Methods of treatment of coxarthrosis of the hip joint
Treatment of coxarthrosis of the hip joint is a serious not only medical, but also a social problem, as this dystrophic and degenerative musculoskeletal disease often leads to the loss of working capacity of the middle and older population and, accordingly, to disability. Treatment for coxarthrosis of the hip joint depends on the stage of pathology. If at the initial stages the medicamentous and other conservative therapy is applied, in the late stages the positive effect can be observed only with the use of surgical methods.
The main goals in the treatment of coxarthrosis:
- relieve a person from pain;
- to adjust the normal supply of intraarticular cartilage and activate its recovery;
- to activate circulatory processes in the area of the patient's articulation;
- reduce the load on the affected joint and prevent further destruction of the cartilaginous tissue;
- strengthen the muscular framework of the hip joint to improve the supporting function;
- to increase the mobility of the diseased joint.
It's important to remember! To date, there are no medications and techniques that can cure osteoarthritis of the hip joint. The whole arsenal of conservative therapy allows only to stop the progression of pathological processes in the joint and relieve the patient of the pain for some time. If the function of the joint is lost, only the operation can return the possibility of active movements.
Drug treatment of coxarthrosis
In almost all cases coxarthrosis therapy is started with medical treatment, as it is a public method and does not require special efforts from the patient. Assign drugs from several groups.
Non-steroidal anti-inflammatory drugs
The main medicines( active substance):
Doctors, and the patients themselves, are very fond of prescribing NSAIDs, since these medicines literally from the first pill or injections are able to relieve unbearable pain. But we must not forget that drugs from this group, although they relieve the patient of the main symptom of arthrosis - pain, do not affect the course of the pathology itself.
The use of non-steroidal anti-inflammatory drugs in coxarthrosis should be short-term to prevent the side effects of
. In addition, there are reports that long-term use of drugs from this group contributes to the destruction of proteoglycans. These are substances that are part of the cartilaginous tissue and retain water molecules, thus contributing to the high hydrophilicity of the cartilage and maintaining its normal structure and shape. If the content of proteoglycans decreases, the cartilage dries up and begins to crack. And this phenomenon aggravates its destruction with coxarthrosis.
The administration of NSAIDs is justified during an exacerbation of the disease, when other methods of therapy are contraindicated because of the pain syndrome, for example, therapeutic gymnastics with coxarthrosis of the hip joint, massage, physiotherapy, joint traction, etc.
There are only two active substances of chondroprotective drugs: chondroitinand glucosamine. Medicines from this group can have one of these components or a combination thereof. Some manufacturers also add other active ingredients, for example, from the NSAID group, thereby enhancing their effectiveness.
The most popular representatives of chondroprotectors:
These drugs are produced in a variety of dosage forms: tablets, capsules for oral administration, solution for intramuscular and intraarticular injections, ointments and gels for topical use. This feature allows for stepwise therapy, when the treatment begins with injections, and continues to use tablets and ointments.
Dona is a popular chondroprotective drug
The mechanism of action of these drugs is as follows. Active components, chondroitin and glucosamine, are the main structural components of the hyaline cartilage that covers the head of the femur. Thus, integrating into their composition, these components help inhibit the destruction of cartilage, and if the disease is in the first stage, the chondroprotectors can even restore the destroyed tissue.
It's important to know! Chondroprotectors do not have an analgesic effect, as NSAIDs, and the effect of their use will be noticeable only after 4-6 months of regular admission.
Today there is a lot of controversy among researchers about the effectiveness of chondroprotectors, as there are not yet clinical large-scale studies in which their effectiveness has been proven. Given the need for long-term use of the drug( courses 4-6 months once a year), the lack of instantaneous effect and the high cost of such treatment, the acceptability of patients for therapy with chondroprotective agents is not very high.
Muscle relaxantsAlso you can read: Pain in the right hip joint
How to treat coxarthrosis of the hip joint without eliminating the pathological muscle spasm that accompanies almost all exacerbations of arthrosis and strengthens the pain sensations? No way. To this end, mainly used 2 drugs: midokalm and sirdalud.
These medicines well eliminate muscle spasm around the aching joint and reduce pain. But they need to be assigned adequately. The fact is that the tension of the muscular corset of the hip joint is a protective reaction of the body, therefore, by eliminating spasm and without taking any measures to unload the affected joint, for example, traction, one can only aggravate the situation. Therefore, muscle relaxants should be prescribed only in complex treatment.
Ointments, gels, creams for topical application of
It should be noted immediately that with coxarthrosis, local remedies are practically ineffective. The fact is that the acting components simply can not physically reach the necessary point of application. Skin, muscles, fatty tissue and deep jointing do not allow the ointment to penetrate to the required depth.
Intra-articular injections of
Intra-articular injections to the hip should be performed under ultrasound guidance.
Intra-articular injections with coxarthrosis are rarely used, since the articular cleft in a healthy joint is small, and in the joint affected by arthrosis, it is practically absent. In addition, there are large blood vessels and nerves nearby, which can be damaged by a needle. Therefore, the injections are performed not in the cavity of the joint, but in the periarticular region( periarticular).
Enter, as a rule, corticosteroid hormones with a pronounced pain syndrome. This is Diprospan, Kenalog, Hydrocortisone, Flosteron. Sometimes they resort to injections of chondroprotectors( Alflutop, Hondrolon, Traumeel T).
Hyaluronic acid drugs are injected directly into the joint under ultrasound control. They serve as substitutes for intra-articular fluid. Today the following drugs are popular:
Other conservative treatments for
In the early stages of coxarthrosis, conservative non-drug therapy is the main treatment. It includes the following activities:
- Therapeutic gymnastics. This is the most important treatment for coxarthrosis. No patient can improve the condition and get rid of pain without regular physical therapy. But it is necessary to correctly choose the exercises and correctly execute them. Excellent, if the gym is picked up by a specialist and will teach all the nuances of doing exercises. There are different methods of therapeutic gymnastics, for example, therapeutic exercise for Bubnovsky is very effective.
- Massage and manual therapy. They can be used only outside of exacerbation of arthrosis, when the pain is absent. It is advisable to regularly take massage courses 2-3 times a year.
- Hardware traction( hip joint traction).This unloads the joint. The traction itself lasts 15 minutes, is carried out by a course of 10-12 procedures. In a year it is recommended to spend 2 courses.
- Physiotherapeutic methods of treatment. Unfortunately, all existing techniques have little effectiveness in coxarthrosis. This is due to the deep occurrence of the joint. But despite this, many doctors prescribe physiotherapy courses, which sometimes help reduce pain.
Kinesiotherapy and therapeutic gymnastics are the most effective methods of treatment of coxarthrosis
Surgical treatment of coxarthrosis
Surgical treatment of coxarthrosis is prescribed at the last stage of the disease, when a person has pain that is not removed in any way or the function of the joint is limited. Several surgical techniques may be used:
- arthroscopic debridement is the extraction from the hip joint of pieces of broken tissue that, when floating freely in the cavity, contribute to the further destruction of the cartilaginous coating;
- periarticular osteotomy is a time-consuming operation, during which the surgeon changes the angle of the hip bone, so that the joint is unloaded, and the degenerative processes are suspended;
- hip arthroplasty - replacement of a broken joint with an artificial endoprosthesis.
In case of endoprosthetics, the damaged joint structures are replaced with an artificial prosthesis
Treatment of coxarthrosis at home usually starts with the use of various folk remedies. Consider the most effective.
Compress with cabbage leaf. It is necessary to take a large leaf of cabbage, grease it with honey and attach it to the affected joint. Top with polyethylene and a warm cloth. Keep the compress 2-3 hours. The course of treatment is 10-14 procedures.
For the next recipe, you need 250 grams of celery root, 2 lemons, 100 grams of garlic. All ingredients are twisted through a meat grinder, the mixture must be poured in 3 liters of boiling water. You need to insist 24 hours. After that, take 50 grams every morning on an empty stomach. The course of treatment is 1 month.
With coxarthrosis, a bath with topinambour infusion will help. To prepare a healing bath you will need a serving of water: topinambour infusion, pine, sea salt, 2 tablespoons of honey. Take 10-12 baths every other day.
When making conclusions, it is worth noting that, the earlier the treatment is started, the greater the chance to stop the pathological process and save the patient from pain. But, unfortunately, it often happens that only the replacement of the hip joint can restore the person the joy of movement and relieve the chronic pain.
How to cure arthrosis of the hip joint( coxarthrosis): advice to the patient
Coxarthrosis, or osteoarthrosis of the hip joint is a chronic disease in which the cartilage tissue of this joint is destroyed.
There are currently no medicines that would completely cure arthrosis, but there are various procedures and drugs that can be used to significantly stop the development of this disease and reduce pain in the joints.
Medicines that improve joint nutrition( hondroprotektory)
Treatment folk remedies
Because of the high load on the hipcharter disease progresses more, one of the most important methods of treatment of osteoarthritis 1 and 2 degrees, as well as the prevention of the disease - to minimize the burden on the affected joint. To do this, reduce the amount of time spent standing, and use any opportunity to sit. It is especially important to follow this rule during business hours, because it is at this time that most people have peak loads on their feet.
If necessary, use a walking stick for walking. If you know that during the trip somewhere you may have to stand a lot, do not be too lazy and take with you a folding highchair.
In addition, for the same purpose it is important to limit the wearing of weights. If you can not get rid of such a load, try to at least distribute the load on both hands equally, so that this load is symmetrical and not so large.
At the same time, a complete lack of stress on the joint is also not very useful. It is necessary to find the golden mean between the useful physical load and the load, when the joint is already beginning to be injured. For this purpose, it is recommended to undergo medical therapy exercises and physiotherapy exercises in parallel with medical treatment.
The effect of drugs on the course of the disease can be divided into several large groups: painkillers, chondroprotectors, muscle relaxants and others.
Medications for osteoarthritis are particularly effective at the first and second stages of the disease, when painful changes in cartilage have not gone too far.
Painkillers should be prescribed by a doctor
Drugs of this group reduce pain in the joints. These include a group of drugs called nonsteroidal anti-inflammatory drugs( NSAIDs), which include drugs such as indomethacin, paracetamol, diclofenac, etc.
Usually, drug treatment begins with the appointment of paracetamol in medium and high doses. Part of the patients, especially at the earliest stages of the disease, this is enough for the disappearance of pain.
If paracetamol does not help, indomethacin, diclofenac or aceclofenac( aeralt) is prescribed. These drugs have potent anti-pain activity, but it is important to remember that they can have an adverse effect on the gastric mucosa, causing the formation of gastritis and even ulcers of the mucosa. Therefore, these medicines can not be drunk for a long time, they should be taken at the doctor's prescription and under strict supervision, especially in people who have stomach problems in the form of a stomach ulcer or duodenal ulcer.
In addition, drugs from the NSAID group may differ in their effect on metabolic processes in the cartilage - some of it worsen, others do not, and others can improve, which increases the value of their use. To drugs that improve metabolic processes in cartilage, include indomethacin and aceclofenac.
Drugs from the group of non-steroidal anti-inflammatory drugs can be taken not only in the form of tablets: they can be applied topically, but without side effects for the whole organism. Such medicines include ointments and gels: voltaren-emulgel, diclofenac-ointment, DIP-Relief, butadione, fast-gel and others.
In cases where the use of NSAIDs and other analgesics does not help, a method of treatment such as intraarticular administration of corticosteroids( intraarticular joint blockade) can be used when injections such as Kenalog, hydrocortisone, diprospan, etc. are injected into the joint with injections. This method allows not only to reduce pain, but also to slow the development of the disease and to facilitate the treatment of deforming arthrosis of the hip joint.
Medications that improve joint nutrition( chondroprotectors)
In recent years, preparations have been synthesized that can improve cartilage nutrition in affected joints. With coxarthrosis, the destruction of the cartilage proceeds faster than their recovery, and the function of the chondroprotectors is that they bring the building elements to the joints to strengthen the cartilage, thereby "helping" the cartilage cells in their work.
Chondroprotectors include such drugs as chondroitin sulfate, diacerein or arthrodarin( this is a completely new drug for coxarthrosis therapy), hyaluronic acid, glucosamine sulfate, arthra, dona and others. The use of these chondroprotectors is one of the most important elements in the treatment of a disease without surgery. However, it is important to remember that these medications are slow-acting: for a distinct effect they need to be taken for several months, usually from 6 months to 1 year. In addition, chondroprotectors give good results of treatment only in the early stages of the disease.
In addition to medicines, a variety of physiotherapy procedures also provide a good effect in the treatment of arthrosis. These include local laser therapy on the joint area, acupuncture, therapeutic baths, mud treatment and other methods. You can learn more about them in the article physiotherapeutic treatment of arthrosis.
Surgical treatment methods
In situations where the aforementioned methods no longer help or do not help enough, surgery is shown - that is, surgical treatment of coxarthrosis.
Surgical treatment methods are effective in advanced stages of
This surgical procedure is performed only in the early stages of development of coxarthrosis. Its essence lies in the fact that the doctor with the help of an arthroscope - a special apparatus for joint operations - removes from the hip joint small fractured cartilage particles that, when floating in the synovial fluid in the joint, injure him and increase pain.
Thanks to this "cleaning" it is possible to reduce pain in the joint and reduce stiffness in it. However, this manipulation usually gives a temporary effect( which usually lasts 1-2 years) and is not carried out in the late stages of the disease.
The essence of this more complex and time-consuming operation is that the femur is filed in several places, and then reconnected in such a way that the angle of bones in the joint with respect to each other varies by several degrees. This changes the points of the main loads on the joint, as a result of which it is partially "unloaded", which reduces pain and slows the progression of coxarthrosis.
Such an operation in the treatment of this disease can give a good effect( a significant reduction in pain for a period of 5 years), but preparation for such manipulation and rehabilitation after it is quite serious: recovery after osteotomy may take 4 to 6 months.
In those cases when the progression of the disease is so great that the joint has almost ceased to work and the pain in it is no longer removed by drugs, the operation of hip replacement is indicated. Its essence lies in the fact that the affected joint is replaced by an artificial joint, made of special metal, special high-strength plastic or ceramic.
Thanks to this operation, it is possible to completely or significantly reduce joint pain. In addition, the patient is able to walk back and relatively freely perform movements in the joint, which due to arthrosis for many years was impossible.
Endoprosthetics of the hip joint - the main way to treat deforming arthrosis of the 3rd degree.
Term of life of endoprostheses is large enough and amounts to 20 and more years of service.
We offer you to watch an interesting and informative video about endoprosthetics:
Treatment with folk remedies
Medicinal treatment of the disease and observation by a doctor can be combined and using various folk methods to reduce the symptoms of this ailment. There are many centuries of decoctions, ointments, lapping and means for applying compresses that can relieve joint pain. You can find out more about these methods of treating traditional arthrosis in this article.
Remember: the earlier treatment is started, the more the doctor has the ability to stop the progression of the disease and reduce pain. Therefore, when there are painful sensations in the hip joint and other symptoms of coxarthrosis, without delaying, seek qualified help from a doctor-arthrologist!
symptoms and treatment of coxarthrosis 2 degrees hip
Coxarthrosis hip joint( abbreviated as TBS) - a disease where cartilage forming joint surfaces TBS, and then by bone - are destroyed. These changes lead to pain during movement and impairment of joint mobility, which invariably affects the quality of life.
According to the X-ray examination of patients, there are 4 stages of coxarthrosis:
First degree: signs are minor, allow to doubt the diagnosis.
Coxarthrosis of the hip joint of the 2nd degree: minimal changes are seen on the x-ray. The gap between the head of the femur and the acetabulum is slightly narrowed, there are single bony expansions( osteophytes).
The third stage is characterized by moderate changes: at this stage, osteophytes are found in large numbers, and the joint gap is greatly narrowed.
Fourth - the last stage of the disease, in which pronounced changes are visible on the radiographs: the joint gap practically disappears, gross coarse growth occurs.
Coxarthrosis is less common than arthrosis of the knee;3-5% of people over 50 years old suffer from this disease.
Treatment for coxarthrosis of the 2nd degree consists of activities that the patient can perform himself: exercise therapy, walks, medicines, physiotherapy procedures.
Further in the article, we will talk in detail about the disease: from whom it develops, which has the characteristic symptoms, how to treat the disease.
What happens with coxarthrosis of the 2nd degree
At this stage of the disease, the articular cartilage is just beginning to break down. It becomes friable, covered with cracks.
Chondrocyte cells responsible for the formation of cartilaginous tissue, when osteoarthritis, do not work at full strength, because of which, without treatment, the cartilage continues to degenerate. They also produce substances that provoke inflammation, as well as enzymes that dissolve the cartilage and break its structure even more.
To stop the process started in the body, treatment with medicines is required.
Causes of the disease
Coxarthrosis is a chronic disease that inevitably progresses without therapy.
Absence of treatment or improper treatment of the disease at stage 1 is the cause of the development of the 2nd degree of the disease.
People with overweight, farmers and football players have an increased propensity for the disease( due to occupational traumas of the TBS area during work and training).
At risk - people with excess weight, the farmers and the players
Yet it is genetics is decisive is that the person will suffer in adulthood with coxarthrosis or not. Recent studies have convincingly proved that in 80% of cases the hip joints are affected by osteoarthritis in those people who have congenital malformations of TBC( subluxation or hip dysplasia).
Characteristic Symptoms of
Classical Symptoms of Disease:
- pain in hip joint when moving;
- stiffness in the joint after waking for 5-30 minutes;
- decrease in the volume of possible movements in TBS.
- it is difficult for the patient to lean on the leg from the side of the lesion: the limb is unstable or pain is aggravated;
- when moving, a crunch may appear.
Also with coxarthrosis of the hip joint of the 2nd degree symptoms may be absent altogether.
Treatment of coxarthrosis of 2nd degree
The main method of treatment of deforming coxarthrosis of the 2nd degree is medicines.
reduces pain and inflammation,
restores the destroyed cartilage.
1. Medications against pain and inflammation
It is usually pain that leads patients with coxarthrosis coarse 2 degrees to admission to an orthopedist or rheumatologist. As a means of quick help, a rheumatologist usually prescribes a medicine for one of the following 4 groups:
Non-steroidal anti-inflammatory drugs( NSAIDs) of indiscriminate action
These are diclofenac, indomethacin, ibuprofen. These drugs are good for pain and inflammation, but they are not recommended for a long time, because they all cause bleeding in the digestive tract.
This group produces drugs in tablets, as well as gels and ointments for external use. If the pain is mild, and the radiograph shows changes that are characteristic of grade 2 disease - the use of even local medications can relieve pain and restore good health.
NSAIDs are available in the form of tablets, injectable solutions and ointments
Everyone knows the drug helps not only at temperature, but also with joint damage. With coxarthrosis of the 2nd degree, when the pains are usually not too pronounced, it is paracetamol that can become a "means of choice", because it is safe enough for long-term admission, it gives a good analgesic effect, but is inexpensive. Feedback on the treatment of paracetamol in coxarthrosis of 2 degrees indicate that in most cases, stronger drugs are not required for patients.
Selective Action NSDs
If paracetamol does not manage to attenuate the symptoms of the disease, the drugs of this group are used: nimesulide, celecoxib, rofecoxib, etorikoksib. They powerfully anesthetize and suppress inflammation and have almost no effect on the work of the stomach and intestines.
Narcotic pain relievers
Very strong analgesics of the narcotic series, such as tramadol, are used in coxarthrosis of the hip joint of the 2nd degree very rarely. Usually the indications for this are a very low pain threshold of the patient with simultaneous development of an exacerbation of the disease, which manifests itself as the most severe pain.
2. Chondroprotectors for the restoration of cartilage
To stop the destruction of cartilage and restore it, chondroprotectors are used: preparations of chondroitin( chondroitin sulfate) and glucosamine.
Both these and other agents have proven effectiveness: with prolonged long-term admission they reliably improve the condition of the hip joints in hip coxarthrosis 2 and even 3 degrees.
Chondroitin sulfate is produced under the trade name "Structum", a combined remedy of the two listed preparations - called "Teraflex".
Chondroprotectors are safe for health, practically have no contraindications, therefore they are used for years, including elderly people with serious concomitant diseases.
If glucosamine and chondroitin sulfate do not give their positive effects in the form of pain and cartilage repair, in addition to them, the doctor can prescribe avocado and soya preparations that also act as chondroprotectors, protecting and restoring cartilage of TBS.
It is possible to help yourself in the second stage of the disease by performing an uncomplicated complex of exercises of physiotherapy exercises without a static load on the joints. Suitable, for example, exercises such as "bicycle" in the supine position. Beneficial to the condition of the hip joint affects swimming in the pool, walking and skiing.
From physio procedures, pain can be warm or cold warmer, ultrasound effect on joints, acupuncture.
Coxarthrosis of the 2nd degree is a disease that requires attentive treatment. To treat coxarthrosis of the hip joint at home is quite possible: it is enough to get a one-time consultation of a rheumatologist and follow the recommendations developed by him. Control examinations every 6 to 12 months will help control the disease and correct treatment tactics in time( if necessary).
With a serious approach to the disease on the part of the patient itself, very good results can be achieved, until the pain in the pelvic region disappears completely and the joints return to good mobility.
Author: Elena Delver
Coxarthrosis of the hip joint: treatment with folk remedies
There are three degrees of coxarthrosis.
In no case do not start treatment until the doctor determines the degree of the disease!
First degree. Characterized by pain in the hip joint. Pains, pulling, arise in response to physical exertion. There are small changes in the structure of cartilaginous tissues. Limitations in mobility - no more than 10%.
Second degree. Pains in the hip joint area increase, appear with any activity, begin to be given to the groin, knee and thigh. The muscles in the region of the hip joint strain, the tension becomes constant. There are night pains. When walking, there is lameness. The limitation of mobility reaches 20%.
Third degree. Pains become permanent. The functioning of the joint is completely broken. Because of the permanent tension of the muscles, their shortening occurs, leading to a shortening of the leg. About 10% of cases occur on the contrary - the leg is lengthened. Then they say about atypical coxarthrosis. Dystrophy of the muscles of the buttock and femoral regions is observed. Dystrophy of the femoral muscles can cause severe pain in the knee area at the attachment sites of the ligaments. The patient can no longer move without a cane or crutches.
- Clinical examination, examination of the patient's symptoms and complaints;
- radiograph of the affected joint.
Treatment of coxarthrosis
Treatment of coxarthrosis of the hip joint is always complex and depends on the degree of the disease. The main tasks in the treatment are the removal of pain and inflammation, improvement of blood circulation and maximum recovery of joint mobility.
. Medication. Non-steroidal anti-inflammatory drugs, analgesics, hormones. They relieve acute pain and inflammation, but do not eliminate the cause of the disease. Allow to begin therapy, which was not available because of the pain syndrome. It can not be used for a long time: analgesics cause side reactions, and the removal of pain promotes the appearance of a cure in the patient. Disease thus progresses and there is a risk of occurrence of coxarthrosis of the third degree.
Chondroprotectors. Especially effective for treating the first degree of the disease, when the joint is not yet very damaged. It is conducted by courses, usually several courses are required. Chondroprotective treatment takes a lot of time.
Muscle relaxants. Relieve muscle spasm. Apply with caution. Muscle tension is a protective reaction of the body. If you remove muscle spasm, but not reduce the strain on the joint, you can aggravate the situation and accelerate the development of the disease.
Vasodilator drugs. Promotes restoration of blood flow around the joint, removal of spasm of blood vessels, eliminates night pains, accelerates the regeneration of joint tissues.
Physiotherapy - electrophoresis, cryotherapy, laser therapy.
Hardware extension of the joint. Course treatment is performed by special equipment. Reduces the load on the surface of the joint.
Postisometric relaxation. The patient relaxes muscle groups, the doctor at this point performs their stretching. Course treatment.
Physiotherapy is an important addition to medical treatment!
Intraarticular injections. Injections of the drug are carried out directly into the articular cavity, through the groin. This method is rarely used. There is a risk of miss, touch blood vessels or nerve trunks. More often the medicine is injected into the periarticular region, and not through the groin, but into the thigh.
Therapeutic physical training. plays an important role in the treatment of any stage of coxarthrosis. The complex of exercises is selected individually. Exercises are performed three to five times a day, before meals, the duration gradually increases from 3-5 to 10 minutes. Surgical treatment of coxarthrosis. It is shown at the second-third degree of the disease. When the joint tissues are irreversibly destroyed, endoprosthetics is the only way to improve the patient's quality of life.
Folk remedies for coxarthrosis of the hip joint
Treatment of coxarthrosis with the help of folk remedies can be a good addition to drug therapy. In folk medicine coxarthrosis treat with cabbage leaf, lemon, garlic, honey.
Lemon-honey infusion. Three liters of boiling water are ground three lemons together with zest. In the cooled infusion add three tablespoons of honey. Eat half a cup three times a day for a month.
Home chondroprotector. Kilogram of beef front knees for 3-4 hours to cook as a cold in 2 liters of water. Take daily 200 g before meals.
Honey lapping. Take one part of glycerin, honey, iodine and alcohol. To stir thoroughly. Insist 2-3 hours. Soak the fleece in the infusion and rub the joint with the movements from the bottom up. Lapping helps improve blood circulation.
Manual therapists use two types of joint effects for the treatment of coxarthrosis: mobilization and manipulation.
Manipulation - one short sharp movement of the doctor. If carried out in a timely and qualitative way, the patient has a noticeable improvement in the condition. The pain is reduced, mobility is restored.
Mobilization - neat traction of the joint, helps reduce the load on the cartilage. This systematic treatment requires up to four courses per year, for three to four treatment sessions. That is, in a year the patient should undergo 12-15 sessions of exposure. Contraindications: arthritis, fresh injuries, oncological joint damage, fragility of bones.
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Coxarthrosis of the hip joint: treatment, diet, drugs, prevention
Since 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;
- jelly and steep meat broths.
In the presence of disease coxarthrosis of the hip joint, the 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 elimination, 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 more 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.
- TDS endoprosthetics - the most difficult 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 abnormal 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 joint load, 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 third degree hip joint 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 of 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 considered to be a circulatory disorder 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 illness include:
- 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;
- metabolic disorders;
- 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 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 entire joint structure is disrupted. 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 to eradicate 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 medications?
Treatment with medical products is better combined with the 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 with your local therapist.
Coxarthrosis has been treated with therapeutic massage by far 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 with Coxarthrosis 2 degrees
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:
- dairy 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 area of the compress must 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.