Symptoms, degrees and treatment of coxarthrosis of the hip joint
What is coxarthrosis of the hip joint?
Coxarthrosis of the hip joint is a permanent change in the integrity of the articular surfaces, which is based on the violation of metabolic processes. As a rule, coxarthrosis is a slowly developing disease that gradually affects cartilage tissue with subsequent deformation of bones and a violation of the functional capabilities of the joint system.
Coxarthrosis is the most common disease among all degenerative-dystrophic pathologies of the musculoskeletal system, occurring at the age of 40 years.
Symptoms of coxarthrosis of the hip joint
Symptomatic at different stages of development of coxarthrosis differ slightly. However, there are a number of common signs on which you can determine the onset of the disease and take all the necessary measures to restore health. Often, patients turn to doctors already in the late stages of the pathology, which significantly reduces the chances of a full recovery.
Symptoms of a general nature:
severe pain in the affected joint - the main sign of joint damage;at the first stage the pain manifests itself during the movement, on the subsequent stage it has a permanent character;
stiffness( restriction in movement) - in the early stages this state is observed after awakening or heavy physical exertion;
changing the length of the legs is a sign of a neglected form of the disease accompanied by a deformity of the pelvis;
muscle atrophy is the most severe symptom, manifested in the late stages of coxarthrosis;in the early stages there is a slight weakening of the muscles;
lameness, an obvious change in gait is a sign of bone system deformation;
marked crunch in the joint area, which may indicate a pathological lesion.
Causes of coxarthrosis of the hip joint
The causes of the development of this disease can be very different, we will consider the most common:
Circulatory disturbance in the area of the affected joint. In view of the most varied causes, a person's blood circulation system fails - deterioration of venous outflow and arterial inflow. Due to all these processes, metabolic products accumulate in the tissues surrounding the hip joint, which contribute to the production of enzymes that destroy cartilage.
Injuries. The development of coxarthrosis is promoted by chronic microtrauma, which contributes to thinning and damage to the cartilage.
Excessive load on the joint. The development of degenerative processes is promoted by constant heavy physical exertion, often in combination with predisposing factors.
Obesity. The large mass of the body overloads the joint, thereby causing the inflammatory process, and subsequently the deformation of the joint itself.
Genetic predisposition. Directly the disease is not inherited, the features of the structure of cartilaginous, bony tissue and joints are transmitted. Therefore, for a number of unfavorable factors, this cause can affect the development of coxarthrosis more than in others.
Hormonal background. Frequent changes in the level of hormones can affect the metabolic processes in the human body, thereby contributing to the development of inflammation of the joint tissues.
A sedentary lifestyle is one of the main reasons for the development of hip joint pathologies.
Other diseases( necrosis of the head of the thigh, severe infections).In the case of improper treatment or timely medical care, a number of diseases can further influence the development of coxarthrosis, as a complication or concomitant disease.
Congenital pathology( dysplasia, congenital hip dislocation).
Degrees of coxarthrosis of the hip joint
Coxarthrosis of the hip joint of the first degree
1 degree - this is the easiest form of the disease, which can not worry the patient for a very long time, but if you do not navigate and treat the disease in time, it will develop to more severe forms.
In the first stage of the disease, periodic pain in the area of the affected hip is noted after prolonged and intense physical exertion. With bilateral involvement of joints, pain is manifested in both joints, with unilateral - in one. This stage is not characterized by the appearance of lameness and severe muscle rigidity. Pain syndrome occurs immediately after the end of physical activity and is not of a permanent nature. On the radiographic image, one can see a slight narrowing of the gap located between the joints.
Coxarthrosis of the hip joint of the second degree
2 degree is characterized by more significant lesions of the joint - destruction of the cartilaginous tissue. With this degree, all symptoms are intensified.
Pain syndrome in the second stage of the lesion is increased often marked by the irradiation of pain in the groin and thigh. Pain occurs not only after physical exertion, but also in a state of rest. In the absence of restorative measures, the normal movement mechanism is broken - the patient begins to limp, the gait gradually changes. The strength of the muscles responsible for extension and retraction of the thigh decreases. Over time, there is a syndrome of morning stiffness.
Third-degree coxarthrosis of the hip joint
3rd degree is one of the most severe forms of pathology, which is characterized by almost complete destruction of the articular cartilage. A filiform narrowing of the joint gap is noted on the radiographic photograph. The joint is strongly deformed.
The pain syndrome for this condition is permanent, it can be eliminated only temporarily with the help of medications. The patient is difficult to move without a cane or other auxiliary devices, since the joint is constrained, his movements are limited. In the field of the joint, development of edema is noted, tissues are atrophied.
Coxarthrosis of the hip joint of the fourth degree
This is the last stage of the disease, the heaviest. This condition is characterized by complete fusion of the bones of the hip joint with each other.
Symptoms of coxarthrosis of the third stage
Constant pain, which does not lead to a normal life, severe swelling of surrounding tissues. Complete absence of movements in the hip joint.
Diagnosis of diseases of the osteoarticular system
At the first stage, the diagnosis of coxarthrosis includes a survey, collection of anamnesis of life and disease, patient complaints, joint examination and functional tests.
In the clinical analysis of blood with coxarthrosis, there is a slight increase in ESR( sedimentation rate of erythrocytes) - up to 30 and above mm / h.
In the biochemical analysis of blood, the level of markers of inflammation is significantly increased: c-reactive protein, globulin, immunoglobulins and seromucoid. This analysis provides significant assistance in conducting differential diagnosis of joint damage: arthritis or arthrosis?
The basis of all diagnostic activities are instrumental methods.
The main method for the detection of joint damage is X-ray, which notes:
the presence of osteophytes - bone growth along the edges of the articular cartilage;
narrowing the gap between the joints;
sites of ossification of the articular cartilage;
osteoporosis( rarefaction of bone tissue);
bone compaction under the cartilage.
Minus in radiographic examination - only bones are visible, soft joint tissues( cartilage, joint capsule) are not visible in the pictures.
No less informative method of diagnosis is magnetic resonance or computed tomography, which allows to recognize the disease at the earliest stages of its development.
Subject: Hip pain
Treatment of coxarthrosis of the hip joint
With such a pathology as coxarthrosis, the treatment is rather complicated and long-term, consisting of many stages. The main condition for effective treatment is the prompt start of therapeutic measures, regardless of the stage of the disease.
For treatment of the initial stage of pathology development, it is enough to correct the lifestyle, nutrition, eliminate problems with blood circulation and metabolism. More severe forms of the disease require as much effort as possible to restore.
Drug treatment for destructive changes of the hip joint
Drug therapy is mainly a symptomatic treatment. The main actions that are required from medications are elimination of pain syndrome, removal of puffiness and inflammation, improvement of blood circulation, nutrition of cartilaginous tissue and relaxation of muscles.
Non-steroidal anti-inflammatory drugs:
These preparations are shown in the reactive stage of the inflammatory process. Excellent removal of swelling, inflammation, eliminate pain due to the strongest anti-inflammatory effect. Minus in the use of this group of drugs is quick addiction, cartilage tissue ceases to regenerate independently, and a number of side effects negatively affect internal organs.
To date, developed the newest drug with a smaller list of side effects - movalis. Due to its improvement, habituation does not develop so quickly.
Specialists do not recommend taking several anti-inflammatory drugs at the same time, if the drug does not bring the necessary effect, it is worth either increasing the dosage or changing it.
The goal of these medications is to relax the smooth muscles of the vessels and expand their lumen to ensure good circulation. With proper use, the drugs in this group have a minimal amount of contraindications and complications. Vasodilator drugs have a very important effect - they relieve spasm, including night "vascular" pains, which bring maximum discomfort to the patients.
Before using these medications, it is worth consulting with your doctor, since one of the most common side effects is an allergic reaction to the ingredients. Efficiency depends on this factor.
Preparations of this group with coxarthrosis should be taken with extreme caution. They are used to eliminate painful muscle spasm and improve blood circulation. The danger with the use of muscle relaxants is that they affect the nervous system manifested in the form of frequent dizziness, nausea, blocking consciousness or intoxication.
This category of drugs is the most useful and effective, its actions are aimed at restoring the structure of the cartilage. Regular application of chondroprotectors can stop the development of coxarthrosis in the early stages. Contraindications to use are pregnancy, allergy and inflammation of the joints.
Hormonal preparations( injection):
This type of therapy has a positive effect in the absence of inflammatory processes affecting the tendon of the femur. The injections are not recommended to be done more than once every two weeks and no more than three injections per joint.
Drugs of local action( ointments, lotions, compresses)
Such therapy is not fundamental in the treatment of coxarthrosis, since the likelihood that all the necessary substances will penetrate the skin, the fat layer and muscles is very small, therefore positively affects directly the process of rubbing,blood circulation in the affected area.
Related: List of modern medicines and preparations for joints
Operation with coxarthrosis of the hip joint
Surgical intervention is performed at the last stage of the disease development, when the joint's functional capabilities are completely violated.
Endoprosthetics - joint replacement. This is the most difficult of all operations associated with hip joints, its success is almost 70% of all performed interventions. When choosing a prosthesis takes into account the patient's age, sex, weight and anatomical features of the body, this determines the amount of time that the implant will serve. Often this is the only way to return the patient's ability to walk.
Externally, a conventional endoprosthesis is identical with a normal joint, it is designed for the same functions and in a state to withstand the same loads as a natural joint.
By type of prosthesis, these joints are distinguished:
single-pole( only the head of the hip joint is prosthetic);
bipolar( all the anatomical elements of the joint are replaced).
Artrodes - the bones of the joint are fastened with special screws and plates to restore functionality. The minus of this technique - the joint, as before, is constrained in movements. This surgical intervention is prescribed only in cases where other types of treatment do not produce any result.
Arthroplasty is a simulation of the destroyed surface - cartilage.
Osteotomy is a specific dissection of bones to eliminate deformity. In contrast to artodez, this surgical intervention restores not only the supporting function, but also the motor function.
Gymnastics with coxarthrosis of the hip joint
Therapeutic gymnastics for this disease is one of the most effective therapeutic methods of treatment, yielding a positive result. At the initial stages of the exercise, aimed at strengthening the muscles surrounding the joint, can prevent further development of coxarthrosis.
It is very important that therapeutic gymnastics be conducted under the supervision of a highly qualified specialist, since there are a number of exercises that can both benefit and harm the patient.
Exercises for the treatment of coxarthrosis of the hip joint have a certain mechanism. Training the gluteal and pericardial muscles helps improve blood circulation, fixation and nutrition of the cartilage. Exercise for stretching allows you to even out the shortened limbs due to the specific extension of the joint capsule.
For treatment, statistical exercises, rational dynamic loading and stretching are excellent. Complex of the most rational exercises:
in the supine position, it is necessary to raise and as much as possible strain the gluteus muscles;
without getting up, in the same position - bend the leg in the knee and gradually expose it;
remaining in the prone position to straighten your legs and try to lift them, like, you can not raise the upper end of the trunk at the same time;
sitting on a chair, squeeze the ball for fitness between the legs and with maximum force to try to squeeze it;
in sitting position, straight legs trying to clasp your hands on your toes.
All exercises must be performed regularly and correctly. To relieve tension, you can take a relaxing bath with oils.
Contraindications for conduction of the treated gymnastics:
elevated body temperature( over 37);
inguinal hernia, abdominal hernia and back;
rehabilitation period after surgery;
acute inflammatory processes affecting the internal organs;
cardiac and pulmonary insufficiency;
severe pain syndrome;
exacerbation of joint diseases;
high blood pressure.
Look at the visual video:
Before starting the exercises at home, you should consult your doctor and get all the necessary recommendations regarding the methodology for doing certain exercises.
Physiotherapy with coxarthrosis is not the main method of treatment, rather an auxiliary one. Positive result physiotherapeutic procedures can bring only in the early stages of the development of the disease, they are prescribed for the purpose of alleviating spasm and improving blood circulation.
Most commonly used:
mud treatment - spa treatment;
thermal procedures - electrophoresis;
application of lasers;
Massage for hip dysplasia:
Massage is prescribed for any of the 4 stages of the disease, regardless of the treatment: conservative or surgical. It is absolutely safe, relieves tension, swelling, spasm and strengthens muscles. Conduct it recommended as often as possible. In addition, any massage procedures improve blood circulation, which contributes to the restoration of cartilaginous tissue.
In the first stage of the disease, massage is prescribed only after the use of drugs that repair cartilage, vasodilating and anti-inflammatory. Before the start of the massage, the patient is recommended to minimize the load on the affected joint, walk less, lie more.
Massage is performed manually in the hip, waist and hip areas. It is recommended to combine it with therapeutic gymnastics and water procedures, ideal for visiting the pool 3 - 4 times a week.
In specially equipped sanatoriums massage with water jet( hydrokinetic therapy) is carried out. You can also draw the joint with a manual massage.
In the third to fourth stages, coxarthrosis is treated with surgical intervention. Therefore, massage procedures are appointed after the removal of stitches. During this period, massage is simply necessary, it helps improve blood circulation, relieves muscle tension and provides a speedy recovery.
On the topic: Other recipes for traditional medicine
Nutrition for coxarthrosis of the hip joint
Since the development of the disease depends directly on the metabolism, nutrition, with coxarthrosis, should be aimed at excluding all possible factors that cause this pathology.
Balanced nutrition, the right approach to the distribution of food intake - these are the most important factors affecting the recovery of the patient's health. Nutrition with coxarthrosis of joints should be fractional, up to 5-6 times a day, portions should be small, but nutritious.
Thanks to the correct establishment of a meal schedule, the following results can be achieved:
restoration of cartilaginous tissue;
the formation of new tissues.
Diet for coxarthrosis should exclude such foods:
fat meat broths;
products contain a large amount of fat in its composition( cottage cheese, mayonnaise, chocolate, red fish, sour cream, cream);
meat and fish semi-finished products;
large amount of salt( more than 1 tablespoon per day);
food with increased content of preservatives( chips, canned food, sausages, caviar, sauces, some types of cheeses, nuts).
Useful food for coxarthrosis
Suffice it to restore joints is sour-milk products, because the human body easily absorbs milk protein, necessary for tissue regeneration. In addition, dairy products, namely cottage cheese and cheese, are rich in calcium fortifying the bone system.
Part of the required protein can be obtained from certain types of meat and fish products, a very important aspect is that these products should be non-fat. In the daily diet, in addition to animal protein, it is also necessary to include the vegetable that is found in lentils and buckwheat.
To restore bone tissue and cartilage, an element such as collagen is needed. It is found in jellied fish or cold.
With regard to desserts, the ideal for restoring the normal operation of the joints is an option of fruit jelly, rich in vitamin complexes and gelatin. It also positively affects the restoration of joints and cartilage foods rich in phosphorus and phospholipids.
A separate role in proper nutrition in the treatment of joint coxarthrosis is played by carbohydrates, which provide the body with the necessary energy reserve. Energy potential is the basis of all human life processes. Preference is best given to complex carbohydrates - polysaccharides and monosaccharides. As a consequence, it is better to replace the usual sugar with natural honey.
No less useful and necessary in the recovery are cereals that are also rich in complex carbohydrates and essential elements nourishing the brain.
Are Fats Useful?
When considering all the advantages and disadvantages of consuming fats, then for nutrition with coxarthrosis it is best to use vegetable fats.
Nutrition should be organized in such a way as to work on such factors:
decrease in total body weight;
normalization of metabolic processes.
The diet for destructive changes in the hip joint is one of the important steps towards a speedy recovery.
Related: Modern BAA for Joint Restoration
Prevention of Coxarthrosis
The main and most important method of preventing coxarthrosis of the hip and other joints is early diagnosis, as well as such activities as:
skiing, with sticks;
self-massage with the help of ointments;
regular reception of chondroprotectors.
Physical activity in the treatment of coxarthrosis should be directed to the following properties:
restoration of joint functionality;
strengthening of the muscular system;
improved blood supply to the joint and the area around it;
increase in lumbar spine stability;
prevention of severe complications.
Prevention and self-treatment are two big differences, therefore, before proceeding to any measures aimed at restoring the joints, it is necessary to consult with specialists.
Author of the article: Muravitsky Igor Valerievich, rheumatologist, orthopedist
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 loads 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 in the first and second stages of the disease, when painful changes in the 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 them 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.
Local Treatment of
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 intra-articular corticosteroids( intraarticular joint blockade) can be used when injections such as Kenalog, hydrocortisone, diprospan, etc. are injected into the joint area using 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.
Drugs that improve joint nutrition( chondroprotectors)
In recent years, drugs have been synthesized that can improve cartilage nutrition in affected joints. With coxarthrosis, the destruction of cartilage is faster than their recovery, and the function of the chondroprotectors is that they bring to the joints building elements to strengthen the cartilage, thereby "helping" the cartilage cells in their work.
Chondroprotectors include such drugs as chondroitin sulfate, diacerein or artrodarin( 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 drugs, a good effect in the treatment of arthrosis and give a variety of physiotherapy procedures. 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 above methods do not 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 can take 4 to 6 months.
In cases where 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 medication, an 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 reduce pain in the joint completely or significantly. 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!
Treatment of coxarthrosis - treatment of arthrosis of the hip joint.
To date, there are many different methods for the treatment of arthrosis of the hip( coxarthrosis).We will try to talk about each method, taking into account its pros and cons. We do not induce you to self-medicate, but only give an opportunity to evaluate the effectiveness of different methods of treatment. Knowing exactly how each of these methods works, you will be able to more consciously approach the treatment of .Depending on the degree of coxarthrosis treatment is different.
At the third degree of arthrosis of the hip joint, treatment is only surgical, with the help of endoprosthetics. Endoprosthetics of the hip joint is a replacement of the damaged joint with an artificial prosthesis. Technically, this is a rather complicated procedure. Part of the prosthesis is implanted in the femur, part in the pelvis, as shown in the figure. This prosthesis completely repeats the characteristics of a conventional joint.
When I and II degrees of arthrosis of the hip joint treatment is performed without surgery. The following methods are used:
Drugs( tablets, injections and ointments)
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. Vasodilator preparations ( theonikol, trental, nikoshpan, tsinarezin, 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 the individual tolerability of the preparation. 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 products - muscle relaxants ( midolgram, sirdalud).In coxarthrosis of the hip joint, treatment with myorelaxates should be done with caution.
Pros : It helps to relieve 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, dona, 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 of ( motel, 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.
6. Medicinal preparations of topical application - ointments, lotions, compresses.
Many naively believe that all kinds of ointments, creams, lotions are the main drug in the treatment of joint diseases. This myth, moreover, is actively inflated by advertising. But this is just a myth. The problem is that the hip joint is deep beneath the skin, fatty tissue and muscles. The likelihood that some substances will overcome these barriers and in sufficient quantity reach the joint is extremely small. But nevertheless the positive effect from use of ointments is. And it does not consist in a "miraculous" composition, but in the very process of rubbing the ointment. For this use, conventional warming ointments are suitable.
Pros : The process of rubbing the ointment improves blood circulation, in some cases helps to relieve painful muscle spasm.
Cons : The composition of the ointment does not have a therapeutic effect.
Physiotherapy in the treatment of coxarthrosis of the hip joint
Physiotherapy includes: electrotherapy, magnetotherapy, inductothermy, UHF therapy, ultrasound therapy, the use of lasers, aeroionotherapy, ultrasound therapy, light therapy.
The situation with physioprocedures is about the same as with ointments. The hip joint is deep. Therefore, it is reasonable to use physiotherapy only to improve blood circulation and relieve spasm. As for specific procedures, everything is individual, some are helped by someone, others by others. Everything depends on the person and the particular case. According to some physiotherapists, good results with coxarthrosis are provided by laser therapy, cryotherapy and massage. The latter method deserves special attention.
Pros : Improves blood circulation and reduces painful muscle spasm.
Cons : Does not have serious effects on the course of the disease as a whole.
Massage in the treatment of coxarthrosis
With deforming arthrosis of the hip joint, treatment with a massage gives good results. Massage with coxarthrosis is a very effective and useful method. It is desirable that the massage was conducted by a good specialist and as often as possible. Its action is aimed at improving blood circulation, strengthening the muscles, relieving painful spasm, swelling and tension of the muscles, as well as increasing diastasis between the articulating elements of the joint. In the absence of a professional masseur, you can do the massage yourself. Massage with arthrosis can be performed both manually, and with the help of various massage aids and even a jet of water( hydrokinetic therapy).
Pros : Very effective and harmless method. The beneficial effect of using massage is difficult to achieve using other methods.
Cons : With proper administration of complications does not cause.
This procedure is usually carried out using a traction device or manual. This is one of the few procedures that can dissolve articulating joint bones and reduce the burden on them.
Disadvantages of the traction device : The pull is made only on the vertical axis. Although it would be more useful to perform traction a little in the side and in the outer side.
The advantages of the traction device : Ease of pulling.
Manual traction is free of this disadvantage. In addition to the angle of traction, it is more physiological. This stretching is performed directly by the manual therapist.
Pros of manual traction : Allows you to calculate the load taking into account the individual characteristics of the patient, its weight and ligament-muscle tone.
Cons of manual traction : Firstly, this is a very time consuming procedure. It is physically difficult for both the patient and the doctor. Secondly, it is important not to be mistaken with the choice of the manual therapist. The consequences of poorly performed traction can be very serious.
Important : When addressing a chiropractor, always ask him to present a diploma and a license for medical care. Because of the complexity of implementation and the possible consequences of such treatment can be equated to the operation.
Diet for coxarthrosis
To date, the connection between eating any specific products and the development of coxarthrosis has not been proven. No miracle diets to cure coxarthrosis. The only thing that can be useful diet is a decrease in body weight. Decreased body weight leads to a decrease in the load on the hip joints. The less a person weighs, the easier he tolerates coxarthrosis.
Pros : All diets that lead to weight loss are useful.
Cons : The disease itself does not affect the diet.
Gymnastics for the treatment of arthrosis of the hip
Caution should be taken to select gymnastic exercises for coxarthrosis. Movements should not be too sharp, energetic - they can injure a sick joint. In no case can you do those exercises that cause severe pain. It is recommended to give preference to exercises aimed at strengthening the muscles, not loading the joint itself. With coxarthrosis, it is useful to go swimming, especially in pools with salt water or at sea.
Pros : Gymnastics with coxarthrosis strengthens muscles, improves blood circulation.
Cons : Select exercises with caution. There is a risk of injuring the joint.
Auxiliaries for the treatment of osteoarthrosis of the hip joint
In coxarthrosis I and II degrees, walking with a cane is recommended to reduce the burden on the affected joint. At the III stage it is recommended to walk with crutches.
In conclusion, it should be said that with coxarthrosis of the hip joint treatment, it is always a balanced set of methods - medicines and medical procedures. Choose and balance the treatment will help you your doctor.
How and what to treat coxarthrosis of the hip joint
Deforming arthrosis of the hip is one of the most common diseases. Pathologies are most affected by people older than 40 years.
How and what coxarthrosis of the hip joint at home?
In this disease, as a rule, complex therapy is prescribed.
Hip joint assumes primary load. Over time, the cartilage covering the surfaces of bones loses its former strength and elasticity. As a result, the bone thickens, thereby limiting the movement of the person and leading to deformation of the joint. The following factors create a certain risk for development of coxarthrosis of the hip joint:
- Genetic predisposition to osteoarthritis and other diseases of the musculoskeletal system;
- Elderly age;
- Overweight;Injuries to the hip joint.
Elevated pelvic load, during running and other sports, can cause coxarthrosis even at a young age. Therefore, to the question, how to treat coxarthrosis of the hip joint, did not touch you, reduce the load on this part of the skeleton.
Feeling of stiffness and discomfort in the hips is one of the first signs of coxarthrosis, which most patients face. After a morning awakening, there may also be unpleasant sensations in the inguinal and gluteal region. For the early stages of the disease is characterized by increased pain after exercise and relief after rest. However, in the course of time, staying in a state of rest ceases to bring relief to the patient.
If at this stage you do not consult a doctor about how to treat coxarthrosis of the hip joint, then the inflammatory process will begin to spread actively, stiffness, decrease in muscle tone and unbearable pain will arise. When complicating the disease in the joint, irreversible changes develop: the hip muscles decrease in volume, so that the diseased leg visually looks healthy already.
Diagnosis of coxarthrosis
To determine the severity of the inflammatory process, a specialist needs to carry out a series of diagnostic measures. To assess the clinical picture, as a rule, a visual examination of the patient and radiography of the hip joint. Together, these methods help to identify the intensity of the pain syndrome and assess the degenerative changes in the affected joint.
In modern conditions, doctors have long developed several methods for treating coxarthrosis of the hip joint. Proceeding from the fact that the disease can occur in three stages, the attending physician selects the most effective treatment, which allows to quickly eliminate the pain and restore mobility to the joint. In the early stages, therapeutic therapy can be carried out at home, and in difficult cases, surgical intervention may be required.
Drug therapy has been and remains one of the main ways to treat coxarthrosis. It is impossible to get rid of this disease with the help of one drug. Only complex use of medicines can give a positive result. How can modern coxarthrosis be treated today?
- Analgesics and NSAIDs. They stop the pain syndrome, giving the chance to use other methods of treatment without discomfort( massage, exercise therapy, etc.);
- Chondroprotectors. They are used for the restoration of the cartilaginous tissue of the joint, promote its regeneration;
- Muscle relaxants. They remove muscle spasm, thereby eliminating pain syndrome;
- Vasodilator preparations. Reduce the load on the hip joint, remove the spasm of blood vessels.
Special physical loads with proper application can improve the mobility of the hip joint. The complex of exercises is used at all stages of development of coxarthrosis and can provide significant assistance in treatment.
In the video below is a set of exercises for the treatment of coxarthrosis of the hip joint during the remission period:
It is possible to exercise LFK in the absence of pain. Orthopedists recommend performing exercises 3-5 times a day, giving this event 10 minutes before meals. Physical exercises are selected only by the attending physician.
Prevention of coxarthrosis
The following preventive measures will significantly reduce the risk of development of coxarthrosis of the hip joint:
- Moderate physical activity;
- Normalization of metabolic processes in the body;
- Early diagnosis of degenerative changes in the joint;
- Timely and adequate treatment of acquired or congenital pelvic injuries;
- Weight control.
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Treatment of coxarthrosis is impossible without the use of medicines, since tablets not only relieve symptoms but also affect the causes of the disease. Modern medicine offers a mass of chemicals that help to relieve pain and inflammation and alleviate the condition of the patient with coxarthrosis in the acute stage of .
For the expansion of blood vessels, doctors prescribe vasodilators( "Nikoshpan", "Xanthonol nicotinate", "Pentoxifylin"), which relieve spasms from the blood vessels and provide full blood delivery and nutrition of the cartilage tissue. Together with NSAIDs, vasodilators relieve severe pain.
Muscle relaxants are needed to relax muscle tissue with coxarthrosis. Kupirovanie muscle spasm gives the patient a breathing space. But this group of drugs has some influence on HC( state of intoxication, nausea, dizziness).
Chondroprotectors in coxarthrosis are popular and "persuasive" drugs, promote the restoration of damaged cartilage and optimize metabolic processes in the body, "push" the disability of the patient. Effective drugs in the initial stages of coxarthrosis, at late - contribute to the delay of surgical intervention( endoprosthetics).
In no case should you choose medication yourself. All of them differ not only in value, but also in their effect and contraindications. Drug treatment should be prescribed only by qualified doctors after the patient is examined.
The most common medicines prescribed by doctors for coxarthrosis are:
- NSAIDs( non-steroidal anti-inflammatory drugs), Pirovsikam, Diclofenac, Indomethocin, and Ketoprofen. They have a non-hormonal basis, effectively reduce pain.
- "Glucosamine" and "Chondroitin sulfate"( chondroprotectors) -restore cartilaginous tissue and are the most useful group of drugs with coxarthrosis.
- "Midokalm", "Sirdalud"( muscle relaxants) - eliminate muscle spasm and improve blood circulation in the area of pathology, thereby reducing pain.
- Non-steroidal anti-inflammatory drugs "Nice", "Analgin" - analgesics.
- Healing creams and ointments. Despite widespread advertising and the widespread belief that local remedies can cure coxarthrosis, this has not been confirmed by practice. But this does not mean that ointments and creams are useless, they significantly alleviate the patient's condition( "Gevkamen", "Menovazin", "Finalgon", "Espol", "Nikofleks"), have a warming and analgesic effect.
- Intra-articular injections - their doctors use coxarthrosis relatively rarely because of a small joint joint and a small articular cavity in the hip joint. With coxarthrosis, when the joint gap is further reduced, there is a risk of damaging the vascular and nerve trunks. That is why the injection is often carried out not through the groin, but into the periarticular region( through the thigh).
Common directions include:
- Manual therapy( mobilization or gentle stretching and manipulation or a significant sharp and short movement).Manual therapy is not a panacea for coxarthrosis, it only helps in combination with other methods of treatment.
- Hardware traction( traction).Used in the pathology of the hip joint to reduce the load on the cartilage and for the articulation of the joint ends.
- PIR( post-isometric relaxation).It is an extension of the ligaments and muscles of the hip joint.
- Therapeutic massage. Effective in the first two stages of the disease, improves blood circulation, speeds up cartilage nutrition, increases the elasticity of the joint capsule, restores the function of the synovial membrane.
- Hirudotherapy( leeches).Assign in the initial stage of the disease. The action of the enzymes that secrete a leech is similar to that of chondroprotectors. Relieves inflammation and pain.
Swimming has a beneficial effect on the mobility of joints.
Most physiotherapy methods are not suitable for the treatment of coxarthrosis and have less effect than, for example, gymnastics with coxarthrosis or massage. The patient with the hip joint is "hidden" and "get it" with his physiotherapy procedures becomes difficult.
But in the initial stages, physiotherapy can help remove primary symptoms. In general, laser, shock wave, magnetic therapy and electrophoresis are used. For 10-12 sessions of such therapy, you can remove swelling or reduce pain.
Therapy by unconventional means
Traditional medicine has in its arsenal a wide range of methods and approaches to the treatment of the disease. Apply lotions, compresses, tinctures, decoctions. These drugs can be divided according to the principle of use:
- taken inwards( restoring cartilage tissue and those that can remove inflammation);
- applied externally( warming, anti-inflammatory, distracting);
- is an independent physical exercise that involves stretching, dynamic and static exercises.
On the recommendation of one of the best doctors in joint care( Dr. Bubnovsky SM), you can cure the disease if you combine gymnastics and a cold font. All exercises are good to perform in the evening after work, in order to properly stretch tired muscles of the day and ensure the flow of blood to the joint, respectively, improve the nutrition of the hip joint with coxarthrosis.
In advanced cases, arthroplasty is recommended( replacing a worn joint with an artificial analog).Most often, surgery is recommended for coxarthrosis of grade 3, when the patient receives a disability and can not move independently. But this operation is not easy, inaccessible and its cost is rather big, therefore, endoprosthetics is not prescribed to everyone and taking into account age, since repeated surgery is undesirable.
Even with a successful operation, the patient has a disability and must comply with strict rules of life with an artificial hip joint. A doctor who treats coxarthrosis will give recommendations for improving the quality of life.
Coxarthrosis - a serious ailment, which in neglected cases is incurable. But even in such a situation, there are many methods and means that can facilitate the patient's existence and allow living with a hip joint pathology quite interesting and rich life. The main thing is to notice symptoms in time and get help from a doctor.