Treatment of deforming coxarthrosis of the hip joint
Coxarthrosis is a disease that is also called arthrosis of the hip joint. Symptoms with coxarthrosis of the hip joint are slow for a few years, from time to time only intensifying. Only with continuous severe pain a person usually consults a doctor for help. Most often by this time the disease is already developing so much that it begins to flow with complications. In this regard, the treatment of this diagnosis is already complicated. That is why deforming coxarthrosis of joints is such a dangerous disease - it develops slowly, sometimes imperceptibly for a person, thereby causing complications.
Deforming coxarthrosis is one of the most common diseases among other types of osteoarthritis. With age, the risk of the appearance of this pathology in certain people only increases. In general, this disease occurs in the elderly, but this disease affects people who are overweight, and those who lead a sedentary lifestyle. Strange as it might seem, this symptom may also appear in professional athletes when getting injuries of a certain kind. This is directly related to the fact that the hip joint is most often subjected to special stresses.
There are 2 types of coxarthrosis of the hip joint: one-sided and two-sided. Bilateral deforming coxarthrosis affects both joints at once, but this is extremely rare. As mentioned earlier, the disease occurs very often due to the fact that the hip joint is the biggest load. It is as a result of this that measures of prevention of this type of osteoarthritis should be observed, namely, to lead a mobile lifestyle and to exercise less weight on the joint, that is, to sit less.
What are the causes of the disease?
Causes of coxarthrosis of the hip joint can be completely different. Basically, the main reason is that the patient leads a sedentary, activity-deprived lifestyle. In this case, in order to exclude the further development of the disease, it is necessary to change the way of life cardinally. In addition, the constant load on the joint can be a possible cause of the ailment. Very often, the disease can begin to develop in professional athletes, since their hard training can be the root cause. In rare cases, the disease can be transmitted hereditary, but this fact has not been fully understood. So, for example, a person may suddenly have a knee coksoarthrosis or dysplasia of the hip joint. In addition, there are a number of other, less common causes of the disease:
- Perthes disease.
- Inflammation in the joint.
- Congenital dislocation of the hip.
- Hip dysplasia( sometimes congenital).
- Aseptic necrosis of the head of the femur.
- Getting joint injuries.
- Post-infectious or post-traumatic syndrome.
- Idiopathic development of the disease - the disease for a long time could not be detected.
- Flat feet - in this case there is an additional load on the joint.
- Biochemical changes that begin to occur in cartilage - can cause disturbed metabolism.
- Scoliosis, kyphosis and other diseases of the spine.
All of the above causes can contribute to the onset of the disease. Thus, everyone will be able to analyze the occurrence of coxarthrosis.
Symptoms of the disease
Deforming coxarthrosis can manifest itself in various forms. All the symptoms are very pronounced, so it is not difficult to determine the disease in yourself. The whole problem is that in the early stages of pain can be periodic and not strong. Usually in these cases a person does not pay attention to changes occurring in the body. Returning to the symptoms of the disease, the most pronounced ones stand out:
- Pain sensations that appear in the femoral joint and manifest constantly. At later stages, the pain syndrome does not release even during complete rest.
- Muscular atrophy - all movements near the muscle tissues are extremely complicated.
- The movements become constrained.
- At the advanced stages, the aching leg becomes shorter.
- During walking, characteristic creaks in the joints may appear.
- There are pain in the groin, continuous pain in the knees, the joint and thigh. Pain usually does not stop for a minute. If you take pain medications, then it's possible to stop pain for a while.
In a word, the first symptom for suspicion of the disease is aching joint pain, which practically does not stop. All the problems are that many people simply ignore the fact of permanent pain in the hip and do not seek help from an experienced doctor. In addition, many people start self-medication with the help of folk methods, which is extremely risky with this disease. That is why if you find the symptoms described above, you should immediately contact an experienced doctor.
Degrees of development of the disease
In total, there are 3 stages in the development of the disease in medicine:
- . At this stage the pains are uncharacteristic and occur periodically. In general, the pain is concentrated only in the hip part. It should be noted that if the pain in the femoral part occurs after long training. Usually, at this stage, when the rest is at rest, the pain goes away. This is the first diagnosis of coxarthrosis. In addition, if the diagnosis is performed on an X-ray machine, then the picture should clearly show how the first changes that occur in the pelvic part begin. The joint gap begins to narrow rapidly, and the first growths on the bones and cartilages begin to form. However, the neck of the hip is still unchanged.
- Pain is becoming more distinct and intense. Now their localization already extends to the inguinal part and thigh. The pain does not stop even during a state of complete rest. Deformation of the head of the femoral neck begins. It can begin to increase in volume or shift. Diagnosis of coxarthrosis on the X-ray machine can show the formation of cysts. The neck of the hip begins to thicken.
- The third stage is continuous severe pain that does not allow to sleep. Appears lameness, and in order to move, it requires a constant support. Begin to atrophy gluteal muscles, hips, knees, and movements in the joint become complicated. This stage is dangerous because the pelvis begins to move in one direction, resulting in shortening of one leg. On the X-ray, bone growths can be clearly observed. At the same time, the joint gap completely disappears. At this stage, even the strongest drugs do not help as effectively as their application at earlier stages could help.
Coxarthrosis: existing treatments for
There are several different types of treatment for this disease:
- Non-medicinal. This method is rather a preventive measure, since it presupposes the maintenance of a more mobile way of life, the complete removal of loads on the pelvic part. In the event that you plan a long trip or a walk, do not be lazy or feel embarrassed to take a cane with you in order to remove as much as possible all the load from the hip joint. In addition, it is possible to use various preparations of a wide spectrum, they will allow to remove painful sensations. For more effective treatment you can buy vibrophones. Most often these are special vibrating mattresses that allow the development of cartilage and joints. You can put them directly on top of the main mattress on the bed or sofa. The Vitafon can also help here. However, it should be remembered that depriving any loads on the pelvic part will not bring anything useful, so you need to look for the so-called "golden mean".
- Medicinal methods. To date, there are various methods that can cure the disease at stages 1 and 2: Alflutop, Vitafon apparatus. Alflutop consists of marine microorganisms, the combination of which stimulates the restoration of cartilaginous tissue. However, Alflutop is contraindicated in pregnant, nursing, children and adolescents with an unformed organism. The vitafon is an apparatus that, due to its action, compensates for the lack of microvibration in the tissues of the body.
- It does not hurt to do special therapeutic exercise, which is very effective in its stable implementation. For example, the exercises that Dr. Bubnovsky developed. According to reviews Bubnovsky coxarthrosis treats quite effectively. The medical center of the doctor is in Mytishchi.
Alflutop and Vitafon help to stop the development of the disease and stop the formation of growths. However, it should not be forgotten that these drugs are effective only at the initial stages of the disease.
In addition, there are various types of drugs that can help in the fight against coxarthrosis:
- Muscle relaxants are drugs that help relax the muscles of the knees and thighs. In addition, improve blood circulation in the joint, thereby reducing pain syndrome.
- Vasodilators - these include drugs such as cinnarizine and trental. They improve blood circulation and increase the regenerative function of cartilage.
- Chondroprotectors - these drugs help restore the regenerative function of the joints and thereby stop the development of the disease. These include Alflutop. Also a similar action is provided by the Vitafon device. It should be noted that the Vitafon is recommended in most countries of the former post-Soviet space. It is impossible not to mention that the drug Alflutop continues its regenerative functions even after its cancellation by a doctor. This fact must be taken into account.
- Local therapy - therapeutic ointments, whose use is actual during severe pain or massage procedures.
- Painkillers: paracetamol, indomethacin and diclofenac. They will reduce joint pain and ease sleep.
Thus, from all of the above, it can be concluded that coxarthrosis is a very serious disease, the treatment of which must be treated with an extreme degree of responsibility.
Than bilateral bilateral coxarthrosis of the hip joint is dangerous
Deforming arthrosis of the hip joint is known under another name - coxarthrosis. This disease is characterized by deformation of bones and articular surfaces, it is accompanied by the development of pathological growths on the surface of bone tissue and restriction of motor activity. Quite often it happens that coxarthrosis does not start in one, but in two joints, then the disease is called bilateral coxarthrosis. In recent years, this disease is becoming more common. Usually it affects people after 40 years, women and men are subject to it roughly the same, however, according to statistics, in women the disease is more severe. Therefore, it is worthwhile to know what symptoms coxarthrosis has, how it develops and how it is necessary to treat it.
Causes of coxarthrosis
In cases of bilateral coxarthrosis, the disease usually affects one joint, only after a while passes to another. The causes of coxarthrosis can be different - from the lifestyle and ending with heredity. Genetically this disease is not transmitted, but scientists came to the conclusion that it can cause metabolic disorders that have passed by inheritance.
Very often the disease is a consequence of overload of the joints. At risk are athletes, people who have great physical activity and a very active regime of the day, and those who are overweight.
But sedentary, sedentary lifestyle can cause coxarthrosis, so you need to start treatment and enter physical activity, otherwise the disease will return. The cause of degenerative changes in cartilage and joints can be diabetes, arthritis, osteoporosis, underdeveloped articulation. In young people, the cause of coxarthrosis is, as a rule, injuries and bruises of the joints or congenital dislocation of the hip.
However, the key factor that causes coxarthrosis of the hip joint in our days is a stressful condition. The thing is that with strong disturbances and prolonged experiences in the body, hormones of the corticosteroid group are secreted. They have a negative effect on the process of production of hyaluronic acid, which, in turn, leads to a lack of lubrication of the joints, the drying of the cartilage and changes in the structure of the joint. In addition, stress hormones worsen the blood supply of various tissues. Because the tissues of the cartilage, bones and joints do not receive the necessary nutrition, there is a dystrophic symptomatology. And if stressful stresses are accompanied by increased physical activity or trauma, this further aggravates arthrosis of the hip joint.
Diagnosis of coxarthrosis does not cause difficulties, it is enough just to turn to the hospital in time.
Symptoms of coxarthrosis
There are three main stages of development of coxarthrosis of the hip joint. Each stage will have its own symptomatology:
- In the first stage of the disease, minor pain in the pelvic region appears. They arise only after physical exercises, lifting of weights, loads or a long walk. The pain appears during physical activity or at the end of the day and ceases, if you rest. Sometimes pain with coxarthrosis may appear not in the pelvic area, but in the region of the knee joints or thighs, but this happens rather rarely. If the first signs of pain occur, you should immediately consult a doctor who can detect the disease with the help of an X-ray. If coxarthrosis of the hip joint is not treated, the disease will move to the next stage.
- The second stage is characterized by stronger pain sensations. They appear not only in the pelvic region, pain can be given to the thigh, groin, the place where the knee joint is located. Painful symptoms cause already much less complex movements, quite simple actions: lifting from a sitting position, body twists, rapid movement. When this stage of coxarthrosis of the hip arises, the muscles are tightened and strained, often not disappearing, even when the person is asleep. In this regard, the patient can wake up at night with pain. The second stage of development of coxarthrosis may be accompanied by mild lameness, which appears when walking at distances exceeding 1 km, and restricts movements by 20 °.
- Coxarthrosis of the third stage is accompanied by very strong and sharp pains. Pain sensations in the hip and knee joints are permanent, and when you try to walk, they become even stronger. At the third stage, the joint does not function properly, and the dystrophy of the muscles of the buttocks and the thigh area leads to the fact that the patient can not even just stand without using the cane, let alone walk normally. At this stage, the muscles are constantly contracting and straining, which leads to some shortening of the legs. At the third stage of coxarthrosis, treatment becomes extremely difficult. A large number of medications are used, and if this does not help, a hip joint operation is prescribed.
In addition, doctors identify the primary and secondary forms of coxarthrosis. If the cause of the disease could not be identified, this coxarthrosis is of primary form. Secondary arthrosis of the hip joint is defined as a consequence of some other disease.
Treatment of coxarthrosis of the first stage
The methods of providing medical care for arthrosis of the hip joint depend on the stage at which the patient consulted the doctor. Complete treatment of coxarthrosis and restoration of motor functions is possible only at the first stage of the development of the disease.
At the initial stage of a disease such as coxarthrosis of the hip joint, treatment is not difficult. If you contact a doctor at the first stage of arthrosis, the therapy will be painless and take quite a bit of time. Most often this stage implies treatment not in the hospital, but at home. The patient is prescribed analgesics, vasodilators and anti-inflammatory drugs. Of course, you need to normalize physical activity. Additionally, massage and exercise therapy can be used at this stage.
When performing therapeutic exercises the patient should observe the following rules:
- every exercise is done smoothly and carefully, sharp movements should be deleted;
- complex exercises are performed daily, omissions are excluded;
- the axial load on the joint is completely eliminated;
- before the beginning of the gym, you need to do a massage in the area of the aching joint;
- after completing a set of exercises should lie in a warm bath, the reception of which will facilitate the removal of pain symptoms and muscle relaxation;
- in case of pain, the treatment of arthrosis with the help of exercises must be stopped immediately.
A good addition to the gym is swimming. But we must remember that gymnastics is excluded if there are open or closed hemorrhages, malignant formations and fractures of tubular bones.
In addition, such exercises are impossible and with acute pre-infarction or pre-sultness of the patient.
Treatment of coxarthrosis of the second stage of
In the second stage of development of arthrosis of the hip joint, damage occurs not only to the joints and cartilage, but also to the bones of the person, which, of course, is impossible to regain the former state. Treatment at this stage is to improve the condition of the joints. As a result, the pain becomes less, the mobility improves, the operation is either postponed for a very long time, or it may not be required at all.
In the second stage of coxarthrosis, analgesics, anti-inflammatory drugs and normalization of the load are supplemented by magnetic therapy, electrophoresis, laser and ultrasound therapy. The treatment is complemented by a course of therapeutic gymnastics and a massage that has an extremely beneficial effect. The more often a massage will be performed and the more qualitative it will be, the better. A good therapeutic effect for arthrosis may be manual therapy, but one should not forget that it is contraindicated for people suffering from arthritis, rheumatic diseases, joint disorders, and also recently suffered any injuries. It is also possible to use ointments, compresses and lotions in places affected by coxarthrosis of the hip joint. Treatment in this way is not very effective, but they can still bring some benefit.
A patient with coxarthrosis in the second stage will need to undergo a course of maintenance treatment every 6 months.
Treatment of coxarthrosis of the third stage
Most often in the third stage of the development of the disease of surgical intervention and joint replacement can not be avoided. If bilateral coxarthrosis takes place, the patient will most likely have to accept the idea of disability and crutches.
When the patient is categorically against the operation intervention or there are reasons preventing the operation - age, condition of the vessels, weak heart, the doctor prescribes preparations for strengthening joints, physiotherapy, therapeutic gymnastics. Intramuscular, intravenous and in the cavity of the damaged joint are administered drugs - analgesics and anti-inflammatory drugs. With severe pain, intra-articular blockades are made. Of course, all the symptoms will not be removed, but by performing these actions, the patient will be able to sit and sleep normally, the pain will cease to intensify, perhaps even weaken. Most likely, it will be possible and movement at short distances, if you use a cane.
Traditional methods of treatment of bilateral coxarthrosis
There are folk methods of treatment of simple and bilateral arthrosis of the hip joint. Their effectiveness is not proven and they can not guarantee healing, however, they will not be worse from their application.
Treatment of coxarthrosis in folk medicine is carried out by the following means:
- Vegetarianism or rice diet lasting from 1.5 to 2 months. This method can help at least because the total weight of the body will decrease, the load on the hip joints will decrease. However, it is worth remembering that a rice diet can not be performed more than once a year.
- Trituration of the spine with honey. Therapeutic massage should be done from the seventh vertebra to the coccyx 3-5 times a day daily or with an interval of 1 day. It should be rubbed on one spoonful of honey for 5 minutes by tangential movements.
- Rubbing into the damaged area of olive oil with celandine.
- Go to bed, applying compresses from cabbage leaf with honey applied to it every night for a month.
- Rubbing of sites affected by coxarthrosis of the hip joint, tea tree oil or fir oil.
- Drinking tea from half a lemon and honey.
- Use for sleeping leg-tight trousers, stuffed with fresh birch leaves. It is necessary to spend about 5 such procedures, with each time you have to put fresh leaves in trousers.
- Applying wood compresses to a sore spot. In order to make such a compress, you need to cut pieces of wood 2-3 cm thick from poplar or aspen, and then apply them 2 times a day for 10, maximum 15 minutes.
It should be remembered that, having become ill with coxarthrosis of the hip joint, treatment with folk remedies should be carried out only in addition to the drugs and the course of medical gymnastics prescribed by the doctor. None of the methods used in traditional medicine, can not give a recovery without drug intervention and proper physical activity.
Anatomy of the disease
The beginning in the development of arthrosis is often a violation of the blood supply of the joint. As a result of oxygen and nutrient deficiencies, tissue hypoxia develops, an accumulation of under-oxidized metabolic products takes place. These products affect the formation of substances that destroy cartilage.
Cartilage tissue becomes very thin and does not withstand friction during movement. The pressure when walking on the bone increases and the bone surface changes( osteophytes and deformation appear), the functionality of the joints decreases, and severe pain occurs. In the absence of treatment, even more disturbs blood circulation and nutrition of tissues, there is a risk of immobilization of the limbs.
Than the pathology of
is dangerous. Coxarthrosis as a whole is an insidious disease, the symptoms of arthrosis are practically not noticeable until the disease "grows" up to the third or fourth stage, when treatment with classical medicamental methods no longer brings the desired effect, and surgical treatment can bedifficult because of the many contraindications.
Since the patient is forced to dose the load, the muscles around the joint atrophy. The second stage of the disease begins - there is inflammation, which is accompanied by increasing pain. It is during this period that the symptoms of arthrosis become evident and the patient realizes that he needs treatment of coxarthrosis of the hip joint and goes for a primary examination to the doctor.
Treatment started at later stages is hindered by severe destruction of articular cartilage and progressive deformation of bone tissue. Such a neglected condition does not yield to conservative therapy - joint replacement will be required.
If dysplastic coxarthrosis is diagnosed in young patients, the placement of the prosthesis causes controversy due to increased motor activity leading to rapid wear of the prosthesis. In children, the matter is complicated by the continued growth, because of which it is not easy to choose the right size of the prosthesis.
appear? The causes of coxarthrosis are different, but often they act together - to provoke pathology, there may be a whole range of factors that arise from the patient's lifestyle:
- Frequent fractures and dislocations( in the risk zone - athletes) - they have a bad effect on the general condition of the cartilaginous tissue, promote the development of cartilage atrophy and deformation of the joint.
- Excessive load. Coxarthrosis of the hip joint is a disease of people who spend a lot of time on their feet, or whose profession is associated with lifting heavy weights.
- Obesity and concomitant diseases.
- The main catalyst for the development of coxarthrosis is diabetes mellitus, hormonal disorders and osteoporosis.
- Inflammation of the joint cavity and bones. For example, arthritis can be a factor in the development of coxarthrosis.
Forms of the disease
Joint arthroplasty may be a consequence of coxarthrosis
Hip arthrosis is one-sided and two-sided. In one-sided form, one joint is affected. Two-sided coxarthrosis( another name - deforming arthrosis of the hip joint) means that two joints are damaged at once, most often it is diagnosed in men and women after fifty years.
In the form of development the disease is divided into the following two groups:
1. Primary coxarthrosis of the hip joint - the symptoms go unnoticed for a long time( for 10-20 years).The pain manifests itself only with increased loads( long running, walking "into the hill").In rest, pain is not observed. The pathology is treated quite successfully by conservative methods. Operative treatment is rarely required.
Coxarthrosis - arthrosis of the hip joint. Degrees and symptoms of coxarthrosis.
There is both a lesion of one, and both hip joints at once. So bilateral bilateral coxarthrosis of the hip joints is not uncommon. When the primary is very often affected knee joint and spine.
The structure of the hip joint
To gain a deeper understanding of the meaning of all measures for the treatment of coxarthrosis, you need to know a little about the structure of the joint and about the changes that occur with it in arthrosis of the hip joints .
Two joints are involved in the formation of the hip joint: the femoral and iliac bones. It is the acetabulum of the iliac bone that serves as a "pocket", into which the joint ball-shaped head of the femur is inserted. Together, the joint and the acetabulum form a hinge, thanks to which the hip joint is able to produce various rotational movements in a healthy state.
In normal state, the femoral head and the cavity of the acetabulum are covered with a layer of hyaline cartilage. The articular cartilage is a very smooth, firm and resilient "padding" that provides an ideal glide of the connecting bones relative to each other. Also, the cartilage is involved in depreciation and load distribution during walking and movement.
Ideal slip of articulating bones is possible due to the special physiology of the cartilage. It works on the principle of a wet sponge, which during the squeezing releases water, and after compression again fills its pores with water. Only in contrast to the usual sponge, from the cartilage is not allocated water, and articular fluid, which has a special lubricating properties. It is the articular fluid that forms the protective film on the surface of the cartilage. The thickness of the protective film depends on the degree of stress on the joint. That is, the greater the pressure force, the larger the layer.
Filling all the free space in the joint cavity, articular synovial fluid provides nutrition and lubrication of the cartilage. The joint cavity is surrounded by a capsule, which consists of very strong and dense fibrous fibers.
A very important role for the normal functioning of the hip joint is played by the surrounding massive muscles - gluteal and femoral. If the muscles are poorly developed - the correct movement of the joints is impossible. In addition, the femoral and gluteal muscles take on a part of the load when running and walking, thus playing the role of active shock absorbers. It is due to very well developed muscles, the joint trauma decreases with unsuccessful movements, running, jumping or long walking.
And do not forget about another very important function of the muscles: during their intense motor work they perform the role of a kind of pump and pump through their blood vessels very large volumes of blood. It is because of this that the blood circulates better around the joint and delivers the necessary nutrients to it. Accordingly, the more perfect the work of the muscles, the more circulating blood circulates through them and the more nutrients the joint gets from the body.
Mechanism of arthrosis development
So what happens with the joint during the development of deforming coxarthrosis? At the beginning of the disease, the properties of the joint fluid change - for various reasons it becomes viscous and dense. And without proper "lubrication" articular cartilage begins to dry up, and its surface becomes rough and covered with cracks. As a result, the cartilage begins to thin, as it does not withstand increased friction during movement. And the distance between the articulating bones of the joint gradually decreases. Bones seem to be exposed from under the cartilage, the pressure on them increases and they begin to deform. That is why the disease of coxarthrosis is called deforming arthrosis of the hip joint.
In addition to changing the properties of the joint fluid, there is a violation of blood circulation and thus slows the metabolism in the joint, due to the reduction of blood circulation through its vessels. Over time, the muscles of the sore leg atrophy. The whole process takes place in the body gradually. But sometimes the chronic course of the disease is accompanied by periods of severe exacerbation of joint pain, this is the so-called period of "reactive" inflammation of the joints. It is during this period that sick patients often seek medical help from a doctor.
Causes of coxarthrosis
Reasons for the appearance of this disease are in fact very many:
- circulatory disturbance in the joint - worsening of venous outflow and arterial inflow. As a result of insufficient supply of tissues, accumulation of under-oxidized metabolic products takes place, activating enzymes that destroy cartilage;
- mechanical factors causing joint overload. Most often overloads are subject to professional athletes. But you can also include people with excess body weight. And since complete people are also characterized by metabolic and circulatory disorders, then in combination with overload on the joint, it is they who very often joints are affected by arthrosis;
- biochemical changes in cartilage, metabolic disorders in the human body, hormonal changes;
- trauma( pelvic fractures, cervical fractures and traumatic dislocations).It is the trauma that leads to the development of coxarthrosis of the hip joints in young people;
- aseptic necrosis of the head of the hip;
- infectious processes and inflammation of the joints;
- pathology of the vertebral column( scoliosis, kyphosis) and feet( flat feet);
- congenital hip dislocation - takes about 20% of all arthrosis of the hip joints;
- congenital dysplasia( dysplasia of the joints);
- "lack of training" as a result of a sedentary lifestyle;
- predisposition and heredity of the body. Undoubtedly coxarthrosis itself is not inherited, but here the weakness of the skeleton, the features of the structure of the cartilaginous tissue and metabolism are transmitted genetically from the parents to the child. Therefore, if your parents or close relatives are ill with arthrosis, then the risk of getting a diagnosis of coxarthrosis rises.
Symptoms of coxarthrosis
General symptoms of coxarthrosis of the hip joint can be identified, but it should be understood that the symptoms depend on the stage of the disease:
- pains in the joint, thigh, inguinal region, at the knee, both under load and at rest;
- stiffness and stiffness of movements;
- aching leg becomes shorter;
- occurs atrophy of the thigh muscles;
The main symptom of coxarthrosis and the main complaint with which patients turn to the doctor is pain. The nature, duration, intensity and localization of which depends on the stage of the disease. At the initial stage, when it is best to start treatment, joint pain is still quite weak. That's why patients do not immediately rush to see a doctor, hoping that the pain will go somehow miraculously by themselves. And this is the most important mistake, which leads to loss of time and destruction of the joint. Painful sensations begin to increase, and the mobility of the aching leg is limited. Pain appears already at the first steps and subsides only in a state of rest. The patient begins to limp, crouching when walking on a sore leg. The muscles of the thigh atrophy - shrink and decrease in volume.
The most interesting thing is that the atrophy of the hip muscles causes the pain in the knee region and in the attachment of tendons. And the intensity of pain in the knee can be much more pronounced than the femoral or inguinal. That is why very often the wrong diagnosis is made - arthrosis of the knee joint and the doctor prescribes a completely inappropriate treatment, and the present disease only progresses.
By the way, pain in the thigh and groin, can be caused in the patient not only by arthrosis. Very often pains in these areas are given from the inflamed femoral tendon or damaged spine. Moreover, the complaints of such patients almost coincide with the complaints of those people who suffer from coxarthrosis of the hip joint. Therefore, the correct diagnosis should be entrusted only to experienced doctors. Diagnosis of the degree of disease and choice of treatment is determined only by a doctor!
Degrees of coxarthrosis
There are three degrees of arthrosis of the hip joint:
For coxarthrosis of the 1st degree, periodic pains arising after physical exertion( prolonged walking or running) are characteristic. Basically, pain concentrates in the hip joint area, rarely occurs in the thigh and knee area. Usually after rest the pain passes. The amplitude of the movements is not limited, the gait is not violated, muscle strength is not changed. If you make an x-ray at this stage, you will see slight bony growths, but they do not go beyond the joint lip. Bony growths are located around the inner or outer edge of the articular surface of the acetabulum. The cervix and the head of the femur are practically unchanged. The joint gap is unevenly narrowed.
In coxarthrosis of the 2nd degree, the pain intensifies and is more intense. In addition to pain in the joint itself, they are given to the inguinal region, thigh and arise even in a state of rest. Long walking causes lameness. Normally, the joint can no longer function. The internal rotation and hip removal are significantly limited. The muscles that remove and unbend the hip loosen their former strength. On the roentgenogram of the patient, significant bone growths are seen both on the inner and outer edges of the acetabulum, which extend beyond the boundaries of the cartilaginous lip. The head of the femur is deformed, enlarged in volume and has an uneven contour. In the most loaded parts of the head and swivel cavities, cysts are possible. The neck of the femur extends and thickens. The slit of the hip joint is unevenly narrowed( up to 1/3 - 1/4 of the initial height).The patient tends to shift the head of the hip to the top.
Pain in coxarthrosis of 3 degrees is already permanent, arising even at night. When walking, the patient must use a cane. Movement in the joint is severely limited, the muscles of the thigh, lower legs and buttocks - atrophy. Because of the weakness of the hip muscles, the pelvis tilts in the frontal plane, which leads to a shortening of the limb on the affected side. To get to the floor when walking, the patient has to step on the toes and tilt his torso on the sore side. This is how you have to compensate for the shortening of the limb and the slope of the pelvis. But the method of compensation leads to the movement of the center of gravity and to overloads on the joint. On the radiographs, extensive bony enlargements are seen from the side of the femoral head and the roof of the swivel cavity. The joint gap narrows sharply. The neck of the thigh is greatly expanded.
Deforming osteoarthritis of the hip joint and its diagnosis
Diagnostics is based on clinical radiology data. Radiographic examination helps to establish the stage of the disease and its etiology. For example, with dysplastic coxarthrosis, flattening and slanting of the acetabulum and an increase in the neck-diaphyseal angle are clearly visible. If the disease was a consequence of juvenile epiphysiolysis or Perthes disease, then changes in the shape of the proximal end of the femur are noticeable. There is deformation of the head and the neck-diaphyseal angle decreases with the formation of coxa vara. Features of the x-ray picture of posttraumatic coxarthrosis depend on the nature of the resulting injury and the shape of the articular surfaces after the fusion of the bones forming the hip joint.
Recall once again that the complexity of the primary diagnosis is that the symptoms of arthrosis of the hip joint resemble the symptoms of the knee. But X-ray studies help to make an accurate diagnosis. It is from the correct diagnosis of the disease depends on the choice of treatment methods. More details about all possible methods of treatment of this disease, we will tell in the article - "Treatment of coxarthrosis."
And most importantly - do not make a diagnosis yourself. Only an experienced doctor can correctly diagnose and select the optimal method of treatment.
Coxarthrosis of the hip - what you need to know
Coxarthrosis of the hip joint
Arthrosis of the hip joints( coxarthrosis) usually develops after forty years. Women are sick slightly more often than men. Coxarthrosis can affect both one and both hip joints. But even in the case of a bilateral defeat, first, as a rule, one joint becomes ill, and only then the second one "pulls" to it.
8. In children
Most often the symptoms of deforming arthrosis( DOA) of the hip joint begin gradually and imperceptibly - in the form of initially very weak pains or just uncomfortable sensations in the joint area that begin with walking and which stop inalone. These pains can occur not only in the field of the hip joint itself, but also in the knee and even in the groin.
At this stage of the disease, patients are not yet rushing to see a doctor: "it will pass by itself", "will get sick and stop."But, ironically, this is just the right time to call a doctor when the disease is at an early stage and is easy to treat.
Along with the painful sensations, there is another very important symptom of the disease, which doctors call "morning stiffness".It is expressed in the fact that in the morning, as well as after a long sitting or lying, when a person was at rest, there is a certain tension in the movements, stiffness, when the patient needs time( from 15 minutes to an hour) to "disperse" afterwhich the joint begins to work in the usual mode. At the same time, pain in walking is accompanied by a crunch in the joint during movements, as well as characteristic "creaks" of bones at this time.
Most often even in such cases the person does not consult a doctor, so the severity of symptoms continues to increase gradually. Gradually, the pain in walking in the hip begins to increase and is often present all the time, while the person is moving. Then the patient tries to spare his leg, and soon his limp appears: a person begins to walk, slightly falling on a sore leg.
After the gait has started to change, violations in other organs and tissues automatically start to occur. Movements become more limited and deliver more and more pain while doing so. At this time, the normal axis of motion is modified. In this regard, the ligaments that support the joint and attach its strength, begin to overexert. In the muscles of the thigh also begins to form areas of stress, which are soon replaced by muscle atrophy - as the foot increasingly participates in walking and the load on it decreases. Usually at this stage a person needs to use a walking stick to move around.
As the disease progresses further, the pain becomes more severe, and limp and joint limitation are increasing. In the most neglected stages of the disease, the joint almost completely stops working, and the pains that used to be only during walking, appear already on their own, at rest, especially at night, and medications to relieve this pain help less and less.
A person can move only on crutches, and the only way to improve the situation at this stage is only surgical - replacing the worn hip joint with an artificial one.
There are 3 degrees of development of this disease.
In coxarthrosis 1 degree, periodic pain can occur after severe physical exertion. Most often the pain is localized in the hip joint itself, sometimes it can appear in the region of the knee or thigh. At the same time after rest the pain passes. The main problem is the fact that there are no more symptoms - the muscles do not weaken, the gait is not violated and the freedom of movement is not limited. Because of this, people most often ignore the symptom that appeared in an insignificant measure, they do not address the doctor, but the disease progresses peacefully. But it is at this stage that the disease is easiest to cure. Degrees of arthrosis of the hip joint
At this stage also the appearance of small bony growths that are located around the outer or inner edge of the joint surface. On the joint gap appears uneven narrowing, the head and neck of the femur are not yet changed. Such minor changes to a person do not interfere with life, joint mobility does not limit.
The second degree of the disease is characterized by an active lesion of the cartilaginous tissue. It is even more refined, the narrowing of the lumen between the articular parts is seen on the x-ray, the number of osteophytes increases. Inflammation of the periosteum develops. Symptoms intensify: pains become intense and often occur at night, there is lameness( the patient is forced to use a cane).Upon examination, the doctor notes the dystrophy of the muscles on his leg.
Pain in coxarthrosis of the 3rd degree is already permanent, arising even at night. When walking, the patient must use a cane. Movement in the joint is severely limited, the muscles of the thigh, lower legs and buttocks - atrophy. Because of the weakness of the hip muscles, the pelvis tilts in the frontal plane, which leads to a shortening of the limb on the affected side. To get to the floor when walking, the patient has to step on the toes and tilt his torso on the sore side. This is how you have to compensate for the shortening of the limb and the slope of the pelvis. But the method of compensation leads to the movement of the center of gravity and to overloads on the joint. On the radiographs, extensive bony enlargements are seen from the side of the femoral head and the roof of the swivel cavity. The joint gap narrows sharply. The neck of the thigh is greatly expanded.
Osteoarthritis has 4 stages. The 4th stage is called ankylosis, when the joint completely loses mobility.
The following causes of coxarthrosis can be identified:
Joint overload. Often happens at professional sportsmen and at people who are compelled on a duty of duty much to go on foot. Also, joint overload often occurs in fat people. When running and walking on the knee or hip joints, the load is 2 to 3 times greater than the body weight. While a person is young, his cartilaginous tissue is still able to withstand constantly high blood pressure. But with age, when the elasticity of the cartilage decreases, the joints begin to wear out quickly. Also, people with excess weight are almost always characterized by metabolic and circulatory disorders, which also contributes to knee and hip joints arthrosis.
Joint trauma. Injuries, especially chronic, lead to the development of coxarthrosis, even in young people who, for natural reasons, have not yet had arthrosis. Chronic trauma( microtrauma) contributes to "accumulation" in the joint of damage, eventually causing cartilage atrophy or destruction of the underlying bone with its subsequent deformation and development of coxarthrosis.
The role of heredity in the development of coxarthrosis of the hip joint is debated. Coxarthrosis itself is not inherited. But the features of metabolism, the structure of cartilaginous tissue and the weakness of the skeleton are transmitted from parents to children genetically. Therefore, the risk of getting coxarthrosis is slightly higher in those people whose parents or relatives also suffer from coxarthrosis or other types of osteoarthritis. Such a risk increases if a person has abnormalities or underdeveloped joints from birth - this significantly increases the risk of developing the disease in old age.
Inflammation of the joints( arthritis) very often causes the appearance of so-called secondary arthrosis. When the joints are inflamed, the presence of infection in their cavity and changes in the properties of the joint fluid lead to the fact that the properties of the cartilaginous tissue itself change and it becomes inferior. In addition, with arthritis, blood circulation disorders and unfavorable changes in the synovial membrane of the joint almost always occur. Therefore, arthritis, even cured, later in about half the cases "triggers a mechanism" for the development of osteoarthritis.
Other factors contributing to the emergence of coxarthrosis are hormonal changes, diabetes, osteoporosis and some metabolic disorders.
Until recently, all of the above adverse factors were considered by scientists as the root cause of coxarthrosis. However, recently the views have changed a little - the main cause of development of coxarthrosis, gonarthrosis and other arthrosis changes in the joints is the chronic stress state of the patient.
The bottom line is that with prolonged negative experiences, the adrenal glands secrete an increased amount of corticosteroid hormones. This leads to a decrease in the production of hyaluronic acid, an important component of the joint fluid( "joint lubrication").When there is a shortage or inferiority of the articular fluid, the articular cartilages dry out, their "cracking" and thinning, which in a short time leads to arthrosis. The process is aggravated by the fact that "stressful" hormones reduce the permeability of capillaries and, thus, worsen the blood supply of damaged joints.
The combination of chronic stress with the above unfavorable circumstances( overload of joints, trauma, heredity, etc.) leads to a deterioration in the structure of the joint cartilage. As a result, osteortrosis develops, including coxarthrosis.
Diagnosis is based on history and results of radiographic examination of the hip joint. Depending on the stage of the disease, the changes in the joint, articular fissure and femur are clearly visible on the roentgenogram. Usually the diagnosis is not difficult for the doctor.
General symptoms of coxarthrosis of the hip may be distinguished, but it must be understood that the symptoms depend on the stage of the disease:
pains in the joint, thigh, inguinal region, at the knee, both under load and at rest;
stiffness and stiffness of movements;
the aching leg becomes shorter;
there is an atrophy of muscles of a femur;
The main symptom of coxarthrosis and the main complaint with which patients refer to a doctor is pain. The nature, duration, intensity and localization of which depends on the stage of the disease. At the initial stage, when it is best to start treatment, joint pain is still quite weak. That's why patients do not immediately rush to see a doctor, hoping that the pain will go somehow miraculously by themselves. And this is the most important mistake, which leads to loss of time and destruction of the joint. Painful sensations begin to increase, and the mobility of the aching leg is limited. Pain appears already at the first steps and subsides only in a state of rest. The patient begins to limp, crouching when walking on a sore leg. The muscles of the thigh atrophy - shrink and decrease in volume.
The most interesting thing is that the atrophy of the hip muscles causes the pain in the knee area and in the attachment of tendons. And the intensity of pain in the knee can be much more pronounced than the femoral or inguinal. That is why very often the wrong diagnosis is made - arthrosis of the knee joint and the doctor prescribes a completely inappropriate treatment, and the present disease only progresses.
By the way, pain in the thigh and groin, can be caused in the patient not only by arthrosis. Very often pains in these areas are given from the inflamed femoral tendon or damaged spine. Moreover, the complaints of such patients almost coincide with the complaints of those people who suffer from coxarthrosis of the hip joint. Therefore, the correct diagnosis should be entrusted only to experienced doctors. Diagnosis of the degree of disease and choice of treatment is determined only by a doctor!
Prophylaxis of deforming coxarthrosis is simple. To do this, it is sufficient to lead a mobile lifestyle, to avoid excessive loads and, if necessary, to undergo specialized surveys every year.
Regardless of the stage of the disease or the need for its prevention, doctors recommend the use of preparations "Collagen Ultra".Supplements and cream "Collagen Ultra" contain in their composition collagen hydrolyzate, which with regular and long-term use( about 3 months) will accelerate the restoration of bones and cartilaginous tissue. In addition, they have an analgesic and anti-inflammatory effect.
There is no specific prevention of arthrosis of the hip joints. The measures of primary prevention are early detection( in the first months of life of the child) and treatment of congenital dislocations of the hip and dysplasia of the hip joints.
Treatment of coxarthrosis of 1-2 degrees is aimed at reducing pain attacks, reducing inflammation and improving blood circulation in the joint and limbs. For this purpose, analgesic and non-steroidal anti-inflammatory drugs( Analgin, Ibuprofen, Indomethacin, Orthofen) are prescribed, and it is also recommended to reduce the vertical load on the legs( during the exacerbation it should be less walking, not wearing weights, etc.).When walking for a long time, you should use a walking stick. In addition, patients are prescribed muscle relaxants - a means that relieve muscle tension around the joint and improve its blood circulation. Positive effect on the affected joint has physiotherapy: electrophoresis with novocaine, magnetotherapy, laser therapy. When the pain subsides, perform massage of the waist and hips, perform therapeutic gymnastics aimed at normalizing the muscle tone, restoring the mobility of the affected joint and strengthening the surrounding muscles. In some cases, patients are prescribed stretching of the joint in combination with hydrokinetic( aquatic gymnastics).
Conservative therapy for coxarthrosis of grade 3, in addition to the above-described measures, includes intra-articular drug administration. Extension of the patient joint at the third degree of the disease is contraindicated, because the joint is severely limited in mobility and attempts to "stir" it cause additional microtraumatism and only increase the pain syndrome.
The optimal way to treat severe forms of coxarthrosis is surgical endoprosthetics, arthroplasty, arthrodesis and osteotomy - these operations make it possible to restore the mobility of the joint as much as possible. With arthroplasty, only the damaged surfaces, including cartilaginous tissue, are restored. In endoprosthetics, the joint is completely replaced with an artificial prosthesis - this operation is recommended for bilateral coxarthrosis. The arthrodesis allows to restore the supporting function of the leg, but not its mobility, while the bones are fastened with special screws and plates. Osteotomy is similar to arthrodesis, but it allows you to restore not only the supporting function of the limb, but also its mobility. As a rule, two weeks after surgery the patient can already move with support, and two months later he starts walking alone. In the rehabilitation period, any loads are prohibited. The patient returns to a full-fledged life 5-6 months after successful operation.
When a person thinks about how to treat coxarthrosis of the hip joint, he should understand that there is no one standard mechanism of the disease, therefore the treatment takes a symptomatic character. The main goal of the treatment is to reduce the disruption of the musculoskeletal system and the elimination of pain.
When choosing a treatment, also take into account at what stage the disease is, what the general condition of the patient is and what its age is. Treatment should be comprehensive and set a goal to normalize the patient's well-being. The obligatory component of the treatment is physiotherapy.
In the diagnosis of coxarthrosis of the hip joint, surgery can be prescribed only if the patient is at the last stage of the disease. The operation is designed to maintain or resume mobility in the affected joint( most often by endoprosthetics).
non-steroidal anti-inflammatory drugs are prescribed. It should be noted that such drugs are not able to reverse the changes occurring in the joint, but due to the removal of the inflammation, the pain is eased or disappears, which is very important in the late stages of the disease;
vasodilator preparations. Their use should help to relieve the painful muscle spasm around the joint;
muscle relaxants, which should also help to relieve muscle spasm and improve blood flow to the affected joint;
chondroprotectors. Such drugs are used to restore the cartilage tissue of the joint;
physiotherapy procedures. The task of this method is to improve the functioning of the joint. This effect can be achieved by improving blood supply and reducing the severity of inflammatory phenomena;
orthopedic treatment, which is aimed at reducing the burden on the joint and the removal of contractures of the joint.
Recently, joint diseases began to occur in people more and more often. Modern children are no exception. A disease called coxarthrosis is one of the leading diseases among the musculoskeletal system. This disease has a tendency to increase in all countries of the world and constitutes a significant weight in the structure of disability in general.
Coxarthrosis is a deforming arthrosis of the hip joint. Dystrophic process begins with articular cartilage. As a result, its thinning occurs and depreciation properties are lost.
Coxarthrosis may be an unclear etymology - it is a primary coxarthrosis, in which other joints( most often knees) and the spine are often affected. Secondary coxarthrosis may occur against a background of hip dysplasia or congenital hip dislocation, aseptic necrosis of the head of the femur, Perthes disease, inflammation or as a result of a traumatic injury( bruise, dislocation, fracture, microtrauma).Coxarthrosis can be unilateral or bilateral. Two-sided coxarthrosis affects both hip joints at once.
Most scientists hold the opinion that the main cause of coxarthrosis is a violation of blood circulation in the joint due to deterioration of venous outflow, and because of deterioration of the arterial inflow. But you can not forget about the mechanical factors that cause joint overload, various articular injuries, and biochemical changes in the cartilage itself.
Coxarthrosis in children develops as a result of congenital and degenerative-dystrophic diseases of the hip joint. Early diagnosis contributes to the appointment of an effective treatment to stop further disease progression.
At the doctor's office, patients most often complain of pain, the nature, intensity, duration and localization of which depend on the stage of coxarthrosis.
There are many pseudo-scientific theories that explain the development of coxarthrosis. And this is understandable - after all, when we get sick, we begin to look for the cause of our illness. And since we all have a desire to seek out the simplest explanations of any phenomena, here we also want to find one simple and understandable interpretation of the troubles that have happened to us. And there will always be a charlatan or amateur who will throw an "exclusive" idea about how your illness has arisen.
Thanks to such charlatans there are persistent myths about the fact that arthrosis is developing allegedly due to the deposition of salts in the joints( in fact, with rare exceptions, salts in the joints are not postponed - and certainly salt joints are not stored in the joints);or myths about the fact that arthrosis allegedly arises from eating tomatoes, or even some nonsense, including "evil eye" and something in the same spirit.
However, in fact, there is no one, all the explanatory reasons for the occurrence of arthrosis. Coxarthrosis can develop for a variety of reasons, but most often arthrosis is provoked by a combination of a number of unfavorable circumstances for the joint. And now we'll talk about what these circumstances are.
1. In 10-20% - injuries and microtraumas of the joint.
2. 20-30% - joint overload, or prolonged excessive load on the joint.
3. 10% - heredity and congenital anomaly of the head of the femur.
4. Extra weight: 5-10%.
5. Inflammation of the joints( arthritis): 2-3%.
6. Hip joint infarction: 10 to 30% of cases.
7. Prolonged stress and prolonged excess experience: 30 to 50% of cases.
8. Hormonal changes in the period of the organism's age-related rearrangement( in the menopause period), diabetes mellitus, loss of sensation in the legs with a number of nervous diseases, congenital "looseness" of the ligaments and osteoporosis: all these circumstances, as a rule, also contribute to the development of arthrosisof the hip joint.
Coxarthrosis of the hip joint: symptoms, signs and causes of the disease
Coxarthrosis of the hip joint is an irreversible disease of the articular surfaces, which is based on a metabolic disorder of the cartilaginous tissue. As a rule, this is a process that has been going on for many years, characterized by a gradual change in cartilage with subsequent deformation of bones and loss of joint functionality. Primarily affects people after 40 years, but there are very young patients.IMPORTANT TO KNOW!Doctors are dumbfounded! The pain in the joints is FOREVER!Just before bedtime. .. Read on - & gt;
Disease of coxarthrosis of the hip joint is a "local" type of osteoarthritis - a general non-inflammatory joint disease( in the Latin name of "coke" - thigh).Other synonyms: arthrosis, deforming osteoarthritis. Discovered at the initial stage of arthrosis pretty well suits the conservative treatment of .In the later stages, disability generally develops, but it is possible to restore the function of the joint with the help of endoprosthesis surgery.
Joint structure: norm and pathology
To understand what coxarthrosis of the hip joint is, if you thoroughly understand what the hip joint consists of. The basis of the joint is the joint bones - iliac and femoral. The head of the femur has a spherical shape, which is "inserted" into the iliac hollow of the iliac. In a normal joint, they fit tightly to each other and form a unique hinge.
The joints are covered with cartilaginous tissue, which acts as a shock absorber. Slip during rotation of the joint is achieved through a protective film, which is released by the pores of the cartilage. Thus, the joint is located in the synovial membrane, filled with joint fluid. With an increase in the fluid load, more is released, with a decrease - its quantity is reduced.
The equilibrium is disturbed when the synovial fluid thickens and becomes viscous. This happens because of a violation of blood circulation in the epiphysis - the "living" part of the bone pierced with blood vessels. As a result of the thickening of the fluid, the cartilage dries, cracks and thinens, the joint loses its mobility. When loaded, the bones rub against each other, deform and expand. Therefore, the disease is called deforming coxarthrosis of the hip joint.
Symptoms of coxarthrosis of the hip joint at each stage of development are usually different. However, there are some common signs that a person can assume, for example, the initial stage of the disease and take possible measures. This can significantly improve the chances of recovery. In fact often happens so, that the help of the expert is necessary already when the disease is difficult to stop.
Coxarthrosis of the hip joint symptoms of a general nature may have the following:
- pain in the joint area is the most obvious symptom by which one can assume any disease of TBS.The intensity and nature of the sensations usually depends on the stage;
- limb limb limitation is also a symptom of coxarthrosis. For the early stage, the feeling of "stiffness" of the joint, which passes after a certain load, is characteristic;
- change in leg length due to deformity of the pelvis is characteristic of "neglected" osteoarthritis;
- weakening of the thigh muscles can be observed already in the second stage of the disease, reaching the third until complete atrophy;
- lameness or gait change is a very likely sign of bone deformation;
- distinct crunch in the joint - not always a sign of arthrosis. It is usually taken into account when there are other symptoms.
Types of coxarthrosis
Primary coxarthrosis usually forms imperceptibly. It is difficult to say what is its true cause. The first place is usually the violation of blood circulation in the joint due to a sedentary lifestyle and endocrine pathologies that cause obesity, osteoporosis, or other metabolic disorders. Also, the cause may be unnoticed microtrauma and age-related changes in the joints.
Secondary coxarthrosis is formed against the background of a pronounced inflammatory disease of the joints, the musculoskeletal system as a whole or a serious injury. Dysplastic coxarthrosis of the hip joint has a cause in its name: most often uncorrected dysplasia of TBS in childhood turns into a disease of arthrosis at a later age.
As a rule, if one joint is deformed, it is possible - over time or immediately - the defeat of another. This is because the causes that cause the development of this disease are usually common to the entire osteochondral cartilage system. Depending on the number of organs involved in the disease, one-sided and two-sided coxarthrosis of the hip joint and polyarthrosis are isolated.
Degrees of the development of the disease
The formation of coxarthrosis, especially the primary, most often occurs over a long period, so it can take a long time to develop in a latent form. Secondary arthrosis of TBS under the action of the trigger mechanism, for example, in the form of trauma, can have a shorter course. Nevertheless, there are clearly expressed parameters of the transition from one degree of arthrosis to another:
- coxarthrosis of the 1st degree of the hip joint is characterized by periodic pains in the hip area after prolonged loads that pass at rest. In the mornings a feeling of "stiffness" can be felt. Mobility is not limited, bone tissue grows slightly, the gap between the bones is almost not narrowed, the head of the femur is not deformed;
- coxarthrosis of the 2nd degree of TBS begins when the pains are greatly amplified and given away in the groin, can arise at rest. The load on the joint causes lameness, the periarticular muscles become weaker. On the X-ray, the following changes are visible: bone growths go beyond the boundaries of the joint elements, the head and neck of the femur deform, possibly the formation of cysts, the joint gap narrows to a third;
- coxarthrosis of the third degree of the hip joint can be assumed when the pains are permanent. The mobility of the joint is broken down to ankylosis( immobility), the periarticular muscles are atrophied, a shortening( in rare cases, lengthening) of the foot is observed, pains in the spine and other joints appear from overloads. The picture shows extensive growth of bones, the neck of the hip is widened, the gap between the bones of the joint is as narrow as possible.
Common causes of coxarthrosis of the hip joint can be both long acting, as if gradually "undermining" the normal operation of the joint, and sudden, causing acute illness, rapid deformities and disability.
The most common cause of coxarthrosis of the hip joint is the cause of "long-playing":
- developmental abnormalities( dysplasia) of TBS and heredity( 10% of cases).Predisposition to metabolic disorders and weakness of the musculoskeletal system can be congenital. The probability of developing the disease increases somewhat if close relatives are ill with arthrosis;
- chronic stress( 30-50%).Strong suppressed emotions usually throw into the blood of a large number of "stress hormones" - corticosteroids. They actively destroy hyaluronic acid, which is an important component of the joint fluid. This leads to a gradual destruction of the cartilaginous tissue.
If coxarthrosis is secondary, the picture of the prerequisites may be different. The causes are:
- infarction TBS( 10-30%).It can cause a sharp violation of blood circulation in nearby vessels, caused by trauma, alcohol or drug intoxication. Almost always accompanied by coxarthrosis;
- overload of the joint( 20-30%).Dangerous if the joint already has some inferiority: congenital flaw, weakness due to an inflammation, trauma, age-related changes or the initial stages of arthrosis. All this can lead to the rapid development of coxarthrosis;
- joint overload at a large weight( 5-10%).This point is particularly relevant to people who have recovered sharply - an unexpectedly increased load on the lower limbs creates the effect of a constant overload, to which the cartilaginous tissue can not adapt;
- trauma of TBS( 10-20%).Frequent repetitive or severe mechanical damage to joint elements can provoke irreversible deformation development;
- inflammatory joint disease( rheumatoid arthritis).They are a frequent cause of the appearance of secondary arthrosis, since the inflammatory process disrupts the circulation and causes a change in the cartilaginous tissue;
- sharp hormonal changes. Such phenomena as menopause and pregnancy with all the resulting metabolic disorders can provoke hip coxarthrosis.
A doctor's examination is an informative enough way to recognize a patient's coxarthrosis. Often, only with personal consultation can you learn the nature and strength of pain, determine the degree of joint mobility and gait disturbance. On the analysis of blood, you can determine the source of changes in the joint: if there is an inflammatory process, then it makes sense to suspect arthritis.
Except, in fact, inspection is possible technical methods of investigation:
- X-ray - one of the most reliable diagnostic methods. It is not particularly suitable for the diagnosis of arthrosis in the early stages, since it can not assess the condition of the cartilaginous tissue and joint fluids. But on the roentgenogram you can see such signs of coxarthrosis of the hip joint as the size of the joint gap, the degree of deformation of the joint bones, the presence and prevalence of bone growths, the presence of tumors;
- magnetic resonance imaging is certainly the most effective method for diagnosing most diseases, but in the case of bone tissue it is not particularly informative. But MRI allows you to see the state of cartilage and synovial fluid, which increases the chance to detect coxarthrosis at the earliest stage.
A more accurate diagnosis allows you to put a combination of all listed diagnostic methods.
Coxarthrosis of the hip joints has a rather favorable prognosis .At an early stage of the disease, regular physical exertion and massage are sometimes sufficient to treat it. With late detection of the disease, modern orthopedic surgery offers an alternative to disability - an operation to replace a part of the affected joint with a prosthesis.