitamins( primarily ascorbic acid), minerals( magnesium, fluorine, phosphorus), organic acids and other important substances, allows us to launch a self-healing mechanism.
Ration and proper nutrition
To restore cells, the body needs vitamins( A, E, C, group B).They provide us with vegetable food - vegetables, fruits, cereals. Important minerals: iron and copper, are found in large amounts in coarse grains. The optimal ratio of minerals is in by-products( they are recommended to boil, and then used for cooking).Phosphorus and fluorine are provided by seafood and fish.
The products made of white flour are subject to exclusion - preference for grain, bran and rye bread. Not welcomed cereals, as well as mango. In contrast, the diet should necessarily include buckwheat, oatmeal, pearl barley and brown rice( such cereals should be eaten daily).
To preserve the valuable elements contained in cereals, they are recommended to cook until half ready, and then wrap the dishes with porridge in a terry towel. In order to improve the taste, as well as to increase the value of such a dish, it can be enriched with all kinds of additives: dried apricots, raisins, honey, fresh berries, pieces of fruit. It is also recommended to sprinkle porridge with grated cheese, herbs, natural spices.
With coxarthrosis, you can enter into the diet of sour milk drinks, cottage cheese and hard cheeses( whole milk is not welcome).Patients should limit the consumption of meat dishes( preference should be for offal).It is believed that the heart, liver, tongue and kidneys almost do not contain uric acid and animal fat - these elements harm the joints and blood vessels. It is recommended to exclude rich broths - the benefits come from mushroom and vegetable broths. Fish dishes can be present in a wide range - salted fish are not welcome.
Nutrition with coxarthrosis imposes a restriction on salt - excess sodium provokes joint edema. Sweet foods are also subject to strict control - glucose is better to replace the more useful for the body fructose. As a healing treat it is perfectly permissible to use natural honey. With this pathology diet should include salads from cabbage and carrots, dressed with cedar, olive, linseed, mustard oil.
Diet with coxarthrosis differs little from the usual diet - the main condition is the full provision of important nutrients. Be healthy!
Coxarthrosis of the hip joint: treatment, diet, drugs, prevention
Because the disease is fundamentally a metabolic disorder, a diet with coxarthrosis of the hip should be aimed at excluding the factors causing this pathology. As a result of the studies, products containing compounds detrimental to the state of the cartilaginous tissue were identified.
Nutrition for coxarthrosis of the hip joint should exclude:
- meat and fish semi-finished products of long storage;
- meat and fish grown on hormones and unnatural foods, as well as stuffed with preservatives for presentation;
- more than 1 tsp.salt per day;
- refined vegetable oil;
- products with high salt content and preservatives: sausages, canned goods, chips, nuts, salted vegetables and fish, caviar, sauces, some cheeses;
- products with a high fat content: cottage cheese, cream, sour cream, red fish, mayonnaise, chocolate;
- cold and steep meat broths.
In the presence of disease coxarthrosis of the hip joint diet should contain:
- a sufficient amount of liquid( 1-3 liters per day);
- all cereals of natural processing, macaroni, bread, potatoes;
- eggs( not more than 3 per day)
- low-fat dairy products;
- homemade meat or a properly cooked shop in small quantities;
- vegetables and fruits.
Drug treatment of coxarthrosis of the hip joint, most often, in the symptomatic elimination of problems arising from the destruction of cartilage and deformation of bones. The main actions that are expected from pharmacological agents: pain removal, inflammation removal, improvement of blood circulation and nutrition of cartilaginous tissue, relaxation of spasmodic muscles.
Drugs for coxarthrosis of the hip joint, unfortunately, do not solve many other important issues. For example, pharmacology can temporarily improve the patient's condition, slow the destruction of cartilage, but it can not stop the process of joint degeneration. But systematic complex treatment, consisting of all known methods, can give very good results.
Drugs for the treatment of coxarthrosis of the hip joint:
- non-steroidal anti-inflammatory and analgesic agents( Indomethacin, Ibuprofen, Piroxicam, Diclofenac, Nimesulide, Movalis and analogues).Relieve pain, inflammation, fever, stiffness in the joints;
- hormonal steroid preparations, including intraarticular injections( Hydrocortisone, Methylpred, Kenalog).Neutralize reactive inflammation and pain;
- vasodilators( Nicospan, Cinnarizin, Trental).Improve blood circulation, relieve vasospasm, relieving pain in the joint;
- muscle relaxants( Sirdalud, Midokalm).Eliminate the painful muscle spasm;
- chondroprotectors - chondroitin sulfate and glucosamine( Arthra, Dona, Structum, Teraflex).Medicines designed to restore cartilage tissue at the initial stage. They work very slowly, the course is long( 3-5 months) and requires regularity. Qualified intraarticular administration significantly enhances the effect.
Surgical intervention is usually performed at the last stage of the disease, when the function of the joint is already broken completely and there is no longer any chance of another cure. It would seem that surgery for coxarthrosis of the hip joint is the simplest and right decision: after a while after rehabilitation, the joint becomes as new.
This is partly true, but there are also pitfalls: surgical interventions are not always successful and cheap, in addition, complications and loosening of the joint sometimes occur and a second operation is required. Even if everything goes well, the joint will still have to be changed after 15-20 years for natural reasons. Therefore, experienced specialists advise to resort to surgery at the latest age of , delaying the time to the last.
- endoprosthetics TBS is the most complex of all manipulations when both bone surfaces are replaced: the affected elements are sawed out, implants are placed on them;
- arthroplasty - is a minimally invasive method of prosthetics, in which only a small part of the joint is replaced, for example, cartilage;
- arthrodesis - the affected bones are fastened with plates and screws to restore the supporting function. Disadvantage: the motor abilities of the joint are still limited;
- osteotomy - dissection of the wrong bone joints for subsequent fixation in anatomically correct position. The motor function is restored.
Alternative methods of
Than to treat coxarthrosis of the hip joint, if standard medical methods do not produce the expected result? Among the alternative types of arthrosis treatment, the most well-proven:
- manual therapy( soft or jerky joint bones);
- applied kinesiology( motion treatment);
- traction therapy( hardware extraction of the joint);
- post-isometric relaxation( non-hardware extension).
Treatment of coxarthrosis at different stages of
With initial cartilage and bone deformations, treatment usually reduces to reducing the load on the joint, restoring cartilage and training the periarticular muscles. Factors that will help alleviate coxarthrosis of the hip joint of the 2nd degree: treatment is more serious, with special attention paid to special exercises and massage, painkillers are added.
Treatment of coxarthrosis of the hip joint of the third degree is usually symptomatic or surgical. Some authors also distinguish coxarthrosis of the hip joint of the 4th degree: the treatment in this case does not differ from the methods of the previous level of the disease. Here we are talking, most likely, about the radiographic parameters of arthrosis.
Overcoming such a serious ailment as coxarthrosis TBS, almost completely depends on the mood and vigor of the patient .There are cases when a great desire to recover, multiplied by efforts, led to such obvious improvements in the 3 stages that the person no longer needed an operation. Conversely, mild cases of coxarthrosis were triggered because of the patient's reluctance to comply with the recommendations of a doctor or disbelief in their own strengths.
Coxarthrosis is a pathology that causes deforming of the hip joint. The disease with severe consequences, requiring immediate action in the treatment, changes in the diet, and the whole way of life in general.
Causes of Coxarthrosis
The cause of the disease is believed to be circulatory disorders in the osseous articulation. Lack of blood leads to the accumulation of metabolic products that settle on the joint surface. Even to the causes of the disease carry:
- excessive mechanical overload of the joint. This factor is inherent in many athletes or people with excess body weight;
- hormonal shift;
- changes in biochemical reactions in the body;
- disturbance of metabolic processes;
- injury. After severe injuries, Coxarthrosis begins to develop even in adolescence;
- necrotic disintegration of the head of the hip joint;
- flat feet and curvature of the spine;
- congenital pathology - dysplasia or dislocation of the thigh;
- chronic hypodynamia;
- age changes.
Symptoms of coxarthrosis of 2nd degree
The second degree of arthrosis is manifested by aggravation of the symptoms of stage 1 of the disease. The breakdown in the supply of hyaline cartilage is only exacerbated. The fabric slowly begins to break down. Its fragments are mixed with the intra-articular fluid, swim in it, which is reflected by the growing pain syndrome.
The pathological proliferation of bone tissue begins. Its edges strongly thicken, appear outgrowths - thorns. At 2 degrees of Arthrosis they do not have large sizes, but they already interfere with normal gait, and the person begins to limp. Lameness is not permanent, it can disappear after a long rest. But long walks are given to a man more and more difficult.
Pain has a characteristic feature - it is not limited only to the hip joint, but has a "spilled" character. Most often, pain sensations are noted in the groin, in the region of the thigh, fuzzy irradiation is tracked to the knee area. The muscular strength decreases noticeably, especially when the hip is extended and developed.
The work of the whole articular structure is broken. The ease of movement disappears, and the limb in the joint starts to work a little hard. Birth stiffness in the joint, acutely felt after a night's sleep.
Treatment of coxarthrosis of 2nd degree
Even the most effective medicines will not bring the desired effect if the sick person does not reduce the load on joints.
The second degree of Coxarthrosis requires long-term treatment aimed not only at reducing the manifestations of the disease, but also on eliminating the causes of its occurrence.
The more the bone joint is loaded, the greater the rate of its destruction!
But this is not enough. To relieve the pain syndrome, even at grade 2 Coxarthrosis, pain relief is sometimes required. They are taken in tableted form or very rarely at this stage, make intraarticular injections.
Along with anesthetics, anti-inflammatory drugs that relate to the non-steroid group of medications are also good at dealing with discomfort. They quickly reduce the inflammatory process, have anti-edematous effect. Short courses of Diclofenac, Ibuprofen tablets can improve a person's condition in just a few days.
When the inflammatory process has decreased, a long course of chondroprotectors should be taken. The effect of chondroprotectors is aimed at improving the state of hyaline tissue, increasing the production of lubricant, reducing the stiffness of the osseous articulation, preventing "drying out" of the cartilaginous plates. Usually these drugs are taken within a year.
How can I still treat Coxarthrosis without medication?
Treatment with medical products is better combined with a course of physiotherapy procedures. They not only anesthetize, but also improve the nutrition of the periarticular tissues. Do not forget that by means of electrophoresis you can inject some drugs directly into the joint area!
The real "scourge" of Coxarthrosis is a muscle spasm. Spasmodic muscles contribute to the growth of pain syndrome. They can affect the processes of metabolism in tissues, hyaline cartilage will begin to receive even fewer nutrients, oxygen.
A real healing elixir for patients with joints is mud baths or radon baths. These balneological procedures can be well combined with paraffin and ozocerite applications. These two natural "healers" are able to give an unexpectedly good result. But just remember that you should plan your trip to a sanatorium only during a persistent remission and after consulting your local therapist.
Therapeutic massage was treated with coxarthrosis far from our ancestors, and in today's medicine it is used widely enough. Massage parlors function in every respectable orthopedic clinic or center. Qualitative massage, especially in tandem with sparing, carefully selected exercises will allow you to quickly get rid of a serious articular pathology.
Acupuncture and manual therapy are somewhat forgotten in our high-tech age. But after all, exposure to biologically active zones on our body can "wake up" the latent possibilities of the body, improve nerve conduction, effectively and long-term relieve muscular spasm. So is it worth to give up natural "doping"?
Surgical treatment of the 2nd degree of the disease
Arthroscopic debridementWhen the disease has already reached the 2nd degree of development, arthroscopic debridement is indicated. It is performed by means of an arthroscope. The essence of the intervention is to remove the remnants of hyaline tissue, which will reduce the stiffness of the osseous joint, almost completely passes the pain.
But arthroscopic debridement is not a panacea. The effect of the procedure continues to be felt for several years, but then the symptomatic picture of Coxarthrosis returns. For later stages of the disease, this manipulation is considered unfit.
Diet for coxarthrosis of 2nd degree
It is impossible to cure ailment if you neglect the rules of healthy eating. Especially you need to keep track of the weight of your own weight. Remember that with this degree of the disease, pain increases and joint stiffness appears, and they will involuntarily reduce your physical activity. The lack of mobility of a person entails an increase in weight, therefore, exclude fatty, sweet dishes from food, not to mention fast food.
Enrich the diet with products rich in potassium, gelatin, vitamins, calcium. Therefore in the daily menu include:
- sour-milk products in any form;
- thick low-fat buns, jellies, jellies, gelatinous desserts;
- bananas, potatoes, all kinds of nuts.
Eat often, in fractions, do not let the feeling of hunger, do not use strict diets. Cartilage tissue should not lack a quality and useful nutritious products.
How to treat Coxarthrosis of the hip joint of the 2nd degree with folk remedies
Folk medicine at grade 2 Coxarthrosis gives a good curative effect, but only as one of the healing methods. Folk remedies help to reduce the intensity of manifestation of a symptomatic picture, reduce pain and slow down the destruction of the osseous joint.
With Coxarthrosis it is useful to take decoctions prepared from anti-inflammatory herbs. The most common of them - chamomile, St. John's wort, linden, anti-inflammatory pharmacy. Herbal decoctions can replace the usual tea, drink instead of water. But you need to remember that herbs are the strongest allergens, because if you take the drug for the first time, it is better to drink half a dose of liquid!
At home, they prepare ointments and rubbers. Ointment is made on the basis of animal fats, most often it is the internal fat of birds( goose, duck) and pigs. In some cases, animal fats are replaced with vegetable oil of the first pressing. Through the skin pores is better to penetrate is not refined olive and corn oil.
Bee venom, medical bile, finely ground herbs, poplar or birch buds are introduced into the melted and slightly cooled fat basis. For lapping, tinctures on an alcohol basis are suitable. As a rule, store such a medicine at room temperature, in a tightly closed container, away from the light.
Do not forget about the healing effect of compresses. The solution for compresses is often made not only on an alcohol basis, but also uses strong infusions of anti-inflammatory injuries. All kinds of compresses are best done at night.
The room where you will be should be warm, but the compressing zone needs to be further insulated with a woolen cloth or a downy shawl. When setting the compress, it is better to use parchment paper, the food film creates unfavorable conditions for the skin, which is fraught with a violation of their integrity.