The best exercises for arthrosis of the hip joint, the rules of exercise therapy
According to the sad statistics from coxarthrosis( arthrosis of the hip joint), 3 to 16% of the world's population suffers. This is a severe degenerative-dystrophic pathology of the musculoskeletal system, which is characterized by a progressive course. The obligatory component of therapy is therapeutic gymnastics - the most simple and natural method of getting rid of joint diseases. However, like any other method of treatment, it must be performed under the supervision of a doctor, since incorrectly selected exercises( and their incorrect execution) can only exacerbate the development of the disease.
Tasks and features of the exercise therapy
All medical measures for patients suffering from coxarthrosis are aimed at reducing pain syndrome, strengthening ligaments and muscles, slowing down the destruction of articular cartilage.
Regularity is the most important condition of exercise therapy.
In the process of treatment dynamic( movable) and isometric( static) exercises are used, in which muscles strain without movement of the body itself. In this case, the amplitude of movements in the hip joint should be within the limits of the remaining mobility( before the onset of pain).In numerous studies, it has been shown that even with gross pathological changes in the joints in patients with a well-trained muscular system, compensatory( adaptive) mechanisms are developed *.But for their formation, long systematic training is needed.
* Compensatory mechanisms - reflex reactions aimed at eliminating or weakening the functional shifts in the body caused by the environment, diseases, etc.
A patient suffering from arthrosis of the hip joint( TBC) is recommended such exercises of exercise therapy that strengthen the ligaments and muscles, but do not force the joint to flex and flex flexibly.
Rules for performing gymnastics
- For arthrosis of TBS, the motor activity recommended to the patient should not adversely affect the articular cartilage. Gymnastics should be performed daily, that is, turning this need into a useful habit that will help provide the hip joint with good blood supply and mobility.
- Therapeutic gymnastics for arthrosis provides for the choice of such an initial position, which does not increase the load on the joint. During the sessions, the increase in the load should occur due to an increase in the number of repetitions and the total number of exercises.
- Many patients are recommended dosage weights. For this, a special cuff or rubber tourniquet, fixed on the ankle, is used. Each exercise with burdening should be performed slowly, without expanding the amplitude of movements.
- Breathing during training should be arbitrary.
- Any exercise is completed by raising your arms up( inhaling) and lowering( exhaling).
Recommendation. It is desirable to combine gymnastics with self-massage of the muscles of the thigh and gluteus muscles. To do this, you can use special massagers available in free sale.
The best exercises for arthrosis of the hip joint
1. IP( initial position) - lying on the floor, on the stomach. Hands along the trunk, legs straight. Perform slow lifts with a straight leg 15 degrees from the floor, holding it in this position for 30-40 seconds. Then the legs are changed. This exercise is allowed to be performed only once with each leg( per workout).All movements are due to the effort of the thigh and gluteal muscles.
Then the same movement is performed in a dynamic version: the knees straightened at the knee slowly and smoothly alternately lift up, and hold for 1-2 seconds at the top point. During the whole exercise exercise should be performed 10-12 lifts.
2. IP - lying on the stomach, hands along the trunk. The right leg is bent at the right angle in the knee, the left leg is straight. The exercise is the same as the previous one. In the static version - once with each leg, in a dynamic one - 10-12 times. Then the legs are changed.
3. IP - lying on his stomach, on the floor. Legs are straightened, hands are stretched along the trunk. Very slowly, straight legs raise up to an angle of 15 ° from the floor, keep them on weight, and then smoothly bred and brought together( 8-10 times).
This exercise is not recommended for patients with high blood pressure, as well as people after 40 years of age.
4. IP - lying on the right side with a right leg bent in the knee, the left straight. For about 30 seconds, the left leg should be held on weight( 45 °), and then, after a short rest, roll over to the right side and perform the same motion with the right foot.
5. IP - sitting on the floor, legs straightened. Without bending your knees, you need to lean forward and try to clasp your hands with your feet or toes. Pulling the body forward, it is necessary to stay in this position for a couple of minutes. Do not perform more than once a day.
If this exercise is performed regularly for several months - the muscles of the back and hips will stretch, and the angle of inclination will be doubled. As a result, the blood supply to the legs will improve, the muscle spasm in the thigh and lower back will disappear.
In physiotherapy, many similar exercises are used to treat arthrosis of TBS, but all of them should be assigned individually by the LFK instructor. This takes into account the stage of the pathological process, as well as the individual characteristics of the patient.
What exercises are prohibited?
All movements causing severe pain to the patient are categorically contraindicated( by the way, pain can also occur if the exercises are not properly performed).
When arthrosis of the hip joint is prohibited:
- "twist the bike",
- walk a lot,
- perform active flexion and extension of the hip joint,
- to jerk or apply effort to the aching joint.
Contra-indications for exercises LFK
- Arterial hypertension.
- Severe cardiovascular pathologies and blood diseases.
- Herniation of the white line of the abdomen and inguinal hernia.
- Acute forms of diseases of internal organs.
- Elevated body temperature.
- Critical days for women.
- The rehabilitation period after cavitary operations.
- Period of exacerbation of arthrosis of the hip joint.
In order to restore the movements to their former ease - will and will be required. However, before you start, you need to consult with your doctor and find out if you have any contraindications for exercising. And, most importantly - very carefully familiarize yourself with the rules of performance and the features of the recommended complex of gymnastics.
Than to treat arthrosis of the hip joint
Pains for arthrosis of the hip joint
The main symptoms of arthrosis of the hip joint
The main "bell" for any disease is painful sensations - aching or acute, depending on the stage of the disease.
The first stage of arthrosis involves pain in the groin area with joint overload. This can be a sporting activity or just a long walk. As a rule, the pain is abrupt, but it subside in the state of rest of the joint, does not bother often. If the pain is also in the night, they are noisy, they do not allow the thigh to move freely, spread to the lower back or the entire leg, when the joint is heard, a crunch is heard, this is the second stage of the disease.
In the most severe, the third stage, not only pains are observed, but also shortening of the length of the affected leg, there is no possibility to move freely, or a person can not do without a wheelchair at all. Also, the appearance of swelling in the joints should be alerted.
Causes of the disease, risk zone
Arthrosis of the joints is not inherited. However, a child may inherit from parents a lack of development of cartilaginous tissue, an abnormal structure of the skeleton, etc., which can subsequently lead to the disease. As a rule, nothing appears on a flat surface, therefore, for the occurrence of such a serious ailment there must be reasons:
Congenital anomaly - dislocation of the hip
- congenital anomalies: dysplasia, hip dislocation;
- lack of sufficient blood flow to the hip joint, in other words, Perthes' disease;
- all possible hip injuries;
- infectious, inflammatory processes in the body;
- problems of the hormonal plan;
- intensive physical activity;
- is overweight;
- old age;
- finding a long time in a stressful state.
From the listed reasons it is possible to draw a conclusion, that in a zone of risk of development of disease of hip joints, are people with congenital anomalies. But if in time to diagnose the same dysplasia, to conduct treatment, the risks are significantly reduced. Women in the period of menopause can also become a victim of this ailment. The reason is that the body is experiencing a period of hormonal imbalance and metabolic disturbances. For the same reason, men in old age fall into the risk zone.
As for athletes who subject joints to excessive loads, there may be an erasure of cartilage, which leads to osteoporosis. The same problem also occurs in people who are overweight, only the weight of the body, rather than physical exercises, has a load on the joints.
The most unexpected reason is the consequences of a stressful situation for the functioning of joints. But this is quite understandable: because of the narrowing of the capillaries, the blood supply is disrupted, in addition, hyaluronic acid, which is the main constituent of the fluid in the joint, is secreted in the lack. The same problems are caused by the abuse of alcoholic beverages.
Anatomical excursion of
Of course, the patient does not need to know what his aching joint looks like, the main thing is that the doctor can recognize the disease and its stage in his form. But on the other hand, it is better to know the enemy "in person", so let's return to anatomy and consider the structure of the hip joint.
Structure and type of healthy hip joint and
affected with arthrosis As can be seen in the figure, the main components are:
- its spherical head;
- articular hyaline cartilage;
- fibrous capsule;
- synovial articular fluid.
For comparison, the appearance of a joint affected by coxarthrosis, where the destruction of articular cartilage can be observed. This can cause degenerative processes in other parts of the joint. For example, the erasure of the cartilage, can lead to the defeat of the iliac bone, which provides it with nutrition, the bone deforms. Because arthrosis is often called osteoarthritis, i.e.arthrosis of bones.
First of all, if you have the above symptoms, you should consult an orthopedist. The doctor will ask in detail about the presence of hereditary and chronic diseases, possible injuries, the duration of pain and their character. Before you make a diagnosis, you need to take an X-ray.
X-ray image with arthrosis of the hip joint
In the presented image, narrowing of the joint gap is clearly observed, on the basis of which it can be asserted that this is arthrosis. Further it is necessary to pass or take place some more inspections: US, the clinical analysis of a blood, and also biochemical, MRT.Arthroscopy may also be required - the introduction of an arthroscope into the joint by surgical intervention.
Than to treat arthrosis of the hip joint the doctor will solve on the basis of the received results of analyzes and diagnostics. As a rule, it consists of a complex of medicines, therapeutic massage and gymnastics, manual therapy, in severe cases - only through surgery. Also, in the presence of concomitant diseases of an inflammatory and infectious nature, their parallel elimination is necessary. For people with overweight, the doctor will advise to adhere to the proper nutrition system to relieve the joint.
Proper nutrition will help to lose excess weight
The first thing in the treatment are prescribed drugs aimed at eliminating pain in the joints. Often these are non-steroidal anti-inflammatory drugs, including diclofenac, butadione and the like. It should be remembered that these drugs only reduce pain, but do not treat the very cause of their occurrence. In addition, there is an impressive list of contraindications for use. Therefore, selective anti-inflammatory drugs are popular in the treatment of arthrosis.
The next item on the list of drugs is the hondoprotectors. They contain chondroitin sulfate and glucosamine, which promote the restoration of cartilaginous tissue, and improve the production of cartilaginous fluid. The effect of drugs is not one-time, but after passing several courses of medication. The most effective they are at the first stage of development of arthrosis, while the third is to restore the cartilage can only be an operative way.
Also in the complex of medications often include muscle relaxants. These drugs are aimed at reducing muscle tone, which often accompanies arthrosis. However, such drugs should not be taken separately from chondoprotectors and manual therapy, since muscle relaxation can lead to a rapid destruction of the cartilage. This is due to the fact that the clamped muscles support the head of the hip joint, but at the same time hinder the necessary flow of blood.
To improve blood circulation and develop endorphins, warming ointments according to the type of menovazine are prescribed. Those.the ointment itself is not a panacea for arthrosis, but in combination with other drugs it helps to cope with the disease. Traditional medicine suggests replacing the ointment with tinctures from medicinal herbs - dandelion, burdock.
With rare exceptions, injections of corticosteroid hormones can be administered directly to the joint, but more often they are administered to the periarticular region. This is due to the fact that arthrosis joint articulation significantly narrows and the probability of an exact hit in it is minimal. Although such injections are very effective in the removal of severe pain.
As mentioned earlier, drug treatment should be carried out together with manual therapy. Such methods are used - mobilization and manipulation. When the doctor mobilizes, the procedure of mild traction of the joint is performed, which helps to eliminate spasm of muscles and partial restoration of joint motion. Such procedures should be conducted during the year by courses. Manipulation is a one-time sharp release of the joint, the most effective at the initial stage of arthrosis.
The patient immediately feels relieved and reduced pain. It is necessary to combine manual therapy with a therapeutic massage. As in the case of applying warming ointments, massage is unable to solve the problem on its own, but it is a good helper. With the right thigh massage, blood circulation improves, the joint receives useful substances to the cartilage.
It is worth paying attention to contraindications to massage: blood and vessel diseases, inflammatory processes in the joint, skin disease at the massage site, critical days for women and a tendency to bleeding. They will have the same beneficial effect on blood circulation and leeches, the treatment of which also applies only in the absence of contraindications.
An important point in the treatment of arthrosis is therapeutic gymnastics.
Medical gymnastics for arthrosis of the hip joints
All the efforts of doctors to restore the joint will be insufficient if the patient does not perform a set of sports exercises to restore the motor function of the joint, strengthen the muscles and ligaments. You should not do mindlessly all the known exercises, many of them can harm the process of recovery.
Long walking and running, squats and other exercises that are aimed at active extension and flexion of the joint, especially through pain, are prohibited. You can only use a competently matched doctor or coach complex. The main nuance of all exercises is the amplitude of their implementation. It should not exceed the position at which pain occurs, on the contrary, it does not reach this state a little.
Video - Than to treat arthrosis of the hip joint
Hip joint arthrosis: treatment, symptoms |ABD of health
Hip joint osteoarthritis is a progressive degenerative degenerative disease. Most often it develops in the elderly, when there are provoking factors - infectious, non-inflammatory joint diseases, traumas, genetic disposition, curvature of the spine.
Coxarthrosis is another name for arthrosis of the hip joint, the treatment of which is very complicated, long, first conservative, then surgical. The main symptom of the disease is pain, restriction of motion, in the later stages, the limb is shortened, the atrophy of the femoral muscles.
Causes of arthrosis of the hip joint
The disease itself is not inherited, but such development-provoking peculiarities as the weakness of cartilage tissues, various metabolic disorders, genetic features of the structure of the skeleton can be transmitted from parents to children. Therefore, the risk of joint arthrosis in the presence of this disease in the next of kin, is increasing.
However, the main causes of arthrosis of the hip joint are associated with its development of the disease:
- Perthes disease - violation of the blood supply and nutrition of the head of the femur and the joint as a whole, develops in childhood, more often in boys
- Congenital dislocation of the hip, hip dysplasia
- Trauma - cervical fracturehips, dislocations, pelvic fracture
- Necrosis of femoral head
- Inflammatory, infectious processes - rheumatoid arthritis, purulent arthritis, tuberculosis of the hip( read the causes of pain in the hip joint)
Because the disease develops slowly, it can be either unilateral or bilateral. Factors that contribute to the occurrence of arthrosis:
- The presence of concomitant diseases of the spine - scoliosis, kyphosis, osteochondrosis, etc., flat feet, arthrosis of the knee joint( see symptoms of arthrosis of the knee joint).
- Hormonal changes in the body, circulatory disorders
- Excessive strain on the joints - sports, heavy physical labor, overweight
- Sedentary lifestyle in combination with obesity
- Age - elderly and old age the risk of developing arthrosis increases significantly
The main diagnostic methods are MRI andCT, radiography. MRI data give a more accurate picture of the state of soft tissue, and CT scan of bone tissue, also takes into account the clinical signs and symptoms of arthrosis of the hip joint. It is very important to establish not only the presence of pathology, but also the degree of arthrosis, and the reasons for its occurrence.
For example, if the pictures are related to the proximal femur, then this is a consequence of Perthes' disease, if the neck-diaphyseal angle increases and the flattening of the acetabulum is noticeably, it is hip dysplasia. You can also learn about injuries from X-ray photographs.
In recent years, the situation with tuberculosis in the country is epidemic, and the number of extrapulmonary manifestations, in particular bone tuberculosis of the hip joint, is also increasing. Diagnosis of this insidious disease is very difficult and sometimes the onset of the disease has an erased character, manifested as other diseases of the musculoskeletal system. It is generally believed that the symptoms and manifestations of joint tuberculosis are always rapidly progressing, rapid, but cases where the tuberculosis process lasts for years are not uncommon, and first the diagnostic signs for CT and MRI are not always identified as signs of tuberculosis, but are visible in pictures already in advanced cases, severestages of joint destruction.
The situation in the country is clouded by the fact that narrow specialists specializing in extrapulmonary manifestation of tuberculosis are not enough, and radiography does not always give a 100% exclusion of the tubercular nature of the inflammatory process and a person can suffer for years and be treated not for that disease, because tuberculosis requires a different, specifictreatment and the sooner, the better.
For bone tuberculosis, the joint needs complete rest, categorically it is impossible to use warming procedures, warming creams, no physiotherapy procedures, as well as gymnastics and massage, manual therapy( with spinal injury) are strictly contraindicated. Therefore, in case of arthrosis, the treatment with these therapeutic agents suddenly gives a sharp deterioration, inflammatory changes in the blood test( leukocytosis, increased ESR), progression of the joint destruction process - a revision of the diagnosis in favor of the tuberculosis process is required, even in the absence of radiological confirmation of tuberculosis.
Symptoms 1 2 3 degrees of arthrosis of the hip joint
The main symptoms of arthrosis of the hip joints are as follows:
- The most important and permanent is the strong, permanent pain in the groin, in the thigh, at the knee joint, sometimes irradiating pain in the leg, in the groin area
- Stiffness of the movements, limitation of joint mobility
- Restriction of abduction of the affected leg towards
- In severe cases, lameness, gait disturbance, leg shortening, atrophy of the femoral muscles
1 degree of hip arthrosistava:
At this stage of the disease a person experiences pain only when and after physical exertion, from a long run or walking, while the joint itself hurts, very rarely the pain is given to the thigh or knee. Also, the gait in a person is normal, the lameness is not observed, the muscles of the thigh are not atrophied. In the diagnosis, bone growths are observed on the images, which are located around the inner and outer margins of the acetabulum; there are no other abnormalities in the neck and head of the femur.
2nd degree of arthrosis:
In case of arthrosis of the 2nd degree of the hip joint, the symptoms become significant and the pains are already becoming more permanent and intense, both at rest and during movement, are given to both the groin and the thigh, when the patient is already limping. Also there is a restriction of hip withdrawal, the volume of thigh movements is reduced. In the pictures, the narrowing of the slit becomes half the normal, the bone growths are found both on the outer and inner edges, the head of the hip bone begins to grow, deform and move upward, its edges become uneven.
3 degree of arthrosis of the hip joint:
At this stage of the disease, the pains are painfully permanent, and it becomes difficult for the patient to move independently day and night, so the cane or crutches are used, the volume of the joint movement is severely limited, the muscles of the lower leg, thighs and buttocks atrophy. There is a shortening of the leg and the person is forced to tilt the body when walking towards the sore leg. From the displacement of the center of gravity, the load on the damaged joint increases. X-ray images show multiple bone enlargement, the femoral head widens and the articular fissure significantly narrows.
How to treat arthrosis of the hip joint?
To avoid surgical intervention, it is very important to establish the correct diagnosis in due time, to differentiate arthrosis from other diseases of the musculoskeletal system - tuberculosis of the hip joint, reactive arthritis, perforating bursitis, etc. At 1 and 2 degrees of arthrosis, treatment should be performed in a complex, conservative,, with the help of manual therapy, therapeutic massage, medical gymnastics, but only under the supervision of a qualified orthopedist. Combination of all medical measures should solve several problems:
For this, today there is a huge selection of various NSAIDs - non-steroidal anti-inflammatory drugs, which, although they relieve pain, but do not affect the development of the disease, they can not stop the process of destruction of cartilage tissue. They have a number of serious side effects, long-term administration of which is also unacceptable and because these drugs affect the synthesis of proteoglycans, contributing to the dehydration of the cartilaginous tissue, which only aggravates the condition. Of course, it is unacceptable to endure the pain, but it is necessary to use anesthetics with caution, under the supervision of a doctor, only during periods of exacerbation of the disease.
The following are referred to as NSAIDs: Celebrex, Arkoxia, Texamen, Nyz, Nimulid, Nimika, Nalgezin, Movalis, Meloxicam Arthrosan, Ketanov, Ketorolac, Ketarol, Arthrosylen, Ketonal, Bystrumcaps, Flexen, Burana, Ibuprofen, Faspik, Nurofen, Voltaren, Diclofenac, Orthofen, Diklak.(see full list, side effects and contra-indications of all NSAIDs in our article, injections of back pain).
Such local remedies for the treatment of deforming arthrosis, like warming ointments, are not a drug of pronounced therapeutic effect, but they reduce pain, acting as distractions and partially relieve muscle spasm, such funds include: Gevkamen, Espol, Menovazine, Nikoflex-cream.
Provide better nutrition for cartilage tissue and activate blood circulation
Chondroprotectors such as glucosamine and chondroitin sulfate are important drugs that can improve the condition of cartilage tissue, but only in the early stages of the disease. A full description of these drugs in tablets, injections, creams, with average prices and treatment rates in the article arthrosis of the knee joint. To improve blood circulation, reduce the spasm of small vessels, we usually recommend vasodilating drugs - Stugeron( 100 rubles), Cinnarizine( 20 rubles), Agapurin( 150-200 rubles), Trental( 160-1000 rub), Vasonide Retard( 300 rubles), Pentoxifylline60 rubles), Xanthinal nicotinate( 170-200 rubles).
Only by strict indications can be prescribed muscle relaxants - a means to help relax muscles, such as Tizanidin - Sirdalud, Tizalud, Tizanil, and Tolperizon - Midokalm. Their use can have positive effects, and negative, muscle relaxation on the one hand reduces pain, improves blood circulation, but on the other hand, spasm and muscle tension - is a defensive reaction of the body and removing it can only accelerate the destruction of joint tissues.
Intra-articular injections of
These procedures should be carried out with extreme caution, especially with the use of hormonal agents - Kenolog, Metipred, Hydrocartisone. Hormonal drugs relieve pain and inflammation, but have a pronounced immunosuppressive effect, require short courses with a gradual cancellation and their use is not always justified. It is more appropriate to inject chondroprotectors into the thigh - Objective T, Hondrolon, Alflutop for 5-15 procedures 2-3 times a year. Also shown are intraarticular injections of hyaluronic acid - Ostenil, Fermatron, Synvisc, Hyastat, this is an artificial lubricant for joints.
The opinion of doctors on the effectiveness of these procedures is divided into supporters and opponents, some consider their conduct justified, others are pointless. Perhaps laser therapy, magnetolaser therapy and it makes sense for arthrosis of the hip joint, the rest of the procedure, many doctors do not find it necessary to treat this disease, since the hip joint is a deep joint and many such procedures simply can not reach the goal and are a waste of time, effort andpossibly means for the patient.
Professional massage, hip traction( manual traction), manual therapy, physiotherapy
All these therapeutic measures are very useful in complex therapy of the disease, they help strengthen the muscles surrounding the joint, increase its mobility and, when combined correctly with medication, can increasethe distance from the head to the cavity and the decrease in pressure on the head of the femur. This is especially true for curative physical education, without its competent selection and regular performance outside of exacerbations, it is impossible to achieve a real improvement in the patient's condition.
If the patient is overweight, then, of course, the diet can help reduce the burden on the affected joint, but it has no independent therapeutic effect. Also, doctors recommend using canes or crutches, depending on the degree of disruption of the joint function.
With arthrosis of the 3rd degree, doctors always insist on surgery, because the destroyed joint can be restored only by replacing it with an endoprosthesis. According to the indications, a bipolar prosthesis is used, which replaces both the head and the cavity, or the single pole, which changes only the femoral head without the acetabulum.
Such operations for today are made quite often, only after careful examination, in a planned manner under general anesthesia. They provide a full recovery of the hip function with the competent and thorough execution of all postoperative activities - antimicrobial antibiotic therapy and rehabilitation period for about six months. Such prostheses for the hip joint serve up to 20 years, after which it is required to replace them.
how to treat a tazabedronoy joint
Arthrosis of the hip joint usually affects only one joint. Pain in the groin and buttock, passing down the front or side of the thigh - these are the first symptoms of arthrosis of the hip joint.
Usually arthrosis develops after 40 years in the same way as in men, and in women. Pain in arthrosis is similar to pain in intervertebral hernias. The only difference is that the pain in hernia can "fall" on the leg below the knee, up to the foot. With the initial arthrosis of the hip joint, the pain can be insignificant, accompanied by a slight lameness, clicks in the joint. This is the danger - the patient does not consult a doctor, thinking that the pain itself will pass, but meanwhile the disease progresses. Gradually, with the progression of the disease, pain can be added to the limb of foot mobility - it will be difficult to make a wide step, to spread your legs apart. In this case, the disease starts and, in consequence, there will be a need for long-term and expensive treatment.
In this article I want to tell you about methods of treating arthrosis that are parallel with traditional medicine. Very good effect has phytotherapy. Those people who live in private homes, for sure, know such grass as the common hive - it grows in large numbers in the kitchen gardens. It is useful to make tea from it. Just add a handful of this herb to the teapot, there will be no harm from it, and the benefit is very large.
It is also useful to combine it with dandruff with a three-color violet grass, brew it like tea or take it in the form of infusion.
With fresh burdock leaves, wrap the sick joints at night. Burdock root can be used in the form of infusion or powder. Good powder helps in a mixture with honey 1: 1, but the burdock root in fresh form or juice from it has the greatest efficiency.
With deforming arthrosis
Take dry powder from bark of aspen or willow for 0.5 h 3 times a day, washing with warm water.
Take a mixture of honey and powder from the roots of burdock in a ratio of 1: 1 to 1 tbsp 3-5 times a day.
Insist 7 days in one glass of vodka, one glass of chopped burdock root. Take 1 tbsp 3 times a day.
Take 2 tbsp mixture of herbs of violets of three-color and knit and pour them with two cups of boiling water. Insist 1-2 hours, take everything in a day in three steps.
In a glass of water, boil 1 tbsp of crushed cherry seed and its stem within 20 minutes. Drink 3 tablespoons 3 times a day.
Pour boiling water on the lemon balm in a ratio of 1:10.Drink 1 tbsp 3 - 4 times a day.
What kind of injection will help with arthrosis of the hip joint?
1. Non-steroidal anti-inflammatory drugs( indomethocin, piroxicam, ketoprofen, brufen, diclofenac, etc.) are shown during the period of "reactive inflammation of the joints".
Pros: Very good pain in joints due to strong anti-inflammatory effect, relieve edema and inflammation.
Cons: With prolonged use, the drugs in this group suppress the natural ability of articular cartilage to repair, and side effects often adversely affect various internal organs.
The output was found. Especially for long-term use, the anti-inflammatory drug mohvalis was developed. Its effect is "softer", and it gives fewer side effects with prolonged use. Many doctors recommend using just movalis when it comes to prolonged exposure to an inflamed joint for pain relief.
Important: It is not recommended to use several different anti-inflammatory drugs at once. If the drug used does not relieve the pain, then either increase the dose or replace the drug with another.
2. Vasodilators( theonikol, trental, nikoshpan, tsinaresin, etc.) relax the smooth muscles of the vessels, expand their lumen. With coxarthrosis, treatment with these drugs produces tangible results.
Pros: Very useful drugs to treat coxarthrosis. When used correctly, they have very few contraindications. They promote the speedy restoration of the joint due to the improvement of the joint blood supply, improve the delivery of "building materials" to the joint, and relieve the spasm of small vessels. As well as vasodilator drugs eliminate night "vascular" pain.
Cons: The effectiveness depends on the individual tolerability of the drugs. Before use, consult a doctor.
Important: Before use, check individual drug tolerance. The first three days take this drug one tablet, and only with good efficiency and no side effects go to the recommended course of admission.
3. Muscle relaxation medications - myorelaxates( midokalm, sirdalud).In coxarthrosis of the hip joint, treatment with myorelaxates should be done with caution.
Pros: Good help to remove painful muscle spasm with coxarthrosis, improve blood supply to the joint.
Cons: Can affect the nervous system - cause dizziness, intoxication and inhibition of consciousness.
4. Preparations for the restoration of cartilage - chondroprotectors( glucosamine, rumalon, don, structum, chondraitin sulfate, arteparone)
Pros: The most useful drugs in the treatment of deforming arthrosis of the hip joint. Improve the restoration of the structure of the cartilage, feed it with the necessary elements. Regular use of chondroprotectors can stop the development of coxarthrosis. You will not notice a positive effect right away, but it will be more noticeable in the future. Restoration of cartilage will continue after the drug is discontinued.
Cons: Almost has no contraindications. Exceptions are: pregnancy, individual intolerance and inflammation of the joints.
5. Hormonal steroid preparations - intraarticular injections( motelpred, kenalog, hydrocotisone).
Pros: In some cases, such injections have a good result, especially when there are concomitant diseases like inflammation of the tendons of the femur.
Cons: Such injections rarely give persistent positive results. Have many side effects.
Important: It is not recommended to do more than three injections in one joint. The gap between each injection should be at least two weeks.
diclofenac, orthophene, but it will be bad for the digestive tract.
allopurinol until the end of life, minus a lot of food.
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