Treatment of arthrosis of the hip jointOne of the common hip joint lesions is coxarthrosis. This is a pathology in which the structure of the cartilaginous tissue changes, which causes the limitation of movements and the appearance of deformations. Also, with this disease, the capsule of the hip joint becomes inflamed, which provokes pain and contractures.
Risk factors and main manifestations of
Most often, this disease is registered among persons with a hereditary burden( in which several relatives suffer from osteoarthritis).Among the risk factors for the development of this pathology can be called advanced age, any injuries of the hip joint, the presence of excess body weight or obesity. With primary coxarthrosis, the cause of joint damage can not be detected. The secondary form of the disease is often diagnosed with concomitant dysplasia, osteomyelitis, congenital hip dislocations.
Symptoms of the disease depend on the stage of hip joint damage. There are three degrees of severity of coxarthrosis. Among the common symptoms of the disease should be called pain in the affected joint, which can go to the knee and inguinal area, limiting movement, lameness and shortening of the lower extremities.
The initial stage of the lesion is coxarthrosis of the 1st degree. With this form of the disease, under the condition of timely treatment, it is possible to completely stop the destruction of the joint and prevent the development of deformities. As a rule, at this degree of osteoarthritis patients complain of weak pains in the hip joint, which go to the knee, but appear only after physical exertion and calm down. Because of this peculiarity of clinical course, patients rarely seek medical help, which provokes further progression of pathological changes in the affected joint.
Osteoarthritis of the 2nd degree is characterized by already more intense pain sensations that disturb the patients at rest and can irradiate to the knee and inguinal region. The pain does not subside after rest, and prolonged walking leads to the appearance of lameness. With this form of lesion, normal functioning of the hip joint is impaired, its mobility is reduced, and the muscular strength of the lower limbs is reduced.
In patients with coxarthrosis of grade 3, the pain syndrome is permanent. Painful sensations arise in a state of rest and at night, which disturbs normal sleep. Develops atrophy of the muscles of the thigh, buttocks and lower leg. Mobility in the joint is limited. Because of pain, patients can not move without a cane. In addition, the thigh muscles become so weak that the pelvis begins to shift. At the same time, the injured leg is shortened from the side of the lesion. The patient begins to limp.
How to treat coxarthrosis?
Therapy is prescribed after careful diagnosis in view of the severity of the course of the disease. Treatment of lesions of the first and second severity severity, as a rule, is conservative.
Pharmacological therapy includes the following groups of drugs:
- NSAIDs. The most commonly prescribed piroxicam, butadione or diclofenac, tselebreks or nimulide. This group of drugs effectively reduces the pain syndrome, which allows you to move on to other stages of treatment. Despite the effectiveness of these funds, it is important to remember that they have only a symptomatic effect and have no effect on the course of the disease. In addition, it is assumed that funds from this group negatively affect the synthesis of individual components of the cartilaginous tissue of the joints. That is why their long reception is not recommended. With their frequent use, arthrosis of the hip joint is aggravated due to more active cartilage destruction.
Given this feature in clinical practice, selective anti-inflammatory drugs, for example, Movalis, are becoming increasingly widespread. This drug gives fewer side effects and can be taken quite a long time( even for several months or years without adversely affecting the structure of the joints).
- Hormonal preparations( eg, hydrocortisone or Kenalog).Typically, such drugs are prescribed with severe pain, which is combined with inflammatory changes in the tendons and muscles. The best therapeutic effect is achieved when hormonal drugs are administered by intra-articular injection.
- Local hormonal and anti-inflammatory drugs. The therapeutic effect of their use is minimal, because the active substance can not fully affect the affected areas and penetrate the joint through the skin barrier, the subcutaneous fat and muscle fibers. Despite this, doctors often attribute warming ointments that activate blood circulation at the site of application, and also relieve muscle spasm, which leads to a slight reduction in pain.
- To eliminate muscular spasm, muscle relaxants can be prescribed, which relax the muscle fibers of the thigh and lower leg and also help to reduce pain.
- To improve blood circulation in the affected joint and increase the regenerative properties of damaged cartilage, vasodilators( eg trental or cinnarizine) are attributed.
- Treatment of arthrosis of the hip joint must necessarily include the use of chondroprotectors. The most commonly used teraflex, structures, arthroglycan or chondrolon. These are medicines that slow the degenerative processes in the cartilage of the joints. With their regular application, it is possible to stop the progression of coxarthrosis.
Conservative treatment of osteoarthritis also includes manual therapy, therapeutic gymnastics, physiotherapeutic procedures( UHF therapy, cryotherapy, electro- and magnetotherapy, inductothermy).
Deforming osteoarthritis of the hip joint in the late stages of development can not be cured by conservative methods, therefore, resort to surgical treatment. It involves carrying out arthroplasty( simulate the broken articular surfaces), endoprosthetics( completely replace the affected joint), arthrodesis( fasten bones with special plates or screws).
It should be remembered that with timely therapy it is possible to effectively restore the supporting and motor function of the affected limbs, therefore, when signs of coxarthrosis appear, it is not necessary to self-medicate, but to seek qualified medical care. To prevent this disease, you should monitor body weight, avoid injuries, exercise, eat right, and treat inflammatory lesions of the osteoarticular system in time.
Coxarthrosis of the hip joint: symptoms. Coxarthrosis of the hip joint of the 2nd degree: treatment of
One of the most serious diseases of cartilaginous tissue is coxarthrosis of the hip joint. Symptoms of it in the early stages of development are inconspicuous. It is for this reason that patients often seek help from specialists, when it is practically impossible to conduct treatment without resorting to surgical intervention. That is why it is important to identify the disease at an early stage.
Symptoms of the disease
In modern medicine, coxarthrosis of the hip joint is increasingly diagnosed in people, especially elderly people. Symptoms of this ailment can not be called specific. Most often the beginning process of deformation of the cartilage makes itself felt by slight discomfort in the joint region. There is a minor pain syndrome with prolonged walking. But he quickly disappears in peace. In this case, pain can occur not only directly in the region of the hip joint, but also in the groin, and in the knee. These symptoms rarely worry people. Therefore, timely calls to doctors are registered very little. As the deformation of the cartilage develops new signs. First of all, there is a so-called morning stiffness. This syndrome is a direct evidence of coxarthrosis. It is expressed that after a dream or a prolonged sitting in the joint, there is a tension that prevents you from moving fully. It disappears after half an hour after a continuous walk. Such a symptom is of a regular nature. In addition, over time, it adds to the crunch when extending and a specific creaking of the bones of the lower limbs. These are only the first harbingers of such a serious disease as coxarthrosis of the hip joint. Symptoms will only get complicated. The gait will change, the movements will be more and more limited, the pain will intensify. Joint ligaments, experiencing constant overstrain, will be weakened, followed by muscle atrophy. At this stage, man can not do without a cane.
The causes of coxarthrosis
Of course, it is important to know and in time to recognize all the signs of coxarthrosis of the hip joint, but it is also necessary to understand the causes of this disease. The share of congenital dislocation of the femur accounts for 20-25 percent of cases of subsequent development of this disease. In addition to joint dysplasia, coxarthrosis leads to hypermobility syndrome and, of course, Perthes disease. Subsequent deformation of the cartilaginous tissue can cause many congenital and acquired pathologies. This serious ailment often develops due to injuries, for example, fractures of the hip and pelvic bones, as well as dislocations and ligament ruptures. Another reason - infectious diseases, in which there is a violation of normal blood supply to the joint. This condition is often detected in elderly people and in patients with diabetes mellitus. At the same time the disease breaks not only the patency of blood vessels, but also the work of joints completely. Coxarthrosis can develop in athletes. This is explained by constant heavy loads on the legs. For training you have to pay with problems with the cartilaginous tissue not only in the hip, but in the other joints.
Coxarthrosis of the hip joint 1 degree
In the first stage of the disease, coxarthrosis is difficult to detect. Symptoms that clearly indicated a serious illness are not detected. At the first stage, as a rule, there is only a pain syndrome with physical exertion on the legs. At rest, discomfort is not observed. During this period, the cartilaginous tissue of the joint experiences oxygen starvation due to insufficient blood supply. But in general, it functions well.
Coxarthrosis of the hip joint of the 2nd degree
In the second stage of the disease, the disruption of the cartilage tissue supply is much more significant. You can already detect its destruction. The dead tissue particles float freely in the joint fluid. This increases the pain syndrome. But the main thing is that the normal mechanism of movement of the articulating bones starts to break. Gradually the gait changes. On the bones themselves in the cartilaginous part are formed dense outgrowths - osteophytes. They increase pain when walking, and after a long rest. There is a syndrome of morning stiffness. There may be slight lameness due to a strong overstrain of the ligaments of the joint.
Coxarthrosis of the hip joint of the third degree
In the third stage of the disease the cartilaginous tissue is almost completely destroyed. The joint is strongly deformed. Normal movements of the lower limb in this place are impossible. In the joint, complete immobility was finally formed. Fabrics atrophy. If the movements can still occur, then on the pathological trajectory, not corresponding to the norm. Pain syndrome is almost always present, both during walking and at rest. He often appears in the middle of the night, causing insomnia. At this stage, medication, and especially local treatment is useless. Can improve the patient's condition only arthroplasty joint replacement with an artificial one.
Features of nutrition with coxarthrosis
To ensure that the cartilage cells of our body are restored, vitamins of group B are needed. This is the main condition. Also, the body should not have a deficiency in vitamins C, A, E. Diet with coxarthrosis of the hip first of all provides for the presence in daily nutrition of a large number of fruits, fresh vegetables and cereals, which have all the necessary minerals. Another important component of nutrition for the restoration of cartilaginous tissue is the offal. The heart, liver, kidneys, stomachs should first be thoroughly soaked and boiled. Then they can be used in cooking the second dishes and salads. Phosphorus and fluoride will give seafood and fish. From the diet with coxarthrosis completely excluded from the products of white flour. In this case, preference is best given to grain bread. Also it is required to limit salt intake. A large number leads to edema in the tissues of the joints.
Non-medicinal methods of prophylaxis and treatment of coxarthrosis
Of course, a diet with coxarthrosis of the hip joint may slow the development of the disease in the initial stages, but it is not a treatment. When the first signs of the defeat of cartilaginous tissue should be consulted a doctor. The following non-medicinal methods of prevention and treatment of coxarthrosis of the first and second degree are also recommended. First of all, you need to relieve the load from the affected joint. To do this, minimize the time allocated for walking, running. It is also necessary to avoid long standing in the standing position. If possible, it is better to sit. This is very important for those people whose work implies constant movement. Use every opportunity to rest your feet. Of course, this is not an answer to the question of how to treat coxarthrosis of the hip joint, but as a disease prevention, load reduction is very effective. True, to get involved in constant sitting on the ground is also very harmful. It is necessary to find the golden mean between rest and exercise. If the disease more and more makes itself felt, then it is necessary to begin medical and local treatment, attend sessions of physiotherapy and gymnastics.
MedicationsGymnastics with coxarthrosis of the hip joint, of course, has a positive effect on the development of the disease, slowing it down. But in the second stage it is also necessary to resort to medicines. First of all, we are talking about painkillers - non-steroidal anti-inflammatory drugs. They not only remove part or all of the pain syndrome, but also reduce puffiness, swelling and other symptoms of inflammation. These are all known drugs "Paracetamol", "Indomethacin" and "Diclofenac."But when using them, you must remember about side effects and overdose. Nonsteroidal anti-inflammatory drugs have an adverse effect on the mucosa of the digestive tract, in particular, the stomach. This can provoke the development of gastritis and ulcers. So the reception of these medicines should be controlled by the attending physician.
In addition to anti-inflammatory drugs, chondroprotectors are used in the treatment of coxarthrosis. These drugs improve the nutrition of the cartilaginous tissue in affected joints, which significantly slows the development of pathology. But nevertheless it is impossible to name them very effective, therefore how to treat coxarthrosis of the hip joint so that the cartilage tissue is fully restored, they are not capable. But still, with better blood supply, cellular building elements are more quickly delivered to the affected area. Currently, chondroprotectors include glucosamine sulfate, diacerein, hyaluronic acid, chondroitin sulfate.
Local treatmentWhen treating the disease at all stages of development - in addition to oral medications - you can use local aids. These include various ointments and gels. They also produce an anesthetic effect, but, importantly, practically do not give side effects. Most often doctors prescribe drugs "Diclofenac"( ointment), "Voltaren Emulgel", "Butadion", "DIP-Relief", "Bystrum Gel" to their patients suffering from deformation of cartilaginous tissue. Very good massage helps with coxarthrosis of the hip joint with the use of these funds. In addition, physiotherapeutic procedures, laser therapy, acupuncture, mud therapy and therapeutic baths can alleviate the patient's condition.
Coxarthrosis of the hip joint of the 2nd degree is difficult to treat. To facilitate the patient's condition, surgical manipulation is used - arthroscopic debridement. Its essence is to remove from the cavity of the hip joint the destroyed small particles of the cartilaginous tissue. For this, the doctor uses a special device - an arthroscope. When released from foreign particles of the synovial fluid of the joint, a positive effect is achieved during the course of the disease. The pain decreases. Disappears the syndrome of morning stiffness. However, it is worth remembering that this effect, unfortunately, is temporary and lasts no more than two years. At later stages, this manipulation is not carried out.
Periarticular osteotomyThis method is very complex and time-consuming, but thanks to it it is possible to alleviate the condition of a person who has coxarthrosis of the hip joint. The operation, the cost of which starts from 100 thousand rubles, is that the femur is filed in several places. Then it again connects, but under a different slope. Due to this rather complicated manipulation, the load points on the joint change. As a result, his work gets better, the pain decreases.
Causes of the occurrence, extent, symptoms and treatment of coxarthrosis
Coxarthrosis, the treatment of which is required to be performed by various methods, is quite a serious disease. The choice of treatment depends on the stage of development of the disease.
General information about the disease
Many patients who are diagnosed with coxarthrosis are wondering what kind of disease it is. In accordance with ICD-10( international classification of diseases), the disease is assigned code M-16.
Coxarthrosis is a degenerative-dystrophic disease, which most often affects middle-aged and elderly people. The disease affects the human hip joint. The development of the disease occurs gradually over several years and is accompanied by the appearance of pain in the hip joint, the appearance of limited mobility in this area.
In the late stages of the development of the disease, atrophy of the muscle tissue of the thigh may appear, in addition, there is a process of limb shortening. The development of coxarthrosis can be provoked by various causes. The main ones are:
- joint injury;
- development of congenital pathologies;
- occurrence of pathological curvature of the spine;
- is an inflammatory and non-inflammatory joint disease.
In addition to the above reasons, contributing to the development of the disease, the process of its occurrence can be influenced by genetic predisposition. In some cases, the development of the disease occurs for no apparent reason.
The disease can occur in either a one-sided or a two-sided form.
At an early stage of the disease progression conservative methods of influence are used. In case of joint destruction, especially if such development of the disease is observed in young or middle age, it is recommended to perform an operation of endoprosthetics.
In orthopedics and traumatology, the disease is one of the most common types of arthrosis. The frequency of occurrence of this type of illness is caused by the provision of a high load to the hip joint in the process of vital activity and the high prevalence of congenital pathological disorder - joint dysplasia.
Anatomy of the hip joint and mechanism of the development of the disease
The hip joint is formed by two bones - the ileum and the femur. The head of the femur is articulated with the acetabulum present on the ilium;The articulation of the bones forms a joint in the form of a hinge. During the movement of the acetabulum, the acetabulum is a fixed element of the articular joint, and the femoral head is capable of moving in various directions, thereby ensuring flexion, extension, retraction and rotation in the hip joint.
In the course of movements, the articular surfaces that form part of the bone joint perform unimpeded movement relative to each other. This movement is due to the presence of a smooth and resilient layer of hyaline cartilage, which covers the articulating surfaces and has a high level of strength. In addition to providing slip, hyaline cartilage functions as a cushioning and redistribution of loads to the joint when walking.
There is a small amount of fluid in the joint cavity that acts as a lubricant. In addition, the articular fluid provides nutrition to the cartilaginous tissue. Joint articulation is surrounded by a dense and strong connective tissue membrane. Above the capsule are placed large femoral and gluteal muscular structures, designed to provide movement in the joint articulation. Muscular structures also play the role of shock absorbers, which protect the joint surfaces from getting injured when making unsuccessful movements.
During the development of the disease, the joint fluid becomes thicker, it increases its viscosity. With the further development of the disease, the hyaline cartilage dries out, which leads to a loss of smoothness and elasticity. The cartilage is covered with cracks. As a result of the appearance of roughness, articular cartilage is permanently traumatized in the course of movement, which provokes their thinning. These processes further lead to aggravation of the changes developing in the joint.
As the disease develops, the bone tissue that forms part of the bones begins to deform, which is caused by the process of adaptability of the bone to the resulting high loads. With coxarthrosis, deterioration in cartilage and metabolism is observed.
Causes of development of coxarthrosis
In medicine, there are two varieties of developing coxarthrosis - primary and secondary. The primary type of disease occurs in the body for unknown reasons, and the secondary type is a consequence of other diseases.
The development of secondary coxarthrosis can be the result of diseases such as:
- hip dysplasia;
- congenital hip dislocation;
- Perthes disease;
- aseptic necrosis of the head of the thigh;
- infectious lesions and inflammatory processes occurring in the joint articulation;
- receiving traumatic injuries.
Coxarthrosis in the primary variety is accompanied by a concomitant lesion of the spine and knee joint. The causes of coxarthrosis 1 degree, which increase the likelihood of its development, are as follows:
- permanent high load on articular joint;
- impaired blood circulation, hormonal balance in the body, metabolic processes;
- development of spine and foot pathologies;
- old age;
- is a sedentary lifestyle.
The disease is not inherited, but certain features of metabolism, the structures of the musculoskeletal system and cartilaginous tissue can still be laid down at the genetic level.
For this reason, in the presence of this disease in blood relatives, the likelihood of developing the disease increases significantly.
Symptoms and severity of
The main symptoms of coxarthrosis are as follows:
- pain in the articulation area;
- occurrence of stiffness in movements and stiffness of the joint;
- gait violation;
- appearance of lameness;
- development of muscular tissue atrophy;
- limb shortening;
- restriction of the hip abduction and the occurrence of the movement of pain.
One of the first symptoms is pain.
Coxarthrosis 1 degree in patients manifests certain symptoms. The most common symptom is periodic pain after exercise. The area of pain localization is the hip joint and in rare cases the thigh or knee. After rest, the pain disappears. Gait in this period in humans is not violated, the movement is not limited and atrophy of muscle tissue is not observed.
Coxarthrosis of the second degree is characterized by more intense pain sensations that can arise at rest. Coxarthrosis of the 2nd degree is characterized by the spread of pain to the inguinal region and thigh and some displacement of the head of the femur to the top. The main signs of coxarthrosis of the second degree:
- appearance of lameness under load;
- decrease in the volume of movements in the joint;
- limitation of hip abduction, internal hip rotation.
Coxarthrosis of the 3rd degree is characterized by the appearance of permanent pain not only during the day, but also at night. The process of walking is difficult, this leads to the fact that the patient begins to use the cane for support. This degree of development of the disease is characterized by a severe restriction of freedom of movement in the joint, atrophy of the muscular structures of the thigh and lower leg. There is also a shortening of the limb, which leads to a tilt of the trunk toward the damaged joint.
Treatment in the initial stages of
When diagnosing this ailment the patient is primarily interested in the question of how to treat coxarthrosis.
The doctor treats coxarthrosis in the initial stages by using conservative methods of influencing the patient's body. Treatment of coxarthrosis 1 and 2 degrees during periods of exacerbation is carried out with the help of non-steroidal anti-inflammatory drugs. To treat an illness during an exacerbation it is possible with application of such preparations:
- brufen, etc.
Medications have an analgesic effect, however, when using them, it should be remembered that these remedies are not recommended for a long time. Drugs of this group can have a negative impact on the internal organs of man, in addition, they can suppress the ability to restore cartilaginous articular articulation.
For the restoration of cartilaginous tissue in the joint, preparations belonging to the group of chondroprotectors are used. Such drugs are:
- chondroitin sulfate;
To improve blood circulation and eliminate spasms of small blood vessels of the circulatory system, the attending physician prescribes the administration of vasodilating drugs such as cinnarizine, nikoshpan, trental and theonikol. Depending on the condition of the muscle tissue, muscle relaxants can be prescribed to help relax the muscles.
With prolonged pain syndrome, people suffering from ailment may be recommended the use of intra-articular injections of hormonal means - hydrocortisone, kenalog and metipreda.
In the treatment, local agents that do not have a significant therapeutic effect can be used, but they help to relieve muscle spasms and reduce the degree of pain.
In the process of treatment it is also desirable to use specially designed diets, which in the presence of excess weight can reduce body weight and joint load. A diet that affects the course of the disease is not developed today.
It is impossible to cure completely the disease. The disease is incurable, the methods of therapy are only capable of slowing its development. When the disease reaches the third stage, the patient receives a disability of the second group.
Therapy for late-stage arthrosis
In the late stage of the disease, the only effective treatment is surgery, which consists in replacing the joint that has been destroyed by the disease by endoprosthetics. Depending on the degree of the disease, single-pole or bipolar prosthesis is used. In single-pole prosthetics, the femoral head is replaced, and in the bipolar replacement of both the femoral head and the acetabulum.
Surgery for hip replacement is performed routinely. For the operation, a complete examination of the patient's body is required. Intervention is carried out under general anesthesia. After it, antibiotic therapy is necessary. Sutures are removed after 10-12 days. In the postoperative period the patient is on outpatient treatment. It is obligatory after the operation, which restores the working capacity of the person, actions are carried out for the rehabilitation of the patient.
Causes of development, symptoms and treatment of bilateral coxarthrosis( arthrosis of the hip joints)
Two-sided coxarthrosis leads to deformation of the joint and bone surface. There is a risk of development not only in 1 joint, but also immediately in 2. In this case, the disease will have a two-sided nature. The disease is typical for people older than 40 years, although the development of the is not ruled out.
How does the disease manifest itself?
Symptoms of this disease can be divided into several groups. At the heart of division are degrees of the disease, since the signs of coxarthrosis in each case have some differences. During the first degree of the disease in the pelvic region, minor pains arise. They can appear after physical exertion, a long stay on their feet or walking. By the end of the day, discomfort subsides, which provides little relief to the patient. There may be pain in the knee or thigh area, but this phenomenon occurs rarely.
If you have 1 symptom, you should immediately seek help from a specialist. This will allow us to deal with the problem in a timely manner, quickly eliminate it and prevent the development of complications and the transition of the disease to the next stage of development.
At the 2nd degree, the pain is intensified. They can occur not only in the pelvic region, but also in the hips, knee, groin. Unpleasant pain occurs even with simple movements and a small load. This is observed even during sleep, when muscle tension does not disappear. This determines the poor quality of sleep. As a result, the patient has slight changes in the gait, there is lameness, some movements are limited.
For the third degree, there are very strong pains that radically change the patient: his gait, position in a recumbent, standing and sitting position and much more. Unpleasant sensations are kept constantly, there is their amplification during walking or other actions. The joint does not work anymore, the muscle degeneration occurs in the thigh and buttocks. This complicates the elementary actions of the patient, it is even difficult for him to stand without help. Talk about walking in these conditions is not necessary.
During this stage, there is a constant contraction and strain of the muscles of the legs, which creates a feeling of shortening of the legs. Treatment in conditions of the third degree is difficult. A large number of drugs used can not help the patient, then they resort to the use of the surgical method.
In addition to the presented degrees, primary and secondary coxarthrosis of the hip joint is distinguished. In the 1st case, the cause of the development of the disease may not be clarified, which indicates the presence of other processes that could lead to the disease. The second case implies that at the heart of the development of coxarthrosis of the hip joint is a certain disease.
What causes ailment?
Two-sided type of arthrosis develops due to the already existing disease at 1 joint. Due to certain conditions, the disease can move to another joint. Lead to this may be different causes, ranging from a lifestyle and ending with a disturbed metabolism. Modern scientists in the course of laboratory studies came to the conclusion that arthrosis of the hip joint is not inherited, however, a predisposition to a metabolic disorder, which leads to the appearance of the disease, can be genetically transmitted.
Often the disease occurs when the joints are heavily loaded. Therefore, athletes and people with excess weight are at 1 position in the risk group. This should include people who have a very active routine of the day and who need to carry out heavy workloads.
But do not assume that the lack of loads will save you from this ailment. A sedentary and sedentary lifestyle also causes illness. In the risk category are patients who have osteoporosis, arthritis, diabetes mellitus or an underdeveloped joint. In addition to the age category older than 40 years, the disease appears in young people. In their case, the cause of development of coxarthrosis is associated with congenital type of hip dislocation, the presence of injuries or bruises.
A significant place is occupied by the emotional state of a person, so stressful situations and often developing depression can contribute to the appearance of ailment. This is due to the fact that with prolonged stressful conditions, corticosteroid hormones are produced, which have a negative effect on the production of hyaluronic acid. The latter component is responsible for the lubrication of the joints, so if there is no lubrication, the cartilages begin to dry out, and the joint structure changes. In addition, stresses disrupt the blood supply of tissues, there is a two-sided coxarthrosis.
Symptoms The treatment of an illness depends on the specific stage that the patient developed.
It should be pointed out that it is possible to completely eliminate the disease in the presence of the 1st stage of arthrosis, in other cases the process is irreversible, which can only be quenched and prevent the deterioration of the situation.
On the 1st degree, treatment does not present difficulties in the case of a referral to a specialist. A doctor can prescribe a home type of hip joint treatment. Used anti-inflammatory and vasodilators, analgesics and other medications. As additional measures, gymnastics and exercise therapy can be used.
In gymnastics and physical culture it is important to exclude sudden movements, axial loads are excluded from the program completely. Classes should be held regularly and without a pass. Before the exercise, you need to stretch the joint a little, do a massage.
For the 2nd degree, more complex treatment is characteristic. Used previously named analgesics and anti-inflammatory drugs, but begin to use electrophoresis, ultrasound, laser and magnetic therapy. Do not forget about massage and physical culture of medical type. The patient needs to undergo a supporting course, which is performed every 6 months.
At the third stage, a solution to the situation may be prosthesis and surgery. In case of bilateral type of arthrosis, the patient automatically becomes disabled. Contraindication to surgical intervention may be the presence of problems with the heart and blood vessels, take into account the age and the drugs used for treatment. If the patient is disturbed by pains of a strong nature, then blockades of the intra-articular type are used. And, although such actions will not lead to a patient's recovery, it is possible to provide the patient with an unhindered location in a lying or sitting position.
Coxarthrosis of the 1st degree is the initial stage of the Deforming arthrosis. The hip joint is the most helpless before the disease. Is it worth being surprised by this fact? After all, it is on this bone joint that the bulk of the entire body lies. And the more weight a person has, the heavier the joint structure performs his natural function.
Symptoms of coxarthrosis of the hip joint of the 1st degree
Insidiousness of coxarthrosis lies in the almost invisible onset of the disease. As a rule, sick people are very rarely alarmed by mild, infrequent pain in the joint. After all, discomfort quickly passes after a short rest, and does not return until another strong physical load.
A sick person can move for long enough distances, but it's harder to carry the weights. After an intense "shopping on foot" the joint hurts especially tangibly. At the peak of the pain syndrome, there is sometimes a barely noticeable limitation in movement.
On X-ray images, the first "sponges" of Kosartroz are already visible - marginal bony growths begin to appear, the articular joint narrows, but very rarely anyone decides to make such a diagnostic procedure at the first stage of the disease.
But after all, complex treatment can permanently stop the progression of the disease, because the joint has not yet had time to undergo radical changes, capable of destroying the joint structure in the future.
So how to build a curative plan to continue to enjoy happiness freely and easily move? Give everything in order.
Popular councils with coxarthrosis of the hip joint of the 1st degree are a good help for those who have seriously and forever decided to overcome such a difficult disease. We draw your attention that Deforming arthrosis can not be cured, armed only with folk advice."Grandmother's advice" is useful, but they can not be taken as a basis for treatment!
Perhaps, it is most pleasant to begin to be treated "according to the folk" from a bath or soared.
Deep warming of the hip joint with Cockartroze
A visit to the bath or steam room should take place after detailed consultation with the treating doctor who is aware of all your chronic illnesses.
Bath is the most tried and favorite means of defeating articular pathologies in our distant ancestors. They were the first to notice that it is good to "pierce" the stones, and even to massage the skin with a broom, while breathing healing essential oils, is the "first aid" when the first symptoms of Kosartroz appear.
In no case in saunas do not increase the "threshold" of temperature - it is harmful not only for the heart, but for the circulatory system.
A more gentle option of thermal treatment is a therapeutic bath that has fewer contraindications for use. Skin pores are wide "gates" for penetration of medical products. Water not only cleanses the pores, but also opens them, facilitating the migration of nutrients. That's why it is recommended to add strong decoctions of anti-inflammatory herbs into the water. Then the treatment will not only be a warm environment, but also the healing power of nature.
Broths of herbs can be replaced with sea salt, which can not be found in pharmacies. Salt has a beneficial effect on the skin, healing some dermatological diseases. But getting to okolosustavnyh tissues, it will effectively reduce the focus of inflammation in them.
Previously widely used applications of paraffin. Paraffin is a heat-consuming substance that slowly transfers it during application. Warm up paraffin in the microwave will take seconds, and get it in the pharmacy network today is not difficult.
How to treat Coxarthrosis of the hip joint of the 1st degree with the help of compresses
Compresses are a local thermal procedure that allows locally to warm the afflicted area. Here are some recipes for compresses that will help cure the initial Coxarthrosis:
• mix 2 parts of honey, 1 part of aloe juice, 3 parts of vodka. Ingredients mix well and apply on a napkin made from natural fabric. Attach a joint to the patient, rip it with parchment paper, pribintovat well and warm the area of the compress;
• a compress made of alcohol diluted in half with water, has a warming effect;
• if you are preparing a decoction for ingestion, do not throw away the herbal raw materials, but attach it to the diseased joint. As a rule, the raw material must be slightly pressed out preheating to 40 gr. Celsius.
Treatment of coxarthrosis 1 degree ointments
Ointments are much easier to apply to the skin, their production does not require a lot of time, and after applying the composition, you can immediately continue to engage in ordinary household chores.
Ointment Prescription No. 1
Rub the leaves of eucalyptus, mint, aloe juice in equal parts. With a wooden spatula, mix with the fraction of the inner bird's fat melted in a water bath. The fat of a goose or duck is best as a fat base. The mixture must be insisted for several hours and can be used to rub the patient's hip joint.
Ointment Prescription No. 2
Natural bee honey, better in May, mixed with the dry herb raw material of St. John's Wort. Herbs need to be crushed into "flour" to increase the medicinal properties of the composition. Let it brew for 10 days and rub as a normal ointment.
Ointment prescription number 3
Two pieces of honey, two parts of grated radish, one part of vodka, 2 tbsp.l.salt. Salt is better to take a large sea. All thoroughly mixed and mixed until the ingredients dissolve completely. Leave to stand for about 24 hours, and then use as a regular ointment.
Broths with deforming arthrosis
With deforming arthrosis of 1 degree, broths and herbal infusions of
are good. Many folk healers recommend completely replacing tea and coffee with decoctions. They can be prepared from a mixture of herbal raw materials or fresh parts of plants. Our ancestors knew how to use the most common herbs and overcame the severe ailments of the bone system.
Long since drinking a decoction of St. John's wort. This herb has a powerful effect on the body, in addition to removing inflammation from the joint. St. John's wort was replaced with chamomile, juniper, hop cones, birch buds. Today in the pharmacy you can buy herbal medicines, which act on the Arthrosis complex. These mixtures of herbs are carefully thought out, there are no poisonous or harmful to humans plants.
Such raw materials pass strict radiation control, therefore the purchase will be safe. If you have not prepared it yourself, then for the preparation of the decoction one should not run to the market, where it is sold by elderly women. You can not be sure of the reliability of their information.
Treat carefully to the first symptoms of Coxarthrosis, do not miss the time when you can get rid of the ailment with minimal residual effects. Do not delay the beginning of the diagnosis of the disease, do not be fooled by the hope that everything will pass. Take care of yourself!
Coxarthrosis of the hip joint 1 degree treatment in folk ways, gymnastics
Symptomatics of coxarthrosis 1 degree
The main and only symptom of coxarthrosis at the initial stage are periodic mild pains directly in the joint and thigh. Pain may occur after physical activity and take place after rest.
The absence of other signs and minor painful sensations lead most often to the fact that the patient does not pay attention to the disease. The easiest way to coxarthrosis is to cure it at this stage, but usually time is missed.
Deformations in the joint itself at this stage are almost imperceptible. Appear small bony outgrowths along the edges of the joint, the X-ray reveals a slight narrowing of the joint gap, changes in the neck and head of the femur are not observed. Deformations are insignificant and do not cause restriction of joint mobility.
Treatment of coxarthrosis of the hip joint of the 1st degree
During the first stage of the disease, conservative methods are used for treatment. Inflammatory processes and edema are removed with the help of anti-inflammatory non-steroid agents, such as Meloxicam .
Muscle relaxants are prescribed to increase blood circulation and relieve muscle spasm. Almost always prescribe chondroprotectors for the regeneration of cartilaginous tissue: Structum, Chondrotec, Kondronov, Don.
May prescribe physiotherapy, although their effectiveness in the treatment of coxarthrosis is small: paraffinotherapy, mud applications, electrostimulation, ultrasound, magnetotherapy. Much more effective means is therapeutic massage, manual therapy and special gymnastics.
Non-traditional methods can use acupuncture and apitherapy. One of the newest methods of treatment of coxarthrosis is plasmolifting, which allows to restore bone and articular tissues.
Traditional remedies for
Traditional medicine recipes will help relieve pain and swelling, but do not eliminate the cause of the disease, so they are recommended to be used as an additional treatment.
- Stir in equal parts honey, alcohol, glycerin and iodine and press for 3 hours. Wash the hair with plenty of water and lubricate the joint and surrounding areas with movements from the bottom up.
- Ointment from honey and turnips can help. Turnip should be taken in the amount of 100 grams, finely chopped and add 100 grams of flower honey, 50 ml of alcohol. Stir and lubricate the affected joint three times during the day.
- Take 120 g of garlic, 250 g of celery roots and three lemons. Grind in a blender. Stir and place in a glass jar for three liters. Pour over with boiling water and cover. Leave it overnight, insulating the jar with a blanket. Take the drug for three months to 70 grams on an empty stomach half an hour before meals.
- Apply to cabbage leaves, greased with honey. Compress the cover with polyethylene and warm with a woolen shawl. Change the leaves at night and in the morning, between the compresses washing off the remnants of honey. Do this for a month.
Gymnastics with coxarthrosis
Gymnastics is the main treatment for coxarthrosis. But the exercises must be selected very carefully, so as not to injure the joint even more. Axial load on the joint during the exercise should be excluded. It is recommended to perform the complex in the morning and in the evening.
- Lying on his back we pull the socks in turn to himself and from himself.
- Lying on your back we pull the socks for a minute. But the buttocks should be tense, and the hamstrings are pressed to the floor.
- Raise the foot by ten centimeters, pull the sock over and freeze.
- Lying on the back, press the knee of one leg to the chest.
- Lying on the back with straight slightly diluted legs, turn each leg in turn to the right and left. Then do the exercise with both feet together.
- Bend the legs in the lap in the supine position. Try to take turns to press your knees to the floor.
- Raise the legs at an angle of 90 degrees to the floor from the prone position. Breed and reduce legs.
- Lying on the back to bend a sore leg, without tearing the sole from the floor to make it rotational movements.
- Standing on all fours to raise your leg up, bend and unbend it.
- Standing on all fours throwing your leg back, like kicking.
- Lying on my stomach, lift my leg a few centimeters above the floor and hold it for a few seconds.
- Lying on the stomach to bend the leg by removing the heel of the buttocks and then unbending.
Coxarthrosis of the hip joint: symptoms, treatment, causes, diagnosisCoxarthrosis refers to a non-inflammatory disease in which degenerative-dystrophic changes occur first in the articular cartilage lining the articulating bone surfaces, later the bones themselves change. As a result of this progressively progressive course, the normal function of the joint is disrupted, which leads to the suffering of the entire musculoskeletal system. The disease develops in people of the older age group. Started in the early stages of treatment can stop the destruction of cartilage, but in its late stages to prevent complete disability can only prosthetic joint.
Causes of coxarthrosis of the hip jointDepending on the causes of the disease, arthrosis of the hip is: 1) Primary, the cause of which is unclear.2) Secondary, the causes of which are:
- diseases of the spine, which increase the load on the joint( kyphosis, scoliosis);
- congenital defect in the structure of cartilaginous tissue;
- injuries of the lower extremities( bruises, dislocations, fractures);
- arthritis( inflammation) of the hip joint;
- surgical interventions performed on the joint.
Mechanism of development of coxarthrosisThe hip joint is represented by two bones: the head of the femur, which rolls along the acetabulum( the latter is similar to a shallow pial or a pocket).Above, they are covered with a special articular cartilage. It resembles a spongy substance: it breaks down when there is no motion in the joint and is compressed during movements. When it is squeezed into the joint, a special liquid is squeezed out, which is the lubricant for the joints that are braced. In addition, the cartilage itself damages the movements perfectly, evenly distributing the load to the entire joint. With coxarthrosis, the nutrition of the cartilage itself is disturbed. It is thinned, and then disappears islets. If the process is not stopped, in places of cartilage atrophy, a bone grows, which tries to "fill" the void. As a result, bone spines develop-osteophytes. This leads to a disruption of the congruence of the articulating bones, the "erasure" of the remaining parts of the healthy cartilage.
Symptoms of coxarthrosis of the hipThe first symptoms of coxarthrosis depend on the stage of the disease, as well as the degree of hip joint damage. The main ones are:
- pain in the hip joint, which is aggravated by movement, disappears at rest;
- progressive reduction in hip movement;
- decrease in volume and weakness of the muscles of the thigh( because of this and develop severe pain in the knee).
Diagnosis of coxarthrosisPreliminary diagnosis can be made on the basis of complaints, examination of the patient, during which the tone and strength of the gluteus, thigh muscles and muscles of the shin are determined, and the volume of movements performed in the joint is measured. An accurate diagnosis can be made on the basis of the joint radiograph performed intwo projections:
- 1) At the I stage, the hyperplastic process( growth of) the bone is insignificant, the bony projections are localized in the acetabulum only on one side around its articular surface. The femur is intact. The distance between the articulating bones is slight and unevenly narrowed.
- 2) II stage: a productive process is observed on both edges of the acetabulum. Developed already, and small deformities of the head, as well as thickening of the neck of the femur. The distance between the head of the femur and the acetabulum is much less than the norm, uneven.
- 3) At the third stage, bone hyperplasia is observed already from the femoral and from the iliac component of the joint. The cervix of the femur is considerably thickened, and the articulation gap, on the contrary, is considerably narrowed.
Treatment of coxarthrosis of the hip jointKey moments of coxarthrosis therapy depend on several factors: