Arthrosis of the hip joint of the 2nd degreeMedical science is moving forward. Several centuries ago people died at a young age from epidemics of various infectious diseases that did not know how to treat. Nowadays people live much longer, and other diseases of mature age become the causes of death, as well as a decrease in the quality of life. Mortality from cardiovascular diseases, oncological diseases, strokes is great, but not only they cause disability at an early age. Such metabolic diseases as obesity, diabetes, dyslipidemia, thyroid pathology can trigger many secondary diseases, including joint diseases. Arthrosis, including deforming large joints( hip, knee) has become a visiting card of the modern elderly person, especially living in a city leading a sedentary lifestyle and having excess weight.
How does arthrosis of the hip joints manifest, and what is its difference from arthritis?
In general, the term "arthrosis", in contrast to the term "arthritis", implies a non-inflammatory cause of joint damage, especially its articular cartilage and surrounding tissues. To make everything clear, describe the signs of that and another condition:
- - inflammation of the joint, as indicated by the characteristic suffix "it".Its signs are redness, swelling, a feeling of heat over the site of inflammation, soreness and impaired function. Arthritis can be rheumatic, infectious, etc. As a rule, acute arthritis is treated and passes without a trace;
- - the suffix "oz" means enrichment, expansion of something( compare: thrombosis, hepatosis), in this case - deformation of the articular surfaces, which occurs under the influence of excessive strain both from the cartilage side and from the bone tissue. Signs of arthrosis will also be a violation of joint function, crunching, "clicking", pain may occur, but there is neither redness nor heat. Also, the swelling, which in the case of arthritis is nothing more than an edema of vasospital origin, is also not characteristic.
One of the important clinical differences of arthritis from arthrosis is that after a night rest with arthritis the joint feels well, edema and inflammation is less, as the blood flow decreases and the patient's complaints too. When arthrosis is the same lameness in the morning, stiffness in the joints is very noticeable. Such patients are required to "disperse".This symptom, like the classic senile "ohanie" in the morning refers specifically to the "rapid diagnosis" of arthrosis.
In the case of arthrosis of the hip joints, we are dealing with some of the largest joints of the human body, carrying a serious load, capable of working in isolation. Knee joints carry more weight( weight of hips is added), but the structure of knee joints and the nature of their movements are more adapted to support and static loads.
The hip joint( ariculatio coxae) has maximum freedom of movement in 3 planes, in other words, it is a joint in the "3d" format. The second joint is shoulder, but the load is completely incomparable in direction, strength and duration.
Why is arthrosis of large joints often called "deforming"?
The increased load together with the disturbed type of cartilage tissue supply cause the cartilage to react, try to increase its area in the form of load compensation, and thus reduce the specific pressure. And since the joint is closed, these "measures" cause deformation of articular surfaces and a violation of the shape of the joint space.
The term "deforming osteoarthritis" means that the deformation affects not only cartilaginous tissue, but also bone, which also experiences excessive pressure, responding to this with increased growth.
Classification of arthrosis by severity of manifestations
- In the first stage, pain occurs directly in the joint, during or after an intense load, after rest the pain disappears, and there are no other signs of pain.
- Osteoarthritis of the hip joint of the 2nd degree is characterized by the fact that the joint is not restored after rest, the patient is troubled by irradiating pain along the thigh, the person involuntarily seeks a pose that alleviates the pain, possibly the appearance of lameness. It is at this stage in the development of the disease that patients begin to consult physicians, they are prescribed physiotherapy procedures, chondroprotectors.
- The third stage of the disease significantly reduces the quality of human life, as the pains become almost constant with a tendency to increase at night. A person avoids a movement that can cause pain, takes a cane or crutch, by this time, persistent muscle shortens have been formed, subsequently the atrophies of the muscles of the thigh and lower leg develop. In especially severe cases, the limb shortens, the person is doomed to disability.
Treatment and prevention of coxarthrosis
In the initial stages of coxarthrosis successfully treated conservatively. The main components are:
- anti-inflammatory drugs( non-steroidal).Since often aseptic inflammation is expressed to a greater or lesser extent, the administration of such medications reduces pain, prevents the development of edema;
- chondroprotectors, or drugs that protect articular cartilage from destruction and enhance repair processes. A separate type of such drugs are "artificial synovial fluids" or hyaluronic acid preparations, injected directly into the joint cavity;
- physiotherapy methods, such as electrophoresis, ozokeritotherapy;
- balneological procedures: turpentine baths, wrapping of joints with mud.
In the case of far-reaching violations directly threatening the patient's disability, surgical treatment is recommended - endoprosthetics. At the same time, the modern method completely replaces the head of the femur, containing spherical articular surfaces, on artificial, biocompatible.
Operative treatment, although expensive, but it gives good results.
The main prevention of arthrosis of the hip joint is the maintenance of normal body weight, timely treatment and prevention of endocrine diseases that occur with a violation of calcium metabolism, as well as a mobile lifestyle.
Causes, degrees, symptoms and treatment of hip arthrosis
Hip arthrosis is a complex disease for which multifaceted treatment is necessary. Therapy begins with the use of procedures of a conservative type, after which they pass to the surgical form, if the previous method did not give a positive result.
Why does arthrosis occur?
According to ICD-10, there are 9 types of this disease, otherwise called coxarthrosis. This information is important, especially for patients. On its basis, it is possible to decipher the code of an existing disease, which will allow us to find out the cause of the onset of the disease.
Osteoarthritis of the hip joint is not a disease that is inherited by .However, it is necessary to take into account a number of features that can be transferred from parents to the child. These factors include metabolic disorders, weakness of the cartilaginous tissue, genetic features related to the structure of the skeleton. These signs can lead to the appearance of ailment, so the risk of development in this case increases. This also applies to the category of people whose close relatives suffer from these ailments, and the patient himself does not have any diseases.
Nevertheless, the main reasons for the appearance of the disease are others. So, with a violation of nutrition and blood supply to the joint or head of the femur, coxarthrosis may develop. This condition is called Perthes' disease and is more common in boys in childhood. Trauma related to the hip should also be attributed to having signs. These can be fractures of the pelvis or neck of the hip, various dislocations. Such a pathology, as a congenital dislocation of the hip, also contributes to the appearance of arthrosis of the hip joint.
In addition, dysplasia of the hip joint or necrosis of the femoral head also leads to the indicated state. Negatively affect the tissues of this part of the body of infection and inflammation, for example, purulent and rheumatoid types of arthritis or tuberculosis, flowing in the hip joint.
We should not forget that the disease proceeds slowly, it can be of different types( one-sided or two-sided).In addition to these diseases and pathological conditions, there are risk factors. So, this group includes people leading a sedentary lifestyle or, conversely, experiencing great stresses as a result of playing sports. This category includes persons engaged in heavy physical labor.
Overweight is a contributing factor. Disorders of blood supply, hormonal changes in the body, existing diseases of the spine - all this can cause the appearance of arthrosis. The risk group includes the elderly.
Stages and manifestations of pathology
Symptoms of arthrosis are characterized by multifacetedness. The companion of the disease is severe pain in the groin, knee, thigh area. As a result of this movement of the patient is of a constrained nature, the mobility of the joint is limited. In particularly difficult situations, gait can be disturbed, lameness occurs, and thigh muscle atrophy occurs.
Allocate 3 degrees of ailment. At 1 degree the patient experiences pain during and after exercise, and sometimes even after walking or running. Pain sensations are formed directly in the joint, although they can be given to the knee or thigh.
The person has a normal gait. His movements are not broken, lameness is not observed. During the diagnosis, pictures show growths that occur around the outer and inner edges of the acetabulum. There are no other pathological changes.
At grade 2, the symptoms are enhanced by the degree of manifestation. Painful sensations become a constant companion of the patient, pain occurs both during rest and during movement. Painful sensations are given in the thigh, groin. If the patient experiences physical exertion, then lameness is observed. In the photographs, one can observe the narrowing of the slit( half of the norm).Detection of bone growths can be performed by examining the inner and outer edges. At the same time, there is an increase in the head of the hip bone, it shifts upward and deforms. Its edges are now uneven.
If 1-2 degrees are recorded and the manifestations are moderate, only intensifying in the second stage, then in Stage 3 the pain syndrome is constantly present in the patient and causes him anguish both in the daytime and in the night. The patient is difficult to move without assistance, his movements are severely limited. There may be atrophy of the buttocks, shins, thighs.
As a result of the shortening of the foot with the gait, the patient is inclined towards the injured leg. This has a negative effect on the person, since the center of gravity shifts, which leads to an increase in the load on the injured leg. X-ray images show the following picture: the growth of the bone character acquires a multiple meaning, the joint gap greatly narrows. The same applies to the head of the hip, which also changes its size, that is, it expands.
It was previously indicated that radiography is used when diagnosing. This method is affordable, but this does not reduce its effectiveness. Radiography is good at recognizing changes in bone tissues, changing their structure. This helps both to determine the cause of the development of the pathology, and to reveal the existing degree of the disease.
Whenever possible, magnetic resonance imaging and computed tomography are used. These methods help to consider the synovial fluid and the underlying tissue, as a result of which the doctors have a complete picture of the disease that has appeared.
The need for differential diagnosis is associated with Bechterew's disease, gonarthrosis, the type of bursitis and the reactive form of arthritis. To establish the etiology of the disease, laboratory research is used. Thus, these methods of diagnosing can accurately determine the causes of arthrosis, its degree and prescribe appropriate treatment for the disease.
Disease elimination: tactics and methods
For the successful treatment of arthrosis of the hip joint, there are a lot of different ways and techniques. Traditionally, treatment begins with a conservative way, if the situation permits. There are measures that should prevent the appearance of pain or reduce its intensity, improve the mobility of the affected joint and inhibit the processes of destruction. In this case, medicinal preparations and physiotherapeutic procedures are used.
Than to treat at use of a medicamental way? The doctor prescribes non-steroidal anti-inflammatory drugs that have a prolonged effect. Such aids help the patient to get rid of the pain, to remove the inflammation process.
Chondroprotectors show good effectiveness. Such drugs lead to an increase in the effectiveness of anti-inflammatory drugs. In addition, they help to protect the tissues of the joints from changes of a degenerative and destructive nature. The use of symptomatic therapy implies the use of muscle relaxants. These are the remedies that cause muscle relaxation during their increased tone. Used and vasodilators.
Do not exclude the use of local therapy, which includes creams, ointments, gels. And although it is less effective, local therapy compensates for this with some advantages. So, massage is used to improve metabolic processes and blood circulation. The use of gels and ointments leads to the same result. It is worth noting that the use of massage is advisable with stable remission.
A doctor can prescribe a spa treatment or a curative physical culture. Special exercises help restore the function of a damaged joint and develop it. However, these methods, although they can be used in a medical institution or at home, are recommended to be used after consultation with a doctor and direct appointment by a specialist. He will pick up the necessary complex, which will achieve the best result. Self-medication does not lead to anything good, this must always be remembered. The unique healing gymnastics offered by various people can be dangerous to health, so you should trust your life only to professionals, not loud advertising headlines.
If the previously listed methods did not lead to recovery, and the signs only gain strength, then injections that are administered intraarticularly are used. There are anti-inflammatory nonsteroidal drugs and analgesic analgesics. This procedure is carried out only in the conditions of a medical institution.
Operation and prevention of
Surgery is indicated if there is no positive result from other treatment methods. In this case, a partial or complete replacement of the damaged joint may be carried out, instead of which an implant is installed.
At the moment there are several methods in which the operation is performed. So, with endoprosthetics of the hip joint, the damaged part is completely replaced with the implant. This type is indicated for a bilateral type of arthrosis. When arthroplasty is replaced, only those parts that were damaged during the course of the disease.
In addition, it is possible to bond the bones using specialized plates or bolts. This procedure is performed during arthrodesis. Bonding joints to make them more suitable position, bone destruction and its incomplete replacement for the implant are performed during osteotomy.
The most progressive methods of intervention are arthroplasty and endoprosthetics. The operation allows to preserve the motor and support functions of the damaged joint. It should be noted that the intervention of the surgeon is a great stress for the patient's body, therefore the latter needs a rehabilitation period and control by the treating specialists. This allows you to return the patient to his habitual way of life, getting rid of the disease.
Before you ask yourself how to cure an ailment and eliminate symptoms, you should think: is it possible to avoid the disease? For this, there is prevention aimed at preventing the development of arthrosis, its timely detection or maintenance of the health of those people who are at risk.
An important component of prevention in any disease is a diet. The intake of food should be done in small portions about 5-6 times a day. The purpose of the diet is weight correction, improvement of metabolism. Therefore, fried and fatty foods, sugar, bakery products are excluded from the diet.
Preference should be given to fruits and vegetables. A special category should be products that are rich in calcium and iron. With the available arthritis, it is necessary that the nutrition is balanced: the patient must receive the necessary substances in the required amount. Thus, to cure arthritis, you need to spend a lot of time and effort.
However, the disease can be treated with timely treatment and compliance with prescriptions of the doctor.
Coxarthrosis of the 2nd degree: methods of treatment of the disease
Even if coxarthrosis of the 2nd degree is diagnosed, treatment of the disease can be successfully carried out by conservative methods. One of the conditions for the effectiveness of measures taken is the complexity of treatment, where an important role is played by a sparing regimen of physical activity. There is a common opinion: when there is any type of arthrosis, you need to move as little as possible and disturb the joints. This is not true. If you exclude any load, joint deformity, which is characterized by coxarthrosis of 2, 3 degrees, it will be impossible to stop even with the help of surgery. If there is arthrosis, then playing sports, hard physical labor will have to be excluded from your life. They should be replaced by a set of exercises LFK, physiotherapy procedures that can help the body.
medications It is completely impossible to cure coxarthrosis, but there is a chance to stop the disease if you take the joints correctly. At the 2nd, 3rd stage of the disease, if medications do not help, surgical intervention and endoprosthetics may be required. Can this scenario be avoided? Doctors say that yes, if the patient began to treat the disease in time. But, as practice shows, the majority of people turn to medical institutions, when the second stage of the disease progresses and there are pronounced pain symptoms that do not always exist at the initial stage. Drug therapy coxarthrosis is conducted in several directions and covers different groups of symptoms. Osteoarthritis is treated with:
- anti-inflammatory and vasodilating drugs;
- means relaxing muscles;
- chondroprotectors and steroids.
Each patient is treated individually for treatment, taking into account the degree of joint damage, age and health. Anti-inflammatory drugs in the treatment of the disease occupy a special place. They are necessary to remove puffiness, not to allow the development of inflammation. But treatment with the use of such drugs has the opposite side: most modern anti-inflammatory drugs treating coxarthrosis of the 2nd degree, aggravates stomach ulcer.
The most safe of them is "Movalis", effectively used in the treatment of progressive inflammatory processes in the joint tissues. At all stages of the disease, the use of vasodilators is necessary. To effectively treat coxarthrosis, it is necessary to ensure a qualitative blood supply to the joint. This task is solved by vasodilators, which have virtually no contraindications and bring results even at the most difficult, 3rd degree of the disease. The most widely used in this direction trental, tsinarezin. Preparations, relaxing muscles, are appointed by the attending physician already at the initial stage of the disease. They are not anesthetics, but they help to get rid of the pain symptoms observed at different stages of the disease. One such medication is "Midokalm".But most of these drugs have strong side effects. They can cure pain, but at the same time become a "happy owner" of dizziness and slow reactions.
Measures to restore cartilage tissue are vital for any degree of ailment. For their implementation, the use of arteparone, glucosamine and other chondroprotectors. Restoration of cartilage continues after discontinuation of the drug, which distinguishes the treatment of chondroprotectors. This group of drugs has virtually no contraindications, drugs are issued in various forms. The variant, how to treat them, is chosen by the doctor depending on the degree of destruction of the joint tissues by destructive changes. Can I treat joint diseases with hormonal drugs?100% get rid of the disease they can not, but in some cases, hormonal drugs help slow down coxarthrosis. After all, changes in the joint tissues are directly related to the hormonal system. In women coxarthrosis often appears during menopause or pregnancy, when the hormonal system is characterized by violations of varying severity.
About ointments, physiotherapy, exercises and folk remedies
Various ointments, compresses, lotions facilitate the patient's condition only at the beginning of the disease, but they are practically ineffective at 3 degrees of the disease.
However, they are used to reduce puffiness and improve blood circulation. Treatment with ointments, compresses, lotions is considered ineffective, because the substances used for the procedures do not fall on the joint tissue that has affected coxarthrosis. As for physiotherapeutic procedures, they are aimed at improving blood circulation. Laser, ultrasound, magnets, electricity can be effectively used and the last degree of ailment, if there are no contraindications. Massage is also necessary to improve blood circulation around the joints. It can be used for patients of any age, but during the bouts of the procedure are strictly prohibited. Treatment with a massage must be regulated by a doctor who prescribes the duration and frequency of procedures.
Other ways to combat the disease
Treatment with the help of joint extension is actively promoted on non-specialized medical resources. Such treatment is carried out with the help of a special device or manually. There are different points of view, which of the methods is best used for the 2nd degree of the disease. The manual procedure allows for more accurate correction, but the risk of irreparably damaging the joints with it is still high. As for physical therapy, its exercises, like medical therapy, are selected strictly individually, otherwise you can also cause irreparable harm. There are two requirements for exercise of exercise therapy: they should not be traumatic and exacerbate the pain that coxarthrosis carries. The best option is to perform them in water, where the muscles relax, pressure on the joints decreases, whose deformation is already characteristic of the second stage of the disease. Specialists recommend performing exercise therapy in salt water, which increases the positive effect and facilitates the condition of patients.
Traditional medicine has considerable experience in combating the disease. Grinded and mixed in equal parts with leaves of eucalyptus, mint, aloe, you can remove pain and inflammation. Rubbing of bee venom and fir oil greatly facilitate the state of the second stage of the disease. Compresses from honey, aloe, vodka and are a classic of traditional medicine. These components are used together and separately as scraps, which can significantly reduce swelling and pain.
How to avoid disability
With the development of the disease the picture gradually worsens, the articular cartilage is covered by microcracks. At the last stage, pieces of cartilage enter the altered synovial fluid, bone tissue itself begins to injure itself.
To avoid disability, treatment should be directed to the following tasks:
- to stop pain;
- to improve nutrition of cartilage tissue of the hip joint;
- intensify blood circulation;
- reduce pressure on the joint of the thigh( reduce weight, stop lifting weights);
- strengthen the muscles surrounding the aching joint;
- to increase mobility of the hip joint.
Who is affected by the disease
Symptoms of arthrosis of the hip joint may appear in children( with dysplasia), and in adults( mostly after 40 years).Predisposition to the disease is more common in patients who are overweight for a long time. Women are sick more often than men.
Coxarthrosis of the 1st degree is most often found in sportsmen and people who lead an excessively active life - this is due to joint injuries and overload. It is noteworthy that people who are not interested in sports at all can also have symptoms of coxarthrosis. A sedentary lifestyle and lack of physical activity( when even morning exercises are ignored) is almost always combined with excess weight, a metabolic disorder and a malfunction in the hormonal system - which is also the cause of coxarthrosis.
Hip arthrosis is diagnosed in both children and adults
The main symptom of coxarthrosis of the 1st degree is a recurring mild pain in the hip joint, descending to the knee, especially after prolonged walking or other physical exertion. The pain passes after a long rest.
With fluoroscopy, you can see small bony growths that are "hidden" deep in the joint and do not go beyond it. The uneven narrowing of the joint gap is noted, the head and neck of the femur are not changed.
In order to cure and save the joint, it is important to begin treatment at this stage, which most patients do not do, hoping that "it will pass by itself".However, time passes, and one day with excessive stress there are severe exacerbations that can tie a person to bed for many months.
The revealed arthrosis at this stage can be almost completely eliminated. Sometimes it is possible to treat only with the help of gymnastics. In more serious cases, medication is prescribed for coxarthrosis, which includes the use of the following drug groups:
- NSAIDs( piroxicam, diclofenac, indomethacin, meloxicam, ketoprofen).Assign as anti-inflammatory drugs, to reduce pain in the groin.
- Chondroprotectors. Substances that feed cartilage tissue, at the initial stage of the disease they are very useful, they can restore microdamages.
- Muscle relaxants. They are prescribed to eliminate muscular spasm( sirdalud, midocals) in combination with chondroprotectors and hip joint traction. Treatment with these drugs should be done carefully, as often muscle spasm is a protective reaction of the body.
- Ointment, cream. They are auxiliaries for the diagnosis of "coxarthrosis of the first degree", they facilitate the patient's condition, but coxarthrosis does not heal.
Very useful in the 1st stage hirudotherapy - treatment with "leech enzymes" is very similar to the action of chondroprotectors and is aimed at improving blood circulation.
A compulsory diet for coxarthrosis of the hip joint is required to reduce excess weight, if present, as well as increase in calcium and improve metabolism.
For the treatment of coxarthrosis, it is absolutely necessary to perform special exercises.
Coxarthrosis of the hip joint of 2nd degree has the following symptoms: the patient feels severe pain while walking and at rest in the groin area, after a long walk, lameness begins;The muscles that are responsible for extension and retraction of the thigh gradually become atrophic. Other symptoms of second degree coxarthrosis: clicking sounds in the joints, dystrophy of the gluteal muscles begins.
In case of coxarthrosis of the 2nd degree( arthrosis), bone growths are seen in the picture, the femoral head is enlarged in size, enlarged, uneven, bone is observed deforming tissue, cysts are often formed. The joint gap is significantly and unevenly narrowed.
Coxarthrosis of the 2nd degree can be treated with conservative methods. Drug treatment includes the same drugs as in the treatment of coxarthrosis 1 degree, but with a higher dosage due to complications.
In addition to drug treatment, the following procedures are prescribed for the patient:
- manual therapy;
- therapeutic massage;
Complex LFK( therapeutic gymnastics) includes more sparing exercises than in the case of exercise therapy for coxarthrosis of the first degree. To achieve results and improve the patient's condition, one can only strengthen the muscles by "swallowing the vessels" and activating the blood flow in the region of the affected hip.
Much attention should be given not only to treatment - it is important to balance nutrition with coxarthrosis of the hip joint. Special attention should be paid to the following products:
Coxarthrosis is a pathology that causes deforming of the hip joint. The disease with severe consequences, requiring immediate action in the treatment, changes in the diet, and the whole way of life in general.
Causes of Coxarthrosis
The cause of the disease is believed to be circulatory disorders in the osseous articulation. Lack of blood leads to the accumulation of metabolic products that settle on the joint surface. Even to the causes of the disease carry:
- excessive mechanical overload of the joint. This factor is inherent in many athletes or people with excess body weight;
- hormone shift;
- changes in biochemical reactions in the body;
- violation of metabolic processes;
- injury. After severe injuries, Coxarthrosis begins to develop even in adolescence;
- necrotic disintegration of the head of the hip joint;
- flat feet and curvature of the spine;
- congenital pathology - dysplasia or dislocation of the thigh;
- chronic hypodynamia;
- age changes.
Symptoms of coxarthrosis of 2nd degree
The second degree of arthrosis is manifested by aggravation of symptoms of stage 1 of the disease. The breakdown in the supply of hyaline cartilage is only exacerbated. The fabric slowly begins to break down. Its fragments are mixed with the intra-articular fluid, swim in it, which is reflected by the growing pain syndrome.
The pathological proliferation of bone tissue begins. Its edges strongly thicken, appear outgrowths - thorns. At 2 degrees of Arthrosis they do not have large sizes, but they already interfere with normal gait, and the person begins to limp. Lameness is not permanent, it can disappear after a long rest. But long walks are given to a man more and more difficult.
Pain has a characteristic feature - it is not limited only to the hip joint, but has a "spilled" character. Most often, pain sensations are noted in the groin, in the region of the thigh, fuzzy irradiation is tracked to the knee area. The muscular strength decreases noticeably, especially when the hip is extended and developed.
The whole joint structure is broken. The ease of movement disappears, and the limb in the joint starts to work a little hard. Birth stiffness in the joint, acutely felt after a night's sleep.
Treatment of coxarthrosis of the 2nd degree
Even the most effective medicines will not bring the desired effect if the sick person does not reduce the load on the joints
The second degree of Coxarthrosis requires a long treatment aimed not only at reducing the manifestations of the disease, but also on eliminating the causes of its occurrence.
The more the bone joint is loaded, the greater the rate of its destruction!
But this is not enough. To relieve the pain syndrome, even at grade 2 Coxarthrosis, pain relief is sometimes required. They are taken in tableted form or very rarely at this stage, make intraarticular injections.
Along with anesthetics, anti-inflammatory drugs that relate to the non-steroid group of medications are also good for discomfort. They quickly reduce the inflammatory process, have anti-edematous effect. Short courses of Diclofenac, Ibuprofen tablets can improve a person's condition in just a few days.
When the inflammatory process has decreased, a long course of chondroprotectors should be taken. The effect of chondroprotectors is aimed at improving the state of hyaline tissue, increasing the production of lubricant, reducing the stiffness of the osseous articulation, preventing "drying out" of the cartilaginous plates. Usually these drugs are taken within a year.
How can I still treat Coxarthrosis without medications?
Treatment with medical products is better combined with a course of physiotherapy procedures. They not only anesthetize, but also improve the nutrition of the periarticular tissues. Do not forget that by means of electrophoresis you can inject some drugs directly into the joint area!
This "scourge" with Coxarthrosis is a muscle spasm. Spasmodic muscles contribute to the growth of pain syndrome. They can affect the processes of metabolism in tissues, hyaline cartilage will begin to receive even fewer nutrients, oxygen.
A real healing elixir for patients with joints is mud baths or radon baths. These balneological procedures can be well combined with paraffin and ozocerite applications. These two natural "healers" are able to give an unexpectedly good result. But just remember that you should plan your trip to a sanatorium only during a persistent remission and after consulting with your local therapist.
Therapeutic massage was treated with coxarthrosis still far from our ancestors, and in today's medicine it is used widely enough. Massage parlors function in every respectable orthopedic clinic or center. Qualitative massage, especially in tandem with sparing, carefully selected exercises will allow you to quickly get rid of a serious articular pathology.
Acupuncture and manual therapy are somewhat forgotten in our high-tech age. But after all, exposure to biologically active zones on our body can "wake up" the latent possibilities of the body, improve nerve conduction, effectively and long-term relieve muscular spasm. So is it worth to give up natural "doping"?
Surgical treatment of the 2nd degree of the disease
Arthroscopic debridementWhen the disease has already reached the 2nd degree of development, arthroscopic debridement is indicated. It is performed by means of an arthroscope. The essence of the intervention is to remove the remnants of hyaline tissue, which will reduce the stiffness of the osseous joint, almost completely passes the pain.
But arthroscopic debridement is not a panacea. The effect of the procedure continues to be felt for several years, but then the symptomatic picture of Coxarthrosis returns. For later stages of the disease, this manipulation is considered unfit.
Diet with Coxarthrosis 2 degrees
It is impossible to cure ailment if you neglect the rules of healthy eating. Especially you need to keep track of the weight of your own weight. Remember that with this degree of the disease, pain increases and joint stiffness appears, and they will involuntarily reduce your physical activity. The lack of mobility of a person entails an increase in weight, therefore, exclude fatty, sweet dishes from food, not to mention fast food.
Enrich the diet with products rich in potassium, gelatin, vitamins, calcium. Therefore in the daily menu include:
- dairy products in any form;
- thick low-fat brews, jellies, jellies, gelatinous desserts;
- bananas, potatoes, all kinds of nuts.
Eat often, in fractions, do not let the feeling of hunger, do not use strict diets. Cartilage tissue should not lack a quality and useful nutritious products.
How to treat coxarthrosis of the hip joint of the 2nd degree with folk remedies
Folk medicine at grade 2 Coxarthrosis gives a good curative effect, but only as one of the healing methods. Folk remedies help to reduce the intensity of manifestation of a symptomatic picture, reduce pain and slow down the destruction of the osseous joint.
With Coxarthrosis it is useful to take decoctions prepared from anti-inflammatory herbs. The most common of them - chamomile, St. John's wort, linden, anti-inflammatory pharmacy. Herbal decoctions can replace the usual tea, drink instead of water. But you need to remember that herbs are the strongest allergens, because if you take the drug for the first time, it is better to drink half a dose of liquid!
At home, they prepare ointments and rubbers. Ointment is made on the basis of animal fats, most often it is the internal fat of birds( goose, duck) and pigs. In some cases, animal fats are replaced with vegetable oil of the first pressing. Through the skin pores is better to penetrate is not refined olive and corn oil.
Bee venom, medical bile, finely ground herbs, poplar or birch buds are introduced into the melted and slightly cooled fat basis. For lapping, tinctures on an alcohol basis are suitable. As a rule, store such a medicine at room temperature, in a tightly closed container, away from the light.
Do not forget about the healing effect of compresses. The solution for compresses is often made not only on an alcohol basis, but also uses strong infusions of anti-inflammatory injuries. All kinds of compresses are best done at night.
The room where you are staying should be warm, but the area of the compress must be further insulated with a woolen cloth or a downy shawl. When setting the compress, it is better to use parchment paper, the food film creates unfavorable conditions for the skin, which is fraught with a violation of their integrity.
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, a 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 began to change, violations automatically begin to occur in other organs and tissues. 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 overextend. 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 lameness and restriction in the joint work - more and more. 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 may appear 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 no more symptoms appear - the muscles do not weaken, the gait is not violated and the freedom of movement is not limited. Because of this, people 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 begins 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 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 3 degrees is already permanent, occurring 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.
Causes of the disease
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 conditions 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( joint overload, 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 turn 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 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!
Prevention 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 "Collagen Ultra" drugs. 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 the third degree, 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 - such operations allow maximum restoration of joint mobility. 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 must understand that there is no one standard mechanism of the disease, because 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).
The following are usually prescribed for treatment:
is a non-steroidal anti-inflammatory drug. 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 also should help to remove muscle spasm and improve blood filling of 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 affected 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 view that the main cause of coxarthrosis is a violation of blood circulation in the joint due to the deterioration of venous outflow, and because of the 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 due to 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 explaining 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 develops 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 deposited 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 explaining the causes 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 ligaments and osteoporosis: all these circumstances, as a rule, also contribute to the development of arthrosisof the hip joint.