Causes and treatment of deforming osteoarthrosis of the hip joint
Disease deforming the hip osteoarthrosis( abbreviated TBS) is one of the most common chronic pathologies of the musculoskeletal system, which requires compulsory treatment. Its prevalence is explained by high loads on TBS.
Osteoarthritis develops due to the disturbance of regenerative processes in articular tissues and is characterized by gradual depletion of cartilage. This entails the destruction of ligaments and tendons located in the affected bone-joint articulation, deformation of the bones.
In the photo - hip joint deforming osteoarthritis
How is the hip joint structured?
The hip joint refers to simple, nutlike articular joints that can move in different directions: rotation, retraction, extension, reduction. The femoral and iliac bones are involved in the formation of TBS.In the recess of the acetabulum of the iliac bone lies the joint head of the femur, forming a kind of hinge that allows the joint to produce various rotational movements. Healthy joints are covered with hyaline cartilage - a smooth, dense and elastic gasket, ensuring an ideal glide of bones relative to each other.
About 70-80% of the mass of hyaline cartilage is water. It also contains collagen fibers( which give it stiffness) and proteoglycans( additional molecular structures) that absorb and hold water in the joint and form an elastic, supple base. A fluid filling the empty space of the joint cavity provides lubrication and nutrition of the hyaline cartilage, and the joint capsule protects it.
With age, the amount of articular fluid decreases, the cartilage becomes less elastic, begins to dry out and slowly break down, triggering the development of bone-joint deformity.
Classification, causes and mechanism of the disease
Osteoarthritis of TBS is traditionally divided into 2 groups:
Primary osteoarthritis - damage to the healthy joint due to functional overload.
Secondary osteoarthritis - degenerative-dystrophic changes in the joint, arising from other diseases.
In general, the following external and internal factors can trigger the development of pathology:
- trauma and microtrauma TBS;
- excessive physical activity;
- weighed down by heredity;
- hormonal imbalance and metabolic disorders;
- infringement of a supply of hyaline cartilage;
- inflammatory processes( arthritis);
- dysplasia of TBS( congenital malformation of the structure and development), congenital dislocation of the hip;
- necrosis of the femoral head( Peters disease);
- is overweight.
Osteoarthritis can affect one or both of the hip joints. According to experts, the development of the disease occurs due to a violation of the blood supply. This condition provokes the development of oxygen starvation( hypoxia) of articular tissues and the accumulation of metabolic products in them, which activate enzymes that destroy hyaline cartilage.
Symptoms of deforming osteoarthritis of TBS
The main symptom of the disease is diffuse pain in the groin, developing during movement, and, as a rule, increasing by the end of the day. Patients suffering from deforming osteoarthritis complain of morning stiffness in the hip joint, which disappears after several intense movements. During the day after a long rest, stiffness and a characteristic crunch( crepitation) are noted, which can be accompanied by pain.
Due to the appearance of bony growths, the joint increases in size, the movements are limited, as the pathology progresses the pain no longer passes even after rest and can intensify during the night.
In later stages of the disease, the muscles of the buttocks, thighs and lower leg begin to increase, there is a restriction of the leading and bending movements( resulting-bending contracture).All this becomes the reason for strengthening lumbar lordosis and shortening the patient's lower limb - the patient develops persistent lameness.
Defeat of TBS can lead to postural disorders
Stages of pathology
In medical practice, it is common to distinguish 3 stages of the disease:
Stage 1 is characterized by rapid fatigue, stiffness in the area of the patient joint and a slight restriction of mobility. Because of the loss of amortization properties of the articular cartilage, the pressure on the bones increases, they begin to compact and deform.
In the 2nd stage, when starting or extending the thigh, starting pains arise. Having lost a cartilaginous lining, the head of the femur is gradually flattened. Bony extensions begin to form along its edges - osteophytes. Also in the second stage of osteoarthritis, the synovial membrane and the joint capsule degenerate.
At the 3 stages of the disease, the hip joint is almost completely immobilized, and there is almost no healthy cartilaginous tissue left in it. At this stage, treatment without surgery is ineffective.
Deforming osteoarthritis of the hip usually proceeds without a change in laboratory blood counts, but in some advanced patients, the ailment can be characterized by a slight increase in the ESR index in the general blood test.
Diagnosis is diagnosed by X-ray diagnosis. Initially, the picture shows a narrowing of the joint gap. In the 2 stages, osteophytes( bone growths) and compaction of the bone tissue located under the articular cartilage( subchondral osteosclerosis) are visible.
Also, when diagnosing a patient, MRI, CT and ultrasound TBS can be prescribed.
Modern methods of treatment
Treatment of osteoarthrosis of the hip joint is assigned taking into account the results of diagnosis and the stage of the pathological process. The first two stages show classical conservative therapy.
Non-steroidal anti-inflammatory drugs of local and systemic( general) action and muscle relaxants, which eliminate muscular spasm, are used from medications. To ease the pain in the stage of exacerbation are shown periarticular injections of hormones of corticosteroids.
In the initial stages of osteoarthritis, treatment with chondroprotectors - preparations regenerating cartilaginous tissue and restoring the structure of damaged articular joints - is mandatory. According to most experts, these are the most useful tools for treating the disease. They act very slowly, so they drink them for a long time.
Manual therapy proved to be very successful. In the treatment of osteoarthritis of TBS, a soft hip extension( mobilization) and a sharp short movement( manipulation) are used.
Also, patients can be assigned a procedure of hardware traction( stretching) and post-isometric relaxation( a soft manual technique aimed at relaxing the spasms of the muscles).
Other working methods
Therapeutic massage, hirudotherapy( leech treatment), exercise therapy and physiotherapy are additional methods of treatment of deforming osteoarthrosis of stages 1 and 2.
The individual complex of exercise therapy is prescribed to the patient without fail. Very useful for swimming.
Massage should be trusted only by a competent specialist. This procedure should be absolutely painless, any sharp movements are strictly contraindicated.
As for physiotherapeutic procedures, they bring some relief to the patient due to analgesic effect and improvement of blood circulation, however according to experts, they are not suitable for the treatment of deforming osteoarthritis of TBS.This joint is hidden under the muscle mass, and most methods of physiotherapy can not somehow radically affect the course of the pathology.
At the last stage of osteoarthritis, when hyaline cartilage is almost completely destroyed, the patient is recommended surgical treatment - endoprosthetics - complete replacement of the hip joint with an artificial prosthesis.
The deforming osteoarthritis of TBS is included in the list of the most dangerous pathologies of the musculoskeletal system, limiting the patient's social and social activity and significantly reducing the quality of life. Therefore, should consult a doctor at the first symptoms or suspicions of ailment. And, of course, a healthy lifestyle, regular physical activity is the best prevention of any diseases.
It is important to read: osteoarthritis of the knee joint, arthrosis of the hip joint.
How to treat osteoarthrosis of the hip joint
Deforming osteoarthritis of the hip is a degenerative disease that causes pain and inflammation in one or more joints. Disease can cause disability of the elderly.
Structure of the hip joints
What joints the human basin consists of
The iliac and femur are connected in the hip joint. It looks like a hinge, so a healthy person can produce different movements. The articular cartilage lining the surface of the bones of this joint, so that they can easily slide relative to each other.
So that the hip joint can perform its functions, it is surrounded by powerful muscles. They take significant loads, performing the functions of a shock absorber and ensuring the movement of the body. Muscles help pump blood in the circulatory system, providing a full supply of nutrients to the hip joint.
Deforming osteoarthritis of the hip joint causes chronic inflammation in the joint. The body produces insufficiently articular fluid, so the depreciation of the cartilage decreases, the wear of the bones increases. They rub against each other, causing pain, breaking bones.
If adequate treatment is not provided, eventually the cartilage is completely erased, and the hip joint ceases to perform its functions. At the same time, muscle tone is lost, which speeds up the process of deformation of bones.
Causes of development and symptoms of disease
- Retirement age.
- Extra weight, increasing the load on the hip joints. This makes a person less active physically, which aggravates the situation.
Patient and healthy pelvic joint
Genetic heredity. To this disease people are inclined, in which relatives had the same ailment.
- Gender. Women are more likely to become victims of this disease, especially after 50 years.
- Occupation type. Some professions create a greater risk of developing this disease: work in agriculture, construction, retail trade. In the process of fulfilling their professional duties in these areas, people receive increased stresses on joints.
- In young and active people, the disease often develops as a result of a sports injury or as a result of an accident.
Symptoms often manifest slowly and worsen over time.
- Pain during or after movement.
- Stiffness in articulations. Most noticeable is when the patient wakes up in the morning or after a period of inactivity.
- Loss of flexibility in the joints.
To clarify the diagnosis, a blood test is performed, its results help to eliminate other ailments. Manifestations of this pathology of a joint of 1 degree by means of roentgenological inspection to reveal it is impossible. On normal X-ray images, cartilaginous tissue is not reflected. This explains the late diagnosis of such diseases. Only at the stage of sufficiently severe destruction of bones it becomes possible to recognize the osteoarthrosis of the hip joint. A clearer picture of the condition of the joint is provided by magnetic resonance imaging or computed tomography. These diagnostic tools can detect the early development of the disease.
Nowadays the question of complete cure for this illness is not worth it. Drugs do not affect the root cause of the disease. But the competent treatment of osteoarthritis can contribute to a significant reduction in pain and the preservation of joint mobility.
Conservative treatment methods
- The first step in treating a disease is to reduce pain. This can be done with a combination of drugs, exercise and physical therapy. Anesthetics will help relieve pain, but will not remove the inflammatory process. In addition, elevated doses of paracetamol can cause damage to the liver. The use of analgesics will lead to increased blood pressure, worsening kidney function, the occurrence of peptic ulcer and cardiovascular diseases.
- Non-steroidal anti-inflammatory drugs( NSAIDs), such as ibuprofen and naproxen, can reduce inflammation and relieve pain. Stronger non-steroidal anti-inflammatory drugs( NSAIDs) are available by prescription. NSAIDs give side effects. They can cause indigestion, ringing in the ears, problems with the heart and blood vessels, bleeding, damage to the liver and kidneys.
- Chondroitin and glucosamine have shown their effectiveness in osteoarthritis. They can slow or prevent further damage to the joints.
If conservative treatment methods do not help, other effective procedures may be offered by the physician.
- Injections of corticosteroids will ease pain in the joint. During this procedure, the doctor makes an injection and injects the medicine into the affected joint. However, the number of such injections is limited throughout the year, since the drugs used can worsen the condition of the damaged joint over time. There are complications in the form of depression, hypertension, hyperglycemia, erectile dysfunction, amenorrhea and candidiasis.
- Injections of hyaluronic acid can relieve pain, enhancing the effect of depreciation in the joint. The drug is similar to the component that is usually found in the joint fluid.
- Surgical operation. During surgical intervention, the surgeon removes the damaged part of the hip joint and replaces it with plastic or metal parts. This operation gives the patient the opportunity to lead a full life. However, such treatment has risks associated with infection and the formation of blood clots. Artificial joints can wear out. Re-replacement of articulations is a more complicated and less successful process.
Sport will help to cope with the disease
Changes in lifestyle and home methods of treatment can help reduce the manifestation of symptoms of pathology. If the patient has osteoarthritis of the hip joints, this does not mean that an active lifestyle is not available to him.
- Gymnastics and achieving a healthy weight are the best and most important ways to treat an ailment. A physiotherapist will help to select an individual exercise program that will strengthen the muscles around the affected joint. This will increase the range of motion and reduce pain. Try walking, cycling or swimming. If you feel an increase in pain in the joints, the activity must be stopped. Pain, which lasts several hours after training, may indicate that you overdid it. But this does not mean that you need to stop your studies as a whole. However, before continuing, you should see a doctor.
- Tai Chi and Yoga. These types of physical activity mean smooth exercises and stretching combined with deep breathing. Such gymnastics can reduce pain in osteoarthritis. These methods are safe, but it is necessary to engage with the instructor. Avoid movements that cause joint pain.
- Swimming and water aerobics are good for osteoarthritis. They can increase flexibility, improve blood circulation and strengthen the muscles, which allows you to maintain the functionality of the joints. In addition, water makes it possible to perform other types of exercise without the additional burden of articulation.
- Occupational therapies can help you perform everyday self-care tasks and do housework without putting additional strain on the affected joint.
- It's good to lose weight. Since overweight increases the load on the bearing joints, even a small weight loss can reduce pressure on diseased bones and reduce pain.
- The use of special shoe insoles can be recommended by a doctor, as they will help reduce pain when you stand or go unloading a sick joint.
- Use ancillary devices that can make the walking process painless and easy. The cane will relieve the joints and hamstrings when you go.
- Acupuncture. Some studies show that this method of therapy can alleviate the pain and improve the functions of the hip joint. During acupuncture, the thinnest needles are inserted into special acupuncture points on the body. Possible risks are associated with infection, bruising and some pain in the places of needles.
- Use heat and cold to control pain. Heat removes stiffness, and cold can relieve muscle spasms and pain.
- The use of special anesthetic creams helps. Such funds can provide temporary relief of pain in the pathology of the hip joints. Some drugs suppress pain, creating a feeling of warmth or cold.
It is necessary to use all the means that will help relieve the joints and muscles of the thigh. Osteoarthritis can be successfully treated. This will improve the quality of life.
Hip joint: causes, symptoms, treatment
Deforming osteoarthritis( hip joint) is a common disease , resulting from the damage to the cartilage tissue on its surface. This pathology arises from the violation of blood circulation( dystrophy) in the head of the thigh. It is based on the disruption of cell nutrition( metabolism), which leads to changes in the structure of the joint. There is damage to cells and intercellular substance, which leads to violations of cartilage functions.Table of Contents: to Contents ↑
The hip joint consists of two jointed bones, femoral and iliac. The head of the femur is inserted into the ileal cavity, thereby forming a movable hinge. This mechanism allows us to walk, crouch and perform various movements, thanks to the rotational movements of the joint. This is if the person is healthy. Normally, the joints of the bones are covered with a layer of articular cartilage, consisting of a strong, smooth and elastic tissue. This cartilage serves as a shock absorber when walking, and also distributes the load. It serves as a layer for perfect sliding of the jointed bones. By the type of Archimedes' law, when a load on the joint arises, the cartilage releases a lubricant called the joint fluid. As soon as the load is excluded, this lubricant is absorbed by the cartilage back. And the heavier the load, the more grease will be released.
To ensure the lubrication function for a long time, the cartilage must be elastic and rigid. Its stiffness is determined by the composition of the collagen fibers.
They are quite elastic, intertwined with each other in the form of a framework and contain molecules called proteoglycans( complex proteins).These molecules are responsible for the absorption and retention of water in the joint. There are also cells of chondrocytes. All these components form a single complex, the basis of cartilage. Water, in the composition of cartilage, takes about 80% of its mass. With age, this figure decreases, which leads to a deterioration in the properties of amortization of the joint. The joint fluid fills the entire free joint cavity and provides cartilage nutrition and its lubrication. Also, the joint cavity is surrounded by dense fibrous fibers, forming a capsule.to table of contents ↑
The role of muscles in joint control
Hip joints are heavily loaded on themselves, so they are highly susceptible to this disease. In the work of the hip joint, the muscles surrounding it are also important: the gluteal and femoral muscles. With well developed and strong muscles, correct joint functioning is ensured, since part of the joint load is redistributed on them. When running and walking, they also act as shock absorbers.
Therefore, the joints of people involved in sports, and strengthening the muscles of the buttocks and thighs, are less stressed. Also a large amount of blood is pumped through the muscles vessels. The better it circulates around the joint, the more it gets nutrients.
Mechanism of the pathological process
Doha is not an inflammatory, dystrophic joint disease, a chronic disease, with the destruction of the cartilaginous tissue of the bones of the bones in it. The disease begins with the thinning of cartilage tissue. There is a gradual degeneration of cartilage tissue and premature aging of the joint. The elasticity of the tissues is lost, cracks and roughness appear on the joint surfaces. Sometimes the cartilage is erased, exposing the bone. Then the articulating bones begin to rub against each other, without the presence of a "shock absorber".With loss of cartilage, bone tissue on the joint grows, and there is a persistent deformity with a violation of functionality. When the disease affects the hip bones, it is still called coxarthrosis. That is, it is a pathological process leading to the destruction of the cartilage plate of the joint.
Pathology can affect one joint, and both can be involved. Deforming osteoarthritis is primary and secondary. In the first case, the cause of the disease, perhaps genetic, but mostly completely unknown to medicine. In the second case, do occurs due to diseases of the musculoskeletal system.
DIA distinctive features:
- cartilage destruction is degenerative-dystrophic;
- at the edges of articular surfaces, bone tissue proliferates;
- joint is deformed as a result of pathological abovesaid processes.
Manifestation of the disease
The disease begins with the onset of pain during movement. It extends from the top of the thigh to the knee. Appears especially when walking. Pain increases with exercise, and after rest and rest subsides. In this case, after a dream, there may be a starting pain. Later, when a person spent some time in motion, she gradually subsides. If the disease is not treated, there will be a neglected state of the process and deformation of the joint, in which it will lose its mobility. The pain syndrome will increase, a person will walk harder and have to take painkillers. The disease is irreversible, therefore it is impossible to restore the cartilage tissue. Normally, the pathological process develops slowly, but with time, other joints can also be drawn in. Therefore, it is necessary to appoint the right treatment in time.to contents ↑
Classification of stages of the disease
The main symptom is pain of varying intensity, location and duration of .Depending on the manifestation of the disease, it is divided into three stages:
- First, when the pains appear after physical exertion. After rest the pain in the joint passes. X-ray shows the first symptoms of the disease, small bony growths around the outer or inner edge of the ileum cavity. Visible deformations are not visible. There is a slight and uneven narrowing of the joint space. The man's walk is not broken, the hip joint is mobile.
- The second is when the pain intensifies and can give back to the groin or thigh area. The joint begins to bother even in a state of rest. Appears limp when walking. This is a symptom that characterizes the disease progresses. There is a function to limit the hip. The strength of the femoral muscles decreases, and this leads to their hypotrophy. In the X-ray image, more and more symptoms of doa appear in the form of more bony growths that extend beyond the joint. The contours of the femur become uneven, it increases in size. The neck of the hip expands and thickens. In the hollow of the iliac bone bones are formed. The head of the femur is shifted upward, and the articular cleft narrows to 25% of its height.
- The third stage is characterized by constant pain of an intense nature. Pain can disturb even at night. A characteristic symptom is the limited movement. Because of their lack of mobility, the muscles atrophy. The limb can not be completely sidetracked because of the limited mobility of the joint. Patients have to move with a stick-cane. An X-ray photograph shows a strong growth of bone tissue, the neck of the femur is greatly expanded and shortened. The size of the joint space is significantly reduced.
Factors provoking the disease
Statistically, the disease is more common in women after 45 years and occurs in almost everyone after the age of 60.
Some doctors believe that the cause of doa is a violation of the blood supply of the hip joint.
This is expressed by a poor outflow of venous blood and a disturbed influx of arterial blood. There is a hypoxia of tissues, that is, a shortage of oxygen, as a result of which under-oxidized metabolic products accumulate. Some enzymes, which have a destructive effect on the cartilage, lead to his dystrophy.
Reasons for the asia:
- work related to the load on the legs;
- incorrect posture;
- excessive load( lifting weights, running, jumping);
- metabolic disorders;
Hip Osteoarthritis - What You Should Know
People with hip osteoarthrosis have walking problems. At the first stages of the development of the disease, the diagnosis can be difficult. This is due to the fact that the place of occurrence of the pain syndrome can be unpredictable: it can be a sacrum, a hip, buttocks or a knee. Pain syndrome can be acute and intense in some cases, while in others it may have a slight nocele character. Although in both cases the affected joint becomes inactive.
Symptoms of coxarthrosis depends on the stage of the disease, but there are several signs that indicate its possible development:
pain in the thigh, inguinal region, in the joint, arising andat physical exertion, and at rest;feeling of stiffness of movements;
Medications for arthrosis of the hip joint here.
LFK for hip dysplasia http: //sustavprof.ru/lk/ lechenie-displazii-tazobedrennyh-sustavov.html.
Osteoarthrosis of the hip joint of the 1st degree is characterized by periodically arising pain sensations, which are mainly manifested after physical exertion( eg, prolonged walking or running).
The localization of pain is in the area of the affected joint, but sometimes extends to the thigh and knee joint. After rest, the pain syndrome subsides. At the same time, the amplitude of the movements is not limited, the gait pattern does not change, just like the muscle strength.
As a result of an X-ray examination, small bony growths are revealed that do not go beyond the joint lip. They are located along the outer and inner edges of the articular surface of the swivel cavity. In this case, the neck of the femur and the head practically do not change.
Coxarthrosis of the 2nd degree is diagnosed not only on the basis of the X-ray method( pictures), but also during the movements the patient feels pain. The stage is characterized by a narrowing of the joint gap by 1/3, damage to the synovial cartilage lining the bone, which prevents friction. The pain is formed more likely due to inflammatory edema, than as a result of friction of bone tissue between each other. Osteophytes, which can be formed to 2 degrees - bone growth along the bones and ligamentous apparatus worsen the disease.
Deforming osteoarthrosis of the hip joint or coxarthrosis is a chronic slowly progressing disease, leading to the development of statodynamic disorders of the hip joint. Among all the degenerative-dystrophic diseases of the articular apparatus, coxarthrosis takes the first place, which is primarily due to the enormous loads falling on this anatomical structure.
Deforming osteoarthritis of the hip joint The pathological process with deforming osteoarthritis of the hip joint begins with articular cartilage. Initially, the hyaline cartilage is thinned, cracks and roughness appear on it. As the disease progresses, the articular cartilage almost completely disappears, and bone fragments are exposed, which rub against each other during movement. As a result, bone growths begin to form, leading to deformation of the hip joint and disruption of its functions.
Deforming osteoarthritis of the hip may be primary( the cause of the development of the disease is not known) or secondary, arising on the background of congenital hip dislocation, hip dysplasia, Perthes disease, aseptic necrosis of the femoral head, joint inflammation( coxitis), traumatic injury.
Deforming osteoarthritis can affect both one and both hip joints. At present, there is no unified theory explaining the mechanism of the development of the disease. Most doctors believe that the main cause of deforming osteoarthritis of the hip joint is a violation in it of the processes of blood supply, expressed in insufficiency, both arterial blood flow and its venous outflow. Disturbance of the blood supply to the hip joint leads to the development of hypoxia of articular tissues and the accumulation of under-oxidized metabolic products in them, which in turn activate certain enzymes that destroy hyaline cartilage.
The main symptom of kaoksartroza is pain, which can have different intensity, duration, character and localization, which depends on the stage of the disease.
Treatment of osteoarthrosis of the hip joint does not differ radically from the treatment of other diseases of the articular cartilage. First of all, it is necessary that the hip joint be at rest, because it is the load in most cases that leads to osteoarthritis. Pharmacotherapy is prescribed: analgesics, non-steroidal and steroidal anti-inflammatory drugs, injections of medications into the joint cavity( blockade).For effective treatment of osteoarthritis, the supplements "Collagen Ultra" are ideal. The collagen included in its composition strengthens the articular tissue and allows maintaining the necessary level of this vital protein in the body. Active physiotherapy is shown in combination with curative gymnastics. In the most neglected cases, surgical intervention can not be avoided.
The main goal in the treatment of osteoarthritis is to slow down the process of destruction of articular cartilage, the drugs-chondroprotectors-contribute to the goal. A certain positive effect has hormonotherapy, but in this treatment there are a lot of side effects. Is it possible to heal osteoarthritis of the hip joint?
Today, there is an opinion that curing osteoarthritis completely - almost impossible task. Doctors note that with deforming osteoarthritis irreversible changes occur in the joint and surrounding tissues. If the disease is diagnosed at the initial stage, which is extremely rare, in principle, you can still give a "reverse" of the disease. But in neglected cases, it is possible only to temporarily slow the progression of the disease and the destruction of cartilage. In view of this, doctors are strongly advised to immediately turn to a medical institution when the first symptoms appear( crunch in the joint, minor pain, swelling).Moreover, the more precise the doctor will establish the diagnosis, the more effective the treatment will be. Correctly establish the diagnosis will help a thorough examination of the patient, during which it is necessary to ask the patient some questions that can clarify the clinical picture, after which it is necessary to do an x-ray.
Many people think that with osteoarthritis doctors are not recommended to do gymnastics, because the disease limits the mobility of the joints. But this is not so. Doctors on the contrary advise to undergo a course of physiotherapy exercises that help to strengthen the muscles around the joints.
Not infrequently after the exercises, pain and discomfort appear, usually the pain stops after 30 minutes, if the pain does not pass after this time, then you either give a big load to the joint or you do not do the exercises correctly, then you definitely need a doctor's consultation.
For patients with osteoarthritis, a special set of exercises has been developed, which should be done several times a day for 15 minutes a day. It is necessary to perform exercises as far as possible plastic, gradually increasing the load. We will describe several exercises that are performed with osteoarthritis.
1. We accept a position lying on the back and bend the legs in the knees. We lift the right foot from the floor and in a bent state, press it to the chest for a few seconds, then release it. So, we repeat 10 times. Repeat exercises and with the left foot.
2. We accept the position lying on the back, the legs are even, we bend the leg in the knee and try not to tear off the foot from the floor, to live to the torso, we repeat this exercise and with the other leg 15 times.
3. We sit down on the table, the back should be flat, and we chat with our feet.
4. Sit down on the table, the back should be flat, raise one leg as evenly as possible, we sip the foot on ourselves, then slowly let go. Such an exercise to do the other leg.
5. We accept the position lying on the back, the legs are even, raise one foot 30 cm from the floor and slowly release. Such an exercise is performed with the other leg up to 30 times.
6. We accept standing position, keep the back straight, knees slightly bend and dilute. Lean your buttocks against the edge of the table and, without bending your back, do the leans forward, then return to the straight position. Make at least 10 times.
Do exercises slowly, smoothly, gradually increasing the load. Exercise should be done within 10-15 minutes several times during the day( at least twice).
Position lying on the back, legs bent at the knees. Tear your right foot off the floor, use your hands to squeeze as close as possible to the chest, hold for a few seconds, lower your leg. Repeat with the same left foot. Run 10 times. Lying on the back, legs stretched. Bend the right leg in the knee joint, without lifting the foot from the floor, using your hands to press your foot as close to the body as possible. The same with the left foot. Run 10-15 times. Sit on a table or a high stool. Holding your back straight, chat with your feet. Sitting on a table or a high stool - raise your right leg, without bending at the knee, parallel to the floor,( stop at the same time pull on yourself), hold for a few seconds, gently lower. The same with the left foot. Lying on your back, legs straight. Tear off the right foot from the floor, without bending at the knee, 20-30 cm, hold it for a few seconds, slowly lower it. The same with the left foot. Run 20-30 times. Standing on the floor, back straight, knees slightly bent and diluted, buttocks lean against the edge of the table. Do not bend your back, take the slopes forward and return to the starting position. Run 10 times.
In the case of osteoarthritis of the hip joints, add the following exercises:
Lying on your back, bend your knees as much as possible without lifting your feet from the floor. Reduce and dilute the knees. Run 10-15 times. Lying on his back perform a scissors exercise. Run 10 times. Sitting on a chair, your back is straight. Leaning, touch the toes with your hands. Run 10 times. Lying on my back. Tear off the right foot from the floor, without bending at the knee, raise as high as possible, smoothly lower. The same with the left foot. Run each foot 10 times.
• Mucopolysaccharides are substances that are part of the intercellular space of connective tissue. These substances include hyaluronic acid. It is responsible for the elasticity of the connective tissue, because it keeps the free liquid. Chondratina sulfate is a biologically active substance, it participates in the production of lubricant necessary for the normal functioning of the joint. These substances are contained in jellied fish and chill. In the same dishes contains collagen, without which it is impossible to imagine the connective tissue.
• Filled soup from poultry, jelly and jellied recommended to eat for diseases of the musculoskeletal system even in ancient sources. Of course, when cooking, you need to use ligaments, bones and cartilage.
• Gelatin is also rich in mucopolysaccharides. If you make jelly from natural ingredients, it will be a vitamin product, useful for joints.
• Do not eat boiled meat broths with a sick gout.
• Limiting salt to 5 grams per day will benefit from any diet. Nutrition for osteoarthritis should not be high-calorie, since overweight is one of the main factors in the onset of this disease.
If you are overweight, ask your doctor for a referral to a nutritionist. Excess weight gives an excessive load on the joints and can aggravate the manifestations of arthritis.
For people with arthritis, a healthy, balanced diet rich in fruits, vegetables, whole grains, fish and white meat is useful. Inclusion of fatty fish in the diet once or twice a week will help alleviate the painful inflammation in the joints: one study showed that 200 grams of salmon a day significantly alleviate the condition of patients with rheumatoid arthritis. It should be borne in mind that the consumption of fatty fish can aggravate the condition of those suffering from gout. Walnuts, green tea, fresh ginger also have anti-inflammatory properties.
Some people notice that their condition worsens from certain foods, in particular, red meat, eggs, tomatoes, potatoes, eggplant or bell pepper. It is probably worth paying attention to what you eat so that you can identify potential problem initiators and exclude them from your diet.
Osteoarthritis of the hip - briefly about the important
Many older people complain of stiffness and pain in the groin when walking, which is associated with the destruction of the cartilage of the hip joint. This disease is called osteoarthrosis of the hip joint.
In some cases, this disease leads to disability, causing a fracture of the neck of the hip. Osteoarthritis can also cause serious surgery for hip replacement.
Treatment of osteoarthritis of the hip should be started as early as possible, since it is almost impossible to slow the destruction of the cartilage.
What is osteoarthrosis of the hip joint
Inside the joints at the end of the bones there is an elastic cartilage that allows the sliding of several surfaces of bones without friction. The older the person, the stronger the cartilage loses the ability to retain water, which leads to its cracking. Due to the lack of a "shock absorber", the bones, clinging to each other with bare surfaces, begin to creak when the person moves. In addition, osteophytes are formed on them, which makes it difficult to move - the development of osteoarthrosis of the hip joints begins.
In the area of greatest risk are people over 45 years of age, and this disease affects women more often than men. This is associated with menopause - after it, calcium begins to "wash out" of the bones and accumulate in the cartilaginous tissue, which leads to the destruction of cartilage and the onset of the disease.
Hip Osteoarthritis: symptoms of
In the initial stages of the disease, osteoarthritis of the hip joint is virtually asymptomatic. For several years the patient can notice only a certain stiffness after awakening.
But over time the disease progresses - when you move, you begin to feel pain in the groin area. In some cases, it extends to the hip, buttock, knee and shin.
Late stages of the disease are marked by symptoms such as pain and mobility restriction. The quality of life is greatly deteriorating, osteoarthritis leads to disability.
Deforming osteoarthrosis of the hip joint: treatment of
Since the causes of this disease are not yet fully understood, the main goal of the treatment is the elimination of the symptom severity: pain and movement disorders. The scheme of treatment depends on such indicators as the general condition of the patient, his age and the stage of the disease.
Osteoarthrosis of the hip joint of the 2nd degree, as well as the 1st degree, can be treated on an outpatient basis. In this case, the therapy includes the following goals: reduction of pain, reduction of inflammation in the damaged joint, improvement of blood circulation and metabolism in it, normalization of mobility.
To reduce the severity of the pain syndrome, the patient is assigned non-steroidal anti-inflammatory drugs or analgesics. To improve metabolic processes in tissues, vitamins and biostimulants are used.
You can also do anesthetic compresses at home. For this, a compress with dimexide is applied to the area of the affected hip joint. The course consists of 12-15 procedures and has a high efficiency.
Deforming osteoarthritis of the hip joint is also treated with physiotherapy in a clinic. Such procedures include laser therapy, ultrasound therapy, magnetotherapy, etc.
When mobility improves and pain is reduced, it is recommended to massage the hip, buttocks and hip area, as well as to practice exercise therapy. This increases muscle tone, in addition, the muscles that surround the hip joint are strengthened, which leads to an improvement in its mobility.
Treatment of a patient with osteoarthritis can also be accompanied by traction of the affected joint. This procedure is carried out only in a hospital. During treatment, patients are advised to move with crutches, which helps to maximize unloading of the affected hip joint. Usually the traction is combined with a course of classical or underwater massage.
After completion of the main course of treatment, the patient is recommended to perform additional procedures already at home. To reinforce the achieved result, it is necessary to engage in exercise therapy, swim, and self-massage of the muscles of the thigh and buttocks. In doing so, you should not overload the lower limbs, so it is necessary to take the choice of sports exercises with all seriousness.
Remember that osteoarthritis of the hip joint is not a sentence if the treatment is started on time. Take care of your health - and you will save yourself from many problems!