What to do for women with pelvic floor pain
According to international statistics, almost half of women suffer from pelvic pain. And sometimes it is very difficult to localize them. Symptoms can be such that you have to go to specialists - gynecologist, urologist, neurologist, manual therapist, oncologist, traumatologist, rheumatologist, hematologist, surgeon. Pain in the pelvic bones is both direct and indirect( the consequences of certain diseases).Immediately to establish an accurate diagnosis is not possible.
So why are the pelvic bones ache in women? The causes of pathology in this area have a different origin:
- of the urinary system;
- disruption of the gastrointestinal tract;
- disease and pathology of the musculoskeletal system;
- diseases of the peripheral nervous system;
- various injuries;
Acute and chronic pelvic pain
Unpleasant sensations in the pelvic region of the musculoskeletal system can have a different character:
- acute( short-term sensory reaction in case of impaired activity of the body);
- chronic( persistent, recurrent).
The causes of acute pelvic pain in women can be gynecological and non-gynecological( for example, diseases of the urinary system, gastrointestinal tract).It can suddenly occur and lasts about an hour or a whole day. It is accompanied by fever, nausea, vomiting, internal and external bleeding. With these pains, emergency care is needed.
Chronic pelvic pain can have the same cause as acute pelvic pain. They continue beyond the normal period of healing( at least 6 months), are associated with impaired activity of the nerve pathways and centers that control the flow of painful impulses. Accompanied by weight, burning, whining, pricking, cutting. For women with chronic pain in the pelvic bones, the following symptoms are typical:
- increasing unpleasant sensations in the lumbar region, groin, lower abdomen, which increase after severe physical, psychoemotional loads, cooling;during the menstrual cycle;
- dyspareunia( discomfort during intercourse).
Causes and symptoms of pain in pelvic bones( Table 1)
|Ovulatory pain||menstrual cycle,||ovulation Distension and the pressure in the lower portion of the abdomen|
|Dysmenorrhea||before menstruation and its beginning||painful manifestations in the lower pelvis department|
|follicular cyst||The egg does not gofrom the mature follicle during ovulation||Acute discomfort in the right and left area in the lower abdomen, may be accompanied by bleeding|
|MatIntramural Aspiration||Stretching of the visceral peritoneum, ovary capsules, uterine contractions, threat of miscarriage|
|Ectopic pregnancy||Before and after rupture of the fallopian tube||Acute pelvic thread|
|Pelvic infections( gonorrhea, chlamydia)||Inflammation of the ovaries and fallopian tubes||Acuteand chronic painful manifestations in the pelvis|
|Tumors of the uterus||Stretching of the peritoneum of the uterus, necrosis||Unpleasant sensations in the lower pelvis|
|Tumors of the ovaries||Iscarupture, necrosis, bleeding||Increasing variable or severe pain, nausea, abdominal enlargement, vomiting, unilateral swelling of the lower extremity|
|Distortion of the uterine appendages||Venous blood flow stops, edema, necrosis||Acute variable build-up thread, irritation of peritoneum, intrauterine bleeding|
|Endometriosis||Cells of the inner layer of the uterus grow beyond it||Painful sensations during the entire monthly cycle, during intercourse, infertility|
|Endometritd||Inflammation of the internal mucosa of the uterus||Chills, unpleasant discharge, pain in the pelvic area|
|Salpingitis||Inflammation of the fallopian tubes||Blunt, aching pain in the groin, in the vagina|
|Non-urinary diseases of the urinary system:|
|Urinary tract infections( cystitis, pyelonephritis)||Inflammation of the bladder, damage to the tissues of the kidneys, pelvis and calyxes||Unpleasant sensations in the lower abdomen or lower back, fever, frequent urination|
|Urinary obstructionnickname||Urethra, blood clot, swelling||Painful sensations spreading in the groin, side flank|
|Paranephal abscess||Pus pocket around one or both kidneys||Fever, manifestation of unilateral pain|
|Non-gynecological diseases of the gastrointestinal tract|
|Acute appendicitis||Sprain of the appendix cavity,necrosis||Acute pain - depending on the location of the appendix|
|Diverticulitis||Inflammatory bowel disease||Sharp,|
|Intestinal obstruction||Hematomas of the wall, intestines, hernia, gallstones||Colic, vomiting, constipation|
|Inguinal, femoral, umbilical hernia||Exiting organs from the cavity||Sharp, stitching pains in the pelvis area|
|Irritable bowel syndrome||Intestinal spasms, diarrhea, constipation||Painful manifestations akin to gynecological diseases|
Often in women, uncomfortable sensations in the hip joint, giving off in the pelvis, are associated with various types of diseases of the musculoskeletal system.
Causes and symptoms of pain in the hip joint( Table 2)
|Arthritis||Joint inflammation||Pain in the groin, hip, worsened with walking|
|Arthritis of an infectious nature||Influenced by influenza, staphylococcus, streptococcus||Initially, minorunpleasant sensations in the hip joint, then swelling, immobilization|
|Coxarthrosis( deforming arthrosis)||Joint damage||Pain in the area of the jointin the groin, worse when walking|
|Osteoarthrosis||All components of the joint are destroyed: cartilage, subchondral bone, synovial membrane, ligaments, capsule, periarticular muscle||Pain in the groin, in the inner and outer thighs, in the lower back, gait disturbance,restriction of motion|
|Osteonecrosis||Necrosis of the head of the thigh||Pain in the groin, gluteal region|
|Bursitis||Inflammation of the periarticular bag||The aching or sharp sensations in the joint area become worse in the jointresting, swelling|
|Tendonitis||Inflammation of the tendon||Movement limited, sharp pains in the buttock and hip area|
|Neoplasms in bone and muscle tissues||Malignant, benign||Painful sensations depending on the location of the tumor|
|Injuries||Fractures, sprains, sprain||Acute pain in hip joints|
Also the cause of pelvic pain is the dysfunction of the sacroiliac joint. It breaks biomechanics and mobility. It appears in pregnant women.
Common causes of acute, burning pain, the appearance of muscle cramps, numbness, tingling in the hip and pelvis itself - peripheral nerve damage( neuralgia).
Methods of examination
Symptoms of various pelvic pathologies are similar, and it is difficult to establish an accurate diagnosis. For this, modern diagnostic methods are used:
- computed tomography;
- magnetic resonance imaging;
- general laboratory tests.
Assign additional research methods if found:
- diseases of the uterus:
- laparoscopy( make an incision below the navel, lead the camera and display the image on the screen, which allows an overview of the small pelvis);
- hysteroscopy( with the help of a hysteroscope examine the cavity of the uterus, take a biopsy of tissues, identify and eliminate pathology);
- hysterosalpingography( X-ray examination of uterus tubes, allows to reveal endometriosis, myoma, polyps);
- malfunction of the urinary system:
- excretory urography( using X-rays and the introduction of contrast agents into the blood, kidneys are diagnosed, which allows to detect the presence of stones, tumors);
- retrograde cystography( through a catheter in the bladder, a contrast agent is injected and a snapshot is taken, which allows studying this organ, ureters, kidneys);
- cystoscopy( diagnosis of the bladder with a cystoscope);
- radioisotope studies( enter the radiodiagnostic drug intravenously and study its passage through the vessels of the kidneys, which allows to identify neoplasms);
- Disease of the gastrointestinal tract:
- endoscopy( study intestines with an endoscope, which allows to reveal its pathology);
- sigmoidoscopy( a rectoscope is inserted through the anal opening, which allows studying the intestinal mucosa);
- rectosigmocolonoscopy( using a special device to more closely examine the intestine and take a special material for analysis).
Thanks to these methods, you can accurately determine the cause of pain, differentiate the symptoms. Knowing the exact diagnosis, the doctor prescribes treatment.
To which doctor to turn
With the first uncomfortable sensations in the pelvic area, you need to go to the therapist. He will appoint research and, if necessary, will send to a specialist.
If pain in the pelvis is accompanied by loss of mobility, gives to the knee, the hips do not bend, there is a feeling of stiffness, then you should consult a rheumatologist, an orthopedist. If you need a physiotherapist, a neurologist. With obvious injuries of the hip joint - to the traumatologist.
If the pains are localized below the navel, bleeding occurs, suspicious discharge, fever, nausea, an enlarged abdomen, you should visit a gynecologist.
Blunt, aching pain in the lower part of the peritoneum can be triggered by pancreatitis, a malfunction in the work of the spleen( increase, its rupture).If the localization on the right, it is associated with liver disease. It is necessary to resort to the help of the gastroenterologist.
Drawing the cutting pain on the left with frequent urination - urolithiasis, pyelonephritis, you need to go to the nephrologist.
If there is constant weakness, fatigue, detection of a tumor in any of the pelvic organs, an oncologist is required.
It is important not to ignore bone pain in the pelvic area, but to find out the cause in time, because it is easier to prevent a serious disease than to treat it.
- Ershov GV, Bochkarev DN, Smolenov IV Etiological structure and resistance of pathogens of inflammatory diseases of pelvic organs in women // Klin.microbiol.and antimicrobial.chemotherapy.2004;6: p.193-200.
- Afonin AV, Drapkina OM, Kolbin AS, Pchelintsev MV, Ivashkin VTClinical and economic analysis of antispasmodics for relief of abdominal pain caused by intestinal spasm.// Russian Medical Journal - Vol. 18, No. 13, 2010.- from.845-9.
- Ivashkin VT, Shulpecova Yu. O. Nervous mechanisms of pain sensitivity // Russian Journal of Gastroenterology, Hepatology, Coloproctology.- 2002. - № 4. - P. 16-21.
- Baranskaya EK. Abdominal pain: clinical approach to the patient and treatment algorithm. Place of spasmolytic therapy in the treatment of abdominal pain // Pharmateka.- 2005. - No. 14.
- International Statistical Classification of Diseases and Related Health Problems( Obstetrics, Gynecology and Perinatology) - X revision, WHO, 2004.
- Serov VN, Tikhomirov AL Modern principles of therapy of inflammatory diseasesfemale genital organs. Toolkit. M., 2002. P. 25-43.
- Rational Pharmacotherapy of Rheumatic Diseases: A Guide for Practitioners. T. III.Ch.12. M.: Litterra, 2003.
- Alekseeva LI Modern approaches to the treatment of osteoarthritis / / RMJ.2003. T. 11. № 4. S. 201-205.
- Vorobyeva O.V.Back pain. Causes, diagnosis, treatment. Rus.honey.journal.2003;11( 10): 94-8.
- Popelyansky Y.Yu. Orthopedic neurology.М: МЕДПресс-информ, 2003;670.
Arthrosis of the hip joint symptoms
Arthrosis of the hip joint symptoms
Complex cartilage disease
Arthrosis refers to a joint disease that affects their cartilaginous tissue. Cartilage is needed to ensure that the bone in the joint moves gently and smoothly. It serves for good sliding of the surfaces of the bones of the joint relative to each other. But over time, the joints grow old, the cartilaginous tissue is worse restored by microtrauma, and with more significant harmful effects it begins to deform and collapse more quickly. Diseases can be susceptible to all the joints of a person. And in the group of risk, first of all, dancers come, and people of those professions, where the load on the joints is very large - builders, loaders, miners.
Normal and affected with arthrosis hip joint
What is the danger?
Osteoarthritis of any joint, if not addressed to a doctor in time and not treated, can lead to complete immobility of this joint and even to surgical intervention. With dystrophic changes in the cartilage, the body begins to compensate for its deficiency, the build-up and ossification of the connective tissue begins at the junction of the joint bones. The joint loses its mobility, the person begins to experience increasing pains, and with time the mobility can disappear completely. In the case of the hip joint, the disease can lead to a fracture of the femoral neck, widespread among the elderly. The risk of fracture increases with an incorrect position of the bones of the hip joint, their weak mobility. In women in adulthood, there may be a deficiency of calcium in the bone tissue, which leads to additional fragility of bones.
Types of arthrosis and major lesions
Hip arthrosis lies in wait for older people, because cartilage wears out over time. And the more merciless people treat them in youth, the more likely it is to get this disease with the years.
Women suffer from arthrosis of the hip joint more often than men, and the disease is more severe, but unpleasant and dangerous symptoms should not be ignored by anyone. Because with the timely diagnosis of the disease, it can be treated more effectively, prevent exacerbations and choose a therapy that, with the least inconvenience to the patient, will help to avoid pain or discomfort.
Symptoms of the disease
Symptoms of the disease will help to determine arthrosis of the hip joint. One of the main symptoms, of course, is pain in the groin, which is sometimes transmitted to the femoral part of the leg, or to the buttock. Usually, the pain does not reach below the middle of the thigh, less often to the middle of the shin. They usually spread along the front or side of the thigh and lower leg.
Pain in the hip - the main symptom of the disease
To identify the disease at an early stage is difficult, because the pain in this case is not strong and appears only when moving. Usually the patient hopes that it is not dangerous, not serious, and eventually the disease will go away by itself. Over time, the pain becomes stronger. At first the joint hurts only at the beginning of movement, and then, when the person walks for a while, the pain weakens and even stops. Pain can also occur with severe stress on the joint.
With the course of the disease, there is an increasing degeneration of the cartilaginous tissue, the articular articulation surfaces of the bones begin to touch without damping cartilaginous tissue, the pain becomes permanent. It does not stop even when the movement stops, it worries the patient day and night, interferes with night sleep.
In the joint when moving, you can hear a dry crackle, which should not be confused with crunching a healthy joint, not accompanied by pain.
Over time, the patient begins to avoid unnecessary movements that cause pain. He can not get up from sitting or lying alone, "ride" a chair, legs wide apart. The difficulty is trying to move your foot to the side or press it against your chest. Even the motion of a patient with a foot in a lying position causes pain.
Once the cartilaginous tissue has degraded sufficiently, it is replaced by the body with a connective tissue that eventually heals, and the bones in the articular joint take an incorrect position relative to each other. This can lead to a shortened leg. In rare cases, the aching leg is lengthened. The difference in the length of the legs can be seen most of all when the patient lies on his back, stretching his legs.
Symptomatic of the disease
Subsequently, the gait also changes. The patient begins to fall on a sick leg, his posture is bent, the muscles are in constant unhealthy tension. And because of the painful sensations the patient's mental state changes, he becomes irritable, nervous exhaustion appears. Due to the constant incorrect posture and curvature of the spine, increased load on the group of muscles supporting the spine, in the course of time there may be pain in his lumbar spine.
With the further development of the disease, the blood vessels and nerve endings, which go to the muscles of the diseased leg, are squeezed ever harder. Her muscle mass decreases, muscles begin to atrophy, and over time, such muscle deterioration becomes visible. In place of attachment of the tendons of these muscles in the knee, too, there is pain. Sometimes it is mistakenly interpreted as a symptom of the disease of the knee joint, since this pain may be stronger than the pain in the groin, buttock and thigh, typical for arthrosis of the hip joint.
Osteoarthritis can affect both one and both joints. And in the second joint, after the first, too, there are painful sensations.
How is the disease diagnosed?
The correct diagnosis can be made only by a qualified doctor. To establish such a diagnosis, an examination using an X-ray or ultrasound is often prescribed.
The probability of developing the disease appears for many reasons. To it may be a hereditary predisposition, the cause can be severe stress on the joint, including overweight, malnutrition, hypothermia, stress, impaired metabolism. In order to establish the cause of the disease, and therefore to prescribe the correct treatment, it is sometimes enough to simply ask about the patient's work and lifestyle and dietary preferences. Less often resort to the analysis of metabolism, hereditary characteristics, and even a special blood test for a genetic predisposition to arthrosis.
If the cause of the disease is established correctly, in order to avoid the recurrence of exacerbations and prevent the progression of the disease, this cause needs to be eliminated. In the case of excessive loads, it is sufficient to change the mode of work or rest, to stop the exercises, which lead to overwork of the joint and muscles. If the cause of the disease is malnutrition or overweight, a special diet is being developed, which the patient will need to follow to improve his condition.
Prophylaxis and timely access to a doctor - a health guarantee
With the timely access to a doctor and qualified diagnosis, many problems can be avoided, and if you start the disease and hope for a spontaneous cure, you can get a lot of trouble - from complete loss of mobility to mandatory surgery with the replacement of a sick joint with an artificial one. If the disease is not treated, it can provoke the development of other diseases - nervous exhaustion, degeneration of the femoral muscle, diseases of the lumbar spine.
Video - Osteoarthritis of the hip joint symptoms
How is medication treated with coxarthrosis of the hip joint?
How is drug treatment of coxarthrosis of the hip performed? The musculoskeletal system of a person suffers from various ailments. Coxarthrosis of the hip joint is a kind of pathology that has developed for certain reasons.
To clarify what is coxarthrosis, it is important to understand what is meant by the word arthrosis. Under arthrosis is meant joint diseases, which can occur chronically. With this disease, the various joints of the human body are affected. The hip, ankle, elbow joints are subjected to stress throughout life. Therefore, wear can be at an early age.
Causes of hip joint disease
The reasons why hip joint pathologies can occur are many. People of different ages are subject to this violation, but more often those who are over 40 years old have a greater risk. The disease affects both men and women, but in women the disease manifests itself in a more severe form. Sometimes changes can affect the knee joint.
Along with other diseases coxarthrosis at an early stage can successfully be treated without surgery. But not always patients with the first appearance of pains turn to the doctor for the definition of painful sensations and treatment. The disease progresses, which can subsequently lead even to disability.
The main causes of coxarthrosis of the hip are:
- disrupted blood circulation in joints - violation of venous outflow and arterial inflow;
- mechanical damage leading to joint damage;
- disruption of the hormonal background, biochemical changes in the cartilage;
- trauma, fractures in the pelvis, dislocations;
- inflammatory-infectious processes;
- congenital dysplasia( pathology associated with joint development);
- sedentary lifestyle;
- age factor;
- predisposition and heredity.
Athletes lifting weights, as well as people who are overweight, are at risk. Because of obesity, metabolism and circulation are disturbed. Excess body weight exerts pressure on the musculoskeletal system, including joints.
Usually young people because of injuries are coxarthrosis of the hip joint.
It should be noted that coxarthrosis is not hereditary, but the structure of the skeleton itself, its weakness or cartilaginous tissue, the metabolism can be transmitted from parents to children. If one of the parents in the family was sick with such a disease, then such a person is also at risk.
Mechanism of development of coxarthrosis
When the hip joint is healthy, it functions as a hinge, while it is covered with cartilage. In normal condition, the joint rotates perfectly. This rotation is possible due to the lubrication - the fluid, which is filled with the joint cavity.
With the development of coxarthrosis in humans, the property of the fluid that is in the cartilage changes. It becomes viscous and thick. Because of this, the cartilage begins to dry out, and on its surface cracks and roughness are formed. As a result, the articular surfaces rub, the cartilage becomes thinner. As a result, the distance between the bones decreases, but the pressure increases and destruction occurs.
With such violations, there is a violation of blood circulation in the joint, blood circulates less, so the metabolism slows down. At the same time, the muscles of the injured leg are atrophied. This process is rather slow. With a sluggish course of the disease, the joint can become inflamed, which leads to aggravation of pain in the joint.
With the progression of the pathology of the hip joint, the patient may have a crunch sound when walking or other movement. When the disease is at the most advanced stage, the aching leg is shortened. In this case, you can not avoid lameness. And this will lead to increased stress on the spine: especially the lumbar region will suffer. In addition to articular pain, lumbar pain is added.
Sometimes cartilage wears out because of age. Then the doctors can suggest different methods of treatment and means for maintaining the functions of the joint.
The main symptoms of the disease
The warning symptoms of the disease include:
- pain in the groin;
- pain manifested in the thigh;
- aching pain when walking;
- muscular atrophy;
- appearance of a crunch coming from the joint.
These symptoms may occur, but not always. Appear in later stages of the disease.
In the first stages of the disease, the pain may not be strong, so the patient is not in a hurry to receive. This worsens the situation, because the joint is gradually becoming unusable. Over time, the mobility of the leg will be limited. The patient will not be able to bend over himself or take his injured leg to the sides.
Painful manifestations of coxarthrosis can manifest as radiculitis. It happens that this disease is confused with arthrosis. Making an erroneous diagnosis will lead to incorrect treatment. To establish the diagnosis correctly, you need to undergo a test, appointed by a doctor. Then treatment of coxarthrosis will be effective.
Determination of the stage of the disease
The manifestation of coxarthrosis of the hip joint has several degrees. The first degree of the disease is manifested by periodic pain that occurs after walking or jogging. The pain comes from the hip joint, in rare cases is felt in the hip and knee joint. After rest, the pain disappears.
At this stage, the gait is smooth, the movements are not constrained and free. The strength of the muscles is normal. When X-ray examination, you can see minor violations in the bone.
The second stage of coxarthrosis of the hip joint is manifested with more intense pains. Pain more often radiates to the groin, thigh and can appear even in a calm state. With prolonged walking, walking causes difficulties, which leads to limping. Muscles of the hips lose elasticity and strength. The joint does not work normally. X-rays show significant growths occurring in the bones.
The third stage is characterized by persistent pain, disturbing even at night. The patient himself can not walk and resorts to the cane. Articular movements are limited. Muscles atrophy. The sick limb is shortened.
Treatment of coxarthrosis of the hip joint
Treatment of coxarthrosis of the hip joint has different methods. It is important to consider that it is impossible to treat such a disease. There are a number of contraindications. For example, it is forbidden to resort to cycling or running in case of damage to the hip joint. Rubbing the sore spot with ointment will not bring relief. The joint is placed under a layer of muscles.
Methods of treatment of coxarthrosis can be different depending on the degree of disease. This includes:
- pharmacotherapy with the use of modern drugs;
- is a curative, gentle exercise;
- surgical intervention;
- folk methods.
To treat this disease you need complex. One method is unlikely to be effective for getting rid of coxarthrosis of the hip joint. People's methods can be used at the initial stage of the disease or for prevention. At this time, the cartilage is not yet damaged. Treatment can be done with gels, compresses. However, you can do this after consulting a specialist.
Drug treatment is indicated with pronounced pain sensations and changes in the joint.
Drugs are selected based on the degree of destruction and pain. Usually, medicines that have an anti-inflammatory, non-steroidal effect are prescribed. In combination with them, drugs that improve blood circulation, hormones, muscle relaxants, chondroprotectors are prescribed.
Medications used to treat
If severe, severe symptoms of hip joint disease, causing the patient suffering, it is necessary to immediately begin therapy with medications. Treatment with folk methods can be an auxiliary therapy.
Drugs that are commonly used to treat pain are:
All of them belong to the group of non-steroidal anti-inflammatory drugs. They help reduce edema in the joint and relieve pain.
Chondroprotectors are preparations:
- chondroitin sulfate;
- is glucosamine.
The action of these medicines is directed to feeding cartilage, which contributes to the restoration of its structure. Sometimes in complex therapy, dietary supplements( biologically active substances) are used. Such drugs should be taken at least three months. You can buy them in a pharmacy without a prescription.
Also used for the treatment of coxarthrosis of the hip joint are preparations that improve blood microcirculation. These can be:
These drugs are vasodilators that improve the flow of blood to the joint and lead to a better nutrition of the joint and slowing down the destructive processes.
It is important to use muscle relaxants. These are the preparations called:
- of sirdaluda.
Thanks to them, a painful spasm is removed. Such a comprehensive selection of medications will improve health in the shortest possible time.
Hormonal drugs help to cope with inflammatory processes. But you can not buy drugs yourself and take them.
Self-medication can be harmed, which does not exclude disability or death. Competent treatment will be chosen by the attending physician.
Doctors use physiotherapeutic methods for the treatment of coxarthrosis of the hip joint, along with drug therapy. The most commonly used cryotherapy, laser therapy and massage. Such procedures help improve blood circulation in the damaged joint and relieve painful muscle spasms.
Another method of alleviating a patient's condition is traction of the joint. The purpose of this procedure is to reduce the burden on the joint and cartilage. But the hood of the joint should be made exclusively by a specialist in this field, who is well acquainted with the anatomy of the body and knows how to treat coxarthrosis.
This method involves stretching the bone with a special traction device, and this allows you to increase the distance between the bones.
In case of joint disease, a doctor can recommend gymnastics treatment together with medical therapy. In severe, neglected cases, surgical intervention is shown with the help of modern technologies. Using a comprehensive treatment and medications, you can achieve a significant improvement in the condition of patients.
The most common violations of TBE in children
In each age group has its own specific and typical for age pathology( disease) TBS.In infancy such diseases are:
- Hip dysplasia is a congenital pathology of the newborns, during which the normal formation of the joint tissue is disrupted.
- Epiphyseal osteomyelitis( acute purulent osteoarthritis) is a purulent inflammation of the tubular bones. Appears after getting into the bone of bacteria.
- The consequences of generic epiphysiolysis are caused by difficult births, for example, when the fetus is in the breech presentation.
Hip joint injuries - bruises, traumatic hip dislocations, fractures of the head and neck of the femur, acetabulum.
In children and adolescents, the hip joints are most often damaged due to the following diseases:
- Disease of the Perthes. Disease, leading to degradation of TBS tissues. Suffer from this disease are mainly boys from 3 to 6 years, less often diagnosed in children 7-12 years of age. The cause of the cause is a violation of the blood supply to the joint( for example, after the infection).
- Konig disease( exfoliating osteochondritis) - epiphyseal ischemic necrosis, proceeds with necrosis in the region of the epiphysis of the subchondral spongy bone segment. It often manifests itself in the age of 15 to 25 years, sometimes occurs without symptoms and is found by chance during radiographic examination.
- Transient synovitis is an inflammation of the synovial membrane with the formation of a so-called effusion( exudate).The disease can develop after SARS or any injuries, but the exact cause-and-effect relationship is not yet proven.
- Tuberculosis coke is a rare disease that changes joints, begins mainly in early childhood, very rarely recorded in adults. The early symptom - pain and lameness, grow slowly, irradiate to the knee joint.
- Pelvic pain may occur in the presence of endocrine diseases of the adrenal cortex. There is a deterioration in the nutrition of the hip bones, which leads to the destruction of the bone tissue of the head. Symptoms of pain are noted immediately in both joints, at first not much, in the groin area, or after excessive physical exertion. As the disease develops, pain occurs with minimal stress.
The most common diseases of tuberculosis in adults
To the painful sensations when walking can lead dislocations, arthritis, bursitis, coxarthrosis.
The most common hip joint diseases in adult men and women are:
- Coxarthrosis is the most common disease affecting the hip joint in adult men and women. The most common cause of coxarthrosis( up to 20% of cases) is a congenital subluxation of the hip. The degenerative process is manifested as a disease of TBS, aggravated by various factors.
- Osteonecrosis is a secondary disease that develops against the background of a primary pathprocess. The causes of osteonecrosis are Gauchers disease, anemia, joint vascular deformity, systemic lupus erythematosus, caisson disease, scleroderma, hip fracture, reception of sex steroid hormones and frequent hemodialysis procedures in men and women.
- Bursitis( inflammation in the articular joint bag).It develops most often in women from 30 to 60 years. The course is acute with sudden manifestations of pain, giving away to the pancreas articulation or to the sciatic bone. The pain is localized in the groin. The mobility of the hip joint is severely limited. Pain in the groin intensifies when trying to rest on your leg or unbend it. In chronic bursitis, persistent contractures develop, the hip "hangs" in a bent position, painful manifestations decrease. The hip joint becomes "frozen".
- The hip joint may stop functioning normally due to: a pelvic fracture involving central dislocations of the hip and acetabulum, avascular necrosis of the head after traumatic dislocations and cervical fractures. This includes: an increase and decrease in the cervical-diaph abisal angle with violation of congruence, rheumatoid arthritis, protrusion of the acetabulum, and subsequent infectious processes that affect the hip joint.
Pains can occur after joint replacement.
Complications of TBC due to pregnancy
During pregnancy, late-onset women may experience hip pain. There are several reasons:
- The body weight increases substantially, the general load on the locomotor system increases. Pain in pregnancy is a concomitant symptom.
- Pain in the hip joint during pregnancy can occur due to lack of Ca and vitamin D.
- In pregnancy, joint pain occurs as a sign of osteomalacia. In women with this diagnosis, frequent fractures are recorded, independent movements( in neglected cases) are severely restricted. Sometimes osteomalacia can become a direct indication for the termination of pregnancy.
- Pain in pregnancy in TBC is experienced by about 20% of women, either a lack of calcium or the development of symphysitis( "duck walk") with a pain syndrome in the hip region can cause it, including a muscle on the thigh.
How to accurately determine the diagnosis of
The main way to know the diagnosis - when the first symptoms( for example, pain during long walks or running) turn to the doctor. He will conduct an examination and ask a series of questions to identify the symptoms and causes of the disease.
The most accurate diagnosis will allow you to put a series of tests( blood, urine) and radiography - in the photo there will be types of damage to the hip joint. Sometimes, to confirm the diagnosis, especially with severe hip injuries, one x-ray photo is not enough - tomography is required.
How to get rid of diseases of tuberculosis
Functional pain in the hip joint is difficult to treat.
Treatment of hip joint diseases can not, of course, be the same. Everything depends on the causes of the pathology, age and complications of the disease. Treatment depends primarily on the stage of the disease, if it is structural changes in the cartilage.
In general, the following methods are used:
- exercise therapy( with minimal exercise - for most exercises you will have to lie or sit, in the initial stages you can use the simulators - for example, easy running on the track);
- therapeutic massage, improving blood supply;
- physiotherapy treatment( for example, diodinamoterapiya, magnetotherapy and drug electrophoresis).
- treatment with folk remedies.
At present, there are a lot of advertised methods for treating pathologies in the hip joint. But remember that by any one means to cure any problem in TBS is unrealistic - only complex and long-term treatment is effective.
In case of fracture of the femoral neck or complicated conditions of the disease, when it is not possible to treat conservatively, an arthroplasty of the joint is used - replacement of the damaged joint from the polymer elements. In case of traumatic injury, a method of treatment with a minimally invasive operation is used, in which screw fixation of the bones is performed. After the operation, the patient must be rehabilitated.80% of all patients after a competent course of recovery return to active life day and night - you can walk and even run without experiencing pain.
General advice to patients:
Acute bacterial arthritis, coxarthrosis, Perthes disease - all these diseases cause pain.
Here are some recommendations to patients:
- Be sure to listen to the sensations in the hip joint. Do not load it. At night, do not lie on the sore side. Do not sit in one pose for a long time, even if there are no pains while sitting.
- Walking should be dosed: walking should not be prolonged or accompanied by excessive load( like walking in a hill).Running will have to be completely ruled out.
- Medical exercises should be done slowly, without jerks. Train both sides - do the exercises on the right and left, for the patient side choose a gentle mode. The intensity and complexity of charging can be increased as you recover. The rate depends on the degree of hip joint disease. In light stages, even easy running is not forbidden, but for complex forms, exercise therapy can not be done completely, until the doctor resolves.
- Treatment of acute form should include bed rest and day and night, which will ensure proper unloading for the patient joint and a decrease in the intensity of pain.
Nutrition, of course, is not a remedy that can cure Disease, but the right diet allows you to quickly cope with the symptoms and recover. Food should contain a sufficient amount of calcium and improve digestion( fiber, dairy products, milk).Do not allow an excess of fatty meat.
But the most important advice to everyone without exception is the following: pay attention to your health, even if now there are no reasons to worry. If diagnosed with TBS in time, the treatment will be easy, without the risk of complications. That's why, at the first symptoms, consult a doctor who will diagnose and tell you how to take off the pain and what treatment will work.
Hip joint: illnesses, symptoms
Causes of hip pain
The hip joint is a powerful cup-shaped joint. It consists of:
- from the head of the femur, having a spherical shape and covered with hyaline cartilage, which is connected to the body of the femur with the help of the femoral neck;
- acetabulum - a rounded depression in the pelvic bone, corresponding to the shape of the joint;
- of the ligament-muscular complex fixing the correct position of all its components and providing lubrication and mobility of this structure.
- trauma( hip fracture, dislocation, sprain);
- congenital anomalies of the joint structure( congenital hip dislocation, hip-clicking, etc.);
- infection( tuberculosis, staphylococcus, streptococcus, etc.);
- systemic diseases( systemic lupus erythematosus).
Symptoms of hip joint disease
The main symptom of having hip joint disease is pain. Many people with mild pain do not rush to consult a doctor, preferring to take painkillers on their own. Such tactics are detrimental to health. With the progression of the disease the joint is gradually destroyed, the mobility of the extremities decreases, the gait changes, and lameness develops.
In terms of prevalence of hip joint diseases, the leaders are arthritis and arthrosis, developing both in women and men.
Arthritis is characterized by inflammation of the joint, can occur at any age. Symptoms of the disease are limiting the movement of the leg inward, pain in the leg, which is strengthened when trying to stand on tiptoe or lean on the affected limb.
With deforming arthrosis ( coxarthrosis), the cartilage tissue of articular surfaces is destroyed, which provokes limitation of mobility of the hip joint. As the disease progresses, the patient is troubled by pain when turning the trunk and getting up, giving back to the groin or knee area, lameness.
Diseases of Pertes of the hip are affected by children under 14 years of age, and boys are several times more likely to become infected with girls. With this pathology, the feeding of the cartilage of the femoral head is disturbed, which subsequently leads to the necrosis of the cartilaginous and bony structures. Symptoms of the disease: a change in gait, pale cold feet, limited mobility of the joint, atrophy of the gluteus muscles. Without proper treatment, the disease leads to disability.
With aseptic necrosis of the femoral head , the necrosis of the bone substance also develops. At an early stage, pain occurs only during exercise and many patients do not attach importance to this. Therefore, in most cases, the disease is diagnosed at the stage when the damage to the bone tissue reaches significant dimensions. More often this disease occurs in men of young and middle age.
Bursitis is an inflammation of one of the synovial bags that helps reduce friction between muscles, tendons and bones. Next to the hip joint are 3 bags: stern, iliac and scallop. The most frequently diagnosed is bursitis. The pain increases when trying to lie on the affected side, with the bending of the legs, the mobility of the joint is limited.
Tendonitis ( tendon inflammation) often affects people who are prone to severe physical exertion, in particular, athletes. Painful sensations occur during active movements of the joint, with a decrease in the load of pain cease.
Osteoporosis of the hip is a disease in which the density of bone tissue decreases due to the washing out of calcium and phosphorus. Because of this, the bones become more porous and brittle, the risk of fractures increases. This disease has no specific symptoms, so it is often found after the fracture. Women face osteoporosis more often than men.
Diagnosis of the hip joint begins with a physical examination. During this time, the expert evaluates the mobility and limb's ability to support, the severity of the pain syndrome, the condition of the muscular apparatus. For this, the patient is examined in an upright position, lying down and while walking.
- Further, laboratory tests and one or more diagnostic procedures are prescribed:
- magnetic resonance imaging;