Basic principles of therapeutic gymnastics with deforming osteoarthritis
Recently, deforming osteoarthritis is one of the leaders among joint diseases. At risk are older people, especially after 60 years old, and this disease affects about 10% of the population. Osteoarthrosis is equally susceptible to both men and women, and mainly it is found in people 40-50 years old.
Deforming osteoarthritis is characterized by a degenerative degenerative joint disease. Osteoarthritis can deprive a person of working capacity and in the future, in the absence of treatment measures, even lead to disability. If we talk in general about the causes that lead to deforming osteoarthritis, the main one is reduced to the inability of the cartilage to withstand the loads imposed on it. As a result, the articular cartilage wears out and deforms.
Unfortunately, deforming osteoarthritis is an irreversible process and is characterized by a long and chronic course. Therefore, so much attention is paid to the prevention of this disease.
From the existing methods of treatment of deforming osteoarthritis, 3 groups can be distinguished:
- Non-drug treatment
- Medical treatment
- Surgical intervention
The first group of non-medicamentous treatment includes gymnastics for joints, physiotherapy, exercise therapy, rest, use of pedestal for walking.
The advantages of therapeutic gymnastics
Physiotherapy is a good preventive method of joint deformation, as it strengthens muscles, improves muscle tone. By strengthening the muscles that surround the affected joint, its mobility improves.
Gymnastics is prescribed in the period of absence of acute pain, against the background of remission of the disease and has as its main task the strengthening of the muscles responsible for extension and retraction to the side of the thigh. Also in the complex of exercises include exercises on the abdominal press and exercises that strengthen the muscles of the back.
The peculiarity of therapeutic gymnastics with deforming osteoarthritis is that the affected joint is not loaded. A person is standing on a healthy leg, lying on his side or on his back. Movements should be gradual, cautious and soft. It is forbidden to load the damaged cartilage and perform exercises through pain. Physiotherapy exercises relieve pain and prevent further joint atrophy.
Types of existing gymnastics with deforming osteoarthritis:
- treatment rest
- therapeutic gymnastics
- aqua gymnastics
In an acute period, only treatment is appointed at rest. A person should place the affected joint in such a way that it is in a relaxed position. If the elbow joint is affected, then it should be fixed at a right angle and avoid the unbent position of the affected area. The same applies to the lower extremities, that is, to fix the knee in exercises it is necessary only at right angles, since incorrect bending of the knee leads to an additional load on the damaged joint. And you need to start the exercises in the prone position, thus achieving a better relaxing effect, and in the future you can conduct exercises sitting and then standing.
Several exercises used for osteoarthritis of the knee:
- You can sit on the table and swing your legs, very moderately, as if you are kicking your feet in the air. The amplitude is small, gradually increasing. Keep your back straight. Such an exercise can be repeated often.
- Very useful exercise is the "bike", but it should be done gently, also gradually increasing the amplitude of motion. The feet must be kept at right angles when doing the exercise.
- There is a good exercise in the prone position on the abdomen. In this position, you should try to bend your knees. The legs must be alternated, bending first the left, then the right leg. It is important to ensure that the pelvis is pressed against the floor.
- Another exercise is performed on the back. Lying on your back, stretch your legs and arms. Then try to lift the upper part of the body to a height of about 20 cm from the floor. The exercise is performed 10-15 times.
We use exercises with dumbbells, fitball, ball. Amplitude increases during the exercise, and first they are performed on a healthy limb, then on the affected one. It is very good to apply relaxation techniques to relieve muscle pain. First, it is recommended to carry out the necessary set of exercises under the supervision of a doctor who will select the optimal program for the affected joint. In any case, if you decide to engage in exercise therapy yourself, you should remember the basic rule of the minimum load. It must always be remembered that with osteoarthritis gymnastics should be smooth and not intensive.
Exercises for deforming osteoarthritis should be performed several times a day for 5-10 minutes. They should be regular. The duration of therapeutic gymnastics at the end of the course of treatment is increased to 40 minutes.
Physiotherapy improves blood flow in the affected joints, is a preventative of further joint deformity.
Gymnastics in osteoarthritis strengthens the musculoskeletal apparatus, providing good support to the joint, forms a correct posture, which provides a good lymph flow in the affected periarticular tissues. It is important to pay attention to the soreness of the sensations, and with the resulting discomfort the exercise should be stopped.
Therapeutic gymnastics goes well with the massage. It is good to perform exercises in the water, swimming is in itself a kind of gymnastics in this case with deforming osteoarthritis.
While doing physical exercises regularly, you provide long-term health to your joints and prolong your well-being. The main thing here is to motivate yourself for everyday activities, and you will eventually notice a decrease in painful processes occurring in the joint, and an improvement in the functioning of your joints. In any case, therapeutic gymnastics is the lowest-cost method for osteoarthritis, while possessing a significant effect.
Features of osteoarthrosis of the hip joint
Osteoarthritis is a disease that affects joints and cartilages. With osteoarthritis, premature aging occurs, loss of elasticity and elasticity, cracks appear on the joint surface, leading to destruction of the joint.
What is osteoarthrosis
Symptoms of the first stage of a variety of osteoarthritis( femoral, metatarsophalangeal joint, etc.) are not significant. But with the transition to the second stage, as a rule, inflammatory processes and complications arise. Progressive deforming processes, functions are disrupted, painful sensations are greatly amplified. If at this stage to leave the disease without attention or to engage in self-treatment, the third, most severe stage of the disease will certainly follow.
Osteoporosis is susceptible to both a young and active part of the population, and older people. In old age, the joints grow old and wear out by themselves, in the young - the development of the disease contributes to various injuries, fractures and bruises. The disease can affect any part of the musculoskeletal system of the body. Osteoarthrosis of the arcuate joints affects the joints of the cervical spine. Patients of a young age who suffered a trauma often get a diagnosis of osteoarthritis of the metatarsophalangeal joint.
Initially, the disease is slow and almost asymptomatic, therefore, a person may not know about the disease that has affected him. The first symptoms are expressed in the appearance of swelling and pain in the affected joint with physical exertion, which in time only become stronger. At this stage, people usually turn to a specialist. Progression of the disease leads to a complete abrasion of the cartilage and a decrease in the mobility of the joints, as well as to their deformation, which provokes frequent dislocations and sprains.
Degrees of development of the disease
Osteoarthritis is a disease characterized by the staging of pathological processes. The stages are isolated based on the clinical and radiological picture. Classification of stages was developed in 1961, but thanks to the convenience of the application it is still used.
- The first degree of the disease is put in the presence of the following symptoms:
- feeling of discomfort in the joint;
- crunching in the joint when moving;
- occurrence of painful sensations during active loads, which at rest pass independently;
- reduction in motor activity in the joint, affecting only movements with minimal amplitude.
Symptomatic at the first stage is not very specific, but an experienced rheumatologist can see the pathology and prescribe an additional study that will help to deliver an accurate and timely diagnosis. On radiographic examination, this stage is characterized primarily by the narrowing of the joint gap and the appearance of bone growths.
- The second degree of osteoarthritis has the following symptoms:
- appearance of starting pain;
- with osteoarthritis of the hip joint pain radiates to the knee, inguinal, ischium areas;
- may develop an intraarticular wandering formation capable of blocking the joint;
- appears pain on palpation;
- appears stiffness, while still allowing to keep the volume of movements at a level sufficient for more or less normal functioning;
- rapid fatigue of the joint department, provoking the need for an auxiliary cane.
X-ray confirmation of this stage - a significant narrowing of the joint gap and deformation of the bone surface, the number of osteophytes increases.
- The third stage is characterized by vivid clinical manifestations, but the diagnosis of pathology at this time is rather late for the successful treatment of the disease.
- permanent pain;
- crunch when moving;
- tenderness in palpation;
- strong deforming processes;
- considerable stiffness and limited movements, requiring the constant use of crutches.
The radiograph shows the almost complete disappearance of the joint space.
Hip Osteoarthritis( coxarthrosis)
Deforming coxarthrosis is one of the most common and severe groups of the disease. Among patients with osteoarthritis patients with hip joint lesions was more than 42%.This type of disease is no less dangerous than osteoarthrosis of the arcuate joints.
The severity of the course of coxarthrosis is determined by progressive impairments of joint mobility. At the same time, the essential limitations of the functionality of one joint, which is found most often, leads to disability in 8-40%.Complete immobility of one joint leads to inefficiency in 50-70%.The immobility of the two hip joints guarantees a disability of 90-100%.In this case, bilateral ostearthrosis occurs in a third of patients.
The peak of cases of hip osteoarthritis occurs at the age of 50-60 years. Particularly susceptible to the disease at this age, women, although in general the disease is common among both sexes about the same. The more severe course of the disease is also noted in women.
At the initial stage, the osteoarthritis of the femoral joint proceeds painlessly. Basically, there is a decrease in muscle strength, rapid fatigue of the femoral joints when walking and standing. Diagnosis is hampered by the fact that the first painful localizations most often appear in the knee, inguinal and gluteal regions.
The statistics of medical research states that in a survey of 400 cases of coxarthrosis, 228 patients complained of pain in the area of a large trochanter, 14 patients suffered pain in the knee joint, 44 felt discomfort due to pain in the area between the large trochanter and the knee joint, In 31 cases, pain was noted in the groin, 46 in the back of the thigh, 21 in the lower back, 16 with no pain, and the disease was discovered accidentally. Moreover, the pain had an irradiated character not only at the first, but also at the subsequent stages of the development of the disease.
In general, with the development of the disease, there is an increasing limitation of movements in the external part of the thigh. First limitedness is noted in the movement of lead-out, then stiffness manifests itself when flexing-extension.
As a result, osteoarthritis of the femoral joint can lead to almost complete immobility of the joint. For this stage of the disease, a specific slope of the pelvic region is characteristic, which provokes subsequent scoliosis, accompanied by lumbar pain. Immobilization of the joint minimizes local pain syndromes in the hip area. Progressing osteoarthritis is usually accompanied by increasing muscular atrophy of the thigh and lower leg.
At later stages complications arise in the form of neuralgia of accompanying zones, caused by deforming and fibrotic processes. Paresthesia in the femoral region is noted.
Bilateral lesion of the hip joints occurs with even more severe symptoms. The disease is complicated by the syndrome of "bound legs", which fixes both legs in an X-shaped position. This leads not only to loss of efficiency, but also to a strong restriction of elementary self-service procedures, management of natural needs and movement. Some cases are marked by the appearance of beak-like growth, leading to lateral displacement of the femoral head and subsequent subluxation.
Progressive osteoarthritis of the hip joint in a clinical examination is detected by direct percussion of the thigh during walking, tilting, squatting, lying on the back, tapping on the heels.
Therapy for hip osteoarthrosis
Treatment of coxarthrosis is identical to that of the rest of the osteoarthrosis group( for example, the metatarsophalangeal joint) and has the following objectives:
- Relieving pain and inflammation. In this case non-narcotic analgesics, non-steroidal anti-inflammatory drugs( Aspirin, Diclofenac, Ibuprofen, Indomethacin, Ketoprofen, Movalis, Meloxicam, etc.).These drugs suppress the production of prostaglandins, minimize inflammation and reduce pain. They can be used both in the form of rectal suppositories, tablets, ointments, and in the form of injection forms with the severity of the pain syndrome and inflammatory changes.
- Improvement of microcirculation in affected joints. In this case, the use of antiplatelet agents and anticoagulants is indicated. It is prescribed CURANTIL 25 mg 3 times a day for 14-28 days, Lyoton - locally 2-3 times a day for 14 days.
- Improving the structure of the cartilaginous tissue. Basal therapy in the treatment of osteoarthrosis of the hip joint is the use of chondroprotectors. They effectively restore cartilaginous tissue, so their use is advisable at any stage of the disease. The most optimal scheme is the combination of chondroitin sulfate and glucosamine. The duration of treatment should be at least 6 months. Medical gymnastics with osteoarthritis of the hip joint prevents atrophy of inactive muscles. Also, therapeutic exercises are one of the main ways of rehabilitation. However, they should not be accompanied by heavy loads, which lead to damage to the cartilaginous tissue. Examples of such exercises can be:
- circular movements of the hip joint;
- flexion and extension of the hip joint;
- cycling, swimming lessons, etc.
The results of physical therapy sessions are a significant reduction in painful syndromes, an increase in distance traveled without pain and additional support, and improvement in the condition of the joint groups.
Treatment of hip osteoarthritis: symptoms |Are joints aching?
Characteristic of its distribution in persons older than 40 years. The mechanism of development of the pathological process is due to the age-related changes in the hyaline cartilage of the hip joint. As a result - violation of integrity with loss of elasticity and its ossification, which leads to disruption of movement and deformation. Therefore, the disease is called deforming osteoarthritis of the hip joint.
The clinical picture of the disease depends on the stage of the process.
Symptom scant. The main manifestation is pain in the area of the affected joint, only with moderate-intensity exercise. At rest the pains pass, or can be of a discomforting character.
Osteoarthritis of the 2nd degree of the hip joint is characterized by increased pain that disturbs the patient at rest. Movements increase pain. There is an insignificant morning stiffness, diminishing to dinner. There is already a limitation of mobility in the joint.
Pain constant, boring character. Stiffness of movements with a sharp restriction of mobility in the joint. Lameness is noted. Gluteus and hamstrings are atrophied, flabby. Deformation in the joint area is clearly visible.
Terminal stage of the disease. It is characteristic formation of a fusion between the head of the thigh and the pelvic bone( ankylosis), which leads to a complete destruction of the joint, the impossibility of movements and shortening of the limb. These are the most severe symptoms of osteoarthrosis of the hip joint.
Before the treatment of osteoarthritis of the hip joint, the stage is determined. At 1-2 and even 3 conservative treatment is possible. My patients use a proven means, which can get rid of the pain in 2 weeks without much effort. Stage 4 shows the operation.
Medication for osteoarthrosis of the hip joint
Non-steroidal anti-inflammatory drugs( orthophane, rheumoxib, movalis);Hormonal preparations( kenalog, diprospan, dexazone).Perhaps their systemic application, as well as direct introduction to the affected joint;Chondroprotectors are drugs that improve the trophicity of articular cartilage. Injection forms allow their intra-articular injection. The brightest representatives of the group: alflutop, structum, arthron, teraflex.
In the treatment of osteoarthritis of the hip joint, electrophoresis with anti-inflammatory drugs, phonophoresis with ointment of chondroxide on the joint area, and also massage, exercise therapy, water procedures are widely used.
Surgical treatment of
The most effective operation is hip joint endoprosthetics. The essence of the method consists in removing the affected joint with its further replacement with an artificial prosthesis. The operation returns to the patient the movement of the affected limb and the possibility of independent movement.
Exercises and gymnastics for osteoarthritis of the hip joint
The positive effect of these procedures is to enhance the washing of synovial fluid in all joint structures, which improves their trophism. But an incorrectly performed gymnastics can aggravate the patient's condition. It is more effective to conduct such procedures under the supervision of a doctor.
Features of gymnastics for osteoarthritis of the hip joint:
- Static, predominant over dynamic;
- Smooth execution with the exception of sudden movements;
- Elimination of axial loads on the joint;
- The appearance of soreness is a contraindication to exercise;
- Mandatory duration and regularity of execution;
- Before and after exercises, a mandatory light massage of the joint;
- Use of water procedures after gymnastics.
The starting position on the back on the floor. Maximum bend one leg in knee and hip joints alternately and unbend.10 times. Then alternately bending his legs in the knee to pull their hands to his stomach. Unfold. Bend both legs in the knee joints, the heels together on the floor. Raise the pelvis 8-9 times;The initial position on the abdomen. Flexion of the leg in the knee with the hip raised above the floor, alternately 8-9 times;The starting position on the side. Raising the straightened leg alternately 9-10 r. The starting position is sitting on a stool. Feet together. Clamping the ball between the knees 9-10 times.
Osteoporosis of the hip - what you need to know
Osteoporosis of the hip joint
Osteoporosis is a pathology of bone tissue, in which calcium and phosphorus are "washed out" of it. This makes the bones porous and weak. For osteoporosis, there is an increased risk of fractures. To break a bone it is possible usual bruise, lifting of a cargo in weight about 10 kg or falling from height of own body height. Women are more often osteoporosis after menopause.
Osteoporosis of the hip joint does not differ in its origin from osteoporosis of other bones. Especially since osteoporosis usually affects all bones of the skeleton. Vulnerable for osteoporosis of the hip joint becomes the femoral neck. Fracture of the femoral neck in elderly people often ends in a fatal outcome. Often only endoprosthetics helps to restore the functions of the hip joint.
The fact that the patient develops hip osteoporosis( the bones that form this joint) can be provided if the effect of provoking factors is revealed or if the following symptoms appear:
pain in the bones of the skeleton - the vertebrae, the sacrum, the ribs;convulsions in skeletal mice, especially at night;changes in posture( stoop), appearing in the patient after 40 years;a noticeable decrease in growth - the cause of this phenomenon are compression fractures of vertebral bodies in the thoracic and lumbar region.
Before starting treatment of osteoporosis of the hip joint and systemic process in the body, a comprehensive examination should be performed, which should include:
densitometry - determination of bone density;X-ray and tomography of the bones of the skeleton to clarify the main foci of rarefaction in bone tissue;laboratory tests - determination of serum calcium, phosphorus, alkaline phosphatase, estrogen, parathyroid hormone, thyroxine, insulin, cortisol and its derivatives.
The diagnosis of osteoporosis can be made only when a change in bone density is more than 2.5 degrees, before reaching this limit, a diagnosis of osteopenia is made.
Source of vashaspina.ru
Nutrition for osteoarthritis of the hip joint is here.
Yoga for arthrosis of the hip joint http: //sustavprof.ru/lk/ fiziolechenie-pri-artroze-tazobedrennogo-sustava.html.
1. The main signs of osteoporosis include:
- bone pain. Most often, pain occurs in the thoracic or lumbar spine. The pain is aching and lasts for a while after the person lies down;
- reduction in growth. This symptom is due to, so-called, "subsidence" of the vertebrae, due to a decrease in their height;
- weight loss.
2. Indirect signs of osteoporosis include:
- cramps in the feet and legs, arising at night;
- the appearance of a large amount of plaque on the teeth;
- the onset of periodontal disease;
- rapid fatigue and a constant sense of fatigue;
- increased heart rate;
Treatment of osteoporosis is carried out by maintaining a healthy lifestyle and taking prescribed medicines.
In the body often there are failures in the work, a little that will go, not so develop complications passing into serious diseases. Today we are talking about osteoporosis, that is, one of its species is diffuse, when there is a disruption in the process of formation of bone substance, such an ailment can form. It can be detected using an X-ray.
The cause of the disease can serve, previously transmitted diseases or the use of certain medications during treatment. Of this, there may be a myeloma - a tumor consisting of bone marrow tissue. Against the backdrop of this disease, a diffuse osteoporosis is formed, it is secondary to the underlying disease. You will often feel increased pain in the bones, but pathological fractures may not manifest.
The main causes of the development of the disease:
- Disruption in the thyroid gland and the endocrine system as a whole. - The body simply does not receive enough calcium for full-time work. You can provoke the disease with an unreasonable desire to lose weight or have an ardent desire to be a vegetarian, thereby limiting yourself to calcium. - Maybe you have problems associated with the process of bone formation.
- Cramps of the calf muscles and feet, especially at night. - Increased brittleness of the nails can serve as the first bell. - Pain in the bones and lower back, and heart palpitations.
- Providing the body with calcium and sufficient increase in bone mass. - Drug intake, healthy eating, physical activity.
Prevention of treatment can begin at an early age, to exclude the development of a seriously leaking disease.the patient can suffer from unbearable pain, but sometimes a person may not know that he is sick, because clinically the threshold is not manifested and does not complicate the general structure of the skeleton. If you feel that something is wrong, do not delay or delay the visit to the doctor, or rather, immediately seek help. Regardless of the reasons for the development of osteoporosis, the compulsory components of treatment are:
Physiotherapy exercises: helps to activate metabolic processes in the bone, restore joint mobility and muscle strength. Normalization of nutrition. Stay in the sun( allows you to activate the production of vitamin D).Medications prescribed by a doctor: calcium and vitamin D3 preparations( or its active metabolites);bisphosphonates, etc.
Patients with osteoporosis also should not forget about how important it is for them to daily exercise special gymnastics. Its main task is to strengthen the muscles, maintain the bone mass in a normal state.
Gymnastic exercises of this complex in accordance with the loads can be divided into 3 types:
dynamic, including walking on stairs, walking, dancing, flexibility, stretching movements, resistance, including activities on the bar and swimming.
When performing exercises the patient should not overload himself - it's a medical complex, not a sports training. Do not make sudden movements, jerks. More attention should be paid to the correctness of each exercise, a moderate rhythm of training. To perform the basic exercises of therapeutic gymnastics you will not need to go to the gym - they can be performed at home, in a well-ventilated room. Recommended exercises
And now we will consider some exercises recommended for osteoporosis:
One leg is taken back, hands-on the belt. On the second leg, bent at the knee joint, a squat is performed. The number of repetitions is 4, then the legs are changed. The hands are raised to the level of the shoulders, bent at the elbows, then the blades are brought together. In the supine position, the legs are made by progressive circular motions( bicycle).Lying on the right side, maximally raise the left leg, hold it in this position for up to 10 seconds. Then repeat the exercise, lying on the left side. Standing on all fours, you need to raise in pairs in the right leg-left hand, the left leg-right arm, fix in the raised position for 5-8 seconds. Standing, legs - on the width of shoulders, slowly make corners of the body to the right and left.
These and other exercises the patients can perform at home. Treatment for osteoporosis will be much more effective if you follow a calcium enriched diet and perform a complex of therapeutic gymnastics. A good result will be a combination used to prevent disease.
Exercises that are performed systematically over a long period are able to strengthen muscle and bone tissues, which will significantly increase the patient's chance to recover and get rid of problems associated with osteoporosis: an increased risk of injury and fractures of bones. When starting treatment, remember that only the one who will be on the road can overpower the road.
follow your diet. Food should be balanced, rich in protein foods and fiber;
avoid harmful and cholesterol-rich foods;
to refrain from excessive drinking and smoking;
in the summer to sunbathe. Ultraviolet rays stimulate the production of vitamin D in the body.
Charge and exercise therapy for osteoarthritis
You are hereHome / Exercise / Charge and exercise therapy / Charge and exercise therapy for osteoarthritis Osteoarthritis is a disease requiring serious and complex treatment. Only medication can not be cured. Additionally, charging and exercise therapy for osteoarthritis is required.
What you need to know about exercise therapyBefore you begin, you should pay attention to the following points:
- Gymnastic exercises can be practiced when the disease is in remission. In this case, tenderness and inflammation should be absent. Disregarding this rule, many people subject their joints to irreversible changes, leading to a deterioration of well-being in general;
- Charge and exercise therapy for osteoarthritis of the knee joint should be performed only at the doctor's permission. This applies to all possible activities, including those described in this article. Some movements can harm at a certain stage. Any exercises are coordinated with specialists;
- Exercise is designed to load only the muscles. It is not recommended to engage in exercise, which involves a considerable strain of affected areas. Such actions can not be carried out unless the doctor's permission has been obtained;
- Loads in most cases should be static. This means that there should be no dynamics, and during the movements it is required to stop for a while in a certain position. This load helps to strengthen the muscles and prevent the wear of the joints.
- Physiotherapy is an effective method of combating arthrosis, which does not require monetary costs. In this regard, it is recommended to take seriously the implementation of each exercise.
Charge and exercise therapy for osteoarthritis - useful recommendations
- It is necessary to correctly perform all prescribed exercises every day;
- It is better to abandon movements that have a significant load on the diseased parts of the limbs, and do only those that contribute to muscle tension without affecting the joints;
- Between the approaches it is desirable to completely relax the limbs, which is best obtained in a lying position;
- When gymnastics and exercise therapy for osteoarthritis of the shoulder joint and other diseased parts is completed, you can do a light self-massage of hands and feet. It is necessary to caress and limp limbs with careful movements. It is not recommended to overdo this procedure, it is better to reduce the pressure force to a minimum. With arthrosis during massage, you can use special creams.
The first exerciseThe patient needs to lie on his stomach to the floor. Legs should be kept straight, and hands placed along the body. Smoothly raise one foot to a height of 15 cm from the floor, to hold it in this position for at least half a minute. Then slowly lower it, completely relax. Then repeat the same action with the second lower limb. For each leg, do the exercise 1 time. It positively acts on the knees and is applicable, as gymnastics and exercise therapy for osteoarthrosis of the hip joint. The exercise has additions. You can perform 20 such movements, holding your foot for no more than 2 seconds in the air. In this case, each leg should rest for a couple of seconds when returning to its original position( on the floor).Important note - it is necessary to perform the same movements for both limbs.
The second exerciseNext you can take a lying position on the floor, but already bending one of the legs in the knee. The bend angle must be straight. Then bend the limb to a height of 10 cm and stay so for half a minute. Lower the leg and relax the muscles. Take a break for a short break and repeat the same with the other leg. It is enough to do the exercise 1 time on each side. This same charge can be given dynamics, holding the raised knee no more than 1-2 seconds for 10-20 times for each joint.
Third exerciseIf the patient is physically developed and has endurance, then this charge will work. If difficulties arise with the implementation, it is better to abandon it. Lie back on the floor and raise your straightened legs no more than 15 cm from the floor. Smoothly dilute and also reduce the limbs, keeping them in the air. So do up to 10 times at a slow pace, without lowering your legs.
Movement 4Lie on the floor with the right side, bending the right knee. Raise the left leg at an angle of 45 degrees, hold it in this position for half a minute. Lower it slowly, relax. Make a similar motion for the opposite side. The load on the limbs during the execution of these actions should be the same.
Fifth exerciseArrive on a chair, pull and lift one of the legs to the maximum possible height. Hold in this position for 1 minute. Then slowly return the leg to its initial position. It is necessary to completely relax the muscles. This charge is made up to 3 times per foot.
Exercise 6Holding on to the back of a chair, climb to your toes. Stand for 1 minute, return to the starting position. Enough 1 time.
Secondary ostearthrosis( hip osteoarthritis) develops after a pathological dislocation of the thigh, dysplasia of TBS, Perthes disease, aseptic necrosis of bone, joint inflammation, mechanical trauma of the hip( bruise, fracture, etc.).
How the disease develops
One of the elements of the joint is the elastic cartilage - it is responsible for the safe movement of bones relative to each other during the movement( does not allow friction, which leads to the formation of microcracks).Due to the impact of negative factors, cartilage loses its elasticity, and as the disease develops, the articular cartilage is completely erased. As a result, bone elements cling to each other, osteophytes are formed and the progression of deforming osteoarthritis of TBS begins.
How to recognize the disease
There are few symptoms for a precise diagnosis, therefore, instrumental diagnostic methods are additionally prescribed.
At different stages, osteoarthritis of the hip joint is characterized by different symptoms. There are three degrees of development of osteoarthritis:
|Osteoarthrosis of the hip joints of the first degree||After running, long walking, descending or climbing stairs, long standing in place, pain occurs after rest. More often local pain - only in the area of the damaged joint, but in some cases can give to the knee or thigh. There can be changes in movements, gait is not observed. The muscle tone of the lower limbs remains normal.||On an x-ray photo, unimportant bony enlargements become visible, which do not leave the boundaries of the joint lip. The cervix and head of the femur remain unchanged.|
|Osteoarthrosis of the hip joints of the second degree( deforming osteoarthrosis of the hip joint)||Pain symptoms become more pronounced. Appears lameness. Due to the tightening of the gluteus muscle, the diseased leg seems shorter than the healthy one. Movement is severely limited. Other signs of deforming osteoarthritis: clicking sounds during movement, muscular dystrophy of the aching leg.||There is a significant narrowing of the joint space, a modification of the synovial cartilage and the lining of the bone. Osteophytes grow along the bones and ligament apparatus.|
|Started osteoarthrosis of the hip joints||The pain is very strong and does not stop even with prolonged rest. It is impossible to lean on a leg - the patient is forced to move with a cane. The hip joint becomes inactive, the pelvis is displaced( there is a spongy appearance).||On the X-ray, large-scale bony enlargements, a strong narrowing of the joint gap and an increase in the cervix are noticeable.|
How is the disease treated?
How to treat osteoarthritis of the hip joint? First of all, you need to make sure of the diagnosis and to identify the cause and stage of the disease development - this is done as a result of diagnosis( laboratory tests of blood, radiography, study of symptoms).Methods of treatment the doctor chooses depending on the general well-being of the patient, the degree of joint damage, the intensity of the manifestation of symptoms. The purpose of treatment procedures is to completely arrange the cause of the disease. Treatment objectives:
- to reduce pain;
- improve the nutrition of bone tissue of the hip joint;
- improve blood flow in damaged tissues;
- reduce the load on the damaged thigh;
- strengthen the muscular framework;
- to increase limb mobility.
Surgical operation is performed only if no other conservative methods have yielded a positive result.
Therapeutic treatment of osteoarthritis begins with the prescription of medications: