How to cure arthrosis of the hip( 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 different procedures and preparations, the regular use of which can 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 hipbecoming stronger the disease progresses, 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 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 non-steroidal 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.
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 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.
Drugs 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 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 medicines, a good effect in the treatment of arthrosis is given by various physiotherapeutic 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 the 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 medication, 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 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.
The lifespan of endoprostheses is quite large 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 with the use of 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 with chondroprotective agents
Coxarthrosis is a common and very serious disease of the hip joint of a degenerative-inflammatory nature. Disease, if left untreated, progresses, gradually limiting the mobility and performance of a person, leading to disability. Coxarthrosis: treatment by what means does it give way?
Nature of coxarthrosis
Acute hip joint deprived of cartilaginous "pillow" quickly destroyed
Coxarthrosis is associated with a metabolic disorder in the interarticulate cartilage. Cartilage performs two functions - sliding and damping. When the cartilage begins to deteriorate, amortization loads are lost, slipping is broken, and the ends of articulated bones begin to rub directly against each other.
Coxarthrosis has 3 stages of development. At the initial stage, there is a slight pain in the groin when trying to get up from a chair, after a long walk. Later, during movements, a characteristic crunch is heard in the affected joint, accompanied by pain in the back, and in the knee, and in the groin. There is a gradual deformation of the hip joint, the aching leg is shortened, the gait changes - it becomes a hiccup. At this stage, a walking stick is needed for the movement.
If you do not pay attention to such symptoms and do not start treatment in a timely manner, the consequences can be quite severe. Sometimes you can not do without surgical intervention. The operation to replace the patient's joint is very long and traumatic, and there are many contraindications to it.
The nature of coxarthrosis is associated with the work of cartilage-forming cells - chondrocytes. It affects, on the one hand, genetics, on the other - injuries and biomechanical loads. Each cartilage damage causes an additional influx of blood, rich in oxygen, for rapid maintenance. The abundance of oxygen leads to the formation of a mass of free radicals that destroy chondrocytes. Restoration of the cartilage is slowing down more and more, its damage is no longer compensated, and the case ends with coxarthrosis.
It is important to know how to treat coxarthrosis of the hip joint. Modern methods and tools can significantly alleviate the patient's condition in the first two stages, but complete recovery will not be achieved. At the third stage, the treatment will not help much.
Application of chondroprotectors
Until recently, the attending physician would recommend with coxarthrosis rest and analgesics. Now, rather, will appoint a comprehensive treatment, including:
- reception of drugs such as chondroprotectors;
- complex of exercises for pumping muscles;
- non-pharmacological methods of analgesia.
Chondroprotectors in coxarthrosis - chondroitin sulfate and glucosamine. These are medicines that nourish and repair cartilage tissue, reduce the intensity of pain and reduce the need for non-steroidal anti-inflammatory drugs. They are used to treat coxarthrosis of the hip joint in 1-2 stages of the disease. To date, chondroprotectors are recognized as the most effective drugs for such a disease.
Drugs are slow enough, because the restoration of cartilage is a long process. Take medication you need courses, for 3-6 months. From this it follows that the treatment of a patient joint requires patience. But if you calculate how long the illness develops, then the year of therapy will be a mere trifle.
Chondroprotectors are available for oral administration in the form of tablets or capsules. Different firms-manufacturers produce drugs for approximately one price - 1000 rubles.for packing( 60 pieces).Each tablet or capsule contains 0.5 g of chondroitin sulfate and glucosamine. Among other medicines, the following can be noted:
Coxarthrosis of the hip joint is also treated by intramuscular injection of chondroprotectors. To get a faster effect, 10-20 injections per course are prescribed. Help to administer the medications:
Administration of the medication directly into the joint
In addition, chondroprotectors for insertion directly into the joints are manufactured:
When using chondroprotectors, you should be aware that the restoration of cartilage tissue continues in the gaps, when drugs are not taken.
Any disease is easier to prevent than cure. People suffering from trauma or having a predisposition to joint diseases, chondroprotectors should be taken as a preventive measure.
The correct gymnastics
Complex treatment involves not only the use of drugs. You need to watch your own weight. This will help diet and exercise.
The disease begins when the joint power is limited. This means that the blood stopped supplying this or that organ. Feeding the muscles are carried out, or rather, their vessels. It is for them, along with blood, nutrients come in and unnecessary waste, toxins are carried away. From this it follows that it is necessary to restore the work of the muscles and, together with them, the ligaments surrounding the diseased joint. It should be remembered: not every movement cures, but the right one.
People with coxarthrosis should forget about running, football, game sports and training. What can I do? Do gymnastics for a sick joint, unloading and loading muscles. Find the right exercises will help physician-physiotherapist.
How is anesthesia done in coxarthrosis?
Coxarthrosis - a disease that manifests itself most often in men of working age. This defeat of the hip joint, which causes disability of the man. At the moment, there is no medication that would completely relieve arthrosis. But there are a number of medications that reduce pain in the joints and stop the further development of the ailment, unpleasant burning in the groin.
Causes and symptoms of the disease
Hip joint damage occurs by the destruction of cartilage in the joints. The causes are as follows:
- metabolic and hormonal disorders;
- insufficient supply of blood to the joints;
- a genetic predisposition to the disease;
- old age;
- received injuries.
But in most cases, the main reason for the development of arthrosis is a mismatch between the joint load and the restoring ability of the cartilaginous tissue. Excessive weight, overweight, and occupations of traumatic sports can be the starting point in the development of the disease.
When coked arthritis articular cartilage ceases to be elastic, "aging" occurs from the inside( cracks appear).The first sign of the appearance of arthrosis can be considered pain in the thigh. It increases during walking and is localized in the knee area. Burning in the groin is also one of the symptoms of coxarthrosis. It is even assumed that itching occurs in the hip area.
There are several stages in the development of the disease. During the first stage with minor physical exertion, pain occurs in the hip joint. However, the gait is not disrupted in a significant way, the movements are not limited. Radiographs show that there are bony growths located near the outer or inner edge of the joint surface. The head and neck of the femur are not deformed.
Coxarthrosis at the second stage is characterized by the presence of intense pains that radiate into the groin and other areas. Can occur suddenly. Walking is always accompanied by pain. The strength of the muscles is significantly reduced( especially when flexing and extending the thigh).
During the 3rd stage, the pain becomes permanent. Patients need a walking stick for movement. All joint movements become impossible, and pain in the groin - unbearable.
Treatment with non-medicinal methods
In coxarthrosis, various methods are used to help get rid of pain. One of the reasons for the occurrence and increase of pain in the hip joint is an excessive load in the groin. Therefore, the initial method of treatment of arthrosis in the first stages will be the restriction of excessive load on the joint. To do this, it is necessary to spend less time in the standing position. You should not miss the opportunity to sit once more. This is particularly true of hardworking workaholics. During the working day, it is necessary to sit as much as possible.
If necessary, you can use a walking stick to move around. When planning a business trip, you should ask whether you should stay there in a standing position. Then you should bring a folding chair.
Should protect yourself from lifting weights. But if you can not avoid lifting heavy bags, you need to evenly distribute the weight on both hands, so as not to provoke pain in the groin.
It should not be forgotten that lack of exercise affects the joint negatively, as well as excessively high weight. Therefore, it is necessary to determine the optimal number of physical exercises so as not to be injured. For this, one should attend trainings of medical gymnastics and physical education, which are specially designed for patients with coxarthrosis.
Anesthesia in coxarthrosis is one of the main methods of treatment of the disease. This relieves the patient from constant discomfort in the groin. Anesthetic drugs only contribute to this. Using various medications, you should know that they are divided into painkillers, muscle relaxants and chondroprotectors. It should be remembered that all these drugs are applicable only in the first 2 stages of the development of the disease, when the pain can still be reduced.
The necessary anesthesia is carried out with the help of medications that help reduce pain in the joints. This includes non-steroidal anti-inflammatory drugs( paracetamol, indomethacin, diclofenac).
Treatment with medications begins with paracetamol, which is taken in medium doses. In the early stages of the development of arthrosis this is quite enough to eliminate pain. If paracetamol does not produce the desired effect, indomethacin or aceclofenac is given. But the use of these drugs can lead to the emergence of gastritis, stomach ulcers, as they affect the mucosa.
Therefore, long to take drugs can not. It is better to do everything under the supervision of a doctor who would regulate the dose. This especially applies to people suffering from a stomach ulcer.
There are medicines that can affect the metabolism in the cartilaginous tissue. But in the end they either worsen, or do not influence. It is best to choose drugs that improve the metabolism in the cartilage. These are aceclofenac and indomethacin.
A group of nonsteroidal preparations contains agents that can be used topically to reduce burning sensation in the groin. These are ointments and gels: butadion, voltaren, bextrum-gel, diclofenac.
Sometimes it happens that ointments and pills do not help. Then radical methods of treatment should be applied. This, for example, injections into the joint area and the introduction of hydrocortisone, diprospan. This technique significantly reduces pain in the groin, and also stops coxarthrosis in the future.
At this stage in the development of medicine, there are artificially synthesized preparations that improve the nutrition of articular cartilage. Coxarthrosis is characterized by the fact that the cartilaginous tissue does not have time to recover after destruction. Chondroprotectors help to renew cartilaginous cells faster.
These are such drugs as diacerein, arthrodarin, hyaluronic acid, arthra, glucosamine sulfate, etc. Admission of these drugs in the early stages of arthrosis significantly helps in stopping the progress of the disease. It also helps to avoid unnecessary surgical intervention. But you should pay attention to the fact that the drug begins to act only after a long period of admission.
Based on the foregoing, it can be concluded that the method of anesthesia with coxarthrosis is the main one. Depending on the stage of development of the disease, certain pain relievers are used. Pain is the primary opponent of a patient with arthrosis. She can be present in the groin. Modern methods of treatment can stop the development of the disease.
Nonsteroidal anti-inflammatory drugs
Any experienced specialist knows perfectly well how to treat coxarthrosis 1 and 2 degrees with the help of strong medicines.
The NSAID group includes the following drugs used to eliminate pain in the thigh and groin:
These medications are used in case of intolerable pain, after elimination of which the doctor is accepted to treat the disease with the help of massage, medical gymnastics and stretching.
Treatment of coxarthrosis only non-hormonal drugs is impossible. Moreover, their long-term use has an adverse effect on the synthesis of proteoglycans, a violation of their functionality which can trigger dehydration of the cartilaginous tissue. Paradoxically, but the fact: drugs used to cure pain syndrome, can lead to complete destruction of the joint.
To avoid side effects, NSAIDs are best combined with anti-inflammatory selective drugs. Unlike non-steroidal agents, they can be drunk for several years.
Treat coxarthrosis of the 2nd degree with medications such as:
These drugs promote the widening of the lumen of the vessels and the relaxation of their smooth muscles. With such a serious disease as coxarthrosis, treatment with vasodilating drugs, which practically do not have contraindications, gives a long-term positive result. If you use them rationally, then coxarthrosis, by reducing the spasm of small vessels and improving blood supply, can be quite quickly. Another plus of these drugs is the rapid elimination of the night "vascular" pain syndrome.
To avoid adverse effects, it is extremely important to check the individual tolerability of the intended remedy.
In the opinion of the majority of modern medics, coxarthrosis of 1 and 2 degrees is expedient for treating with chondroprotectors. This group includes such drugs as:
- chondroitin sulfate;
Their main difference from NSAIDs is that they actively and efficiently provoke the restoration of the cartilaginous surface of the affected joint, the normalization of the properties of the joint fluid and the acceleration of its production.
Unfortunately, the treatment of coxarthrosis 1 and 2 degrees with the use of chondroprotectors is extremely slow, and the improvement of the state does not come immediately. For best results, the patient is recommended to undergo 2, or even 3 courses of therapy with these medicines. And even in this case coxarthrosis is completely cured only after 6-18 months.
Treatment with chondroprotectors will be much more successful if combined with other methods. Also, the treatment with these drugs involves systematic treatment. The optimal dose of chondroitin sulfate is 1000 mg.per day, and the daily norm of glucosamine is 1000-1500 mg.
Given that these drugs almost do not cause side effects, treatment with them is considered most useful.
Coxarthrosis is successfully treated with hormonal steroid agents. Treatment of diseases of 1 and 2 degrees is carried out by such drugs as:
These drugs used for injections cure not only coxarthrosis of 1 and 2 degrees, but also accompanying inflammatory diseases.
Unfortunately, treatment with hormonal steroid drugs almost never gives a long-term positive result. In addition, treatment in this case is often accompanied by side effects.
It is important to remember that the treatment involves no more than 3 injections in the affected area. The interval between injections is not less than 14 days.
Coxarthrosis 1 and 2 degrees successfully cured if you take muscle relaxants. This group includes such drugs as:
Treatment involves the elimination of muscle spasm, causing painful sensations. In addition to performing their basic function, these drugs help improve blood circulation in the joint. Side effects include intoxication and dizziness.
In order to achieve the optimum effect, the medical treatment of coxarthrosis should be combined with physiotherapy, joint extension and a correct diet.
Coxarthrosis of the third degree is treated only surgically.
Author of the article:
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 studies, products containing compounds detrimental to the state of 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 removal, inflammation removal, improvement of blood circulation and nutrition of cartilaginous tissue, relaxation of spasmodic muscles.
Drugs for coxarthrosis of the hip joint, unfortunately, do not solve many other important issues. For example, pharmacology can temporarily improve the patient's condition, slow the destruction of cartilage, but it can not stop the process of joint degeneration. But systematic complex treatment, consisting of all known methods, can give very good results.
Drugs for the treatment of coxarthrosis of the hip joint:
- non-steroidal anti-inflammatory and analgesic agents( Indomethacin, Ibuprofen, Piroxicam, Diclofenac, Nimesulide, Movalis and analogues).Relieve pain, inflammation, fever, stiffness in the joints;
- hormonal steroid preparations, including intraarticular injections( Hydrocortisone, Methylpred, Kenalog).Neutralize reactive inflammation and pain;
- vasodilators( Nicospan, Cinnarizin, Trental).Improve blood circulation, relieve vasospasm, relieving pain in the joint;
- muscle relaxants( Sirdalud, Midokalm).Eliminate the painful muscle spasm;
- chondroprotectors - chondroitin sulfate and glucosamine( Arthra, Dona, Structum, Teraflex).Medicines designed to restore cartilage tissue at the initial stage. They work very slowly, the course is long( 3-5 months) and requires regularity. Qualified intraarticular administration significantly enhances the effect.
Surgical intervention is usually performed at the last stage of the disease, when the function of the joint is already broken completely and there is no 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.