Symptoms, degrees and treatment of coxarthrosis of the hip joint
What is coxarthrosis of the hip joint?
Coxarthrosis of the hip joint is a permanent change in the integrity of the articular surfaces, which is based on the violation of metabolic processes. As a rule, coxarthrosis is a slowly developing disease that gradually affects cartilage tissue with subsequent deformation of bones and a violation of the functional capabilities of the joint system.
Coxarthrosis is the most common disease among all degenerative-dystrophic pathologies of the musculoskeletal system, occurring at the age of 40 years.
Symptoms of coxarthrosis of the hip joint
Symptomatic at different stages of development of coxarthrosis differ slightly. However, there are a number of common signs on which you can determine the onset of the disease and take all the necessary measures to restore health. Often, patients turn to doctors already in the late stages of the pathology, which significantly reduces the chances of a full recovery.
Symptoms of a general nature:
severe pain in the affected joint - the main sign of joint damage;at the first stage the pain manifests itself during the movement, on the subsequent stage it has a permanent character;
stiffness( restriction in movement) - in the early stages this state is observed after awakening or heavy physical exertion;
changing the length of the legs is a sign of a neglected form of the disease accompanied by a deformity of the pelvis;
muscle atrophy is the most severe symptom, manifested in the late stages of coxarthrosis;in the early stages there is a slight weakening of the muscles;
lameness, an obvious change in gait is a sign of bone system deformation;
marked crunch in the joint area, which may indicate a pathological lesion.
Causes of coxarthrosis of the hip joint
The causes of the development of this disease can be very different, we will consider the most common:
Circulatory disturbance in the area of the affected joint. In view of the most varied causes, a person's blood circulation system fails - deterioration of venous outflow and arterial inflow. Due to all these processes, metabolic products accumulate in the tissues surrounding the hip joint, which contribute to the production of enzymes that destroy cartilage.
Injuries. The development of coxarthrosis is promoted by chronic microtrauma, which contributes to thinning and damage to the cartilage.
Excessive load on the joint. The development of degenerative processes is promoted by constant heavy physical exertion, often in combination with predisposing factors.
Obesity. The large mass of the body overloads the joint, thereby causing the inflammatory process, and subsequently the deformation of the joint itself.
Genetic predisposition. Directly the disease is not inherited, the features of the structure of cartilaginous, bony tissue and joints are transmitted. Therefore, for a number of unfavorable factors, this cause can affect the development of coxarthrosis more than in others.
Hormonal background. Frequent changes in the level of hormones can affect the metabolic processes in the human body, thereby contributing to the development of inflammation of the joint tissues.
A sedentary lifestyle is one of the main reasons for the development of hip joint pathologies.
Other diseases( necrosis of the head of the thigh, severe infections).In the case of improper treatment or timely medical care, a number of diseases can further influence the development of coxarthrosis, as a complication or concomitant disease.
Congenital pathology( dysplasia, congenital hip dislocation).
Degrees of coxarthrosis of the hip joint
Coxarthrosis of the hip joint of the first degree
1 degree - this is the easiest form of the disease, which can not worry the patient for a very long time, but if you do not navigate and treat the disease in time, it will develop to more severe forms.
In the first stage of the disease, periodic pain in the area of the affected hip is noted after prolonged and intense physical exertion. With bilateral involvement of joints, pain is manifested in both joints, with unilateral - in one. This stage is not characterized by the appearance of lameness and severe muscle rigidity. Pain syndrome occurs immediately after the end of physical activity and is not of a permanent nature. On the radiographic image, one can see a slight narrowing of the gap located between the joints.
Coxarthrosis of the hip joint of the second degree
2 degree is characterized by more significant lesions of the joint - destruction of the cartilaginous tissue. With this degree, all symptoms are intensified.
Pain syndrome in the second stage of the lesion is increased often marked by the irradiation of pain in the groin and thigh. Pain occurs not only after physical exertion, but also in a state of rest. In the absence of restorative measures, the normal movement mechanism is broken - the patient begins to limp, the gait gradually changes. The strength of the muscles responsible for extension and retraction of the thigh decreases. Over time, there is a syndrome of morning stiffness.
Third-degree coxarthrosis of the hip joint
3rd degree is one of the most severe forms of pathology, which is characterized by almost complete destruction of the articular cartilage. A filiform narrowing of the joint gap is noted on the radiographic photograph. The joint is strongly deformed.
The pain syndrome for this condition is permanent, it can be eliminated only temporarily with the help of medications. The patient is difficult to move without a cane or other auxiliary devices, since the joint is constrained, his movements are limited. In the field of the joint, development of edema is noted, tissues are atrophied.
Coxarthrosis of the hip joint of the fourth degree
This is the last stage of the disease, the heaviest. This condition is characterized by complete fusion of the bones of the hip joint with each other.
Symptoms of coxarthrosis of the third stage
Constant pain, which does not lead to a normal life, severe swelling of surrounding tissues. Complete absence of movements in the hip joint.
Diagnosis of diseases of the osteoarticular system
At the first stage, the diagnosis of coxarthrosis includes a survey, collection of anamnesis of life and disease, patient complaints, joint examination and functional tests.
In the clinical analysis of blood with coxarthrosis, there is a slight increase in ESR( sedimentation rate of erythrocytes) - up to 30 and above mm / h.
In the biochemical analysis of blood, the level of markers of inflammation is significantly increased: c-reactive protein, globulin, immunoglobulins and seromucoid. This analysis provides significant assistance in conducting differential diagnosis of joint damage: arthritis or arthrosis?
The basis of all diagnostic activities are instrumental methods.
The main method for the detection of joint damage is X-ray, which notes:
the presence of osteophytes - bone growth along the edges of the articular cartilage;
narrowing the gap between the joints;
sites of ossification of the articular cartilage;
osteoporosis( rarefaction of bone tissue);
bone compaction under the cartilage.
Minus in radiographic examination - only bones are visible, soft joint tissues( cartilage, joint capsule) are not visible in the pictures.
No less informative method of diagnosis is magnetic resonance or computed tomography, which allows to recognize the disease at the earliest stages of its development.
Subject: Hip pain
Treatment of coxarthrosis of the hip joint
With such a pathology as coxarthrosis, the treatment is rather complicated and long-term, consisting of many stages. The main condition for effective treatment is the prompt start of therapeutic measures, regardless of the stage of the disease.
For treatment of the initial stage of pathology development, it is enough to correct the lifestyle, nutrition, eliminate problems with blood circulation and metabolism. More severe forms of the disease require as much effort as possible to restore.
Drug treatment for destructive changes of the hip joint
Drug therapy is mainly a symptomatic treatment. The main actions that are required from medications are elimination of pain syndrome, removal of puffiness and inflammation, improvement of blood circulation, nutrition of cartilaginous tissue and relaxation of muscles.
Non-steroidal anti-inflammatory drugs:
These preparations are shown in the reactive stage of the inflammatory process. Excellent removal of swelling, inflammation, eliminate pain due to the strongest anti-inflammatory effect. Minus in the use of this group of drugs is quick addiction, cartilage tissue ceases to regenerate independently, and a number of side effects negatively affect internal organs.
To date, developed the newest drug with a smaller list of side effects - movalis. Due to its improvement, habituation does not develop so quickly.
Specialists do not recommend taking several anti-inflammatory drugs at the same time, if the drug does not bring the necessary effect, it is worth either increasing the dosage or changing it.
The goal of these medications is to relax the smooth muscles of the vessels and expand their lumen to ensure good circulation. With proper use, the drugs in this group have a minimal amount of contraindications and complications. Vasodilator drugs have a very important effect - they relieve spasm, including night "vascular" pains, which bring maximum discomfort to the patients.
Before using these medications, it is worth consulting with your doctor, since one of the most common side effects is an allergic reaction to the ingredients. Efficiency depends on this factor.
Preparations of this group with coxarthrosis should be taken with extreme caution. They are used to eliminate painful muscle spasm and improve blood circulation. The danger with the use of muscle relaxants is that they affect the nervous system manifested in the form of frequent dizziness, nausea, blocking consciousness or intoxication.
This category of drugs is the most useful and effective, its actions are aimed at restoring the structure of the cartilage. Regular application of chondroprotectors can stop the development of coxarthrosis in the early stages. Contraindications to use are pregnancy, allergy and inflammation of the joints.
Hormonal preparations( injection):
This type of therapy has a positive effect in the absence of inflammatory processes affecting the tendon of the femur. The injections are not recommended to be done more than once every two weeks and no more than three injections per joint.
Drugs of local action( ointments, lotions, compresses)
Such therapy is not fundamental in the treatment of coxarthrosis, since the likelihood that all the necessary substances will penetrate the skin, the fat layer and muscles is very small, therefore positively affects directly the process of rubbing,blood circulation in the affected area.
Related: List of modern medicines and preparations for joints
Operation with coxarthrosis of the hip joint
Surgical intervention is performed at the last stage of the disease development, when the joint's functional capabilities are completely violated.
Endoprosthetics - joint replacement. This is the most difficult of all operations associated with hip joints, its success is almost 70% of all performed interventions. When choosing a prosthesis takes into account the patient's age, sex, weight and anatomical features of the body, this determines the amount of time that the implant will serve. Often this is the only way to return the patient's ability to walk.
Externally, a conventional endoprosthesis is identical with a normal joint, it is designed for the same functions and in a state to withstand the same loads as a natural joint.
By type of prosthesis, these joints are distinguished:
single-pole( only the head of the hip joint is prosthetic);
bipolar( all the anatomical elements of the joint are replaced).
Artrodes - the bones of the joint are fastened with special screws and plates to restore functionality. The minus of this technique - the joint, as before, is constrained in movements. This surgical intervention is prescribed only in cases where other types of treatment do not produce any result.
Arthroplasty is a simulation of the destroyed surface - cartilage.
Osteotomy is a specific dissection of bones to eliminate deformity. In contrast to artodez, this surgical intervention restores not only the supporting function, but also the motor function.
Gymnastics with coxarthrosis of the hip joint
Therapeutic gymnastics for this disease is one of the most effective therapeutic methods of treatment, yielding a positive result. At the initial stages of the exercise, aimed at strengthening the muscles surrounding the joint, can prevent further development of coxarthrosis.
It is very important that therapeutic gymnastics be conducted under the supervision of a highly qualified specialist, since there are a number of exercises that can both benefit and harm the patient.
Exercises for the treatment of coxarthrosis of the hip joint have a certain mechanism. Training the gluteal and pericardial muscles helps improve blood circulation, fixation and nutrition of the cartilage. Exercise for stretching allows you to even out the shortened limbs due to the specific extension of the joint capsule.
For treatment, statistical exercises, rational dynamic loading and stretching are excellent. Complex of the most rational exercises:
in the supine position, it is necessary to raise and as much as possible strain the gluteus muscles;
without getting up, in the same position - bend the leg in the knee and gradually expose it;
remaining in the prone position to straighten your legs and try to lift them, like, you can not raise the upper end of the trunk at the same time;
sitting on a chair, squeeze the ball for fitness between the legs and with maximum force to try to squeeze it;
in sitting position, straight legs trying to clasp your hands on your toes.
All exercises must be performed regularly and correctly. To relieve tension, you can take a relaxing bath with oils.
Contraindications for conduction of the treated gymnastics:
elevated body temperature( over 37);
inguinal hernia, abdominal hernia and back;
rehabilitation period after surgery;
acute inflammatory processes affecting the internal organs;
cardiac and pulmonary insufficiency;
severe pain syndrome;
exacerbation of joint diseases;
high blood pressure.
Look at the visual video:
Before starting the exercises at home, you should consult your doctor and get all the necessary recommendations regarding the methodology for doing certain exercises.
Physiotherapy with coxarthrosis is not the main method of treatment, rather an auxiliary one. Positive result physiotherapeutic procedures can bring only in the early stages of the development of the disease, they are prescribed for the purpose of alleviating spasm and improving blood circulation.
Most commonly used:
mud treatment - spa treatment;
thermal procedures - electrophoresis;
application of lasers;
Massage for hip dysplasia:
Massage is prescribed for any of the 4 stages of the disease, regardless of the treatment: conservative or surgical. It is absolutely safe, relieves tension, swelling, spasm and strengthens muscles. Conduct it recommended as often as possible. In addition, any massage procedures improve blood circulation, which contributes to the restoration of cartilaginous tissue.
In the first stage of the disease, massage is prescribed only after the use of drugs that repair cartilage, vasodilating and anti-inflammatory. Before the start of the massage, the patient is recommended to minimize the load on the affected joint, walk less, lie more.
Massage is performed manually in the hip, waist and hip areas. It is recommended to combine it with therapeutic gymnastics and water procedures, ideal for visiting the pool 3 - 4 times a week.
In specially equipped sanatoriums massage with water jet( hydrokinetic therapy) is carried out. You can also draw the joint with a manual massage.
In the third to fourth stages, coxarthrosis is treated with surgical intervention. Therefore, massage procedures are appointed after the removal of stitches. During this period, massage is simply necessary, it helps improve blood circulation, relieves muscle tension and provides a speedy recovery.
On the topic: Other recipes for traditional medicine
Nutrition for coxarthrosis of the hip joint
Since the development of the disease depends directly on the metabolism, nutrition, with coxarthrosis, should be aimed at excluding all possible factors that cause this pathology.
Balanced nutrition, the right approach to the distribution of food intake - these are the most important factors affecting the recovery of the patient's health. Nutrition with coxarthrosis of joints should be fractional, up to 5-6 times a day, portions should be small, but nutritious.
Thanks to the correct establishment of a meal schedule, the following results can be achieved:
restoration of cartilaginous tissue;
the formation of new tissues.
Diet for coxarthrosis should exclude such foods:
fat meat broths;
products contain a large amount of fat in its composition( cottage cheese, mayonnaise, chocolate, red fish, sour cream, cream);
meat and fish semi-finished products;
large amount of salt( more than 1 tablespoon per day);
food with increased content of preservatives( chips, canned food, sausages, caviar, sauces, some types of cheeses, nuts).
Useful food for coxarthrosis
Suffice it to restore joints is sour-milk products, because the human body easily absorbs milk protein, necessary for tissue regeneration. In addition, dairy products, namely cottage cheese and cheese, are rich in calcium fortifying the bone system.
Part of the required protein can be obtained from certain types of meat and fish products, a very important aspect is that these products should be non-fat. In the daily diet, in addition to animal protein, it is also necessary to include the vegetable that is found in lentils and buckwheat.
To restore bone tissue and cartilage, an element such as collagen is needed. It is found in jellied fish or cold.
With regard to desserts, the ideal for restoring the normal operation of the joints is an option of fruit jelly, rich in vitamin complexes and gelatin. It also positively affects the restoration of joints and cartilage foods rich in phosphorus and phospholipids.
A separate role in proper nutrition in the treatment of joint coxarthrosis is played by carbohydrates, which provide the body with the necessary energy reserve. Energy potential is the basis of all human life processes. Preference is best given to complex carbohydrates - polysaccharides and monosaccharides. As a consequence, it is better to replace the usual sugar with natural honey.
No less useful and necessary in the recovery are cereals that are also rich in complex carbohydrates and essential elements nourishing the brain.
Are Fats Useful?
When considering all the advantages and disadvantages of consuming fats, then for nutrition with coxarthrosis it is best to use vegetable fats.
Nutrition should be organized in such a way as to work on such factors:
decrease in total body weight;
normalization of metabolic processes.
The diet for destructive changes in the hip joint is one of the important steps towards a speedy recovery.
Related: Modern BAA for Joint Restoration
Prevention of Coxarthrosis
The main and most important method of preventing coxarthrosis of the hip and other joints is early diagnosis, as well as such activities as:
skiing, with sticks;
self-massage with the help of ointments;
regular reception of chondroprotectors.
Physical activity in the treatment of coxarthrosis should be directed to the following properties:
restoration of joint functionality;
strengthening of the muscular system;
improved blood supply to the joint and the area around it;
increase in lumbar spine stability;
prevention of severe complications.
Prevention and self-treatment are two big differences, therefore, before proceeding to any measures aimed at restoring the joints, it is necessary to consult with specialists.
Author of the article: Muravitsky Igor Valerievich, rheumatologist, orthopedist
Coxarthrosis of the hip joint, treatment of coxarthrosis 1-2-3 degree, recovery after surgery
What is coxarthrosis
This disease is characterized by serious changes in the work of the hip joint, whichrelated to the problems of feeding the joint bag. Pathological growths of bone tissues, deformation of surfaces, destruction of cartilage, deterioration of motor function are observed.
There are two forms of the disease:
- Primary. It develops as an independent disease. Most often the hip joints are affected symmetrically. So far, specialists have not been able to pinpoint the causes of the onset of the disease. About a quarter of patients have a primary form of the disease.
- Secondary. It manifests itself as a result of complication of the pathology of the hip joint, for example, fracture of the femoral neck. This form is characterized by one-sidedness. At the first manifestations of the disease, you should immediately contact the doctor for an appropriate treatment. At a late stage to overcome this ailment can only be through surgery.
Causes of coxarthrosisInflammatory processes in the joints( arthritis)
Inflammation changes the properties of cartilage tissue, and local blood circulation is disrupted.Joint injuries
Any kind of damage, regardless of depth of injury and prescription, is harmful. Even a minor injury with time can provoke deformations in the cartilaginous and articular tissues.Genetic predisposition of
It is expressed in a special structure of the cartilage or a thin and weak skeleton. Sometimes the development of the joint becomes an impetus to the appearance of the disease - in such cases the doctor defines the disease as a dysplastic coxarthrosis.Excessive physical activity and completeness
This disease is often found among people with overweight, athletes and those who often have to walk for a long time.Other causes of
This includes metabolic diseases, bone mineralization, hormonal disorders and other ailments.It should be noted that most often this disease occurs in people aged 40 years or older.
Symptoms of coxarthrosis
One of the main symptoms of ailment is pain in the hip joint, as well as the inguinal area. During the progression of the disease, uncomfortable sensations appear in the anterior and lateral surfaces of the thigh, almost to the knee.
Next, the muscles lose volume, the limb shortens in the affected area, lameness appears.
Doctors distinguish three stages of the course of coxarthrosis depending on the symptomatology.
First stageMinor pain occurs due to prolonged walking or physical exertion. Sometimes there is transient lameness. Pain passes after rest. At this stage, the disease is treated with conservative methods of treatment.
The second stage ofThere is a strong pain with irradiation into the thigh, groin and knee area caused by the tension of the pelvic muscles. The patient may have difficulty lifting from a bed or a chair, it becomes more difficult for him to turn, and when walking he is forced to lean on a cane. Even a night's rest does not bring any relief. The third stage of Painful pains constantly accompany a person at this stage. It becomes noticeable a decrease in the volume of the buttock and thigh. Soreness appears in the region of the sacral and lumbar spine. Significantly reduced volume of movements, they are becoming more constrained. Sometimes patients are almost unable to walk and stand.
Diagnosis of coxarthrosisThe disease is diagnosed on the basis of patient complaints, instrumental research results, measurement of muscle size, and the amount of movement in the affected joint. During the examination, radiography, ultrasound and arthroscopy( visual inspection of the space inside the formulation using a special probe) are used. Symptoms of the disease:
- Tissue rarefaction( osteoporosis).
- Border extensions of bone around the cartilage;
- Ragged and lime-impregnated pile on the inner joint surface;
- Dense patches of bone tissue under the cartilage;
- Narrowing of the joint space;
- Locally ossified cartilage( ossification).
Treatment of coxarthrosis
It can be conservative and operative. The first is usually complex, it includes taking analgesics, physiotherapy exercises, limiting physical activity, using various orthopedic appliances, for example, special footwear, orthoses, bandages and bandages.
Excellent effect gives physiotherapy, which includes radon and sulfur baths, applications of paraffin, mud therapy, UHF, electrophoresis.In time, the treatment started will help to significantly improve the quality of life of the patient. Following the recommendations of the doctor and regular exercise of the necessary gymnastic exercises will allow you to forget about the unpleasant sensations associated with coxarthrosis for a long time.
When conservative treatment does not give the expected effect, even a progression of the disease is noted, the doctor prescribes endoprosthetics or osteotomy of the hip. In the first case, the full replacement of the affected joint with an artificial one is performed. Endoprosthesis is considered one of the most effective ways to restore motor function. In the second case, the removal of bone proliferation, combining the decomposed fragments in the desired position, and their further fixation are performed.
Rehabilitation after endoprosthetics lasts about six months. After 2-3 weeks, the operated person can stand without support and move with crutches. Light physical exertion is possible in a couple of months after implantation.
Coxarthrosis of the hip joint of the third degree is a neglected stage of the disease, when the whole unpleasant symptomatic pattern has a particularly strong intensity.
A sick person is concerned about the strongest pains of an almost permanent nature. They are very intense, they are felt even during a night's sleep, arise irrespective of limb movement and rest duration, therefore a group of disability is supposed. Stiffness of the osseous joint, stiffness, change in the shape of the joint - these are the symptoms that accompany the pain syndrome. Since it is necessary to treat Coxarthrosis, so that as long as possible the person retained at least the minimum ability to move around? What should I do to get a disability? Let's go into more detail.
Palliative( alleviating the human condition) treatment of
Since changes in the joint are already irreversible, the medication has ceased to bring appreciable relief. There is practically no cartilaginous layer left, and intraarticular fluid is not produced, therefore it becomes less and less meaningful to take chondroprotectors.
Hodproprotektory protect hyaline tissue from destruction, but do not grow it. Nonsteroidal anti-inflammatory drugs with Coxarthrosis of the third degree are prescribed with great caution. Physiotherapy( magnet, reflexology, UHF, electrophoresis) only briefly or at all does not bring any improvement. Usually, physiotherapy is prescribed together with courses of therapeutic massage of the hip joint. The curative plan is left taking into account the use of all the possibilities for maintaining the mobility of the joint.
Physiotherapy in Coxarthrosis 3rd degree
Physical training in Coxarthrosis
A special role in the preservation of the operation of the joint structure is played by physiotherapy exercises. With grade 3 Coxarthrosis, the risk of complete immobilization of the joint increases. Correctly selected set of exercises allows you to "develop" the joint, prevent the fusion of the ends of bones, prolong the person the opportunity to move.
It should be noted that many specialists in medical gymnastics play the role of a panacea in treatment. Strong muscles and ligaments promote good blood circulation in the affected area. And the better the blood circulation, the faster the cartilage is restored.
But, on the other hand, if mindlessly doing exercises, overloading the joint, it is very easy to help the disease destroy the remains of the cartilaginous layer, which will only exacerbate the condition of the person suffering from the disease. Therefore, one should not engage in exercise therapy without consulting the doctor. There are a lot of videos on the Internet, where they are offered to see sets of exercises from famous healers and athletes.
But the verdict should be sounded by a medical highly qualified specialist and your treating trauma doctor. Only a doctor can assess the feasibility of performing an exercise, and only a specialist will find a "golden mean" in physiotherapy.
How to get rid of pain
Pain with Cockarthrosis 3rd degree prevents a person from leading a habitual way of life. Anaplastic drugs and their combinations are prescribed for its relief. But sometimes even simultaneously injected anesthetics do not bring relief, that's when they designate Tramadol.
Tramadol is a powerful anesthetic that causes addiction to the body. Without a doctor's prescription, it is not released at the pharmacy, and prescription forms for the discharge of the drug are subject to strict accounting.
The most radically removed intolerable pain syndrome intraarticular injections, through which you can enter hormonal, vitamin, anti-inflammatory and pain medication. To anesthetize the joint of anesthetics, usually injected with ordinary Lidocaine or Novocain.
Folk medicine offers many tips for the treatment of Coxarthrosis. But practically all of them can help at earlier stages of the disease, when there are not yet many osteophytes( "thorns", as they say in the people), deformities, muscle atrophy.
Extension of the joint
Extension of the joint is one of the rarest procedures, which can increase the joint gap by spreading the bone ends in the joint. With the expansion of the joint gap to anatomically correct size, there is a significant unloading and reduction of the deformity of the joint structure, which leads to a decrease in the intensity of the pain syndrome, and the removal of muscle spasm.
Extraction can take place in 2 ways:
- with manual therapy;
- on the traction machine.
It is better to perform the procedure in water, because the water environment promotes a gentle effect on the body.
A more effective method of traction of the joint is manual, but it is more labor-intensive and expensive. On the traction apparatus, the bony ends dilute only along the vertical axis, although it is more effective to do this somewhat laterally and outward.
How to treat Coxarthrosis of the hip joint of the 3rd degree by surgical methods
With 3 degrees of coxarthrosis, the operation remains almost the only radical type of treatment and a way to get rid of pain. Most often, total endoprosthetics are shown.
Total endoprosthetics is a technically complex operation involving the replacement of the hip joint with a prosthesis. One part of the titanium prosthesis becomes a continuation of the femur, and the other part is implanted into the pelvis.
A properly installed prosthesis fully takes on the function of the joint, because the person returns to normal life. Despite all the complexity of the surgical intervention of the operated patient "put on crutches" for 3 days already. The use of modern pain medication allows qualitatively to stop postoperative pains, therefore the feeling of discomfort immediately after the operation is minimized.
After endoprosthetics, a rehabilitation period awaits you, which has a different duration depending on the state of somatic health, individual characteristics of the organism and the nervous system. But these are quite insurmountable difficulties, which are "on the shoulder" for almost everyone.
Every year, the list of relative contraindications to endoprosthetics in Coxarthrosis of the 3rd degree is shortened, as medicine is mastering new types of treatment for severe chronic and age-related diseases, because more and more people in the world are going to replace the hip joint with a prosthesis.
How to get a group of disabilities with Coxarthrosis 3 degrees
The person's condition progressively worsens, and it is possible to get a disability group. With the advanced degree of the disease, all necessary indications are present for this. First of all, you should consult your trauma doctor. The doctor will appoint all necessary examinations, diagnostic and laboratory tests, which are necessary for medical and social expertise. It is better to have previously made X-ray pictures, information about previously conducted inpatient and outpatient treatment.
Doctors of medical and social expertise in each case decide the issue of disability. Most often, with Coxarthrosis, two groups of disability are assigned, after which a person has the right to apply for a quota for free endoprosthetics.
Coxarthrosis. Symptoms and degrees of coxarthrosis. Treatment of coxarthrosis
What is coxarthrosis
Coxarthrosis is a deforming osteoarthritis of the hip joint. This disease is widespread among the elderly and is much less common in young people. According to statistics, men are more likely to suffer from coxarthrosis than women.
Depending on the pathogenesis, primary or idiopathic coxarthrosis is distinguished - when the cause of the development of this disease is not revealed. And secondary coxarthrosis, which develops against the background of a previous disease, hip joint trauma, bones skeletal dysplasia, hip joint development disorder, etc.
Coxarthrosis, like any other arthrosis, is a progressive disease .Therefore, in most cases, clinical symptoms develop as gradually, allowing the patient to adapt, get used to it. The most characteristic symptom in the beginning of the disease for patients with coxarthrosis is the appearance of minor pain when walking or by the end of the day.
As a rule, patients with coxarthrosis do not pay attention to this pain and do not receive treatment. In some cases, patients in the beginning are concerned not with pain, but with pulling sensations in the groin. In the future, the intensity of the pain syndrome in walking is usually increased, patients note that they can go less without stopping, in the evening and at night after a greater than usual physical load, a severe aching pain in the hip joint area is disturbed.
In most cases it is the development of the pain syndrome that causes the patient to seek medical help. Some patients turn to friends, friends, etc.and according to their advice, they are treated independently, taking all kinds of drugs uncontrollably, and analgesics. However, over time pain with coxarthrosis becomes more and more long reaching a constant character when walking, and its intensity is greatly enhanced. Analgesics in most cases either do not help or their effect is significantly reduced.
By this time patients are most often already observed in doctors, many of them have been repeatedly treated by neurologists, manual therapists, etc. Pain in coxarthrosis "causes" the patient to adapt , patients notice that with less stress on the joint less it hurts, theybegin to "unload" a sick leg when walking - there is lameness. A smaller load on the injured leg promotes the development of muscle hypotrophy, which is manifested by a visual decrease in volume compared to a healthy limb.
Patients with coxarthrosis also intuitively to reduce pain in the joint and reduce the amount of motion in it - they are afraid of its " to disturb ", which subsequently leads to persistent changes in the form of development of joint contractures. Often, with the development of coxarthrosis, shortening of the diseased limb occurs, which further disrupts the gait and intensifies the lameness.
Thus, with the development of coxarthrosis, the so-called " vicious circle " is formed, when some pathological manifestations contribute to the development of others, which in turn contribute to the progression of the first pathological manifestations. So the pain when walking leads to disruption of gait, lameness and restriction of the load on the aching leg, which leads to muscle hypotrophy, joint contractures.
Gait disturbance in coxarthrosis leads to disruption of the biomechanics of all structures of the skeleton involved in the walking process - the redistribution of the load on the joints of the spine and lower limbs, which is manifested by pain in the lower back, curvature of the spine, skewing of the pelvis, which again disrupts the walking function and promotes the progressiondisease.
Thus, with a prolonged course of coxarthrosis, there is a sharp disruption of the hip joint function, which in turn leads to a sharp decrease in the quality of life of the patient, limiting the possibility of full-fledged self-movement and self-service.
Stages of coxarthrosis
Currently, distinguishes between three stages of coxarthrosis and 3 or 4 stages radiologically. The stages are characterized by a description of the deterioration of the hip joint function, the intensity of the pain syndrome, and the growth of movement limitations.
Thus, the first stage of coxarthrosis is the easiest course - subsequent in increasing deterioration. Clinical coxarthrosis stages do not always correlate with radiologic .Therefore, the use of the staging of coxarthrosis is of very little importance with respect to the treatment of this disease and is not determinative.
" Hip coxarthrosis" is essentially a pun, common among the patients "non-specialist ".This is similar to the concept " oil-oil ".Since the very concept of coxarthrosis and is arthrosis of the hip joint .Thus, to use this phrase in the form indicated is not correct.